PARAMEDIC TRAUMA LATEST 2026 EXAM QUESTIONS
AND ANSWERS RATED A+
✔✔Levels of ICP - ✔✔Mild- cheyne-stokes, increased BP, decreased HR, pupils stil
reactive, AMS, vomiting. Moderate- widening pulse pressure w/ bradycardia, pupils are
non-reactive, hyperventilation, posturing. Severe- blown pupil, biot's respirations, flaccid
paralysis, irregular pulse rate, fluctuating BP (usually hypotension).
✔✔Cheyne- Stokes Respirations - ✔✔Respirations that are fast and then become slow,
with intervening periods of apnea. Common in people with head injuries/ICP.
✔✔Biots Respirations - ✔✔Characterized by irregular rate, pattern, and volume of
breathing with intermittent periods of apnea.
✔✔Babinkski Reflex - ✔✔Occurs when the toes move upward in response to
stimulation of the sole of the foot. Under normal circumstances, the toes move
downward.
✔✔Coup Contrecoup - ✔✔Front and rear injury. Brain slams into the front of the skull,
and then slams into the back end of the skull.
✔✔Autoregulation - ✔✔The body responds to a decrease in CPP by increasing the
MAP. Resulting in cerebral vasodilation and increased cerebral blood flow. However,
this is a vicious cycle cause it actually increases ICP.
✔✔Decorticate - ✔✔Flexor posturing. Pt's limbs will be facing toward their core,
involving flexion of the arms and legs.
✔✔Decerebrate - ✔✔Extensor posturing. Pt's limbs will be extending away from the
body.
✔✔Intracerebral Hematoma - ✔✔Involves bleeding within the brain tissue itself. Can
follow a penetrating injury to the head. Have a high mortality rate.
✔✔Hyperpyrexia - ✔✔Patients with a head injury can develop a high body temperature,
which can worsen the condition of the brain.
✔✔Signs and symptoms of a Pneumothorax - ✔✔Pt may only report mild dyspnea, and
pleuritic chest pain on one side. Diminished or unequal breath sounds may be heard on
auscultation. Pt's with larger pneumo's present with severe respiratory compromise and
hypoxia- tachycardia, tachypnea, AMS.
AND ANSWERS RATED A+
✔✔Levels of ICP - ✔✔Mild- cheyne-stokes, increased BP, decreased HR, pupils stil
reactive, AMS, vomiting. Moderate- widening pulse pressure w/ bradycardia, pupils are
non-reactive, hyperventilation, posturing. Severe- blown pupil, biot's respirations, flaccid
paralysis, irregular pulse rate, fluctuating BP (usually hypotension).
✔✔Cheyne- Stokes Respirations - ✔✔Respirations that are fast and then become slow,
with intervening periods of apnea. Common in people with head injuries/ICP.
✔✔Biots Respirations - ✔✔Characterized by irregular rate, pattern, and volume of
breathing with intermittent periods of apnea.
✔✔Babinkski Reflex - ✔✔Occurs when the toes move upward in response to
stimulation of the sole of the foot. Under normal circumstances, the toes move
downward.
✔✔Coup Contrecoup - ✔✔Front and rear injury. Brain slams into the front of the skull,
and then slams into the back end of the skull.
✔✔Autoregulation - ✔✔The body responds to a decrease in CPP by increasing the
MAP. Resulting in cerebral vasodilation and increased cerebral blood flow. However,
this is a vicious cycle cause it actually increases ICP.
✔✔Decorticate - ✔✔Flexor posturing. Pt's limbs will be facing toward their core,
involving flexion of the arms and legs.
✔✔Decerebrate - ✔✔Extensor posturing. Pt's limbs will be extending away from the
body.
✔✔Intracerebral Hematoma - ✔✔Involves bleeding within the brain tissue itself. Can
follow a penetrating injury to the head. Have a high mortality rate.
✔✔Hyperpyrexia - ✔✔Patients with a head injury can develop a high body temperature,
which can worsen the condition of the brain.
✔✔Signs and symptoms of a Pneumothorax - ✔✔Pt may only report mild dyspnea, and
pleuritic chest pain on one side. Diminished or unequal breath sounds may be heard on
auscultation. Pt's with larger pneumo's present with severe respiratory compromise and
hypoxia- tachycardia, tachypnea, AMS.
