PARAMEDIC ENTRANCE EVALUATION EXAM
QUESTIONS AND ANSWERS SET A+
✔✔describe the assessment of a closed chest injury - ✔✔The pt who has flail chest will
have a mechanism of injury capable of causing a flail segment in the chest. Pt will have
difficulty breathing with pain at injury site. Signs of shock and hypoxia are likely.
Characteristic paradoxical motion may be difficult to observe in early stages since
muscles of the chest wall will tighten and naturally splint the area. This muscle
tightening combined with efforts necessary to breathe will eventually cause pt to
become fatigued. In turn, this will cause flail segment to become more visible (late sign),
and will also make assisting ventilations necessary.
✔✔list the range of oxygen concentration percentage delivered by a nasal cannula at 1
to 6 liters per minute - ✔✔Nasal Cannula. 1-6 L/min flow delivers 24-44% oxygen
✔✔define paradoxical chest wall motion - ✔✔Movement of a section of ribs that is
opposite to the direction of movement of the rest of the chest during respiration
✔✔define critical burn injury - ✔✔Any burn that is of full thickness or covers > 10% of
bodys total surface area.
1. Full thickness: critical burn that involve hands, feet, face and genitalia
2. Partial thickness: that cover >30% of bodys surface area
3. Burns associated with respiratory injury
4. Burns complicated by fractures
✔✔list the treatment for an impaled object in the hand - ✔✔Control the bleeding
Stabilize the object (Do not remove)
Splint extremity in position of comfort where the object will be safe from sudden
movements or being bumped into.
✔✔define abandonment - ✔✔The discontinuation of medical care without proper notice
, ✔✔list causes of JVD - ✔✔heart failure, when the heart no longer pumpsTrusted
Source blood as well as it should
fluid overload, which leads to edema and swelling in the abdomen and lower limbs
constrictive pericarditis, which affects the sac that surrounds the heart
cardiac tamponade, when fluid other than blood takes up space in the heart
✔✔describe how to perform encircling chest compressions - ✔✔encircle the infant's
chest with both hands, and compress the chest with both thumbs about one third to one
half the depth of the chest.
✔✔describe the function of the epiglottis - ✔✔Prevents choking - closes glottis when
swallowing
✔✔list common causes of hypovolemic shock in an adult and child - ✔✔Major blood or
fluid loss causes hypovolemic shock. You may be bleeding a lot inside your body,
where you can't see it, or outside your body, where you can see an obvious injury. You
can also get hypovolemic shock from burns, pancreatitis, or from too much sweating,
throwing up or diarrhea.
✔✔identify what each letter in the APGAR scoring system represents - ✔✔
✔✔list the causes of hypoglycemia - ✔✔medication
inadequate food intake
✔✔define trimester - ✔✔3 months which human pregnancy is divided
✔✔identify what each letter in the AVPU memory aid represents - ✔✔Alert, Voice, Pain,
Unresponsive
✔✔list the treatment for a limb presentation during delivery - ✔✔Transport the mother to
the hospital immediately if an arm or leg is presented first. Keep the mother in the
delivery position (follow local guidelines.) DO NOT attempt to deliver the baby.
CAUTION: DO NOT try to pull on the presenting limb.
✔✔list the indications for an occlusive dressing - ✔✔*For open chest wounds involving
a pneumothorax or a tension pneumothorax
*Flutter valve dressing allows air to escape chest cavity while preventing air from
entering
✔✔define Good Samaritan laws - ✔✔Grants immunity, if the good samaritan makes an
error while rendering emergency medical care, he or she cannot be held legally liable
for damages in court.
✔✔define spontaneous abortion - ✔✔loss of embryo or fetus less than 500 g and less
than 20 weeks gestation
QUESTIONS AND ANSWERS SET A+
✔✔describe the assessment of a closed chest injury - ✔✔The pt who has flail chest will
have a mechanism of injury capable of causing a flail segment in the chest. Pt will have
difficulty breathing with pain at injury site. Signs of shock and hypoxia are likely.
Characteristic paradoxical motion may be difficult to observe in early stages since
muscles of the chest wall will tighten and naturally splint the area. This muscle
tightening combined with efforts necessary to breathe will eventually cause pt to
become fatigued. In turn, this will cause flail segment to become more visible (late sign),
and will also make assisting ventilations necessary.
✔✔list the range of oxygen concentration percentage delivered by a nasal cannula at 1
to 6 liters per minute - ✔✔Nasal Cannula. 1-6 L/min flow delivers 24-44% oxygen
✔✔define paradoxical chest wall motion - ✔✔Movement of a section of ribs that is
opposite to the direction of movement of the rest of the chest during respiration
✔✔define critical burn injury - ✔✔Any burn that is of full thickness or covers > 10% of
bodys total surface area.
1. Full thickness: critical burn that involve hands, feet, face and genitalia
2. Partial thickness: that cover >30% of bodys surface area
3. Burns associated with respiratory injury
4. Burns complicated by fractures
✔✔list the treatment for an impaled object in the hand - ✔✔Control the bleeding
Stabilize the object (Do not remove)
Splint extremity in position of comfort where the object will be safe from sudden
movements or being bumped into.
✔✔define abandonment - ✔✔The discontinuation of medical care without proper notice
, ✔✔list causes of JVD - ✔✔heart failure, when the heart no longer pumpsTrusted
Source blood as well as it should
fluid overload, which leads to edema and swelling in the abdomen and lower limbs
constrictive pericarditis, which affects the sac that surrounds the heart
cardiac tamponade, when fluid other than blood takes up space in the heart
✔✔describe how to perform encircling chest compressions - ✔✔encircle the infant's
chest with both hands, and compress the chest with both thumbs about one third to one
half the depth of the chest.
✔✔describe the function of the epiglottis - ✔✔Prevents choking - closes glottis when
swallowing
✔✔list common causes of hypovolemic shock in an adult and child - ✔✔Major blood or
fluid loss causes hypovolemic shock. You may be bleeding a lot inside your body,
where you can't see it, or outside your body, where you can see an obvious injury. You
can also get hypovolemic shock from burns, pancreatitis, or from too much sweating,
throwing up or diarrhea.
✔✔identify what each letter in the APGAR scoring system represents - ✔✔
✔✔list the causes of hypoglycemia - ✔✔medication
inadequate food intake
✔✔define trimester - ✔✔3 months which human pregnancy is divided
✔✔identify what each letter in the AVPU memory aid represents - ✔✔Alert, Voice, Pain,
Unresponsive
✔✔list the treatment for a limb presentation during delivery - ✔✔Transport the mother to
the hospital immediately if an arm or leg is presented first. Keep the mother in the
delivery position (follow local guidelines.) DO NOT attempt to deliver the baby.
CAUTION: DO NOT try to pull on the presenting limb.
✔✔list the indications for an occlusive dressing - ✔✔*For open chest wounds involving
a pneumothorax or a tension pneumothorax
*Flutter valve dressing allows air to escape chest cavity while preventing air from
entering
✔✔define Good Samaritan laws - ✔✔Grants immunity, if the good samaritan makes an
error while rendering emergency medical care, he or she cannot be held legally liable
for damages in court.
✔✔define spontaneous abortion - ✔✔loss of embryo or fetus less than 500 g and less
than 20 weeks gestation
