Guaranteed Pass Solutions 2026
Updated.
191)In a normal patient, put in order the sequence of events for post ingestion of foods:
i) the cells absorb the sugar and use as needed
ii) pancreas sends out the insulin to transport the sugars to the cells
iii) the brain senses an increase in sugar in the blood
iv) any excess sugar is stored in the liver as glycogen
v) the brain sends a signal to the pancreas to increase secretion of insulin
vi) all remaining sugar is stored in the body as fatty tissue
a) 3, 5 ,2,1 ,4 ,6
b) 3, 5, 2, 1, 6, 4
c) 2 ,3 ,5 ,1 ,4 ,6
d) 2 ,3 ,5 ,1 ,6 ,4
e) 1 ,2 ,3 ,5 ,4, 6 - Answer a) 3, 5 ,2,1 ,4 ,6
192) You are responding to a high school dance party and directed to a stair case landing by the
principal. As you arrive, you notice a female patient, approximately 35, lying semi-prone. As you
approach the patient you notice that there is a large soaked area of blood around the patients
left lower leg. You ask your patient not to move while your partner maintains C-Spine control.
Your patient does not respond so you ask what her name is. She opens her eyes and says
"ithsDushtigneg". While doing your wet check, you notice the patient has been incontinent and
the upper right arm is tender as the patient pulls away when you try and assess
a pulse on the right arm. What is the patients GCS?
a) 7
b) 8
c) 9
d) 10
e) 11 - Answer C) 9
193)Your partner notices medication bottles in her shirt pocket and directs you there. The
medications are Amitryptyline and Chlorpropamide. Both medications were prescribed on
yesterday's date. The Amitryptyline had 40 capsules and is empty. The Chiorpropamide had 30
tablets and is now empty. There are no pills around the patient. Knowing what you know about
Amitryptyline, it is a:
a) anti-hypertensive
b) tri-cyclic antidepressant
,c) MAO antidepressant
d) Benzodiazepine
e) oral diabetic - Answer b) tri-cyclic antidepressant
194)Knowing what you know about Chlorpropamide, it is a:
a) anti-hypertensive
b) tri-cyclic antidepressant
c) Antidepressant
d) Benzodiazepine
e) oral diabetic - Answer e) oral diabetic
195)Your CBG reading is 3.9 mmol/L. What is the correct dosage for this middle aged patient?
a) 0.5 ml Glucagon SC/IM in deltoid
b) 1.0 ml Glucagon SC/IM in the thigh
c) 1.0 ml Glucagon SC/IM in the deltoid
d) 0.5 ml Glucagon SC/IM in the thigh
e) 1.0 ml Glucagon SC/IM in the gluteus - Answer c) 1.0 ml Glucagon SC/IM in the deltoid
197)The medications are Amitryptyline and Chlorpropamide. After deciding what the
medications were commonly
prescribed for, what could you relate to the patient's condition?
i) The patient overdosed on an oral diabetic medication, which made her CBG low
ii) She overdosed on a TCA which explains the rhythm in question 30
iii) She overdosed on a benzodiazepine which is why she has a decreased LOA
iv) She overdosed on a MAO antidepressant which is why she has a decreased LOA
v) Her decrease in LOA is related to both antidepressants that she overdosed on
vi) Her low CBG is not related to either medication, and a side effect of a TCA
vii) She overdosed on an anti-hypertensive which explains her low B/P
a) 1 & 3
b) 1 & 2
c) 2, 4, 5, & 6
d) 2 & 7
e) 2, 4, & 5 - Answer b) 1 & 2
,198)According to BLS patient care standards, what are the associated signs and symptoms of
pre-eclampsia?
i) Blood pressure of 140/90
ii) Generalized edema to feet, hands, face
iii) Diastolic blood pressure >110
iv) Patient is beyond 20 weeks gestation
v) Level of consciousness or mental status is altered
vi) Nausea and vomiting
vii) Non-specific complaints of a headache and blurred vision
viii)Rapid weight gain
a) 1, 2, & 4
b) 1, 2, 5, & 6
c) 1, 3, 5, & 7
d) all except for 6
e) all of the above - Answer e) all of the above
199)Which is true about the anatomical and physiological changes during pregnancy to the
expectant mother?
i) Maternal blood volume increases by about 50%
ii) Maternal heart rate increases by 15 beats/minute during the 3rd trimester
iii) Systolic and diastolic B/P decrease by 5-15 mmHg during the 2 trimester and recover to near
normal at
term
iv) Respiratory rate increases and slight dyspnea develops due to upward pressure on the
diaphragm
v) Maternal oxygen demand increases by about 20%
vi) Increased peripheral vascular resistance leads to venous stasis and varicose veins
vii) Laying a patient in the supine position causes compression of the superior vena cava
resulting in Supine Hypotension Syndrome
viii) Urinary stasis is increased leading to increased risk for kidney stones
a) 1, 2, 3, 4, 5, & 8
b) 1, 2, 3, 5, 6, & 8
c) 1, 2, 3, 4, & 7
d) All except for 6
e) All of the above - Answer a) 1, 2, 3, 4, 5, & 8
, 200)Your D tank has 1200 PSI. How many minutes of oxygen would you have if you were to use
the non-rebreather
at its highest (15) and lowest (10) flow rates (round off to the nearest minute) leaving a residual
rate of 500 PSI.
a) l2min / 5min
b) 11min / 7 min
c) 11min / 9min
d) 10min / 9 mm
e) none of the above - Answer b) 11 min / 7 min
201)What is the pathology behind IDDM?
i) The cells of the pancreas are not secreting enough Glucagon. Glycogen is unable to enter the
cells and in
turn makes the blood hyperglycemic
ii) The alpha cells of the pancreas are not secreting any Glucagon. This inhibits gluconeogenesis
and makes
the blood hypoglycemic
iii) The beta cells of the pancreas are not secreting adequate insulin. Glucose is unable to enter
the cells and in
turn makes the blood hyperglycemic
iv) The cells are starved for sugar and start the gluconeogenesis process
v) The result of glycogenolysis is the breakdown of fats and proteins and formation of lactic acid
and pyruvic
acid which makes the patient acidotic
vi) The result of gluconeogenesis is the breakdown of fats and proteins and formation of lactic
acid and
pyruvic acid which makes the patient acidotic
vii) The cells are starved for sugar and start the glycogenolysis process
a) 1, 2, 5, & 7
b - Answer b) 3, 4, & 6
202)As you complete your primary, your vitals are, Pulse 110 brachial with absent radial pulses
bilaterally. RR 24
full and regular, BP is 210/70. Left pupil is 6 mm and fully dilated and the right pupil is 2 mm and
sluggish.
Both eyes are rotated externally to the left side. The skin is pale, cool and diaphoretic, cap refill
is normal.