Students- paramedic exam practice questions and answers

After delivery, a paramedic notices a newborns heart rate drops abruptly, skin has become blue and blotchy, and respiration has stopped. After drying the infant, spontaneous respiration occurs. What does this assessment describe? A) Primary asphyxia B) Primary apnea C) Secondary apnea D) Newborn asphyxia C. Secondary apnea *ON THE TEST* A woman who is 38 weeks pregnant had minor spotting yesterday. She now has painless bright red vaginal bleeding. The uterus is soft and nontender. Her skin is pale and moist. VS BP 100/60 P 112 RR 28 Spo2 95%. What should the paramedic suspect? A) placental abruptio previa B) Placenta previa C) placenta abruptio D) Uterine rupture B) Placenta previa 01:01 01:29 Which childhood disease presents with a diffuse rash all over the body, fever, and white koplik spots in the mouth? A) Measles B) Varciella C) Hand-Foot and Mouth disease D) Rubella A) Measles *ON THE TEST* Which of these would suppress the compensatory mechanism of tachycardia and a geriatric patient who is experiencing hemorrhagic shock? A. Thiazide diuretics B. Beta blockers C. Calcium channel blockers D. Blood thinners B. Beta blockers What is the correct amount of fluid to a minister to a five week old infant who weighs 8 pounds with significant dehydration? A. 36 mL B. 72 mL C. 82 mL D. 160 mL B. 72mL Which of these is most likely NOT to be sustained from the tertiary phase of blast injuries? A. Compression fractures of the spine B. Rib fractures C. Hyperextension injuries D. Pulmonary barotrauma D. Pulmonary barotrauma *ON THE TEST* Which of these is most likely to be sustained from the tertiary phase of blast injuries? A) Smoke or toxic fume inhalation, burns, crush injuries B) Lacerations, eye injuries, extremity fractures C) Compression fractures of the spine, rib fractures, hyperextension injuries D) Tympanic membrane rupture, headache, blast lung injury C) Compression fractures of the spine, rib fractures, hyperextension injuries What should a paramedic do when confronted with a prolasped cord? A) Place gloved fingers between the baby and the mothers pelvic bone B) Insert gloved hand into the birth canal in order to restrain delivery C) Attempt to push the cord back into the birth canal D) Clamp and cut the cord and instruct the mother to push as hard as possible A) Place gloved fingers between the baby and the mothers pelvic bone A 20-year-old has been working in the sun for the past six hours on a very hot day and c/o extreme dizziness, weakness, thirst, nausea, and has vomited x2. Skin is warm, flushed, diaphoretic. VS: BP 94/60 orthostatic changes; P 118 and thready; spo2 97%; T 99F. Glucose 120. What should the paramedic initiate for the patient? A) IV NS in consecutive 200 mL increments B) Cover with a cold wet shet C) Give 32 ounces of electrolyte solution orally D) Transport patient as quickly as possible A. IV NS in consecutive 200 mL increments *ON THE TEST* Which of these is appropriate treatment for hyperemesis gravidarum? A) EKG monitoring for irregularities B) Cesarean section C) Benzodiazepine administration D) IV fluid replacement D) IV fluid replacement A 28-year-old patient presents with an acute onset of shortness of breath, Hives, and itching on the face, neck, and palms following dinner. The pt has edema of the lips, tongue, and eyelids, facial flushing, and stridorous respirations. She is anxious, light headed, and struggling to breath. VS BP 86/palp, RR 48, P 128, spo2 82% on room h sounds are bilaterally diminished. Which medication should a paramedic get first? A. Epinephrine 1:10 IVP B. Epinephrine 1:1 IVP C. Benadryl 50mg IVP D. Benadryl 25mg IVP A. Epinephrine 1:10 IVP Which drug should a paramedic administer first to a patient experiencing a systemic allergic reaction with facial edema, tearing, generalized hives, severe dyspnea and wheezing, palpable radial pulse and BP 130/80? A. Benadryl B. Epinephrine C. Lidocaine D. Midazolam B. Epinephrine