Paramedic Comprehensive Final Exam
f f f
Practice with correct answers
f f f f
Following fblunt ftrauma fto fthe fanterior fchest, fa f44-year-old fwoman fpresents fwith frestlessness,
frespiratory fdistress, fperioral fcyanosis, fand ftachycardia. fFurther fassessment freveals fa fmidline
ftrachea, fengorged fjugular fveins, fand fabsent fbreath fsounds fon fthe fright fside fof fher fchest. fYou
fshould: f- fCorrect f fAnswer f- fperform fan fimmediate fneedle fthoracentesis fto fthe fright fside fof fthe
fchest.
A f40-year-old fman fpresents fwith fdifficulty furinating, ffever, fand ftremors. fWhich fof fthe ffollowing
fshould fyou fsuspect? f- fCorrect f fAnswer f- fProstatitis
A f45-year-old funrestrained fman fwas fejected ffrom fhis fsmall ftruck fwhen fit fstruck fa ftree. fThe
fpatient fis ffound fapproximately f20 ffeet ffrom fthe fwreckage. fYour fprimary fassessment freveals fthat
fhe fis funresponsive fand fhas fsonorous frespirations fand fa frapid fpulse. fYour finitial factions fshould
finclude: f- fCorrect f fAnswer f- fmanually fstabilizing fhis fhead fand fopening fhis fairway fwith fthe fjaw-
thrust fmaneuver.
A f60-year-old fman fwith fcrushing fchest fpain fhas f3 fmm fof fST felevation fin fleads fV1 fthrough fV4.
fWhat fshould fyou fsuspect? f- fCorrect f fAnswer f- fLeft fanterior fdescending fartery focclusion
A fpatient fwith fa fsuppressed fcough fmechanism: f- fCorrect f fAnswer f- fis fat fserious frisk ffor faspiration.
You fare fcaring ffor fa f33-year-old fwoman fwho fis f35 fweeks fpregnant fand ffell fdown fa fflight fof fstairs.
fFull fspinal fprecautions fhave fbeen ftaken, fthe fpatient fis freceiving fhigh-flow foxygen, fand fa fpatent fIV
fline fis fin fplace. fDuring ftransport, fyou freassess fher fand fnote fthat fshe fhas fbecome fdiaphoretic,
ftachycardic, fand ftachypneic. fYou fshould: f- fCorrect f fAnswer f- ftilt fthe fbackboard fto fthe fleft fside.
Which fof fthe ffollowing fis fthe fMOST fimportant fconsideration fduring fa fpandemic? f- fCorrect f fAnswer
f- fPersonal fprotective fequipment
, The fdoor-to-balloon ftime ffor fa fpatient fwith fan fST felevation fmyocardial finfarction fis f___ fminutes for
fless. f- fCorrect f fAnswer f- f90
When fattempting fresuscitation fof fa fchild fwith fpulseless felectrical factivity, fyou fshould: f- fCorrect f
fAnswer f- fattempt fto fidentify fan funderlying fcause fof fthe farrest.
Which fof fthe ffollowing fclinical ffindings fwould fMOST flikely fdifferentiate fa fmassive fhemothorax ffrom
fa ftension fpneumothorax? f- fCorrect f fAnswer f- fHemoptysis
Which fof fthe ffollowing fclinical ffindings fis fthe fMOST fconsistent fwith fhypertrophic fcardiomyopathy?
f- fCorrect f fAnswer f- fUnexplained fsyncope
A f41-year-old fwoman fattempted fto fkill fherself fby fcutting fher fwrists. fLaw fenforcement fpersonnel
fare fat fthe fscene. fYou fhave fcontrolled fthe fbleeding fwith fdirect fpressure fand fa fpressure fbandage.
fThe fpatient's fvital fsigns fare fstable fand fshe fis fconscious fand falert; fhowever, fshe frefuses fto fgo fto
fthe fhospital. fDespite fpleas ffrom fher ffamily fto fgo fto fthe fhospital, fshe fstill frefuses. fYou fshould: f-
fCorrect f fAnswer f- fremain fwith fthe fpatient, fcontact fmedical fcontrol, fand frequest flaw fenforcement
fintervention.
Any ftime fa fpatient fwith fend-stage frenal fdisease fis ffound fin fcardiac farrest, fthe fparamedic fshould
fstrongly fconsider fwhich fof fthe ffollowing fas fthe fcause? f- fCorrect f fAnswer f- fKyperkalemia
Which fof fthe ffollowing fstatements fregarding fGrey fTurner fsign fis fcorrect? f- fCorrect f fAnswer f- fGrey
fTurner fsign fis fcharacterized fby fflank fbruising fand findicates finternal fbleeding.
Following fdecontamination, fa fpatient fis fpresented fto fyou fby frescue fpersonnel ffor ftransport. fThe
fpatient fis fconscious fand falert, fand fis fin fno fobvious frespiratory fdistress. fThe fpatient fis femitting fa
fpungent fodor fand fhas fan forange fchemical fon fher fclothing. fYou fshould: f- fCorrect f fAnswer f- fadvise
fthe frescuers fthat fthe fpatient fhas fnot fbeen fadequately fdecontaminated.
f f f
Practice with correct answers
f f f f
Following fblunt ftrauma fto fthe fanterior fchest, fa f44-year-old fwoman fpresents fwith frestlessness,
frespiratory fdistress, fperioral fcyanosis, fand ftachycardia. fFurther fassessment freveals fa fmidline
ftrachea, fengorged fjugular fveins, fand fabsent fbreath fsounds fon fthe fright fside fof fher fchest. fYou
fshould: f- fCorrect f fAnswer f- fperform fan fimmediate fneedle fthoracentesis fto fthe fright fside fof fthe
fchest.
A f40-year-old fman fpresents fwith fdifficulty furinating, ffever, fand ftremors. fWhich fof fthe ffollowing
fshould fyou fsuspect? f- fCorrect f fAnswer f- fProstatitis
A f45-year-old funrestrained fman fwas fejected ffrom fhis fsmall ftruck fwhen fit fstruck fa ftree. fThe
fpatient fis ffound fapproximately f20 ffeet ffrom fthe fwreckage. fYour fprimary fassessment freveals fthat
fhe fis funresponsive fand fhas fsonorous frespirations fand fa frapid fpulse. fYour finitial factions fshould
finclude: f- fCorrect f fAnswer f- fmanually fstabilizing fhis fhead fand fopening fhis fairway fwith fthe fjaw-
thrust fmaneuver.
A f60-year-old fman fwith fcrushing fchest fpain fhas f3 fmm fof fST felevation fin fleads fV1 fthrough fV4.
fWhat fshould fyou fsuspect? f- fCorrect f fAnswer f- fLeft fanterior fdescending fartery focclusion
A fpatient fwith fa fsuppressed fcough fmechanism: f- fCorrect f fAnswer f- fis fat fserious frisk ffor faspiration.
You fare fcaring ffor fa f33-year-old fwoman fwho fis f35 fweeks fpregnant fand ffell fdown fa fflight fof fstairs.
fFull fspinal fprecautions fhave fbeen ftaken, fthe fpatient fis freceiving fhigh-flow foxygen, fand fa fpatent fIV
fline fis fin fplace. fDuring ftransport, fyou freassess fher fand fnote fthat fshe fhas fbecome fdiaphoretic,
ftachycardic, fand ftachypneic. fYou fshould: f- fCorrect f fAnswer f- ftilt fthe fbackboard fto fthe fleft fside.
Which fof fthe ffollowing fis fthe fMOST fimportant fconsideration fduring fa fpandemic? f- fCorrect f fAnswer
f- fPersonal fprotective fequipment
, The fdoor-to-balloon ftime ffor fa fpatient fwith fan fST felevation fmyocardial finfarction fis f___ fminutes for
fless. f- fCorrect f fAnswer f- f90
When fattempting fresuscitation fof fa fchild fwith fpulseless felectrical factivity, fyou fshould: f- fCorrect f
fAnswer f- fattempt fto fidentify fan funderlying fcause fof fthe farrest.
Which fof fthe ffollowing fclinical ffindings fwould fMOST flikely fdifferentiate fa fmassive fhemothorax ffrom
fa ftension fpneumothorax? f- fCorrect f fAnswer f- fHemoptysis
Which fof fthe ffollowing fclinical ffindings fis fthe fMOST fconsistent fwith fhypertrophic fcardiomyopathy?
f- fCorrect f fAnswer f- fUnexplained fsyncope
A f41-year-old fwoman fattempted fto fkill fherself fby fcutting fher fwrists. fLaw fenforcement fpersonnel
fare fat fthe fscene. fYou fhave fcontrolled fthe fbleeding fwith fdirect fpressure fand fa fpressure fbandage.
fThe fpatient's fvital fsigns fare fstable fand fshe fis fconscious fand falert; fhowever, fshe frefuses fto fgo fto
fthe fhospital. fDespite fpleas ffrom fher ffamily fto fgo fto fthe fhospital, fshe fstill frefuses. fYou fshould: f-
fCorrect f fAnswer f- fremain fwith fthe fpatient, fcontact fmedical fcontrol, fand frequest flaw fenforcement
fintervention.
Any ftime fa fpatient fwith fend-stage frenal fdisease fis ffound fin fcardiac farrest, fthe fparamedic fshould
fstrongly fconsider fwhich fof fthe ffollowing fas fthe fcause? f- fCorrect f fAnswer f- fKyperkalemia
Which fof fthe ffollowing fstatements fregarding fGrey fTurner fsign fis fcorrect? f- fCorrect f fAnswer f- fGrey
fTurner fsign fis fcharacterized fby fflank fbruising fand findicates finternal fbleeding.
Following fdecontamination, fa fpatient fis fpresented fto fyou fby frescue fpersonnel ffor ftransport. fThe
fpatient fis fconscious fand falert, fand fis fin fno fobvious frespiratory fdistress. fThe fpatient fis femitting fa
fpungent fodor fand fhas fan forange fchemical fon fher fclothing. fYou fshould: f- fCorrect f fAnswer f- fadvise
fthe frescuers fthat fthe fpatient fhas fnot fbeen fadequately fdecontaminated.
