PARAMEDIC FINAL EXAM QUESTIONS
WITH CORRECT EXPLAINED ANSWERS
|| 100% GUARANTEED PASS!!
<RECENT VERSION>
1. HIPPA mandates that: - ANSWER ✔ Patient information shall not be shared
with entities or persons not involved in the care of the patient.
2. HIPPA Defined: - ANSWER ✔ a. The first standards established to protect
the confidentiality of a patient's health information.
b. Medical information can be disclosed only if it is necessary for a patient's
treatment or for payment.
c. Special situations such as dog bites, gunshot wounds, and abuse require
the release of patient information without the patient's consent.
3. According to HIPAA, it is acceptable and permissible for hospitals to: -
ANSWER ✔ share information with the EMS providers about patient
outcome for purposes of quality assurance and education.
4. Wheezing that is resolved with administration of bronchodilator medication
was probably caused by? - ANSWER ✔ constriction of smooth muscles
5. Wheezing is resolved with medications that? - ANSWER ✔ Relax the
smooth muscle of the bronchiole
6. Difficulty with exhalation is MOST characteristic of: - ANSWER ✔
obstructive lung disease
7. COPD: Emphysema: - ANSWER ✔ Characterized by distention of the
alveoli and destructive changes in the lungs.
,8. COPD: Chronic Bronchitis: - ANSWER ✔ Defined as sputum production
most days of month for 3 or more months out of year for more than 2 years.
Will rarely have normal oxygen saturation; (maybe less than 90%). May
have another condition, including respiratory conditions
9. A 66-year-old man with chronic bronchitis presents with severe respiratory
distress. The patient's wife tells you that he takes medications for high blood
pressure and bronchitis, is on home oxygen therapy, and has recently been
taking an over-the-counter antitussive. She further tells you that he has not
been compliant with his oxygen therapy. Auscultation of his lungs reveals
diffuse rhonchi. What is the MOST likely cause of this patient's respiratory
distress? - ANSWER ✔ Recent antitussive use
10.A 76-year-old woman with emphysema presents with respiratory distress
that has worsened progressively over the past 2 days. She is breathing
through pursed lips and has a prolonged expiratory phase and an oxygen
saturation of 76%. She is on home oxygen at 2 L/min. Your initial action
should be to? - ANSWER ✔ place her in a position that facilitates breathing.
11.Chronic obstructive pulmonary disease (COPD) is characterized by: -
ANSWER ✔ changes in pulmonary structure and function that are
progressive and irreversible
12.The hypoxic drive is a phenomenon in which - ANSWER ✔ bicarbonate
ions migrate into the cerebrospinal fluid of a chronically hypoventilating
patient, making the brain think that acid and base are in balance
13.Pulmonary Embolism Characteristics - ANSWER ✔ Sudden dyspnea &
cyanosis, and perhaps, a sharp pain in the chest. A hallmark of pulmonary
embolism is that the cyanosis does not resolve with oxygen therapy.
14.You are dispatched to a residence for a young woman with difficulty
breathing. When you arrive, you find the patient sitting in a tripod position,
noticeably dyspneic and tachypneic. She tells you that she experienced a
sudden sharp pain to the left side of her chest and then started having trouble
breathing. She denies any past medical history and states that she only takes
birth control pills. Based on this patient's clinical presentation, you should be
MOST suspicious for: - ANSWER ✔ acute pulmonary embolism
,15.Paradoxial Respiratory Movement is - ANSWER ✔ the inward movement of
a segment of the chest during inhalation and a outward movement of the
chest during exhalation, opposite normal chest movement and a indication of
flail chest.
16.Paradoxical respiratory movement is characterized by: - ANSWER ✔ the
epigastrium and thorax moving in opposite directions
17.Cor pulmonale is defined as: - ANSWER ✔ right heart failure secondary to
chronic lung disease
18.Right Side Heart Failure Characteristics: . - ANSWER ✔ (pg. 1020)-
Distention with external jugular veins, Serum forced out producing edema
(feet and/or lower back), right upper quadrant swelling (hepatomegaly, eg.
Liver), abdominal distention, (eg, Ascites),end enspiratory crackles, a
progressive increase in dyspnea over several days, greater than usual fluid
intake, and improper use of diuretics
19.An elderly woman with COPD presents with peripheral edema. The patient
is conscious but agitated. She is breathing with slight difficulty but has
adequate tidal volume. During your assessment, you note that her jugular
veins engorge when you apply pressure to her right upper abdominal
quadrant. She tells you that she takes a "water pill" and Vasotec for high
blood pressure. You should: - ANSWER ✔ suspect acute right heart failure
and administer oxygen.
20.Hepatomegaly and jugular venous distention are MOST suggestive of: -
ANSWER ✔ right heart failure
21.The movement of a solute from an area of higher concentration to an area of
lower concentration is called: - ANSWER ✔ diffusion
22.Osmosis occurs when: - ANSWER ✔ water moves from an area of lower
solute concentration to an area of higher solute concentration.
23.What is filtration? . - ANSWER ✔ Filtration is a process within the body,
similar to osmosis that is used to redistribute water and other particles. High
pressure to low pressure
, 24.Any cell that ingests microorganisms or other cells is called a: - ANSWER
✔ phagocyte
25.Phagocytosis is the process by which: - ANSWER ✔ monocytes digest
microbes
26.Group of cells make up _______________? - ANSWER ✔ Tissues
27.How sodium channel blocker meds work, specifically how they affect phase
zero of the cardiac depolarization? - ANSWER ✔ Depolarization: Is due to
the influx of Sodium (Na+) which causes the cell's internal membrane to
become more positive, leading to an action potential.
28.Repolarization: Occurs when Potassium (K+) leaves the cell causing the
interior of the cell to become negative again.
29.How to protect yourself from a violent patient, what's the first thing we have
to give ourselves? - ANSWER ✔ Space
30.The four lobes of the brain - ANSWER ✔ Frontal Lobe, Parietal Lobe,
Temporal Lobes, Occipital Lobe
31.Frontal Lobe of the brain - ANSWER ✔ Involved in reasoning, motor
control, emotion, and language.
32.Parietal Lobe of the brain - ANSWER ✔ Its functions in processing sensory
information regarding the location of parts of the body as well as
interpreting visual information and processing language and mathematics.
33.Temporal Lobes of the brain - ANSWER ✔ Process sensory input. Its
functions involved primary auditory perception, such as hearing, and holds
the primary auditory cortex.
34.Occipital Lobe of the brain - ANSWER ✔ Processes visual processing
center
WITH CORRECT EXPLAINED ANSWERS
|| 100% GUARANTEED PASS!!
<RECENT VERSION>
1. HIPPA mandates that: - ANSWER ✔ Patient information shall not be shared
with entities or persons not involved in the care of the patient.
2. HIPPA Defined: - ANSWER ✔ a. The first standards established to protect
the confidentiality of a patient's health information.
b. Medical information can be disclosed only if it is necessary for a patient's
treatment or for payment.
c. Special situations such as dog bites, gunshot wounds, and abuse require
the release of patient information without the patient's consent.
3. According to HIPAA, it is acceptable and permissible for hospitals to: -
ANSWER ✔ share information with the EMS providers about patient
outcome for purposes of quality assurance and education.
4. Wheezing that is resolved with administration of bronchodilator medication
was probably caused by? - ANSWER ✔ constriction of smooth muscles
5. Wheezing is resolved with medications that? - ANSWER ✔ Relax the
smooth muscle of the bronchiole
6. Difficulty with exhalation is MOST characteristic of: - ANSWER ✔
obstructive lung disease
7. COPD: Emphysema: - ANSWER ✔ Characterized by distention of the
alveoli and destructive changes in the lungs.
,8. COPD: Chronic Bronchitis: - ANSWER ✔ Defined as sputum production
most days of month for 3 or more months out of year for more than 2 years.
Will rarely have normal oxygen saturation; (maybe less than 90%). May
have another condition, including respiratory conditions
9. A 66-year-old man with chronic bronchitis presents with severe respiratory
distress. The patient's wife tells you that he takes medications for high blood
pressure and bronchitis, is on home oxygen therapy, and has recently been
taking an over-the-counter antitussive. She further tells you that he has not
been compliant with his oxygen therapy. Auscultation of his lungs reveals
diffuse rhonchi. What is the MOST likely cause of this patient's respiratory
distress? - ANSWER ✔ Recent antitussive use
10.A 76-year-old woman with emphysema presents with respiratory distress
that has worsened progressively over the past 2 days. She is breathing
through pursed lips and has a prolonged expiratory phase and an oxygen
saturation of 76%. She is on home oxygen at 2 L/min. Your initial action
should be to? - ANSWER ✔ place her in a position that facilitates breathing.
11.Chronic obstructive pulmonary disease (COPD) is characterized by: -
ANSWER ✔ changes in pulmonary structure and function that are
progressive and irreversible
12.The hypoxic drive is a phenomenon in which - ANSWER ✔ bicarbonate
ions migrate into the cerebrospinal fluid of a chronically hypoventilating
patient, making the brain think that acid and base are in balance
13.Pulmonary Embolism Characteristics - ANSWER ✔ Sudden dyspnea &
cyanosis, and perhaps, a sharp pain in the chest. A hallmark of pulmonary
embolism is that the cyanosis does not resolve with oxygen therapy.
14.You are dispatched to a residence for a young woman with difficulty
breathing. When you arrive, you find the patient sitting in a tripod position,
noticeably dyspneic and tachypneic. She tells you that she experienced a
sudden sharp pain to the left side of her chest and then started having trouble
breathing. She denies any past medical history and states that she only takes
birth control pills. Based on this patient's clinical presentation, you should be
MOST suspicious for: - ANSWER ✔ acute pulmonary embolism
,15.Paradoxial Respiratory Movement is - ANSWER ✔ the inward movement of
a segment of the chest during inhalation and a outward movement of the
chest during exhalation, opposite normal chest movement and a indication of
flail chest.
16.Paradoxical respiratory movement is characterized by: - ANSWER ✔ the
epigastrium and thorax moving in opposite directions
17.Cor pulmonale is defined as: - ANSWER ✔ right heart failure secondary to
chronic lung disease
18.Right Side Heart Failure Characteristics: . - ANSWER ✔ (pg. 1020)-
Distention with external jugular veins, Serum forced out producing edema
(feet and/or lower back), right upper quadrant swelling (hepatomegaly, eg.
Liver), abdominal distention, (eg, Ascites),end enspiratory crackles, a
progressive increase in dyspnea over several days, greater than usual fluid
intake, and improper use of diuretics
19.An elderly woman with COPD presents with peripheral edema. The patient
is conscious but agitated. She is breathing with slight difficulty but has
adequate tidal volume. During your assessment, you note that her jugular
veins engorge when you apply pressure to her right upper abdominal
quadrant. She tells you that she takes a "water pill" and Vasotec for high
blood pressure. You should: - ANSWER ✔ suspect acute right heart failure
and administer oxygen.
20.Hepatomegaly and jugular venous distention are MOST suggestive of: -
ANSWER ✔ right heart failure
21.The movement of a solute from an area of higher concentration to an area of
lower concentration is called: - ANSWER ✔ diffusion
22.Osmosis occurs when: - ANSWER ✔ water moves from an area of lower
solute concentration to an area of higher solute concentration.
23.What is filtration? . - ANSWER ✔ Filtration is a process within the body,
similar to osmosis that is used to redistribute water and other particles. High
pressure to low pressure
, 24.Any cell that ingests microorganisms or other cells is called a: - ANSWER
✔ phagocyte
25.Phagocytosis is the process by which: - ANSWER ✔ monocytes digest
microbes
26.Group of cells make up _______________? - ANSWER ✔ Tissues
27.How sodium channel blocker meds work, specifically how they affect phase
zero of the cardiac depolarization? - ANSWER ✔ Depolarization: Is due to
the influx of Sodium (Na+) which causes the cell's internal membrane to
become more positive, leading to an action potential.
28.Repolarization: Occurs when Potassium (K+) leaves the cell causing the
interior of the cell to become negative again.
29.How to protect yourself from a violent patient, what's the first thing we have
to give ourselves? - ANSWER ✔ Space
30.The four lobes of the brain - ANSWER ✔ Frontal Lobe, Parietal Lobe,
Temporal Lobes, Occipital Lobe
31.Frontal Lobe of the brain - ANSWER ✔ Involved in reasoning, motor
control, emotion, and language.
32.Parietal Lobe of the brain - ANSWER ✔ Its functions in processing sensory
information regarding the location of parts of the body as well as
interpreting visual information and processing language and mathematics.
33.Temporal Lobes of the brain - ANSWER ✔ Process sensory input. Its
functions involved primary auditory perception, such as hearing, and holds
the primary auditory cortex.
34.Occipital Lobe of the brain - ANSWER ✔ Processes visual processing
center
