TEEX PARAMEDIC FINAL
ASSESSMENT QUESTIONS WITH
SOLUTIONS
Which of the following statements regarding genital herpes is MOST correct? - Answer-
A. Acyclovir is used to reduce a herpetic outbreak, but there is no cure.
B. In females, genital herpes presents as a single vesicle on the vulva.
C. The incubation period for genital herpes often lasts up to 3 weeks.
D. The lesions of genital herpes remain infectious for 12 to 24 days.
The correct answer is: Acyclovir is used to reduce a herpetic outbreak, but
there is no cure.
A child who is disinterested in your presence and has a blank stare and poor
muscle tone: - Answer-A. requires immediate intervention and transport.
B. is likely hypoglycemic or in septic shock.
C. should be ventilated with a bag-mask device.
D. will most likely require pharmacologic support.
The correct answer is: requires immediate intervention and transport.
Law enforcement requests your assistance for a 40-year-old man whom
they found in an alley. According to one police officer, the patient is
"probably drunk." The outside temperature is 37°F with a light wind and
drizzle. The patient, who is conscious but confused, is shivering and has
slurred speech. His skin is cold and pale, his heart rate is 68 beats/min and
regular, and his respirations are 24 breaths/min and regular. After moving
the patient into the warmed ambulance, you should: - Answer-A. assess his blood
pressure, apply chemical heat packs to his neck,
groin, and axillae, infuse 250 to 500 mL of warm normal saline, and
administer one or two tubes of oral glucose.
B. apply warm layered blankets, administer 100 mg of thiamine IM,
administer oxygen via nasal cannula, start an IV line with lactated
Ringer's solution, and administer 25 grams of 50% dextrose.
C. remove his wet clothing, apply warm blankets, administer
supplemental oxygen, assess his blood glucose level and blood
pressure, and start an IV with warm normal saline.
D. remove his wet clothing, apply chemical heat packs directly to the
groin, assess his blood glucose level and treat with dextrose if it is less
than 80 mg/dL, and administer high-flow oxygen.
The correct answer is: remove his wet clothing, apply warm blankets,
administer supplemental oxygen, assess his blood glucose level and blood
pressure, and start an IV with warm normal saline.
,Which of the following suffixes is used when describing disintegration or
destruction? - Answer-A. -trophic
B. -plasty
C. -ectomy
D. -lysis
The correct answer is: -lysis
In late adults, the size of the airway __________ and the surface area of the
alveoli ___________. - Answer-A. decreases, decreases
B. increases, decreases
C. increases, increases
D. decreases, increases
The correct answer is: increases, decreases
Impaired proprioception predisposes an elderly person to: - Answer-A. hearing loss.
B. falls.
C. depression.
D. skin tears.
The correct answer is: falls.
Upon arriving at a motor-vehicle crash, the paramedic should look for safety
hazards and then: - Answer-A. begin treating the most critically injured.
B. establish a centralized treatment location.
C. evaluate the need for additional resources.
D. direct traffic away from the crash scene.
The correct answer is: evaluate the need for additional resources.
When applying the precordial leads, lead V1 should be placed in the: - Answer-A. fourth
intercostal space at the left midclavicular border.
B. fourth intercostal space at the left sternal border.
C. fifth intercostal space at the left midclavicular line.
D. fourth intercostal space at the right sternal border.
The correct answer is: fourth intercostal space at the right sternal border
The periumbilical area refers to the: - Answer-A. area lateral to the umbilicus.
B. external umbilical orifice.
C. space behind the navel.
D. area around the umbilicus.
The correct answer is: area around the umbilicus
The diaphragm: - Answer-A. forms a barrier between the thoracic and abdominal
cavities.
B. is an accessory muscle used during respiratory distress.
C. creates positive intrathoracic pressure when it increases in size.
D. works in conjunction with the sternum during inspiration.
,The correct answer is: forms a barrier between the thoracic and abdominal
cavities.
In children, complex partial seizures would MOST likely manifest with: - Answer-A. focal
motor jerking with loss of consciousness.
B. a brief loss of attention without abnormal body movement.
C. generalized tonic-clonic movement of all extremities.
D. focal motor jerking without loss of consciousness.
The correct answer is: focal motor jerking with loss of consciousness.
Which of the following statements regarding the mucosal atomizer device
(MAD) is correct? - Answer-A. Narcan is the only emergency medication that can be
administered
intranasally with the MAD.
B. The MAD is used to inject a straight stream of select emergency drugs
directly into the nasal canal.
C. When administering a drug with the MAD, you should spray half of the
dose into each nostril.
D. Drugs administered with the MAD have an onset of action that is
slightly slower than the intramuscular route.
The correct answer is: When administering a drug with the MAD, you should
spray half of the dose into each nostril.
In EMS, the process of concept formation involves: - Answer-A. gathering information
about your patient.
B. knowing which treatment algorithm to use.
C. determining the validity of obtained data.
D. interpreting a patient's signs and symptoms.
The correct answer is: gathering information about your patient.
A 25-year-old woman was involved in a motor vehicle accident in which she
struck the rear end of another car at a low speed. When you arrive at the
scene and exit the ambulance, you immediately hear the patient screaming,
"My baby, my baby!" After calming the patient down, she tells you that she is
10 weeks pregnant and that she is afraid that the car accident injured her
child. She confirms that she was properly restrained at the time of impact.
She is conscious and alert, denies abdominal pain, and has stable vital signs.
She refuses spinal motion restriction precautions but does consent to EMS
transport. You should: - Answer-A. administer supplemental oxygen, establish a large-
bore IV line and
set the rate to keep the vein open, provide emotional support, and
transport her to an appropriate hospital.
B. be concerned that the traumatic injury may have caused an abruptio
placenta, administer high-flow oxygen, establish a large-bore IV, and
transport her to a trauma center.
C. reassure her that her baby was not injured, offer her oxygen via nasal
, cannula, defer IV therapy, and transport her to the closest hospital with
continuous emotional support en route.
D. provide emotional support, administer diazepam to prevent her from
becoming frantic, administer oxygen via nasal cannula at 6 L/min, and
transport her to a minor emergency clinic.
The correct answer is: administer supplemental oxygen, establish a largebore
IV line and set the rate to keep the vein open, provide emotional
support, and transport her to an appropriate hospital.
During the third collision in a motor vehicle crash: - Answer-A. abdominal organs shear
from their points of attachment.
B. rapid deceleration propels an unrestrained person forward.
C. hollow abdominal organs rupture upon impact.
D. the person's abdomen collides with the steering wheel.
The correct answer is: abdominal organs shear from their points of
attachment.
Which of the following conditions is the older patient at greatest risk for? - Answer-A.
Peripheral vascular disease
B. Chronic hypotension
C. Acute myocardial infarction
D. Rheumatoid arthritis
The correct answer is: Peripheral vascular disease
In addition to high-quality CPR, which of the following interventions has
clearly made a positive and measurable difference in survival from sudden
cardiac arrest? - Answer-A. Epinephrine therapy
B. IV fluid boluses
C. Tracheal intubation
D. Defibrillation
The correct answer is: Defibrillation
Which of the following is NOT characteristic of the secondary stage of
syphilis? - Answer-A. A single or multiple chancres
B. Fever and swollen lymph glands
C. Mucous membrane lesions
D. The presence of a skin rash
The correct answer is: A single or multiple chancres
When elderly patients are prescribed medications, the risk for drug toxicity
increases because of: - Answer-A. the presence of chronic conditions, such as
diabetes.
B. age-related changes in hepatic enzyme systems.
C. an increase in the production of antidiuretic hormone.
D. an increase in the glomerular filtration rate.
The correct answer is: age-related changes in hepatic enzyme systems.
ASSESSMENT QUESTIONS WITH
SOLUTIONS
Which of the following statements regarding genital herpes is MOST correct? - Answer-
A. Acyclovir is used to reduce a herpetic outbreak, but there is no cure.
B. In females, genital herpes presents as a single vesicle on the vulva.
C. The incubation period for genital herpes often lasts up to 3 weeks.
D. The lesions of genital herpes remain infectious for 12 to 24 days.
The correct answer is: Acyclovir is used to reduce a herpetic outbreak, but
there is no cure.
A child who is disinterested in your presence and has a blank stare and poor
muscle tone: - Answer-A. requires immediate intervention and transport.
B. is likely hypoglycemic or in septic shock.
C. should be ventilated with a bag-mask device.
D. will most likely require pharmacologic support.
The correct answer is: requires immediate intervention and transport.
Law enforcement requests your assistance for a 40-year-old man whom
they found in an alley. According to one police officer, the patient is
"probably drunk." The outside temperature is 37°F with a light wind and
drizzle. The patient, who is conscious but confused, is shivering and has
slurred speech. His skin is cold and pale, his heart rate is 68 beats/min and
regular, and his respirations are 24 breaths/min and regular. After moving
the patient into the warmed ambulance, you should: - Answer-A. assess his blood
pressure, apply chemical heat packs to his neck,
groin, and axillae, infuse 250 to 500 mL of warm normal saline, and
administer one or two tubes of oral glucose.
B. apply warm layered blankets, administer 100 mg of thiamine IM,
administer oxygen via nasal cannula, start an IV line with lactated
Ringer's solution, and administer 25 grams of 50% dextrose.
C. remove his wet clothing, apply warm blankets, administer
supplemental oxygen, assess his blood glucose level and blood
pressure, and start an IV with warm normal saline.
D. remove his wet clothing, apply chemical heat packs directly to the
groin, assess his blood glucose level and treat with dextrose if it is less
than 80 mg/dL, and administer high-flow oxygen.
The correct answer is: remove his wet clothing, apply warm blankets,
administer supplemental oxygen, assess his blood glucose level and blood
pressure, and start an IV with warm normal saline.
,Which of the following suffixes is used when describing disintegration or
destruction? - Answer-A. -trophic
B. -plasty
C. -ectomy
D. -lysis
The correct answer is: -lysis
In late adults, the size of the airway __________ and the surface area of the
alveoli ___________. - Answer-A. decreases, decreases
B. increases, decreases
C. increases, increases
D. decreases, increases
The correct answer is: increases, decreases
Impaired proprioception predisposes an elderly person to: - Answer-A. hearing loss.
B. falls.
C. depression.
D. skin tears.
The correct answer is: falls.
Upon arriving at a motor-vehicle crash, the paramedic should look for safety
hazards and then: - Answer-A. begin treating the most critically injured.
B. establish a centralized treatment location.
C. evaluate the need for additional resources.
D. direct traffic away from the crash scene.
The correct answer is: evaluate the need for additional resources.
When applying the precordial leads, lead V1 should be placed in the: - Answer-A. fourth
intercostal space at the left midclavicular border.
B. fourth intercostal space at the left sternal border.
C. fifth intercostal space at the left midclavicular line.
D. fourth intercostal space at the right sternal border.
The correct answer is: fourth intercostal space at the right sternal border
The periumbilical area refers to the: - Answer-A. area lateral to the umbilicus.
B. external umbilical orifice.
C. space behind the navel.
D. area around the umbilicus.
The correct answer is: area around the umbilicus
The diaphragm: - Answer-A. forms a barrier between the thoracic and abdominal
cavities.
B. is an accessory muscle used during respiratory distress.
C. creates positive intrathoracic pressure when it increases in size.
D. works in conjunction with the sternum during inspiration.
,The correct answer is: forms a barrier between the thoracic and abdominal
cavities.
In children, complex partial seizures would MOST likely manifest with: - Answer-A. focal
motor jerking with loss of consciousness.
B. a brief loss of attention without abnormal body movement.
C. generalized tonic-clonic movement of all extremities.
D. focal motor jerking without loss of consciousness.
The correct answer is: focal motor jerking with loss of consciousness.
Which of the following statements regarding the mucosal atomizer device
(MAD) is correct? - Answer-A. Narcan is the only emergency medication that can be
administered
intranasally with the MAD.
B. The MAD is used to inject a straight stream of select emergency drugs
directly into the nasal canal.
C. When administering a drug with the MAD, you should spray half of the
dose into each nostril.
D. Drugs administered with the MAD have an onset of action that is
slightly slower than the intramuscular route.
The correct answer is: When administering a drug with the MAD, you should
spray half of the dose into each nostril.
In EMS, the process of concept formation involves: - Answer-A. gathering information
about your patient.
B. knowing which treatment algorithm to use.
C. determining the validity of obtained data.
D. interpreting a patient's signs and symptoms.
The correct answer is: gathering information about your patient.
A 25-year-old woman was involved in a motor vehicle accident in which she
struck the rear end of another car at a low speed. When you arrive at the
scene and exit the ambulance, you immediately hear the patient screaming,
"My baby, my baby!" After calming the patient down, she tells you that she is
10 weeks pregnant and that she is afraid that the car accident injured her
child. She confirms that she was properly restrained at the time of impact.
She is conscious and alert, denies abdominal pain, and has stable vital signs.
She refuses spinal motion restriction precautions but does consent to EMS
transport. You should: - Answer-A. administer supplemental oxygen, establish a large-
bore IV line and
set the rate to keep the vein open, provide emotional support, and
transport her to an appropriate hospital.
B. be concerned that the traumatic injury may have caused an abruptio
placenta, administer high-flow oxygen, establish a large-bore IV, and
transport her to a trauma center.
C. reassure her that her baby was not injured, offer her oxygen via nasal
, cannula, defer IV therapy, and transport her to the closest hospital with
continuous emotional support en route.
D. provide emotional support, administer diazepam to prevent her from
becoming frantic, administer oxygen via nasal cannula at 6 L/min, and
transport her to a minor emergency clinic.
The correct answer is: administer supplemental oxygen, establish a largebore
IV line and set the rate to keep the vein open, provide emotional
support, and transport her to an appropriate hospital.
During the third collision in a motor vehicle crash: - Answer-A. abdominal organs shear
from their points of attachment.
B. rapid deceleration propels an unrestrained person forward.
C. hollow abdominal organs rupture upon impact.
D. the person's abdomen collides with the steering wheel.
The correct answer is: abdominal organs shear from their points of
attachment.
Which of the following conditions is the older patient at greatest risk for? - Answer-A.
Peripheral vascular disease
B. Chronic hypotension
C. Acute myocardial infarction
D. Rheumatoid arthritis
The correct answer is: Peripheral vascular disease
In addition to high-quality CPR, which of the following interventions has
clearly made a positive and measurable difference in survival from sudden
cardiac arrest? - Answer-A. Epinephrine therapy
B. IV fluid boluses
C. Tracheal intubation
D. Defibrillation
The correct answer is: Defibrillation
Which of the following is NOT characteristic of the secondary stage of
syphilis? - Answer-A. A single or multiple chancres
B. Fever and swollen lymph glands
C. Mucous membrane lesions
D. The presence of a skin rash
The correct answer is: A single or multiple chancres
When elderly patients are prescribed medications, the risk for drug toxicity
increases because of: - Answer-A. the presence of chronic conditions, such as
diabetes.
B. age-related changes in hepatic enzyme systems.
C. an increase in the production of antidiuretic hormone.
D. an increase in the glomerular filtration rate.
The correct answer is: age-related changes in hepatic enzyme systems.
