Critical Care Paramedic Exam
Questions Correct Aswers New
Update
Which of the following would be best suited for a patient in massive hemorrhagic shock?
- Answer- whole blood
which of the following is TRUE regarding the administration of fresh frozen plasma?
a) it should be administered at 25-50 ml/hour during the first 15 minutes, then adjusted
to infuse within four hours
b) patients receiving large volumes of fresh frozen plasma should be monitored for
hypercalcemia
c) it is composed of plasma, all coagulation factors, and platelets
d) it should be administered as fast as the patient can tolerate - Answer- it should be
administered as fast as the patient can tolerate
For blood administration, the IV catheter must be at least a ___ gauge catheter. -
Answer- 20
Which of the following is typically used to prime the IV blood tubing? - Answer- normal
saline
Which of the following medication can be safely added to blood bag or given in IV tubing
while blood is being administered?
a) epinephrine
b) benadryl
c) dopamine
d) no medication can be safely added - Answer- d) no medication can be safely added
Complications from blood transfusions can occur up to ___ days post-transfusion. -
Answer- 14
Patient with hepatic disease may be prone to which of the following complications
following a massive blood transfusion? - Answer- ammonia intoxication
Your multi-trauma patient has received 20 units of blood. You begin to see EKG
changes and suspect citrate toxicity. Which of the medication would be indicated? -
Answer- calcium
Which of the following best describes the function of 2,3-DPG?
a) it is the "crowbar" that forces oxygen on to the hemoglobin
b) it is the "crowbar" that forces oxygen off the hemoglobin
, c) it helps to initiate clotting factors in platelets
d) it is a side effect of citrate toxicity - Answer- b) it is the "crowbar" that forces oxygen
off the hemoglobin
Blood should be warmed to ___ - ____ degrees Celsius infusing. - Answer- 32-37
T/F: An acute transfusion reaction is one that occurs within 24 hours after a transfusion.
- Answer- True
T/F: The most common cause of a transfusion reaction is the inadvertent administration
of incompatible blood. - Answer- True
This type of test will only result in a positive when the condition is present in a patient. -
Answer- Sensitivity
___ is the probability that a test will be negative in the absence of a disease. - Answer-
Specificity
T/F: As respirations increase, you would expect pH to decrease. - Answer- False
T/F: As respirations decrease, you would expect hydrogen ions to increase. - Answer-
True
Which of the following are the two primary acid-excreting organs?
a) liver, kidneys
b) liver, lungs
c) lungs, kidneys
d) lungs, liver - Answer- lungs, kidneys
Which of the following conditions would result in a left shift (alkalosis)?
a) increased temperature
b) hypoxia
c) hypercarbia
d) hyperbaric oxygen treatment - Answer- hypoxia
Your patient as a core temperature of 105 degrees Fahrenheit. Would you expect to see
a right shift (acidosis) or a left shift (alkalosis)? - Answer- right shift
Which of the following would result in hypercapnia?
a) V/Q mismatch
b) hyperventilation
c) use of an FiO2 of 1.0
d) increased PEEP and TV - Answer- a) V/Q mismatch
Questions Correct Aswers New
Update
Which of the following would be best suited for a patient in massive hemorrhagic shock?
- Answer- whole blood
which of the following is TRUE regarding the administration of fresh frozen plasma?
a) it should be administered at 25-50 ml/hour during the first 15 minutes, then adjusted
to infuse within four hours
b) patients receiving large volumes of fresh frozen plasma should be monitored for
hypercalcemia
c) it is composed of plasma, all coagulation factors, and platelets
d) it should be administered as fast as the patient can tolerate - Answer- it should be
administered as fast as the patient can tolerate
For blood administration, the IV catheter must be at least a ___ gauge catheter. -
Answer- 20
Which of the following is typically used to prime the IV blood tubing? - Answer- normal
saline
Which of the following medication can be safely added to blood bag or given in IV tubing
while blood is being administered?
a) epinephrine
b) benadryl
c) dopamine
d) no medication can be safely added - Answer- d) no medication can be safely added
Complications from blood transfusions can occur up to ___ days post-transfusion. -
Answer- 14
Patient with hepatic disease may be prone to which of the following complications
following a massive blood transfusion? - Answer- ammonia intoxication
Your multi-trauma patient has received 20 units of blood. You begin to see EKG
changes and suspect citrate toxicity. Which of the medication would be indicated? -
Answer- calcium
Which of the following best describes the function of 2,3-DPG?
a) it is the "crowbar" that forces oxygen on to the hemoglobin
b) it is the "crowbar" that forces oxygen off the hemoglobin
, c) it helps to initiate clotting factors in platelets
d) it is a side effect of citrate toxicity - Answer- b) it is the "crowbar" that forces oxygen
off the hemoglobin
Blood should be warmed to ___ - ____ degrees Celsius infusing. - Answer- 32-37
T/F: An acute transfusion reaction is one that occurs within 24 hours after a transfusion.
- Answer- True
T/F: The most common cause of a transfusion reaction is the inadvertent administration
of incompatible blood. - Answer- True
This type of test will only result in a positive when the condition is present in a patient. -
Answer- Sensitivity
___ is the probability that a test will be negative in the absence of a disease. - Answer-
Specificity
T/F: As respirations increase, you would expect pH to decrease. - Answer- False
T/F: As respirations decrease, you would expect hydrogen ions to increase. - Answer-
True
Which of the following are the two primary acid-excreting organs?
a) liver, kidneys
b) liver, lungs
c) lungs, kidneys
d) lungs, liver - Answer- lungs, kidneys
Which of the following conditions would result in a left shift (alkalosis)?
a) increased temperature
b) hypoxia
c) hypercarbia
d) hyperbaric oxygen treatment - Answer- hypoxia
Your patient as a core temperature of 105 degrees Fahrenheit. Would you expect to see
a right shift (acidosis) or a left shift (alkalosis)? - Answer- right shift
Which of the following would result in hypercapnia?
a) V/Q mismatch
b) hyperventilation
c) use of an FiO2 of 1.0
d) increased PEEP and TV - Answer- a) V/Q mismatch
