Texas Paramedic Certification Exam
With Actual Questions & Verified
Answers,Plus Rationales/Expert
Verified For Guaranteed Pass Graded
A+/2026 /Latest Update/Instant
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1. Which of the following is the most accurate indicator of tissue perfusion
in a trauma patient?
A. Blood pressure
B. Heart rate
C. Capillary refill
D. Mental status
D. Mental status
Rationale: Mental status changes are one of the earliest signs of
inadequate tissue perfusion and shock.
2. What is the preferred initial treatment for a patient in ventricular
fibrillation?
A. IV fluids
B. Defibrillation
C. Epinephrine
D. Amiodarone
B. Defibrillation
Rationale: Defibrillation is the first-line treatment for ventricular
fibrillation as it can restore a perfusing rhythm.
3. Which of the following is a contraindication for nitroglycerin
administration?
, A. Chest pain from myocardial infarction
B. Systolic BP <90 mmHg
C. Pulmonary edema
D. Tachycardia
B. Systolic BP <90 mmHg
Rationale: Nitroglycerin can further lower blood pressure, so it is
contraindicated in hypotensive patients.
4. What is the correct dose of epinephrine for an adult in anaphylactic
shock?
A. 0.01 mg/kg IM
B. 0.3–0.5 mg IM
C. 1 mg IV
D. 2 mg IM
B. 0.3–0.5 mg IM
Rationale: IM epinephrine in this dose is standard for adult
anaphylaxis.
5. Which of the following airway devices provides the least protection
against aspiration?
A. Endotracheal tube
B. King LT airway
C. Oropharyngeal airway
D. Laryngeal mask airway
C. Oropharyngeal airway
Rationale: An oropharyngeal airway does not seal the airway and
offers no aspiration protection.
6. Which cardiac rhythm is characterized by “sawtooth” P waves?
A. Atrial fibrillation
B. Atrial flutter
C. Ventricular tachycardia
D. Sinus tachycardia
B. Atrial flutter
Rationale: Atrial flutter produces rapid, regular atrial depolarizations
seen as “sawtooth” waves on ECG.
, 7. In a trauma patient, what is the most reliable sign of internal bleeding?
A. Cool, clammy skin
B. Hypotension
C. Tachycardia
D. Altered mental status
B. Hypotension
Rationale: While other signs may appear earlier, hypotension is the
most definitive indicator of significant internal bleeding.
8. Which of the following medications is indicated for status epilepticus?
A. Diazepam
B. Furosemide
C. Albuterol
D. Metoprolol
A. Diazepam
Rationale: Diazepam, a benzodiazepine, is first-line for stopping active
seizures.
9. A patient presents with sudden-onset shortness of breath, hypotension,
and distended neck veins. The most likely diagnosis is:
A. Tension pneumothorax
B. Pulmonary embolism
C. Myocardial infarction
D. Asthma attack
A. Tension pneumothorax
Rationale: The classic triad of hypotension, distended neck veins, and
respiratory distress indicates tension pneumothorax.
10.The preferred method of fluid resuscitation in hypovolemic shock is:
A. Hypertonic saline
B. Lactated Ringer’s
C. 5% dextrose in water
D. Albumin
B. Lactated Ringer’s
Rationale: Lactated Ringer’s is isotonic and is commonly used for rapid
volume replacement in hypovolemic shock.
With Actual Questions & Verified
Answers,Plus Rationales/Expert
Verified For Guaranteed Pass Graded
A+/2026 /Latest Update/Instant
Download Pdf
1. Which of the following is the most accurate indicator of tissue perfusion
in a trauma patient?
A. Blood pressure
B. Heart rate
C. Capillary refill
D. Mental status
D. Mental status
Rationale: Mental status changes are one of the earliest signs of
inadequate tissue perfusion and shock.
2. What is the preferred initial treatment for a patient in ventricular
fibrillation?
A. IV fluids
B. Defibrillation
C. Epinephrine
D. Amiodarone
B. Defibrillation
Rationale: Defibrillation is the first-line treatment for ventricular
fibrillation as it can restore a perfusing rhythm.
3. Which of the following is a contraindication for nitroglycerin
administration?
, A. Chest pain from myocardial infarction
B. Systolic BP <90 mmHg
C. Pulmonary edema
D. Tachycardia
B. Systolic BP <90 mmHg
Rationale: Nitroglycerin can further lower blood pressure, so it is
contraindicated in hypotensive patients.
4. What is the correct dose of epinephrine for an adult in anaphylactic
shock?
A. 0.01 mg/kg IM
B. 0.3–0.5 mg IM
C. 1 mg IV
D. 2 mg IM
B. 0.3–0.5 mg IM
Rationale: IM epinephrine in this dose is standard for adult
anaphylaxis.
5. Which of the following airway devices provides the least protection
against aspiration?
A. Endotracheal tube
B. King LT airway
C. Oropharyngeal airway
D. Laryngeal mask airway
C. Oropharyngeal airway
Rationale: An oropharyngeal airway does not seal the airway and
offers no aspiration protection.
6. Which cardiac rhythm is characterized by “sawtooth” P waves?
A. Atrial fibrillation
B. Atrial flutter
C. Ventricular tachycardia
D. Sinus tachycardia
B. Atrial flutter
Rationale: Atrial flutter produces rapid, regular atrial depolarizations
seen as “sawtooth” waves on ECG.
, 7. In a trauma patient, what is the most reliable sign of internal bleeding?
A. Cool, clammy skin
B. Hypotension
C. Tachycardia
D. Altered mental status
B. Hypotension
Rationale: While other signs may appear earlier, hypotension is the
most definitive indicator of significant internal bleeding.
8. Which of the following medications is indicated for status epilepticus?
A. Diazepam
B. Furosemide
C. Albuterol
D. Metoprolol
A. Diazepam
Rationale: Diazepam, a benzodiazepine, is first-line for stopping active
seizures.
9. A patient presents with sudden-onset shortness of breath, hypotension,
and distended neck veins. The most likely diagnosis is:
A. Tension pneumothorax
B. Pulmonary embolism
C. Myocardial infarction
D. Asthma attack
A. Tension pneumothorax
Rationale: The classic triad of hypotension, distended neck veins, and
respiratory distress indicates tension pneumothorax.
10.The preferred method of fluid resuscitation in hypovolemic shock is:
A. Hypertonic saline
B. Lactated Ringer’s
C. 5% dextrose in water
D. Albumin
B. Lactated Ringer’s
Rationale: Lactated Ringer’s is isotonic and is commonly used for rapid
volume replacement in hypovolemic shock.
