OCFA Accreditation 2026/2027 Questions With Complete
Solutions
Why would monitor cardiac rhythm for near-drowning? What
are 5 possible treatments?
Mammalian Reflex activates heart and patient maybe
experiencing bradycardia.
1. High Flow if <95%
2. BVM with O2 for Bradycardia
3. Albuterol 6ml continuous for wheezing
4. CPAP for Adults after suctioning
5. ETT if unable to protect airway
Define Active versus Passive cooling measures?
Active cooling - ice packs and fluids
Passive cooling - removing from environment and fanning
What treatment can we give for snake envenomation? Do we
have PEDS SO's for snake envenomation?
1. Keep extremity at heart level
&
Fentanyl 50 mcg IV/IM or 100mcg IN MR x 1 in 3 min.
2. No PEDS orders. Contact CCERC
* Contact BH early for anti-venom ERC
,What are the 3 possible S/S of Organophosphate Poisoning and
how do we treat them?
1. Chemical Exposure - Atropine 2mg IV/IM MR x 1
2. Wheezes - Albuterol 6ml continuous
3. Seizure - Versed 5mg IV/IM/IN MR x 1
T or F
5150 Patients have the right to refuse medical care but still need
to be Tx to ED for psychological evaluation?
True
*Police Escort in ambulance or following
Do we treat Stable V-Tach? What is the criteria to declare
Unstable V-tach? First treatment for Unstable V-tach?
1. No, Monitor vital signs and ALS escort
2. SBP <90, CP, ALOC, Poor Perfusion
3. Cardioversion initially 100j
- If Unsuccessful: Amio 150mg Slow
- If persists, Cardioversion 200j
- If persists, Amio 150mg Slow
- If persists, Cardioversion 200j
Why do we administer Amiodarone slowly for unstable V-tach?
Amiodarone is associated with peripheral vasodilation and may
cause more hypotension.
, What are 3 indications for Push-Dose Epi? How do we make it?
How do we administer it?
1. Septic, Distributive, and Cardiogenic shock and unresponsive
to fluids. (Pulmonary Edema in Cardiogenic shock is warranted)
2. Take 1mg/10ml Pre-filled and waste 9ml
-Add 9ml of NS
-New dose is 10mcg/ml
3. .5ml (5mcg) IV/IO MR every 3 min titrate >90 SBP
What are the 4 levels of an Allergic Reaction? What would be
the treatment, in priority order, for each?
1. Rash, Uticaria and Stable VS
- O2 High Flow
2. Facial, Cervical Angiodema
- Epi .5mg IM lateral thigh one time only
- Benadryl 50mg IM
3. Reaction/Wheezing or hypoxia <95%
- High flow O2 <95%
- O2/Epi .5mg IM lateral thigh MR x 2 q 5 min
- Albuterol 6mg continuous
- Benadryl 50mg IM
4. Hypotension, Respiratory, and/or airway obstruction
- Epi .5mg IM lateral thigh MR x 1 in 5 min
Solutions
Why would monitor cardiac rhythm for near-drowning? What
are 5 possible treatments?
Mammalian Reflex activates heart and patient maybe
experiencing bradycardia.
1. High Flow if <95%
2. BVM with O2 for Bradycardia
3. Albuterol 6ml continuous for wheezing
4. CPAP for Adults after suctioning
5. ETT if unable to protect airway
Define Active versus Passive cooling measures?
Active cooling - ice packs and fluids
Passive cooling - removing from environment and fanning
What treatment can we give for snake envenomation? Do we
have PEDS SO's for snake envenomation?
1. Keep extremity at heart level
&
Fentanyl 50 mcg IV/IM or 100mcg IN MR x 1 in 3 min.
2. No PEDS orders. Contact CCERC
* Contact BH early for anti-venom ERC
,What are the 3 possible S/S of Organophosphate Poisoning and
how do we treat them?
1. Chemical Exposure - Atropine 2mg IV/IM MR x 1
2. Wheezes - Albuterol 6ml continuous
3. Seizure - Versed 5mg IV/IM/IN MR x 1
T or F
5150 Patients have the right to refuse medical care but still need
to be Tx to ED for psychological evaluation?
True
*Police Escort in ambulance or following
Do we treat Stable V-Tach? What is the criteria to declare
Unstable V-tach? First treatment for Unstable V-tach?
1. No, Monitor vital signs and ALS escort
2. SBP <90, CP, ALOC, Poor Perfusion
3. Cardioversion initially 100j
- If Unsuccessful: Amio 150mg Slow
- If persists, Cardioversion 200j
- If persists, Amio 150mg Slow
- If persists, Cardioversion 200j
Why do we administer Amiodarone slowly for unstable V-tach?
Amiodarone is associated with peripheral vasodilation and may
cause more hypotension.
, What are 3 indications for Push-Dose Epi? How do we make it?
How do we administer it?
1. Septic, Distributive, and Cardiogenic shock and unresponsive
to fluids. (Pulmonary Edema in Cardiogenic shock is warranted)
2. Take 1mg/10ml Pre-filled and waste 9ml
-Add 9ml of NS
-New dose is 10mcg/ml
3. .5ml (5mcg) IV/IO MR every 3 min titrate >90 SBP
What are the 4 levels of an Allergic Reaction? What would be
the treatment, in priority order, for each?
1. Rash, Uticaria and Stable VS
- O2 High Flow
2. Facial, Cervical Angiodema
- Epi .5mg IM lateral thigh one time only
- Benadryl 50mg IM
3. Reaction/Wheezing or hypoxia <95%
- High flow O2 <95%
- O2/Epi .5mg IM lateral thigh MR x 2 q 5 min
- Albuterol 6mg continuous
- Benadryl 50mg IM
4. Hypotension, Respiratory, and/or airway obstruction
- Epi .5mg IM lateral thigh MR x 1 in 5 min
