MICN LA County Final 2026/ 2027 Questions With
Complete Solutions
13 y.o. choking on an apple, resolved- where should they go?
Correct Answers EDAP
Would go to PMC if respiratory distress/cyanotic
AE of narcan Correct Answers Pulmonary edema
Anaphylaxis treatment? Correct Answers Airway, high flow
O2, cardiac monitoring, IV access, Epi (1mg/ml) 0.5mg IM in
lateral thigh (may repeat for 3 max doses), NS 1L if poor
perfusion, if persistent poor perfusion= push dose epi
If wheezing= Albuterol 5mg neb
If itchy= Benadryl 50mg IM
APOT standard Correct Answers Patients are offloaded from
EMS within 30 minutes 90% of the time
Blunt vs traumatic cardiac arrest differences Correct Answers
Blunt- stay on scene and resuscitate. If no organized rhythm
after defib x3 refer to 814
Traumatic- transport! no resuscitation on scene!
Bradycardia treatment? Correct Answers O2, monitor, EKG,
supine, IV (DO NOT DELAY TCP FOR IV), Atropine 1mg IV
repeat Q3-5 min (max 3mg), TCP if no improvement after 1st
dose of atropine
Breech delivery interventions? Correct Answers Support
presenting part and "V" over babys face to open airway
,BRUE Correct Answers <12 months WITH irregular
breathing, color change, chanf in muscle tone, or ALOC
BRUE treatment Correct Answers Airway, cardiac monitor,
IV, 20ml/kg NS if poor perfusion, if persistent push dose epi
Burn treatment? Correct Answers Airway, O2, remove
clothing/jewelry, warm, IV, NS 1L (if persistent poor perfusion
contact base for 2nd NS L), elevate burned extremities, pain
management
Can a physician on scene give EMS orders? Correct Answers
Not unless an approved EMS physician. If it is a good
Samaritan, direction must come from base!
Can you do CPR on a TAH patient? Correct Answers No! No
epi, no defib, no cpr- will destroy that artificial heart
Can you do CPR on LVAD patient? Correct Answers Yes-
note no pulse and no BP
Cardiac arrest in PEA treatment Correct Answers CPR! Epi
(0.1mg/ml 1ml) ASAP and can repeat Q5 min max 3mg, NS 1L
rapid
If suspected hyperkalemia= 1g Ca chloride and Sodium Bicarb
50mEq
Cardiac arrest V.Fib/pulseless V. Tach treatment? Correct
Answers CPR! Defib @200J (repeat Q2 min)! Epi (0.1mg/ml
, 1ml, max 3 ml) after 2nd defib, amnioderone 300 after 3rd fefib,
amnioderone 150mg after 5th, NS 1L rapid
Cardiac chest pain treatment? Correct Answers O2 PRN, EKG,
ASA 325mg (hold if GI Bleed), Nitro if chest pain 0.4mg (may
repeat for total 3 doses), IV, NS 1L if poor perfusion, zofran
4mg if nausea
CHF nitro dosing Correct Answers 0.4 if SBP >100
0.8 if SBP >150
1.2 if SBP >200
Repeat Q3-5 min x3
CHF treatment? Correct Answers O2, monitor, IV, CPAP if
alert in mod/severe respiratory distress and SBP >90, nitro if BP
>100, if wheezing persists despite CPAP give Albuterol 5mg
neb
Child abuse reporting guideline Correct Answers 36 hours
Contraindication for Atropine Correct Answers 2nd type 2 and
3rd degree heart block
Contraindications for Adenosine? Correct Answers WPW, sick
sinus, heart transplant, tegretol
Contraindications for CPAP Correct Answers
Cardiac/respiratory arrest, unable to protect airway, unable to
follow commands, SBP <90, trach, vomiting, pneumothorax,
respiratory distress d/t trauma.
Must be longer than broselow!
Complete Solutions
13 y.o. choking on an apple, resolved- where should they go?
Correct Answers EDAP
Would go to PMC if respiratory distress/cyanotic
AE of narcan Correct Answers Pulmonary edema
Anaphylaxis treatment? Correct Answers Airway, high flow
O2, cardiac monitoring, IV access, Epi (1mg/ml) 0.5mg IM in
lateral thigh (may repeat for 3 max doses), NS 1L if poor
perfusion, if persistent poor perfusion= push dose epi
If wheezing= Albuterol 5mg neb
If itchy= Benadryl 50mg IM
APOT standard Correct Answers Patients are offloaded from
EMS within 30 minutes 90% of the time
Blunt vs traumatic cardiac arrest differences Correct Answers
Blunt- stay on scene and resuscitate. If no organized rhythm
after defib x3 refer to 814
Traumatic- transport! no resuscitation on scene!
Bradycardia treatment? Correct Answers O2, monitor, EKG,
supine, IV (DO NOT DELAY TCP FOR IV), Atropine 1mg IV
repeat Q3-5 min (max 3mg), TCP if no improvement after 1st
dose of atropine
Breech delivery interventions? Correct Answers Support
presenting part and "V" over babys face to open airway
,BRUE Correct Answers <12 months WITH irregular
breathing, color change, chanf in muscle tone, or ALOC
BRUE treatment Correct Answers Airway, cardiac monitor,
IV, 20ml/kg NS if poor perfusion, if persistent push dose epi
Burn treatment? Correct Answers Airway, O2, remove
clothing/jewelry, warm, IV, NS 1L (if persistent poor perfusion
contact base for 2nd NS L), elevate burned extremities, pain
management
Can a physician on scene give EMS orders? Correct Answers
Not unless an approved EMS physician. If it is a good
Samaritan, direction must come from base!
Can you do CPR on a TAH patient? Correct Answers No! No
epi, no defib, no cpr- will destroy that artificial heart
Can you do CPR on LVAD patient? Correct Answers Yes-
note no pulse and no BP
Cardiac arrest in PEA treatment Correct Answers CPR! Epi
(0.1mg/ml 1ml) ASAP and can repeat Q5 min max 3mg, NS 1L
rapid
If suspected hyperkalemia= 1g Ca chloride and Sodium Bicarb
50mEq
Cardiac arrest V.Fib/pulseless V. Tach treatment? Correct
Answers CPR! Defib @200J (repeat Q2 min)! Epi (0.1mg/ml
, 1ml, max 3 ml) after 2nd defib, amnioderone 300 after 3rd fefib,
amnioderone 150mg after 5th, NS 1L rapid
Cardiac chest pain treatment? Correct Answers O2 PRN, EKG,
ASA 325mg (hold if GI Bleed), Nitro if chest pain 0.4mg (may
repeat for total 3 doses), IV, NS 1L if poor perfusion, zofran
4mg if nausea
CHF nitro dosing Correct Answers 0.4 if SBP >100
0.8 if SBP >150
1.2 if SBP >200
Repeat Q3-5 min x3
CHF treatment? Correct Answers O2, monitor, IV, CPAP if
alert in mod/severe respiratory distress and SBP >90, nitro if BP
>100, if wheezing persists despite CPAP give Albuterol 5mg
neb
Child abuse reporting guideline Correct Answers 36 hours
Contraindication for Atropine Correct Answers 2nd type 2 and
3rd degree heart block
Contraindications for Adenosine? Correct Answers WPW, sick
sinus, heart transplant, tegretol
Contraindications for CPAP Correct Answers
Cardiac/respiratory arrest, unable to protect airway, unable to
follow commands, SBP <90, trach, vomiting, pneumothorax,
respiratory distress d/t trauma.
Must be longer than broselow!
