©EVERLY 2024/2025 ALL RIGHTS RESERVED.
Paramedic Final Exam Questions And
Answers (Guaranteed A+)
For which of the following patients is nasotracheal intubation absolutely contraindicated? -
Answer✔
You are called for a young man choking. Upon arrival you find very scared parents trying to
dislodge a piece of hot dog from their 10 year old child's airway by administering back blows
and abdominal thrusts, The child is limp. As you take over you discover the child is able to move
a minimal amount of air. You should: - Answer✔continue with back blow and abdominal thrusts
until item becomes dislodged or obstruction becomes complete
You have just intubated an adult patient. You believe you have been successful. You are
listening for sounds in the epigastric area and hear nothing. What would you do? -
Answer✔attach an ETCO2 monitoring device
What changes in blood gases occur when a patient is hyperventilating? - Answer✔decreased
CO2; increased PaO2
First responders are applying unusually long ventilations with an oxygen resuscitator to an
apneic adult female. They are also not pausing between breaths. What negative effects can this
increased pressure create? - Answer✔increased pulmonary elasticity??
Percutaneous transtracheal ventilation - Answer✔needle cricothyrotomy
You are treating a cardiac arrest patient who you have successfully resuscitated. The patient is
still unconscious, apneic, and he is endotracheally intubated. The patient suddenly becomes
cyanotic and his SpO2 decreases from 98% to 82%. His heart rate decreases from 110 to 40.
What caused these sudden changes? - Answer✔dislodged endotracheal tube
What is the primary danger to the infant during a precipitous delivery? - Answer✔cerebral
trauma
You are treating a 26 year old male victim of an assault. The patient was struck in the chest and
abdomen with a baseball bat.
Vital Signs: P- 110, R- 6 with sonorous respirations.
The patient is place on high flow O2. While attempting an oral airway the patient gags. The oral
airway is removed. How are you attempting to secure his airway next? - Answer✔Place a
nasopharyngeal airway and ventilate with a bag valve mask
1|Page
, ©EVERLY 2024/2025 ALL RIGHTS RESERVED.
What effects does morphine sulfate have on the venous system? - Answer✔increases venous
pooling, resulting in reduced preload and after load
You are treating a 48 year old female with chest pain. On scene you administer oxygen, aspirin,
and two nitro tablets. En route to the hospital your patient states her pain decreases to a 1 on a
scale of 0-10. To provide the best care, you should... - Answer✔continue high flow oxygen and
repeat vitals, consider 12 lead EKG if pain persists
A 52 yom is compelling of constant, severe pain and pressure in his chest, which he says started
about 4 hours ago. The patient has bilateral rales, and his skin is cool to the touch. Vital signs
are: BP- 72/52, P- 124, R-28. No JVD or Edema in lower extremities. What condition is most
likely responsible for his signs and symptoms. - Answer✔Myocardial infarction with cariogenic
shock
Which of the following patients has the best cerebral oxygenation? - Answer✔45 yom,
disoriented, BP 140/80, skin warm and dry
What term best describes the ability of cardiac cells to spontaneously depolarize without being
stimulated by a nerve? - Answer✔Automaticity
A 72 yom with a history of atherosclerosis complains of a sudden onset of sharp pain in his right
leg and foot which has grown worse over the past 2 hours. Objective data includes an anxious
patient with vital signs: BP- 124/60, P-70, R-18. He has a pale, waxy, cool right leg. No pedal
pulses are present in the right foot. The left leg is normal. What is the patients probable
diagnosis? - Answer✔Acute arterial occlusion
What is atherosclerosis? - Answer✔The gradual blockage of an artery due to cholesterol and
hardened deposits
Which of the following is the underlying cause of the pain associated with a sickle cell crisis? -
Answer✔Tissue ischemia
Which of the following best describes the term syncope? - Answer✔sudden temporary loss of
consciousness
The correct dose of naloxone for a 6lb 8oz neonate suffering respiratory depression secondary to
in utero exposure to narcotics is - Answer✔0.3mg
Your patient is a 22 yof without a medical history. She was sitting at her office desk where she
had an acute onset of dyspnea and pleuritic type chest pain. Presently she is awake but agitated.
Upon exam you find she is pale, cool, and diaphoretic. Vital signs are: BP- 92/40, P-142, R-36
and shallow but clear bilaterally. Only medications are Tylenol and a BC pill. What conditions
would you suspect? - Answer✔Pulmonary Embolism
Which of the following best describes the term syncope? - Answer✔sudden temporary loss of
consciousness
Which vessel provides blood supply to the SA and AV nodes in most patients? - Answer✔right
coronary artery
2|Page
Paramedic Final Exam Questions And
Answers (Guaranteed A+)
For which of the following patients is nasotracheal intubation absolutely contraindicated? -
Answer✔
You are called for a young man choking. Upon arrival you find very scared parents trying to
dislodge a piece of hot dog from their 10 year old child's airway by administering back blows
and abdominal thrusts, The child is limp. As you take over you discover the child is able to move
a minimal amount of air. You should: - Answer✔continue with back blow and abdominal thrusts
until item becomes dislodged or obstruction becomes complete
You have just intubated an adult patient. You believe you have been successful. You are
listening for sounds in the epigastric area and hear nothing. What would you do? -
Answer✔attach an ETCO2 monitoring device
What changes in blood gases occur when a patient is hyperventilating? - Answer✔decreased
CO2; increased PaO2
First responders are applying unusually long ventilations with an oxygen resuscitator to an
apneic adult female. They are also not pausing between breaths. What negative effects can this
increased pressure create? - Answer✔increased pulmonary elasticity??
Percutaneous transtracheal ventilation - Answer✔needle cricothyrotomy
You are treating a cardiac arrest patient who you have successfully resuscitated. The patient is
still unconscious, apneic, and he is endotracheally intubated. The patient suddenly becomes
cyanotic and his SpO2 decreases from 98% to 82%. His heart rate decreases from 110 to 40.
What caused these sudden changes? - Answer✔dislodged endotracheal tube
What is the primary danger to the infant during a precipitous delivery? - Answer✔cerebral
trauma
You are treating a 26 year old male victim of an assault. The patient was struck in the chest and
abdomen with a baseball bat.
Vital Signs: P- 110, R- 6 with sonorous respirations.
The patient is place on high flow O2. While attempting an oral airway the patient gags. The oral
airway is removed. How are you attempting to secure his airway next? - Answer✔Place a
nasopharyngeal airway and ventilate with a bag valve mask
1|Page
, ©EVERLY 2024/2025 ALL RIGHTS RESERVED.
What effects does morphine sulfate have on the venous system? - Answer✔increases venous
pooling, resulting in reduced preload and after load
You are treating a 48 year old female with chest pain. On scene you administer oxygen, aspirin,
and two nitro tablets. En route to the hospital your patient states her pain decreases to a 1 on a
scale of 0-10. To provide the best care, you should... - Answer✔continue high flow oxygen and
repeat vitals, consider 12 lead EKG if pain persists
A 52 yom is compelling of constant, severe pain and pressure in his chest, which he says started
about 4 hours ago. The patient has bilateral rales, and his skin is cool to the touch. Vital signs
are: BP- 72/52, P- 124, R-28. No JVD or Edema in lower extremities. What condition is most
likely responsible for his signs and symptoms. - Answer✔Myocardial infarction with cariogenic
shock
Which of the following patients has the best cerebral oxygenation? - Answer✔45 yom,
disoriented, BP 140/80, skin warm and dry
What term best describes the ability of cardiac cells to spontaneously depolarize without being
stimulated by a nerve? - Answer✔Automaticity
A 72 yom with a history of atherosclerosis complains of a sudden onset of sharp pain in his right
leg and foot which has grown worse over the past 2 hours. Objective data includes an anxious
patient with vital signs: BP- 124/60, P-70, R-18. He has a pale, waxy, cool right leg. No pedal
pulses are present in the right foot. The left leg is normal. What is the patients probable
diagnosis? - Answer✔Acute arterial occlusion
What is atherosclerosis? - Answer✔The gradual blockage of an artery due to cholesterol and
hardened deposits
Which of the following is the underlying cause of the pain associated with a sickle cell crisis? -
Answer✔Tissue ischemia
Which of the following best describes the term syncope? - Answer✔sudden temporary loss of
consciousness
The correct dose of naloxone for a 6lb 8oz neonate suffering respiratory depression secondary to
in utero exposure to narcotics is - Answer✔0.3mg
Your patient is a 22 yof without a medical history. She was sitting at her office desk where she
had an acute onset of dyspnea and pleuritic type chest pain. Presently she is awake but agitated.
Upon exam you find she is pale, cool, and diaphoretic. Vital signs are: BP- 92/40, P-142, R-36
and shallow but clear bilaterally. Only medications are Tylenol and a BC pill. What conditions
would you suspect? - Answer✔Pulmonary Embolism
Which of the following best describes the term syncope? - Answer✔sudden temporary loss of
consciousness
Which vessel provides blood supply to the SA and AV nodes in most patients? - Answer✔right
coronary artery
2|Page
