ADVANCED PATHOPHYSIOLOGY PRACTICE
SCRIPT 2026 QUESTIONS WITH SOLUTIONS
GRADED A+
▶ Prior to unloading a patient from the ambulance, you should: Answer:
ensure that the patient is secured to the stretcher
▶ Q. A size 3 or 4 LMA: Answer: will accommodate the passage of a
6.0mm ET tube
▶ The second impact that occurs when an adult pedestrian is struck by a
motor vehicle would MOST likely result in injuries to the: Answer: pelvis
and chest
▶ When communicating with a patient whose cultural background differs
from the paramedics, it is MOST important for the paramedic to? Answer:
treat the patient with utmost respect at all times
▶ Which of the following statements regarding selective serotonin reuptake
inhibitors (RRSIs) is most correct? Answer: SSRIs have fewer
anticholinergic and cardiac effects than tricyclics.
▶ Your entire assessment of a patient should: Answer: Appear to be a
seamless process
▶ An endogenous ligand is? Answer: a molecule that is produced by the
body and binds to a receptor
▶ Fall-related fractures in the elderly occur MOST often to the ___, usually
in patients with underlying: Answer: hip, osteoporosis
▶ Gathering a patient's medical history and performing an in-depth
physical examination should occur: Answer: Once the initial assessment
and correction of life threats is completed
,▶ Nerve agents block ___, an essential enzyme of the nervous system.
Answer: cholinesterase
▶ Q. The MOST effective way to minimize the risk of hypoxia while
intubating a child is to: Answer: limit your intubation attempt to 20 seconds.
▶ The 6-second method for calculating the rate of a cardiac rhythm?
Answer: Involves counting the number of QRS complexes in a 6-second-
strip and multiplying that number by 10.
▶ The volume of plasma in an adult with a total blood volume of 6.5 liters is
approximately? Answer: 6.5x0.55 = 3.6L
▶ What is the target heart rate for a 35 yo man with a resting heart rate of
75 bpm? Answer: 152 beats/min
▶ When a patient takes the "up and over" pathway during a head-on
collision: Answer: the anterior part of the neck may strike the steering
wheel, resulting in a fractured larynx
▶ Women who have had a cesarean section? Answer: Can have a normal
vaginal delivery
▶ A key part of making your practice of prehospital care successful is for
you to: Answer: Develop and cultivate your own style of assessment and
an overall strategy for evaluating and providing care for the patients you will
encounter in the unique and varied circumstances in the field setting
▶ According to the START triage system, if a patient has a strong radial
pulse, you should: Answer: control bleeding and assess mental status
▶ At 2 months of age, an infant should be able to? Answer: track objects
with his or her eyes
▶ Delirium is MOST accurately defined as: Answer: an acute alteration in
mentation that indicates an underlying condition
▶ Q. Patients with decompensated asthma or COPD that require positive-
pressure ventilation: Answer: may develop a pneumothorax or experience
a decrease in venous return to the heart if they are ventilated too rapidly
,▶ Sudden deceleration of a motor vehicle that is traveling at 60 mph:
Answer: dissipates tremendous forces and causes major injuries
▶ The primary component of the immune system is the? Answer:
Leukocyte
▶ When dispatched to a residence for an injury involving a pregnant
woman, you should? Answer: Be alert for evidence of abuse
▶ You have been attempting resuscitation of a middle-aged woman for
approximately 15 minutes; however, she has not responded to any of your
treatment. There is no evidence of hypothermia or drug ingestion, and the
cardiac monitor shows asystole. You should? Answer: consider
terminating your resuscitative efforts
▶ You receive a call to a skilled nursing facility for an elderly man with
generalized weakness. The patients nurse tells you that he has not eaten
anything in the past 18 hours. She presents you with his chart, which states
that he has a history of atrial fibrillation, CHF, and hypertension. His
medications include Vasotec, digoxin, and Warfarin. As you apply the
cardiac monitor, your partner takes the patients vital signs, which reveal a
blood pressure of 136/76 mmHg, a rapid and irregular pulse, and
respirations of 22 breaths/min. The ECG reveals atrial fibrillation with a
variable rate between 110 and 130 beats/min, and a 12-lead ECG tracing
reveals the same. After applying supplemental oxygen, you should?
Answer: Start an IV line to keep the vein open, administer diltiazem, and
transport.
▶ * If a patient sees you as someone with whom it is safe to be, who does
not pose a threat, and who honestly cares, then he or she will most likely?
Answer: be reassured that you will handle the crisis
▶ Fluid-refractory hypotension following a barbiturate overdose is treated
MOST effectively with? Answer: Dopamine
▶ In prehospital care, the priorities of evaluation and treatment are based
on: Answer: The degree of threat to the patient's life
, ▶ Level ___ personal protective equipment would MOST likely be worn
during the transport of patients with the potential of secondary
contamination. Answer: C
▶ Q. Which of the following statements regarding translaryngeal catheter
ventilation is MOST correct? Answer: ventilation is achieved by the use of
a high-pressure jet ventilator
▶ Resting tremor of an extremity and bradykinesia are associated with:
Answer: Parkinson's disease
▶ The greatest amount of kinetic energy would be created if a ___ pound
driver struck a tree while traveling at ___ mph. Answer: 150, 40
▶ Torsades de pointes? Answer: Is a variant of polymorphic ventricular
tachycardia and is often caused by a prolonged Q-T interval.
▶ Which of the following assessment parameters is MOST difficult to
interpret when a pregnant woman is injured? Answer: pulse rate
▶ With regard to injury prevention, effective educational techniques include
all of the following EXCEPT? Answer: penalties
▶ A person taking beta blockers or calcium channel blockers would MOST
likely present with: Answer: a slower than usual heart rate
▶ Hypertrophic cardiomyopathy is characterized by? Answer: enlargement
or thickening of the heart muscle
▶ Myocardial ischemia occurs when the heart muscle? Answer: Is
deprived of oxygen because of a blocked coronary artery.
▶ Q. Approximately how far should you insert a 5.0mm ET tube in a 4-
year-old child? Answer: 15 cm (diameter x 3)
▶ The dome-shaped top of the uterus is called the? Answer: fundus
SCRIPT 2026 QUESTIONS WITH SOLUTIONS
GRADED A+
▶ Prior to unloading a patient from the ambulance, you should: Answer:
ensure that the patient is secured to the stretcher
▶ Q. A size 3 or 4 LMA: Answer: will accommodate the passage of a
6.0mm ET tube
▶ The second impact that occurs when an adult pedestrian is struck by a
motor vehicle would MOST likely result in injuries to the: Answer: pelvis
and chest
▶ When communicating with a patient whose cultural background differs
from the paramedics, it is MOST important for the paramedic to? Answer:
treat the patient with utmost respect at all times
▶ Which of the following statements regarding selective serotonin reuptake
inhibitors (RRSIs) is most correct? Answer: SSRIs have fewer
anticholinergic and cardiac effects than tricyclics.
▶ Your entire assessment of a patient should: Answer: Appear to be a
seamless process
▶ An endogenous ligand is? Answer: a molecule that is produced by the
body and binds to a receptor
▶ Fall-related fractures in the elderly occur MOST often to the ___, usually
in patients with underlying: Answer: hip, osteoporosis
▶ Gathering a patient's medical history and performing an in-depth
physical examination should occur: Answer: Once the initial assessment
and correction of life threats is completed
,▶ Nerve agents block ___, an essential enzyme of the nervous system.
Answer: cholinesterase
▶ Q. The MOST effective way to minimize the risk of hypoxia while
intubating a child is to: Answer: limit your intubation attempt to 20 seconds.
▶ The 6-second method for calculating the rate of a cardiac rhythm?
Answer: Involves counting the number of QRS complexes in a 6-second-
strip and multiplying that number by 10.
▶ The volume of plasma in an adult with a total blood volume of 6.5 liters is
approximately? Answer: 6.5x0.55 = 3.6L
▶ What is the target heart rate for a 35 yo man with a resting heart rate of
75 bpm? Answer: 152 beats/min
▶ When a patient takes the "up and over" pathway during a head-on
collision: Answer: the anterior part of the neck may strike the steering
wheel, resulting in a fractured larynx
▶ Women who have had a cesarean section? Answer: Can have a normal
vaginal delivery
▶ A key part of making your practice of prehospital care successful is for
you to: Answer: Develop and cultivate your own style of assessment and
an overall strategy for evaluating and providing care for the patients you will
encounter in the unique and varied circumstances in the field setting
▶ According to the START triage system, if a patient has a strong radial
pulse, you should: Answer: control bleeding and assess mental status
▶ At 2 months of age, an infant should be able to? Answer: track objects
with his or her eyes
▶ Delirium is MOST accurately defined as: Answer: an acute alteration in
mentation that indicates an underlying condition
▶ Q. Patients with decompensated asthma or COPD that require positive-
pressure ventilation: Answer: may develop a pneumothorax or experience
a decrease in venous return to the heart if they are ventilated too rapidly
,▶ Sudden deceleration of a motor vehicle that is traveling at 60 mph:
Answer: dissipates tremendous forces and causes major injuries
▶ The primary component of the immune system is the? Answer:
Leukocyte
▶ When dispatched to a residence for an injury involving a pregnant
woman, you should? Answer: Be alert for evidence of abuse
▶ You have been attempting resuscitation of a middle-aged woman for
approximately 15 minutes; however, she has not responded to any of your
treatment. There is no evidence of hypothermia or drug ingestion, and the
cardiac monitor shows asystole. You should? Answer: consider
terminating your resuscitative efforts
▶ You receive a call to a skilled nursing facility for an elderly man with
generalized weakness. The patients nurse tells you that he has not eaten
anything in the past 18 hours. She presents you with his chart, which states
that he has a history of atrial fibrillation, CHF, and hypertension. His
medications include Vasotec, digoxin, and Warfarin. As you apply the
cardiac monitor, your partner takes the patients vital signs, which reveal a
blood pressure of 136/76 mmHg, a rapid and irregular pulse, and
respirations of 22 breaths/min. The ECG reveals atrial fibrillation with a
variable rate between 110 and 130 beats/min, and a 12-lead ECG tracing
reveals the same. After applying supplemental oxygen, you should?
Answer: Start an IV line to keep the vein open, administer diltiazem, and
transport.
▶ * If a patient sees you as someone with whom it is safe to be, who does
not pose a threat, and who honestly cares, then he or she will most likely?
Answer: be reassured that you will handle the crisis
▶ Fluid-refractory hypotension following a barbiturate overdose is treated
MOST effectively with? Answer: Dopamine
▶ In prehospital care, the priorities of evaluation and treatment are based
on: Answer: The degree of threat to the patient's life
, ▶ Level ___ personal protective equipment would MOST likely be worn
during the transport of patients with the potential of secondary
contamination. Answer: C
▶ Q. Which of the following statements regarding translaryngeal catheter
ventilation is MOST correct? Answer: ventilation is achieved by the use of
a high-pressure jet ventilator
▶ Resting tremor of an extremity and bradykinesia are associated with:
Answer: Parkinson's disease
▶ The greatest amount of kinetic energy would be created if a ___ pound
driver struck a tree while traveling at ___ mph. Answer: 150, 40
▶ Torsades de pointes? Answer: Is a variant of polymorphic ventricular
tachycardia and is often caused by a prolonged Q-T interval.
▶ Which of the following assessment parameters is MOST difficult to
interpret when a pregnant woman is injured? Answer: pulse rate
▶ With regard to injury prevention, effective educational techniques include
all of the following EXCEPT? Answer: penalties
▶ A person taking beta blockers or calcium channel blockers would MOST
likely present with: Answer: a slower than usual heart rate
▶ Hypertrophic cardiomyopathy is characterized by? Answer: enlargement
or thickening of the heart muscle
▶ Myocardial ischemia occurs when the heart muscle? Answer: Is
deprived of oxygen because of a blocked coronary artery.
▶ Q. Approximately how far should you insert a 5.0mm ET tube in a 4-
year-old child? Answer: 15 cm (diameter x 3)
▶ The dome-shaped top of the uterus is called the? Answer: fundus
