PLATINUM PARAMEDIC COMPREHENSIVE EXAM 2026
QUESTIONS AND SOLUTIONS RATED A+
✔✔Advantages and disadvantages of surgical and needle crico - ✔✔Surgical
• Provides definitive airway • Less frequent
Needle
• Provides effective ventilation in presence of airway obstruction • Failure results from
inadequate exhalation via narrow tube• Leads to pneumothorax, bleeding,
subcutaneous emphysema • Most frequent type of crico
✔✔Findings in a spontaneous pneumothorax - ✔✔SOB
Sudden onset of sharp CP Pallor
Tachypenia
Diaphoretic
✔✔Best method to use for vomiting pt and need to tube - ✔✔Reduce gastric volume
Supraglottic airway
Cricoid pressure
RSI
✔✔Advantages and disadvantages of ET vs supraglottic - ✔✔- Supraglottic is simpler
and faster than ET tube•
- ET is more complex and requires two practitioners, more equipment - - Supraglottic
achieves initial ventilation more often
- Aspiration occurs more frequently in supraglottic
✔✔Causes of pt resps being shallow after striking head while driving - ✔✔C 3,4,5
innervate the diaphram and spine can be compressed
✔✔First step for slow pulse, resps and low BP - ✔✔ABC
BVM
✔✔Primary assessment - ✔✔General impression
• AVPU
• CC
ABC
• Treatment / transport
✔✔If pt cannot tolerate NRB - ✔✔NC at 6LpM
✔✔Treatment for diabetic pt who OD with slow shallow resps - ✔✔ABC
Begin mouth to mask breathing
,✔✔Why would capno decrease in an artificially vented pt - ✔✔- RR greater than 20, pt
eliminates more CO2 than average
- Causes an excess decreasing of CO2
✔✔Lung sounds with allergic reaction - ✔✔Absense of lung sounds
✔✔S/S of pneumonia - ✔✔- Hx of fever and chills (bed shaking)•
- Gen weak and malaise•
- Deep and productive cough with yellow to brown sputum with possible blood •
- Pleurtic chest pain
✔✔Physical exam - ✔✔Tachycardia
• Tachypenia
• Fever
• Cough
• Respiratory distress
• Crackles
✔✔Systemic findings - ✔✔Headache
Fatigue
Muscle ache
Sore throat
Abdominal pain
Nausea vomiting
✔✔S/S of emphysema - ✔✔SOB
Barrel chest
Long lasting coughing either dry or wet
Wheezing
Fatigue
Respiratory infection
Cynosis at nails or lips
✔✔How to correct snoring - ✔✔Head tilt chin lift
Jaw thrust
Insert airway adjunct
✔✔Tx of head injury with ICP - ✔✔Increasing ICP causes Cushing reflex ( bradycardia,
widen pulse pressure, irregular RR)
Target ETCO2 for TBI 35-40
Target ETCO2 for hernitation 30-35
✔✔If needle (t) doesn't work how do you fix pneumothorax - ✔✔Multiple needle (t)
✔✔S/S for respiratory distress - ✔✔Nasal flaring ( infants)
, Cynosis
Pale skin color improves with O2 Retractions
Tripoding
Increased work of breathing
✔✔S/S of respiratory failure - ✔✔Rapid breathing
Blush skin
TiredTachycardia to Brady Deterioration
✔✔Tx for epiglottitis - ✔✔Do not agitate or airway will close and need to place
advanced airway
✔✔Pathophys for asthma - ✔✔Response is characterized by inflammation edema,
bronchorestriction, mucus buildup
✔✔Most critical assessment for diff breathers with Cynosis - ✔✔ALOC
Not able to maintain resp effort Cynosis
Immediately intervene
✔✔How to relieve choking BLS - ✔✔Keep calm
Encourage to cough
Abdominal thrusts
If unconscious begin CPR
✔✔Tx for infant with wheezing - ✔✔Albuterol (know age for proper dose)
Epi 1:1000 IM 0.3mg
✔✔S/S for STEMI - ✔✔Chest pain radiating to jaw and arm Abdominal pain
SOB
Diaphoresis
Nausea
Palpitations
Syncope
Anxiety
Agitation
Sense of impending doom
✔✔S/S of pericarditis - ✔✔Sharp or piercing chest pain over center or left chest
Intense pain while breathing
SOB while reclining Palpaitations
Low grade fever Sense of weakness Cough
Abdominal or leg swelling
✔✔S/S of stable angina - ✔✔Episodic chest discomfort
Typically predictable
QUESTIONS AND SOLUTIONS RATED A+
✔✔Advantages and disadvantages of surgical and needle crico - ✔✔Surgical
• Provides definitive airway • Less frequent
Needle
• Provides effective ventilation in presence of airway obstruction • Failure results from
inadequate exhalation via narrow tube• Leads to pneumothorax, bleeding,
subcutaneous emphysema • Most frequent type of crico
✔✔Findings in a spontaneous pneumothorax - ✔✔SOB
Sudden onset of sharp CP Pallor
Tachypenia
Diaphoretic
✔✔Best method to use for vomiting pt and need to tube - ✔✔Reduce gastric volume
Supraglottic airway
Cricoid pressure
RSI
✔✔Advantages and disadvantages of ET vs supraglottic - ✔✔- Supraglottic is simpler
and faster than ET tube•
- ET is more complex and requires two practitioners, more equipment - - Supraglottic
achieves initial ventilation more often
- Aspiration occurs more frequently in supraglottic
✔✔Causes of pt resps being shallow after striking head while driving - ✔✔C 3,4,5
innervate the diaphram and spine can be compressed
✔✔First step for slow pulse, resps and low BP - ✔✔ABC
BVM
✔✔Primary assessment - ✔✔General impression
• AVPU
• CC
ABC
• Treatment / transport
✔✔If pt cannot tolerate NRB - ✔✔NC at 6LpM
✔✔Treatment for diabetic pt who OD with slow shallow resps - ✔✔ABC
Begin mouth to mask breathing
,✔✔Why would capno decrease in an artificially vented pt - ✔✔- RR greater than 20, pt
eliminates more CO2 than average
- Causes an excess decreasing of CO2
✔✔Lung sounds with allergic reaction - ✔✔Absense of lung sounds
✔✔S/S of pneumonia - ✔✔- Hx of fever and chills (bed shaking)•
- Gen weak and malaise•
- Deep and productive cough with yellow to brown sputum with possible blood •
- Pleurtic chest pain
✔✔Physical exam - ✔✔Tachycardia
• Tachypenia
• Fever
• Cough
• Respiratory distress
• Crackles
✔✔Systemic findings - ✔✔Headache
Fatigue
Muscle ache
Sore throat
Abdominal pain
Nausea vomiting
✔✔S/S of emphysema - ✔✔SOB
Barrel chest
Long lasting coughing either dry or wet
Wheezing
Fatigue
Respiratory infection
Cynosis at nails or lips
✔✔How to correct snoring - ✔✔Head tilt chin lift
Jaw thrust
Insert airway adjunct
✔✔Tx of head injury with ICP - ✔✔Increasing ICP causes Cushing reflex ( bradycardia,
widen pulse pressure, irregular RR)
Target ETCO2 for TBI 35-40
Target ETCO2 for hernitation 30-35
✔✔If needle (t) doesn't work how do you fix pneumothorax - ✔✔Multiple needle (t)
✔✔S/S for respiratory distress - ✔✔Nasal flaring ( infants)
, Cynosis
Pale skin color improves with O2 Retractions
Tripoding
Increased work of breathing
✔✔S/S of respiratory failure - ✔✔Rapid breathing
Blush skin
TiredTachycardia to Brady Deterioration
✔✔Tx for epiglottitis - ✔✔Do not agitate or airway will close and need to place
advanced airway
✔✔Pathophys for asthma - ✔✔Response is characterized by inflammation edema,
bronchorestriction, mucus buildup
✔✔Most critical assessment for diff breathers with Cynosis - ✔✔ALOC
Not able to maintain resp effort Cynosis
Immediately intervene
✔✔How to relieve choking BLS - ✔✔Keep calm
Encourage to cough
Abdominal thrusts
If unconscious begin CPR
✔✔Tx for infant with wheezing - ✔✔Albuterol (know age for proper dose)
Epi 1:1000 IM 0.3mg
✔✔S/S for STEMI - ✔✔Chest pain radiating to jaw and arm Abdominal pain
SOB
Diaphoresis
Nausea
Palpitations
Syncope
Anxiety
Agitation
Sense of impending doom
✔✔S/S of pericarditis - ✔✔Sharp or piercing chest pain over center or left chest
Intense pain while breathing
SOB while reclining Palpaitations
Low grade fever Sense of weakness Cough
Abdominal or leg swelling
✔✔S/S of stable angina - ✔✔Episodic chest discomfort
Typically predictable
