PARAMEDIC SCHOOL ENTRY MAIN EXAM TEST 2026
QUESTIONS AND ANSWERS RATED A+
✔✔Complications associated w/ using C-collar - ✔✔Unstable C-spine injuries are rare.
It is impossible to immobilize C-spine w/ C-colar w/o immobilizing entire body. Interfere
with airway management. Increase motion in high c-spine injuries. Stretching the neck.
✔✔Appropriate treatment for specific closed chest injuries - ✔✔Pneumothorax
(traumatic), tension, flail chest. Look for dilated neck veins, tracheal deviation, unilateral
absent breath neck veins, tachycardia and hypotension. Rx:
Decompression/O2/Occlusive dressing/Bulk dressing
✔✔S/S of spinal and pelvic injuries - ✔✔Spinal: extreme pain in back or pressure in
neck, head, back. Weakness/numbness. Loss of GI control. Difficulty w/ walking or
balance. Impaired breathing. Oddly positioned or twisted neck or back.
Pelvic: crepitus. Increasing tachycardia/respiratory rate. Diminishing LOC.
Pale/cool/clammy.
RX: high flow O2 and IV fluids. Splinting.
✔✔Trauma assessment steps for examining abd - ✔✔Palpation begins w/ light pressure
to deep pressure. Go from each quadrant to quadrant, making sure to note any masses
or distension.
✔✔Significance of jugular distension - ✔✔JV drains blood from head to heart. Elevated
any time venous return is greater than the heart's ability to pump the blood back out.
Systemic vasculature - which drains into right ventricle via the right atrium.
✔✔How/when to check PMS - ✔✔Before and after splinting. Including backboard..
Check in all extremities.
✔✔How/when ongoing assessment should be done - ✔✔All potentially life threatening
things should be fixed before this: inspection, palpation, auscultation. Head to toe
should be performed when the pt is: unresponsive, multisystem trauma, high transport
priority.
DCAP-BTLS for all.
Head/neck - pupils, drainage at ears, bruising behind ears, pain, tenderness, JVD.
Chest - equal rise/fall; auscultate, look for medication patches and medical devices.
ABD - rigidity, distension.
Pelvis: instability, crepitus, incontinence. Do NOT palpate if pain already present at
pelvis.
Extremities: PMS, check for med alerts.
Posterior: DCAP-BTLS. Posterior lung sounds.
, ✔✔Medications can assist pt w/ - ✔✔MDI or SVN drugs for respiratory problems. Nitro.
Remember six rights. Right pt, right time, right drug, right route, right dose, right
documentation.
✔✔Action/indication/contraindication/side effects/procedure of Oral glucose - ✔✔After
absorption from GI tract, glucose is distributed in the tissues and provides a prompt
increase in circulating blood sugar.
Decreased LOC, unable to swallow, ingestion of acids, alkalis, hydrocarbons. Expired
med. Lack of Medical direction.
Nausea/vomiting/dark tarry stool
Adult-1 gram per kilogram of body weight.
Ped: 25 to 50g.
Orally.
✔✔Action/indication/contraindication/side effects/procedure of Nitroglycerin -
✔✔Vasodilator, decreases myocardial O2 demand, increases myocardial supply.
Chest pain, angina, MI.
Reflex tachy, hypotension, headache, burning under tongue, nausea.
Expired med, not prescribed to pt, hypotension, recent use of ED med, head injury, lack
of MD.
0.4mg sublingual. Spray or tablet.
✔✔Action/indication/contraindication/side effects/procedure of Epinephrine -
✔✔Autoinjector.
Peripheral vasoconstriction, increased heart rate, bronchodilator.
Anaphylaxis.
Expired med, lack of MD.
Tachycardia, htn, increased myocardial O2 demand, restlessness.
IM, lateral mid thigh.
✔✔Action/indication/contraindication/side effects/procedure of Aspirin - ✔✔Reduces
inflammation, decreases platelet aggression, reduces fever.
Chest pain.
Allergic to med, decreased LOC, unable to swallow, recent bleed, active ulcer, pediatric
pt, expired med, lack of MD.
Nausea, bleeding, allergic reaction, may lead to Reye's syndrome in ped pt's.
Orally.
✔✔Withholding resuscitative measures on pt in cardiac event - ✔✔Decapitation,
dependent lividity rigor mortis, DNR, blunt trauma w/ obvious signs of death
✔✔Wheezing - ✔✔High pitched sounds usually heard on exhalation
✔✔Rales - ✔✔Wet/crackling sounds
QUESTIONS AND ANSWERS RATED A+
✔✔Complications associated w/ using C-collar - ✔✔Unstable C-spine injuries are rare.
It is impossible to immobilize C-spine w/ C-colar w/o immobilizing entire body. Interfere
with airway management. Increase motion in high c-spine injuries. Stretching the neck.
✔✔Appropriate treatment for specific closed chest injuries - ✔✔Pneumothorax
(traumatic), tension, flail chest. Look for dilated neck veins, tracheal deviation, unilateral
absent breath neck veins, tachycardia and hypotension. Rx:
Decompression/O2/Occlusive dressing/Bulk dressing
✔✔S/S of spinal and pelvic injuries - ✔✔Spinal: extreme pain in back or pressure in
neck, head, back. Weakness/numbness. Loss of GI control. Difficulty w/ walking or
balance. Impaired breathing. Oddly positioned or twisted neck or back.
Pelvic: crepitus. Increasing tachycardia/respiratory rate. Diminishing LOC.
Pale/cool/clammy.
RX: high flow O2 and IV fluids. Splinting.
✔✔Trauma assessment steps for examining abd - ✔✔Palpation begins w/ light pressure
to deep pressure. Go from each quadrant to quadrant, making sure to note any masses
or distension.
✔✔Significance of jugular distension - ✔✔JV drains blood from head to heart. Elevated
any time venous return is greater than the heart's ability to pump the blood back out.
Systemic vasculature - which drains into right ventricle via the right atrium.
✔✔How/when to check PMS - ✔✔Before and after splinting. Including backboard..
Check in all extremities.
✔✔How/when ongoing assessment should be done - ✔✔All potentially life threatening
things should be fixed before this: inspection, palpation, auscultation. Head to toe
should be performed when the pt is: unresponsive, multisystem trauma, high transport
priority.
DCAP-BTLS for all.
Head/neck - pupils, drainage at ears, bruising behind ears, pain, tenderness, JVD.
Chest - equal rise/fall; auscultate, look for medication patches and medical devices.
ABD - rigidity, distension.
Pelvis: instability, crepitus, incontinence. Do NOT palpate if pain already present at
pelvis.
Extremities: PMS, check for med alerts.
Posterior: DCAP-BTLS. Posterior lung sounds.
, ✔✔Medications can assist pt w/ - ✔✔MDI or SVN drugs for respiratory problems. Nitro.
Remember six rights. Right pt, right time, right drug, right route, right dose, right
documentation.
✔✔Action/indication/contraindication/side effects/procedure of Oral glucose - ✔✔After
absorption from GI tract, glucose is distributed in the tissues and provides a prompt
increase in circulating blood sugar.
Decreased LOC, unable to swallow, ingestion of acids, alkalis, hydrocarbons. Expired
med. Lack of Medical direction.
Nausea/vomiting/dark tarry stool
Adult-1 gram per kilogram of body weight.
Ped: 25 to 50g.
Orally.
✔✔Action/indication/contraindication/side effects/procedure of Nitroglycerin -
✔✔Vasodilator, decreases myocardial O2 demand, increases myocardial supply.
Chest pain, angina, MI.
Reflex tachy, hypotension, headache, burning under tongue, nausea.
Expired med, not prescribed to pt, hypotension, recent use of ED med, head injury, lack
of MD.
0.4mg sublingual. Spray or tablet.
✔✔Action/indication/contraindication/side effects/procedure of Epinephrine -
✔✔Autoinjector.
Peripheral vasoconstriction, increased heart rate, bronchodilator.
Anaphylaxis.
Expired med, lack of MD.
Tachycardia, htn, increased myocardial O2 demand, restlessness.
IM, lateral mid thigh.
✔✔Action/indication/contraindication/side effects/procedure of Aspirin - ✔✔Reduces
inflammation, decreases platelet aggression, reduces fever.
Chest pain.
Allergic to med, decreased LOC, unable to swallow, recent bleed, active ulcer, pediatric
pt, expired med, lack of MD.
Nausea, bleeding, allergic reaction, may lead to Reye's syndrome in ped pt's.
Orally.
✔✔Withholding resuscitative measures on pt in cardiac event - ✔✔Decapitation,
dependent lividity rigor mortis, DNR, blunt trauma w/ obvious signs of death
✔✔Wheezing - ✔✔High pitched sounds usually heard on exhalation
✔✔Rales - ✔✔Wet/crackling sounds
