Paramedic Exam 4 Questions and answers
|Actual EXAM 2026 Updates
[Ch.27-Q]
Management for an ingested poison focuses mainly on:
A) the prompt induction of vomiting.
B) administering a counteracting agent.
C) neutralizing the poison in the stomach.
D) treating the systemic effects that result. - ANSWERS💫✔️-C) neutralizing the poison in the stomach.
From an anatomic and physiologic perspective, inhaled toxins:
A) generally provide a large window of opportunity for treatment.
B) quickly reach the alveoli and rapidly gain access to the circulatory system.
C) typically take between 15 and 20 minutes to exert a systemic effect.
D) often take several hours before clinical signs and symptoms manifest. - ANSWERS💫✔️-B) quickly
reach the alveoli and rapidly gain access to the circulatory system.
Exposure to sarin or tabun would result in:
A) hyperthermia.
B) pupillary dilation.
C) severe tachycardia.
D) excessive lacrimation. - ANSWERS💫✔️-D) excessive lacrimation.
Patients with alcoholism are prone to subdural hematomas and gastrointestinal bleeding because:
A) they fall more frequently than sober people.
B) their blood-clotting mechanisms are impaired.
C) they are at higher risk for violent assault.
D) alcohol causes significant immunocompromise. - ANSWERS💫✔️-B) their blood-clotting
mechanisms are impaired.
,Symptoms of delirium tremens usually begin within ______ hours after the last alcohol intake.
12 to 24
24 to 48
48 to 72
72 to 96 - ANSWERS💫✔️-48 to 72
Which of the following interventions is influenced strongly by the amount of time that has elapsed
since a patient ingested a toxic substance?
A) Transport
B) IV therapy
C) Intubation
D) Gastric lavage - ANSWERS💫✔️-A) Transport
The clinical presentation of a stimulant abuser includes:
A) excitement, hypertension, tachycardia, and dilated pupils.
B) somnolence, hypotension, bradycardia, and a staggering gait.
C) hypotension, tachycardia, constricted pupils, and hypothermia.
D) an irregular pulse, hyperpyrexia, hypotension, and bradycardia. - ANSWERS💫✔️-A) excitement,
hypertension, tachycardia, and dilated pupils.
Upon arriving at the scene of an incident involving a chlorine gas spill, you should:
A) begin triaging all patients.
B) park the ambulance upwind.
C) remove all patients from the scene.
D) don a protective breathing apparatus. - ANSWERS💫✔️-B) park the ambulance upwind.
The poisonous part of the apricot plant is the _______, which contains _______.
A) leaf, iron
,B) root, tyramine
C) bulb, oxalic acid
D) seed, cyanide - ANSWERS💫✔️-D) seed, cyanide
A woman drives her husband to your EMS station after he was exposed to a large amount of
pesticide. Your assessment reveals that he is responsive to pain only, is hypoventilating, is markedly
bradycardic, and is incontinent of urine and feces. The cardiac monitor reveals marked sinus
bradycardia. As your partner assists the patient's ventilations, you should:
A) establish vascular access and begin administering atropine sulfate.
B) administer 1 to 2 mg of pralidoxime IM and transport immediately.
C) obtain a 12-lead ECG tracing to detect signs of myocardial injury.
D) start an IV line and give sodium bicarbonate to alkalinize his urine. - ANSWERS💫✔️-A) establish
vascular access and begin administering atropine sulfate.
[Ch. 27-E]
A poison is a substance:
A) whose chemical action could damage structures or impair function, even in small amounts.
B) that is damaging to the tissues and cells, especially if injected or taken in large quantities.
C) that is legal or illegal, and has the potential of causing permanent damage if it is ingested.
D) that is capable of making a person ill, at a minimum, and has a great chance of causing death. -
ANSWERS💫✔️-A) whose chemical action could damage structures or impair function, even in small
amounts.
The bioavailability and excretion rate of a toxin are influenced by the:
A) amount of toxin and the relative speed at which it is metabolized.
B) type of toxin and the condition of the patient's underlying health.
C) route by which the toxin entered the body and the age of the patient.
D) the presence of other substances in the body at the time of exposure. - ANSWERS💫✔️-A) amount
of toxin and the relative speed at which it is metabolized.
When poisoning occurs because of a toxic environment:
, A) the patient typically does not present with symptoms for hours.
B) you are more likely to encounter more than one patient at the scene.
C) you should limit your exposure to the environment to less than 5 minutes.
D) exposure continues, even after the patient is removed from the environment. - ANSWERS💫✔️-B)
you are more likely to encounter more than one patient at the scene.
Clinical signs and symptoms following exposure to a toxin will manifest MOST rapidly if the patient:
A) is older than 70 years of age.
B) ingests a large quantity of toxin.
C) breathes in the toxic chemical.
D) is exposed by the injection route. - ANSWERS💫✔️-D) is exposed by the injection route.
Which of the following toxins causes the MOST serious consequences when absorbed through the
skin?
A) Dry lime
B) Poison oak
C) Pesticides
D) Sulfuric acid - ANSWERS💫✔️-C) Pesticides
Any sympathomimetic drug will cause:
A) ataxia.
B) tachycardia.
C) hallucinations.
D) hypothermia. - ANSWERS💫✔️-B) tachycardia.
Most ingested poisons will cause:
A) headache and seizures.
B) tremors and weakness.
C) salivation and coma.
|Actual EXAM 2026 Updates
[Ch.27-Q]
Management for an ingested poison focuses mainly on:
A) the prompt induction of vomiting.
B) administering a counteracting agent.
C) neutralizing the poison in the stomach.
D) treating the systemic effects that result. - ANSWERS💫✔️-C) neutralizing the poison in the stomach.
From an anatomic and physiologic perspective, inhaled toxins:
A) generally provide a large window of opportunity for treatment.
B) quickly reach the alveoli and rapidly gain access to the circulatory system.
C) typically take between 15 and 20 minutes to exert a systemic effect.
D) often take several hours before clinical signs and symptoms manifest. - ANSWERS💫✔️-B) quickly
reach the alveoli and rapidly gain access to the circulatory system.
Exposure to sarin or tabun would result in:
A) hyperthermia.
B) pupillary dilation.
C) severe tachycardia.
D) excessive lacrimation. - ANSWERS💫✔️-D) excessive lacrimation.
Patients with alcoholism are prone to subdural hematomas and gastrointestinal bleeding because:
A) they fall more frequently than sober people.
B) their blood-clotting mechanisms are impaired.
C) they are at higher risk for violent assault.
D) alcohol causes significant immunocompromise. - ANSWERS💫✔️-B) their blood-clotting
mechanisms are impaired.
,Symptoms of delirium tremens usually begin within ______ hours after the last alcohol intake.
12 to 24
24 to 48
48 to 72
72 to 96 - ANSWERS💫✔️-48 to 72
Which of the following interventions is influenced strongly by the amount of time that has elapsed
since a patient ingested a toxic substance?
A) Transport
B) IV therapy
C) Intubation
D) Gastric lavage - ANSWERS💫✔️-A) Transport
The clinical presentation of a stimulant abuser includes:
A) excitement, hypertension, tachycardia, and dilated pupils.
B) somnolence, hypotension, bradycardia, and a staggering gait.
C) hypotension, tachycardia, constricted pupils, and hypothermia.
D) an irregular pulse, hyperpyrexia, hypotension, and bradycardia. - ANSWERS💫✔️-A) excitement,
hypertension, tachycardia, and dilated pupils.
Upon arriving at the scene of an incident involving a chlorine gas spill, you should:
A) begin triaging all patients.
B) park the ambulance upwind.
C) remove all patients from the scene.
D) don a protective breathing apparatus. - ANSWERS💫✔️-B) park the ambulance upwind.
The poisonous part of the apricot plant is the _______, which contains _______.
A) leaf, iron
,B) root, tyramine
C) bulb, oxalic acid
D) seed, cyanide - ANSWERS💫✔️-D) seed, cyanide
A woman drives her husband to your EMS station after he was exposed to a large amount of
pesticide. Your assessment reveals that he is responsive to pain only, is hypoventilating, is markedly
bradycardic, and is incontinent of urine and feces. The cardiac monitor reveals marked sinus
bradycardia. As your partner assists the patient's ventilations, you should:
A) establish vascular access and begin administering atropine sulfate.
B) administer 1 to 2 mg of pralidoxime IM and transport immediately.
C) obtain a 12-lead ECG tracing to detect signs of myocardial injury.
D) start an IV line and give sodium bicarbonate to alkalinize his urine. - ANSWERS💫✔️-A) establish
vascular access and begin administering atropine sulfate.
[Ch. 27-E]
A poison is a substance:
A) whose chemical action could damage structures or impair function, even in small amounts.
B) that is damaging to the tissues and cells, especially if injected or taken in large quantities.
C) that is legal or illegal, and has the potential of causing permanent damage if it is ingested.
D) that is capable of making a person ill, at a minimum, and has a great chance of causing death. -
ANSWERS💫✔️-A) whose chemical action could damage structures or impair function, even in small
amounts.
The bioavailability and excretion rate of a toxin are influenced by the:
A) amount of toxin and the relative speed at which it is metabolized.
B) type of toxin and the condition of the patient's underlying health.
C) route by which the toxin entered the body and the age of the patient.
D) the presence of other substances in the body at the time of exposure. - ANSWERS💫✔️-A) amount
of toxin and the relative speed at which it is metabolized.
When poisoning occurs because of a toxic environment:
, A) the patient typically does not present with symptoms for hours.
B) you are more likely to encounter more than one patient at the scene.
C) you should limit your exposure to the environment to less than 5 minutes.
D) exposure continues, even after the patient is removed from the environment. - ANSWERS💫✔️-B)
you are more likely to encounter more than one patient at the scene.
Clinical signs and symptoms following exposure to a toxin will manifest MOST rapidly if the patient:
A) is older than 70 years of age.
B) ingests a large quantity of toxin.
C) breathes in the toxic chemical.
D) is exposed by the injection route. - ANSWERS💫✔️-D) is exposed by the injection route.
Which of the following toxins causes the MOST serious consequences when absorbed through the
skin?
A) Dry lime
B) Poison oak
C) Pesticides
D) Sulfuric acid - ANSWERS💫✔️-C) Pesticides
Any sympathomimetic drug will cause:
A) ataxia.
B) tachycardia.
C) hallucinations.
D) hypothermia. - ANSWERS💫✔️-B) tachycardia.
Most ingested poisons will cause:
A) headache and seizures.
B) tremors and weakness.
C) salivation and coma.
