MICN LA COUNTY FINAL EXAM (LATEST) || MOST
RECENT EXAM 2026|2027 ACTUAL COMPLETE REAL
EXAM QUESTIONS AND CORRECTLY WELL DEFINED
ANSWERS (VERIFIED ANSWERS) ALREADY GRADED A+ |
Sepsis treatment guidelines -ANSWERS-Airway, O2, cardiac monitor, IV,
capnography, NS 1L rapid (if S/S of poor perfusion), cooling measures if
fever, check glucose PRN
Shock treatment guidelines -ANSWERS-NS 1L rapid, contact base if
persisting for 2nd NS 1L bolus.
Consider EKG, IV (IO if poor perfusion and unable to get IV after 2
attempts), warm, push dose epi if poor perfusion continues or
pulmonary edema
What can you give with IO insertion? -ANSWERS-Lidocaine 2% 40mg
slow IO push. May repeat once 20mg if pain with infusion
What is the dose for push dose epi? -ANSWERS-0.1mg/ml- take 1ml
into 9ml of NS. New concentration is 0.01mg/ml. Give 1 ml Q1-5
minutes for SBP >90
S/S of agitated delirium -ANSWERS-Confusion and extreme agitation
with one of the following: Diaphoresis, fever/flushed skin, tachycardia,
rapid breathing
,*very dangerous- can progress fast to resp/cardiac arrest*
Treatment for agitated delirium? -ANSWERS-Midazolam 5mg IV/IM/IN,
may repeat x1 in 5 min (max 10mg prior to base contact, max 20mg
after base contact)
Treatment for prolonged QT intervals for suspected drug
ingestion/agitated delirium? -ANSWERS-CONTACT BASE if QRS >0.12
seconds, QT >500ms, or HR >150 <50 and consider Sodium Bicarb
50mEq IV with base physician (may repeat x1 if QRS remains >0.12)
Treatment for mental health crisis? -ANSWERS-Olanzapine 10mg ODT
x1 (no base contact required) and Midazolam 5mg IV/IM/IN (base
contact required) max 20mg
Cardiac arrest in PEA treatment -ANSWERS-CPR! Epi (0.1mg/ml 1ml)
ASAP and can repeat Q5 min max 3mg, NS 1L rapid
If suspected hyperkalemia= 1g Ca chloride and Sodium Bicarb 50mEq
Cardiac arrest V.Fib/pulseless V. Tach treatment? -ANSWERS-CPR! Defib
@200J (repeat Q2 min)! Epi (0.1mg/ml 1ml, max 3 ml) after 2nd defib,
amnioderone 300 after 3rd fefib, amnioderone 150mg after 5th, NS 1L
rapid
, ROSC obtained on scene- when and where do we transport? -
ANSWERS-After 5 minutes- to SRC
Do we transport medical cardiac arrests? -ANSWERS-No- only
penetrating traumatic! Best thing for medical cardiac arrest is high
quality CPR with minimal interruptions. Cant do that in the
ambulance/transporting.
Treatment post ROSC with cardiogenic shock? -ANSWERS-If SBP <90 NS
1L and push dose epi if no response after 250ml NS
What is the first priority for a cardiac arrest patient? -ANSWERS-CPR!
What is the preferred advanced airway for cardiac arrest patients? -
ANSWERS-SGA/iGel- do not have interrupt CPR to place and can
monitor capnography throughout
Normal ETCO2 during CPR? -ANSWERS->10 with box shaped waveforms
An increase in ETCO2= ROSC
Can you do CPR on LVAD patient? -ANSWERS-Yes- note no pulse and no
BP
Can you do CPR on a TAH patient? -ANSWERS-No! No epi, no defib, no
cpr- will destroy that artificial heart
RECENT EXAM 2026|2027 ACTUAL COMPLETE REAL
EXAM QUESTIONS AND CORRECTLY WELL DEFINED
ANSWERS (VERIFIED ANSWERS) ALREADY GRADED A+ |
Sepsis treatment guidelines -ANSWERS-Airway, O2, cardiac monitor, IV,
capnography, NS 1L rapid (if S/S of poor perfusion), cooling measures if
fever, check glucose PRN
Shock treatment guidelines -ANSWERS-NS 1L rapid, contact base if
persisting for 2nd NS 1L bolus.
Consider EKG, IV (IO if poor perfusion and unable to get IV after 2
attempts), warm, push dose epi if poor perfusion continues or
pulmonary edema
What can you give with IO insertion? -ANSWERS-Lidocaine 2% 40mg
slow IO push. May repeat once 20mg if pain with infusion
What is the dose for push dose epi? -ANSWERS-0.1mg/ml- take 1ml
into 9ml of NS. New concentration is 0.01mg/ml. Give 1 ml Q1-5
minutes for SBP >90
S/S of agitated delirium -ANSWERS-Confusion and extreme agitation
with one of the following: Diaphoresis, fever/flushed skin, tachycardia,
rapid breathing
,*very dangerous- can progress fast to resp/cardiac arrest*
Treatment for agitated delirium? -ANSWERS-Midazolam 5mg IV/IM/IN,
may repeat x1 in 5 min (max 10mg prior to base contact, max 20mg
after base contact)
Treatment for prolonged QT intervals for suspected drug
ingestion/agitated delirium? -ANSWERS-CONTACT BASE if QRS >0.12
seconds, QT >500ms, or HR >150 <50 and consider Sodium Bicarb
50mEq IV with base physician (may repeat x1 if QRS remains >0.12)
Treatment for mental health crisis? -ANSWERS-Olanzapine 10mg ODT
x1 (no base contact required) and Midazolam 5mg IV/IM/IN (base
contact required) max 20mg
Cardiac arrest in PEA treatment -ANSWERS-CPR! Epi (0.1mg/ml 1ml)
ASAP and can repeat Q5 min max 3mg, NS 1L rapid
If suspected hyperkalemia= 1g Ca chloride and Sodium Bicarb 50mEq
Cardiac arrest V.Fib/pulseless V. Tach treatment? -ANSWERS-CPR! Defib
@200J (repeat Q2 min)! Epi (0.1mg/ml 1ml, max 3 ml) after 2nd defib,
amnioderone 300 after 3rd fefib, amnioderone 150mg after 5th, NS 1L
rapid
, ROSC obtained on scene- when and where do we transport? -
ANSWERS-After 5 minutes- to SRC
Do we transport medical cardiac arrests? -ANSWERS-No- only
penetrating traumatic! Best thing for medical cardiac arrest is high
quality CPR with minimal interruptions. Cant do that in the
ambulance/transporting.
Treatment post ROSC with cardiogenic shock? -ANSWERS-If SBP <90 NS
1L and push dose epi if no response after 250ml NS
What is the first priority for a cardiac arrest patient? -ANSWERS-CPR!
What is the preferred advanced airway for cardiac arrest patients? -
ANSWERS-SGA/iGel- do not have interrupt CPR to place and can
monitor capnography throughout
Normal ETCO2 during CPR? -ANSWERS->10 with box shaped waveforms
An increase in ETCO2= ROSC
Can you do CPR on LVAD patient? -ANSWERS-Yes- note no pulse and no
BP
Can you do CPR on a TAH patient? -ANSWERS-No! No epi, no defib, no
cpr- will destroy that artificial heart
