Paramedic Final Questions And Answers 2022/2023

For which of the following patients is nasotracheal intubation absolutely contraindicated? - Answer - You are called for a young man choking. Upon arrival you find very scared parents trying to dislodge a piece of hot dog from their 10 year old child's airway by administering back blows and abdominal thrusts, The child is limp. As you take over you discover the child is able to move a minimal amount of air. You should: - Answer - continue with back blow and abdominal thrusts until item becomes dislodged or obstruction becomes complete You have just intubated an adult patient. You believe you have been successful. You are listening for sounds in the epigastric area and hear nothing. What would you do? - Answer - attach an ETCO2 monitoring device What changes in blood gases occur when a patient is hyperventilating? - Answer - decreased CO2; increased PaO2 First responders are applying unusually long ventilations with an oxygen resuscitator to an apneic adult female. They are also not pausing between breaths. What negative effects can this increased pressure create? - Answer - increased pulmonary elasticity?? Percutaneous transtracheal ventilation - Answer - needle cricothyrotomy You are treating a cardiac arrest patient who you have successfully resuscitated. The patient is still unconscious, apneic, and he is endotracheally intubated. The patient suddenly becomes cyanotic and his SpO2 decreases from 98% to 82%. His heart rate decreases from 110 to 40. What caused these sudden changes? - Answer - dislodged endotracheal tube What is the primary danger to the infant during a precipitous delivery? - Answer - cerebral trauma You are treating a 26 year old male victim of an assault. The patient was struck in the chest and abdomen with a baseball bat. Vital Signs: P- 110, R- 6 with sonorous respirations. The patient is place on high flow O2. While attempting an oral airway the patient gags. The oral airway is removed. How are you attempting to secure his airway next? - Answer - Place a nasopharyngeal airway and ventilate with a bag valve mask What effects does morphine sulfate have on the venous system? - Answer - increases venous pooling, resulting in reduced preload and after load You are treating a 48 year old female with chest pain. On scene you administer oxygen, aspirin, and two nitro tablets. En route to the hospital your patient states her pain decreases to a 1 on a scale of 0-10. To provide the best care, you should... - Answer - continue high flow oxygen and repeat vitals, consider 12 lead EKG if pain persists A 52 yom is compelling of