PARAMEDIC NATIONAL REGISTRY QUESTIONS
WITH COMPLETE SOLUTIONS.
Causes of increased CO2 production include: (correct answer) Fever., Muscle exertion., Shivering.,
Metabolic processes resulting in the formation of metabolic acids.
Normal/abnormal CO2 ranges (correct answer) 35-34 normal range
below 35 is alkalotic
above 45 is acidic
7.35-7.45 is normal PH
below 7.35 is acidic
above 7.45 is alkalotic
Metabolic acidosis/alkalosis (correct answer) 35-45 normal CO2
above 45 is alkalotic
below 35 is acidic
7.35-7.45 normal PH
above 7.45 is alkalotic
CO2 buildup from decreased alveolar ventilation include: (correct answer) Respiratory depression,
airway obstruction, respiratory muscle impairment, obstructive diseases
Main respiratory center (correct answer) The medulla initiate impulses that produce resiration
Regulates blood pressure (correct answer) baroreceptors in carotid artery. Why when you bare
down to take a shit you can vagal down and tank your pressure.
Primary control of the respiratory center (correct answer) Cerebrospinal fluid
,Cheyne Stokes respiration (correct answer) progressively deeper, faster breathing alternating
gradually with shallow, slower breathing, indication brain stem injury
Upper airway anatomy and sounds (correct answer) Nasal cavity, mouth, epiglottis, Larynx
Stridor, gurgling crowing
Lower airway anatomy and sounds (correct answer) Trachea, Bronchi, Bronchioles, Alveoli, Lung
Parenchyma, Pleura
Rales, wheezing, rhonchi CRACKLES WET
contraindications for nasotracheal intubation (correct answer) epiglottitis
midface instability
coagulopathy
basilar skull fracture
Respiratory Distress treatment
respiratory failure treatment
respiratory arrest treatment (correct answer) Distress; NC, NRB, CPAP
failure: Bag
arrest: bag
Acute respiratory distress syndrome (correct answer) resp failure due to disease or injury: Sepsis,
Aspiration, Pneumonia, Pulmonary Injury, Burns/inhalation, drugs, high altitude, hypothermia
Emphysema (correct answer) destruction of the walls of the alveoli (atelectasis) and bronchioles
causing poor perfusion and increased residual volume. Loss of elasticity causes increased pressure, RHF
Cor pulmonale, polycythemia, increased risk of infection and dysrhythmia.
Prolonged expiration, pink puffers, red skin barrel chest
, Chronic Bronchitits (correct answer) Mucus secreting cells in the respiratory tree, decreased
alveolar ventilation. Cough, overweight, rhonchi, smoker, frequent respiratory infections, hepatic
congestion, ankle edema, blue bloater
Asthma patho and treatment (correct answer) chronic inflammatory disease can be triggered
causing histamine dump (bronchoconstriction & bronchial edema). Dyspnea wheezing 1-2 word
Support breathing, monitor cardiac, IV
administer beta agonists (terbutaline, albuterol)
Ipratropium Bromide anticholinergic
Corticosteroid Decadron or Solumedrol (methyl prednisone) anti inflammatory
blood pressure is based on: (correct answer) the total systemic vascular resistance and the cardiac
output
conduction delay in the AV node or P WAVE is (correct answer) 120-200 msec. atrial depolarization
left shoulder pain indicative of (correct answer) spleen lac
flank pain (correct answer) kidneys
fluid resuscitation in peds (correct answer) 20 ml/kg
catecholamine (correct answer) neurotransmittor sympathetic NS epi norepi 'levophed' dopamine
Acetycholine (correct answer) parasympathetic NS neurotransmittor Vagus nerve
Anticholinergic (correct answer) blocks acetycholine. Blocks parasympathetic. Ex Atropine
ACE inhibitor (correct answer) lowers BP. 'pril' drugs
WITH COMPLETE SOLUTIONS.
Causes of increased CO2 production include: (correct answer) Fever., Muscle exertion., Shivering.,
Metabolic processes resulting in the formation of metabolic acids.
Normal/abnormal CO2 ranges (correct answer) 35-34 normal range
below 35 is alkalotic
above 45 is acidic
7.35-7.45 is normal PH
below 7.35 is acidic
above 7.45 is alkalotic
Metabolic acidosis/alkalosis (correct answer) 35-45 normal CO2
above 45 is alkalotic
below 35 is acidic
7.35-7.45 normal PH
above 7.45 is alkalotic
CO2 buildup from decreased alveolar ventilation include: (correct answer) Respiratory depression,
airway obstruction, respiratory muscle impairment, obstructive diseases
Main respiratory center (correct answer) The medulla initiate impulses that produce resiration
Regulates blood pressure (correct answer) baroreceptors in carotid artery. Why when you bare
down to take a shit you can vagal down and tank your pressure.
Primary control of the respiratory center (correct answer) Cerebrospinal fluid
,Cheyne Stokes respiration (correct answer) progressively deeper, faster breathing alternating
gradually with shallow, slower breathing, indication brain stem injury
Upper airway anatomy and sounds (correct answer) Nasal cavity, mouth, epiglottis, Larynx
Stridor, gurgling crowing
Lower airway anatomy and sounds (correct answer) Trachea, Bronchi, Bronchioles, Alveoli, Lung
Parenchyma, Pleura
Rales, wheezing, rhonchi CRACKLES WET
contraindications for nasotracheal intubation (correct answer) epiglottitis
midface instability
coagulopathy
basilar skull fracture
Respiratory Distress treatment
respiratory failure treatment
respiratory arrest treatment (correct answer) Distress; NC, NRB, CPAP
failure: Bag
arrest: bag
Acute respiratory distress syndrome (correct answer) resp failure due to disease or injury: Sepsis,
Aspiration, Pneumonia, Pulmonary Injury, Burns/inhalation, drugs, high altitude, hypothermia
Emphysema (correct answer) destruction of the walls of the alveoli (atelectasis) and bronchioles
causing poor perfusion and increased residual volume. Loss of elasticity causes increased pressure, RHF
Cor pulmonale, polycythemia, increased risk of infection and dysrhythmia.
Prolonged expiration, pink puffers, red skin barrel chest
, Chronic Bronchitits (correct answer) Mucus secreting cells in the respiratory tree, decreased
alveolar ventilation. Cough, overweight, rhonchi, smoker, frequent respiratory infections, hepatic
congestion, ankle edema, blue bloater
Asthma patho and treatment (correct answer) chronic inflammatory disease can be triggered
causing histamine dump (bronchoconstriction & bronchial edema). Dyspnea wheezing 1-2 word
Support breathing, monitor cardiac, IV
administer beta agonists (terbutaline, albuterol)
Ipratropium Bromide anticholinergic
Corticosteroid Decadron or Solumedrol (methyl prednisone) anti inflammatory
blood pressure is based on: (correct answer) the total systemic vascular resistance and the cardiac
output
conduction delay in the AV node or P WAVE is (correct answer) 120-200 msec. atrial depolarization
left shoulder pain indicative of (correct answer) spleen lac
flank pain (correct answer) kidneys
fluid resuscitation in peds (correct answer) 20 ml/kg
catecholamine (correct answer) neurotransmittor sympathetic NS epi norepi 'levophed' dopamine
Acetycholine (correct answer) parasympathetic NS neurotransmittor Vagus nerve
Anticholinergic (correct answer) blocks acetycholine. Blocks parasympathetic. Ex Atropine
ACE inhibitor (correct answer) lowers BP. 'pril' drugs
