PARAMEDIC COMPREHENSIVE FINAL
EXAM PRACTICE WITH ALL ANSWERS
PROVIDED
Followinghblunthtraumahtohthehanteriorhchest,hah44-year-
oldhwomanhpresentshwithhrestlessness,hrespiratoryhdistress,hperioralhcyanosis,handhtac
hycardia.hFurtherhassessmenthrevealshahmidlinehtrachea,hengorgedhjugularhveins,handh
absenthbreathhsoundshonhthehrighthsidehofhherhchest.hYouhshould:h-hcorrecthanswer-
performhanhimmediatehneedlehthoracentesishtohthehrighthsidehofhthehchest.
Ah40-year-
oldhmanhpresentshwithhdifficultyhurinating,hfever,handhtremors.hWhichhofhthehfollowinghsh
ouldhyouhsuspect?h-hcorrecthanswer-Prostatitis
Ah45-year-
oldhunrestrainedhmanhwashejectedhfromhhishsmallhtruckhwhenhithstruckhahtree.hThehpatie
nthishfoundhapproximatelyh20hfeethfromhthehwreckage.hYourhprimaryhassessmenthreveal
shthathhehishunresponsivehandhhashsonoroushrespirationshandhahrapidhpulse.hYourhinitialh
actionshshouldhinclude:h-hcorrecthanswer-
manuallyhstabilizinghhishheadhandhopeninghhishairwayhwithhthehjaw-thrusthmaneuver.
Ah60-year-
oldhmanhwithhcrushinghchesthpainhhash3hmmhofhSThelevationhinhleadshV1hthroughhV4.hW
hathshouldhyouhsuspect?h-hcorrecthanswer-Lefthanteriorhdescendingharteryhocclusion
Ahpatienthwithhahsuppressedhcoughhmechanism:h-hcorrecthanswer-
ishathserioushriskhforhaspiration.
Youharehcaringhforhah33-year-
oldhwomanhwhohish35hweekshpregnanthandhfellhdownhahflighthofhstairs.hFullhspinalhprecau
tionshhavehbeenhtaken,hthehpatienthishreceivinghhigh-
flowhoxygen,handhahpatenthIVhlinehishinhplace.hDuringhtransport,hyouhreassesshherhandhn
, otehthathshehhashbecomehdiaphoretic,htachycardic,handhtachypneic.hYouhshould:h-
hcorrecthanswer-tilththehbackboardhtohthehlefthside.
WhichhofhthehfollowinghishthehMOSThimportanthconsiderationhduringhahpandemic?h-
hcorrecthanswer-Personal hprotectivehequipment
Thehdoor-to-
balloonhtimehforhahpatienthwithhanhSThelevationhmyocardialhinfarctionhish___hminuteshorhl
ess.h-hcorrecthanswer-90
Whenhattemptinghresuscitationhofhahchildhwithhpulselesshelectricalhactivity,hyouhshould:h-
hcorrecthanswer-attempthtohidentify hanhunderlyinghcausehofhtheharrest.
WhichhofhthehfollowinghclinicalhfindingshwouldhMOSThlikelyhdifferentiatehahmassivehhem
othoraxhfromhahtensionhpneumothorax?h-hcorrecthanswer-Hemoptysis
WhichhofhthehfollowinghclinicalhfindingshishthehMOSThconsistenthwithhhypertrophichcardi
omyopathy?h-hcorrecthanswer-Unexplainedhsyncope
Ah41-year-
oldhwomanhattemptedhtohkillhherselfhbyhcuttinghherhwrists.hLawhenforcementhpersonnelh
arehaththehscene.hYouhhavehcontrolledhthehbleedinghwithhdirecthpressurehandhahpressure
hbandage.hThehpatient'shvitalhsignsharehstablehandhshehishconscioushandhalert;hhowever,
hshehrefuseshtohgohtohthehhospital.hDespitehpleashfromhherhfamilyhtohgohtohthehhospital,hs
hehstillhrefuses.hYouhshould:h-hcorrecthanswer-
remainhwithhthehpatient,hcontacthmedicalhcontrol,handhrequesthlawhenforcementhinterve
ntion.
Anyhtimehahpatienthwithhend-
stagehrenalhdiseasehishfoundhinhcardiacharrest,hthehparamedichshouldhstronglyhconsiderh
whichhofhthehfollowinghashthehcause?h-hcorrecthanswer-Kyperkalemia
WhichhofhthehfollowinghstatementshregardinghGreyhTurnerhsignhishcorrect?h-
hcorrecthanswer-
GreyhTurnerhsignhishcharacterizedhbyhflankhbruisinghandhindicateshinternalhbleeding.
Followinghdecontamination,hahpatienthishpresentedhtohyouhbyhrescuehpersonnelhforhtran
sport.hThehpatienthishconscioushandhalert,handhishinhnohobvioushrespiratoryhdistress.hThe
hpatienthishemittinghahpungenthodorhandhhashanhorangehchemicalhonhherhclothing.hYouhs
hould:h-hcorrecthanswer-
advisehthehrescuershthaththehpatienthhashnothbeenhadequatelyhdecontaminated.
Epiglottitishinhchildren:h-hcorrecthanswer-
ishuncommonhbecausehchildrenharehvaccinatedhagainsthHaemophilushinfluenzahtypehb.
Ahyounghwomanhexperiencedhmassivehfacialhtraumahafterhbeinghejectedhfromhherhcarhw
henhithstruckhahtree.hShehishsemiconscious,hhashbloodhdraininghfromhherhmouth,handhha
shpoorhrespiratoryheffort.hThehMOSThappropriatehinitialhairwayhmanagementhforhthishpati
enthinvolves:h-hcorrecthanswer-
EXAM PRACTICE WITH ALL ANSWERS
PROVIDED
Followinghblunthtraumahtohthehanteriorhchest,hah44-year-
oldhwomanhpresentshwithhrestlessness,hrespiratoryhdistress,hperioralhcyanosis,handhtac
hycardia.hFurtherhassessmenthrevealshahmidlinehtrachea,hengorgedhjugularhveins,handh
absenthbreathhsoundshonhthehrighthsidehofhherhchest.hYouhshould:h-hcorrecthanswer-
performhanhimmediatehneedlehthoracentesishtohthehrighthsidehofhthehchest.
Ah40-year-
oldhmanhpresentshwithhdifficultyhurinating,hfever,handhtremors.hWhichhofhthehfollowinghsh
ouldhyouhsuspect?h-hcorrecthanswer-Prostatitis
Ah45-year-
oldhunrestrainedhmanhwashejectedhfromhhishsmallhtruckhwhenhithstruckhahtree.hThehpatie
nthishfoundhapproximatelyh20hfeethfromhthehwreckage.hYourhprimaryhassessmenthreveal
shthathhehishunresponsivehandhhashsonoroushrespirationshandhahrapidhpulse.hYourhinitialh
actionshshouldhinclude:h-hcorrecthanswer-
manuallyhstabilizinghhishheadhandhopeninghhishairwayhwithhthehjaw-thrusthmaneuver.
Ah60-year-
oldhmanhwithhcrushinghchesthpainhhash3hmmhofhSThelevationhinhleadshV1hthroughhV4.hW
hathshouldhyouhsuspect?h-hcorrecthanswer-Lefthanteriorhdescendingharteryhocclusion
Ahpatienthwithhahsuppressedhcoughhmechanism:h-hcorrecthanswer-
ishathserioushriskhforhaspiration.
Youharehcaringhforhah33-year-
oldhwomanhwhohish35hweekshpregnanthandhfellhdownhahflighthofhstairs.hFullhspinalhprecau
tionshhavehbeenhtaken,hthehpatienthishreceivinghhigh-
flowhoxygen,handhahpatenthIVhlinehishinhplace.hDuringhtransport,hyouhreassesshherhandhn
, otehthathshehhashbecomehdiaphoretic,htachycardic,handhtachypneic.hYouhshould:h-
hcorrecthanswer-tilththehbackboardhtohthehlefthside.
WhichhofhthehfollowinghishthehMOSThimportanthconsiderationhduringhahpandemic?h-
hcorrecthanswer-Personal hprotectivehequipment
Thehdoor-to-
balloonhtimehforhahpatienthwithhanhSThelevationhmyocardialhinfarctionhish___hminuteshorhl
ess.h-hcorrecthanswer-90
Whenhattemptinghresuscitationhofhahchildhwithhpulselesshelectricalhactivity,hyouhshould:h-
hcorrecthanswer-attempthtohidentify hanhunderlyinghcausehofhtheharrest.
WhichhofhthehfollowinghclinicalhfindingshwouldhMOSThlikelyhdifferentiatehahmassivehhem
othoraxhfromhahtensionhpneumothorax?h-hcorrecthanswer-Hemoptysis
WhichhofhthehfollowinghclinicalhfindingshishthehMOSThconsistenthwithhhypertrophichcardi
omyopathy?h-hcorrecthanswer-Unexplainedhsyncope
Ah41-year-
oldhwomanhattemptedhtohkillhherselfhbyhcuttinghherhwrists.hLawhenforcementhpersonnelh
arehaththehscene.hYouhhavehcontrolledhthehbleedinghwithhdirecthpressurehandhahpressure
hbandage.hThehpatient'shvitalhsignsharehstablehandhshehishconscioushandhalert;hhowever,
hshehrefuseshtohgohtohthehhospital.hDespitehpleashfromhherhfamilyhtohgohtohthehhospital,hs
hehstillhrefuses.hYouhshould:h-hcorrecthanswer-
remainhwithhthehpatient,hcontacthmedicalhcontrol,handhrequesthlawhenforcementhinterve
ntion.
Anyhtimehahpatienthwithhend-
stagehrenalhdiseasehishfoundhinhcardiacharrest,hthehparamedichshouldhstronglyhconsiderh
whichhofhthehfollowinghashthehcause?h-hcorrecthanswer-Kyperkalemia
WhichhofhthehfollowinghstatementshregardinghGreyhTurnerhsignhishcorrect?h-
hcorrecthanswer-
GreyhTurnerhsignhishcharacterizedhbyhflankhbruisinghandhindicateshinternalhbleeding.
Followinghdecontamination,hahpatienthishpresentedhtohyouhbyhrescuehpersonnelhforhtran
sport.hThehpatienthishconscioushandhalert,handhishinhnohobvioushrespiratoryhdistress.hThe
hpatienthishemittinghahpungenthodorhandhhashanhorangehchemicalhonhherhclothing.hYouhs
hould:h-hcorrecthanswer-
advisehthehrescuershthaththehpatienthhashnothbeenhadequatelyhdecontaminated.
Epiglottitishinhchildren:h-hcorrecthanswer-
ishuncommonhbecausehchildrenharehvaccinatedhagainsthHaemophilushinfluenzahtypehb.
Ahyounghwomanhexperiencedhmassivehfacialhtraumahafterhbeinghejectedhfromhherhcarhw
henhithstruckhahtree.hShehishsemiconscious,hhashbloodhdraininghfromhherhmouth,handhha
shpoorhrespiratoryheffort.hThehMOSThappropriatehinitialhairwayhmanagementhforhthishpati
enthinvolves:h-hcorrecthanswer-
