New REMAC Exam Questions &
Answers Solved Correctly (Graded A+)
In Prehospital sedation, what is the dosage of diazepam for conscious patients requiring
endotracheal intubation? - ANS-5-10 mg IV/SLB. Repeat doses of Diazepam 5-10mg
IV/SLB may be given as necessary. (Max dose is 20 mg.)
In Prehospital sedation, what is the dosage of Midazolam for conscious patients
requiring endotracheal intubation? - ANS-1-2 mg IV/IN/SLB. Repeat doses of 1 mg
IV/IN/SLB may be given as necessary. (Max dose is 5 mg.)
In Prehospital sedation, what is the dosage of Etomidate for conscious patients
requiring endotracheal intubation? - ANS-0.3 mg/kg, IV/SLB. (Max dose is 40 mg.) After
successful intubation, admin Diazepam 5 mg IV/SLB or Lorazepam 2 mg, IV/IM for
continued sedation.
In Prehospital sedation, what is the dosage of Diazepam for conspicuous patients
requiring cardioversion/pacing? - ANS-5-10 mg IV/SLB. Repeat doses of Diazepam 5-
10mg IV/SLB may be given as necessary. (Max dose is 20 mg.)
In Prehospital sedation, what is the dosage of Midazolam for conscious patients
requiring cardioversion/pacing? - ANS-1-2 mg IV/IN/SLB. Repeat doses of 1 mg
IV/IN/SLB may be given as necessary. (Max dose is 5 mg.)
In Prehospital sedation, is Etomidate given during Synchronized Cardioversion OR
Transcutaneous Pacing? - ANS-Etomidate is given for Synchronized Cardioversion but
not for Transcutaneous Pacing.
For patients who are conscious and require Synchronized Cardioversion, what is the
dosage of Etomidate? - ANS-0.15 mg/kg , IV/SLB. (Max dose is. 20 mg.)
In patients with v-tach with a pulse how is Calcium Chloride given? - ANS-1 g SLOWLY
followed by a flush.
,In "Excited Delirium" protocol, Midazolam is not given under which route? - ANS-IV/SLB
In "Excited Delirium" protocol, Midazolam is only given under which route? - ANS-IM or
IN.
In "Excited Delirium", what is the dosage for Midazolam? - ANS-10 mg IM or IN.
In "Excited Delirium" how many liters of fluid can be given? - ANS-1 liter of NS/RL from
1 large bore (14-18) gauge catheter, via a macro-drip.
In "Excited Delirium", What is the IM dosage for Ketamine under MC options? - ANS-2-4
mg/kg
In "Excited Delerium", What is the IN dosage for Ketamine under MC options? - ANS-1-
2 mg/kg
In "Excited Delerium", What is the IM dosage for Midazolam under MC options? - ANS-
10 mg
In "Excited Delerium, What is the IM dosage for Lorazepam under MC options? - ANS-4
mg
In "Excited Delerium", What is the IV/SLB dose of Diazepam under MC options? - ANS-
5-10 mg
In "Excited Delerium", What is the IN dose for Midazolam under MC options? - ANS-5
mg
In "Excited Delerium", What is the IV/SLB, IN dose for Lorazepam under MC options? -
ANS-2 mg
If a patient requires Diltiazem but has a history of CHF/kidney/liver disease, av
conduction abnormalities/hypotension; what must be done to the dose of the Diltiazem?
, - ANS-Medical Control should know about these conditions and the dose should be
reduced to half the normal dose.
What are the contraindications for Aspirin? - ANS-Aspirin should not be administered to
patients. With known hypersensitivity to aspirin.
What is NOT a contraindication of Aspirin? - ANS-Gastrointestinal complaints are NOT
a contraindication to Aspirin administration.
Ondansetron (Zofran) should be used with caution in which patients? - ANS-In patients
with a history of cardiac disease, taking medications that prolong the QT interval or to
patients with a history of familial QT prolongation.
Ondansetron (Zofran) can cause what in patient's with cardiac disease? - ANS-
Prolongation of the QT interval, possibly resulting in Torsades de Pointes.
For adult patients 15 years of age and older and under 40 kg in weight; what is the dose
of Amiodarone? - ANS-5 mg/kg
For adult patients 15 years of age and older and under 40 kg in weight; what is the dose
of Atropine Sulfate? - ANS-0.02 mg/kg (minimum dosage 0.1 mg)
For adult patients 15 years of age and older and under 40 kg in weight; what is the dose
of Epinephrine? - ANS-0.01 mg/kg/dose
For adult patients 15 years of age and older and under 40 kg in weight; what is the dose
of Furosemide (Lasix)? - ANS-1 mg/kg/dose
For adult patients 15 years of age and older and under 40 kg in weight; what is the dose
of Sodium Bicarbonate? - ANS-1 mEq/kg/dose
What meds can go IN? - ANS-Use the acronym GFLMN - Glucagon, Fentanyl,
Lorazepam, Midazolam and Naloxone can all go IN.
Answers Solved Correctly (Graded A+)
In Prehospital sedation, what is the dosage of diazepam for conscious patients requiring
endotracheal intubation? - ANS-5-10 mg IV/SLB. Repeat doses of Diazepam 5-10mg
IV/SLB may be given as necessary. (Max dose is 20 mg.)
In Prehospital sedation, what is the dosage of Midazolam for conscious patients
requiring endotracheal intubation? - ANS-1-2 mg IV/IN/SLB. Repeat doses of 1 mg
IV/IN/SLB may be given as necessary. (Max dose is 5 mg.)
In Prehospital sedation, what is the dosage of Etomidate for conscious patients
requiring endotracheal intubation? - ANS-0.3 mg/kg, IV/SLB. (Max dose is 40 mg.) After
successful intubation, admin Diazepam 5 mg IV/SLB or Lorazepam 2 mg, IV/IM for
continued sedation.
In Prehospital sedation, what is the dosage of Diazepam for conspicuous patients
requiring cardioversion/pacing? - ANS-5-10 mg IV/SLB. Repeat doses of Diazepam 5-
10mg IV/SLB may be given as necessary. (Max dose is 20 mg.)
In Prehospital sedation, what is the dosage of Midazolam for conscious patients
requiring cardioversion/pacing? - ANS-1-2 mg IV/IN/SLB. Repeat doses of 1 mg
IV/IN/SLB may be given as necessary. (Max dose is 5 mg.)
In Prehospital sedation, is Etomidate given during Synchronized Cardioversion OR
Transcutaneous Pacing? - ANS-Etomidate is given for Synchronized Cardioversion but
not for Transcutaneous Pacing.
For patients who are conscious and require Synchronized Cardioversion, what is the
dosage of Etomidate? - ANS-0.15 mg/kg , IV/SLB. (Max dose is. 20 mg.)
In patients with v-tach with a pulse how is Calcium Chloride given? - ANS-1 g SLOWLY
followed by a flush.
,In "Excited Delirium" protocol, Midazolam is not given under which route? - ANS-IV/SLB
In "Excited Delirium" protocol, Midazolam is only given under which route? - ANS-IM or
IN.
In "Excited Delirium", what is the dosage for Midazolam? - ANS-10 mg IM or IN.
In "Excited Delirium" how many liters of fluid can be given? - ANS-1 liter of NS/RL from
1 large bore (14-18) gauge catheter, via a macro-drip.
In "Excited Delirium", What is the IM dosage for Ketamine under MC options? - ANS-2-4
mg/kg
In "Excited Delerium", What is the IN dosage for Ketamine under MC options? - ANS-1-
2 mg/kg
In "Excited Delerium", What is the IM dosage for Midazolam under MC options? - ANS-
10 mg
In "Excited Delerium, What is the IM dosage for Lorazepam under MC options? - ANS-4
mg
In "Excited Delerium", What is the IV/SLB dose of Diazepam under MC options? - ANS-
5-10 mg
In "Excited Delerium", What is the IN dose for Midazolam under MC options? - ANS-5
mg
In "Excited Delerium", What is the IV/SLB, IN dose for Lorazepam under MC options? -
ANS-2 mg
If a patient requires Diltiazem but has a history of CHF/kidney/liver disease, av
conduction abnormalities/hypotension; what must be done to the dose of the Diltiazem?
, - ANS-Medical Control should know about these conditions and the dose should be
reduced to half the normal dose.
What are the contraindications for Aspirin? - ANS-Aspirin should not be administered to
patients. With known hypersensitivity to aspirin.
What is NOT a contraindication of Aspirin? - ANS-Gastrointestinal complaints are NOT
a contraindication to Aspirin administration.
Ondansetron (Zofran) should be used with caution in which patients? - ANS-In patients
with a history of cardiac disease, taking medications that prolong the QT interval or to
patients with a history of familial QT prolongation.
Ondansetron (Zofran) can cause what in patient's with cardiac disease? - ANS-
Prolongation of the QT interval, possibly resulting in Torsades de Pointes.
For adult patients 15 years of age and older and under 40 kg in weight; what is the dose
of Amiodarone? - ANS-5 mg/kg
For adult patients 15 years of age and older and under 40 kg in weight; what is the dose
of Atropine Sulfate? - ANS-0.02 mg/kg (minimum dosage 0.1 mg)
For adult patients 15 years of age and older and under 40 kg in weight; what is the dose
of Epinephrine? - ANS-0.01 mg/kg/dose
For adult patients 15 years of age and older and under 40 kg in weight; what is the dose
of Furosemide (Lasix)? - ANS-1 mg/kg/dose
For adult patients 15 years of age and older and under 40 kg in weight; what is the dose
of Sodium Bicarbonate? - ANS-1 mEq/kg/dose
What meds can go IN? - ANS-Use the acronym GFLMN - Glucagon, Fentanyl,
Lorazepam, Midazolam and Naloxone can all go IN.
