Students- paramedic exam practice
questions and answers
After iidelivery, iia iiparamedic iinotices iia iinewborns iiheart iirate iidrops iiabruptly, iiskin iihas
iibecome iiblue iiand iiblotchy, iiand iirespiration iihas iistopped. iiAfter iidrying iithe iiinfant,
iispontaneous iirespiration iioccurs. iiWhat iidoes iithis iiassessment iidescribe?
A) iiPrimary iiasphyxia
B) iiPrimary iiapnea
C) iiSecondary iiapnea
D) iiNewborn iiasphyxia ii- iiAnswers ii-C. iiSecondary iiapnea
**ON iiTHE iiTEST** ii
A iiwoman iiwho iiis ii38 iiweeks iipregnant iihad iiminor iispotting iiyesterday. iiShe iinow iihas
iipainless iibright iired iivaginal iibleeding. iiThe iiuterus iiis iisoft iiand iinontender. iiHer iiskin iiis
iipale iiand iimoist. iiVS iiBP ii100/60 iiP ii112 iiRR ii28 iiSpo2 ii95%. iiWhat iishould iithe
iiparamedic iisuspect?
A) iiplacental iiabruptio iiprevia
B) iiPlacenta iiprevia
C) iiplacenta iiabruptio ii
D) iiUterine iirupture ii- iiAnswers ii-B) iiPlacenta iiprevia
Which iichildhood iidisease iipresents iiwith iia iidiffuse iirash iiall iiover iithe iibody, iifever, iiand
iiwhite iikoplik iispots iiin iithe iimouth?
A) iiMeasles
B) iiVarciella ii
C) iiHand-Foot iiand iiMouth iidisease
D) iiRubella ii- iiAnswers ii-A) iiMeasles
**ON iiTHE iiTEST** ii
Which iiof iithese iiwould iisuppress iithe iicompensatory iimechanism iiof iitachycardia iiand iia
iigeriatric iipatient iiwho iiis iiexperiencing iihemorrhagic iishock?
A. iiThiazide iidiuretics ii
B. iiBeta iiblockers
C. iiCalcium iichannel iiblockers
D. iiBlood iithinners ii- iiAnswers ii-B. iiBeta iiblockers
What iiis iithe iicorrect iiamount iiof iifluid iito iia iiminister iito iia iifive iiweek iiold iiinfant iiwho
iiweighs ii8 iipounds iiwith iisignificant iidehydration?
A. ii36 iimL ii
,B. ii72 iimL ii
C. ii82 iimL ii
D. ii160 iimL ii- iiAnswers ii-B. ii72mL
Which iiof iithese iiis iimost iilikely iiNOT iito iibe iisustained iifrom iithe iitertiary iiphase iiof iiblast
iiinjuries?
A. iiCompression iifractures iiof iithe iispine
B. iiRib iifractures ii
C. iiHyperextension iiinjuries
D. iiPulmonary iibarotrauma ii- iiAnswers ii-D. iiPulmonary iibarotrauma
**ON iiTHE iiTEST** ii
Which iiof iithese iiis iimost iilikely iito iibe iisustained iifrom iithe iitertiary iiphase iiof iiblast
iiinjuries?
A) iiSmoke iior iitoxic iifume iiinhalation, iiburns, iicrush iiinjuries
B) iiLacerations, iieye iiinjuries, iiextremity iifractures
C) iiCompression iifractures iiof iithe iispine, iirib iifractures, iihyperextension iiinjuries ii
D) iiTympanic iimembrane iirupture, iiheadache, iiblast iilung iiinjury ii- iiAnswers ii-C)
iiCompression iifractures iiof iithe iispine, iirib iifractures, iihyperextension iiinjuries
What iishould iia iiparamedic iido iiwhen iiconfronted iiwith iia iiprolasped iicord?
A) iiPlace iigloved iifingers iibetween iithe iibaby iiand iithe iimothers iipelvic iibone
B) iiInsert iigloved iihand iiinto iithe iibirth iicanal iiin iiorder iito iirestrain iidelivery
C) iiAttempt iito iipush iithe iicord iiback iiinto iithe iibirth iicanal
D) iiClamp iiand iicut iithe iicord iiand iiinstruct iithe iimother iito iipush iias iihard iias iipossible ii-
iiAnswers ii-A) iiPlace iigloved iifingers iibetween iithe iibaby iiand iithe iimothers iipelvic iibone
A ii20-year-old iihas iibeen iiworking iiin iithe iisun iifor iithe iipast iisix iihours iion iia iivery iihot
iiday iiand iic/o iiextreme iidizziness, iiweakness, iithirst, iinausea, iiand iihas iivomited iix2.
iiSkin iiis iiwarm, iiflushed, iidiaphoretic. iiVS: iiBP ii94/60 iiorthostatic iichanges; iiP ii118 iiand
iithready; iispo2 ii97%; iiT ii99F. iiGlucose ii120. iiWhat iishould iithe iiparamedic iiinitiate iifor
iithe iipatient?
A) iiIV iiNS iiin iiconsecutive ii200 iimL iiincrements
B) iiCover iiwith iia iicold iiwet iishet
C) iiGive ii32 iiounces iiof iielectrolyte iisolution iiorally
D) iiTransport iipatient iias iiquickly iias iipossible ii- iiAnswers ii-A. iiIV iiNS iiin iiconsecutive
ii200 iimL iiincrements
**ON iiTHE iiTEST** ii
Which iiof iithese iiis iiappropriate iitreatment iifor iihyperemesis iigravidarum?
A) iiEKG iimonitoring iifor iiirregularities ii
B) iiCesarean iisection
C) iiBenzodiazepine iiadministration
D) iiIV iifluid iireplacement ii- iiAnswers ii-D) iiIV iifluid iireplacement
,A ii28-year-old iipatient iipresents iiwith iian iiacute iionset iiof iishortness iiof iibreath, iiHives,
iiand iiitching iion iithe iiface, iineck, iiand iipalms iifollowing iidinner. iiThe iipt iihas iiedema iiof
iithe iilips, iitongue, iiand iieyelids, iifacial iiflushing, iiand iistridorous iirespirations. iiShe iiis
iianxious, iilight iiheaded, iiand iistruggling iito iibreath. iiVS iiBP ii86/palp, iiRR ii48, iiP ii128,
iispo2 ii82% iion iiroom iiair.breath iisounds iiare iibilaterally iidiminished. iiWhich iimedication
iishould iia iiparamedic iiget iifirst?
A. iiEpinephrine ii1:10 iiIVP
B. iiEpinephrine ii1:1 iiIVP
C. iiBenadryl ii50mg iiIVP
D. iiBenadryl ii25mg iiIVP ii- iiAnswers ii-A. iiEpinephrine ii1:10 iiIVP
Which iidrug iishould iia iiparamedic iiadminister iifirst iito iia iipatient iiexperiencing iia
iisystemic iiallergic iireaction iiwith iifacial iiedema, iitearing, iigeneralized iihives, iisevere
iidyspnea iiand iiwheezing, iipalpable iiradial iipulse iiand iiBP ii130/80?
A. iiBenadryl
B. iiEpinephrine
C. iiLidocaine
D. iiMidazolam ii- iiAnswers ii-B. iiEpinephrine
Which iidrug iishould iia iiparamedic iiadminister iifirst iito iia iipatient iiexperiencing iia
iisystemic iiallergic iireaction iiwith iifacial iiedema, iitearing, iigeneralized iihives, iisevere
iidyspnea iiand iiwheezing, iipalpable iiradial iipulse iiand iiBP ii130/80?
A) iiBenadryl
B) iiSolu-Medrol
C) iiAlbuterol
D) iiEpinephrine ii- iiAnswers ii-D) iiEpinephrine
What iispecial iicare iiis iineeded iito iitransport iia iipatient iiwho iireceives iikidney iidialysis
iievery iithree iidays?
A. iiKeep iithe iipatient iiin iia iilateral iirecumbent iiposition iiduring iitransport. ii
B. iiKeep iithe iiarm iiwith iithe iifistula iielevated iiabove iithe iilevel iiof iithe iikidneys. ii
C. iiDialysis iipatients iirequire iicareful iititration iiof iiIV iifluids. ii
D. iiDialysis iipatients iigenerally iirequire iilarge iiamounts iiof iiIV iifluids. ii- iiAnswers ii-C.
iidialysis iipatients iirequire iicareful iititration iiof iiIV iifluids
What iiis iithe iipurpose iiof iiplacing iithe iipatient iiin iia iineutral ii(in-line) iiposition iiduring
iispinal iiimmobilization?
A) iiTo iifacilitate iithe iiplacement iiof iihead iiblocks
B) iiFor iieasier iiairway iiaccess
C) iiTo iiprevent iithe iitongue iifrom iifalling iito iithe iiside iiof iithe iiairway
D) iiTo iiallow iithe iimost iispace iifor iithe iispinal iicord iiwithin iithe iicolumn ii- iiAnswers ii-D)
iiTo iiallow iithe iimost iispace iifor iithe iispinal iicord iiwithin iithe iicolumn
, While iiriding iia iisnowmobile, iithe iipatient iiruns iiinto iia iilow iisingle iistrand iirope iifence
iiand iineck iilevel. iiAssessment iireveals iiabrasions iiand iiredness iito iithe iianterior iineck.
iiWhich iiof iithese iishould iithe iiparamedic iisuspect?
A. iiBasilar iifracture
B. iiLaryngeal iifracture ii
C. iiTension iipneumothorax ii
D. iiFracture iiof iithe iimanubrium ii- iiAnswers ii-B. iiLaryngeal iifracture
Which iiof iithe iifollowing iiareas iihas iithe iihighest iirisk iiof iiinfection iifollowing iia iisoft
iitissue iiinjury?
A. iiCheek ii
B. iiTorso ii
iiC. iiMouth ii
iiD. iiFeet ii- iiAnswers ii-D. iiFeet
Which iiof iithese iiis iia iimajor iicause iiof iimortality iiafter iia iitraumatic iiduodenal iirupture iiin
iiaddition iito iihemorrhage?
A) iiSpillage iiof iiintraluminal iicontents iiinto iithe iiperitoneum
B) iiBowel iiinfarction iifrom iiischemia
C) iiInability iito iidigest iifood/malnutrition
D) iiIleus ii- iiAnswers ii-A) iiSpillage iiof iiintraluminal iicontents iiinto iithe iiperitoneum
A iistrain iiinvolves iiinjury iito iiwhich iiof iithe iifollowing?
A. iiLigament
B. iiMuscles
C. iiBone
D. iiTendon ii- iiAnswers ii-B. iiMuscles
A iisprain iiinvolves iiinjury iito iiwhich iiof iithe iifollowing?
A) iiLigaments ii
B) iiMuscles
C) iiJoints ii
D) iiCartilage ii- iiAnswers ii-A) iiLigaments
Why iido iipulmonary iicontusions iiresulting iifrom iiflail iisegments iiproduce iihypoxia?
A) iiBlood iiin iithe iipleural iispace iiimpairs iilung iiexpansion
B) iiAir iiin iithe iipleural iispace iiimpairs iiventilation
C) iiBlood iiclots iiin iithe iialveoli iiimpair iiperfusion
D) iiPulmonary iitissue iibruising iiimpairs iioxygen iidiffusion ii- iiAnswers ii-D) iiPulmonary
iitissue iibruising iiimpairs iioxygen iidiffusion
Why iican iiparadoxical iimovement iibe iiinitially iiABSENT iiin iia iipatient iiwith iia iiflail iichest
iidespite iisignificant iitrauma?
A. iiCompensation iiby iithe iidiaphragm ii
B. iiDecreased iirespiratory iidepth
iiC. iiIntercostal iimuscle iispasms ii
questions and answers
After iidelivery, iia iiparamedic iinotices iia iinewborns iiheart iirate iidrops iiabruptly, iiskin iihas
iibecome iiblue iiand iiblotchy, iiand iirespiration iihas iistopped. iiAfter iidrying iithe iiinfant,
iispontaneous iirespiration iioccurs. iiWhat iidoes iithis iiassessment iidescribe?
A) iiPrimary iiasphyxia
B) iiPrimary iiapnea
C) iiSecondary iiapnea
D) iiNewborn iiasphyxia ii- iiAnswers ii-C. iiSecondary iiapnea
**ON iiTHE iiTEST** ii
A iiwoman iiwho iiis ii38 iiweeks iipregnant iihad iiminor iispotting iiyesterday. iiShe iinow iihas
iipainless iibright iired iivaginal iibleeding. iiThe iiuterus iiis iisoft iiand iinontender. iiHer iiskin iiis
iipale iiand iimoist. iiVS iiBP ii100/60 iiP ii112 iiRR ii28 iiSpo2 ii95%. iiWhat iishould iithe
iiparamedic iisuspect?
A) iiplacental iiabruptio iiprevia
B) iiPlacenta iiprevia
C) iiplacenta iiabruptio ii
D) iiUterine iirupture ii- iiAnswers ii-B) iiPlacenta iiprevia
Which iichildhood iidisease iipresents iiwith iia iidiffuse iirash iiall iiover iithe iibody, iifever, iiand
iiwhite iikoplik iispots iiin iithe iimouth?
A) iiMeasles
B) iiVarciella ii
C) iiHand-Foot iiand iiMouth iidisease
D) iiRubella ii- iiAnswers ii-A) iiMeasles
**ON iiTHE iiTEST** ii
Which iiof iithese iiwould iisuppress iithe iicompensatory iimechanism iiof iitachycardia iiand iia
iigeriatric iipatient iiwho iiis iiexperiencing iihemorrhagic iishock?
A. iiThiazide iidiuretics ii
B. iiBeta iiblockers
C. iiCalcium iichannel iiblockers
D. iiBlood iithinners ii- iiAnswers ii-B. iiBeta iiblockers
What iiis iithe iicorrect iiamount iiof iifluid iito iia iiminister iito iia iifive iiweek iiold iiinfant iiwho
iiweighs ii8 iipounds iiwith iisignificant iidehydration?
A. ii36 iimL ii
,B. ii72 iimL ii
C. ii82 iimL ii
D. ii160 iimL ii- iiAnswers ii-B. ii72mL
Which iiof iithese iiis iimost iilikely iiNOT iito iibe iisustained iifrom iithe iitertiary iiphase iiof iiblast
iiinjuries?
A. iiCompression iifractures iiof iithe iispine
B. iiRib iifractures ii
C. iiHyperextension iiinjuries
D. iiPulmonary iibarotrauma ii- iiAnswers ii-D. iiPulmonary iibarotrauma
**ON iiTHE iiTEST** ii
Which iiof iithese iiis iimost iilikely iito iibe iisustained iifrom iithe iitertiary iiphase iiof iiblast
iiinjuries?
A) iiSmoke iior iitoxic iifume iiinhalation, iiburns, iicrush iiinjuries
B) iiLacerations, iieye iiinjuries, iiextremity iifractures
C) iiCompression iifractures iiof iithe iispine, iirib iifractures, iihyperextension iiinjuries ii
D) iiTympanic iimembrane iirupture, iiheadache, iiblast iilung iiinjury ii- iiAnswers ii-C)
iiCompression iifractures iiof iithe iispine, iirib iifractures, iihyperextension iiinjuries
What iishould iia iiparamedic iido iiwhen iiconfronted iiwith iia iiprolasped iicord?
A) iiPlace iigloved iifingers iibetween iithe iibaby iiand iithe iimothers iipelvic iibone
B) iiInsert iigloved iihand iiinto iithe iibirth iicanal iiin iiorder iito iirestrain iidelivery
C) iiAttempt iito iipush iithe iicord iiback iiinto iithe iibirth iicanal
D) iiClamp iiand iicut iithe iicord iiand iiinstruct iithe iimother iito iipush iias iihard iias iipossible ii-
iiAnswers ii-A) iiPlace iigloved iifingers iibetween iithe iibaby iiand iithe iimothers iipelvic iibone
A ii20-year-old iihas iibeen iiworking iiin iithe iisun iifor iithe iipast iisix iihours iion iia iivery iihot
iiday iiand iic/o iiextreme iidizziness, iiweakness, iithirst, iinausea, iiand iihas iivomited iix2.
iiSkin iiis iiwarm, iiflushed, iidiaphoretic. iiVS: iiBP ii94/60 iiorthostatic iichanges; iiP ii118 iiand
iithready; iispo2 ii97%; iiT ii99F. iiGlucose ii120. iiWhat iishould iithe iiparamedic iiinitiate iifor
iithe iipatient?
A) iiIV iiNS iiin iiconsecutive ii200 iimL iiincrements
B) iiCover iiwith iia iicold iiwet iishet
C) iiGive ii32 iiounces iiof iielectrolyte iisolution iiorally
D) iiTransport iipatient iias iiquickly iias iipossible ii- iiAnswers ii-A. iiIV iiNS iiin iiconsecutive
ii200 iimL iiincrements
**ON iiTHE iiTEST** ii
Which iiof iithese iiis iiappropriate iitreatment iifor iihyperemesis iigravidarum?
A) iiEKG iimonitoring iifor iiirregularities ii
B) iiCesarean iisection
C) iiBenzodiazepine iiadministration
D) iiIV iifluid iireplacement ii- iiAnswers ii-D) iiIV iifluid iireplacement
,A ii28-year-old iipatient iipresents iiwith iian iiacute iionset iiof iishortness iiof iibreath, iiHives,
iiand iiitching iion iithe iiface, iineck, iiand iipalms iifollowing iidinner. iiThe iipt iihas iiedema iiof
iithe iilips, iitongue, iiand iieyelids, iifacial iiflushing, iiand iistridorous iirespirations. iiShe iiis
iianxious, iilight iiheaded, iiand iistruggling iito iibreath. iiVS iiBP ii86/palp, iiRR ii48, iiP ii128,
iispo2 ii82% iion iiroom iiair.breath iisounds iiare iibilaterally iidiminished. iiWhich iimedication
iishould iia iiparamedic iiget iifirst?
A. iiEpinephrine ii1:10 iiIVP
B. iiEpinephrine ii1:1 iiIVP
C. iiBenadryl ii50mg iiIVP
D. iiBenadryl ii25mg iiIVP ii- iiAnswers ii-A. iiEpinephrine ii1:10 iiIVP
Which iidrug iishould iia iiparamedic iiadminister iifirst iito iia iipatient iiexperiencing iia
iisystemic iiallergic iireaction iiwith iifacial iiedema, iitearing, iigeneralized iihives, iisevere
iidyspnea iiand iiwheezing, iipalpable iiradial iipulse iiand iiBP ii130/80?
A. iiBenadryl
B. iiEpinephrine
C. iiLidocaine
D. iiMidazolam ii- iiAnswers ii-B. iiEpinephrine
Which iidrug iishould iia iiparamedic iiadminister iifirst iito iia iipatient iiexperiencing iia
iisystemic iiallergic iireaction iiwith iifacial iiedema, iitearing, iigeneralized iihives, iisevere
iidyspnea iiand iiwheezing, iipalpable iiradial iipulse iiand iiBP ii130/80?
A) iiBenadryl
B) iiSolu-Medrol
C) iiAlbuterol
D) iiEpinephrine ii- iiAnswers ii-D) iiEpinephrine
What iispecial iicare iiis iineeded iito iitransport iia iipatient iiwho iireceives iikidney iidialysis
iievery iithree iidays?
A. iiKeep iithe iipatient iiin iia iilateral iirecumbent iiposition iiduring iitransport. ii
B. iiKeep iithe iiarm iiwith iithe iifistula iielevated iiabove iithe iilevel iiof iithe iikidneys. ii
C. iiDialysis iipatients iirequire iicareful iititration iiof iiIV iifluids. ii
D. iiDialysis iipatients iigenerally iirequire iilarge iiamounts iiof iiIV iifluids. ii- iiAnswers ii-C.
iidialysis iipatients iirequire iicareful iititration iiof iiIV iifluids
What iiis iithe iipurpose iiof iiplacing iithe iipatient iiin iia iineutral ii(in-line) iiposition iiduring
iispinal iiimmobilization?
A) iiTo iifacilitate iithe iiplacement iiof iihead iiblocks
B) iiFor iieasier iiairway iiaccess
C) iiTo iiprevent iithe iitongue iifrom iifalling iito iithe iiside iiof iithe iiairway
D) iiTo iiallow iithe iimost iispace iifor iithe iispinal iicord iiwithin iithe iicolumn ii- iiAnswers ii-D)
iiTo iiallow iithe iimost iispace iifor iithe iispinal iicord iiwithin iithe iicolumn
, While iiriding iia iisnowmobile, iithe iipatient iiruns iiinto iia iilow iisingle iistrand iirope iifence
iiand iineck iilevel. iiAssessment iireveals iiabrasions iiand iiredness iito iithe iianterior iineck.
iiWhich iiof iithese iishould iithe iiparamedic iisuspect?
A. iiBasilar iifracture
B. iiLaryngeal iifracture ii
C. iiTension iipneumothorax ii
D. iiFracture iiof iithe iimanubrium ii- iiAnswers ii-B. iiLaryngeal iifracture
Which iiof iithe iifollowing iiareas iihas iithe iihighest iirisk iiof iiinfection iifollowing iia iisoft
iitissue iiinjury?
A. iiCheek ii
B. iiTorso ii
iiC. iiMouth ii
iiD. iiFeet ii- iiAnswers ii-D. iiFeet
Which iiof iithese iiis iia iimajor iicause iiof iimortality iiafter iia iitraumatic iiduodenal iirupture iiin
iiaddition iito iihemorrhage?
A) iiSpillage iiof iiintraluminal iicontents iiinto iithe iiperitoneum
B) iiBowel iiinfarction iifrom iiischemia
C) iiInability iito iidigest iifood/malnutrition
D) iiIleus ii- iiAnswers ii-A) iiSpillage iiof iiintraluminal iicontents iiinto iithe iiperitoneum
A iistrain iiinvolves iiinjury iito iiwhich iiof iithe iifollowing?
A. iiLigament
B. iiMuscles
C. iiBone
D. iiTendon ii- iiAnswers ii-B. iiMuscles
A iisprain iiinvolves iiinjury iito iiwhich iiof iithe iifollowing?
A) iiLigaments ii
B) iiMuscles
C) iiJoints ii
D) iiCartilage ii- iiAnswers ii-A) iiLigaments
Why iido iipulmonary iicontusions iiresulting iifrom iiflail iisegments iiproduce iihypoxia?
A) iiBlood iiin iithe iipleural iispace iiimpairs iilung iiexpansion
B) iiAir iiin iithe iipleural iispace iiimpairs iiventilation
C) iiBlood iiclots iiin iithe iialveoli iiimpair iiperfusion
D) iiPulmonary iitissue iibruising iiimpairs iioxygen iidiffusion ii- iiAnswers ii-D) iiPulmonary
iitissue iibruising iiimpairs iioxygen iidiffusion
Why iican iiparadoxical iimovement iibe iiinitially iiABSENT iiin iia iipatient iiwith iia iiflail iichest
iidespite iisignificant iitrauma?
A. iiCompensation iiby iithe iidiaphragm ii
B. iiDecreased iirespiratory iidepth
iiC. iiIntercostal iimuscle iispasms ii
