AEMCA perp exam UPDATED ACTUAL
Exam Questions and CORRECT Answers
What calls require a cardiac monitor - CORRECT ANSWER✔✔- VSA, LOA pt, syncope,
SOB, chest pain, overdose, abnormal vital signs
what is the minimum time that you can monitor vitals at - CORRECT ANSWER✔✔- q 30
min
The paramedic shall carry out emergency treatment on an incapable person if: - CORRECT
ANSWER✔✔- a) pt does not have capacity b) pt experiencing severe suffering c) a delay to
get consent will prolong suffering
The paramedic shall carry out emergency treatment on a capable person if: - CORRECT
ANSWER✔✔- a) pt is at risk /severe suffering b) language barrier c) means taken to
communicate but ineffective
When completing a patch what information has to be included - CORRECT ANSWER✔✔-
unit number, Pt age, Pt sex, CTAS level, CC, pertinent assessment findings, pt management,
abnormal vitals, ETA
In the oxygen standard what is the range do we want to maintain SpO2 at - CORRECT
ANSWER✔✔- 92-96%
what are some conditions that we want to administer high concentration oxygen in the
oxygen standard - CORRECT ANSWER✔✔- a) suspected CO exposure b) upper airway
burn c) scuba diving disorder d) cardiopulmonary arrest e) complete airway obstruction
If SpO2 monitor is not working what signs are we looking for to administer high
concentration oxygen - CORRECT ANSWER✔✔- a) hypotension b) abnormal pregnancy c)
cynotic/pale d) respiratory distress e) altered LOA
,what is the special criteria outlined in the trauma field triage standard - CORRECT
ANSWER✔✔- a) age b) bleeding disorders c) burns d) pregnancy > 20 weeks
According to the spinal motion restriction standard what MOIs should you consider SMR -
CORRECT ANSWER✔✔- a) trauma associated with head or neck pain b) sports accident c)
diving injury d) submersion e) falls f) electrocution i) penetrating injury to the head,neck or
torso
what does a DNR not allow us to do in an event of cardiopulmonary arrest - CORRECT
ANSWER✔✔- a) CPR b) artificial ventilation c) defibrillation d) resuscitation drugs e)
trans-cutaneous pacing f) insertion of OPA g) intubation
What is deemed obviously dead - CORRECT ANSWER✔✔- a) grossly charred body and
VSA b) decapitation, transection, visible decomp and putrefaction c) open head/torso with
outpouring of contents and VSA, Dependent lividly and VSA , Gross rigor mortis and VSA
when can a paramedic restrain a pt who is violent - CORRECT ANSWER✔✔- a) under
police authority b) under Dr. authority c) pt in ambulance becomes violent en route
when should escorts be used in the IV maintenance standard - CORRECT ANSWER✔✔- a)
blood products b) narcotics c) infusion rates greater then 200ml/hr d) central lines e)
potassium chloride to a pt under 18 f) pediatric pt under 2 yrs g) electronic pumps
when should an IV bag be changed - CORRECT ANSWER✔✔- 150ml of solution
remaining in bag
what conditions should we consider in the non traumatic abdominal standard - CORRECT
ANSWER✔✔- AAA, ectopic pregnancy, testicular torsion , acute pancreatitis, obstruction,
pelvic infection, hernia
According to the general geriatric standard what are activities of daily living - CORRECT
ANSWER✔✔- a) bathing b) transferring c) toiling d) eating e) dressing
,What are some conditions that you can consider leaving on the first analysis according to the
medical cardiac arrest standard - CORRECT ANSWER✔✔- a) pregnancy of 20> weeks b)
suspected pulmonary embolism c) hypothermia d) overdose e) airway obstruction
what is the mandatory patch point state in the medical cardiac arrest standard - CORRECT
ANSWER✔✔- patch to BHP for TOR after 3rd analysis , if patch fails or TOR does not
apply transport to closest facility fallowing ROSC or 4th analysis
If a pt makes a informed refusal of service and was hypoglycemic what has to be completed
on the ACR prior to being departed - CORRECT ANSWER✔✔- final set of vitals and BGL
what is the minimum volume for nebulization - CORRECT ANSWER✔✔- 2.5 ml
what are the symptoms that are consistent with the onset of acute stroke protocol -
CORRECT ANSWER✔✔- a) inappropriate words or mute b) slurred speech c) unilateral
arm weakness or drift d) unilateral facial droop e) unilateral leg weakness
what are contraindications for the stroke bypass protocol - CORRECT ANSWER✔✔- a)
CTAS 1 b) stroke symptoms resolved prior to paramedic arrival c) BGL under 4 d) GCS
under 10 e) seizure at onset or observed by paramedics f) terminally ill palliative care pts
If stroke symptoms persist after correction of blood glucose is the pt contraindicated out of
the stroke bypass protocol - CORRECT ANSWER✔✔- No
What are the fallowing indications for STEMI bypass - CORRECT ANSWER✔✔- a) pt is >
18 yrs of age b) chest pain related to cardiac ischemia c) chest pain for < 12 hours d) 12-lead
shows a STEMI ( 2mm elevation in V1 -V3 2 contagious leads ) or ( 1mm of elevation in 2
atomically contagious leads )
What are contraindications for the STEMI bypass - CORRECT ANSWER✔✔- a) 12 lead
shows LBBB b) pt is CTAS 1 c) transport time is 60 min d) PCP diversion such as CPAP ,
VSA, or become symptomatic BP under 90
Should a paramedic apply defibrillation pads once a STEMI has been confirmed - CORRECT
ANSWER✔✔- Yes
, Sepsis is suspected by the fallowing : - CORRECT ANSWER✔✔- a) fever of 38.5> b)
potential infection site c) presence of any of the fallowing SBP <90, RR 22 or greater, acute
confusion
Fallowing the guideline outlined in the respiratory failure standard if using ETCO2 on a
COPD or asthma pt and they have an initial ETCO2 of 50 > what should we attempt to
maintain there ENCO2 value to - CORRECT ANSWER✔✔- between 50-60 mmHg
How much blood can an normal sized tampon hold - CORRECT ANSWER✔✔- 5ml
what are splinting priorities - CORRECT ANSWER✔✔- 1. spine 2. pelvis 3. femers 4. lower
extermities 5. upper extermities
According to the blunt / penetrating injury standard , how long are we irrigating bite wounds
for - CORRECT ANSWER✔✔- 5 min
According to the head injury standard what ETO2 value should we attempt to maintain -
CORRECT ANSWER✔✔- 35-40 mmHg
When should we hyperventilate a pt with signs of cerebral herniation - CORRECT
ANSWER✔✔- If measures were already taken to improve hypoxemia and hypotension and
to targat ETCO2 levels between 30-35 mmHg
What are signs of cerebral herniation - CORRECT ANSWER✔✔- 1. dilated not reactive
pupils 2. Asymmetric pupil response 3. Asymmetric motor response 4. posturing
According to the head injury standard if ETCO2 is not available what rate should we
hyperventilate a adult, child, and infant - CORRECT ANSWER✔✔- adult 20 breaths/min,
child 25 breaths/min , infant 30 breaths/min
If the pt is presenting with cerebral herniation and is on a spinal broad what can we do -
CORRECT ANSWER✔✔- elevate 30 degrees
Exam Questions and CORRECT Answers
What calls require a cardiac monitor - CORRECT ANSWER✔✔- VSA, LOA pt, syncope,
SOB, chest pain, overdose, abnormal vital signs
what is the minimum time that you can monitor vitals at - CORRECT ANSWER✔✔- q 30
min
The paramedic shall carry out emergency treatment on an incapable person if: - CORRECT
ANSWER✔✔- a) pt does not have capacity b) pt experiencing severe suffering c) a delay to
get consent will prolong suffering
The paramedic shall carry out emergency treatment on a capable person if: - CORRECT
ANSWER✔✔- a) pt is at risk /severe suffering b) language barrier c) means taken to
communicate but ineffective
When completing a patch what information has to be included - CORRECT ANSWER✔✔-
unit number, Pt age, Pt sex, CTAS level, CC, pertinent assessment findings, pt management,
abnormal vitals, ETA
In the oxygen standard what is the range do we want to maintain SpO2 at - CORRECT
ANSWER✔✔- 92-96%
what are some conditions that we want to administer high concentration oxygen in the
oxygen standard - CORRECT ANSWER✔✔- a) suspected CO exposure b) upper airway
burn c) scuba diving disorder d) cardiopulmonary arrest e) complete airway obstruction
If SpO2 monitor is not working what signs are we looking for to administer high
concentration oxygen - CORRECT ANSWER✔✔- a) hypotension b) abnormal pregnancy c)
cynotic/pale d) respiratory distress e) altered LOA
,what is the special criteria outlined in the trauma field triage standard - CORRECT
ANSWER✔✔- a) age b) bleeding disorders c) burns d) pregnancy > 20 weeks
According to the spinal motion restriction standard what MOIs should you consider SMR -
CORRECT ANSWER✔✔- a) trauma associated with head or neck pain b) sports accident c)
diving injury d) submersion e) falls f) electrocution i) penetrating injury to the head,neck or
torso
what does a DNR not allow us to do in an event of cardiopulmonary arrest - CORRECT
ANSWER✔✔- a) CPR b) artificial ventilation c) defibrillation d) resuscitation drugs e)
trans-cutaneous pacing f) insertion of OPA g) intubation
What is deemed obviously dead - CORRECT ANSWER✔✔- a) grossly charred body and
VSA b) decapitation, transection, visible decomp and putrefaction c) open head/torso with
outpouring of contents and VSA, Dependent lividly and VSA , Gross rigor mortis and VSA
when can a paramedic restrain a pt who is violent - CORRECT ANSWER✔✔- a) under
police authority b) under Dr. authority c) pt in ambulance becomes violent en route
when should escorts be used in the IV maintenance standard - CORRECT ANSWER✔✔- a)
blood products b) narcotics c) infusion rates greater then 200ml/hr d) central lines e)
potassium chloride to a pt under 18 f) pediatric pt under 2 yrs g) electronic pumps
when should an IV bag be changed - CORRECT ANSWER✔✔- 150ml of solution
remaining in bag
what conditions should we consider in the non traumatic abdominal standard - CORRECT
ANSWER✔✔- AAA, ectopic pregnancy, testicular torsion , acute pancreatitis, obstruction,
pelvic infection, hernia
According to the general geriatric standard what are activities of daily living - CORRECT
ANSWER✔✔- a) bathing b) transferring c) toiling d) eating e) dressing
,What are some conditions that you can consider leaving on the first analysis according to the
medical cardiac arrest standard - CORRECT ANSWER✔✔- a) pregnancy of 20> weeks b)
suspected pulmonary embolism c) hypothermia d) overdose e) airway obstruction
what is the mandatory patch point state in the medical cardiac arrest standard - CORRECT
ANSWER✔✔- patch to BHP for TOR after 3rd analysis , if patch fails or TOR does not
apply transport to closest facility fallowing ROSC or 4th analysis
If a pt makes a informed refusal of service and was hypoglycemic what has to be completed
on the ACR prior to being departed - CORRECT ANSWER✔✔- final set of vitals and BGL
what is the minimum volume for nebulization - CORRECT ANSWER✔✔- 2.5 ml
what are the symptoms that are consistent with the onset of acute stroke protocol -
CORRECT ANSWER✔✔- a) inappropriate words or mute b) slurred speech c) unilateral
arm weakness or drift d) unilateral facial droop e) unilateral leg weakness
what are contraindications for the stroke bypass protocol - CORRECT ANSWER✔✔- a)
CTAS 1 b) stroke symptoms resolved prior to paramedic arrival c) BGL under 4 d) GCS
under 10 e) seizure at onset or observed by paramedics f) terminally ill palliative care pts
If stroke symptoms persist after correction of blood glucose is the pt contraindicated out of
the stroke bypass protocol - CORRECT ANSWER✔✔- No
What are the fallowing indications for STEMI bypass - CORRECT ANSWER✔✔- a) pt is >
18 yrs of age b) chest pain related to cardiac ischemia c) chest pain for < 12 hours d) 12-lead
shows a STEMI ( 2mm elevation in V1 -V3 2 contagious leads ) or ( 1mm of elevation in 2
atomically contagious leads )
What are contraindications for the STEMI bypass - CORRECT ANSWER✔✔- a) 12 lead
shows LBBB b) pt is CTAS 1 c) transport time is 60 min d) PCP diversion such as CPAP ,
VSA, or become symptomatic BP under 90
Should a paramedic apply defibrillation pads once a STEMI has been confirmed - CORRECT
ANSWER✔✔- Yes
, Sepsis is suspected by the fallowing : - CORRECT ANSWER✔✔- a) fever of 38.5> b)
potential infection site c) presence of any of the fallowing SBP <90, RR 22 or greater, acute
confusion
Fallowing the guideline outlined in the respiratory failure standard if using ETCO2 on a
COPD or asthma pt and they have an initial ETCO2 of 50 > what should we attempt to
maintain there ENCO2 value to - CORRECT ANSWER✔✔- between 50-60 mmHg
How much blood can an normal sized tampon hold - CORRECT ANSWER✔✔- 5ml
what are splinting priorities - CORRECT ANSWER✔✔- 1. spine 2. pelvis 3. femers 4. lower
extermities 5. upper extermities
According to the blunt / penetrating injury standard , how long are we irrigating bite wounds
for - CORRECT ANSWER✔✔- 5 min
According to the head injury standard what ETO2 value should we attempt to maintain -
CORRECT ANSWER✔✔- 35-40 mmHg
When should we hyperventilate a pt with signs of cerebral herniation - CORRECT
ANSWER✔✔- If measures were already taken to improve hypoxemia and hypotension and
to targat ETCO2 levels between 30-35 mmHg
What are signs of cerebral herniation - CORRECT ANSWER✔✔- 1. dilated not reactive
pupils 2. Asymmetric pupil response 3. Asymmetric motor response 4. posturing
According to the head injury standard if ETCO2 is not available what rate should we
hyperventilate a adult, child, and infant - CORRECT ANSWER✔✔- adult 20 breaths/min,
child 25 breaths/min , infant 30 breaths/min
If the pt is presenting with cerebral herniation and is on a spinal broad what can we do -
CORRECT ANSWER✔✔- elevate 30 degrees
