©JOSHCLAY 2024/2025 YEAR PUBLISHED, 2024
Paramedic Medical Scenarios Exam
Questions with 100% Correct Answers
A 19-year-old female ingested an unknown quantity of Elavil and Ativan
approximately 3 hours ago. She is slow to answer your questions and her
speech is slurred. Her BP is 80/60 mm Hg, her pulse is 150 beats/min, and
her respirations are 22 breaths/min. The ECG reveals sinus tachycardia
with QRS complexes that measure 0.08 seconds. Treatment should
include:
A) 1 mEq/kg of sodium bicarbonate.
B) sequential 20 mL/kg IV fluid boluses.
C) 1 to 2 g/kg of activated charcoal.
D) 0.4 to 2 mg of naloxone slow IV push. - ✔✔B) sequential 20 mL/kg IV
fluid boluses.
A 71-year-old male presents with chest pain and shortness of breath. He is
conscious, but confused, and is profusely diaphoretic. He has weakly
palpable radial pulses, a BP of 70/40 mm Hg, and diffuse crackles in all
,©JOSHCLAY 2024/2025 YEAR PUBLISHED, 2024
lung fields. You administer high-flow oxygen and apply the cardiac monitor,
which reveals sinus tachycardia. The closest appropriate hospital is 40
miles away. Which of the following is the MOST appropriate next action?
A) Obtain a 12-lead ECG tracing.
B) Begin an infusion of dopamine.
C) Perform a head-to-toe exam.
D) Give 20 mL/kg fluid boluses. - ✔✔B) Begin an infusion of dopamine.
A 60-year-old male presents with an acute onset of confusion and slurred
speech. His family states that the episode began while he was watching
TV, and that he was normal all morning. Which of the following
assessments would be the MOST likely to reveal a possible cause of his
altered mental status?
A) Oxygen saturation
B) Blood glucose level
C) Palpation of the skull
D) Systolic blood pressure - ✔✔B) Blood glucose level
A 65-year-old man has had vomiting and diarrhea for the past 2 days and
complains of severe weakness. His cardiac rhythm is shown below.
Treatment for him should include:
,©JOSHCLAY 2024/2025 YEAR PUBLISHED, 2024
A) crystalloid fluid boluses.
B) adenosine, 6 mg rapid IV.
C) synchronized cardioversion.
D) diltiazem, 0.25 mg/kg.
Feedback :
Given the patient's history of vomiting and diarrhea, the paramedic should
conclude that he has a compensatory tachycardia, likely sinus in nature.
Heart rates can exceed 150 per minute and still be sinus in origin. The
rhythm shown has clearly visible P waves. Treatment should include
crystalloid fluid boluses. The patient's tachycardia is likely not of a primary
cardiac etiology; it is in response to dehydration. Therefore, interventions
aimed at decreasing his heart rate (ie, adenosine, diltiazem) are not
indicated; in fact, they could be harmful. Cardioversion is not indicated
either; again, this is not a primary cardia - ✔✔A) crystalloid fluid boluses.
Feedback :
Given the patient's history of vomiting and diarrhea, the paramedic should
conclude that he has a compensatory tachycardia, likely sinus in nature.
Heart rates can exceed 150 per minute and still be sinus in origin. The
, ©JOSHCLAY 2024/2025 YEAR PUBLISHED, 2024
rhythm shown has clearly visible P waves. Treatment should include
crystalloid fluid boluses. The patient's tachycardia is likely not of a primary
cardiac etiology; it is in response to dehydration. Therefore, interventions
aimed at decreasing his heart rate (ie, adenosine, diltiazem) are not
indicated; in fact, they could be harmful. Cardioversion is not indicated
either; again, this is not a primary cardiac dysrhythmia. As the patient is
properly rehydrated, the tachycardia should resolve on its own.
Which of the following complications would MOST likely occur if a patient
with renal failure missed his or her dialysis treatment?
A) Pulmonary edema
B) Bacterial infection
C) Severe dehydration
D) Marked hypokalemia - ✔✔A) Pulmonary edema
A 60-year-old female presents with confusion, shortness of breath, and
diaphoresis. Her blood pressure is 70/40 mm Hg and her heart rate is 40
beats/min. The cardiac monitor reveals a slow, wide complex rhythm with
dissociated P waves. After applying supplemental oxygen, you should:
A) give her up to 325 mg of baby aspirin.
Paramedic Medical Scenarios Exam
Questions with 100% Correct Answers
A 19-year-old female ingested an unknown quantity of Elavil and Ativan
approximately 3 hours ago. She is slow to answer your questions and her
speech is slurred. Her BP is 80/60 mm Hg, her pulse is 150 beats/min, and
her respirations are 22 breaths/min. The ECG reveals sinus tachycardia
with QRS complexes that measure 0.08 seconds. Treatment should
include:
A) 1 mEq/kg of sodium bicarbonate.
B) sequential 20 mL/kg IV fluid boluses.
C) 1 to 2 g/kg of activated charcoal.
D) 0.4 to 2 mg of naloxone slow IV push. - ✔✔B) sequential 20 mL/kg IV
fluid boluses.
A 71-year-old male presents with chest pain and shortness of breath. He is
conscious, but confused, and is profusely diaphoretic. He has weakly
palpable radial pulses, a BP of 70/40 mm Hg, and diffuse crackles in all
,©JOSHCLAY 2024/2025 YEAR PUBLISHED, 2024
lung fields. You administer high-flow oxygen and apply the cardiac monitor,
which reveals sinus tachycardia. The closest appropriate hospital is 40
miles away. Which of the following is the MOST appropriate next action?
A) Obtain a 12-lead ECG tracing.
B) Begin an infusion of dopamine.
C) Perform a head-to-toe exam.
D) Give 20 mL/kg fluid boluses. - ✔✔B) Begin an infusion of dopamine.
A 60-year-old male presents with an acute onset of confusion and slurred
speech. His family states that the episode began while he was watching
TV, and that he was normal all morning. Which of the following
assessments would be the MOST likely to reveal a possible cause of his
altered mental status?
A) Oxygen saturation
B) Blood glucose level
C) Palpation of the skull
D) Systolic blood pressure - ✔✔B) Blood glucose level
A 65-year-old man has had vomiting and diarrhea for the past 2 days and
complains of severe weakness. His cardiac rhythm is shown below.
Treatment for him should include:
,©JOSHCLAY 2024/2025 YEAR PUBLISHED, 2024
A) crystalloid fluid boluses.
B) adenosine, 6 mg rapid IV.
C) synchronized cardioversion.
D) diltiazem, 0.25 mg/kg.
Feedback :
Given the patient's history of vomiting and diarrhea, the paramedic should
conclude that he has a compensatory tachycardia, likely sinus in nature.
Heart rates can exceed 150 per minute and still be sinus in origin. The
rhythm shown has clearly visible P waves. Treatment should include
crystalloid fluid boluses. The patient's tachycardia is likely not of a primary
cardiac etiology; it is in response to dehydration. Therefore, interventions
aimed at decreasing his heart rate (ie, adenosine, diltiazem) are not
indicated; in fact, they could be harmful. Cardioversion is not indicated
either; again, this is not a primary cardia - ✔✔A) crystalloid fluid boluses.
Feedback :
Given the patient's history of vomiting and diarrhea, the paramedic should
conclude that he has a compensatory tachycardia, likely sinus in nature.
Heart rates can exceed 150 per minute and still be sinus in origin. The
, ©JOSHCLAY 2024/2025 YEAR PUBLISHED, 2024
rhythm shown has clearly visible P waves. Treatment should include
crystalloid fluid boluses. The patient's tachycardia is likely not of a primary
cardiac etiology; it is in response to dehydration. Therefore, interventions
aimed at decreasing his heart rate (ie, adenosine, diltiazem) are not
indicated; in fact, they could be harmful. Cardioversion is not indicated
either; again, this is not a primary cardiac dysrhythmia. As the patient is
properly rehydrated, the tachycardia should resolve on its own.
Which of the following complications would MOST likely occur if a patient
with renal failure missed his or her dialysis treatment?
A) Pulmonary edema
B) Bacterial infection
C) Severe dehydration
D) Marked hypokalemia - ✔✔A) Pulmonary edema
A 60-year-old female presents with confusion, shortness of breath, and
diaphoresis. Her blood pressure is 70/40 mm Hg and her heart rate is 40
beats/min. The cardiac monitor reveals a slow, wide complex rhythm with
dissociated P waves. After applying supplemental oxygen, you should:
A) give her up to 325 mg of baby aspirin.
