ICEMA PROTOCOLS EXAM REAL EXAM COMPLETE
200 QUESTIONS AND DETAILED ANSWERS
1. What is the first step in the management of a patient with a suspected
stroke?
• A) Administering thrombolytics
• B) Performing a CT scan of the head
• C) Ensuring airway patency
• D) Initiating cardiac monitoring
CORRECT ANSWER: C) Ensuring airway patency
2. What is the recommended fluid resuscitation for a patient with
hypovolemic shock according to ICEMA Protocols?
• A) 500 mL of Dextrose
• B) 1-2 liters of normal saline or Ringer's lactate
• C) 1000 mL of blood
• D) 500 mL of albumin
CORRECT ANSWER: B) 1-2 liters of normal saline or Ringer's lactate
3. In a case of anaphylaxis, which medication should be administered first?
• A) Diphenhydramine
• B) Epinephrine
• C) Prednisone
• D) Sodium bicarbonate
CORRECT ANSWER: B) Epinephrine
4. Which of the following is a key feature in the management of a patient
with acute myocardial infarction (MI)?
• A) Administering aspirin and nitroglycerin
• B) Immediate intubation
• C) Continuous CPR for 30 minutes
• D) Only administering oxygen therapy
CORRECT ANSWER: A) Administering aspirin and nitroglycerin
,5. What is the goal of fluid management in diabetic ketoacidosis (DKA)?
• A) To decrease the blood glucose level rapidly
• B) To correct electrolyte imbalances
• C) To restore intravascular volume and improve renal perfusion
• D) To lower blood pressure
CORRECT ANSWER: C) To restore intravascular volume and improve renal
perfusion
6. In cases of trauma with suspected spinal injury, what is the preferred
initial management approach?
• A) Apply cervical collar and immobilize the spine
• B) Perform a rapid trauma assessment
• C) Begin advanced airway management immediately
• D) Administer pain medications
CORRECT ANSWER: A) Apply cervical collar and immobilize the spine
7. For a patient with severe acute asthma exacerbation, which of the
following should be given first?
• A) Corticosteroids
• B) Oxygen therapy
• C) Intravenous fluids
• D) Inhaled beta-agonists
CORRECT ANSWER: D) Inhaled beta-agonists
8. What is the recommended treatment for a patient presenting with a life-
threatening overdose of opioids?
• A) Flumazenil
• B) Naloxone (Narcan)
• C) Activated charcoal
• D) Fomepizole
CORRECT ANSWER: B) Naloxone (Narcan)
,9. In a case of acute pulmonary edema, what initial management should be
prioritized?
• A) Administering diuretics and nitroglycerin
• B) Administering corticosteroids
• C) Administering antibiotics
• D) Immediate cardiac surgery
CORRECT ANSWER: A) Administering diuretics and nitroglycerin
10. What is the primary objective in the management of a trauma patient
with suspected tension pneumothorax?
• A) Administering pain control
• B) Performing needle decompression
• C) Administering oxygen
• D) Immediate chest tube insertion
CORRECT ANSWER: B) Performing needle decompression
11. In the management of a patient with suspected cervical spine injury,
what should be done first?
• A) Perform a focused neurological examination
• B) Apply a cervical collar and immobilize the spine
• C) Start CPR
• D) Administer intravenous fluids
CORRECT ANSWER: B) Apply a cervical collar and immobilize the spine
12. Which of the following is the most appropriate first-line treatment for a
patient with acute epiglottitis?
• A) Oral antibiotics
• B) Intravenous fluids and steroids
• C) Secure the airway and administer intravenous antibiotics
, • D) Immediate intubation
CORRECT ANSWER: C) Secure the airway and administer intravenous
antibiotics
13. What is the primary method for diagnosing a suspected myocardial
infarction (MI)?
• A) Electrocardiogram (ECG)
• B) Blood gas analysis
• C) Chest X-ray
• D) Serum electrolyte levels
CORRECT ANSWER: A) Electrocardiogram (ECG)
14. In the management of a pediatric patient with dehydration, what is the
preferred fluid for rehydration?
• A) Normal saline
• B) Oral rehydration solution (ORS)
• C) Dextrose 5%
• D) Ringer's lactate
CORRECT ANSWER: B) Oral rehydration solution (ORS)
15. In an adult patient with a Glasgow Coma Scale (GCS) score of 8, what
is the most appropriate next step?
• A) Immediate intubation
• B) Administering sedatives
• C) Perform a CT scan of the head
• D) Giving analgesia
CORRECT ANSWER: A) Immediate intubation
16. What is the first priority in managing a patient with severe burns
covering 30% of their body surface area?
• A) Pain management
• B) Fluid resuscitation with Ringer’s lactate
• C) Applying topical antibiotics
• D) Surgical debridement
CORRECT ANSWER: B) Fluid resuscitation with Ringer’s lactate
200 QUESTIONS AND DETAILED ANSWERS
1. What is the first step in the management of a patient with a suspected
stroke?
• A) Administering thrombolytics
• B) Performing a CT scan of the head
• C) Ensuring airway patency
• D) Initiating cardiac monitoring
CORRECT ANSWER: C) Ensuring airway patency
2. What is the recommended fluid resuscitation for a patient with
hypovolemic shock according to ICEMA Protocols?
• A) 500 mL of Dextrose
• B) 1-2 liters of normal saline or Ringer's lactate
• C) 1000 mL of blood
• D) 500 mL of albumin
CORRECT ANSWER: B) 1-2 liters of normal saline or Ringer's lactate
3. In a case of anaphylaxis, which medication should be administered first?
• A) Diphenhydramine
• B) Epinephrine
• C) Prednisone
• D) Sodium bicarbonate
CORRECT ANSWER: B) Epinephrine
4. Which of the following is a key feature in the management of a patient
with acute myocardial infarction (MI)?
• A) Administering aspirin and nitroglycerin
• B) Immediate intubation
• C) Continuous CPR for 30 minutes
• D) Only administering oxygen therapy
CORRECT ANSWER: A) Administering aspirin and nitroglycerin
,5. What is the goal of fluid management in diabetic ketoacidosis (DKA)?
• A) To decrease the blood glucose level rapidly
• B) To correct electrolyte imbalances
• C) To restore intravascular volume and improve renal perfusion
• D) To lower blood pressure
CORRECT ANSWER: C) To restore intravascular volume and improve renal
perfusion
6. In cases of trauma with suspected spinal injury, what is the preferred
initial management approach?
• A) Apply cervical collar and immobilize the spine
• B) Perform a rapid trauma assessment
• C) Begin advanced airway management immediately
• D) Administer pain medications
CORRECT ANSWER: A) Apply cervical collar and immobilize the spine
7. For a patient with severe acute asthma exacerbation, which of the
following should be given first?
• A) Corticosteroids
• B) Oxygen therapy
• C) Intravenous fluids
• D) Inhaled beta-agonists
CORRECT ANSWER: D) Inhaled beta-agonists
8. What is the recommended treatment for a patient presenting with a life-
threatening overdose of opioids?
• A) Flumazenil
• B) Naloxone (Narcan)
• C) Activated charcoal
• D) Fomepizole
CORRECT ANSWER: B) Naloxone (Narcan)
,9. In a case of acute pulmonary edema, what initial management should be
prioritized?
• A) Administering diuretics and nitroglycerin
• B) Administering corticosteroids
• C) Administering antibiotics
• D) Immediate cardiac surgery
CORRECT ANSWER: A) Administering diuretics and nitroglycerin
10. What is the primary objective in the management of a trauma patient
with suspected tension pneumothorax?
• A) Administering pain control
• B) Performing needle decompression
• C) Administering oxygen
• D) Immediate chest tube insertion
CORRECT ANSWER: B) Performing needle decompression
11. In the management of a patient with suspected cervical spine injury,
what should be done first?
• A) Perform a focused neurological examination
• B) Apply a cervical collar and immobilize the spine
• C) Start CPR
• D) Administer intravenous fluids
CORRECT ANSWER: B) Apply a cervical collar and immobilize the spine
12. Which of the following is the most appropriate first-line treatment for a
patient with acute epiglottitis?
• A) Oral antibiotics
• B) Intravenous fluids and steroids
• C) Secure the airway and administer intravenous antibiotics
, • D) Immediate intubation
CORRECT ANSWER: C) Secure the airway and administer intravenous
antibiotics
13. What is the primary method for diagnosing a suspected myocardial
infarction (MI)?
• A) Electrocardiogram (ECG)
• B) Blood gas analysis
• C) Chest X-ray
• D) Serum electrolyte levels
CORRECT ANSWER: A) Electrocardiogram (ECG)
14. In the management of a pediatric patient with dehydration, what is the
preferred fluid for rehydration?
• A) Normal saline
• B) Oral rehydration solution (ORS)
• C) Dextrose 5%
• D) Ringer's lactate
CORRECT ANSWER: B) Oral rehydration solution (ORS)
15. In an adult patient with a Glasgow Coma Scale (GCS) score of 8, what
is the most appropriate next step?
• A) Immediate intubation
• B) Administering sedatives
• C) Perform a CT scan of the head
• D) Giving analgesia
CORRECT ANSWER: A) Immediate intubation
16. What is the first priority in managing a patient with severe burns
covering 30% of their body surface area?
• A) Pain management
• B) Fluid resuscitation with Ringer’s lactate
• C) Applying topical antibiotics
• D) Surgical debridement
CORRECT ANSWER: B) Fluid resuscitation with Ringer’s lactate
