Graded A| 2025/2026 [Latest Update]
What is the primary indication for providing positive pressure ventilation to a patient?
Inadequate respiratory rate or tidal volume resulting in hypoxia or hypercapnia.
When using a bag-valve-mask (BVM), what is the most effective method to ensure an adequate
mask seal?
Perform the E-C clamp technique with two hands.
Which condition is most likely to cause bradypnea in a patient?
Central nervous system depression due to narcotics.
What is the best method to confirm proper placement of an advanced airway device in a
prehospital setting?
Continuous waveform capnography showing consistent ETCO2 values.
A patient’s ECG shows a regular rhythm with a ventricular rate of 75 bpm, upright P waves, and
a PR interval of 0.14 seconds. What is the interpretation?
Normal sinus rhythm.
Which characteristic on an ECG strip suggests a patient is experiencing atrial fibrillation?
Irregular R-R intervals with no identifiable P waves.
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,During cardiac monitoring, you note wide QRS complexes occurring independently of P waves
at a rate of 30 bpm. What rhythm is most likely?
Ventricular escape rhythm.
What is the first-line treatment for a patient presenting with stable supraventricular tachycardia?
Attempt vagal maneuvers.
Which type of oxygen delivery device is most appropriate for a patient with a respiratory rate of
10 breaths per minute and shallow respirations?
Bag-valve-mask with supplemental oxygen.
What is the correct flow rate for delivering oxygen through a non-rebreather mask to achieve
near 100% oxygen concentration?
10-15 L/min.
When using a tourniquet to control severe hemorrhage, where should it be applied?
Approximately 2-3 inches proximal to the injury site.
What is the next step if direct pressure and a tourniquet fail to control arterial bleeding?
Apply a hemostatic agent and additional pressure.
What is a common complication of prolonged use of a tourniquet?
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, Tissue ischemia distal to the tourniquet.
Which oxygenation device is best suited for delivering low-flow oxygen to a stable patient with
mild hypoxia?
Nasal cannula.
What is the appropriate action if capnography shows a sudden drop in ETCO2 during a cardiac
arrest resuscitation?
Check for return of spontaneous circulation (ROSC) or assess for airway displacement.
Which finding on an ECG indicates the presence of hyperkalemia?
Peaked T waves.
What is the primary concern when ventilating a patient too quickly with a BVM?
Inducing gastric insufflation and increasing the risk of aspiration.
A patient is tachypneic with a respiratory rate of 35 breaths per minute and an SpO2 of 85% on
room air. What is the best initial treatment?
Administer high-flow oxygen via a non-rebreather mask.
Which method provides the most rapid control of severe external bleeding in an extremity?
Apply a commercial tourniquet.
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, A 55-year-old male presents with crushing chest pain, and the ECG shows ST elevation in leads
II, III, and aVF. What is the likely diagnosis?
Inferior wall myocardial infarction.
What is the recommended compression-to-ventilation ratio for an adult patient during two-
rescuer CPR with an advanced airway?
Continuous compressions with one ventilation every 6 seconds.
What clinical sign indicates the need to discontinue suctioning during airway management?
The patient's heart rate drops significantly.
When ventilating a pediatric patient with a BVM, what is the most important factor to monitor?
Ensure chest rise with each ventilation.
Which type of hemostatic agent works by physically absorbing blood and accelerating clot
formation?
Gauze impregnated with kaolin or chitosan.
What is the appropriate treatment for a patient presenting with an SpO2 of 75% despite high-
flow oxygen therapy?
Initiate positive pressure ventilation and reassess airway patency.
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