NREMT Pocket Prep (NREMT
PARAMEDIC EXAM) Questions and
Answers
What are the late signs of hemorrhagic shock? - Correct Answers -Rapid breathing, cool
clammy skin, dull slightly dilated pupils
Is carbon monoxide an internal factor or external factor for respiration? - Correct
Answers -External
Name 3 of the AHA reccomended managment principles for ROSC patients. - Correct
Answers -Initiate Targeted Temperature Management if patient is comatose, Administer
colloid/vasopressor to a goal blood pressure of <90 systolic or MAP <65mmHg, and
obtain 12-lead. (THINK TAKE PT TO THE MOVIES)
According to the NREMT, what is the dose of NARCAN for a patient with suspected
opiod overdose? - Correct Answers -Narcan 2mg IN (1mg per nare)
Name 3 WMD chemical agent exposures that a paramedic can see symptoms of on
scene? - Correct Answers -Pulmonary agents, nerve agents, and vesicant agents.
(Vesicant agents include mustard gas and primarily affect DNA to cause cellular
damage)
Why is an uncuffed ET tube appropriate for a 6 year old child? - Correct Answers -
Pediatrics of this age range have a narrowing of the trachea at the level of the cricoid
cartilage.
Name the major signs of hypothermia. - Correct Answers -Lack of coordination,
confusion and memory loss, lack of shivering, weak pulses, slowed speech, drowsiness
and very low energy, and slow shallow breathing.
What is a naturally occurring steroidal hormone produced by the adrenal cortex to help
regulate the sodium/potassium balance in the blood? - Correct Answers -Aldosterone
What treatment is indicated for a patient presenting with atrial fibrillation lasting less
than 48 hours? - Correct Answers -Synchronized cardioversion
What would a paramedic expect to see in a patient with a chronic adrenal dysfunction
such as Addison's disease? - Correct Answers -Darkened skin, anorexia, hypoglycemia,
nausea, and vomiting.
, Patients who present with unusually darkened skin patches, especially in areas such as
the underarms and behind the knees, anorexia, hypoglycemia, nausea, and vomiting
are most likely suffering from the long-term effects of Addison's disease due to
corticosteroid deficiency.
Where in the body has a patient been struck if you suspect they are experiencing
commotio cordis? - Correct Answers -The chest by a fast moving object (most often in
sports; such as a baseball or hockey puck)
In dislocations and fractures, splinting is normally done in the position it is found. If
circulation is comprimised, a paramedic may attempt to manipulate the injury one time
to regain circulation. What is the one anatomical location that is the exception to this
rule and therefore contraindicated in the prehospital setting? - Correct Answers -Elbow
dislocations and fractures, due to the anatomical position of these injuries.
Name 3 common SSRI medications. - Correct Answers -Zoloft (Sertaline), Prozac
(Fluoxetine), and Paxil (Paroxetine)
Define how to calculate the rate of an irregular rhythm and how and why it should be
used. - Correct Answers -The range of an irregular heart rate can be determined by
calculating the heart rate of the QRS complexes closest together and the QRS
complexes furthest apart. The two rates can be calculated using the block or memory
method.
Regarding irregular heart rates, how do you perform the 6 second method? How do you
perform the 10 second method? *NOTE, NREMT DOES NOT BELIEVE THIS METHOD
EXISTS, BUT IT IS GOOD TO KNOW ANYWAY - Correct Answers -Viewing the rhythm
strip, on a 6-second strip count the number of QRS complexes and multiply by 10. For a
10 second strip, count the number of QRS complexes and multiply by 6.
Why is cystic fibrosis not considered a lower airway infection? - Correct Answers -Cystic
fibrosis is caused by genetic factors, not an infection.
What three factors effect stroke volume? - Correct Answers -Contractility, afterload, and
preload.
What is cardiac elasticity? - Correct Answers -Elasticity is the factor that defines how
"springy" the cardiac muscle is. It DOES NOT effect stroke volume.
Name 3 factors that contraindicate endotracheal intubation. Name 2 things that do not
effect indication of intubation. - Correct Answers -Inability to open the patient's mouth,
inability to view the glottic opening, and intact gag reflex. Traumatic brain injury and
respiratory compromise do not contraindicate intubation.
Why should patients receiving hemodialysis receive sodium bicarb and calcium chloride
during cardiac arrest? - Correct Answers -Patients in cardiac arrest who have received
PARAMEDIC EXAM) Questions and
Answers
What are the late signs of hemorrhagic shock? - Correct Answers -Rapid breathing, cool
clammy skin, dull slightly dilated pupils
Is carbon monoxide an internal factor or external factor for respiration? - Correct
Answers -External
Name 3 of the AHA reccomended managment principles for ROSC patients. - Correct
Answers -Initiate Targeted Temperature Management if patient is comatose, Administer
colloid/vasopressor to a goal blood pressure of <90 systolic or MAP <65mmHg, and
obtain 12-lead. (THINK TAKE PT TO THE MOVIES)
According to the NREMT, what is the dose of NARCAN for a patient with suspected
opiod overdose? - Correct Answers -Narcan 2mg IN (1mg per nare)
Name 3 WMD chemical agent exposures that a paramedic can see symptoms of on
scene? - Correct Answers -Pulmonary agents, nerve agents, and vesicant agents.
(Vesicant agents include mustard gas and primarily affect DNA to cause cellular
damage)
Why is an uncuffed ET tube appropriate for a 6 year old child? - Correct Answers -
Pediatrics of this age range have a narrowing of the trachea at the level of the cricoid
cartilage.
Name the major signs of hypothermia. - Correct Answers -Lack of coordination,
confusion and memory loss, lack of shivering, weak pulses, slowed speech, drowsiness
and very low energy, and slow shallow breathing.
What is a naturally occurring steroidal hormone produced by the adrenal cortex to help
regulate the sodium/potassium balance in the blood? - Correct Answers -Aldosterone
What treatment is indicated for a patient presenting with atrial fibrillation lasting less
than 48 hours? - Correct Answers -Synchronized cardioversion
What would a paramedic expect to see in a patient with a chronic adrenal dysfunction
such as Addison's disease? - Correct Answers -Darkened skin, anorexia, hypoglycemia,
nausea, and vomiting.
, Patients who present with unusually darkened skin patches, especially in areas such as
the underarms and behind the knees, anorexia, hypoglycemia, nausea, and vomiting
are most likely suffering from the long-term effects of Addison's disease due to
corticosteroid deficiency.
Where in the body has a patient been struck if you suspect they are experiencing
commotio cordis? - Correct Answers -The chest by a fast moving object (most often in
sports; such as a baseball or hockey puck)
In dislocations and fractures, splinting is normally done in the position it is found. If
circulation is comprimised, a paramedic may attempt to manipulate the injury one time
to regain circulation. What is the one anatomical location that is the exception to this
rule and therefore contraindicated in the prehospital setting? - Correct Answers -Elbow
dislocations and fractures, due to the anatomical position of these injuries.
Name 3 common SSRI medications. - Correct Answers -Zoloft (Sertaline), Prozac
(Fluoxetine), and Paxil (Paroxetine)
Define how to calculate the rate of an irregular rhythm and how and why it should be
used. - Correct Answers -The range of an irregular heart rate can be determined by
calculating the heart rate of the QRS complexes closest together and the QRS
complexes furthest apart. The two rates can be calculated using the block or memory
method.
Regarding irregular heart rates, how do you perform the 6 second method? How do you
perform the 10 second method? *NOTE, NREMT DOES NOT BELIEVE THIS METHOD
EXISTS, BUT IT IS GOOD TO KNOW ANYWAY - Correct Answers -Viewing the rhythm
strip, on a 6-second strip count the number of QRS complexes and multiply by 10. For a
10 second strip, count the number of QRS complexes and multiply by 6.
Why is cystic fibrosis not considered a lower airway infection? - Correct Answers -Cystic
fibrosis is caused by genetic factors, not an infection.
What three factors effect stroke volume? - Correct Answers -Contractility, afterload, and
preload.
What is cardiac elasticity? - Correct Answers -Elasticity is the factor that defines how
"springy" the cardiac muscle is. It DOES NOT effect stroke volume.
Name 3 factors that contraindicate endotracheal intubation. Name 2 things that do not
effect indication of intubation. - Correct Answers -Inability to open the patient's mouth,
inability to view the glottic opening, and intact gag reflex. Traumatic brain injury and
respiratory compromise do not contraindicate intubation.
Why should patients receiving hemodialysis receive sodium bicarb and calcium chloride
during cardiac arrest? - Correct Answers -Patients in cardiac arrest who have received
