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SANTA CLARA COUNTY PARAMEDIC
PROTOCOLS EXAM AND PRACTICE EXAM
NEWEST 2025 ACTUAL EXAM COMPLETE 200
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+
SANTA CLARA COUNTY PARAMEDIC PROTOCOLS EXAM
What is the adult dose for albuterol? - ANSWER-Albuterol 5mg
in 6ml normal saline via nebulizer device
What is the time frame of ingestion to treatment for which you
can administer activated charcoal? - ANSWER-< 1 hr
Which patients are considered In-Extremis - ANSWER-
uncontrolled bleeding, uncontrolled airway, breech presentation
or protruding limb delivery
What information should be included on a standard ring down? -
ANSWER-unit ID, ETA, age, gender, primary impression and
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chief complaint, pertinent medical history, medication, and
allergies, vital signs, and treatment
In addition to the information in a standard ring down, a trauma
ring down should include what additional information? -
ANSWER-MOI and anatomic / physiological MTV criteria
A MPMP with 15 patients would qualify as what level? -
ANSWER-level 2
Do you need to make base contact for a patient that is pregnant
and requires Ondansetron (Zofran)? - ANSWER-yes!
Medications given after release of crush injury? - ANSWER-
Albuterol 5mg in 6ml normal saline via nebulizer
Sodium Bicarbonate 1mEq/kg IV / IO, delivered over sixty (60)
seconds
Calcium Chloride 1gm IV / IO
and, for pain:
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Morphine 2-5mg IV / IO if SBP > 100
Consider 1,000ml fluid bolus for burns greater than _______
TBSA? - ANSWER-20%
What do you do in the case of a disagreement between ALS
providers? - ANSWER-Call base.
Only paramedics may contact the Base Hospital for direction.
A. True
B. False - ANSWER-True (EMTs may not receive online
medical direction)
Oral glucose (24g) repeated in how long? - ANSWER-Once
after 15 mins if no change in PT condition
Hazmat distance for small and large events? - ANSWER-100
feet for small and 500 feet for large
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How long to report level A variance? - ANSWER-Must be
reported to EMS Duty Chief IMMEDIATELY and to the EMS
Agency within 24 hours on the EMS System Variance Report
Form.
Can you let out a competent adult during transport before arrival
at the ER? - ANSWER-yes
What are you required to document in your report when you
have intubated? - ANSWER-1. visualize the ETT pass over the
bougie and through the vocal cords (if visible)
2. confirm the presence of bilateral lung sounds and the absence
of epigastric sounds
3. have continuous capnography waveform while ventilating
What are the adult doses / routes for Morphine - ANSWER-2-
5mg IVP q 3-5mins, 15mg max
5mg IM q 3-5mins, 15mg max
What are the adult doses / routes for Narcan? - ANSWER-1-2mg
IV (titrate to effect in 0.4mg increments)
1-2mg IM (max dose 2mg)
SANTA CLARA COUNTY PARAMEDIC
PROTOCOLS EXAM AND PRACTICE EXAM
NEWEST 2025 ACTUAL EXAM COMPLETE 200
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+
SANTA CLARA COUNTY PARAMEDIC PROTOCOLS EXAM
What is the adult dose for albuterol? - ANSWER-Albuterol 5mg
in 6ml normal saline via nebulizer device
What is the time frame of ingestion to treatment for which you
can administer activated charcoal? - ANSWER-< 1 hr
Which patients are considered In-Extremis - ANSWER-
uncontrolled bleeding, uncontrolled airway, breech presentation
or protruding limb delivery
What information should be included on a standard ring down? -
ANSWER-unit ID, ETA, age, gender, primary impression and
,2|Page
chief complaint, pertinent medical history, medication, and
allergies, vital signs, and treatment
In addition to the information in a standard ring down, a trauma
ring down should include what additional information? -
ANSWER-MOI and anatomic / physiological MTV criteria
A MPMP with 15 patients would qualify as what level? -
ANSWER-level 2
Do you need to make base contact for a patient that is pregnant
and requires Ondansetron (Zofran)? - ANSWER-yes!
Medications given after release of crush injury? - ANSWER-
Albuterol 5mg in 6ml normal saline via nebulizer
Sodium Bicarbonate 1mEq/kg IV / IO, delivered over sixty (60)
seconds
Calcium Chloride 1gm IV / IO
and, for pain:
,3|Page
Morphine 2-5mg IV / IO if SBP > 100
Consider 1,000ml fluid bolus for burns greater than _______
TBSA? - ANSWER-20%
What do you do in the case of a disagreement between ALS
providers? - ANSWER-Call base.
Only paramedics may contact the Base Hospital for direction.
A. True
B. False - ANSWER-True (EMTs may not receive online
medical direction)
Oral glucose (24g) repeated in how long? - ANSWER-Once
after 15 mins if no change in PT condition
Hazmat distance for small and large events? - ANSWER-100
feet for small and 500 feet for large
, 4|Page
How long to report level A variance? - ANSWER-Must be
reported to EMS Duty Chief IMMEDIATELY and to the EMS
Agency within 24 hours on the EMS System Variance Report
Form.
Can you let out a competent adult during transport before arrival
at the ER? - ANSWER-yes
What are you required to document in your report when you
have intubated? - ANSWER-1. visualize the ETT pass over the
bougie and through the vocal cords (if visible)
2. confirm the presence of bilateral lung sounds and the absence
of epigastric sounds
3. have continuous capnography waveform while ventilating
What are the adult doses / routes for Morphine - ANSWER-2-
5mg IVP q 3-5mins, 15mg max
5mg IM q 3-5mins, 15mg max
What are the adult doses / routes for Narcan? - ANSWER-1-2mg
IV (titrate to effect in 0.4mg increments)
1-2mg IM (max dose 2mg)
