NREMT POCKET PREP (2023 NREMT
PARAMEDIC EXAM)QUESTIONS &
ANSWERS 100% CORRECT
What are the late signs of hemorrhagic shock? - ANSWERSRapid breathing, cool
clammy skin, dull slightly dilated pupils
Is carbon monoxide an internal factor or external factor for respiration? -
ANSWERSExternal
Name 3 of the AHA reccomended managment principles for ROSC patients. -
ANSWERSInitiate 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)
If you suspect that the ET tube has advanced too far and gone down the left bronchus,
how far back should the ET tube be pulled after the cuff is deflated? - ANSWERS2-3 cm
What is the benefit of inducing mild hypothermia to a post-arrest patient who has a
return of spontaneous circulation? - ANSWERSIt reduces intracranial pressure, the
cerebral metabolic rate, and the brain's demand for oxygen.
What three factors effect stroke volume? - ANSWERSContractility, afterload, and
preload.
What is cardiac elasticity? - ANSWERSElasticity 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. - ANSWERSInability 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? - ANSWERSPatients in cardiac arrest who have received
hemodialysis should be considered to have hyperkalemia, an excessively high
potassium level in their blood.
, What are dysrhythmia of sinus origin? - ANSWERSAn ectopic rhythm is activity that
occurs from a focus that is not the sinus node. Dyshythmias of sinus origin contain the
same conduction path but are irregular, too fast, or too slow.
What is the most common medication prescribed for epileptic seizures today? (this
question was made in 2023) - ANSWERSCommon epileptic seizure medication is
prescribed today mainly in the form of phenytoin.
A patient is having severe chest discomfort that is not responsive to nitroglycerine.
Morphine may be administered by a paramedic because (list at least two of the
answers) - ANSWERSMorphine may be used to manage ACS because it:
Produces central nervous system analgesia, which reduces the adverse effects of
neurohumoral activation, catecholamine release, and heightened myocardial oxygen
demand
Alleviates dyspnea
Produces venodilation, which reduces LV preload and oxygen requirement
Decreases systemic vascular resistance, which reduces LV afterload
Helps redistribute blood volume in patients with acute pulmonary edema
According to the NREMT, what is the dose of NARCAN for a patient with suspected
opiod overdose? - ANSWERSNarcan 2mg IN (1mg per nare)
Name 3 WMD chemical agent exposures that a paramedic can see symptoms of on
scene? - ANSWERSPulmonary 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? - ANSWERSPediatrics of
this age range have a narrowing of the trachea at the level of the cricoid cartilage.
Name the major signs of hypothermia. - ANSWERSLack of coordination, confusion and
memory loss, lack of shivering, weak pulses, slowed speech, drowsiness and very low
energy, and slow shallow breathing.
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? - ANSWERSElbow
dislocations and fractures, due to the anatomical position of these injuries.
Name 3 common SSRI medications. - ANSWERSZoloft (Sertaline), Prozac (Fluoxetine),
and Paxil (Paroxetine)
Define how to calculate the rate of an irregular rhythm and how and why it should be
used. - ANSWERSThe range of an irregular heart rate can be determined by calculating
PARAMEDIC EXAM)QUESTIONS &
ANSWERS 100% CORRECT
What are the late signs of hemorrhagic shock? - ANSWERSRapid breathing, cool
clammy skin, dull slightly dilated pupils
Is carbon monoxide an internal factor or external factor for respiration? -
ANSWERSExternal
Name 3 of the AHA reccomended managment principles for ROSC patients. -
ANSWERSInitiate 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)
If you suspect that the ET tube has advanced too far and gone down the left bronchus,
how far back should the ET tube be pulled after the cuff is deflated? - ANSWERS2-3 cm
What is the benefit of inducing mild hypothermia to a post-arrest patient who has a
return of spontaneous circulation? - ANSWERSIt reduces intracranial pressure, the
cerebral metabolic rate, and the brain's demand for oxygen.
What three factors effect stroke volume? - ANSWERSContractility, afterload, and
preload.
What is cardiac elasticity? - ANSWERSElasticity 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. - ANSWERSInability 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? - ANSWERSPatients in cardiac arrest who have received
hemodialysis should be considered to have hyperkalemia, an excessively high
potassium level in their blood.
, What are dysrhythmia of sinus origin? - ANSWERSAn ectopic rhythm is activity that
occurs from a focus that is not the sinus node. Dyshythmias of sinus origin contain the
same conduction path but are irregular, too fast, or too slow.
What is the most common medication prescribed for epileptic seizures today? (this
question was made in 2023) - ANSWERSCommon epileptic seizure medication is
prescribed today mainly in the form of phenytoin.
A patient is having severe chest discomfort that is not responsive to nitroglycerine.
Morphine may be administered by a paramedic because (list at least two of the
answers) - ANSWERSMorphine may be used to manage ACS because it:
Produces central nervous system analgesia, which reduces the adverse effects of
neurohumoral activation, catecholamine release, and heightened myocardial oxygen
demand
Alleviates dyspnea
Produces venodilation, which reduces LV preload and oxygen requirement
Decreases systemic vascular resistance, which reduces LV afterload
Helps redistribute blood volume in patients with acute pulmonary edema
According to the NREMT, what is the dose of NARCAN for a patient with suspected
opiod overdose? - ANSWERSNarcan 2mg IN (1mg per nare)
Name 3 WMD chemical agent exposures that a paramedic can see symptoms of on
scene? - ANSWERSPulmonary 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? - ANSWERSPediatrics of
this age range have a narrowing of the trachea at the level of the cricoid cartilage.
Name the major signs of hypothermia. - ANSWERSLack of coordination, confusion and
memory loss, lack of shivering, weak pulses, slowed speech, drowsiness and very low
energy, and slow shallow breathing.
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? - ANSWERSElbow
dislocations and fractures, due to the anatomical position of these injuries.
Name 3 common SSRI medications. - ANSWERSZoloft (Sertaline), Prozac (Fluoxetine),
and Paxil (Paroxetine)
Define how to calculate the rate of an irregular rhythm and how and why it should be
used. - ANSWERSThe range of an irregular heart rate can be determined by calculating
