PARAMEDIC FINAL EXAM WITH
QUESTIONS AND CORRECT ANSWERS
2025-2026 GRADED A+
A ,protocol ,that ,is ,a ,written ,document ,signed ,by ,the ,EMS ,system's ,medical
,director ,that ,outlines ,specific ,directions, ,permissions, ,and ,sometimes
,prohibitions ,regarding ,patient ,care ,that ,is ,rendered ,prior ,to ,contacting ,medical
,control. ,- ,CORRECT ,ANSWER-Standing ,order
If ,a ,paramedic ,transports ,a ,patient ,without ,the ,patient's ,consent ,or ,uses
,restraints ,in ,a ,wrongful ,manner ,- ,CORRECT ,ANSWER-False ,Imprisonment
A ,treatment ,plan ,developed ,for ,a ,specific ,illness ,or ,injury. ,- ,CORRECT
,ANSWER-Protocol
If ,you ,must ,deviate ,from ,your ,protocols ,because ,of ,unusual ,circumstances,
,you ,should ,FIRST: ,- ,CORRECT ,ANSWER-Notify ,Medical ,Control
HIPPA ,mandates ,that: ,- ,CORRECT ,ANSWER-Patient ,information ,shall ,not ,be
,shared ,with ,entities ,or ,persons ,not ,involved ,in ,the ,care ,of ,the ,patient.
HIPPA ,Defined: ,- ,CORRECT ,ANSWER-a. ,The ,first ,standards ,established ,to
,protect ,the ,confidentiality ,of ,a ,patient's ,health ,information.
b. ,Medical ,information ,can ,be ,disclosed ,only ,if ,it ,is ,necessary ,for ,a ,patient's
,treatment ,or ,for ,payment.
c. ,Special ,situations ,such ,as ,dog ,bites, ,gunshot ,wounds, ,and ,abuse ,require ,the
,release ,of ,patient ,information ,without ,the ,patient's ,consent.
According ,to ,HIPAA, ,it ,is ,acceptable ,and ,permissible ,for ,hospitals ,to: ,-
,CORRECT ,ANSWER-share ,information ,with ,the ,EMS ,providers ,about ,patient
,outcome ,for ,purposes ,of ,quality ,assurance ,and ,education.
Wheezing ,that ,is ,resolved ,with ,administration ,of ,bronchodilator ,medication ,was
,probably ,caused ,by? ,- ,CORRECT ,ANSWER-constriction ,of ,smooth ,muscles
Wheezing ,is ,resolved ,with ,medications? ,- ,CORRECT ,ANSWER-Relax ,the
,smooth ,muscle ,of ,the ,bronchiole
, Difficulty ,with ,exhalation ,is ,MOST ,characteristic ,of: ,- ,CORRECT ,ANSWER-
obstructive ,lung ,disease
COPD: ,Emphysema: ,- ,CORRECT ,ANSWER-Characterized ,by ,distention ,of ,the
,alveoli ,and ,destructive ,changes ,in ,the ,lungs.
COPD: ,Chronic ,Bronchitis: ,- ,CORRECT ,ANSWER-Defined ,as ,sputum ,production
,most ,days ,of ,month ,for ,3 ,or ,more ,months ,out ,of ,year ,for ,more ,than ,2 ,years.
,Will ,rarely ,have ,normal ,oxygen ,saturation; ,(maybe ,less ,than ,90%). ,May ,have
,another ,condition, ,including ,respiratory ,conditions
A ,66-year-old ,man ,with ,chronic ,bronchitis ,presents ,with ,severe ,respiratory
,distress. ,The ,patient's ,wife ,tells ,you ,that ,he ,takes ,medications ,for ,high ,blood
,pressure ,and ,bronchitis, ,is ,on ,home ,oxygen ,therapy, ,and ,has ,recently ,been
,taking ,an ,over-the-counter ,antitussive. ,She ,further ,tells ,you ,that ,he ,has ,not
,been ,compliant ,with ,his ,oxygen ,therapy. ,Auscultation ,of ,his ,lungs ,reveals
,diffuse ,rhonchi. ,What ,is ,the ,MOST ,likely ,cause ,of ,this ,patient's ,respiratory
,distress? ,- ,CORRECT ,ANSWER-Recent ,antitussive ,use
A ,76-year-old ,woman ,with ,emphysema ,presents ,with ,respiratory ,distress ,that
,has ,worsened ,progressively ,over ,the ,past ,2 ,days. ,She ,is ,breathing ,through
,pursed ,lips ,and ,has ,a ,prolonged ,expiratory ,phase ,and ,an ,oxygen ,saturation ,of
,76%. ,She ,is ,on ,home ,oxygen ,at ,2 ,L/min. ,Your ,initial ,action ,should ,be ,to? ,-
,CORRECT ,ANSWER-place ,her ,in ,a ,position ,that ,facilitates ,breathing.
Common ,clinical ,findings ,in ,patients ,with ,obstructive ,lung ,disease ,include ,all
,of ,the ,following, ,EXCEPT: ,- ,CORRECT ,ANSWER-a ,decreased ,expiratory ,phase
Chronic ,obstructive ,pulmonary ,disease ,(COPD) ,is ,characterized ,by: ,- ,CORRECT
,ANSWER-changes ,in ,pulmonary ,structure ,and ,function ,that ,are ,progressive
,and ,irreversible
The ,hypoxic ,drive ,is ,a ,phenomenon ,in ,which ,- ,CORRECT ,ANSWER-bicarbonate
,ions ,migrate ,into ,the ,cerebrospinal ,fluid ,of ,a ,chronically ,hypoventilating
,patient, ,making ,the ,brain ,think ,that ,acid ,and ,base ,are ,in ,balance
Pulmonary ,Embolism ,Characteristics ,- ,CORRECT ,ANSWER-Sudden ,dyspnea ,&
,cyanosis, ,and ,perhaps, ,a ,sharp ,pain ,in ,the ,chest. ,A ,hallmark ,of ,pulmonary
,embolism ,is ,that ,the ,cyanosis ,does ,not ,resolve ,with ,oxygen ,therapy.
You ,are ,dispatched ,to ,a ,residence ,for ,a ,young ,woman ,with ,difficulty ,breathing.
,When ,you ,arrive, ,you ,find ,the ,patient ,sitting ,in ,a ,tripod ,position, ,noticeably
,dyspneic ,and ,tachypneic. ,She ,tells ,you ,that ,she ,experienced ,a ,sudden ,sharp
,pain ,to ,the ,left ,side ,of ,her ,chest ,and ,then ,started ,having ,trouble ,breathing. ,She
,denies ,any ,past ,medical ,history ,and ,states ,that ,she ,only ,takes ,birth ,control
QUESTIONS AND CORRECT ANSWERS
2025-2026 GRADED A+
A ,protocol ,that ,is ,a ,written ,document ,signed ,by ,the ,EMS ,system's ,medical
,director ,that ,outlines ,specific ,directions, ,permissions, ,and ,sometimes
,prohibitions ,regarding ,patient ,care ,that ,is ,rendered ,prior ,to ,contacting ,medical
,control. ,- ,CORRECT ,ANSWER-Standing ,order
If ,a ,paramedic ,transports ,a ,patient ,without ,the ,patient's ,consent ,or ,uses
,restraints ,in ,a ,wrongful ,manner ,- ,CORRECT ,ANSWER-False ,Imprisonment
A ,treatment ,plan ,developed ,for ,a ,specific ,illness ,or ,injury. ,- ,CORRECT
,ANSWER-Protocol
If ,you ,must ,deviate ,from ,your ,protocols ,because ,of ,unusual ,circumstances,
,you ,should ,FIRST: ,- ,CORRECT ,ANSWER-Notify ,Medical ,Control
HIPPA ,mandates ,that: ,- ,CORRECT ,ANSWER-Patient ,information ,shall ,not ,be
,shared ,with ,entities ,or ,persons ,not ,involved ,in ,the ,care ,of ,the ,patient.
HIPPA ,Defined: ,- ,CORRECT ,ANSWER-a. ,The ,first ,standards ,established ,to
,protect ,the ,confidentiality ,of ,a ,patient's ,health ,information.
b. ,Medical ,information ,can ,be ,disclosed ,only ,if ,it ,is ,necessary ,for ,a ,patient's
,treatment ,or ,for ,payment.
c. ,Special ,situations ,such ,as ,dog ,bites, ,gunshot ,wounds, ,and ,abuse ,require ,the
,release ,of ,patient ,information ,without ,the ,patient's ,consent.
According ,to ,HIPAA, ,it ,is ,acceptable ,and ,permissible ,for ,hospitals ,to: ,-
,CORRECT ,ANSWER-share ,information ,with ,the ,EMS ,providers ,about ,patient
,outcome ,for ,purposes ,of ,quality ,assurance ,and ,education.
Wheezing ,that ,is ,resolved ,with ,administration ,of ,bronchodilator ,medication ,was
,probably ,caused ,by? ,- ,CORRECT ,ANSWER-constriction ,of ,smooth ,muscles
Wheezing ,is ,resolved ,with ,medications? ,- ,CORRECT ,ANSWER-Relax ,the
,smooth ,muscle ,of ,the ,bronchiole
, Difficulty ,with ,exhalation ,is ,MOST ,characteristic ,of: ,- ,CORRECT ,ANSWER-
obstructive ,lung ,disease
COPD: ,Emphysema: ,- ,CORRECT ,ANSWER-Characterized ,by ,distention ,of ,the
,alveoli ,and ,destructive ,changes ,in ,the ,lungs.
COPD: ,Chronic ,Bronchitis: ,- ,CORRECT ,ANSWER-Defined ,as ,sputum ,production
,most ,days ,of ,month ,for ,3 ,or ,more ,months ,out ,of ,year ,for ,more ,than ,2 ,years.
,Will ,rarely ,have ,normal ,oxygen ,saturation; ,(maybe ,less ,than ,90%). ,May ,have
,another ,condition, ,including ,respiratory ,conditions
A ,66-year-old ,man ,with ,chronic ,bronchitis ,presents ,with ,severe ,respiratory
,distress. ,The ,patient's ,wife ,tells ,you ,that ,he ,takes ,medications ,for ,high ,blood
,pressure ,and ,bronchitis, ,is ,on ,home ,oxygen ,therapy, ,and ,has ,recently ,been
,taking ,an ,over-the-counter ,antitussive. ,She ,further ,tells ,you ,that ,he ,has ,not
,been ,compliant ,with ,his ,oxygen ,therapy. ,Auscultation ,of ,his ,lungs ,reveals
,diffuse ,rhonchi. ,What ,is ,the ,MOST ,likely ,cause ,of ,this ,patient's ,respiratory
,distress? ,- ,CORRECT ,ANSWER-Recent ,antitussive ,use
A ,76-year-old ,woman ,with ,emphysema ,presents ,with ,respiratory ,distress ,that
,has ,worsened ,progressively ,over ,the ,past ,2 ,days. ,She ,is ,breathing ,through
,pursed ,lips ,and ,has ,a ,prolonged ,expiratory ,phase ,and ,an ,oxygen ,saturation ,of
,76%. ,She ,is ,on ,home ,oxygen ,at ,2 ,L/min. ,Your ,initial ,action ,should ,be ,to? ,-
,CORRECT ,ANSWER-place ,her ,in ,a ,position ,that ,facilitates ,breathing.
Common ,clinical ,findings ,in ,patients ,with ,obstructive ,lung ,disease ,include ,all
,of ,the ,following, ,EXCEPT: ,- ,CORRECT ,ANSWER-a ,decreased ,expiratory ,phase
Chronic ,obstructive ,pulmonary ,disease ,(COPD) ,is ,characterized ,by: ,- ,CORRECT
,ANSWER-changes ,in ,pulmonary ,structure ,and ,function ,that ,are ,progressive
,and ,irreversible
The ,hypoxic ,drive ,is ,a ,phenomenon ,in ,which ,- ,CORRECT ,ANSWER-bicarbonate
,ions ,migrate ,into ,the ,cerebrospinal ,fluid ,of ,a ,chronically ,hypoventilating
,patient, ,making ,the ,brain ,think ,that ,acid ,and ,base ,are ,in ,balance
Pulmonary ,Embolism ,Characteristics ,- ,CORRECT ,ANSWER-Sudden ,dyspnea ,&
,cyanosis, ,and ,perhaps, ,a ,sharp ,pain ,in ,the ,chest. ,A ,hallmark ,of ,pulmonary
,embolism ,is ,that ,the ,cyanosis ,does ,not ,resolve ,with ,oxygen ,therapy.
You ,are ,dispatched ,to ,a ,residence ,for ,a ,young ,woman ,with ,difficulty ,breathing.
,When ,you ,arrive, ,you ,find ,the ,patient ,sitting ,in ,a ,tripod ,position, ,noticeably
,dyspneic ,and ,tachypneic. ,She ,tells ,you ,that ,she ,experienced ,a ,sudden ,sharp
,pain ,to ,the ,left ,side ,of ,her ,chest ,and ,then ,started ,having ,trouble ,breathing. ,She
,denies ,any ,past ,medical ,history ,and ,states ,that ,she ,only ,takes ,birth ,control
