PARAMEDIC PHARMACOLOGY FINAL 2026
EXAM PREPARATION PACK KEY MEDICATION
CLASSES AND SAMPLE QUESTIONS WITH
EXPLANATIONS
◉ A patient experiences profound sedation when an opioid, such as
fentanyl, is given together with a benzodiazepine, such as
midazolam. This is an example of: Answer: Synergism
◉ A patient receives doses of the same drug within a short period of
time, after which point the medication does not relieve his
symptoms. Which of the following has MOST likely occurred?
Answer: Tachyphylaxis
◉ First pass metabolism of a medication occurs when: Answer: The
bioavailability of a medication is reduced before it reaches the
systemic circulation
◉ An abnormal susceptibility to a medication that is peculiar to an
individual patient is called an: Answer: Idiosyncratic reaction
◉ All of the following are schedule II substances, EXCEPT: Answer:
Heroin
, ◉ All of the following medications are used to reduce a patient's
heart rate and blood pressure, EXCEPT: Answer: Lorazepam
◉ In general, alpha-adrenergic receptor antagonists: Answer: Lower
the blood pressure
◉ Medications commonly administered via a nebulizer include all of
the following, EXCEPT: Answer: Lidocaine
◉ Acetylcholinesterase is an enzyme that: Answer: Breaks down
acetylcholine
◉ A medication undergoes first-pass metabolism in the: Answer:
Liver
◉ If studies in animals or human beings have demonstrated fetal
abnormalities, or if there is evidence of fetal risk based on human
experience, a pregnancy category ____ is assigned to a medication
Answer: X
◉ ACE inhibitor medications lower blood pressure by: Answer:
Blocking the conversion of angiotensin I to angiotensin II
EXAM PREPARATION PACK KEY MEDICATION
CLASSES AND SAMPLE QUESTIONS WITH
EXPLANATIONS
◉ A patient experiences profound sedation when an opioid, such as
fentanyl, is given together with a benzodiazepine, such as
midazolam. This is an example of: Answer: Synergism
◉ A patient receives doses of the same drug within a short period of
time, after which point the medication does not relieve his
symptoms. Which of the following has MOST likely occurred?
Answer: Tachyphylaxis
◉ First pass metabolism of a medication occurs when: Answer: The
bioavailability of a medication is reduced before it reaches the
systemic circulation
◉ An abnormal susceptibility to a medication that is peculiar to an
individual patient is called an: Answer: Idiosyncratic reaction
◉ All of the following are schedule II substances, EXCEPT: Answer:
Heroin
, ◉ All of the following medications are used to reduce a patient's
heart rate and blood pressure, EXCEPT: Answer: Lorazepam
◉ In general, alpha-adrenergic receptor antagonists: Answer: Lower
the blood pressure
◉ Medications commonly administered via a nebulizer include all of
the following, EXCEPT: Answer: Lidocaine
◉ Acetylcholinesterase is an enzyme that: Answer: Breaks down
acetylcholine
◉ A medication undergoes first-pass metabolism in the: Answer:
Liver
◉ If studies in animals or human beings have demonstrated fetal
abnormalities, or if there is evidence of fetal risk based on human
experience, a pregnancy category ____ is assigned to a medication
Answer: X
◉ ACE inhibitor medications lower blood pressure by: Answer:
Blocking the conversion of angiotensin I to angiotensin II
