2026/27 QUESTIONS AND ANSWERS
(ALREADY SCORED A+)
You arrive on the scene of a patient who fell from a ladder. Which of the following
information is NOT an important factor in care of the patient?
A. Height of the ladder
B. Distance the patient fell from
C. Surface the patient landed on
D. What part of the body hit first - ANSWER-A. Height of the ladder
Explanation: The height of the ladder is unimportant in your assessment as the
patient may not have been at the top of the ladder when he fell.
You are at the scene of an MVA, in which there are three patients, all of which have
minor visible injuries. Two are refusing treatment and the last is complaining of neck
and back pain. How should you proceed?
A. Treat all three patients, they are visibly injured and need medical attention
B. Obtain signed refusals from the first two patients then proceed to the third
C. Treat the third patient, nothing else is needed for the other two
D. Have your partner obtain refusals from the two patients who refused treatment,
while you treat the last patient. - ANSWER-D. Have your partner obtain refusals from
the two patients who refused treatment, while you treat the last patient.
Explanation: All patient refusals must be an informed refusal and in writing. If you
treat all three patients even though they refused you are guilty of battery
Your patient is a 17 year old male found face down in a swimming pool. He is
currently being held face up at the surface of the water. He is unconscious but
breathing and has a pulse. What is the best course of action for this patient?
A. Jump into the pool and begin CPR
B. Remove the patient from the pool, immobilize, and transport.
C. Apply cervical and spinal immobilization while the patient is still in the pool
D. Wait for a trained water rescue team - ANSWER-C. Apply cervical and spinal
immobilization while the patient is still in the pool
Explanation: Because you do not know what caused the patient to became
unconscious, spinal precautions need to be taken.
Your 16 year old trauma patient has what appears to be a mid-shaft femur fracture.
You notice that there is a laceration directly over the suspected fracture. Bleeding is
controlled. What type of fracture would this be?
, A. Greenstick
B. Comminuted
C. Closed
D. Open - ANSWER-D. Open
Explanation: Any time there is open skin over a fracture it is considered an open
fracture. A greenstick is generally found in children whose bones have not fully
ossified. Comminuted is a fracture resulting from extreme forces causing many
smaller fractures at the site of the fracture.
En route to the hospital, you intubate the patient. During your assessment of tube
placement, you hear wheezing in the upper lung fields. What is most likely causing
this wheezing?
A. Inhalation injury to the upper airway
B. Inhalation induced cardiac wheezing
C. Inhalation induced asthma attack
D. Inhalation injury to the lower airway - ANSWER-D. Inhalation injury to the lower
airway
Explanation: An inhalation injury inferior to the glottis can result in wheezing and
bronchospasm. An inhalation injury superior to the glottis can cause a hoarse voice
and stridor. Inhalation of the byproducts of combustion can cause wheezing but this
would still be classified as an inhalation injury to the lower airway.
Following the immobilization of an extremity fracture to the lower right arm, the
paramedic should perform what step last?
A. Ensuring the splint is applied tightly.
B. Placing the hand in the position of function.
C. Assessing presence of distal motor, sensory, and perfusion.
D. Placing the immobilized extremity below the level of the heart - ANSWER-C.
Assessing presence of distal motor, sensory, and perfusion.
Explanation: The last part of immobilizing the arm fracture (or any suspected fracture
for that matter), is the assessment of distal motor, sensory, and perfusion status.
This is done to assure there was no additional trauma from the immobilization
process, and to assure the splint was not put on incorrectly (for example an air splint
inflated too high). If there is a loss in the motor, sensory, perfusion findings following
immobilization, the paramedic should immediately reassess the splinting process
and correct any errors.
Please answer the following question.
You are treating a 24-year-old female with a gunshot wound to the right side of the
back. No exit wound is visible. She is awake but confused. Her skin is pale and
diaphoretic with cyanosis noted to the oral mucosa. Breath sounds are clear and
equal bilaterally. Jugular vein distention is present. Blood pressure is 90/78 mmHg,
heart rate is 124 beats per minute, and respiratory rate is 28 per minute and labored.
When managing an open fracture, you should do which of the following?