TEEX Paramedic Final Exam Study Guide

TEEX Paramedic Final Exam Study Guide As you are administering 40 units of vasopressin to an adult woman in ventricular fibrillation, your team members continue CPR. After 2 minutes, you reassess her and determine that she is still in ventricular fibrillation. You should: - A. administer 300 mg of amiodarone while CPR remains uninterrupted. B. deliver a monophasic defibrillation with 200 joules and resume CPR. C. prepare to deliver another shock. D. instruct your team to continue CPR. The correct answer is: prepare to deliver another shock. You are dispatched to a residence for an elderly man with an altered mental status. As you are assessing the patient, his wife tells you that he goes to dialysis several times a week, but has missed his last three treatments because their car broke down. The patient's skin is yellow, his blood pressure is 98/60 mm Hg, and his pulse rate is 118 beats/min. The ECG reveals sinus tachycardia with peaked T waves. You should be MOST concerned with the potential for: - A. severe hypovolemia. B. hypokalemia-induced cardiac arrest. C. acute bradycardia or heart block. D. lethal ventricular dysrhythmias. The correct answer is: lethal ventricular dysrhythmias. Which of the following injuries or conditions would cause obstructive shock? - A. Massive sepsis B. Severe burns C. Cardiac tamponade D. Pelvic fracture The correct answer is: Cardiac tamponade It is MOST important to consider a clandestine drug lab to be a(n) - A. illegal operation. B. crime scene. C. hazardous materials scene. D. unsafe environment for children. The correct answer is: hazardous materials scene. You and your partner are caring for a child with stable supraventricular tachycardia that was refractory to initial treatment. As your partner is preparing to establish vascular access, the child's level of consciousness decreases markedly. You reassess the child and note that his femoral pulse is rapid and weak. You should: - A. establish vascular access and administer 0.1 mg/kg of adenosine. B. perform immediate synchronized cardioversion and reassess. C. begin chest compressions as your partner establishes the IV line. D. preoxygenate the child and then perform endotracheal intubation. The correct answer is: perform immediate synchronized cardioversion and reassess. The classic presentation of chronic bronchitis is: - Select one: A. expiratory wheezing and jugular venous distention due to pulmonary hypertension. B. a dry, hacking cough and a barrel chest due to chronic pulmonary air trapping. C. a thin male with pursed-lip breathing and a history of heavy cigarette smoking. D. excessive mucus production and a chronic or recurrent productive cough. The correct answer is: excessive mucus production and a chronic or recurrent productive cough. Which of the following statements regarding prehospital vascular access and fluid therapy in the severely burned patient is correct? - A. Most burn patients will require at least 4 L of IV fluid immediately. B. An IV line in a lower extremity is preferable to one in a burned upper extremity. C. Intraosseous cannulation is absolutely contraindicated in severely burned patients.