AZ PARAMEDIC AIRWAY RESPIRATORY 2024-2025 QUESTIONS
WITH COMPLETED SOLUTIONS GUARANTEED PASS
A 42-year old female is having trouble breathing. She has dysphagia and stridor. You should
suspect: - Answer :- Epiglottitis
Overinflating the distal cuff of an endotracheal tube can cause: - Answer :- Ischemia of the
tracheal wall
A hospice patient has developed dyspnea. Raspy sounds are coming from his tracheostomy tube.
You should: - Answer :- Assess and suction if needed
When using the Macintosh blade for orotracheal intubation, the blade: - Answer :- Fits into the
vallecula
A 58-yo male has a newly placed stoma and is experiencing difficulty breathing. Vital signs are P
104, R 22 and labored, SpO2 83%. How can you rapidly confirm that his stoma is clear? - Answer
:- Insert a soft catheter completely through the stoma
A 48 yo patient is choking on a hot dog. He is unresponsive, apneic, and has a strong pulse.
Chest compressions are ineffective at relieving the obstruction. You should: - Answer :- Use
laryngoscopy and Magill forceps to remove the object
A 19 yo female is unresponsive. Her pupils are nonreactive, she has dried vomit on her
oropharynx, and bilateral rhonchi in her lungs. Vital signs are P 60, R 6. What should you
suspect? - Answer :- Recent aspiration
A 28 yo male was driving his motorcycle at 45 mph when it hit a parked car. He was not wearing a
helmet. He is supine with an open fracture to his maxilla. Vital signs are P 120, R 4. What should
you do? - Answer :- Perform a surgical cricothyrotomy
EM Responders are performing BVM ventilations on a pt in respiratory arrest. The pt's abdomen is
distended. After you intubate the pt. you notice resistance when you squeeze the BVM. Lung
sounds are diminished bilaterally, neck veins are normal, and the trachea is midline. You should: -
Answer :- Insert a nasogastric tube
When moving a pt that is endotrachially intubated, which is the most common life- threatening
hazard? - Answer :- Dislodging the tube
Which of the following is a complication caused by orotracheal intubation? - Answer :- The right
mainstem bronchi is intubated
A 21 yo male was eating dinner and drinking beer when he suddenly grasped his throat. He is
unable to speak or cough. What should you do? - Answer :- Abdominal thrusts
An unresponsive cancer pt is suffering from respiratory acidosis after wearing too many fentanyl
patches. You are managing her airway and have established an IV. Your next treatment priority
should be ventilation at: - Answer :- 18x per min with 2mg naloxone
What is the maximum allowable time for each individual intubation attempt? - ANSWER
, 30 secs
A 71 yo female complains of dyspnea and pedal edema. Her husband tells you that she had
trouble breathing one hour ago. She is now unresponsive and breathing 34 times per minute with
minimal chest wall movement. What should you do? - Answer :- Begin PPV with a BVM at 15 lpm
What is the main determinant of respirations in a late stage COPD patient? - ANSWER
Arterial PCO2
A 5 yo pt swallowed bleach. He is unresponsive , apneic, and drooling. You should: - Answer :-
Insert an endotracheal tube
A 44 yo male has a blood pH of 7.32 and a CO2 of 51. What should you suspect? - Answer :-
Respiratory acidosis
A pt has overdosed on Versed. You should: - Answer :- Administer Romazicon
A 16 yo male went to the school nurse with severe dyspnea, diminished breath sounds and
minimal wheezing. Prior to your arrival, the nurse administered nebulized albuterol. He speaks to
you in 2-3 word sentences and your assessment reveals inspiratory and expiratory wheezes in all
lung fields. What should you do? - Answer :- Administer mag sulfate 2 mg IV
A trauma patient's chest appears to be bloated. When you press on it, you hear a crackling sound.
This is caused by: - Answer :- Subcutaneous emphysema
Your medical director is questioning you about a recent intubation. Which of the following would
be your best evidence of endotracheal confirmation? - Answer :- End tidal carbon dioxide
waveform printout
Upon placing the endotracheal tube, you can auscultate breath sounds only on the right. You
should: - Answer :- Withdraw the tube a couple of centimeters
When inserting the laryngoscope blade into a 31 year old male, his toungue begins to bleed
profusely. What should you do? - Answer :- Suction with a large bore catheter
What is the best treatment for hyperventilation syndrome? - Answer :- Try to calm and reassure
the patient
A patient with CHF complains of shortness of breath. What breath sounds should you expect to
hear? - Answer :- Rhonchi in the upper lobes, especially posterior
A 58 yo male was in cardiac arrest. You converted him to a normal sinus rhythm, but after moving
him to your ambulance, you notice his stomach has become distended. The ETOC2 reading has
dropped from 35 mmHg to 4 mmHg. What should you suspect? - Answer :- Dislodged
endotracheal tube
A 35 year old male has burns to his entire face and neck. You are unable to intubate the patient
due to laryngeal edema. BVM ventilations are unsuccessful. You should perform: - Answer :-
Needle cricothyrotomy
You are ventilating an intubated patient following respiratory arrest. She has good chest rise and
is being ventilated easily. The end tidal CO2 is 25 mmHg. You should: - Answer :- Increase your
ventilation rate
WITH COMPLETED SOLUTIONS GUARANTEED PASS
A 42-year old female is having trouble breathing. She has dysphagia and stridor. You should
suspect: - Answer :- Epiglottitis
Overinflating the distal cuff of an endotracheal tube can cause: - Answer :- Ischemia of the
tracheal wall
A hospice patient has developed dyspnea. Raspy sounds are coming from his tracheostomy tube.
You should: - Answer :- Assess and suction if needed
When using the Macintosh blade for orotracheal intubation, the blade: - Answer :- Fits into the
vallecula
A 58-yo male has a newly placed stoma and is experiencing difficulty breathing. Vital signs are P
104, R 22 and labored, SpO2 83%. How can you rapidly confirm that his stoma is clear? - Answer
:- Insert a soft catheter completely through the stoma
A 48 yo patient is choking on a hot dog. He is unresponsive, apneic, and has a strong pulse.
Chest compressions are ineffective at relieving the obstruction. You should: - Answer :- Use
laryngoscopy and Magill forceps to remove the object
A 19 yo female is unresponsive. Her pupils are nonreactive, she has dried vomit on her
oropharynx, and bilateral rhonchi in her lungs. Vital signs are P 60, R 6. What should you
suspect? - Answer :- Recent aspiration
A 28 yo male was driving his motorcycle at 45 mph when it hit a parked car. He was not wearing a
helmet. He is supine with an open fracture to his maxilla. Vital signs are P 120, R 4. What should
you do? - Answer :- Perform a surgical cricothyrotomy
EM Responders are performing BVM ventilations on a pt in respiratory arrest. The pt's abdomen is
distended. After you intubate the pt. you notice resistance when you squeeze the BVM. Lung
sounds are diminished bilaterally, neck veins are normal, and the trachea is midline. You should: -
Answer :- Insert a nasogastric tube
When moving a pt that is endotrachially intubated, which is the most common life- threatening
hazard? - Answer :- Dislodging the tube
Which of the following is a complication caused by orotracheal intubation? - Answer :- The right
mainstem bronchi is intubated
A 21 yo male was eating dinner and drinking beer when he suddenly grasped his throat. He is
unable to speak or cough. What should you do? - Answer :- Abdominal thrusts
An unresponsive cancer pt is suffering from respiratory acidosis after wearing too many fentanyl
patches. You are managing her airway and have established an IV. Your next treatment priority
should be ventilation at: - Answer :- 18x per min with 2mg naloxone
What is the maximum allowable time for each individual intubation attempt? - ANSWER
, 30 secs
A 71 yo female complains of dyspnea and pedal edema. Her husband tells you that she had
trouble breathing one hour ago. She is now unresponsive and breathing 34 times per minute with
minimal chest wall movement. What should you do? - Answer :- Begin PPV with a BVM at 15 lpm
What is the main determinant of respirations in a late stage COPD patient? - ANSWER
Arterial PCO2
A 5 yo pt swallowed bleach. He is unresponsive , apneic, and drooling. You should: - Answer :-
Insert an endotracheal tube
A 44 yo male has a blood pH of 7.32 and a CO2 of 51. What should you suspect? - Answer :-
Respiratory acidosis
A pt has overdosed on Versed. You should: - Answer :- Administer Romazicon
A 16 yo male went to the school nurse with severe dyspnea, diminished breath sounds and
minimal wheezing. Prior to your arrival, the nurse administered nebulized albuterol. He speaks to
you in 2-3 word sentences and your assessment reveals inspiratory and expiratory wheezes in all
lung fields. What should you do? - Answer :- Administer mag sulfate 2 mg IV
A trauma patient's chest appears to be bloated. When you press on it, you hear a crackling sound.
This is caused by: - Answer :- Subcutaneous emphysema
Your medical director is questioning you about a recent intubation. Which of the following would
be your best evidence of endotracheal confirmation? - Answer :- End tidal carbon dioxide
waveform printout
Upon placing the endotracheal tube, you can auscultate breath sounds only on the right. You
should: - Answer :- Withdraw the tube a couple of centimeters
When inserting the laryngoscope blade into a 31 year old male, his toungue begins to bleed
profusely. What should you do? - Answer :- Suction with a large bore catheter
What is the best treatment for hyperventilation syndrome? - Answer :- Try to calm and reassure
the patient
A patient with CHF complains of shortness of breath. What breath sounds should you expect to
hear? - Answer :- Rhonchi in the upper lobes, especially posterior
A 58 yo male was in cardiac arrest. You converted him to a normal sinus rhythm, but after moving
him to your ambulance, you notice his stomach has become distended. The ETOC2 reading has
dropped from 35 mmHg to 4 mmHg. What should you suspect? - Answer :- Dislodged
endotracheal tube
A 35 year old male has burns to his entire face and neck. You are unable to intubate the patient
due to laryngeal edema. BVM ventilations are unsuccessful. You should perform: - Answer :-
Needle cricothyrotomy
You are ventilating an intubated patient following respiratory arrest. She has good chest rise and
is being ventilated easily. The end tidal CO2 is 25 mmHg. You should: - Answer :- Increase your
ventilation rate
