TEEX PARAMEDIC FINAL ASSESSMENT QUESTIONS
WITH SOLUTIONS
/. 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.
/.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.
/.Which of the following injuries or conditions would cause obstructive shock? -A.
Massive sepsis
B. Severe burns
C. Cardiac tamponade
D. Pelvic fracture
/.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.
/.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 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.
/.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.
D. At least one large-bore IV should be started while en route to the
hospital.
/.An immature egg is called a(n):
A. ovum.
B. oocyte.
C. follicle.
D. zygote.
/.Applying direct pressure to a bleeding wound stops the flow of blood
because: -A. it allows platelets to seal the vascular walls.
B. direct pressure facilitates vasoconstriction.
C. pressure shunts blood away from the injury.
D. pressure stimulates the release of fibrin.
/.Pickwickian syndrome is a condition in which respiratory compromise results
from: -A. cervical spine injury.
B. extreme obesity.
C. pulmonary edema.
D. diaphragmatic rupture.
,/.Uterine inversion occurs when: -A. excessive postpartum hemorrhage causes uterine
ischemia and
subsequent expulsion from the vagina.
B. postpartum bleeding is improperly managed with inadequate massage
of the uterine fundus.
C. the musculature of the uterine fundus is inherently weak, causing the
uterus to prolapse.
D. the placenta fails to detach properly and adheres to the uterine wall
when it is expelled.
/.A patient who presents with petechiae is MOST likely: A. anemic.
B. leukopenic.
C. polycythemic.
D. thrombocytopenic.
/.The MOST common device used to provide positive-pressure ventilation to a
newborn in the prehospital setting is a -A. manually triggered ventilator.
B. self-inflating bag-mask device.
C. T-piece resuscitator.
D. flow-inflating bag-mask device.
/.Inadvertent lithium toxicity would MOST likely occur in a patient who is
taking: -A. any medication used to control blood pressure.
B. SSRIs.
C. NSAIDs.
D. a tricyclic antidepressant.
/.You are dispatched to a residence for a 44-year-old woman with a severe
headache. You arrive to find the patient lying on her sofa with a wet
washcloth on her forehead. She tells you that she has a history of migraine
headaches and that this is one of her "typical" headaches. She also
complains of nausea and photophobia. Her blood pressure is 170/94 mm
Hg, pulse rate is 120 beats/min and regular, and respirations are 22
breaths/min with adequate depth. The MOST appropriate treatment for this
patient includes: --A. administering high-flow oxygen, establishing vascular access, and
administering nitroglycerin to lower her blood pressure.
B. placing her in a Fowler position, administering oxygen, and
transporting her to the hospital for definitive care.
C. oxygen as tolerated, starting an IV line and administering
ondansetron, and transporting without lights or siren.
D. carefully assessing her pupils, administering oxygen, starting an IV
and giving her morphine, and transporting.
, /.Any vertical plane that is parallel to the median plane and divides the body
into unequal left and right parts is called the: --A. caudal plane.
B. transverse plane.
C. sagittal plane.
D. median plane.
/.After delivering a shock to a patient in pulseless ventricular tachycardia, you
should: - -A. check for a pulse.
B. resume CPR.
C. deliver two effective ventilations.
D. reassess the cardiac rhythm.
/.Resting tremor of an extremity and bradykinesia are associated with: --A. Focal motor
seizures.
B. Parkinson disease.
C. Vascular dementia.
D. Alzheimer disease.
/.Patients with epiglottitis present with: --A. dentalgia.
B. wheezing
C. hyperosmia.
D. dysphagia.
/.In addition to facilitating the uptake of sugar into the cells, insulin is
responsible for: -A. the production of amino acids and carbohydrates.
B. stimulating the liver and kidneys to produce glucose.
C. the chemical conversion of glucose to glycogen.
D. the chemical conversion of glycogen to glucose.
/.Crowning is MOST accurately defined as: - -A. passage of the baby through the fully
dilated cervix.
B. the presenting of the baby at the vaginal opening.
C. bulging of the baby's feet from the vaginal opening.
D. the thinning and shortening of the cervix during labor.
/.Chest compressions are indicated in the newborn if its heart rate remains
less than ____ beats/min despite effective positive-pressure ventilations for
____ seconds. --A. 60, 30
B. 60, 60
C. 80, 60
D. 80, 30
/.The ongoing, systematic collection, analysis, and interpretation of injury
WITH SOLUTIONS
/. 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.
/.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.
/.Which of the following injuries or conditions would cause obstructive shock? -A.
Massive sepsis
B. Severe burns
C. Cardiac tamponade
D. Pelvic fracture
/.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.
/.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 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.
/.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.
D. At least one large-bore IV should be started while en route to the
hospital.
/.An immature egg is called a(n):
A. ovum.
B. oocyte.
C. follicle.
D. zygote.
/.Applying direct pressure to a bleeding wound stops the flow of blood
because: -A. it allows platelets to seal the vascular walls.
B. direct pressure facilitates vasoconstriction.
C. pressure shunts blood away from the injury.
D. pressure stimulates the release of fibrin.
/.Pickwickian syndrome is a condition in which respiratory compromise results
from: -A. cervical spine injury.
B. extreme obesity.
C. pulmonary edema.
D. diaphragmatic rupture.
,/.Uterine inversion occurs when: -A. excessive postpartum hemorrhage causes uterine
ischemia and
subsequent expulsion from the vagina.
B. postpartum bleeding is improperly managed with inadequate massage
of the uterine fundus.
C. the musculature of the uterine fundus is inherently weak, causing the
uterus to prolapse.
D. the placenta fails to detach properly and adheres to the uterine wall
when it is expelled.
/.A patient who presents with petechiae is MOST likely: A. anemic.
B. leukopenic.
C. polycythemic.
D. thrombocytopenic.
/.The MOST common device used to provide positive-pressure ventilation to a
newborn in the prehospital setting is a -A. manually triggered ventilator.
B. self-inflating bag-mask device.
C. T-piece resuscitator.
D. flow-inflating bag-mask device.
/.Inadvertent lithium toxicity would MOST likely occur in a patient who is
taking: -A. any medication used to control blood pressure.
B. SSRIs.
C. NSAIDs.
D. a tricyclic antidepressant.
/.You are dispatched to a residence for a 44-year-old woman with a severe
headache. You arrive to find the patient lying on her sofa with a wet
washcloth on her forehead. She tells you that she has a history of migraine
headaches and that this is one of her "typical" headaches. She also
complains of nausea and photophobia. Her blood pressure is 170/94 mm
Hg, pulse rate is 120 beats/min and regular, and respirations are 22
breaths/min with adequate depth. The MOST appropriate treatment for this
patient includes: --A. administering high-flow oxygen, establishing vascular access, and
administering nitroglycerin to lower her blood pressure.
B. placing her in a Fowler position, administering oxygen, and
transporting her to the hospital for definitive care.
C. oxygen as tolerated, starting an IV line and administering
ondansetron, and transporting without lights or siren.
D. carefully assessing her pupils, administering oxygen, starting an IV
and giving her morphine, and transporting.
, /.Any vertical plane that is parallel to the median plane and divides the body
into unequal left and right parts is called the: --A. caudal plane.
B. transverse plane.
C. sagittal plane.
D. median plane.
/.After delivering a shock to a patient in pulseless ventricular tachycardia, you
should: - -A. check for a pulse.
B. resume CPR.
C. deliver two effective ventilations.
D. reassess the cardiac rhythm.
/.Resting tremor of an extremity and bradykinesia are associated with: --A. Focal motor
seizures.
B. Parkinson disease.
C. Vascular dementia.
D. Alzheimer disease.
/.Patients with epiglottitis present with: --A. dentalgia.
B. wheezing
C. hyperosmia.
D. dysphagia.
/.In addition to facilitating the uptake of sugar into the cells, insulin is
responsible for: -A. the production of amino acids and carbohydrates.
B. stimulating the liver and kidneys to produce glucose.
C. the chemical conversion of glucose to glycogen.
D. the chemical conversion of glycogen to glucose.
/.Crowning is MOST accurately defined as: - -A. passage of the baby through the fully
dilated cervix.
B. the presenting of the baby at the vaginal opening.
C. bulging of the baby's feet from the vaginal opening.
D. the thinning and shortening of the cervix during labor.
/.Chest compressions are indicated in the newborn if its heart rate remains
less than ____ beats/min despite effective positive-pressure ventilations for
____ seconds. --A. 60, 30
B. 60, 60
C. 80, 60
D. 80, 30
/.The ongoing, systematic collection, analysis, and interpretation of injury
