Paramedic Final exam
Study online at https://quizlet.com/_e8c5vq
1. Which of the following best describes when you B) Throughout your time
should perform a scene size-up? on the scene
A) Once you arrive at the patient's side
B) Throughout your time on the scene
C) When you initially arrive at the scene
D) As you are leaving the scene
2. Which of the following is the best example of referred A) Right shoulder pain as-
pain? sociated with cholecystitis
A) Right shoulder pain associated with cholecystitis
B) Abdominal pain related to pancreatitis
C) Flank pain associated with a kidney stone
D) Chest pain located under the sternum associated
with a cardiac condition
3. Discoloration over the umbilicus, known as ________ A) Cullen's; late
sign, is a(n) ________ indicator of intraabdominal bleed-
ing.
A) Cullen's; late
B) Grey Turner's; early
C) Grey Turner's; late
D) Cullen's; early
4. A patient who loses his balance while standing with C) Romberg test.
his eyes closed and feet together for 20
to 30 seconds is exhibiting a positive:
A) tilt test.
B) Babinski's reflex.
C) Romberg test.
D) Kehr's sig
5. B) Congestive heart failure
, Paramedic Final exam
Study online at https://quizlet.com/_e8c5vq
Rales, or crackles, would be most typically auscultated
in patients with which of the
following conditions?
A) Pulmonary embolus
B) Congestive heart failure
C) Asthma
D) Pneumoni
6. Your patient is a 62-year-old woman with a history of B) Nasal cannula
COPD. She is slightly more short of
breath than usual today. She is alert and speaks three
to four words between breaths. Her SpO2 is
93 percent on room air. Which of the following devices
should be used for the administration of
oxygen to this patient?
A) Nonrebreather mask
B) Nasal cannula
C) CPAP
D) BVM
7. A male patient with an acute exacerbation of his em- C) PCO2 of 70 mmHg
physema presents in severe distress with
decreased air movement and diffuse inspiratory
wheezes in all fields. HR = 132, BP = 142/88,
RR =30, SaO2 = 88%. Which of the following blood gas
values is most likely?
A) pH of 7.6
B) PO2 of 100 mmHg
C) PCO2 of 70 mmHg
D) PCO2 of 35 mmHg
8. B) V1-V4.
, Paramedic Final exam
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The anterior surface of the heart is best viewed by ECG
leads:
A) II, III, aVF.
B) V1-V4.
C) I, aVL.
D) aVR, aVL, aVF.
9. The lead to the left of the sternum at the fourth inter- B) V2.
costal space is:
A) V1.
B) V2.
C) V3.
D) V4
10. Rebound tenderness in the abdomen is a sign of po- C) peritoneal irritation.
tential:
A) kidney stone.
B) full urinary bladder.
C) peritoneal irritation.
D) food poisoning.
11. Which of the following interferes with ventilation in D) The ability to gener-
the presence of a flail segment? ate negative intrathoracic
A) The ability to generate positive intrathoracic pres- pressure is impaired.
sure is impaired.
B) Intrathoracic pressure increases on the affected
side.
C) Intrathoracic pressure decreases on the affected
side.
D) The ability to generate negative intrathoracic pres-
sure is impaired.
12. C) succinylcholine.
, Paramedic Final exam
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The preferred depolarizing neuromuscular agent for
rapid sequence intubation is:
A) pancuronium.
B) midazolam.
C) succinylcholine.
D) vecuronium.
13. A 22-year-old woman presents with severe abdominal D) Ectopic pregnancy
pain and signs of shock. When asked
whether she is pregnant, she states, "There's no way
I'm pregnant, I have an IUD." Which of the
following is the most likely cause of her signs and
symptoms?
A) Endometriosis
B) Pelvis inflammatory disease
C) Miscarriage
D) Ectopic pregnancy
14. You are caring for a patient who is 36 weeks pregnant. B) placenta previa.
She states that she has been
experiencing vaginal bleeding after intercourse, and
denies any associated pain. Vital signs are:
heart rate 84, respirations 18, blood pressure 102/72
mmHg, and warm, dry skin. The most likely
cause of this patient's vaginal bleeding is:
A) spontaneous abortion.
B) placenta previa.
C) abruptio placentae.
D) false labor.
15. ) A 37-year-old, obviously pregnant woman complains C) abruptio placentae.
of sharp, tearing abdominal pain. She
Study online at https://quizlet.com/_e8c5vq
1. Which of the following best describes when you B) Throughout your time
should perform a scene size-up? on the scene
A) Once you arrive at the patient's side
B) Throughout your time on the scene
C) When you initially arrive at the scene
D) As you are leaving the scene
2. Which of the following is the best example of referred A) Right shoulder pain as-
pain? sociated with cholecystitis
A) Right shoulder pain associated with cholecystitis
B) Abdominal pain related to pancreatitis
C) Flank pain associated with a kidney stone
D) Chest pain located under the sternum associated
with a cardiac condition
3. Discoloration over the umbilicus, known as ________ A) Cullen's; late
sign, is a(n) ________ indicator of intraabdominal bleed-
ing.
A) Cullen's; late
B) Grey Turner's; early
C) Grey Turner's; late
D) Cullen's; early
4. A patient who loses his balance while standing with C) Romberg test.
his eyes closed and feet together for 20
to 30 seconds is exhibiting a positive:
A) tilt test.
B) Babinski's reflex.
C) Romberg test.
D) Kehr's sig
5. B) Congestive heart failure
, Paramedic Final exam
Study online at https://quizlet.com/_e8c5vq
Rales, or crackles, would be most typically auscultated
in patients with which of the
following conditions?
A) Pulmonary embolus
B) Congestive heart failure
C) Asthma
D) Pneumoni
6. Your patient is a 62-year-old woman with a history of B) Nasal cannula
COPD. She is slightly more short of
breath than usual today. She is alert and speaks three
to four words between breaths. Her SpO2 is
93 percent on room air. Which of the following devices
should be used for the administration of
oxygen to this patient?
A) Nonrebreather mask
B) Nasal cannula
C) CPAP
D) BVM
7. A male patient with an acute exacerbation of his em- C) PCO2 of 70 mmHg
physema presents in severe distress with
decreased air movement and diffuse inspiratory
wheezes in all fields. HR = 132, BP = 142/88,
RR =30, SaO2 = 88%. Which of the following blood gas
values is most likely?
A) pH of 7.6
B) PO2 of 100 mmHg
C) PCO2 of 70 mmHg
D) PCO2 of 35 mmHg
8. B) V1-V4.
, Paramedic Final exam
Study online at https://quizlet.com/_e8c5vq
The anterior surface of the heart is best viewed by ECG
leads:
A) II, III, aVF.
B) V1-V4.
C) I, aVL.
D) aVR, aVL, aVF.
9. The lead to the left of the sternum at the fourth inter- B) V2.
costal space is:
A) V1.
B) V2.
C) V3.
D) V4
10. Rebound tenderness in the abdomen is a sign of po- C) peritoneal irritation.
tential:
A) kidney stone.
B) full urinary bladder.
C) peritoneal irritation.
D) food poisoning.
11. Which of the following interferes with ventilation in D) The ability to gener-
the presence of a flail segment? ate negative intrathoracic
A) The ability to generate positive intrathoracic pres- pressure is impaired.
sure is impaired.
B) Intrathoracic pressure increases on the affected
side.
C) Intrathoracic pressure decreases on the affected
side.
D) The ability to generate negative intrathoracic pres-
sure is impaired.
12. C) succinylcholine.
, Paramedic Final exam
Study online at https://quizlet.com/_e8c5vq
The preferred depolarizing neuromuscular agent for
rapid sequence intubation is:
A) pancuronium.
B) midazolam.
C) succinylcholine.
D) vecuronium.
13. A 22-year-old woman presents with severe abdominal D) Ectopic pregnancy
pain and signs of shock. When asked
whether she is pregnant, she states, "There's no way
I'm pregnant, I have an IUD." Which of the
following is the most likely cause of her signs and
symptoms?
A) Endometriosis
B) Pelvis inflammatory disease
C) Miscarriage
D) Ectopic pregnancy
14. You are caring for a patient who is 36 weeks pregnant. B) placenta previa.
She states that she has been
experiencing vaginal bleeding after intercourse, and
denies any associated pain. Vital signs are:
heart rate 84, respirations 18, blood pressure 102/72
mmHg, and warm, dry skin. The most likely
cause of this patient's vaginal bleeding is:
A) spontaneous abortion.
B) placenta previa.
C) abruptio placentae.
D) false labor.
15. ) A 37-year-old, obviously pregnant woman complains C) abruptio placentae.
of sharp, tearing abdominal pain. She
