FISDAP PARAMEDIC FINAL LATEST EXAM /PARAMEDIC FISDAP FINAL EXAM TEST BANK REAL EXAM 600+QU, Exams of Nursing

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FISDAP PARAMEDIC FINAL LATEST EXAM /PARAMEDIC

FISDAP FINAL EXAM TEST BANK REAL EXAM

600+QUESTIONS

1 .You have received an order for a dopamine drip. You carry 500cc bags of D5W. How much dopamine should you add to the bag to create a 1600mcg/1mL dilution? A. 800mg B. 1600mcg C. 1600mg D. 400mcg - Correct answer- A. 800 mg

2. During the absolute refractory period, what happens to the cardiac cell? A. It is unable to be stimulated. B. The cell is vulnerable to partial stimulation. C. Potassium is being pumped out of the cell. D. Calcium has just rushed into the cell. - Correct answer- A. It is unable to be stimulated.
3. A 29 - year-old female fell from an 18 - foot roof. During your rapid trauma assessment, where are you most likely to find life-threatening injuries? A. Head, neck, extremities B. Head, chest, abdomen C. Abdomen, pelvis, arms D. Chest, pelvis, extremities - Correct answer- B. Head, chest, abdomen
4. Unequal pupils are a result of pressure on which structure? A. Central medulla B. Trochlear membrane C. Valgus nerve D. Oculomotor nerve - Correct answer- D. Oculomotor nerve

5. What is an abnormally high level of carbon dioxide in the blood called? A. Pneumonia B. Hypoxia C. Hypercapnia D. Emphysema - Correct answer- C. Hypercapnia
6. What is oxygen deficiency in the body called? A. Hypercarbia B. Hyperoxia C. Hypoxia D. Hypoxemia - Correct answer- C. Hypoxia
7. What is your initial priority at a trench collapse? A. Establishing medical command B. Maintaining control of the crowd C. Preventing a secondary collapse D. Protecting the patient's airway - Correct answer- A. Establishing medical command
8. A 23 - year-old male complains of neck stiffness and flu symptoms for the past few days. He also describes a high fever with a severe headache, dizziness and blurred vision. What should you suspect? A. Hemorrhagic stroke B. Migraine C. Meningitis D. Influenza - Correct answer- C. Meningitis
9. What causes an emphysema patient to have a pink appearance? A. Elevated PCO2 level B. Polycythemia C. Anemia D. Elevated PO2 level - Correct answer- B. Polycythemia

10. Which of the following is a musical, squeaking or whistling sound heard in inspiration and expiration while auscultating lung fields? A. Wheezing B. Snoring C. Stridor D. Gurgling - Correct answer- A. Wheezing
11. You are treating a 82 year old male in hypovolemic shock. In order to increase their blood pressure you should administer: A. 0.45% NaCl via IV B. isotonic fluids orally C. dextrose 5% in water via IO D. isotonic crystalloid via IV - Correct answer- D. isotonic crystalloid via IV
12. A 35 year old man is pulseless and apneic. He was found in a lake after falling through the ice. His wife says he left the house 3 hours ago. His is cold and rigid. What should you do? A. Perform chest compressions B. Begin active rewarming techniques C. Obtain IO access and administer a warm fluid bolus D. Contact the medical examiner - Correct answer- A. Perform chest compressions
13. What does a pulsating mass in the abdomen suggest? A. Abdominal aortic aneurysm B. Perforated ulcer C. Hernia D. Ruptured ectopic pregnancy - Correct answer- A. Abdominal aortic aneurysm
14. What is the safest and most effective landing pattern for a helicopter? A. At a slight angle like that of a jet B. Nose of the helicopter pointing up with a tail wind C. Straight up and down in a vertical motion D. Nose of the helicopter pointing down with a slow descent - Correct answer- A. At a slight angle like that of a jet

15. During inspiration, what happens to blood flow in the thoracic cavity? A. afterload increases B. blood flow increases to the right atrium C. blood flow through the vena cava is reduced D. pressure in the aorta increases - Correct answer- B. blood flow increases to the right atrium
16. What is the period of the cardiac cycle when stimulation will not produce any depolarization? A. Impulse refractory period B. Absolute refractory period C. Relative refractory period D. Transient refractory period - Correct answer- B. Absolute refractory period
17. While treating a 56 year old male for chest pain, you note a few PVCs on the monitor. You print a strip and measure the distance between the normal beats on each side of the PVC. The normal sinus rhythm continues on both sides of the PVC as if it were the normal beat, even though the PVC happens sooner than the sinus beat would have. The pause after the PVC would be: A. A sign of continued ischemia B. A compensatory pause C. A non-compensatory pause D. Reynaud's Pause - Correct answer- B. A compensatory pause
18. A 5 month old male is in cardiac arrest. Resuscitation efforts have been ongoing for 30 minutes. His heart rhythm is and has been asystolic throughout treatment. What should you do? A. Continue CPR and ACLS drugs for another thirty minutes B. Begin termination of resuscitative efforts C. Report suspected child abuse to the police D. Wait for the coroner before stopping CPR - Correct answer- B. Begin termination of resuscitative efforts
19. Which of the following requires ATP? A. Active transport B. Osmosis

C. Diffusion D. Facilitated diffusion - Correct answer- A. Active transport

20. A 52 year old male was the unrestrained driver in a frontal impact car crash. Which of the following injuries would lead you to believe the patient traveled "up and over" the dashboard instead of "down and under"? A. Patellar dislocation B. Cervical spine fracture C. Ruptured diaphragm D. Flail chest - Correct answer- C. Ruptured diaphragm
21. How does the blood flow through the heart? A. Right ventricle to right atrium to lungs to left ventricle to left atrium B. Right atrium to right ventricle to lungs to left atrium to left ventricle C. Left ventricle to left atrium to lungs to right ventricle to right atrium D. Left atrium to left ventricle to lungs to right atrium to right ventricle - Correct answer- B. Right atrium to right ventricle to lungs to left atrium to left ventricle
22. As soon as an infant's head is delivered, what should you do? A. Determine the location of the umbilical cord. B. Rotate the shoulders to the anterolateral position. C. Examine the vulva and perineum for lacerations. D. Exert strong steady pressure on the fundus. - Correct answer- A. Determine the location of the umbilical cord.
23. A patient has aphasia following a stroke, which lobe of the brain was affected? A. Temporal B. Occipital C. Parietal D. Frontal - Correct answer- A. Temporal
24. What does the P wave represent with an ECG? A. Ventricular depolarization

B. Atrial depolarization C. Ventricular repolarization D. Atrial repolarization - Correct answer- B. Atrial depolarization

25. A lethargic 22 month old male presents with hoarseness and coughing. He has sternal retractions and his belly and chest move in opposite directions with each breath. He is breathing at a rate of 64. What should you suspect? A. Cardiopulmonary failure. B. Respiratory failure. C. Cardiopulmonary arrest. D. Respiratory distress. - Correct answer- B. Respiratory failure.
26. A patient was ejected from an automobile and is apneic and pulseless. ECG reveals a regular rhythm with an R-R interval of 1.24 seconds and a QRS width of 110 milliseconds. You should consider A. transcutaneous pacing. B. atropine 0.5 mg IV. C. epinephrine 1 mg IV. D. adenosine 6 mg rapid IV. - Correct answer- C. epinephrine 1 mg IV.
27. What organ is located in the upper right quadrant? A. Kidney B. Liver C. Pancreas D. Spleen - Correct answer- B. Liver
28. A 24 year old male was stabbed in the thigh. Bright red blood spurts from the wound. What should you suspect that the patient severed? A. Vein B. Artery C. Ligament D. Tendon - Correct answer- B. Artery

29. A 24 year old male was working underneath his car when it fell off of the jack. He was under the car approximately 20 minutes before being extricated. He has bluish discoloration of his skin above the nipple line. What should you suspect? A. Traumatic asphyxiation B. Pericardial tamponade C. Cushing's triad D. Pulmonary contusion - Correct answer- A. Traumatic asphyxiation
30. A unrestrained 24 year old female driver hit an electrical pole and struck the steering wheel. She appears pale and complains of nausea and abdominal pain. What organ is LEAST likely to suffer an injury as a result of this impact? A. Spleen B. Diagphram C. Liver D. Stomach - Correct answer- D. Stomach
31. What causes Down's syndrome? A. Brain trauma B. Extra chromosome C. Bacterial infection D. Psychological trauma - Correct answer- B. Extra chromosome
32. Where would you insert the needle to decompress the chest? A. Below the 3rd rib midclavicular line B. Below the 4th rib midclavicular line C. Above the 4th rib midclavicular line D. Above the 3rd rib midclavicular line - Correct answer- D. Above the 3rd rib midclavicular line
33. A 67 year old male complains of bloody stool with accompanying nausea and emesis. He states symptoms began 3 days ago. Vital signs BP 100/86, P 88, R 18. What should you do? A. IV fluid bolus B. Administer a diuretic C. Administer an antiemetic

D. Apply oxygen - Correct answer- A. IV fluid bolus

34. How much time do you have to successfully intubate a patient? A. 30 seconds. B. 15 seconds. C. 60 seconds. D. 45 seconds. - Correct answer- A. 30 seconds.
35. What condition results when the alveoli collapse? A. Pneumothorax B. Pneumonia C. Effusion D. Atelectasis - Correct answer- D. Atelectasis
36. Why should you administer IV fluid to a patient in hypovolemic shock? A. Increase the blood pressure B. Maintain adequate tissue perfusion C. Increase the body's oxygen carrying capacity D. Maintain the body's homeostatic state - Correct answer- B. Maintain adequate tissue perfusion
37. What best defines shock? A. Deficiency of vascular tone due to hemorrhage. B. Inadequate cerebral blood flow. C. Hemorrhage exceeding 50% of total blood volume. D. Lack of adequate perfusion to the tissues. - Correct answer- D. Lack of adequate perfusion to the tissues.
38. What causes priapism in a trauma patient? A. Rupture of the urinary bladder B. Total autonomic nervous system dysfunction C. Parasympathetic nervous system dominance

D. Sympathetic nervous system dominance - Correct answer- C. Parasympathetic nervous system dominance

39. What is the primary function of insulin? A. Increase glucose transport out of the cells and increase pancreas glycogen levels B. Increase glucose transport out of the cells and increase liver glycogen levels C. Increase glucose transport into the cells and increase liver glycogen levels D. Decrease glucose transport into the cells and decrease pancreas glycogen levels - Correct answer- C. Increase glucose transport into the cells and increase liver glycogen levels
40. A 60 year old male fell onto a coffee table yesterday and he woke up this morning complaining of diffuse, dull abdominal pain. You note periumbilical bruising. What is this known as? A. Crohn's sign B. Cullen's sign C. Kehr's sign D. Grey-Turner's sign - Correct answer- B. Cullen's sign
41. After placement of an ET tube, you find breath sounds are diminished on the left side but present on the right side. What should you do? A. Contact Medical Direction and ask for further instruction. B. Deflate and withdraw the tube while listening over the left side. C. Deflate the cuff, remove the tube and ventilate with a BVM. D. Continue ventilating the patient and secure the tube. - Correct answer- B. Deflate and withdraw the tube while listening over the left side.
42. A 25 year old male has a closed head injury and a knife impaled in his back. He is combative and screams incomprehensible words while thrashing. What should you do? A. Titrate diazepam administration to gain control of the patient. B. Use straps and spine board to gain control of the patient. C. Use rapid sequence intubation to protect the patient. D. Request the police to restrain the patient for transport. - Correct answer- C. Use rapid sequence intubation to protect the patient.
43. What does the body use for fuel in diabetic ketoacidosis?

A. Acids B. Fats C. Glucose D. Ketones - Correct answer- B. Fats

44. What neurotransmitter found in the brain that regulates mood, anxiety, and sleep? A. Acetylcholine B. Gamma-aminobutyric acid C. Norepinephrine D. Serotonin - Correct answer- D. Serotonin
45. A 38 year old female complains of sudden onset of shortness of breath. She has no previous history and no allergies. Her only medications are birth control pills. Her last meal was 8 hours earlier at an airport prior to her flight home. What should you suspect? A. Allergic reaction B. Pulmonary embolus C. Influenza D. Undiagnosed asthma - Correct answer- B. Pulmonary embolus
46. A 35 year old epileptic is actively seizing (full clonic movement). What medication should you consider? A. Verapamil B. Procainamide C. Lorazepam D. Calcium - Correct answer- C. Lorazepam
47. What causes Tuberculosis? A. Bacteria B. Fungus C. Antibody D. Virus - Correct answer- A. Bacteria

48. A 68 year old female with CHF took 400 mg of furosemide, and is now unresponsive. Vitals signs are BP 110/70, P 100, R 6. What should you do? A. Perform an IV fluid bolus B. Begin manual ventilations C. Administer sodium bicarbonate D. Administer nitroglycerin - Correct answer- B. Begin manual ventilations
49. Which stage of delivery begins with complete cervical dilation and ends with delivery of the baby? A. Second B. Third C. Fourth D. First - Correct answer- A. Second
50. A 7 year old boy is found supine at the base of 15 foot high jungle gym. His teacher is unsure if he fell from the equipment. Vital signs are BP 100/90, R 0, P 42, SaO2 93%. What should you do? A. Insert an oropharyngeal airway. B. Open his airway with a head tilt-chin lift maneuver. C. Open his airway with a jaw thrust maneuver. D. Start CPR. - Correct answer- C. Open his airway with a jaw thrust maneuver.
51. What process involves a gas that travels from an area of higher concentration to lower concentration? A. Diffusion B. Osmosis C. Activated Transport D. Filtration - Correct answer- A. Diffusion
52. A 12 year old male has suffered a blast injury. What phase would projectiles have caused injury to the patient? A. Primary B. Quaternary C. Tertiary D. Secondary - Correct answer- D. Secondary

53. A 25 year old female began to experience shortness of breath, chest tightness, and coughing. She has difficulty speaking in full sentences. Vital signs are BP 116/64, P 96 and regular, RR 24 and labored, SpO2 93% on room air. You auscultate her lung sounds and hear high-pitched lung sounds on exhalation. What should you do? A. Assist with her prescribed nitroglycerin B. Administer albuterol via a nebulizer C. Administer abdominal thrusts D. Assist ventilations with a bag-valve mask - Correct answer- B. Administer albuterol via a nebulizer
54. You have been assigned to triage at an MCI. Your patient is bleeding from a cut on his head, R 22, P 100 radially, and he keeps asking "What happened?". What priority should be assigned to this patient? A. Yellow B. Red C. Black D. Green - Correct answer- A. Yellow
55. A 32 year old female seated at a restaurant has severe wheezing. She is flushed, appears anxious, and has a runny nose. She states that she is allergic to shellfish and peanuts. What should you suspect? A. Anaphylaxis B. Epiglottitis C. Asthma D. Aspiration - Correct answer- A. Anaphylaxis
56. You arrive on scene to find a 14 year old male leaning forward in a chair. He appears anxious, is drooling and you hear high-pitched sounds when he inhales. His mother states he has a fever and has been complaining of a sore throat. What should you suspect? A. Anaphylaxis B. Asthma C. Croup D. Epiglottitis - Correct answer- D. Epiglottitis
57. How should you ensure that your glucometer is functioning properly? A. Insert a test strip and ensure that the glucometer turns on.

B. Measure your partner's blood glucose level and compare to normal. C. Measure your own blood glucose level and compare to your normal. D. Insert a test strip and acquire a drop of the glucometer control solution - Correct answer- D. Insert a test strip and acquire a drop of the glucometer control solution

58. What is the biggest difference between cardiogenic shock and hemorrhagic shock? A. Pulmonary edema B. Hypotension C. Cardiac Arrest D. Cyanosis - Correct answer- A. Pulmonary edema
59. When you apply an end-tidal CO2 monitor, what are the 3 main items you are measuring? A. Metabolism, perfusion, and ventilation B. Metabolism, perfusion, and respiration C. Metabolism, cardiac output, and ventilation D. Perfusion, ventilation, and oxygenation - Correct answer- A. Metabolism, perfusion, and ventilation
60. What do you call progressively deeper, faster breathing alternating gradually with shallow, slower breathing? A. Kussmaul's respirations B. Cheyne-Stokes respirations C. Biot's respirations D. Agonal respirations - Correct answer- B. Cheyne-Stokes respirations
61. What happens during phase 0 of the cardiac action potential? A. The sodium-potassium pump is initiated. B. Potassium moves rapidly into the cell. C. The slow calcium channels close. D. The fast sodium channels open. - Correct answer- D. The fast sodium channels open.
62. A 26 year old female jumped from the second floor of her house. She states she was getting away from her abusive husband. What should you do?

A. Obtain a set of vital signs. B. Check for bilateral ankle fractures. C. Determine if the scene is safe. D. Asses for compression injury to the spine. - Correct answer- C. Determine if the scene is safe.

63. What structure has baroreceptors? A. Vena cava B. Ventricular wall C. Atrioventricular node D. Aortic arch - Correct answer- D. Aortic arch
64. An alert, 78 year old female complains of dyspnea. She speaks in full sentences and answers all your questions. Vital signs are BP 150/70, P 110 and irregular, R 26 and labored. You note peripheral cyanosis. What should you do? A. Begin positive-pressure ventilation with a BVM. B. Sedate and intubate orotracheally. C. Apply a nasal cannula with high flow oxygen at 2 lpm. D. Apply high flow oxygen at 12-15 lpm. - Correct answer- D. Apply high flow oxygen at 12-15 lpm.
65. When you are caring for more than one trauma patient at a time, when should you change your gloves? A. For each new patient B. For each new procedure C. Whenever time permits D. Whenever they become soiled - Correct answer- A. For each new patient
66. A 2 year old male has ingested an unknown amount of gasoline. What is your primary concern in your initial assessment? A. Establishing IV access TKO. B. Determining if the ingestion was intentional. C. Evaluating his cardiac rhythm. D. Evaluating his airway. - Correct answer- D. Evaluating his airway.

67. You arrive on scene to find a 4 year old male with a pulse but inadequate respiratory effort. At what rate do you administer assisted ventilation? A. 1 breath every 5 to 6 seconds B. 1 breath every 2 to 3 seconds C. 1 breath every 3 to 5 seconds D. 1 breath every 1 to 2 seconds - Correct answer- B. 1 breath every 2 to 3 seconds
68. A 55 year old male remains in ventricular fibrillation after three shocks and an IV epinephrine. What should you do? A. Epinephrine (1:1000) in the sequence:1mg, 3mg, 5mg. B. Epinephrine (1:10,00) by endotracheal tube. C. Epinephrine (1:10,000) every three to five minutes. D. Epinephrine (1:1,000) every three to five minutes. - Correct answer- C. Epinephrine (1:10,000) every three to five minutes.
69. A 45 year old male complains of difficulty breathing after being removed from a home contaminated with carbon monoxide. His SpO2 is paradoxically 100%, what does this mean? A. CO affects the nail beds, making SaO2 unreliable. B. CO is displacing O2 on erythrocyte hemoglobin. C. CO is binding to the alveoli preventing O2 from being exchanged. D. Carbonic anhydrase is inhibiting gas exchange. - Correct answer- B. CO is displacing O2 on erythrocyte hemoglobin.
70. A 22 year old female complains of joint pain and flu-like symptoms over the past two days. Her abdomen is soft and non-tender, but she appears to have a circular rash on her lower left quadrant. What should you suspect? A. Cholecystis B. Gastroenteritis C. Lyme's disease D. Influenza - Correct answer- C. Lyme's disease
71. What the mechanism of action for glucagon? A. Convert glucose to glycogen

B. Reduce blood glucose levels C. Move glucose into the cell D. Stimulate gluconeogenesis - Correct answer- D. Stimulate gluconeogenesis

72. When delivering a radio report, it is important to A. speak continuously in order to expedite the report. B. provide a field assessment of the patient's condition. C. clearly state and spell the patient's name. D. provide a comprehensive health history. - Correct answer- B. provide a field assessment of the patient's condition.
73. What is the primary action of insulin? A. Add a functional group during gluconeogenesis. B. Reduce the glucose consumption of the cells. C. Facilitate glucose transport into cells. D. Increase blood glucose levels. - Correct answer- C. Facilitate glucose transport into cells.
74. What cells form the initial clot following vascular injury? A. Erythrocytes B. Lymphocytes C. Thrombocytes D. Monocytes - Correct answer- C. Thrombocytes
75. What is the first confirmation of tube placement after orotracheal intubation? A. Condensation in the ET tube. B. Auscultation of the epigastrium C. Visualizing the tube passing the vocal cords. D. End tidal CO2 confirmation. - Correct answer- B. Auscultation of the epigastrium?
76. A 88 year old male is combative and angry. His wife states that he is normally pleasant and calm. What intervention would narrow your differential diagnosis? A. A response to oxygen therapy

B. A blood glucose reading C. If he responds to forceful control D. Cincinnati stroke scale - Correct answer- B. A blood glucose reading

77. What does preload refer to? A. The pressure in the filled ventricle at the end of systole. B. The pressure in the filled ventricle at the end of diastole. C. The pressure in the filled atria at the end of the systole. D. The pressure in the filled atria at the end of the diastole. - Correct answer- B. The pressure in the filled ventricle at the end of diastole.
78. Which immunoglobulin is mainly responsible during inflammation? A. IgM B. IgE C. IgG D. IgA - Correct answer- B. IgE
79. What percent of oxygen is delivered with a pocket mask on room air? A. 23 B. 92 C. 17 D. 10 - Correct answer- C. 17?
80. A 57 year old male complains of chest pain, shortness of breath and nausea. A 12 lead ECG shows ST elevation in Ieads V2, V3 and V4. What should you administer? A. Dopamine and oxygen. B. Aspirin and oxygen. C. Epinephrine and nitroglycerin. D. Nitroglycerine and oxygen. - Correct answer- B. Aspirin and oxygen.
81. Which of the following is an autosomal disorder of the exocrine glands which results in physiological changes in the respiratory, GI, integumentary, and muscoskeletal systems?

A. Tuberculosis B. Sickle cell anemia C. Pneumonia D. Cystic fibrosis - Correct answer- D. Cystic fibrosis

82. What structure prevents food or liquid from entering the trachea? A. Thyroid cartilage B. Uvula C. Larynx D. Epiglottis - Correct answer- D. Epiglottis
83. What is diphenhydramine HCL? A. Beta agonist B. Antihistamine C. Sympathomimetic D. Diuretic - Correct answer- B. Antihistamine
84. An 18 year old male was struck in the head by a large rock. When caring for this patient, what should you continually reassess? A. Level of consciousness. B. Locomotor function. C. Pulse motor sensory. D. Quality and degree of pain. - Correct answer- A. Level of consciousness.
85. What is the onset of action for succinylcholine? A. 15-30 seconds B. 60- 90 seconds C. 3-4 minutes D. 2-3 minutes - Correct answer- B. 60-90 seconds
86. You arrive at a house and find the occupants unconscious with the stove on. You should suspect A. carbon monoxide poisoning.

B. carbon dioxide poisoning. C. medication overdose. D. cyanide poisoning. - Correct answer- A. carbon monoxide poisoning.

87. A 76 year old female is pulseless and apneic. The ECG monitor shows asystole. What should you do? A. Administer epinephrine B. Start chest compressions C. Attempt a precordial thump D. Perform immediate defibrillation - Correct answer- B. Start chest compressions
88. Which of the following structures serves as a passageway for both the respiratory and digestive system? A. Trachea B. Pharynx C. Esophagus D. Cricoid cartilage - Correct answer- B. Pharynx
89. What is a highly infectious disease that causes bronchiolitis? A. RSV B. Pneumonia C. Common cold D. Asthma - Correct answer- A. RSV
90. A 39 year old male has an angulated deformity to the humerus. You cannot feel a distal pulse and the limb is blue. What should you do? A. Contact medical control for pain medication orders. B. Attempt to pull gentle traction and realign the bones. C. Splint with a sling and swathe, apply ice, and transport. D. Transport emergently to the closest hospital - Correct answer- B. Attempt to pull gentle traction and realign the bones.

91. A 23 year old male complains of diffuse lower leg pain and tension after a car accident. Pedal pulses are absent bilaterally and you note slight cyanosis in his feet. Vital signs are BP 130/90, P 88, R 16. What should you suspect? A. Iliac arterial rupture B. Bilateral tibial fractures C. Compartment syndrome D. Lower leg embolism - Correct answer- C. Compartment syndrome
92. What happens to hemoglobin as the blood pH decreases? A. Releases oxygen. B. Releases carbon dioxide. C. Binds to carbon dioxide. D. Binds to oxygen. - Correct answer- A. Releases oxygen.
93. A 24 year old male screams at you to leave after your arrive on scene. He states that there are people after him and that they can hear his thoughts. He is agitated nervous, and constantly peering out the windows. His mother states that this is abnormal for him. What is he suffering from? A. Organic psychosis B. Dementia C. Autism D. A neurotic disorder - Correct answer- A. Organic psychosis
94. A 62 year old female complains of chest pain and shortness of breath. She is extremely anxious. Vital signs are BP 80/56, P 118, R 24 with crackles, SpO2 87%. What is the most likely cause? A. Pulmonary embolus B. Hypovolemic shock C. Right-sided heart failure D. Cardiogenic shock - Correct answer- D. Cardiogenic shock
95. A 62 year old female complains of chest pain and shortness of breath. She is extremely anxious. Lung sounds are present with crackles in the bases. Vital signs are BP 80/56, P 128, R 24, SpO2 87%. What should you do? A. Administer nitroglycerin B. Start a dopamine drip

C. Give a fluid bolus D. Administer Aspirin - Correct answer- D. Administer Aspirin

96. You suspect your partner has intubated the esophagus. What should you do? A. Check the end tidal CO2 monitor. B. Leave the tube in place and ventilate by BVM. C. Extubate and ventilate by BVM. D. Extubate and reattempt to intubate the patient. - Correct answer- C. Extubate and ventilate by BVM.
97. A 79 year old male complains of shortness of breath. He smokes cigarettes for 60 years. On physical exam you notice that he has a barrel shaped chest. What pathophysiology is most likely causing his symptoms? A. Collapsed bronchial tubes B. Spasm of bronchial muscle C. Inflammation of the trachea D. Excessive mucus production - Correct answer- A. Collapsed bronchial tubes
98. Which of the following is NOT part of the Cincinnati Stroke Test? A. Arm drift B. Slurred speech C. Ability to walk D. Facial droop - Correct answer- C. Ability to walk
99. During intubation, what is the maximum amount of time to allow without ventilating your patient? A. 10 seconds B. 15 seconds C. 60 seconds D. 30 seconds - Correct answer- D. 30 seconds
100. A 36 year old male with a history of asthma is in respiratory arrest. His carotid pulse corresponds to the ECG below. After establishing an airway and beginning ventilations, what should you do? A. Administer adenosine.

B. Administer an in-line albuterol nebulizer. C. Perform synchronized cardioversion. D. Administer epinephrine. - Correct answer- B. Administer an in-line albuterol nebulizer.

101. What is the area where the base of the tongue and the epiglottis meet called? A. Alveoli B. Vallecula C. Carina D. Bronchi - Correct answer- B. Vallecula
102. A 54 year old female is trapped in a car and complains of chest pain. You are unable to open the door, and the fire department is unable to get their extrication tools to work. What should you do? A. Break the window farthest from her to gain access. B. Use the extrication tools without power. C. Use a hand saw to cut the narrowest part of the frame to gain access. D. Wait 30 minutes for the replacement tools to arrive. - Correct answer- A. Break the window farthest from her to gain access.
103. What occurs during compression of the inferior vena cava? A. Supine hypotensive syndrome B. Eclampsia C. Preeclampsia D. Pregnancy induced hypertension - Correct answer- A. Supine hypotensive syndrome
104. What will stimulation of a B1 receptor in the heart do? A. Slow the heart with an increase contraction strength B. Speed up the heart rate and increase contraction strength C. Speed up the heart rate and decrease contraction strength D. Slow the heart with an decrease contraction strength - Correct answer- B. Speed up the heart rate and increase contraction strength
105. What is abnormality of breathing rate, pattern, or effort called?

A. Dysphonia B. Hypoxia C. Dyspnea D. Anoxia - Correct answer- C. Dyspnea

106. What are you required to report directly to law enforcement? A. Presence of illegal drugs B. Trauma caused by alcohol use C. Suspected child abuse D. Suspected sexual assault - Correct answer- D. Suspected sexual assault
107. What is the function of the ductus arteriosus? A. Provide a way for fetal wastes to leave material circulation. B. Allow blood to bypass the fetus's lungs before birth. C. Allow the neonate to take a breath following delivery. D. Decrease ambient pressure in the lungs before birth. - Correct answer- B. Allow blood to bypass the fetus's lungs before birth.
108. You are dispatched to a residence for a 67 year old female complaining of chest pain. The patient is pale, diaphoretic and describes are pain as crushing. Vital signs are BP 120/80, Pulse 100, Respirations are 22 and oxygen saturation is 90 percent. Select the correct medications in order: A. Oxygen, Morphine, Digoxin B. Metoprolol, Nitroglycerine, Aspirin C. Nitroglycerine, Aspirin D. Oxygen, Aspirin, Nitroglycerine - Correct answer- D. Oxygen, Aspirin, Nitroglycerine
109. What inherited metabolic disease of the lungs and digestive system manifests during childhood? A. Multiple sclerosis B. Cerebral palsy C. Cystic fibrosis D. Sickle cell disease - Correct answer- C. Cystic fibrosis

110. Which stage of shock occurs when cardiac output and systolic blood pressures are maintained by increasing catecholamine production? A. Compensated shock B. Uncompensated shock C. Irreversible shock D. Diffuse shock - Correct answer- A. Compensated shock
111. How many people does it take to provide Optimal BVM ventilation? A. 1 B. 4 C. 3 D. 2 - Correct answer- C. 3 (Likely wrong, D. 2 is better IMO)
112. During the resuscitation of a 45 year old female you note a change in rhythm and the ECG now shows sinus bradycardia. What should you do? A. Assess for a pulse B. Administer atropine C. Obtain a blood pressure D. Begin transcutaneous pacing - Correct answer- A. Assess for a pulse
113. A 23 year old alert and pregnant female complains of severe abdominal pain after an motor vehicle crash. You note her stomach is rigid and distended. There is no vaginal bleeding or discharge. Vital signs are BP 94/58, P 128, R 30 and shallow, SpO2 90%. What should you suspect? A. Uterine rupture B. Placenta previa C. Placenta abruptio D. Pre-term labor - Correct answer- A. Uterine rupture
114. A motor vehicle collided with an electrical pole resulting in downed power lines. A large crowd has gathered around the accident. Whom should you call for support? A. Volunteer Fire Department and Rescue Squad B. Local Power Company and State Police C. Volunteer Fire Department and State Police

D. Local Power Company and Volunteer Fire Department - Correct answer- B. Local Power Company and State Police

115. What effect does reducing preload have in a patient with pulmonary edema? A. Decreased respiratory demand B. Decreased cardiac efficiency C. Increased afterload D. Improved cardiac efficiency - Correct answer- D. Improved cardiac efficiency
116. Which of the following would properly represent a female who has been pregnant three times, given birth twice, and had one spontaneous abortion? A. P3, G2, AB1. B. P5, G2, AB1. C. G3, P2, AB1. D. G2, P2, AB1. - Correct answer- C. G3, P2, AB1.
117. A 28 year old male has severe flank pain radiating to his back. He squirms around on the floor unable to find a comfortable position, rating his pain a 9/10. He has consumed no fluids over the past day. Vital signs are BP 200/80, P 100, R 18. What should you do? A. Administer morphine or hydromorphone. B. Apply oxygen by nonrebreather mask and transport. C. Establish IV access and administer a fluid bolus. D. Administer aspirin and nitroglycerin. - Correct answer- A. Administer morphine or hydromorphone. 1 18. An 18 year old female with a suspected cervical spine injury has a significant amount of blood in her mouth. What should you do? A. Stabilize her head and suction her airway. B. Perform a jaw-thrust maneuver and attempt to ventilate her. C. Perform a jaw-thrust and finger sweep in order to remove blood from her mouth. D. Assess the her respiratory rate for no longer than 30 seconds. - Correct answer- A. Stabilize her head and suction her airway.