Exit Exam Alternative Flashcards
1
Q
1. You have been called to a party for a 20 year old male who bystanders state had an episode of “Violent Shakes” before you arrived. The patient is conscious and agitated, BP 132/96, pulse 132, respirations are 28. He is diaphoretic and his pupils are dilated. Bystanders deny any drug or alcohol ingestion. What do you suspect? A) Grand mal seizure. B) Delirium tremens. C) Cocaine overdose. D) Heroin overdose.
A
Ans: A
2
Q
- When a drug’s specific action is a negative Chronotropic effect, what effect will it have on the heart?
A) Increased heart rate
B) Decrease heart rate
C) Increase force of muscular contractility
D) Decrease force of muscular contractility
A
Ans: B
3
Q
3. A child has overdosed on ASA. You would expect all of the following except: A) Hypoventilation B) Metabolic acidosis C) Vomiting and dehydration D) Diaphoresis and fever
A
Ans: D
4
Q
- The best possible score for a Glasgow coma scale
A) Eye opening 4; verbal response 5; motor response; 6
B) Eye opening 3; verbal response 4; motor response; 5
C) Eye opening 6; verbal response 5; motor response; 4
D) Eye opening 5; verbal response 5; motor response; 6
A
Ans: A
5
Q
5. Early signs of Lidocaine toxicity are: A) Seizures and hypertension B) Tremors & V Tachycardia C) Tremors and paresthesia D) Headache and seizures
A
Ans: D
6
Q
6. What position is JVD best observed: A) 30 degrees upright B) Fowlers C) Trendelenburg D) Supine
A
Ans: B
7
Q
- ln addition to administering Pitocin to a patient experiencing postpartum hemorrhage, the Paramedic should also implement which of the following
measures?
A) IV volume expanders, antishock trousers, and EKG monitor.
B) IV KVO, high-flow oxygen, and fundal massage.
C) Massage fundus, IV Fluids, and allow newborn to breast feed.
D) IV fluids, pack vagina and place mother in shock position.
A
Ans: C
8
Q
8. A patient who is hyperventilating may have which acid-base condition? A) Respiratory acidosis B) Respiratory alkalosis C) Metabolic acidosis D) Metabolic alkalosis
A
Ans: B
9
Q
9. A collection of the blood caused by a ruptured blood vessel that is enclosed in an organ, tissue or body space is a/an: A) Aneurysm B) Erythema C) Petichiae D) Hematoma
A
Ans: D
10
Q
10. You are transporting a 26-year-old multigravida whose last two babies were by Cesarean Section. She appears to be near full term and is having hard contractions 3-4 minutes apart. She suddenly complains of continuous lower abdominal pain, progressively worse, and gradually goes into shock. The most likely possibility is: A) Placenta previa B) Abruptio placenta C) Ruptured ectopic pregnancy D) Uterine rupture
A
Ans: B
11
Q
11. Cardiac output = A) Stroke volume x B/P B) Stroke volume + systolic B/P C) Heart Rate x Stroke volume D) Ejection Fraction x Contractile Force
A
Ans: C
12
Q
- If a physician stops at the scene of your call and offers assistance, which of the following should you do before consenting to allow his/her assistance?
A) Confirm that person is actually a medical doctor and not a Ph.D.
B) Confirm that the physician is willing to come to the hospital with you and the patient.
C) Let the physician speak to your medical control so they can work together.
D) All of the above.
A
Ans: D
13
Q
13. A patient presents as follows: acting bizarre, skin is cool & clammy skin, slurred speech, and staggers. Vital signs are: Pulse 110 weak and thready, RR 24 regular and non-labored, BP 110/70, SA02 97% on RA, Glucose: LO. The diagnosis for this patient is: A) Hyperglycemia B) Diabetic Ketoacidosis C) Insulin Shock D) Brain Attack
A
Ans: C
14
Q
14. lf the heart rate increases, but the stroke volume remains the same, what happens to the cardiac output? A) Increases B) Decreases C) Remains the same D) The stroke volume must increase also
A
Ans: A
15
Q
15. The termination of a paramedic/patient care relationship before assuring that a health care provider of equal or higher training will continue care is called: A) False imprisonment B) Confidentiality. C) Malpractice. D) Abandonment.
A
Ans: D
16
Q
16. The pulmonary artery carries: A) Oxygenated blood to the lungs B) Deoxygenated blood to the lungs C) Oxygenated blood to the heart D) Deoxygenated blood to the heart
A
Ans: B
17
Q
- lf a patient who is refusing care becomes unconscious, can the paramedic treat him?
A) Yes, under the informed consent provision.
B) Yes, under the emergency doctrine.
C) Not without the police present.
D) Not without permission of medical control.
A
Ans: B
18
Q
- Atropine works by:
A) Stimulating the sympathetic nervous system
B) Stimulating the parasympathetic nervous system
C) Blocking the effects of the vagus nerve
D) Stimulating the vagus nerve
A
Ans: C
19
Q
19. You are called to a home of a 23-year-old obese female approximately 8 months pregnant who has just had a Grand Mal seizure. You observe the patient is still having seizure activity. rapid pulse @ 145/min., BP -240/130,3+ edema of extremities. No history of epilepsy or head injury can be obtained. The most likely diagnosis is: A) Hypertensive crises B) CVA seizure C) Eclampsia D) Pre-eclampsia
A
Ans: C
20
Q
- All of the following are elements of Cushing Triad except:
A) Elevated BP
B) Decreased pulse
C) Irregular respirations
D) Decreased peripheral vascular resistance
A
Ans: D
21
Q
21. You are unable to defibrillate a patient because the defibrillator doesn't charge. The patient later dies, and the family learns that you failed to replace the battery -the morning according to your service's routine procedures. You may be liable for: A) Negligence B) Malpractice C) Abandonment D) Wrongful death
A
Ans: A
22
Q
22. The principle of providing care equal to that of a similarly trained individual in the same or similar circumstances is called: A) Negligence B) Standard of care C) Duty to act D) The prudent person principle
A
Ans: B
23
Q
23. The pediatric patient that presents with sunken eyes, recent weight loss, and tachycardia should be evaluated to rule out: A) Polio B) Pertusis C) Anaphylaxis D) Dehydration
A
Ans: D
24
Q
- You are called to the scene of a construction site accident. A 31-year-old male was working in a trench when the walls collapsed and he was completely
covered by dirt. His coworkers have freed his abdomen, chest, and head, but he is still trapped from the waist down. The patient appears to be purple from the shoulders up and is having marked difficulty breathing. His eyes are bulging, and his lips appear swollen. You suspect:
A) Myocardial infarction
B) Tension pneumothorax
C) Traumatic asphyxia
D) Simple pneumothorax
A
Ans: C
25
Q
25. The normal PR interval is seconds A) 0.2 -0.4 B) 0.4 -0.12 C) 0.1 -0.20 D) 0.12 -0.20
A
Ans: D
26
Q
- The physician orders 5mcg/kg/min of dopamine for an 80 kg patient. You put
400 mg of Dopamine in 250 ml D5W. What is the correct rate using a microdrip administration set?
A) 15 gtts/min
B) 30 gtts/min
C) 40 gtts/min
D) 120 gtts/min
A
Ans: A
27
Q
- The APGAR score evaluates:
A) Pulse, respirations, BP ,activity, color,
B) Pulse, respirations, activity, color, grimace
C) Pulse, reflex ability, appearance, BP
D) BP, pulse, gestation, color, respiration
A
Ans: B
28
Q
28. The patient who is decorticate will move his hands and arms: A) Toward the body B) Over the head C) Extended away from the body D) None of the above
A
Ans: A
29
Q
29. A 60 y/o patient with a-fib develops signs of CVA. This is probably due to: A) Cerebral hemorrhage B) Pulmonary Hemorrhage C) Cerebral thromboembolus D) Cerebral embolus
A
Ans: C
30
Q
- Select the answer which correctly arranges the stages of the grieving process in order.
A) Denial- depression-anger-bargaining-acceptance
B) Denial- anger-bargaining-depression-acceptance
C) Bargaining -denial -anger -depression -acceptance
D) Acceptance -depression -bargaining -denial -anger
A
Ans: B
31
Q
- A 55 year old patient has a pulse rate of 50. There is a P for every QRS and the P-R interval is 0.16. The patient is cold and clammy and the BP is 70/50. Indicate the rhythm, and the initial treatment.
A) Sinus bradycardia and Atropine 0.5 mg
B) 1st. degree block and a fluid bolus
C) Third degree block and Atropine 1 mg
D) Sinus bradycardia and a Dopamine drip
A
Ans: A
32
Q
- Arrange the below drug routes in order from quickest absorption to slowest.
- Subcutaneous injection
- Oral
- Intravenous
- Sublingual tablet
A) 3-2-1-4.
B) 1-3-4-2
C) 3-4-1-2.
D) 1-3-2-4
A
Ans: C
33
Q
- You are treating a patient who is unconscious and hypotensive. His respiratory rate is 4bpm and his pupils are pinpoint. You note an empty syringe near his body. Treatment for this patient includes:
A) Maintain airway, ventilate with 100% 02, EGG monitoring, nasal intubation.
B) Maintain airway, ventilate with 100%02, EGG Monitoring, IV, Narcan.
C) Maintain airway, EGG monitoring, IV, Narcan.
D) Maintain airway, ventilate with 100% 02, EGG monitoring, IV, Epinephrine
A
Ans: B
34
Q
34. A Physician has ordered you to administer 1 mg / kg of Lasix to a 184 pound female. The pre-filled syringe is labeled 20 mg per ml. How many ml's must you administer to obtain the proper dose: A) 2 ml. B) 3 ml. C) 4 ml. D) 4.5 ml.
A
Ans: D
35
Q
35. A class of drug that is designed to increase blood pressure is known as a(n): A) Antianginal B) Vasopressor C) Anticonvulsant D) Diuretic
A
Ans: B
36
Q
- After receiving an intramuscular injection of Penicillin, a patient develops a rash all over his body, has difficulty in breathing, and is wheezing audibly. His blood pressure is 70/40, Pulse is 122 weak and thready with no radial pulse present, Respiratory rate is 28 per min labored. SAO2 89% and skin is pale and diaphoretic. Treatment for this patient includes:
A) Epinephrine 1:1,000 0.3 -0.5 mg SQ injection
B) Benadryl 100 mg IVP
C) Epinephrine 1 :10,000 0.3 -0.5 mg IVP
D) Benadryl 50 ml SQ injection
A
Ans: C
37
Q
37. Administration of Morphine Sulfate may cause: A) Respiratory depression or arrest B) Hypotension C) Unconsciousness D) All of the above
A
Ans: D
38
Q
38. You are evaluating a 31 y/o female who is complaining of dizziness and chest pain. Her blood pressure is 70/40 with a pulse of 230. Her EKG shows Supraventricular Tachycardia. Which of the following is appropriate? A) Synchronized cardioversion B) Lidocaine 1.5 mg / kg IVP C) Unsynchronized shock. D) Adenosine 6 mg rapid IVP.
A
Ans: A
39
Q
- In a cardiac arrest situation, atropine is administered in doses of:
A) 0.5 mg every 3 to 5 minutes, not to exceed 0.04 mg/kg or 3 mg.
B) 1.0 mg every 3 to 5 minutes, not to exceed 0.4 mg/kg or 3mg.
C) 1.0 mg every 3 to 5 minutes, not to exceed 0.5 mg/kg or 4 mg.
D) 1.0 mg every 3 to 5 minutes, not to exceed 0.04 mg/kg or 3 mg.
A
Ans: D
40
Q
40. Mr. Webster is complaining of extreme fatigue and a headache, which has developed over the past 12 hours. His wife reports that he has been eating everything in sight and has been frequently urinating today. Upon exam, you note that is he is hypotensive and has deep, rapid respiration. You conclude that he is experiencing: A) Transient Ischemic Attack B) Insulin shock C) Thyrotoxicosis D) Diabetic Ketoacidosis.
A
Ans: D
41
Q
41. A narcotic poisoning may result in \_\_\_\_\_\_\_\_\_\_\_\_\_ pupils. A) Unequal B) Dilated C) Constricted D) Fixed
A
Ans: C
42
Q
- Once a tourniquet is applied, the decision may be that you will:
A) Take it off once bleeding has been controlled.
B) Lose the limb to save the life.
C) Replace it with an air splint when one is available
D) Loosen it when the patient experiences paresthesia
A
Ans: B
43
Q
43. A structure or area closer to the trunk than a given point of reference is considered to be A) Superficial B) Palmar C) Distal D) Proximal
A
Ans: D
44
Q
- While ventilating an intubated patient with the bag-valve-mask device you notice that it becomes more and more difficult to compress the bag. This may indicate.
A) Decreasing lung compliance
B) An occlusion of the endotracheal tube.
C) Endobronchial intubation.
D) All of the above.
A
Ans: D
45
Q
45. Which of the following manual airway maneuvers is the preferred method for all but spine-injured patients? A) Head-tilt with chin-lift B) Chin-lift alone C) Head-tilt with jaw-thrust D) Jaw-thrust alone
A
Ans: A
46
Q
46. The curved laryngoscope blade is also called a: A) Macintosh B) MacBurnie C) Miller D) Magill
A
Ans: A
47
Q
47. Hypertensive emergencies are related to other emergencies such as intracranial hemorrhage, pulmonary edema, AMI and aortic dissection. When hypertension is associated with these conditions treatment should be directed at the: A) Hypertension. B) Pulmonary edema. C) AMI. D) Primary problem.
A
Ans: D
48
Q
48. A drug that influences the rate of the heart is referred to as being A) Isotropic. B) Phototropic. C) Inotropic D) Chronotropic
A
Ans: D
49
Q
- The initial dose of adenosine is
A) 6 mg rapid IVP (within 1 to 2 seconds).
B) 6 mg slow IVP (over 30 seconds to 1 minute).
C) 3 mg rapid IVP (within 1 to 2 seconds).
D) 3 mg rapid IVP (over 30 seconds to 1 minute).
A
Ans: A
50
Q
50. Administration routes for sodium bicarbonate include A) IV only. B) ET only C) IV or ET D) IV,E.T, S.Q.
A
Ans: A
51
Q
51. Nitroglycerin is indicated for all of the following situations except A) Angina B) Chest pain C) Pulmonary edema D) Cerebral edema.
A
Ans: D
52
Q
52. The lumbar spine consists of A) 3 to 5 vertebrae B) 5 vertebrae C) 7 vertebrae D) 12 vertebrae
A
Ans: B
53
Q
53. Paralysis of the lower extremities only is called A) Paraplegia B) Quadriplegia C) Hemiplegia. D) Paresis
A
Ans: A
54
Q
54. The phrase full-thickness burn may be applied to A) A first-degree burn. B) A second-degree burn. C) A third-degree burn. D) Both answers (a) and (b).
A
Ans: C
55
Q
55. You are called to the scene of a patient who was involved in an altercation at the local pool hall. You find one victim in the back alley anxious and screaming for your assistance. You notice immediately that he has clammy skin and a dusky appearance. He has a respiratory rate of 40 and his breathing is shallow. He tells you that he has been hit multiple times in the chest, abdomen, and back with a pool stick by "two big guys." While assessing his chest you notice multiple contusions to the right side with diminished respirations on the right. What would you suspect? A) Cardiac tamponade B) Hemothorax C) Ruptured diaphragm D) Pneumothorax
A
Ans: D
56
Q
56. Off-line (indirect) medical control primarily relies on: A) Stop lines B) Protocols C) ACLS algorithms. D) Paramedic Judgement
A
Ans: B
57
Q
- If you receive a copy of a valid DNR order after you have begun resuscitation attempts, you are ethically obligated to:
A) continue resuscitation until ordered to stop by medical direction.
B) continue resuscitation attempts until the patient is transported to an emergency department.
C) check the patient’s breathing and pulse before ceasing resuscitation efforts.
D) cease resuscitation efforts.
A
Ans: D
58
Q
58. Under the tongue, between the cheek and gums, the eyes, the nose, and the ear and ear canal are sites where medications can be absorbed into the body through the: A) arterioles. B) capillaries. C) venules. D) mucous membranes.
A
Ans: D
