PARAMEDIC MEDICAL ACTUAL EXAM PAPER
2026 TESTED QUESTIONS AND SOLUTIONS
GRADED A+
◍ A rhythmic contraction and relaxation of muscle groups that is
commonly observed during a seizure is called __________ activity.
A.myoclonic
B.tonic
C.clonic
D.hypertonic. Answer: C.clonic
◍ A loss of balance and equilibrium suggests injury to the:
A.cerebrum.
B.thalamus.
C.cerebellum.
D.midbrain.. Answer: C.cerebellum.
◍ A 19-year-old man presents with a decreased level of
consciousness. According to his girlfriend, he has no known medical
problems and takes no medications. Initial treatment for this patient
involves:
,A.administering oxygen via nonrebreathing mask.
B.evaluating his cardiac rhythm with the ECG monitor.
C.ensuring airway patency and adequate breathing.
D.performing a rapid check of his blood glucose level.. Answer:
C.ensuring airway patency and adequate breathing.
◍ A patient with a head injury is found lying supine. The patient's feet
are extended with the toes pointed, and the arms extended with the
hands pronated. This indicates:
A.spinal cord injury.
B.brainstem injury.
C.low intracranial pressure.
D.decorticate posturing.. Answer: B.brainstem injury.
◍ In contrast to a patient in shock, you would expect a patient with
increased intracranial pressure to present with:
A.a narrow pulse pressure.
B.hypotension
C.a widened pulse pressure.
D.tachycardia.. Answer: C.a widened pulse pressure.
,◍ An autoimmune disorder in which the body attacks the myelin of
the brain and spinal cord is called:
A.Guillain-Barre syndrome.
B.muscular dystrophy.
C.multiple sclerosis.. Answer: C.multiple sclerosis.
◍ A stroke to the right cerebral hemisphere would MOST likely
cause:
A.left-sided weakness and an absence of facial droop.
B.right-sided weakness and a right-sided facial droop.
C.right-sided weakness and left side visual field loss.
D.left-sided weakness and a right side visual field loss.. Answer:
D.left-sided weakness and a right side visual field loss.
◍ A 33-year-old woman had an apparent syncopal episode. According
to her husband, she complained of dizziness shortly before the
episode. He further states that he caught her before she fell to the
ground. Upon your arrival, the patient is conscious but confused and
is sitting in a chair. Her blood pressure is 90/60 mm Hg, pulse rate is
110 beats/min and weak, and respirations are 22 breaths/min and
regular. Her blood glucose level is 74 mg/dL. The MOST likely cause
of her syncopal episode is:
A.a seizure.
, B.dehydration.
C.a vasovagal response.
D.acute hypoglycemia.. Answer: B.dehydration.
◍ All of the following are examples of acute cerebrovascular
emergencies, EXCEPT:
A.rupture of a cerebral arterial aneurysm.
B.stroke secondary to thrombus rupture.
C.embolic blockage of a cerebral artery.
D.accumulation of atherosclerotic plaque.. Answer: D.accumulation
of atherosclerotic plaque.
◍ 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.carefully assessing her pupils, administering oxygen, starting an IV
and giving her morphine, and transporting.
2026 TESTED QUESTIONS AND SOLUTIONS
GRADED A+
◍ A rhythmic contraction and relaxation of muscle groups that is
commonly observed during a seizure is called __________ activity.
A.myoclonic
B.tonic
C.clonic
D.hypertonic. Answer: C.clonic
◍ A loss of balance and equilibrium suggests injury to the:
A.cerebrum.
B.thalamus.
C.cerebellum.
D.midbrain.. Answer: C.cerebellum.
◍ A 19-year-old man presents with a decreased level of
consciousness. According to his girlfriend, he has no known medical
problems and takes no medications. Initial treatment for this patient
involves:
,A.administering oxygen via nonrebreathing mask.
B.evaluating his cardiac rhythm with the ECG monitor.
C.ensuring airway patency and adequate breathing.
D.performing a rapid check of his blood glucose level.. Answer:
C.ensuring airway patency and adequate breathing.
◍ A patient with a head injury is found lying supine. The patient's feet
are extended with the toes pointed, and the arms extended with the
hands pronated. This indicates:
A.spinal cord injury.
B.brainstem injury.
C.low intracranial pressure.
D.decorticate posturing.. Answer: B.brainstem injury.
◍ In contrast to a patient in shock, you would expect a patient with
increased intracranial pressure to present with:
A.a narrow pulse pressure.
B.hypotension
C.a widened pulse pressure.
D.tachycardia.. Answer: C.a widened pulse pressure.
,◍ An autoimmune disorder in which the body attacks the myelin of
the brain and spinal cord is called:
A.Guillain-Barre syndrome.
B.muscular dystrophy.
C.multiple sclerosis.. Answer: C.multiple sclerosis.
◍ A stroke to the right cerebral hemisphere would MOST likely
cause:
A.left-sided weakness and an absence of facial droop.
B.right-sided weakness and a right-sided facial droop.
C.right-sided weakness and left side visual field loss.
D.left-sided weakness and a right side visual field loss.. Answer:
D.left-sided weakness and a right side visual field loss.
◍ A 33-year-old woman had an apparent syncopal episode. According
to her husband, she complained of dizziness shortly before the
episode. He further states that he caught her before she fell to the
ground. Upon your arrival, the patient is conscious but confused and
is sitting in a chair. Her blood pressure is 90/60 mm Hg, pulse rate is
110 beats/min and weak, and respirations are 22 breaths/min and
regular. Her blood glucose level is 74 mg/dL. The MOST likely cause
of her syncopal episode is:
A.a seizure.
, B.dehydration.
C.a vasovagal response.
D.acute hypoglycemia.. Answer: B.dehydration.
◍ All of the following are examples of acute cerebrovascular
emergencies, EXCEPT:
A.rupture of a cerebral arterial aneurysm.
B.stroke secondary to thrombus rupture.
C.embolic blockage of a cerebral artery.
D.accumulation of atherosclerotic plaque.. Answer: D.accumulation
of atherosclerotic plaque.
◍ 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.carefully assessing her pupils, administering oxygen, starting an IV
and giving her morphine, and transporting.
