PCP Pharmacology Exam – 180 Questions on ASA, Nitroglycerin, Naloxone, Respiratory & Emergency Medications – 2026

This document contains a comprehensive 180-question PCP Pharmacology exam review presented in a structured question-and-answer format with verified responses. The content covers core prehospital and primary care pharmacology, including detailed drug profiles for ASA (indications for ACS and early MI, contraindications such as GI bleeding and Reye syndrome risk, MOA inhibiting prostaglandins and thromboxane A2, adult dosing 160–162 mg PO), nitroglycerin (preload and afterload reduction, contraindications including hypotension and PDE-5 inhibitor use, SL and patch dosing), and naloxone (opioid overdose reversal, IV/IM/IN dosing, withdrawal-related side effects). Extensive respiratory and emergency medication coverage includes salbutamol (sympathomimetic bronchodilator), ipratropium bromide (anticholinergic), epinephrine for anaphylaxis, dimenhydrinate for vertigo and motion sickness, nitrous oxide as a gaseous analgesic, D50W for symptomatic hypoglycemia, glucagon for refractory hypoglycemia, oral glucose administration, acetaminophen and ibuprofen dosing with contraindications, and pediatric medication calculations including weight-based dosing protocols. Mechanisms of action, classifications, indications, contraindications, adult and pediatric dosages, and common side effects are clearly outlined for rapid exam preparation. The material aligns closely with standard Primary Care Paramedic (PCP) pharmacology curricula and emergency medical services medication guidelines. It reflects competency-based learning required for paramedic certification exams, focusing on safe medication administration, recognition of adverse reactions, dosage calculations, and emergency clinical decision-making. This document is particularly relevant for: Primary Care Paramedic (PCP) students EMS and prehospital care students Paramedic students preparing for pharmacology exams Emergency medical responder trainees Students reviewing adult and pediatric emergency medication dosing It serves as a structured, exam-focused pharmacology study guide designed to reinforce medication mechanisms, contraindications, safe dosing ranges, pediatric calculations, and emergency drug administration principles. Keywords: PCP pharmacology exam ASA indications contraindications nitroglycerin mechanism of action naloxone opioid overdose dosing salbutamol bronchodilator ipratropium anticholinergic epinephrine anaphylaxis dose D50W hypoglycemia treatment glucagon emergency dosing oral glucose administration dimenhydrinate antiemetic nitrous oxide analgesic acetaminophen dosage adult pediatric ibuprofen contraindications pediatric medication calculations paramedic drug profiles prehospital medication guidelines emergency pharmacology review