Paramedic Final Practice test (fisdap)
For which of the following patients is nasotracheal intubation absolutely contraindicated?
You are called for a young man choking. Upon arrival you find very scared parents trying to dislodge a
piece of hot dog from their 10 year old child's airway by administering back blows and abdominal
thrusts, The child is limp. As you take over you discover the child is able to move a minimal amount of
air. You should:
continue with back blow and abdominal thrusts until item becomes dislodged or obstruction becomes
complete
You have just intubated an adult patient. You believe you have been successful. You are listening for
sounds in the epigastric area and hear nothing. What would you do?
attach an ETCO2 monitoring device
What changes in blood gases occur when a patient is hyperventilating?
decreased CO2; increased PaO2
First responders are applying unusually long ventilations with an oxygen resuscitator to an apneic
adult female. They are also not pausing between breaths. What negative effects can this increased
pressure create?
increased pulmonary elasticity??
Percutaneous transtracheal ventilation
needle cricothyrotomy
You are treating a cardiac arrest patient who you have successfully resuscitated. The patient is still
unconscious, apneic, and he is endotracheally intubated. The patient suddenly becomes cyanotic and
his SpO2 decreases from 98% to 82%. His heart rate decreases from 110 to 40. What caused these
sudden changes?
dislodged endotracheal tube
What is the primary danger to the infant during a precipitous delivery?
cerebral trauma
You are treating a 26 year old male victim of an assault. The patient was struck in the chest and
abdomen with a baseball bat.
Vital Signs: P- 110, R- 6 with sonorous respirations.
The patient is place on high flow O2. While attempting an oral airway the patient gags. The oral
airway is removed. How are you attempting to secure his airway next?
Place a nasopharyngeal airway and ventilate with a bag valve mask
What effects does morphine sulfate have on the venous system?
increases venous pooling, resulting in reduced preload and after load
, Paramedic Final Practice test (fisdap)
You are treating a 48 year old female with chest pain. On scene you administer oxygen, aspirin, and
two nitro tablets. En route to the hospital your patient states her pain decreases to a 1 on a scale of 0-
10. To provide the best care, you should...
continue high flow oxygen and repeat vitals, consider 12 lead EKG if pain persists
A 52 yom is compelling of constant, severe pain and pressure in his chest, which he says started about
4 hours ago. The patient has bilateral rales, and his skin is cool to the touch. Vital signs are: BP- 72/52,
P- 124, R-28. No JVD or Edema in lower extremities. What condition is most likely responsible for his
signs and symptoms.
Myocardial infarction with cariogenic shock
Which of the following patients has the best cerebral oxygenation?
45 yom, disoriented, BP 140/80, skin warm and dry
What term best describes the ability of cardiac cells to spontaneously depolarize without being
stimulated by a nerve?
Automaticity
A 72 yom with a history of atherosclerosis complains of a sudden onset of sharp pain in his right leg
and foot which has grown worse over the past 2 hours. Objective data includes an anxious patient
with vital signs: BP- 124/60, P-70, R-18. He has a pale, waxy, cool right leg. No pedal pulses are
present in the right foot. The left leg is normal. What is the patients probable diagnosis?
Acute arterial occlusion
What is atherosclerosis?
The gradual blockage of an artery due to cholesterol and hardened deposits
Which of the following is the underlying cause of the pain associated with a sickle cell crisis?
Tissue ischemia
Which of the following best describes the term syncope?
sudden temporary loss of consciousness
The correct dose of naloxone for a 6lb 8oz neonate suffering respiratory depression secondary to in
utero exposure to narcotics is
0.3mg
Your patient is a 22 yof without a medical history. She was sitting at her office desk where she had an
acute onset of dyspnea and pleuritic type chest pain. Presently she is awake but agitated. Upon exam
you find she is pale, cool, and diaphoretic. Vital signs are: BP- 92/40, P-142, R-36 and shallow but clear
bilaterally. Only medications are Tylenol and a BC pill. What conditions would you suspect?
Pulmonary Embolism
For which of the following patients is nasotracheal intubation absolutely contraindicated?
You are called for a young man choking. Upon arrival you find very scared parents trying to dislodge a
piece of hot dog from their 10 year old child's airway by administering back blows and abdominal
thrusts, The child is limp. As you take over you discover the child is able to move a minimal amount of
air. You should:
continue with back blow and abdominal thrusts until item becomes dislodged or obstruction becomes
complete
You have just intubated an adult patient. You believe you have been successful. You are listening for
sounds in the epigastric area and hear nothing. What would you do?
attach an ETCO2 monitoring device
What changes in blood gases occur when a patient is hyperventilating?
decreased CO2; increased PaO2
First responders are applying unusually long ventilations with an oxygen resuscitator to an apneic
adult female. They are also not pausing between breaths. What negative effects can this increased
pressure create?
increased pulmonary elasticity??
Percutaneous transtracheal ventilation
needle cricothyrotomy
You are treating a cardiac arrest patient who you have successfully resuscitated. The patient is still
unconscious, apneic, and he is endotracheally intubated. The patient suddenly becomes cyanotic and
his SpO2 decreases from 98% to 82%. His heart rate decreases from 110 to 40. What caused these
sudden changes?
dislodged endotracheal tube
What is the primary danger to the infant during a precipitous delivery?
cerebral trauma
You are treating a 26 year old male victim of an assault. The patient was struck in the chest and
abdomen with a baseball bat.
Vital Signs: P- 110, R- 6 with sonorous respirations.
The patient is place on high flow O2. While attempting an oral airway the patient gags. The oral
airway is removed. How are you attempting to secure his airway next?
Place a nasopharyngeal airway and ventilate with a bag valve mask
What effects does morphine sulfate have on the venous system?
increases venous pooling, resulting in reduced preload and after load
, Paramedic Final Practice test (fisdap)
You are treating a 48 year old female with chest pain. On scene you administer oxygen, aspirin, and
two nitro tablets. En route to the hospital your patient states her pain decreases to a 1 on a scale of 0-
10. To provide the best care, you should...
continue high flow oxygen and repeat vitals, consider 12 lead EKG if pain persists
A 52 yom is compelling of constant, severe pain and pressure in his chest, which he says started about
4 hours ago. The patient has bilateral rales, and his skin is cool to the touch. Vital signs are: BP- 72/52,
P- 124, R-28. No JVD or Edema in lower extremities. What condition is most likely responsible for his
signs and symptoms.
Myocardial infarction with cariogenic shock
Which of the following patients has the best cerebral oxygenation?
45 yom, disoriented, BP 140/80, skin warm and dry
What term best describes the ability of cardiac cells to spontaneously depolarize without being
stimulated by a nerve?
Automaticity
A 72 yom with a history of atherosclerosis complains of a sudden onset of sharp pain in his right leg
and foot which has grown worse over the past 2 hours. Objective data includes an anxious patient
with vital signs: BP- 124/60, P-70, R-18. He has a pale, waxy, cool right leg. No pedal pulses are
present in the right foot. The left leg is normal. What is the patients probable diagnosis?
Acute arterial occlusion
What is atherosclerosis?
The gradual blockage of an artery due to cholesterol and hardened deposits
Which of the following is the underlying cause of the pain associated with a sickle cell crisis?
Tissue ischemia
Which of the following best describes the term syncope?
sudden temporary loss of consciousness
The correct dose of naloxone for a 6lb 8oz neonate suffering respiratory depression secondary to in
utero exposure to narcotics is
0.3mg
Your patient is a 22 yof without a medical history. She was sitting at her office desk where she had an
acute onset of dyspnea and pleuritic type chest pain. Presently she is awake but agitated. Upon exam
you find she is pale, cool, and diaphoretic. Vital signs are: BP- 92/40, P-142, R-36 and shallow but clear
bilaterally. Only medications are Tylenol and a BC pill. What conditions would you suspect?
Pulmonary Embolism
