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Airway & Breathing
1. A 58-year-old male is unconscious with snoring respirations after a fall. What is
your first action?
A) Insert an NPA
B) Perform a jaw-thrust maneuver
C) Apply high-flow oxygen via NRB
D) Check for a carotid pulse
Answer: B – The jaw-thrust opens the airway without moving the cervical spine.
2. Which oxygen delivery device provides the highest FiO₂ in a non-intubated patient?
A) Nasal cannula @ 6 L/min
B) Simple face mask @ 10 L/min
C) Non-rebreather (NRB) @ 15 L/min
D) Venturi mask @ 12 L/min
Answer: C – NRB at 15 L/min delivers up to 90% FiO₂.
3. A 6-year-old has stridor, drooling, and a fever. You should:
A) Perform blind finger sweep
B) Lay the patient supine
C) Allow the patient to sit in position of comfort
D) Immediately insert an OPA
Answer: C – This suggests epiglottitis; sitting upright maintains airway patency.
4. You hear wheezing in a conscious patient with respiratory distress. Which medication would
your medical direction most likely authorize?
A) Epinephrine 1:10,000 IV
B) Albuterol via nebulizer
C) Nitroglycerin SL
D) Aspirin 324 mg
Answer: B – Albuterol is a bronchodilator for bronchospasm (asthma/COPD).
, 5. An adult patient has agonal respirations at 6 breaths/min. After opening the airway, you
should:
A) Apply a nasal cannula at 4 L/min
B) Begin ventilations with a BVM at 10–12 breaths/min
C) Suction for 15 seconds
D) Place in recovery position
Answer: B – Agonal breathing is inadequate; positive pressure ventilation is required.
6. During BVM ventilation, you note minimal chest rise. The most likely cause is:
A) Too much tidal volume
B) Gastric distension
C) Inadequate mask seal
D) High oxygen flow rate
Answer: C – A poor seal allows air to escape, reducing chest rise.
Cardiology & Resuscitation (6 questions)
7. A 60-year-old male has chest pressure radiating to the jaw, nausea, and diaphoresis. HR 48,
BP 80/50. You should suspect:
A) Anterior STEMI
B) Right ventricular infarction
C) Pericarditis
D) Aortic dissection
Answer: B – Bradycardia + hypotension suggests RV infarct; avoid nitroglycerin.
8. On an AED, the device says "No shock advised." The patient is unresponsive and pulseless.
What next?
A) Resume CPR for 2 minutes
B) Check for a carotid pulse again
C) Turn off the AED
D) Deliver a precordial thump
Answer: A – Follow AED prompts: resume high-quality CPR immediately.
9. Which rhythm is most likely to convert with a single shock?
A) Asystole
B) Pulseless electrical activity (PEA)