AIR METHODS CC PARAMEDIC
ACTUAL EXAM PAPER 2026
QUESTIONS WITH ANSWERS GRADED
A+
◍ CPP Formula.
Answer: MAP - ICP = CPP
◍ MAP Formula.
Answer: SBP + 2(DBP) / 3 = MAP
◍ Coopernail's Sign.
Answer: bruising of the scrotum or labia-indicating pelvic bleeding/
abdominal bleeding-pelvic fx
◍ Halstead's Sign.
Answer: Marbled abdomen- bleeding
◍ Cullen's sign.
Answer: ecchymosis in umbilical area, seen with pancreatitis
◍ CPP Range.
Answer: 50 - 80 mmHg
◍ Neurogenic Shock S/S.
Answer: Recent trauma. Loss of sympathetic tone, rapid onset hypotension...
Possibly bradycardia, warm flushed skin, potentially priapism.
◍ Murphy's Sign.
Answer: pain with palpation of the RUQ during inspiration-indicative of
cholecystitis
◍ Factors fetal well-being.
, Answer: 1.) Viability (most important)2.) Fetal Heart rate3.) Fetal
movement
◍ PEEP (positive end expiratory pressure).
Answer: -Causes increased pulmonary vascular resistance-Can cause
hypotension over 15 cmH2O-Normal: 5 cmH2O- lowest pressure the lungs
will see
◍ Head Injury (Epidural).
Answer: "MMA" LOC, then lucid interval, then LOC
◍ steps in resuscitation of the neonate.
Answer: Dry, warm, position to open airway, suction mouth then
noseTactile stimulation (HR<100 or apnea/IR breath rub back and
put)Oxygen near the faceBag valve mask - unresponsive to tactile stim
within a few sec (40-60bpm)reposition head, reapply mask, suction again
prn, if no response in 30 secIntubate - if HR < 60 after PPV for 30 sec,
thenChest compressions - 3:1 ratio (90 compressions / 30 breaths)Drugs -
epinephrine 0.1-0.3ml/kg of 1:10,000, through et tube or (preferably)
through umbilical venous line, volume loss give 10ml/kg NS
◍ Head Injury (Subarachnoid Hemorrhage).
Answer: Life Threatening, "thunderclap headache"
◍ pulmonary contusion.
Answer: Chest painbruising over sternumProgressive dyspneadecreased
breath sounds on one sideraleslow sats despite being on
o2hemoptysisirregular pulse-dysrthymia
◍ ruptured diaphragm.
Answer: abd contents herniate into the thoracic cavity compressing the
lungs/s: dyspnea, dysphagia, abd pain, sharp epigastric or chest pain
radiating to L shoulder (Kehr sign), bowel sounds heard in the lung fields on
injured side, decreased breath sounds on injured side.
◍ Head Injury (Subdural).
Answer: Slow onsetMost common in elderly and children.
, ◍ Norepinephrine (Levophed) Effect.
Answer: Increases systemic vascular resistance (SVR) causing increased
vasoconstriction (Increased Preload)Positive Inotropic/Chronotropic
EffectsIncrease or maintain cardiac output.
◍ Tracheobronchial injury.
Answer: 1. hemoptysis2. subcutaneous emphysema 3. air leak
(PNEUMOTHORAX) + PNEUMEDIASTINUM even after chest tube
placement***- advance ETT below level of injury into Right mainstem
◍ esophageal perforation.
Answer: -fever -hematemesis
◍ Fat embolus.
Answer: can form when a long bone is fractured and fat cells from yellow
bone marrow are released into the blood-fever-rash after fracture
◍ Dobutamine Effect.
Answer: Positive Inotropy & Chronotropy & Peripheral VasodilationWhich
will increase cardiac outputIncreased stroke volume and HR
◍ Blood loss from humerus fracture.
Answer: 750 ml
◍ Dopamine Effect.
Answer: SympathomimeticInotropic and Chronotropic Effect
◍ blood loss from femur fracture.
Answer: 1500 ml
◍ PAWP (pulmonary artery wedge pressure).
Answer: - Looks at the left side of the heart- If elevated can indicate
pulmonary congestion, CHF, cardiogenic shock- Do not keep wedged for
more than 30 seconds- Make sure balloon is deflated and have patient cough
forcefully-Normal: 8-12
◍ Gold Standard For Intubation Placement.
Answer: ECO2 Waveform
ACTUAL EXAM PAPER 2026
QUESTIONS WITH ANSWERS GRADED
A+
◍ CPP Formula.
Answer: MAP - ICP = CPP
◍ MAP Formula.
Answer: SBP + 2(DBP) / 3 = MAP
◍ Coopernail's Sign.
Answer: bruising of the scrotum or labia-indicating pelvic bleeding/
abdominal bleeding-pelvic fx
◍ Halstead's Sign.
Answer: Marbled abdomen- bleeding
◍ Cullen's sign.
Answer: ecchymosis in umbilical area, seen with pancreatitis
◍ CPP Range.
Answer: 50 - 80 mmHg
◍ Neurogenic Shock S/S.
Answer: Recent trauma. Loss of sympathetic tone, rapid onset hypotension...
Possibly bradycardia, warm flushed skin, potentially priapism.
◍ Murphy's Sign.
Answer: pain with palpation of the RUQ during inspiration-indicative of
cholecystitis
◍ Factors fetal well-being.
, Answer: 1.) Viability (most important)2.) Fetal Heart rate3.) Fetal
movement
◍ PEEP (positive end expiratory pressure).
Answer: -Causes increased pulmonary vascular resistance-Can cause
hypotension over 15 cmH2O-Normal: 5 cmH2O- lowest pressure the lungs
will see
◍ Head Injury (Epidural).
Answer: "MMA" LOC, then lucid interval, then LOC
◍ steps in resuscitation of the neonate.
Answer: Dry, warm, position to open airway, suction mouth then
noseTactile stimulation (HR<100 or apnea/IR breath rub back and
put)Oxygen near the faceBag valve mask - unresponsive to tactile stim
within a few sec (40-60bpm)reposition head, reapply mask, suction again
prn, if no response in 30 secIntubate - if HR < 60 after PPV for 30 sec,
thenChest compressions - 3:1 ratio (90 compressions / 30 breaths)Drugs -
epinephrine 0.1-0.3ml/kg of 1:10,000, through et tube or (preferably)
through umbilical venous line, volume loss give 10ml/kg NS
◍ Head Injury (Subarachnoid Hemorrhage).
Answer: Life Threatening, "thunderclap headache"
◍ pulmonary contusion.
Answer: Chest painbruising over sternumProgressive dyspneadecreased
breath sounds on one sideraleslow sats despite being on
o2hemoptysisirregular pulse-dysrthymia
◍ ruptured diaphragm.
Answer: abd contents herniate into the thoracic cavity compressing the
lungs/s: dyspnea, dysphagia, abd pain, sharp epigastric or chest pain
radiating to L shoulder (Kehr sign), bowel sounds heard in the lung fields on
injured side, decreased breath sounds on injured side.
◍ Head Injury (Subdural).
Answer: Slow onsetMost common in elderly and children.
, ◍ Norepinephrine (Levophed) Effect.
Answer: Increases systemic vascular resistance (SVR) causing increased
vasoconstriction (Increased Preload)Positive Inotropic/Chronotropic
EffectsIncrease or maintain cardiac output.
◍ Tracheobronchial injury.
Answer: 1. hemoptysis2. subcutaneous emphysema 3. air leak
(PNEUMOTHORAX) + PNEUMEDIASTINUM even after chest tube
placement***- advance ETT below level of injury into Right mainstem
◍ esophageal perforation.
Answer: -fever -hematemesis
◍ Fat embolus.
Answer: can form when a long bone is fractured and fat cells from yellow
bone marrow are released into the blood-fever-rash after fracture
◍ Dobutamine Effect.
Answer: Positive Inotropy & Chronotropy & Peripheral VasodilationWhich
will increase cardiac outputIncreased stroke volume and HR
◍ Blood loss from humerus fracture.
Answer: 750 ml
◍ Dopamine Effect.
Answer: SympathomimeticInotropic and Chronotropic Effect
◍ blood loss from femur fracture.
Answer: 1500 ml
◍ PAWP (pulmonary artery wedge pressure).
Answer: - Looks at the left side of the heart- If elevated can indicate
pulmonary congestion, CHF, cardiogenic shock- Do not keep wedged for
more than 30 seconds- Make sure balloon is deflated and have patient cough
forcefully-Normal: 8-12
◍ Gold Standard For Intubation Placement.
Answer: ECO2 Waveform
