FINAL PARAMEDIC 2026 CARDIAC LIFE
SUPPORT AND ASSESSMENT REVIEW
MANUAL
◉2. A 26 year old female does not respond to verbal stimuli but
moans in response to pain. A friend states the patient has ingested
approx 150 amitriptyline tables. Vital Signs are BP 88/50 R16. You
establish IV access and administer a fluid challenge. En route to the
hospital her ECG shows a widening QRS. You should administer
A. amiodarone
B. another fluid challenge
C. calcium chloride
D. sodium bicarbonate. Answer: Sodium Bicarbonate.
◉3. You PT experienced trauma yesterday and you are transferring
her to a larger facility. She has been experiencing progressive
hypoxia. You notice coarse crackles in all lung fields on ventilation.
Vital signs are BP 90/50 and SPO2 90%. You should
A. increase IV fluid administration rate
B. extubate and re-intubate the patient
C. transport emergently and continue ventilation
D. perform bilateral chest decompression and reassess. Answer:
Transport emergency and continue ventilation.
,◉4. An alert 22 year old male was just disentangled from debris in a
house collapse. He denies head or neck pain, but complains of server
hip pain. Vital signs are BP 88/40. P120 R 16 you should administer.
A. epinephrine
B. lidocaine
C. sodium bicarbonate
D. morphine sulfate. Answer: sodium bicarbonate
◉5. Braxton Hicks contractions
A. are mild and signal the beginning of labor
B. occur in the second trimester and are false labor
C. cause extreme back and abdominal discomfort
D. cause dilation and effacement of the cervix. Answer: occur in the
second trimester and are false labor.
◉6. A 40 year old male crashed his motorcycle. He had a brief loss of
consciousness, woke up and
walked home. You find him 2 hours later at home unconscious. You
should suspect.
A. Subdural hematoma
B. Subarachnoid Bleed.
C. Basilar skull fracture
,D. Epidural Hematoma. Answer: epidural hematoma
◉7. A 47 year old male who was found unconscious on the side of
the road respond only to painful stimulus. When you attempt to
establish IV access he stiffens his arms and legs. He has minor
abrasions all over his body. Vital signs are BO 178/122 P56 R
irregular ETCO2 30. What should you do?
A. Mildly hypoventilate with a bag valve mask
B. Assist ventilations at 12 breaths per minute
C. Administer a 250 mL normal saline bolus
D. Administer 25 g of dextrose. Answer: Assist ventilations at 12
breaths per minHg.
◉8. A 28 year old female has a sudden onset of tightness in her chest
and server difficulty breathing. Her tongue face and neck appear
swollen and she has red itchy hives on her torso. Her signs are BP
80/40 P 130. You should administer
A. administer 25 mg diphenhydramine IV
B. transport immediately to the hospital
C. administer 0.3 mg epinephrine IM
D. administer 100 mg Solumedrol IV. Answer: Epinephrine 0.3mg
, ◉9. You are asked to set up a patient treatment area after a box
labeled "radioactive" was found unattended in a park. Which of the
following would be the best location.
A. An open area in the park
B. The Emergency Operations Center
C. The Incident Command Center
D. A building in the park. Answer: Building in the park
◉11. What is the most common cause of status epilepticus in adults.
A. Alcohol withdrawal
B. Sudden elevation in body temperature
C. Failure to take prescribed medications
D. Recent history of head trauma. Answer: Failure to take prescribed
medications
◉12. A 58 year old male with history of renal failure complains of
dizziness lethargy and difficulty
breathing. He says he missed his last dialysis appointment. Vital
signs are BP 160/90 P 100 R 28 with rales heard in the basses. SPO2
92% you should suspect.
A. fluid overload
B. hypokalemia
C. respiratory alkalosis
SUPPORT AND ASSESSMENT REVIEW
MANUAL
◉2. A 26 year old female does not respond to verbal stimuli but
moans in response to pain. A friend states the patient has ingested
approx 150 amitriptyline tables. Vital Signs are BP 88/50 R16. You
establish IV access and administer a fluid challenge. En route to the
hospital her ECG shows a widening QRS. You should administer
A. amiodarone
B. another fluid challenge
C. calcium chloride
D. sodium bicarbonate. Answer: Sodium Bicarbonate.
◉3. You PT experienced trauma yesterday and you are transferring
her to a larger facility. She has been experiencing progressive
hypoxia. You notice coarse crackles in all lung fields on ventilation.
Vital signs are BP 90/50 and SPO2 90%. You should
A. increase IV fluid administration rate
B. extubate and re-intubate the patient
C. transport emergently and continue ventilation
D. perform bilateral chest decompression and reassess. Answer:
Transport emergency and continue ventilation.
,◉4. An alert 22 year old male was just disentangled from debris in a
house collapse. He denies head or neck pain, but complains of server
hip pain. Vital signs are BP 88/40. P120 R 16 you should administer.
A. epinephrine
B. lidocaine
C. sodium bicarbonate
D. morphine sulfate. Answer: sodium bicarbonate
◉5. Braxton Hicks contractions
A. are mild and signal the beginning of labor
B. occur in the second trimester and are false labor
C. cause extreme back and abdominal discomfort
D. cause dilation and effacement of the cervix. Answer: occur in the
second trimester and are false labor.
◉6. A 40 year old male crashed his motorcycle. He had a brief loss of
consciousness, woke up and
walked home. You find him 2 hours later at home unconscious. You
should suspect.
A. Subdural hematoma
B. Subarachnoid Bleed.
C. Basilar skull fracture
,D. Epidural Hematoma. Answer: epidural hematoma
◉7. A 47 year old male who was found unconscious on the side of
the road respond only to painful stimulus. When you attempt to
establish IV access he stiffens his arms and legs. He has minor
abrasions all over his body. Vital signs are BO 178/122 P56 R
irregular ETCO2 30. What should you do?
A. Mildly hypoventilate with a bag valve mask
B. Assist ventilations at 12 breaths per minute
C. Administer a 250 mL normal saline bolus
D. Administer 25 g of dextrose. Answer: Assist ventilations at 12
breaths per minHg.
◉8. A 28 year old female has a sudden onset of tightness in her chest
and server difficulty breathing. Her tongue face and neck appear
swollen and she has red itchy hives on her torso. Her signs are BP
80/40 P 130. You should administer
A. administer 25 mg diphenhydramine IV
B. transport immediately to the hospital
C. administer 0.3 mg epinephrine IM
D. administer 100 mg Solumedrol IV. Answer: Epinephrine 0.3mg
, ◉9. You are asked to set up a patient treatment area after a box
labeled "radioactive" was found unattended in a park. Which of the
following would be the best location.
A. An open area in the park
B. The Emergency Operations Center
C. The Incident Command Center
D. A building in the park. Answer: Building in the park
◉11. What is the most common cause of status epilepticus in adults.
A. Alcohol withdrawal
B. Sudden elevation in body temperature
C. Failure to take prescribed medications
D. Recent history of head trauma. Answer: Failure to take prescribed
medications
◉12. A 58 year old male with history of renal failure complains of
dizziness lethargy and difficulty
breathing. He says he missed his last dialysis appointment. Vital
signs are BP 160/90 P 100 R 28 with rales heard in the basses. SPO2
92% you should suspect.
A. fluid overload
B. hypokalemia
C. respiratory alkalosis
