AQA AS PHYSICS PAPER 2 QP JUNE
ACTUAL EXAM PAPER 2026
QUESTIONS WITH ANSWERS GRADED
A+
◍ when obtaining a 12 - lead ECG, lead V1 should be placed:A) upper right
shoulder just above the clavicle B) approximately 1 inch to the right of the
angle of Louis C) In the sec intercostal space just inferior to the sec rib.D) in
the fourth intercostal space just to the right of the sternum.
Answer: D) in the fourth intercostal space just to the right of the sternum
◍ Where are Beta 1 receptors found?.
Answer: Heart and Kidneys
◍ Stimulation of Beta 1 receptors result in an increase of what?.
Answer: Heart: Inotropy, Chronotropy, DromotropyKidneys:
Renin-Angiotensin-Aldosterone System = Vasoconstriction = Increase
blood pressure
◍ Which node is located at the junction of the superior vena cava and the right
atrium, is typically supplied by the Right Coronary artery, and fires at a rate
of 60-100 bpm..
Answer: SA Node
◍ Atrial depolarization characterized by smooth, round, upright deflection less
than 0.11 secs long and less than 2.5mm tall is referred to as what on the
ECG?.
Answer: P wave
◍ A patient experiencing a right ventricular infarction would be expected to
present with: A) hypertension and tachycardiaB) ST elevation in lead II, III
, and aV
F. C) greater than 2-mm ST depression in lead V1D) sever pulmonary
edema and hemoptysis.
Answer: B) ST elevation in lead II, III and aVF.
◍ Carvedilol (Coreg)Metropolol (Lopressor) Atenolol (Tenormin) Propranolol
(Inderal) Bisoprolol (Zebeta) Acebutolol (Sectral) Comolol (Brevibloc).
Answer: Beta Blockers - used for blood pressure and cardiac problems
◍ You are assessing a middle-aged female who complains of chest discomfort.
She is conscious, alert, and oriented. Her skin is diaphoretic. Her blood
pressure is 122/72 mm Hg, her pulse rate is 120 beats/min, and her
respirations are 20 breaths/min. On the basis of her chief complaint, which
of your assessment findings is the MOST significant?A) DiaphoresisB)
Mental status C) Elevated Respiratory Rate D) Pulse rate of 120 beats/min.
Answer: D) pulse rate of 120 beats/min
◍ Epinephrine Norepinephrine Vasopressin Dopamine Phenylephrine
Dobutamine.
Answer: Vasopressors
◍ The middle of phase 3 to beginning of phase 4 in the cardiac cycle where
cardiac cells are partially refractory and partially repolarized and certain
cells can be depolarized in response to electrical stimulus..
Answer: Relative Refractory Period (Partial flush of the toilet)
◍ In contrast to unstable angina, stable angina occurs when a patient:A)
complains of chest pain at the same time of the day for more than 2
weeks.B) needs more than two nitroglycerin treatments to relieve his or her
chest pain.C) experiences chest discomfort after a certain, predictable
amount of exertion.D) presents with chest pain or discomfort during periods
of low oxygen demand..
Answer: C) experiences chest discomfort after a certain, predictable amount
of exertion.
◍ Starlings Law.
, Answer: When end diastolic volume increases, stroke volume increases as
well. (When more blood is in the ventricles, the cardiac muscle stretches
like rubber band and creates more forceful contraction)
◍ Intrinsic Rate for Ventricles (Purkinje Fibers).
Answer: 20-40
◍ A 71-year-old male presents with chest pain and shortness of breath. He is
conscious, but confused, and is profusely diaphoretic. He has weakly
palpable radial pulses, a BP of 70/40 mm Hg, and diffuse crackles in all
lung fields. You administer high-flow oxygen and apply the cardiac
monitor, which reveals sinus tachycardia. The closest appropriate hospital is
40 miles away. Which of the following is the MOST appropriate next
action?A) Obtain a 12-lead ECG tracing.B) Begin an infusion of
dopamine.C) Perform a head-to-toe exam.D) Give 20 mL/kg fluid boluses..
Answer: B) Begin an infusion of dopamine.
◍ Which of the following is an absolute contraindication for fibrinolytic
therapy?A) Subdural hematoma 3 years agoB) BP of 170/100 mm Hg on
presentationC) Current use of anticoagulant medicationD) Ischemic stroke
within the last 12 months.
Answer: A) Subdural hematoma 2 years ago
◍ You are treating a 68-year-old woman with chest pressure and shortness of
breath that started 2 days ago. Her BP is 76/52 mm Hg and her pulse is 130
beats/min and weak. The cardiac monitor reveals sinus tachycardia with
occasional PVCs and auscultation of her lungs reveals diffuse coarse
crackles. Which of the following treatment interventions is MOST
appropriate for this patient?A) Dopamine, 2 to 20 mcg/kg/minB) Normal
saline, 20 mL/kg rapid bolusC) Amiodarone, 150 mg over 10 minD)
Nitroglycerin, 10 to 20 mcg/min.
Answer: A) Dopamine, 2 to 20 mcg/kg/min
◍ Which of the following findings would lead the paramedic to suspect
pericarditis when assessing a 40-year-old male with chest pain and no
cardiac history?A) The patient's age and absence of a cardiac historyB) The
ACTUAL EXAM PAPER 2026
QUESTIONS WITH ANSWERS GRADED
A+
◍ when obtaining a 12 - lead ECG, lead V1 should be placed:A) upper right
shoulder just above the clavicle B) approximately 1 inch to the right of the
angle of Louis C) In the sec intercostal space just inferior to the sec rib.D) in
the fourth intercostal space just to the right of the sternum.
Answer: D) in the fourth intercostal space just to the right of the sternum
◍ Where are Beta 1 receptors found?.
Answer: Heart and Kidneys
◍ Stimulation of Beta 1 receptors result in an increase of what?.
Answer: Heart: Inotropy, Chronotropy, DromotropyKidneys:
Renin-Angiotensin-Aldosterone System = Vasoconstriction = Increase
blood pressure
◍ Which node is located at the junction of the superior vena cava and the right
atrium, is typically supplied by the Right Coronary artery, and fires at a rate
of 60-100 bpm..
Answer: SA Node
◍ Atrial depolarization characterized by smooth, round, upright deflection less
than 0.11 secs long and less than 2.5mm tall is referred to as what on the
ECG?.
Answer: P wave
◍ A patient experiencing a right ventricular infarction would be expected to
present with: A) hypertension and tachycardiaB) ST elevation in lead II, III
, and aV
F. C) greater than 2-mm ST depression in lead V1D) sever pulmonary
edema and hemoptysis.
Answer: B) ST elevation in lead II, III and aVF.
◍ Carvedilol (Coreg)Metropolol (Lopressor) Atenolol (Tenormin) Propranolol
(Inderal) Bisoprolol (Zebeta) Acebutolol (Sectral) Comolol (Brevibloc).
Answer: Beta Blockers - used for blood pressure and cardiac problems
◍ You are assessing a middle-aged female who complains of chest discomfort.
She is conscious, alert, and oriented. Her skin is diaphoretic. Her blood
pressure is 122/72 mm Hg, her pulse rate is 120 beats/min, and her
respirations are 20 breaths/min. On the basis of her chief complaint, which
of your assessment findings is the MOST significant?A) DiaphoresisB)
Mental status C) Elevated Respiratory Rate D) Pulse rate of 120 beats/min.
Answer: D) pulse rate of 120 beats/min
◍ Epinephrine Norepinephrine Vasopressin Dopamine Phenylephrine
Dobutamine.
Answer: Vasopressors
◍ The middle of phase 3 to beginning of phase 4 in the cardiac cycle where
cardiac cells are partially refractory and partially repolarized and certain
cells can be depolarized in response to electrical stimulus..
Answer: Relative Refractory Period (Partial flush of the toilet)
◍ In contrast to unstable angina, stable angina occurs when a patient:A)
complains of chest pain at the same time of the day for more than 2
weeks.B) needs more than two nitroglycerin treatments to relieve his or her
chest pain.C) experiences chest discomfort after a certain, predictable
amount of exertion.D) presents with chest pain or discomfort during periods
of low oxygen demand..
Answer: C) experiences chest discomfort after a certain, predictable amount
of exertion.
◍ Starlings Law.
, Answer: When end diastolic volume increases, stroke volume increases as
well. (When more blood is in the ventricles, the cardiac muscle stretches
like rubber band and creates more forceful contraction)
◍ Intrinsic Rate for Ventricles (Purkinje Fibers).
Answer: 20-40
◍ A 71-year-old male presents with chest pain and shortness of breath. He is
conscious, but confused, and is profusely diaphoretic. He has weakly
palpable radial pulses, a BP of 70/40 mm Hg, and diffuse crackles in all
lung fields. You administer high-flow oxygen and apply the cardiac
monitor, which reveals sinus tachycardia. The closest appropriate hospital is
40 miles away. Which of the following is the MOST appropriate next
action?A) Obtain a 12-lead ECG tracing.B) Begin an infusion of
dopamine.C) Perform a head-to-toe exam.D) Give 20 mL/kg fluid boluses..
Answer: B) Begin an infusion of dopamine.
◍ Which of the following is an absolute contraindication for fibrinolytic
therapy?A) Subdural hematoma 3 years agoB) BP of 170/100 mm Hg on
presentationC) Current use of anticoagulant medicationD) Ischemic stroke
within the last 12 months.
Answer: A) Subdural hematoma 2 years ago
◍ You are treating a 68-year-old woman with chest pressure and shortness of
breath that started 2 days ago. Her BP is 76/52 mm Hg and her pulse is 130
beats/min and weak. The cardiac monitor reveals sinus tachycardia with
occasional PVCs and auscultation of her lungs reveals diffuse coarse
crackles. Which of the following treatment interventions is MOST
appropriate for this patient?A) Dopamine, 2 to 20 mcg/kg/minB) Normal
saline, 20 mL/kg rapid bolusC) Amiodarone, 150 mg over 10 minD)
Nitroglycerin, 10 to 20 mcg/min.
Answer: A) Dopamine, 2 to 20 mcg/kg/min
◍ Which of the following findings would lead the paramedic to suspect
pericarditis when assessing a 40-year-old male with chest pain and no
cardiac history?A) The patient's age and absence of a cardiac historyB) The
