CRITICAL CARE/FLIGHT PARAMEDIC EXAM | COMPLETE
QUESTIONS & ANSWERS (100% VERIFIED SOLUTIONS)
2026/2027 UPDATE
Babinski reflex - CORRECT ANSWER -extension and spreading of toes when bottom of foot is
stroked. Sign of nervous system lesion
Battles sign - CORRECT ANSWER -bruise behind ear, basilar skull fracture
Becks triad - CORRECT ANSWER -jvd, muffled heart tones, hypotension. From cardiac
tamponade
Brudzinski sign - CORRECT ANSWER -flexion of the neck results in flexion of the hip. Meningitis
Coopernails sign - CORRECT ANSWER -ecchymosis on perineum, labia, scrotum. Sign of pelvis
fracture
Cullens sign - CORRECT ANSWER -bruising around umbilicus. Sign of pancreatitis or ectopic
pregnancy
Grey turners sign - CORRECT ANSWER -discoloration of skin around flank. Sign of pancreatitis
Hammans sign - CORRECT ANSWER -crunching sound of heart with asynchronous heart beat.
Sign of mediastinal emphysema/tracheobronchial disruption
Kehrs sign - CORRECT ANSWER -left shoulder pain associated with splenic rupture
,Kernigs sign - CORRECT ANSWER -pain to knee extension when hip is at 90 degrees. Sign of
meningitis
Levines sign - CORRECT ANSWER -pain with clutched fist over midline of chest. Sign of cardiac
chest pain
Mcburneys sign - CORRECT ANSWER -tenderness 2/3 the distance between umbilicus and
ileum. Sign of appendicitis
Muphys sign - CORRECT ANSWER -pt unable to take deep breath on inspiration with deep
palpation beneath right coastal margins. Sign of gall bladder issues
S2 "dub" heart tones - CORRECT ANSWER -aortic and pulmonary valve closure
S1 "lub" sound - CORRECT ANSWER -bicuspic/tricuspid valve closure
Stroke volume is affected by - CORRECT ANSWER -preload, afterload, contractility
S4 heart tone - CORRECT ANSWER -indicative of stiff or noncompliant ventricle, like with an old
MI
S3 heart tone - CORRECT ANSWER -ventricle stretch due to fluid overload
Right coronary artery is typically repaired by using - CORRECT ANSWER -saphenous vein
Dresslers sign - CORRECT ANSWER -pericarditis from recent MI or cardiac surgery
, Alpha 1 stimulation results in - CORRECT ANSWER -increased SVR/vasoconstriction
Beta 1 stimulation results in - CORRECT ANSWER -increased HR, contractility
Janeway lesions and osler nodes are indicative of - CORRECT ANSWER -endocarditis
Elevated BNP signals - CORRECT ANSWER -increased stretching of ventricles. Found in CHF
Where should a cardiac transducer be placed? - CORRECT ANSWER -phlebostatic axis (4th
intercostal space midaxillary)
What does the dicrotic notch symbolize? - CORRECT ANSWER -aortic valve closing
Saline from ART line should infuse at what rate - CORRECT ANSWER -3ml/hr
Normal central venous pressure (CVP) - CORRECT ANSWER -2-6
When utilizing a swan ganz catheter, never exceed ml of air in distal balloon - CORRECT
ANSWER -1.5
Coronary perfusion pressure calculation - CORRECT ANSWER -PAWP-DBP (should be 50-60)
PAWP range - CORRECT ANSWER -8-12
PVR range - CORRECT ANSWER -50-250
PA pressure - CORRECT ANSWER -15-25 systolic, 8-15 diastolic
QUESTIONS & ANSWERS (100% VERIFIED SOLUTIONS)
2026/2027 UPDATE
Babinski reflex - CORRECT ANSWER -extension and spreading of toes when bottom of foot is
stroked. Sign of nervous system lesion
Battles sign - CORRECT ANSWER -bruise behind ear, basilar skull fracture
Becks triad - CORRECT ANSWER -jvd, muffled heart tones, hypotension. From cardiac
tamponade
Brudzinski sign - CORRECT ANSWER -flexion of the neck results in flexion of the hip. Meningitis
Coopernails sign - CORRECT ANSWER -ecchymosis on perineum, labia, scrotum. Sign of pelvis
fracture
Cullens sign - CORRECT ANSWER -bruising around umbilicus. Sign of pancreatitis or ectopic
pregnancy
Grey turners sign - CORRECT ANSWER -discoloration of skin around flank. Sign of pancreatitis
Hammans sign - CORRECT ANSWER -crunching sound of heart with asynchronous heart beat.
Sign of mediastinal emphysema/tracheobronchial disruption
Kehrs sign - CORRECT ANSWER -left shoulder pain associated with splenic rupture
,Kernigs sign - CORRECT ANSWER -pain to knee extension when hip is at 90 degrees. Sign of
meningitis
Levines sign - CORRECT ANSWER -pain with clutched fist over midline of chest. Sign of cardiac
chest pain
Mcburneys sign - CORRECT ANSWER -tenderness 2/3 the distance between umbilicus and
ileum. Sign of appendicitis
Muphys sign - CORRECT ANSWER -pt unable to take deep breath on inspiration with deep
palpation beneath right coastal margins. Sign of gall bladder issues
S2 "dub" heart tones - CORRECT ANSWER -aortic and pulmonary valve closure
S1 "lub" sound - CORRECT ANSWER -bicuspic/tricuspid valve closure
Stroke volume is affected by - CORRECT ANSWER -preload, afterload, contractility
S4 heart tone - CORRECT ANSWER -indicative of stiff or noncompliant ventricle, like with an old
MI
S3 heart tone - CORRECT ANSWER -ventricle stretch due to fluid overload
Right coronary artery is typically repaired by using - CORRECT ANSWER -saphenous vein
Dresslers sign - CORRECT ANSWER -pericarditis from recent MI or cardiac surgery
, Alpha 1 stimulation results in - CORRECT ANSWER -increased SVR/vasoconstriction
Beta 1 stimulation results in - CORRECT ANSWER -increased HR, contractility
Janeway lesions and osler nodes are indicative of - CORRECT ANSWER -endocarditis
Elevated BNP signals - CORRECT ANSWER -increased stretching of ventricles. Found in CHF
Where should a cardiac transducer be placed? - CORRECT ANSWER -phlebostatic axis (4th
intercostal space midaxillary)
What does the dicrotic notch symbolize? - CORRECT ANSWER -aortic valve closing
Saline from ART line should infuse at what rate - CORRECT ANSWER -3ml/hr
Normal central venous pressure (CVP) - CORRECT ANSWER -2-6
When utilizing a swan ganz catheter, never exceed ml of air in distal balloon - CORRECT
ANSWER -1.5
Coronary perfusion pressure calculation - CORRECT ANSWER -PAWP-DBP (should be 50-60)
PAWP range - CORRECT ANSWER -8-12
PVR range - CORRECT ANSWER -50-250
PA pressure - CORRECT ANSWER -15-25 systolic, 8-15 diastolic
