PARAMEDIC PRACTICE 2022
COMPLETE EXAM STUDY GUIDE
All of the following processes take place in the uterus, EXCEPT? - Fertilization
Cervical spondylosis is a degenerative change in the cervical spine that causes: - narrowing of
the spinal canal and pressure on the spinal cord
Common causes of bradycardia include? - Beta blocker use
Many veteran EMS providers have embraced a leadership role in primary injury prevention
after? - witnessing too many episodes of needless suffering
Prior to unloading a patient from the ambulance, you should: - ensure that the patient is
secured to the stretcher
Q. A size 3 or 4 LMA: - will accommodate the passage of a 6.0mm ET tube
The second impact that occurs when an adult pedestrian is struck by a motor vehicle would
MOST likely result in injuries to the: - pelvis and chest
When communicating with a patient whose cultural background differs from the paramedics, it
is MOST important for the paramedic to? - treat the patient with utmost respect at all times
Which of the following statements regarding selective serotonin reuptake inhibitors (RRSIs) is
most correct? - SSRIs have fewer anticholinergic and cardiac effects than tricyclics.
Your entire assessment of a patient should: - Appear to be a seamless process
An endogenous ligand is? - a molecule that is produced by the body and binds to a receptor
Fall-related fractures in the elderly occur MOST often to the ___, usually in patients with
underlying: - hip, osteoporosis
Gathering a patient's medical history and performing an in-depth physical examination should
occur: - Once the initial assessment and correction of life threats is completed
Nerve agents block ___, an essential enzyme of the nervous system. - cholinesterase
Q. The MOST effective way to minimize the risk of hypoxia while intubating a child is to: -
limit your intubation attempt to 20 seconds.
The 6-second method for calculating the rate of a cardiac rhythm? - Involves counting the
number of QRS complexes in a 6-second-strip and multiplying that number by 10.
,The volume of plasma in an adult with a total blood volume of 6.5 liters is approximately? -
6.5x0.55 = 3.6L
What is the target heart rate for a 35 yo man with a resting heart rate of 75 bpm? - 152
beats/min
When a patient takes the "up and over" pathway during a head-on collision: - the anterior part
of the neck may strike the steering wheel, resulting in a fractured larynx
Women who have had a cesarean section? - Can have a normal vaginal delivery
A key part of making your practice of prehospital care successful is for you to: - Develop and
cultivate your own style of assessment and an overall strategy for evaluating and providing
care for the patients you will encounter in the unique and varied circumstances in the field
setting
According to the START triage system, if a patient has a strong radial pulse, you should: -
control bleeding and assess mental status
At 2 months of age, an infant should be able to? - track objects with his or her eyes
Delirium is MOST accurately defined as: - an acute alteration in mentation that indicates an
underlying condition
Q. Patients with decompensated asthma or COPD that require positive-pressure ventilation: -
may develop a pneumothorax or experience a decrease in venous return to the heart if they are
ventilated too rapidly
Sudden deceleration of a motor vehicle that is traveling at 60 mph: - dissipates tremendous
forces and causes major injuries
The primary component of the immune system is the? - Leukocyte
When dispatched to a residence for an injury involving a pregnant woman, you should? - Be
alert for evidence of abuse
You have been attempting resuscitation of a middle-aged woman for approximately 15 minutes;
however, she has not responded to any of your treatment. There is no evidence of hypothermia
or drug ingestion, and the cardiac monitor shows asystole. You should? - consider terminating
your resuscitative efforts
You receive a call to a skilled nursing facility for an elderly man with generalized weakness.
The patients nurse tells you that he has not eaten anything in the past 18 hours. She presents
you with his chart, which states that he has a history of atrial fibrillation, CHF, and
hypertension. His medications include Vasotec, digoxin, and Warfarin. As you apply the cardiac
monitor, your partner takes the patients vital signs, which reveal a blood pressure of 136/76
mmHg, a rapid and irregular pulse, and respirations of 22 breaths/min. The ECG reveals atrial
fibrillation with a variable rate between 110 and 130 beats/min, and a 12-lead ECG tracing
,reveals the same. After applying supplemental oxygen, you should? - Start an IV line to keep
the vein open, administer diltiazem, and transport.
* If a patient sees you as someone with whom it is safe to be, who does not pose a threat, and
who honestly cares, then he or she will most likely? - be reassured that you will handle the
crisis
Fluid-refractory hypotension following a barbiturate overdose is treated MOST effectively
with? - Dopamine
In prehospital care, the priorities of evaluation and treatment are based on: - The degree of
threat to the patient's life
Level ___ personal protective equipment would MOST likely be worn during the transport of
patients with the potential of secondary contamination. - C
Q. Which of the following statements regarding translaryngeal catheter ventilation is MOST
correct? - ventilation is achieved by the use of a high-pressure jet ventilator
Resting tremor of an extremity and bradykinesia are associated with: - Parkinson's disease
The greatest amount of kinetic energy would be created if a ___ pound driver struck a tree
while traveling at ___ mph. - 150, 40
Torsades de pointes? - Is a variant of polymorphic ventricular tachycardia and is often caused
by a prolonged Q-T interval.
Which of the following assessment parameters is MOST difficult to interpret when a pregnant
woman is injured? - pulse rate
With regard to injury prevention, effective educational techniques include all of the following
EXCEPT? - penalties
A person taking beta blockers or calcium channel blockers would MOST likely present with: - a
slower than usual heart rate
Hypertrophic cardiomyopathy is characterized by? - enlargement or thickening of the heart
muscle
Myocardial ischemia occurs when the heart muscle? - Is deprived of oxygen because of a
blocked coronary artery.
Q. Approximately how far should you insert a 5.0mm ET tube in a 4-year-old child? - 15 cm
(diameter x 3)
The dome-shaped top of the uterus is called the? - fundus
, The permissible exposure limit (PEL) of a given chemical is the: - maximum concentration of a
chemical that a person may be exposed to under OSHA regulations
When chlorine gas comes in contact with the body's mucous membranes, it forms? -
Hydrochloric acid
Which of the following injuries would MOST likely require transport to a level 1 trauma
center? - Two or more proximal long bone fractures
Which of the following is NOT a part of your overall job as a paramedic? - Always remember
that your overall job as a paramedic is to quickly identify your patient's problem(s), set your
care priorities, develop a patient care plan, and quickly and efficiently execute the patient care
plan.
Which of the following statements regarding ethics in the workplace is MOST correct? - off-
duty misconduct on the part of the paramedic may lessen the public's confidence of EMS in
general
A decreased number of pacemaker cells in the sinoatrial node would MOST likely contribute to
a decline in cardiac output secondary to: - bradycardia
Atrial kick is MOST accurately defined as? - 20% of ventricular filling caused by atrial
contraction.
Complications in a pregnant woman with cystic fibrosis are usually the result of? - reduced
pulmonary function
Muscle cramps and paresthesias in a malnourished patient with alcoholism are most likely the
result of? - hypocalcemia
Q. Wheezing is resolved with medications that: - relax the smooth muscle of the bronchiole
Signs and symptoms of marijuana use include all of the following, EXCEPT? - Decreased
appetite
The most significant fall occurs from a height greater than: - 15 feet
When determining whether a patient is sick, your MOST effective tool is often: - A quick visual
assessment based on the chief complaint, respiration's, pulse, mental status, and skin signs and
color.
You are dispatched to a residence for a 50-year-old woman with respiratory distress. While you
are assessing the patient, she tells you that she began experiencing flu-like symptoms 4 days
ago, shortly after delivering mail on the rural mail route for which she is responsible. Due to
her illness, she has been unable to return to work. Her blood pressure is 90/50 mmHg, pulse
rate is 120 beats/min, and respirations are 26 breaths/min and labored. Auscultation of her
breath sounds reveals the presence of coarse crackles. This patient has MOST likely been
exposed to: - anthrax
COMPLETE EXAM STUDY GUIDE
All of the following processes take place in the uterus, EXCEPT? - Fertilization
Cervical spondylosis is a degenerative change in the cervical spine that causes: - narrowing of
the spinal canal and pressure on the spinal cord
Common causes of bradycardia include? - Beta blocker use
Many veteran EMS providers have embraced a leadership role in primary injury prevention
after? - witnessing too many episodes of needless suffering
Prior to unloading a patient from the ambulance, you should: - ensure that the patient is
secured to the stretcher
Q. A size 3 or 4 LMA: - will accommodate the passage of a 6.0mm ET tube
The second impact that occurs when an adult pedestrian is struck by a motor vehicle would
MOST likely result in injuries to the: - pelvis and chest
When communicating with a patient whose cultural background differs from the paramedics, it
is MOST important for the paramedic to? - treat the patient with utmost respect at all times
Which of the following statements regarding selective serotonin reuptake inhibitors (RRSIs) is
most correct? - SSRIs have fewer anticholinergic and cardiac effects than tricyclics.
Your entire assessment of a patient should: - Appear to be a seamless process
An endogenous ligand is? - a molecule that is produced by the body and binds to a receptor
Fall-related fractures in the elderly occur MOST often to the ___, usually in patients with
underlying: - hip, osteoporosis
Gathering a patient's medical history and performing an in-depth physical examination should
occur: - Once the initial assessment and correction of life threats is completed
Nerve agents block ___, an essential enzyme of the nervous system. - cholinesterase
Q. The MOST effective way to minimize the risk of hypoxia while intubating a child is to: -
limit your intubation attempt to 20 seconds.
The 6-second method for calculating the rate of a cardiac rhythm? - Involves counting the
number of QRS complexes in a 6-second-strip and multiplying that number by 10.
,The volume of plasma in an adult with a total blood volume of 6.5 liters is approximately? -
6.5x0.55 = 3.6L
What is the target heart rate for a 35 yo man with a resting heart rate of 75 bpm? - 152
beats/min
When a patient takes the "up and over" pathway during a head-on collision: - the anterior part
of the neck may strike the steering wheel, resulting in a fractured larynx
Women who have had a cesarean section? - Can have a normal vaginal delivery
A key part of making your practice of prehospital care successful is for you to: - Develop and
cultivate your own style of assessment and an overall strategy for evaluating and providing
care for the patients you will encounter in the unique and varied circumstances in the field
setting
According to the START triage system, if a patient has a strong radial pulse, you should: -
control bleeding and assess mental status
At 2 months of age, an infant should be able to? - track objects with his or her eyes
Delirium is MOST accurately defined as: - an acute alteration in mentation that indicates an
underlying condition
Q. Patients with decompensated asthma or COPD that require positive-pressure ventilation: -
may develop a pneumothorax or experience a decrease in venous return to the heart if they are
ventilated too rapidly
Sudden deceleration of a motor vehicle that is traveling at 60 mph: - dissipates tremendous
forces and causes major injuries
The primary component of the immune system is the? - Leukocyte
When dispatched to a residence for an injury involving a pregnant woman, you should? - Be
alert for evidence of abuse
You have been attempting resuscitation of a middle-aged woman for approximately 15 minutes;
however, she has not responded to any of your treatment. There is no evidence of hypothermia
or drug ingestion, and the cardiac monitor shows asystole. You should? - consider terminating
your resuscitative efforts
You receive a call to a skilled nursing facility for an elderly man with generalized weakness.
The patients nurse tells you that he has not eaten anything in the past 18 hours. She presents
you with his chart, which states that he has a history of atrial fibrillation, CHF, and
hypertension. His medications include Vasotec, digoxin, and Warfarin. As you apply the cardiac
monitor, your partner takes the patients vital signs, which reveal a blood pressure of 136/76
mmHg, a rapid and irregular pulse, and respirations of 22 breaths/min. The ECG reveals atrial
fibrillation with a variable rate between 110 and 130 beats/min, and a 12-lead ECG tracing
,reveals the same. After applying supplemental oxygen, you should? - Start an IV line to keep
the vein open, administer diltiazem, and transport.
* If a patient sees you as someone with whom it is safe to be, who does not pose a threat, and
who honestly cares, then he or she will most likely? - be reassured that you will handle the
crisis
Fluid-refractory hypotension following a barbiturate overdose is treated MOST effectively
with? - Dopamine
In prehospital care, the priorities of evaluation and treatment are based on: - The degree of
threat to the patient's life
Level ___ personal protective equipment would MOST likely be worn during the transport of
patients with the potential of secondary contamination. - C
Q. Which of the following statements regarding translaryngeal catheter ventilation is MOST
correct? - ventilation is achieved by the use of a high-pressure jet ventilator
Resting tremor of an extremity and bradykinesia are associated with: - Parkinson's disease
The greatest amount of kinetic energy would be created if a ___ pound driver struck a tree
while traveling at ___ mph. - 150, 40
Torsades de pointes? - Is a variant of polymorphic ventricular tachycardia and is often caused
by a prolonged Q-T interval.
Which of the following assessment parameters is MOST difficult to interpret when a pregnant
woman is injured? - pulse rate
With regard to injury prevention, effective educational techniques include all of the following
EXCEPT? - penalties
A person taking beta blockers or calcium channel blockers would MOST likely present with: - a
slower than usual heart rate
Hypertrophic cardiomyopathy is characterized by? - enlargement or thickening of the heart
muscle
Myocardial ischemia occurs when the heart muscle? - Is deprived of oxygen because of a
blocked coronary artery.
Q. Approximately how far should you insert a 5.0mm ET tube in a 4-year-old child? - 15 cm
(diameter x 3)
The dome-shaped top of the uterus is called the? - fundus
, The permissible exposure limit (PEL) of a given chemical is the: - maximum concentration of a
chemical that a person may be exposed to under OSHA regulations
When chlorine gas comes in contact with the body's mucous membranes, it forms? -
Hydrochloric acid
Which of the following injuries would MOST likely require transport to a level 1 trauma
center? - Two or more proximal long bone fractures
Which of the following is NOT a part of your overall job as a paramedic? - Always remember
that your overall job as a paramedic is to quickly identify your patient's problem(s), set your
care priorities, develop a patient care plan, and quickly and efficiently execute the patient care
plan.
Which of the following statements regarding ethics in the workplace is MOST correct? - off-
duty misconduct on the part of the paramedic may lessen the public's confidence of EMS in
general
A decreased number of pacemaker cells in the sinoatrial node would MOST likely contribute to
a decline in cardiac output secondary to: - bradycardia
Atrial kick is MOST accurately defined as? - 20% of ventricular filling caused by atrial
contraction.
Complications in a pregnant woman with cystic fibrosis are usually the result of? - reduced
pulmonary function
Muscle cramps and paresthesias in a malnourished patient with alcoholism are most likely the
result of? - hypocalcemia
Q. Wheezing is resolved with medications that: - relax the smooth muscle of the bronchiole
Signs and symptoms of marijuana use include all of the following, EXCEPT? - Decreased
appetite
The most significant fall occurs from a height greater than: - 15 feet
When determining whether a patient is sick, your MOST effective tool is often: - A quick visual
assessment based on the chief complaint, respiration's, pulse, mental status, and skin signs and
color.
You are dispatched to a residence for a 50-year-old woman with respiratory distress. While you
are assessing the patient, she tells you that she began experiencing flu-like symptoms 4 days
ago, shortly after delivering mail on the rural mail route for which she is responsible. Due to
her illness, she has been unable to return to work. Her blood pressure is 90/50 mmHg, pulse
rate is 120 beats/min, and respirations are 26 breaths/min and labored. Auscultation of her
breath sounds reveals the presence of coarse crackles. This patient has MOST likely been
exposed to: - anthrax
