HEALTH CARE QUESTIONS WITH ANSWERS 2021/2022 LATEST (100% GARDED A)
1. A febrile seizure would most likely occur in a child:
a. With a fever that acutely spikes
2. Which of the following actions demonstrates a paramedics knowledge of crime scene
preservation?
a. Advising a law enforcement officer after moving a coffee table to access a
critically injured oatient
3. Which of the following signs or symptoms occurs more commonily in patietns with
stable angine than in those with unstable angina?
a. Chest pain that begins during exertion
4. In contrast to an anaphylactic reaction, an anaphylactoid reaction:
a. Can occur without prior exposure to an offending agent
5. You are transporting an 80-year-old female to the hospital and are preparing to call
in your radio report. Which of the following is an example of a practice that will
maximize the receiving facility's ability to understand your transmission?
a. State the patient's age as 80, that is, eight-zero
6. A 9-month-old infant presents with respiratory distress. On appearance, the infant is
active and has moderate retractions. Your assessment reveals diffuse wheezing;
pink, warm, dry skin; and an oxygen saturation of 92%. This infant is MOST likely
experiencing:
a. bronchiolitis
7. You are ventilating a severely dehydrated apneic 70-year-old male with a history of
end-stage emphysema. In order to minimize the risk of lowering his cardiac output
and blood pressure, you should:
a. Adjust the ventilation rate to allow complete exhalation
8. Which of the following cardiac rhythms is associated with bradycardia, and is
characterized by regular R-R intervals and a greater ratio of P waves to QRS
complexes?
a. B) Third-degree AV block
9. According to Haddon's matrix, which of the following is an environmental factor that
has a direct effect on the event phase of a motor-vehicle crash?
a. C) Lack of guardrails
10. Immediately following delivery, your patient is experiencing heavy vaginal bleeding.
In an attempt to control the bleeding, you should:
a. ) firmly massage the fundus of her uterus.
11. A 30-kg child presents with a regular, monomorphic, wide-complex tachycardia at
190 beats/min. He tells you that his chest feels funny, but otherwise has no other
symptoms. He is conscious and alert and his vital signs are stable. Which of the
following interventions is indicated?
a. Adenosine, 3mg
12. You are ventilating an apneic, intubated patient and note that his ETCO2 reading,
per waveform capnography, is 56 mm Hg. You should:
a. Increase the rate of ventilations
13. An unresponsive trauma patient has sonorous respirations and blood draining from
the corner of his mouth. What should be your FIRST action?
a. B) Perform a jaw-thrust maneuver
,14. An older man is suddenly awakened in the middle of the night, gasping for air. He is
extremely restless and pale, and is coughing up blood. His clinical presentation is
MOST consistent with:
a. C) left side heart failure.
15. At the scene of a motor vehicle accident, you note that the driver, a young woman, is
lying next to her car and has agonal gasps and no palpable pulse. Other than a
closed tibial fracture, she has no other obvious trauma. She is wearing a bracelet
that identifies her as an organ donor. How should you manage this situation?
a. A) Begin aggressive treatment and transport immediately.
16. Upon arriving at the residence of an unresponsive patient, you find a middle-aged
male lying on the couch. He is unresponsive, apneic, and pulseless. His wife tells
you that she does not want you to attempt resuscitation, and further states that he
has high blood pressure. The patient's skin is warm and there is no evidence of
lividity. You should:
a. B) begin CPR, apply the ECG electrodes, ask her if he has a living will, and
contact medical control for guidance.
17. Which of the following findings is MOST suggestive of right-sided heart failure?
a. Engorged jugular veins
18. A 71-year-old female presents with an altered mental status. According to her
husband, she has type II diabetes and hypertension, and was recently diagnosed
with a urinary tract infection. Her medications include Glucophage, Zestril, and
Bactrim. The patient is confused, and has slurred speech and poor skin turgor. Her
blood pressure is 112/60 mm Hg, pulse is 120 beats/min and weak, and respirations
are 30 breaths/min and shallow. Her blood glucose level reads "high," but you do not
notice any unusual odors on her breath. The primary cause of this patient's problem
is MOST likely:
a. D) hyperosmolar hyperglycemic nonketotic state.
19. The clinical presentation of thyroid storm MOST closely resembles that of:
a. Amphetamine use
20. Which of the following reasons would indicate that a medical director’s decision to
remove a specific drug from the protocols was evidence-based?
a. B) Patient outcomes are worse when the specific drug is administered
21. A 54-year-old man presents with chest pressure, confusion, and profuse diaphoresis.
As your partner administers supplemental oxygen, you apply the cardiac monitor. In
lead II, you observe a wide QRS complex rhythm with dissociated P waves and a
ventricular rate of 35 beats/min. You should:
a. Begin transcutaneous pacing at once
22. A 49-year-old man presents with acute shortness of breath. He is conscious, but
confused, and is gasping for air. The pulse oximeter reads 79% on room air. Initial
management should consist of:
a. B: some form of ventilatory assistance.
23. A 9-year-old child has generalized weakness; blood in the stool; and bruising, even
from minor trauma. These findings are MOST consistent with:
a. C) leukemia.
24. Which of the following is the MOST reliable immediate indicator that you have
successfully placed an endotracheal (ET) tube into the trachea?
a. B) Visualization of the ET tube passing in between the vocal cords.
,25. Which of the following represents the low normal systolic blood pressure for a 6-
year-old child?
a. 82 mm Hg
26. A 64-year-old man presents with an acute onset of left-sided weakness, right-sided
facial droop, and slurred speech. He is conscious, but confused. You should be
MOST suspicious for:
a. Right-sided ischemic stroke
27. The main purpose of listening to heart sounds is to:
a. B) determine if the cardiac valves are functioning properly.
28. In which of the following situations would it be MOST appropriate to insert a King LT
supraglottic airway?
a. Comatose patient who ingested aspirin
29. A woman began experiencing contractions 30 minutes ago. She is 38 weeks
pregnant. You determine that she is gravida-5 and para-3. Which of the following
statements regarding this patient is correct?
a. B) She will become para-4 when she delivers her baby
30. A 60-year-old man reports dyspnea. While auscultating his chest, you hear fine,
moist, thin sounds in all lung fields. What is this MOST suggestive of?
a. Fluid in the small lower airways
31. Assessment of a patient with acute respiratory distress reveals that he is conscious
and alert, but wheezing on exhalation. In addition to oxygen, management should
include:
a. C) administration of an inhaled beta-2 agonist medication.
32. You are sitting in the front passenger seat of a small car assessing the driver after he
struck a tree head-on. Your partner is maintaining manual stabilization of the
patient's head from the back seat. The driver's side airbag deployed, but the
passenger's side airbag did not. The patient's legs are pinned by the dashboard, and
rescue personnel are preparing to disentangle him. What should be your MOST
immediate priority?
a. B) Remaining at least 20 inches from the passenger's side dashboard if
possible
33. Which of the following findings is the MOST clinically significant when assessing a
patient with a severe headache?
a. An unsteady gait
34. Which of the following is an example of providing treatment based on standing
orders?
a. C) Defibrillating a patient with pulseless V-tach, performing CPR,
administering epinephrine, and contacting medical control
35. Your assessment of a 33-year-old man with generalized weakness and nausea
reveals a blood glucose level of 39 mg/dL. The patient is conscious and alert to
person, place, time, and event. As you are preparing the IV equipment and dextrose,
the patient tells you that he will not allow you to start an IV on him or give him any
drugs; he will only allow you to transport him to the hospital. You should:
a. C) advise him that if you don't give him glucose, his condition could potentially
deteriorate and he could die.
36. Which of the following statements regarding Cheyne-Stokes respirations is correct?
, a. C) They are not considered ominous unless grossly exaggerated or in the
context of a traumatic brain injury.
37. An older woman presents with respiratory distress. She is conscious and alert and is
able to answer your questions with slight difficulty. Her respirations are 24
breaths/min and labored and her oxygen saturation is 89%. Further assessment
reveals slight cyanosis around her mouth. You should:
a. B) apply a nonrebreathing mask at 15 L/min.
38. Your EMS supervisor arrives at the scene of a motor-vehicle crash, assesses the
patient, and requests air-medical transport. You and your partner are 6 minutes away
from the scene. As the responding paramedic, you should:
a. B) contact the on-scene supervisor to inquire about the extent of injuries.
39. During your assessment of a patient with a suspected neurologic disorder, you ask
him to shrug his shoulders and turn his head from side to side. Which of the following
cranial nerves are you assessing?
a. C) Spinal accessory
40. Which of the following statements regarding hypoglycemia is correct?
a. A) patient with prolonged hypoglycemia may require more than one dose of
IV dextrose.
41. A 4-year-old child has labored breathing. During your assessment, you note that his
pulse rate is 70 beats/min. This pulse rate is:
a. C) significant as it indicates hypoxia.
42. A 30-year-old female is found unresponsive by her roommate. According to the
roommate, the patient, who has type I diabetes, was fine 30 minutes ago. On
assessment, the patient has rapid, shallow respirations; pallor and diaphoresis; and
a weak, thready pulse. Additional assessment of this patient will MOST likely reveal:
a. D) a blood glucose level less than 70 mg/dL.
43. The paramedic is ventilating an unresponsive intubated patient and can clearly see
her chest rise with each ventilation. His partner reports that the patient’s blood
pressure has decreased from 130/80 mm Hg to 90/60 mm Hg. Which of the following
would BEST explain this?
a. D) Ventilations are being delivered too quickly or with too much volume
44. A 20-kg child has been running a fever for the past 2 days. Today, he is lethargic and
his skin is pale. His heart rate is 190 beats/min and his respiratory rate is 40
breaths/min. You should:
a. A) administer a 400 mL normal saline bolus.
45. You and your team are performing CPR on a middle-aged male who presented with
asystole. After 2 minutes of CPR, you reassess him and note that his cardiac rhythm
has changed to ventricular fibrillation. You should:
a. A) defibrillate and then resume CPR.
46. Which of the following is the MOST effective method for preventing the spread of
disease?
a. B) Frequent hand-washing, especially in between patients.
47. You are performing CPR on a 20-kg child in asystole and have established
intraosseous access. The correct dose and concentration of epinephrine for this child
is:
a. A) 2 mL of 1:10,000
1. A febrile seizure would most likely occur in a child:
a. With a fever that acutely spikes
2. Which of the following actions demonstrates a paramedics knowledge of crime scene
preservation?
a. Advising a law enforcement officer after moving a coffee table to access a
critically injured oatient
3. Which of the following signs or symptoms occurs more commonily in patietns with
stable angine than in those with unstable angina?
a. Chest pain that begins during exertion
4. In contrast to an anaphylactic reaction, an anaphylactoid reaction:
a. Can occur without prior exposure to an offending agent
5. You are transporting an 80-year-old female to the hospital and are preparing to call
in your radio report. Which of the following is an example of a practice that will
maximize the receiving facility's ability to understand your transmission?
a. State the patient's age as 80, that is, eight-zero
6. A 9-month-old infant presents with respiratory distress. On appearance, the infant is
active and has moderate retractions. Your assessment reveals diffuse wheezing;
pink, warm, dry skin; and an oxygen saturation of 92%. This infant is MOST likely
experiencing:
a. bronchiolitis
7. You are ventilating a severely dehydrated apneic 70-year-old male with a history of
end-stage emphysema. In order to minimize the risk of lowering his cardiac output
and blood pressure, you should:
a. Adjust the ventilation rate to allow complete exhalation
8. Which of the following cardiac rhythms is associated with bradycardia, and is
characterized by regular R-R intervals and a greater ratio of P waves to QRS
complexes?
a. B) Third-degree AV block
9. According to Haddon's matrix, which of the following is an environmental factor that
has a direct effect on the event phase of a motor-vehicle crash?
a. C) Lack of guardrails
10. Immediately following delivery, your patient is experiencing heavy vaginal bleeding.
In an attempt to control the bleeding, you should:
a. ) firmly massage the fundus of her uterus.
11. A 30-kg child presents with a regular, monomorphic, wide-complex tachycardia at
190 beats/min. He tells you that his chest feels funny, but otherwise has no other
symptoms. He is conscious and alert and his vital signs are stable. Which of the
following interventions is indicated?
a. Adenosine, 3mg
12. You are ventilating an apneic, intubated patient and note that his ETCO2 reading,
per waveform capnography, is 56 mm Hg. You should:
a. Increase the rate of ventilations
13. An unresponsive trauma patient has sonorous respirations and blood draining from
the corner of his mouth. What should be your FIRST action?
a. B) Perform a jaw-thrust maneuver
,14. An older man is suddenly awakened in the middle of the night, gasping for air. He is
extremely restless and pale, and is coughing up blood. His clinical presentation is
MOST consistent with:
a. C) left side heart failure.
15. At the scene of a motor vehicle accident, you note that the driver, a young woman, is
lying next to her car and has agonal gasps and no palpable pulse. Other than a
closed tibial fracture, she has no other obvious trauma. She is wearing a bracelet
that identifies her as an organ donor. How should you manage this situation?
a. A) Begin aggressive treatment and transport immediately.
16. Upon arriving at the residence of an unresponsive patient, you find a middle-aged
male lying on the couch. He is unresponsive, apneic, and pulseless. His wife tells
you that she does not want you to attempt resuscitation, and further states that he
has high blood pressure. The patient's skin is warm and there is no evidence of
lividity. You should:
a. B) begin CPR, apply the ECG electrodes, ask her if he has a living will, and
contact medical control for guidance.
17. Which of the following findings is MOST suggestive of right-sided heart failure?
a. Engorged jugular veins
18. A 71-year-old female presents with an altered mental status. According to her
husband, she has type II diabetes and hypertension, and was recently diagnosed
with a urinary tract infection. Her medications include Glucophage, Zestril, and
Bactrim. The patient is confused, and has slurred speech and poor skin turgor. Her
blood pressure is 112/60 mm Hg, pulse is 120 beats/min and weak, and respirations
are 30 breaths/min and shallow. Her blood glucose level reads "high," but you do not
notice any unusual odors on her breath. The primary cause of this patient's problem
is MOST likely:
a. D) hyperosmolar hyperglycemic nonketotic state.
19. The clinical presentation of thyroid storm MOST closely resembles that of:
a. Amphetamine use
20. Which of the following reasons would indicate that a medical director’s decision to
remove a specific drug from the protocols was evidence-based?
a. B) Patient outcomes are worse when the specific drug is administered
21. A 54-year-old man presents with chest pressure, confusion, and profuse diaphoresis.
As your partner administers supplemental oxygen, you apply the cardiac monitor. In
lead II, you observe a wide QRS complex rhythm with dissociated P waves and a
ventricular rate of 35 beats/min. You should:
a. Begin transcutaneous pacing at once
22. A 49-year-old man presents with acute shortness of breath. He is conscious, but
confused, and is gasping for air. The pulse oximeter reads 79% on room air. Initial
management should consist of:
a. B: some form of ventilatory assistance.
23. A 9-year-old child has generalized weakness; blood in the stool; and bruising, even
from minor trauma. These findings are MOST consistent with:
a. C) leukemia.
24. Which of the following is the MOST reliable immediate indicator that you have
successfully placed an endotracheal (ET) tube into the trachea?
a. B) Visualization of the ET tube passing in between the vocal cords.
,25. Which of the following represents the low normal systolic blood pressure for a 6-
year-old child?
a. 82 mm Hg
26. A 64-year-old man presents with an acute onset of left-sided weakness, right-sided
facial droop, and slurred speech. He is conscious, but confused. You should be
MOST suspicious for:
a. Right-sided ischemic stroke
27. The main purpose of listening to heart sounds is to:
a. B) determine if the cardiac valves are functioning properly.
28. In which of the following situations would it be MOST appropriate to insert a King LT
supraglottic airway?
a. Comatose patient who ingested aspirin
29. A woman began experiencing contractions 30 minutes ago. She is 38 weeks
pregnant. You determine that she is gravida-5 and para-3. Which of the following
statements regarding this patient is correct?
a. B) She will become para-4 when she delivers her baby
30. A 60-year-old man reports dyspnea. While auscultating his chest, you hear fine,
moist, thin sounds in all lung fields. What is this MOST suggestive of?
a. Fluid in the small lower airways
31. Assessment of a patient with acute respiratory distress reveals that he is conscious
and alert, but wheezing on exhalation. In addition to oxygen, management should
include:
a. C) administration of an inhaled beta-2 agonist medication.
32. You are sitting in the front passenger seat of a small car assessing the driver after he
struck a tree head-on. Your partner is maintaining manual stabilization of the
patient's head from the back seat. The driver's side airbag deployed, but the
passenger's side airbag did not. The patient's legs are pinned by the dashboard, and
rescue personnel are preparing to disentangle him. What should be your MOST
immediate priority?
a. B) Remaining at least 20 inches from the passenger's side dashboard if
possible
33. Which of the following findings is the MOST clinically significant when assessing a
patient with a severe headache?
a. An unsteady gait
34. Which of the following is an example of providing treatment based on standing
orders?
a. C) Defibrillating a patient with pulseless V-tach, performing CPR,
administering epinephrine, and contacting medical control
35. Your assessment of a 33-year-old man with generalized weakness and nausea
reveals a blood glucose level of 39 mg/dL. The patient is conscious and alert to
person, place, time, and event. As you are preparing the IV equipment and dextrose,
the patient tells you that he will not allow you to start an IV on him or give him any
drugs; he will only allow you to transport him to the hospital. You should:
a. C) advise him that if you don't give him glucose, his condition could potentially
deteriorate and he could die.
36. Which of the following statements regarding Cheyne-Stokes respirations is correct?
, a. C) They are not considered ominous unless grossly exaggerated or in the
context of a traumatic brain injury.
37. An older woman presents with respiratory distress. She is conscious and alert and is
able to answer your questions with slight difficulty. Her respirations are 24
breaths/min and labored and her oxygen saturation is 89%. Further assessment
reveals slight cyanosis around her mouth. You should:
a. B) apply a nonrebreathing mask at 15 L/min.
38. Your EMS supervisor arrives at the scene of a motor-vehicle crash, assesses the
patient, and requests air-medical transport. You and your partner are 6 minutes away
from the scene. As the responding paramedic, you should:
a. B) contact the on-scene supervisor to inquire about the extent of injuries.
39. During your assessment of a patient with a suspected neurologic disorder, you ask
him to shrug his shoulders and turn his head from side to side. Which of the following
cranial nerves are you assessing?
a. C) Spinal accessory
40. Which of the following statements regarding hypoglycemia is correct?
a. A) patient with prolonged hypoglycemia may require more than one dose of
IV dextrose.
41. A 4-year-old child has labored breathing. During your assessment, you note that his
pulse rate is 70 beats/min. This pulse rate is:
a. C) significant as it indicates hypoxia.
42. A 30-year-old female is found unresponsive by her roommate. According to the
roommate, the patient, who has type I diabetes, was fine 30 minutes ago. On
assessment, the patient has rapid, shallow respirations; pallor and diaphoresis; and
a weak, thready pulse. Additional assessment of this patient will MOST likely reveal:
a. D) a blood glucose level less than 70 mg/dL.
43. The paramedic is ventilating an unresponsive intubated patient and can clearly see
her chest rise with each ventilation. His partner reports that the patient’s blood
pressure has decreased from 130/80 mm Hg to 90/60 mm Hg. Which of the following
would BEST explain this?
a. D) Ventilations are being delivered too quickly or with too much volume
44. A 20-kg child has been running a fever for the past 2 days. Today, he is lethargic and
his skin is pale. His heart rate is 190 beats/min and his respiratory rate is 40
breaths/min. You should:
a. A) administer a 400 mL normal saline bolus.
45. You and your team are performing CPR on a middle-aged male who presented with
asystole. After 2 minutes of CPR, you reassess him and note that his cardiac rhythm
has changed to ventricular fibrillation. You should:
a. A) defibrillate and then resume CPR.
46. Which of the following is the MOST effective method for preventing the spread of
disease?
a. B) Frequent hand-washing, especially in between patients.
47. You are performing CPR on a 20-kg child in asystole and have established
intraosseous access. The correct dose and concentration of epinephrine for this child
is:
a. A) 2 mL of 1:10,000
