Paramedic 2 Final Exam 2022 update questions with
correct answers
P wave correct answerThe depolarization of the atria
QRS Complex correct answeroccurs after P wave, represents depolarization of the ventricles, usually
last no longer than 0.12s
T waves correct answerrepresented by repolarization of the atria and ventricles
PR interval correct answerdelay at the AV junction(.12-.20s)
ST segment correct answerPeriod between ventricular depolarization and begining of repolarization. It
should be the same level as the isoelectric line.
R-R interval correct answertime between 2 ventricular depolarizations
J-point correct answerbegining of the T wave
What might an elevated or depressed ST segment indicate? correct answermay indicate myocardial
ischemia or injury.
How does hyperkalemia look on a monitor? correct answertall or sharp peaked T waves
For a cardiac patient experiencing chest pain what is the proper dosage for morphine? correct
answer2- 4-mg IV doses as needed for pain, being sure to reasses patients blood pressure, pulse, and
respiratory rate after each dose until the patient experiences a relief in pain or or a drop in pulse or
BP(less than 100)
Paramedic 2 Final Exam 2022 update questions with
correct answers
,Paramedic 2 Final Exam 2022 update questions with
correct answers
You respond to a call with an unconscious patient, what 2 pieces of equipment must always come with
you off the truck? correct answerMonitor and airway bag
When do we consider calling a code? correct answer2 rounds of drugs, obvious rigor mortis or levidity
What exactly are the purkinje fibers? correct answerthousands of fibrils distributed through the
ventricles that carry electrical impulses to cause contraction
How will a patient with right ventricular failure present? correct answerPatients experiencing an MI of
the right ventricle may already be HYPOTENSIVE, or may become extrememly hypotensive IF
NITROGLYCERINE IS GIVEN,
So what are you well advised to perform anytime you find a patient with an inferior wall MI? correct
answera second EKG, a V4r, you may even be ordered to give 1-2 liters of fluid before administering any
nitro to keep from bottoming out there pressure.
How does right sided heart failure typically occur? correct answeras a result of left sided heart failure,
also Pulmonary embolism, long standing COPD and Chronic bronchitis.
How will a patient in Right ventricular failure present and why? correct answerHypotensive, right sided
heart failure actually decreases the preload of the failing left side of the heart and may lesses pulmonary
congestion.
When would you not want to give a patient nitroglycerine? correct answerwhen they have a systolic
blood pressure of 90!
What does a patient having Acute Coronary syndrome typically complain of having? correct
answerChest pain described as heavy ,squeezing, crushing or tight. Pain radiates to the arms, WOMAN
WILL COMPLAIN OF FATIGUE!!!!
Paramedic 2 Final Exam 2022 update questions with
correct answers
,Paramedic 2 Final Exam 2022 update questions with
correct answers
Who typically dies from heart disease and why? correct answerwomen, there symptoms are less clear
cut. They have nausea, epigastric burning, lightheadedness, WEAKNESS OR FEELING TIRED.
What patients don`t experience chest pain during an AMI? correct answerDiabetics, older people and
heart transplant patients. They have "Silent MI`s". they develop dypsnea, a drop in pressure, loss of
consciousness, stroke.
What is a first degree block? correct answerEach impulse reaching the AV Node is delayed slightly longer
than expected resulting in PRI greater than .20 seconds. PROLONGED PRI IS THE SIGNIFICANT SIGN!!
Which block is considered the least serious and why? correct answerfirst degree block, because
each impulse eventually passes through the AV node causing a QRS complex but it is the first
indication of damage
What is the usual rate of a first degree block? correct answer60-100 beats a min, low end. Rhythm
is regular
What is second degree heart block Type 1(WENCKEBACH)? correct answerA second degree heart block
occurs when an impulse reaching the AV node is occasionally prevented. OCCASIONAL MISSED QRS
COMPLEX. EACH SUCCESSIVE IMPULSE IS DELAYED A BIT LONGER TIL FINALY ONE IS NOT ALLOWED TO
CONTINUE.
What does second degree type 1 look like? correct answer60-100 bpm, irregular, prolonged R-R
interval, P wave for every QRS not a QRS for every P wave.
When is second degree heart block treated in the prehospital setting? correct answerIf it is associated
with bradycardia
What is a second degree type 2(classic or mobitz)? correct answeroccurs when several impulses are
not allowed to continue, can be regular or irregular. PR interval is constant with the occasional
dropped QRS complex
Paramedic 2 Final Exam 2022 update questions with
correct answers
, Paramedic 2 Final Exam 2022 update questions with
correct answers
When is second degree type 2 treated in prehospital setting? correct answerwhen bradycardia is
associated with it
What is a third degree heart block? correct answerA complete block. All impulses reaching the AV
node are prevented from passing through to the ventricles.
What happens since all impulses are blocked in a 3rd degree block? correct answerthe ventricles
develop there own pacemaker to cause circulation of the blood at a greatly reduced rate.
What is the rate typically with a 3rd degree block? correct answertypically less than 60, The P waves and
QRS complexes are all of same distance however there is no rhyme or reason to how they are presented
How many boxes are there in a 6 second strip? correct answer30 boxes
When is a person with an aneurism symptomatic? correct answerWhen the aneurism starts to expand,
WHEN IT STARTS TO PUSH ON OTHER ORGANS
What occurs during diastole? correct answeratrial and ventricular relaxation, 80% of ventricular filling
occurs during this time
What occurs during systole correct answeratrial and ventricular contraction, the contents of each atrium
are squeezed into each ventricle to complete ventricular filling
What on an EKG strip is an indicator of wolf parkinsons white syndrome(WPW)? correct answerA delta
wave
What is a delta wave? correct answerits after the P wave and it is an upward slope turning into the QRS
complex.
Paramedic 2 Final Exam 2022 update questions with
correct answers
correct answers
P wave correct answerThe depolarization of the atria
QRS Complex correct answeroccurs after P wave, represents depolarization of the ventricles, usually
last no longer than 0.12s
T waves correct answerrepresented by repolarization of the atria and ventricles
PR interval correct answerdelay at the AV junction(.12-.20s)
ST segment correct answerPeriod between ventricular depolarization and begining of repolarization. It
should be the same level as the isoelectric line.
R-R interval correct answertime between 2 ventricular depolarizations
J-point correct answerbegining of the T wave
What might an elevated or depressed ST segment indicate? correct answermay indicate myocardial
ischemia or injury.
How does hyperkalemia look on a monitor? correct answertall or sharp peaked T waves
For a cardiac patient experiencing chest pain what is the proper dosage for morphine? correct
answer2- 4-mg IV doses as needed for pain, being sure to reasses patients blood pressure, pulse, and
respiratory rate after each dose until the patient experiences a relief in pain or or a drop in pulse or
BP(less than 100)
Paramedic 2 Final Exam 2022 update questions with
correct answers
,Paramedic 2 Final Exam 2022 update questions with
correct answers
You respond to a call with an unconscious patient, what 2 pieces of equipment must always come with
you off the truck? correct answerMonitor and airway bag
When do we consider calling a code? correct answer2 rounds of drugs, obvious rigor mortis or levidity
What exactly are the purkinje fibers? correct answerthousands of fibrils distributed through the
ventricles that carry electrical impulses to cause contraction
How will a patient with right ventricular failure present? correct answerPatients experiencing an MI of
the right ventricle may already be HYPOTENSIVE, or may become extrememly hypotensive IF
NITROGLYCERINE IS GIVEN,
So what are you well advised to perform anytime you find a patient with an inferior wall MI? correct
answera second EKG, a V4r, you may even be ordered to give 1-2 liters of fluid before administering any
nitro to keep from bottoming out there pressure.
How does right sided heart failure typically occur? correct answeras a result of left sided heart failure,
also Pulmonary embolism, long standing COPD and Chronic bronchitis.
How will a patient in Right ventricular failure present and why? correct answerHypotensive, right sided
heart failure actually decreases the preload of the failing left side of the heart and may lesses pulmonary
congestion.
When would you not want to give a patient nitroglycerine? correct answerwhen they have a systolic
blood pressure of 90!
What does a patient having Acute Coronary syndrome typically complain of having? correct
answerChest pain described as heavy ,squeezing, crushing or tight. Pain radiates to the arms, WOMAN
WILL COMPLAIN OF FATIGUE!!!!
Paramedic 2 Final Exam 2022 update questions with
correct answers
,Paramedic 2 Final Exam 2022 update questions with
correct answers
Who typically dies from heart disease and why? correct answerwomen, there symptoms are less clear
cut. They have nausea, epigastric burning, lightheadedness, WEAKNESS OR FEELING TIRED.
What patients don`t experience chest pain during an AMI? correct answerDiabetics, older people and
heart transplant patients. They have "Silent MI`s". they develop dypsnea, a drop in pressure, loss of
consciousness, stroke.
What is a first degree block? correct answerEach impulse reaching the AV Node is delayed slightly longer
than expected resulting in PRI greater than .20 seconds. PROLONGED PRI IS THE SIGNIFICANT SIGN!!
Which block is considered the least serious and why? correct answerfirst degree block, because
each impulse eventually passes through the AV node causing a QRS complex but it is the first
indication of damage
What is the usual rate of a first degree block? correct answer60-100 beats a min, low end. Rhythm
is regular
What is second degree heart block Type 1(WENCKEBACH)? correct answerA second degree heart block
occurs when an impulse reaching the AV node is occasionally prevented. OCCASIONAL MISSED QRS
COMPLEX. EACH SUCCESSIVE IMPULSE IS DELAYED A BIT LONGER TIL FINALY ONE IS NOT ALLOWED TO
CONTINUE.
What does second degree type 1 look like? correct answer60-100 bpm, irregular, prolonged R-R
interval, P wave for every QRS not a QRS for every P wave.
When is second degree heart block treated in the prehospital setting? correct answerIf it is associated
with bradycardia
What is a second degree type 2(classic or mobitz)? correct answeroccurs when several impulses are
not allowed to continue, can be regular or irregular. PR interval is constant with the occasional
dropped QRS complex
Paramedic 2 Final Exam 2022 update questions with
correct answers
, Paramedic 2 Final Exam 2022 update questions with
correct answers
When is second degree type 2 treated in prehospital setting? correct answerwhen bradycardia is
associated with it
What is a third degree heart block? correct answerA complete block. All impulses reaching the AV
node are prevented from passing through to the ventricles.
What happens since all impulses are blocked in a 3rd degree block? correct answerthe ventricles
develop there own pacemaker to cause circulation of the blood at a greatly reduced rate.
What is the rate typically with a 3rd degree block? correct answertypically less than 60, The P waves and
QRS complexes are all of same distance however there is no rhyme or reason to how they are presented
How many boxes are there in a 6 second strip? correct answer30 boxes
When is a person with an aneurism symptomatic? correct answerWhen the aneurism starts to expand,
WHEN IT STARTS TO PUSH ON OTHER ORGANS
What occurs during diastole? correct answeratrial and ventricular relaxation, 80% of ventricular filling
occurs during this time
What occurs during systole correct answeratrial and ventricular contraction, the contents of each atrium
are squeezed into each ventricle to complete ventricular filling
What on an EKG strip is an indicator of wolf parkinsons white syndrome(WPW)? correct answerA delta
wave
What is a delta wave? correct answerits after the P wave and it is an upward slope turning into the QRS
complex.
Paramedic 2 Final Exam 2022 update questions with
correct answers
