ILLINOIS STATE PARAMEDIC EXAM VERIFIED SOLUTIONS 100%

ILLINOIS STATE PARAMEDIC EXAM VERIFIED SOLUTIONS 100% You carry lidocaine 400mg/250ml D5W. Which of the following is the correct concentration of lidocaine in each ml? A) 400 mcg/ml B) 400 mg/ml C) 1600 mcg/ml D) 1600 mg/ml - ANSWER C) 1600 mcg/ml 400mg/250ml=1.6mg --(NOT AN ANSWER) 1.6mg X 1000= 1600mcg/ml **ON THE TEST** A woman who is 38 weeks pregnant had minor spotting yesterday. She now has painless bright red vaginal bleeding. The uterus is soft and nontender. Her skin is pale and moist. VS BP 100/60 P 112 RR 28 Spo2 95%. What should the paramedic suspect? A) placental abruptio previa B) Placenta previa C) placenta abruptio D) Uterine rupture - ANSWER B) Placenta previa **ON THE TEST** Which of these would suppress the compensatory mechanism of tachycardia and a geriatric patient who is experiencing hemorrhagic shock? A. Thiazide diuretics B. Beta blockers C. Calcium channel blockers D. Blood thinners - ANSWER B. Beta blockers **ON THE TEST** Which of these is most likely to be sustained from the tertiary phase of blast injuries? A) Smoke or toxic fume inhalation, burns, crush injuries B) Lacerations, eye injuries, extremity fractures C) Compression fractures of the spine, rib fractures, hyperextension injuries D) Tympanic membrane rupture, headache, blast lung injury - ANSWER C) Compression fractures of the spine, rib fractures, hyperextension injuries **ON THE TEST** Which of these is appropriate treatment for hyperemesis gravidarum? A) EKG monitoring for irregularities B) Cesarean section C) Benzodiazepine administration D) IV fluid replacement - ANSWER D) IV fluid replacement What special care is needed to transport a patient who receives kidney dialysis every three days? A. Keep the patient in a lateral recumbent position during transport. B. Keep the arm with the fistula elevated above the level of the kidneys. C. Dialysis patients require careful titration of IV fluids. D. Dialysis patients generally require large amounts of IV fluids. - ANSWER C. dialysis patients require careful titration of IV fluids While riding a snowmobile, the patient runs into a low single strand rope fence and neck level. Assessment reveals abrasions and redness to the anterior neck. Which of these should the paramedic suspect? A. Basilar fracture B. Laryngeal fracture C. Tension pneumothorax D. Fracture of the manubrium - ANSWER B. Laryngeal fracture Which of the following areas has the highest risk of infection following a soft tissue injury? A. Cheek B. Torso C. Mouth D. Feet - ANSWER D. Feet A strain involves injury to which of the following? A. Ligament B. Muscles C. Bone D. Tendon - ANSWER B. Muscles A sprain involves injury to which of the following? A) Ligaments B) Muscles C) Joints D) Cartilage - ANSWER A) Ligaments Why can paradoxical movement be initially ABSENT in a patient with a flail chest despite significant trauma? A. Compensation by the diaphragm B. Decreased respiratory depth C. Intercostal muscle spasms D. Deep hyperventilation - ANSWER C. Intercostal muscle spasms Which of the following does not impair the clotting system? A. Hemophilia B. Vitamin K deficiency C. Sickle cell anemia D. Disseminated intravascular coagulation E. Thrombocytopenia - ANSWER C. Sickle cell anemia Which of these may cause respiratory alkalosis? A) Anxiety and hyperventilation B) Renal failure and dehydration C) Excessive bicarbonate administration D) Airway obstruction and chest wall injury - ANSWER A) Anxiety and hyperventilation A 24-year-old patient presents with a sudden onset of non-radiating chest pain. The patient is tall, thin, and reports being physically active prior to this event. The patient denies any cough, medications, or allergies. VS: BP 136/80, P112, RR 32 and shallow, spo2 94%. Breath sounds are diminished on the right and clear on the left. What should a paramedic suspect? A. Spontaneous pneumothorax B. Hyperventilation syndrome C. Pulmonary embolism D. Pleurisy - ANSWER A. Spontaneous pneumothorax **ON THE TEST** A confused 89-year-old patient is complaining of dyspnea and chest pain. The patient became ill four days ago with a productive cough and yellow green sputum it has crackles in the right middle and lower lobes. Skin turgor is poor and his lips and tongue are dry and cracked. VS: BP 98/60; p 118, RR 32, spo2 88%, T 103F. Which of these should a paramedic suspect? A) Left ventricular failure B) Pneumonia C) Chronic bronchitis D) Pulmonary edema - ANSWER B) Pneumonia A 23-year-old patient is complaining of an acute onset of severe shortness of breath and sharp right sided chest pain after a cross country flight. The patient has no prior medical history. The patient smokes and is on birth control pills. VS: BP 126/90, P 124; ECG ST; RR 32 and labored, spo2 90%. Lung sounds are clear bilaterally, skin is pale, cool, and diaphoretic. What should a paramedic suspect? A. Spontaneous pneumothorax B. Hyperventilation syndrome C. Pulmonary embolism D. Pleurisy - ANSWER C. Pulmonary embolism **ON THE TEST** A 54-year-old patient has a prod