LA county Accrued New Exam Questions with Verified
Answers.
1. How should paramedics manage pain due to IO infusion - ANS Lidocaine 2%?
1. When performing TCP, after you get ROSC, Pt. is still showing signs of poor perfusion what
should you do next? - ANS Increase Rate by 10bpm
1. Paramedics respond to the home of an 86 you male who sustained a mechanical fall down a
flight of stairs thirty minutes prior to your arrival. A contusion is noted to his occipital no other
visible trauma noted. 88/60, 112, 12, 99%. GCS 345, changed from baseline, how do you
manage his BP? - ANS NS 1L rapid IV/IO infusion
When should treatment of suspected crush syndrome begin during management of an
entrapped patient - ANS ASAP while victim entrapped
Destination policies in LA County consistently reinforced the basic concept that it is always best
to transport patients to a hospital based on which of the following factors - ANS To a hospital
that specializes in treating their age group or provider impression
1. You're managing a patient with the dystonic reaction and have made base contact. The mar
is on diversion due to ED SAT in addition to the diversion status of nearby facilities what will
determine the destination? - ANS driving times including traffic conditions
1. Why should resuscitation occur on scene for patients with nondramatic cardiac arrest? - ANS
ROSC prior to transport improve chances for a good neurologic outcome
1. Six-year-old in Cardiac arrest, patient's mother on scene request that you withhold
resuscitation due to terminal illness, how do you proceed? - ANS Honor the mother's wishes
and withhold resuscitation
1. When performing TCP, how should you confirm that both electrical and mechanical capture
has been achieved? - ANS confirm a palpable pulse that correlates with the rate set on the
pacer
1. TC High speed involving a nine month old patient being strained in the car seat, patient
appears normal with normal vital signs, how should you SMR?v - ANS immobilize the patient in
the car seat
1. 52-year-old female complaining of shortness of breath productive cough. She is awake and
alert 154/88, 98, R22 with decreased TV. Lungs revealed rhonchi, what is the best provider
impression? - ANS Rasp Distress / Bronchospasm
1. A 13 month old 10 kg, had a seizure at home. What amount of midazolam are you able to
administer before contacting base? - ANS 2.0 mg
1. 46-year-old male, ground level fall, laceration to forehead. Bleeding is controlled, suspected
ETOH, pt. cannot state name or location, where should you transport this pt.? - ANS nearest
trauma center ETA 25 minutes
1. Where should you transport a six-year-old male hit by car traveling 30 mph? - ANS Closest
PTC
Answers.
1. How should paramedics manage pain due to IO infusion - ANS Lidocaine 2%?
1. When performing TCP, after you get ROSC, Pt. is still showing signs of poor perfusion what
should you do next? - ANS Increase Rate by 10bpm
1. Paramedics respond to the home of an 86 you male who sustained a mechanical fall down a
flight of stairs thirty minutes prior to your arrival. A contusion is noted to his occipital no other
visible trauma noted. 88/60, 112, 12, 99%. GCS 345, changed from baseline, how do you
manage his BP? - ANS NS 1L rapid IV/IO infusion
When should treatment of suspected crush syndrome begin during management of an
entrapped patient - ANS ASAP while victim entrapped
Destination policies in LA County consistently reinforced the basic concept that it is always best
to transport patients to a hospital based on which of the following factors - ANS To a hospital
that specializes in treating their age group or provider impression
1. You're managing a patient with the dystonic reaction and have made base contact. The mar
is on diversion due to ED SAT in addition to the diversion status of nearby facilities what will
determine the destination? - ANS driving times including traffic conditions
1. Why should resuscitation occur on scene for patients with nondramatic cardiac arrest? - ANS
ROSC prior to transport improve chances for a good neurologic outcome
1. Six-year-old in Cardiac arrest, patient's mother on scene request that you withhold
resuscitation due to terminal illness, how do you proceed? - ANS Honor the mother's wishes
and withhold resuscitation
1. When performing TCP, how should you confirm that both electrical and mechanical capture
has been achieved? - ANS confirm a palpable pulse that correlates with the rate set on the
pacer
1. TC High speed involving a nine month old patient being strained in the car seat, patient
appears normal with normal vital signs, how should you SMR?v - ANS immobilize the patient in
the car seat
1. 52-year-old female complaining of shortness of breath productive cough. She is awake and
alert 154/88, 98, R22 with decreased TV. Lungs revealed rhonchi, what is the best provider
impression? - ANS Rasp Distress / Bronchospasm
1. A 13 month old 10 kg, had a seizure at home. What amount of midazolam are you able to
administer before contacting base? - ANS 2.0 mg
1. 46-year-old male, ground level fall, laceration to forehead. Bleeding is controlled, suspected
ETOH, pt. cannot state name or location, where should you transport this pt.? - ANS nearest
trauma center ETA 25 minutes
1. Where should you transport a six-year-old male hit by car traveling 30 mph? - ANS Closest
PTC
