PARAMEDIC COMPREHENSIVE FINAL EXAM PRACTICE
QUESTIONS WITH ACCURATE ANSWERS
1. Following blunt trauma to the anterior chest, a 44-year-old woman presents wi
restlessness, respiratory distress, perioral cyanosis, and tachycardia. Further
assessment reveals a midline trachea, engorged jugular veins, and absent breath
sounds on the right side of her chest. You should:: perform an immediate need
thoracentesis to the right side of the chest.
2.A 40-year-old man presents with difficulty urinating, fever, and tremors. Which
of the following should you suspect?: Prostatitis
3.A 45-year-old unrestrained man was ejected from his small truck when it struck a
tree. The patient is found approximately 20 feet from the wreckage. Your primary
assessment reveals that he is unresponsive and has sonorous respirations and a rapid
pulse. Your initial actions should include:: manually stabilizing his head and
opening his airway with the jaw-thrust maneuver.
,4.A 60-year-old man with crushing chest pain has 3 mm of ST elevation in leads V1
through V4. What should you suspect?: Left anterior descending artery
occlusion
5.A patient with a suppressed cough mechanism:: is at serious risk for aspira-
tion.
6. You are caring for a 33-year-old woman who is 35 weeks pregnant and fell dow
a flight of stairs. Full spinal precautions have been taken, the patient is receiving high
flow oxygen, and a patent IV line is in place. During transport, you reassess her and
note that she has become diaphoretic, tachycardic, and tachypneic. You should:: tilt
the backboard to the left side.
7.Which of the following is the MOST important consideration during a pan- demic?:
Personal protective equipment
8.The door-to-balloon time for a patient with an ST elevation myocardial
infarction is minutes or less.: 90
9.When attempting resuscitation of a child with pulseless electrical activity, you
should:: attempt to identify an underlying cause of the arrest.
10.Which of the following clinical findings would MOST likely differentiate a massive
hemothorax from a tension pneumothorax?: Hemoptysis
, 11.Which of the following clinical findings is the MOST consistent with hyper- trophic
cardiomyopathy?: Unexplained syncope
12.A 41-year-old woman attempted to kill herself by cutting her wrists. Law
enforcement personnel are at the scene. You have controlled the bleeding with direct
pressure and a pressure bandage. The patient's vital signs are stable and she is
conscious and alert; however, she refuses to go to the hospital. Despite pleas from her
family to go to the hospital, she still refuses. You should:: remain with the patient,
contact medical control, and request law enforcement intervention.
QUESTIONS WITH ACCURATE ANSWERS
1. Following blunt trauma to the anterior chest, a 44-year-old woman presents wi
restlessness, respiratory distress, perioral cyanosis, and tachycardia. Further
assessment reveals a midline trachea, engorged jugular veins, and absent breath
sounds on the right side of her chest. You should:: perform an immediate need
thoracentesis to the right side of the chest.
2.A 40-year-old man presents with difficulty urinating, fever, and tremors. Which
of the following should you suspect?: Prostatitis
3.A 45-year-old unrestrained man was ejected from his small truck when it struck a
tree. The patient is found approximately 20 feet from the wreckage. Your primary
assessment reveals that he is unresponsive and has sonorous respirations and a rapid
pulse. Your initial actions should include:: manually stabilizing his head and
opening his airway with the jaw-thrust maneuver.
,4.A 60-year-old man with crushing chest pain has 3 mm of ST elevation in leads V1
through V4. What should you suspect?: Left anterior descending artery
occlusion
5.A patient with a suppressed cough mechanism:: is at serious risk for aspira-
tion.
6. You are caring for a 33-year-old woman who is 35 weeks pregnant and fell dow
a flight of stairs. Full spinal precautions have been taken, the patient is receiving high
flow oxygen, and a patent IV line is in place. During transport, you reassess her and
note that she has become diaphoretic, tachycardic, and tachypneic. You should:: tilt
the backboard to the left side.
7.Which of the following is the MOST important consideration during a pan- demic?:
Personal protective equipment
8.The door-to-balloon time for a patient with an ST elevation myocardial
infarction is minutes or less.: 90
9.When attempting resuscitation of a child with pulseless electrical activity, you
should:: attempt to identify an underlying cause of the arrest.
10.Which of the following clinical findings would MOST likely differentiate a massive
hemothorax from a tension pneumothorax?: Hemoptysis
, 11.Which of the following clinical findings is the MOST consistent with hyper- trophic
cardiomyopathy?: Unexplained syncope
12.A 41-year-old woman attempted to kill herself by cutting her wrists. Law
enforcement personnel are at the scene. You have controlled the bleeding with direct
pressure and a pressure bandage. The patient's vital signs are stable and she is
conscious and alert; however, she refuses to go to the hospital. Despite pleas from her
family to go to the hospital, she still refuses. You should:: remain with the patient,
contact medical control, and request law enforcement intervention.
