PARAMEDIC FINAL EXAM QUESTIONS WITH ANSWERS
LATEST UPDATE 2024
A protocol that is a written document signed by the EMS system's medical director
that outlines specific directions, permissions, and sometimes prohibitions regarding
patient care that is rendered prior to contacting medical control. - Correct Answer
Standing order
If a paramedic transports a patient without the patient's consent or uses restraints in
a wrongful manner - Correct Answer False Imprisonment
A treatment plan developed for a specific illness or injury. - Correct Answer
Protocol
If you must deviate from your protocols because of unusual circumstances, you
should FIRST: - Correct Answer Notify Medical Control
HIPPA mandates that: - Correct Answer Patient information shall not be shared
with entities or persons not involved in the care of the patient.
HIPPA Defined: - Correct Answer a. The first standards established to protect the
confidentiality of a patient's health information.
b. Medical information can be disclosed only if it is necessary for a patient's
treatment or for payment.
c. Special situations such as dog bites, gunshot wounds, and abuse require the
release of patient information without the patient's consent.
According to HIPAA, it is acceptable and permissible for hospitals to: - Correct
Answer share information with the EMS providers about patient outcome for
purposes of quality assurance and education.
Wheezing that is resolved with administration of bronchodilator medication was
probably caused by? - Correct Answer constriction of smooth muscles
Wheezing is resolved with medications that? - Correct Answer Relax the smooth
muscle of the bronchiole
Difficulty with exhalation is MOST characteristic of: - Correct Answer obstructive
lung disease
COPD: Emphysema: - Correct Answer Characterized by distention of the alveoli
and destructive changes in the lungs.
, COPD: Chronic Bronchitis: - Correct Answer Defined as sputum production most
days of month for 3 or more months out of year for more than 2 years. Will rarely
have normal oxygen saturation; (maybe less than 90%). May have another
condition, including respiratory conditions
A 66-year-old man with chronic bronchitis presents with severe respiratory distress.
The patient's wife tells you that he takes medications for high blood pressure and
bronchitis, is on home oxygen therapy, and has recently been taking an over-the-
counter antitussive. She further tells you that he has not been compliant with his
oxygen therapy. Auscultation of his lungs reveals diffuse rhonchi. What is the MOST
likely cause of this patient's respiratory distress? - Correct Answer Recent
antitussive use
A 76-year-old woman with emphysema presents with respiratory distress that has
worsened progressively over the past 2 days. She is breathing through pursed lips
and has a prolonged expiratory phase and an oxygen saturation of 76%. She is on
home oxygen at 2 L/min. Your initial action should be to? - Correct Answer place
her in a position that facilitates breathing.
Common clinical findings in patients with obstructive lung disease include all of the
following, EXCEPT: - Correct Answer a decreased expiratory phase
Chronic obstructive pulmonary disease (COPD) is characterized by: - Correct
Answer changes in pulmonary structure and function that are progressive and
irreversible
The hypoxic drive is a phenomenon in which - Correct Answer bicarbonate ions
migrate into the cerebrospinal fluid of a chronically hypoventilating patient, making
the brain think that acid and base are in balance
Pulmonary Embolism Characteristics - Correct Answer Sudden dyspnea &
cyanosis, and perhaps, a sharp pain in the chest. A hallmark of pulmonary embolism
is that the cyanosis does not resolve with oxygen therapy.
You are dispatched to a residence for a young woman with difficulty breathing.
When you arrive, you find the patient sitting in a tripod position, noticeably dyspneic
and tachypneic. She tells you that she experienced a sudden sharp pain to the left
side of her chest and then started having trouble breathing. She denies any past
medical history and states that she only takes birth control pills. Based on this
patient's clinical presentation, you should be MOST suspicious for: - Correct
Answer acute pulmonary embolism
One of the hallmarks of a pulmonary embolism is: - Correct Answer cyanosis that
does not resolve with oxygen therapy.
LATEST UPDATE 2024
A protocol that is a written document signed by the EMS system's medical director
that outlines specific directions, permissions, and sometimes prohibitions regarding
patient care that is rendered prior to contacting medical control. - Correct Answer
Standing order
If a paramedic transports a patient without the patient's consent or uses restraints in
a wrongful manner - Correct Answer False Imprisonment
A treatment plan developed for a specific illness or injury. - Correct Answer
Protocol
If you must deviate from your protocols because of unusual circumstances, you
should FIRST: - Correct Answer Notify Medical Control
HIPPA mandates that: - Correct Answer Patient information shall not be shared
with entities or persons not involved in the care of the patient.
HIPPA Defined: - Correct Answer a. The first standards established to protect the
confidentiality of a patient's health information.
b. Medical information can be disclosed only if it is necessary for a patient's
treatment or for payment.
c. Special situations such as dog bites, gunshot wounds, and abuse require the
release of patient information without the patient's consent.
According to HIPAA, it is acceptable and permissible for hospitals to: - Correct
Answer share information with the EMS providers about patient outcome for
purposes of quality assurance and education.
Wheezing that is resolved with administration of bronchodilator medication was
probably caused by? - Correct Answer constriction of smooth muscles
Wheezing is resolved with medications that? - Correct Answer Relax the smooth
muscle of the bronchiole
Difficulty with exhalation is MOST characteristic of: - Correct Answer obstructive
lung disease
COPD: Emphysema: - Correct Answer Characterized by distention of the alveoli
and destructive changes in the lungs.
, COPD: Chronic Bronchitis: - Correct Answer Defined as sputum production most
days of month for 3 or more months out of year for more than 2 years. Will rarely
have normal oxygen saturation; (maybe less than 90%). May have another
condition, including respiratory conditions
A 66-year-old man with chronic bronchitis presents with severe respiratory distress.
The patient's wife tells you that he takes medications for high blood pressure and
bronchitis, is on home oxygen therapy, and has recently been taking an over-the-
counter antitussive. She further tells you that he has not been compliant with his
oxygen therapy. Auscultation of his lungs reveals diffuse rhonchi. What is the MOST
likely cause of this patient's respiratory distress? - Correct Answer Recent
antitussive use
A 76-year-old woman with emphysema presents with respiratory distress that has
worsened progressively over the past 2 days. She is breathing through pursed lips
and has a prolonged expiratory phase and an oxygen saturation of 76%. She is on
home oxygen at 2 L/min. Your initial action should be to? - Correct Answer place
her in a position that facilitates breathing.
Common clinical findings in patients with obstructive lung disease include all of the
following, EXCEPT: - Correct Answer a decreased expiratory phase
Chronic obstructive pulmonary disease (COPD) is characterized by: - Correct
Answer changes in pulmonary structure and function that are progressive and
irreversible
The hypoxic drive is a phenomenon in which - Correct Answer bicarbonate ions
migrate into the cerebrospinal fluid of a chronically hypoventilating patient, making
the brain think that acid and base are in balance
Pulmonary Embolism Characteristics - Correct Answer Sudden dyspnea &
cyanosis, and perhaps, a sharp pain in the chest. A hallmark of pulmonary embolism
is that the cyanosis does not resolve with oxygen therapy.
You are dispatched to a residence for a young woman with difficulty breathing.
When you arrive, you find the patient sitting in a tripod position, noticeably dyspneic
and tachypneic. She tells you that she experienced a sudden sharp pain to the left
side of her chest and then started having trouble breathing. She denies any past
medical history and states that she only takes birth control pills. Based on this
patient's clinical presentation, you should be MOST suspicious for: - Correct
Answer acute pulmonary embolism
One of the hallmarks of a pulmonary embolism is: - Correct Answer cyanosis that
does not resolve with oxygen therapy.
