PARAMEDIC FINAL EXAM QUESTIONS AND
CORRECT ANSWERS 100%
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. - answer-Standing order
If a paramedic transports a patient without the patient's consent or uses
restraints in a wrongful manner - answer-False Imprisonment
A treatment plan developed for a specific illness or injury. - answer-Protocol
If you must deviate from your protocols because of unusual circumstances, you
should FIRST: - answer-Notify Medical Control
HIPPA mandates that: - answer-Patient information shall not be shared with
entities or persons not involved in the care of the patient.
HIPPA Defined: - 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: - 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? - answer-constriction of smooth muscles
Wheezing is resolved with medications that? - answer-Relax the smooth
muscle of the bronchiole
Difficulty with exhalation is MOST characteristic of: - answer-obstructive lung
disease
COPD: Emphysema: - answer-Characterized by distention of the alveoli and
destructive changes in the lungs.
COPD: Chronic Bronchitis: - 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? - 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? -
answer-place her in a position that facilitates breathing.
Common clinical findings in patients with obstructive lung disease include all of
the following, EXCEPT: - answer-a decreased expiratory phase
Chronic obstructive pulmonary disease (COPD) is characterized by: - answer-
changes in pulmonary structure and function that are progressive and
irreversible
The hypoxic drive is a phenomenon in which - 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 - 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: - answer-acute pulmonary embolism
CORRECT ANSWERS 100%
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. - answer-Standing order
If a paramedic transports a patient without the patient's consent or uses
restraints in a wrongful manner - answer-False Imprisonment
A treatment plan developed for a specific illness or injury. - answer-Protocol
If you must deviate from your protocols because of unusual circumstances, you
should FIRST: - answer-Notify Medical Control
HIPPA mandates that: - answer-Patient information shall not be shared with
entities or persons not involved in the care of the patient.
HIPPA Defined: - 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: - 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? - answer-constriction of smooth muscles
Wheezing is resolved with medications that? - answer-Relax the smooth
muscle of the bronchiole
Difficulty with exhalation is MOST characteristic of: - answer-obstructive lung
disease
COPD: Emphysema: - answer-Characterized by distention of the alveoli and
destructive changes in the lungs.
COPD: Chronic Bronchitis: - 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? - 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? -
answer-place her in a position that facilitates breathing.
Common clinical findings in patients with obstructive lung disease include all of
the following, EXCEPT: - answer-a decreased expiratory phase
Chronic obstructive pulmonary disease (COPD) is characterized by: - answer-
changes in pulmonary structure and function that are progressive and
irreversible
The hypoxic drive is a phenomenon in which - 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 - 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: - answer-acute pulmonary embolism
