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updated version 2025-2026
31. A 67 year old with hypo-tension and bradycardia has no responded
to pacing or atropine. You should
A. an epinephrine infusion at 5-20 mcg/min
B. 40 units vasopressin via intravenous infusion
C. 1 mg epinephrine via intravenous infusion
D. a dopamine infusion at 2-10 mcg/kg/min --- correct precise answer
---administer dopamine infusion
32. A 19 year old male has suffered blunt trauma on his left chest. He
complains of server dyspnea and pain over the affected area. Vital
signs are BP 92/60 P 128 R 32. Breath sounds are very diminished
over the left chest. You should
A. perform a needle thoracostomy
B. perform an endotracheal intubation
C. initiate two large bore IVs of normal saline (NS)
D. perform a pericardiocentesis --- correct precise answer ---perform
needle thoracostomy
,33. A 44 year old patient has a persistent cough and occasional spits
up bloody sputum . He has been living in a a shelter for the past three
weeks and he smells like alcohol you should.
A. administer oxygen via non-rebreather mask
B. put on an N95 mask and eye protection
C. apply the ECG monitor and check for blood glucose level
D. suction the airway and reassess --- correct precise answer ---Put
on N95 mask and eye protection.
34. While treating a patient with suspected TB. What type of personal
protective equipment is essential
A. protective eyewear
B. Surgical facemask
C. Face-Shield mask
D. HEPA respirator --- correct precise answer ---HEPA respirator
35. A 2 year old male has been sick over the last 48 hours with a low
grade fever runny nose and upper respiratory infection. He has a seal
bark cough. The patient is using accessory muscles to breath and
appears fatigued his upper airway has stridours sounds. His lung
sounds appear clear. SPO2 92% how would you treat the patient.
A. Humidified oxygen, transport
,B. Oxygen, nebulized racemic epinephrine transport
C. Nebulized albuterol with atrovent reassess after 15 minutes
D. Alternate between placing the patient in a humidified room and
cold air from outside --- correct precise answer ---Oxygen nebulized
racemic epinephrine transport.
37. A 48 year old patient is chocking on a hot dog. He is unresponsive
apneic and has a strong pulse. Chest compression are infective at
relieving the obstruction. You should.
A. use laryngoscopy and Magill forceps to remove the object.
B. force the object out of the way as you pass an endotracheal tube.
C. place the patient into recovery position and transport immediately.
D. perform chest thrusts, blind finger sweep, and attempt to ventilate
--- correct precise answer ---use lagosopy and magill forceps to
remove the object.
38. 87 year male is complaining of dizziness. Physical exam revals
pale cool and diaphoretic skin. Pulse matches ECG bradycardia. You
should
A. urinary calculi
B. azotemia
C. urinary tract infection
, D. disequilibrium syndrome --- correct precise answer ---administer
atropine
39. A 14 year old patient was pulled form a indoor pool. She is
pulseless and apneic. You should
A. begin transcutaneous pacing, Establish an IV, and administer
atropine
B. establish an airway and an IV, administer epinephrine, and check
lung sounds
C. aggressively suction, perform CPR, transport immediately, and
attempt an IV en.route
D. perform CPR, endotracheally intubate, establish an IV, and
administer epinephrine --- correct precise answer ---perform CPR
endotracheal intubation establish an IV and administer epinephrine
40. A trauma patient has lost approx 500ml of blood the amount of
crystalloid solutions needed to replace this blood loss is
A. 2500 ml
B. 1000 mL
C. 1500 mL
D. 3000 mL --- correct precise answer ---1500 ml of saline ( 3 to 1
rule)