FINAL EXAM QUESTIONS AND ANSWERS 2025/2026
NEW UPDATE
1. An alert 22 year old male was just disentangled from debris in a house collapse. He
denies head or neck pain, but complains of server hip pain. Vital signs are BP 88/40. P120
R 16 you should administer.
A. epinephrine
B. lidocaine
C. sodium bicarbonate
D. morphine sulfate -- ANSWER--sodium bicarbonate
2. Braxton Hicks contractions
A. are mild and signal the beginning of labor
B. occur in the second trimester and are false labor
C. cause extreme back and abdominal discomfort
D. cause dilation and effacement of the cervix -- ANSWER--occur in the second trimester
and are false labor.
3. You are asked to set up a patient treatment area after a box labeled "radioactive" was found
unattended in a park. Which of the following would be the best location.
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,A. An open area in the park
B. The Emergency Operations Center
C. The Incident Command Center
D. A building in the park -- ANSWER--Building in the park
4. What is the most common cause of status epilepticus in adults.
A. Alcohol withdrawal
B. Sudden elevation in body temperature
C. Failure to take prescribed medications
D. Recent history of head trauma -- ANSWER--Failure to take prescribed medications
5. A 58 year old male with history of renal failure complains of dizziness lethargy and
difficulty breathing. He says he missed his last dialysis appointment. Vital signs are BP
160/90 P 100 R 28 with rales heard in the basses. SPO2 92% you should suspect.
A. fluid overload
B. hypokalemia
C. respiratory alkalosis
D. hypermagnesemia -- ANSWER--Fluid Overload.
6. A 6 month old male was found lying face down in the crib. He is cyanotic and apneic. A
weak
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,brachial pulse is present. You are unable to see a chest rise with your second attempt at
rescue breathing after repositioning the head. What should you do.
A. perform 5 abdominal thrusts
B. Start CPR
C. Perform a finger sweep
D. Give five back slaps -- ANSWER--Start CPR
7. You have just been called to a dialysis clinic for a 58 year old male in cardiac arrest. The
online physician may order you to administer which of the following medications.
A. Magnesium sulfate
B. Sodium bicarbonate
C. Furosemide
D. Calcium channel blocker -- ANSWER--Sodium Bicarbonate.
8. A 26 year old female does not respond to verbal stimuli but moans in response to pain. A
friend states the patient has ingested approx 150 amitriptyline tables. Vital Signs are BP
88/50 R16. You establish IV access and administer a fluid challenge. En route to the hospital
her ECG shows a widening QRS. You should administer
A. amiodarone
B. another fluid challenge
C. calcium chloride
D. sodium bicarbonate -- ANSWER--Sodium Bicarbonate.
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, 9. A 30 year old climber is experiencing sever shortness of breath after reaching an elevation
of 12000feet. The PT is very anxious and has rales noted to all quadrants but is otherwise
healthy. He is not accustomed to high altitudes. What should you do?
A. Administer oxygen while descending to a lower altitude
B. Coach the patient to slow his respirations
C. Apply CPAP while the patient adapts to the elevations
D. Evacuate the patient to a hyperbaric chamber -- ANSWER--Administer oxygen while
descending to a lower altitude.
10. A 40 year old male crashed his motorcycle. He had a brief loss of consciousness, woke
up and walked home. You find him 2 hours later at home unconscious. You should suspect.
A. Subdural hematoma
B. Subarachnoid Bleed.
C. Basilar skull fracture
D. Epidural Hematoma -- ANSWER--epidural hematoma
11. A 47 year old male who was found unconscious on the side of the road respond only to
painful stimulus. When you attempt to establish IV access he stiffens his arms and legs. He
has minor abrasions all over his body. Vital signs are BO 178/122 P56 R irregular ETCO2
30. What should you do?
A. Mildly hypoventilate with a bag valve mask
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