PARAMEDIC FINAL EXAM WITH PRACTICE
QUESTIONS WITH 100% CORRECT ANSWERS
NEWLY MODIFIED TESTED AND APPROVED
GRADED A+ 2025/2026 LATEST UPDATE
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
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,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
One of the hallmarks of a pulmonary embolism is: - ANSWER
cyanosis that does not resolve with oxygen therapy.
Paradoxial Respiratory Movement is - ANSWER the inward
movement of a segment of the chest during inhalation and a outward
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, movement of the chest during exhalation, opposite normal chest
movement and a indication of flail chest.
Paradoxical respiratory movement is characterized by: - ANSWER
the epigastrium and thorax moving in opposite directions
Cor pulmonale is defined as: - ANSWER right heart failure secondary
to chronic lung disease
Right Side Heart Failure Characteristics: . - ANSWER (pg. 1020)-
Distention with external jugular veins, Serum forced out producing
edema (feet and/or lower back), right upper quadrant swelling
(hepatomegaly, eg. Liver), abdominal distention, (eg, Ascites),end
enspiratory crackles, a progressive increase in dyspnea over several
days, greater than usual fluid intake, and improper use of diuretics
An elderly woman with COPD presents with peripheral edema. The
patient is conscious but agitated. She is breathing with slight difficulty
but has adequate tidal volume. During your assessment, you note that
her jugular veins engorge when you apply pressure to her right upper
abdominal quadrant. She tells you that she takes a "water pill" and
Vasotec for high blood pressure. You should: - ANSWER suspect
acute right heart failure and administer oxygen.
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QUESTIONS WITH 100% CORRECT ANSWERS
NEWLY MODIFIED TESTED AND APPROVED
GRADED A+ 2025/2026 LATEST UPDATE
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
Page 1 of 29
,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
One of the hallmarks of a pulmonary embolism is: - ANSWER
cyanosis that does not resolve with oxygen therapy.
Paradoxial Respiratory Movement is - ANSWER the inward
movement of a segment of the chest during inhalation and a outward
Page 2 of 29
, movement of the chest during exhalation, opposite normal chest
movement and a indication of flail chest.
Paradoxical respiratory movement is characterized by: - ANSWER
the epigastrium and thorax moving in opposite directions
Cor pulmonale is defined as: - ANSWER right heart failure secondary
to chronic lung disease
Right Side Heart Failure Characteristics: . - ANSWER (pg. 1020)-
Distention with external jugular veins, Serum forced out producing
edema (feet and/or lower back), right upper quadrant swelling
(hepatomegaly, eg. Liver), abdominal distention, (eg, Ascites),end
enspiratory crackles, a progressive increase in dyspnea over several
days, greater than usual fluid intake, and improper use of diuretics
An elderly woman with COPD presents with peripheral edema. The
patient is conscious but agitated. She is breathing with slight difficulty
but has adequate tidal volume. During your assessment, you note that
her jugular veins engorge when you apply pressure to her right upper
abdominal quadrant. She tells you that she takes a "water pill" and
Vasotec for high blood pressure. You should: - ANSWER suspect
acute right heart failure and administer oxygen.
Page 3 of 29
