1|Page
NYS PARAMEDIC FINAL EXAM QUESTIONS AND
ANSWERS 2025
How sodium channel blocker meds work, specifically how
they affect phase zero of the cardiac depolarization? -
.....ANSWER... ✔✔ Depolarization: Is due to the influx
of Sodium (Na+) which causes the cell's internal
membrane to become more positive, leading to an
action potential.
Repolarization: Occurs when Potassium (K+) leaves the
cell causing the interior of the cell to become negative
again.
How to protect yourself from a violent patient, what's
the first thing we have to give ourselves? - .....ANSWER...
✔✔ Space
The four lobes of the brain - .....ANSWER... ✔✔
Frontal Lobe, Parietal Lobe, Temporal Lobes, Occipital
Lobe
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Frontal Lobe of the brain - .....ANSWER... ✔✔
Involved in reasoning, motor control, emotion, and
language.
Parietal Lobe of the brain - .....ANSWER... ✔✔ Its
functions in processing sensory information regarding the
location of parts of the body as well as interpreting
visual information and processing language and
mathematics.
Temporal Lobes of the brain - .....ANSWER... ✔✔
Process sensory input. Its functions involved primary
auditory perception, such as hearing, and holds the
primary auditory cortex.
Occipital Lobe of the brain - .....ANSWER... ✔✔
Processes visual processing center
What the management of lye ingestion is? -
.....ANSWER... ✔✔ Transport, nothing we can do for
them
Three methods of evaluating the heart rate off an EKG
strip - .....ANSWER... ✔✔ 10 second rule
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R to R
Count all of the little boxes and divide by 1,500 (this
one is the most accurate)
SA Node: 60-100 beats per minute
AV Node: 40-60 beats per minute
Purkinje Fibers: 15-40 beats per minute
Causes of pulmonary of emboli? - .....ANSWER... ✔✔
Perfusion Ventilation Ratio is what is affected when PE
happens.
Perfusion ventilation ratio is mismatch
A blood clot in one of the pulmonary arteries
Also can cause right side heart failure.
Respiratory acidosis or alkalosis - .....ANSWER... ✔✔
Caused by a lung disorder or issue with exhalation
Metabolic of consequences of both vomiting and
diarrhea - .....ANSWER... ✔✔ Causes hypokalemia (
metabolic acidosis) and renal loss of potassium
secondary to salt-wasting nephropathy. Metabolic
acidosis is a buildup of acid in the body that originates
in the kidneys. It occurs when your body can't get rid of
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excess acid or loses too much base. Water and
electrolytes are lost when there is vomiting. These losses
cause dehydration (due to the loss of water and sodium
chloride), metabolic acidosis (due to the loss of
bicarbonate), and potassium depletion. Metabolic
alkalosis leads to an increased blood pH- resulting if
untreated in coma or death. When metabolic acidosis
occurs your kidneys and lungs can't keep your body's pH
in balance. Acidosis (blood that's too acidic), pH of less
than 7.35- Alkalosis( blood that's too basic) pH of higher
than 7.45. Respiratory acidosis or alkalosis- caused by
a lung disorder or issue with exhalation Metabolic
acidosis or alkalosis- problem with the functioning of the
kidneys
Generic and trade names of TCA meds Tricyclic
antidepressants (TCA)? - .....ANSWER... ✔✔
amitriptyline (Elavil), amoxapine, clomipramine
(Anafranil), desipramine (Norpramin), doxepin
(Sinequan), imipramine (Tofranil), nortriptyline (Pamelor),
protriptyline (Vivactil)
Metabolic acidosis or alkalosis - .....ANSWER... ✔✔
Problem with the functioning of the kidneys
What is the Jejunum - .....ANSWER... ✔✔ The small
intestine or small bowel is the part of the gastrointestinal
NYS PARAMEDIC FINAL EXAM QUESTIONS AND
ANSWERS 2025
How sodium channel blocker meds work, specifically how
they affect phase zero of the cardiac depolarization? -
.....ANSWER... ✔✔ Depolarization: Is due to the influx
of Sodium (Na+) which causes the cell's internal
membrane to become more positive, leading to an
action potential.
Repolarization: Occurs when Potassium (K+) leaves the
cell causing the interior of the cell to become negative
again.
How to protect yourself from a violent patient, what's
the first thing we have to give ourselves? - .....ANSWER...
✔✔ Space
The four lobes of the brain - .....ANSWER... ✔✔
Frontal Lobe, Parietal Lobe, Temporal Lobes, Occipital
Lobe
,2|Page
Frontal Lobe of the brain - .....ANSWER... ✔✔
Involved in reasoning, motor control, emotion, and
language.
Parietal Lobe of the brain - .....ANSWER... ✔✔ Its
functions in processing sensory information regarding the
location of parts of the body as well as interpreting
visual information and processing language and
mathematics.
Temporal Lobes of the brain - .....ANSWER... ✔✔
Process sensory input. Its functions involved primary
auditory perception, such as hearing, and holds the
primary auditory cortex.
Occipital Lobe of the brain - .....ANSWER... ✔✔
Processes visual processing center
What the management of lye ingestion is? -
.....ANSWER... ✔✔ Transport, nothing we can do for
them
Three methods of evaluating the heart rate off an EKG
strip - .....ANSWER... ✔✔ 10 second rule
,3|Page
R to R
Count all of the little boxes and divide by 1,500 (this
one is the most accurate)
SA Node: 60-100 beats per minute
AV Node: 40-60 beats per minute
Purkinje Fibers: 15-40 beats per minute
Causes of pulmonary of emboli? - .....ANSWER... ✔✔
Perfusion Ventilation Ratio is what is affected when PE
happens.
Perfusion ventilation ratio is mismatch
A blood clot in one of the pulmonary arteries
Also can cause right side heart failure.
Respiratory acidosis or alkalosis - .....ANSWER... ✔✔
Caused by a lung disorder or issue with exhalation
Metabolic of consequences of both vomiting and
diarrhea - .....ANSWER... ✔✔ Causes hypokalemia (
metabolic acidosis) and renal loss of potassium
secondary to salt-wasting nephropathy. Metabolic
acidosis is a buildup of acid in the body that originates
in the kidneys. It occurs when your body can't get rid of
, 4|Page
excess acid or loses too much base. Water and
electrolytes are lost when there is vomiting. These losses
cause dehydration (due to the loss of water and sodium
chloride), metabolic acidosis (due to the loss of
bicarbonate), and potassium depletion. Metabolic
alkalosis leads to an increased blood pH- resulting if
untreated in coma or death. When metabolic acidosis
occurs your kidneys and lungs can't keep your body's pH
in balance. Acidosis (blood that's too acidic), pH of less
than 7.35- Alkalosis( blood that's too basic) pH of higher
than 7.45. Respiratory acidosis or alkalosis- caused by
a lung disorder or issue with exhalation Metabolic
acidosis or alkalosis- problem with the functioning of the
kidneys
Generic and trade names of TCA meds Tricyclic
antidepressants (TCA)? - .....ANSWER... ✔✔
amitriptyline (Elavil), amoxapine, clomipramine
(Anafranil), desipramine (Norpramin), doxepin
(Sinequan), imipramine (Tofranil), nortriptyline (Pamelor),
protriptyline (Vivactil)
Metabolic acidosis or alkalosis - .....ANSWER... ✔✔
Problem with the functioning of the kidneys
What is the Jejunum - .....ANSWER... ✔✔ The small
intestine or small bowel is the part of the gastrointestinal
