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PARAMEDIC FINAL EXAM QUESTIONS AND
ANSWERS 2025
Which of the following best describes when you should
perform a scene size-up?
A) Once you arrive at the patient's side
B) Throughout your time on the scene
C) When you initially arrive at the scene
D) As you are leaving the scene - .....ANSWER... ✔✔
B) Throughout your time on the scene
Which of the following is the best example of referred
pain?
A) Right shoulder pain associated with cholecystitis
B) Abdominal pain related to pancreatitis
C) Flank pain associated with a kidney stone
D) Chest pain located under the sternum associated with
a cardiac condition - .....ANSWER... ✔✔ A) Right
shoulder pain associated with cholecystitis
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Discoloration over the umbilicus, known as ________
sign, is a(n) ________ indicator of intraabdominal
bleeding.
A) Cullen's; late
B) Grey Turner's; early
C) Grey Turner's; late
D) Cullen's; early - .....ANSWER... ✔✔ A) Cullen's;
late
A patient who loses his balance while standing with his
eyes closed and feet together for 20
to 30 seconds is exhibiting a positive:
A) tilt test.
B) Babinski's reflex.
C) Romberg test.
D) Kehr's sig - .....ANSWER... ✔✔ C) Romberg test.
Rales, or crackles, would be most typically auscultated in
patients with which of the
following conditions?
A) Pulmonary embolus
B) Congestive heart failure
C) Asthma
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D) Pneumoni - .....ANSWER... ✔✔ B) Congestive heart
failure
Your patient is a 62-year-old woman with a history of
COPD. She is slightly more short of
breath than usual today. She is alert and speaks three
to four words between breaths. Her SpO2 is
93 percent on room air. Which of the following devices
should be used for the administration of
oxygen to this patient?
A) Nonrebreather mask
B) Nasal cannula
C) CPAP
D) BVM - .....ANSWER... ✔✔ B) Nasal cannula
A male patient with an acute exacerbation of his
emphysema presents in severe distress with
decreased air movement and diffuse inspiratory
wheezes in all fields. HR = 132, BP = 142/88,
RR =30, SaO2 = 88%. Which of the following blood
gas values is most likely?
A) pH of 7.6
B) PO2 of 100 mmHg
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C) PCO2 of 70 mmHg
D) PCO2 of 35 mmHg - .....ANSWER... ✔✔ C) PCO2
of 70 mmHg
The anterior surface of the heart is best viewed by ECG
leads:
A) II, III, aVF.
B) V1-V4.
C) I, aVL.
D) aVR, aVL, aVF. - .....ANSWER... ✔✔ B) V1-V4.
The lead to the left of the sternum at the fourth
intercostal space is:
A) V1.
B) V2.
C) V3.
D) V4 - .....ANSWER... ✔✔ B) V2.
Rebound tenderness in the abdomen is a sign of
potential:
A) kidney stone.
B) full urinary bladder.
PARAMEDIC FINAL EXAM QUESTIONS AND
ANSWERS 2025
Which of the following best describes when you should
perform a scene size-up?
A) Once you arrive at the patient's side
B) Throughout your time on the scene
C) When you initially arrive at the scene
D) As you are leaving the scene - .....ANSWER... ✔✔
B) Throughout your time on the scene
Which of the following is the best example of referred
pain?
A) Right shoulder pain associated with cholecystitis
B) Abdominal pain related to pancreatitis
C) Flank pain associated with a kidney stone
D) Chest pain located under the sternum associated with
a cardiac condition - .....ANSWER... ✔✔ A) Right
shoulder pain associated with cholecystitis
,2|Page
Discoloration over the umbilicus, known as ________
sign, is a(n) ________ indicator of intraabdominal
bleeding.
A) Cullen's; late
B) Grey Turner's; early
C) Grey Turner's; late
D) Cullen's; early - .....ANSWER... ✔✔ A) Cullen's;
late
A patient who loses his balance while standing with his
eyes closed and feet together for 20
to 30 seconds is exhibiting a positive:
A) tilt test.
B) Babinski's reflex.
C) Romberg test.
D) Kehr's sig - .....ANSWER... ✔✔ C) Romberg test.
Rales, or crackles, would be most typically auscultated in
patients with which of the
following conditions?
A) Pulmonary embolus
B) Congestive heart failure
C) Asthma
,3|Page
D) Pneumoni - .....ANSWER... ✔✔ B) Congestive heart
failure
Your patient is a 62-year-old woman with a history of
COPD. She is slightly more short of
breath than usual today. She is alert and speaks three
to four words between breaths. Her SpO2 is
93 percent on room air. Which of the following devices
should be used for the administration of
oxygen to this patient?
A) Nonrebreather mask
B) Nasal cannula
C) CPAP
D) BVM - .....ANSWER... ✔✔ B) Nasal cannula
A male patient with an acute exacerbation of his
emphysema presents in severe distress with
decreased air movement and diffuse inspiratory
wheezes in all fields. HR = 132, BP = 142/88,
RR =30, SaO2 = 88%. Which of the following blood
gas values is most likely?
A) pH of 7.6
B) PO2 of 100 mmHg
, 4|Page
C) PCO2 of 70 mmHg
D) PCO2 of 35 mmHg - .....ANSWER... ✔✔ C) PCO2
of 70 mmHg
The anterior surface of the heart is best viewed by ECG
leads:
A) II, III, aVF.
B) V1-V4.
C) I, aVL.
D) aVR, aVL, aVF. - .....ANSWER... ✔✔ B) V1-V4.
The lead to the left of the sternum at the fourth
intercostal space is:
A) V1.
B) V2.
C) V3.
D) V4 - .....ANSWER... ✔✔ B) V2.
Rebound tenderness in the abdomen is a sign of
potential:
A) kidney stone.
B) full urinary bladder.
