SANTA CLARA COUNTY EMS PARAMEDIC
PROTOCOL TEST ACTUAL EXAM QUESTIONS
AND VERIFIED SOLUTIONS 2026
◉ hypertensive crisis. Answer: Bp measured 3 times 5 min. apart
with diastolic Bp > 120 mmHg or MAP >15o mmHg. N./v
◉ 10 mg labetalol IV slowly over 2 min after 10 min 10-20 mg IV
slowly over 2 minutes total of 30 mg. Answer: hypertensive crisis
◉ witnessed V-fib. Answer: three stacked shocks
◉ v-fib. Answer: 1 mg epi (.1mg/ml) IV repeat every 3-5 min. 300
amio IV 2nd dose 150 IV after 10 min.
◉ persistent v-fib. Answer: fails to respond to 4 shocks, 3 mg of epi,
450 mg of amio or occurs >4 times without ROSC
◉ exclusions for persistent v-fib. Answer: < 18 trauma cardiac
arrest, initially was systole or PEA
, ◉ persistent v-fib after 5mg of epi. Answer: withhold and give
.5mg/kg esmolol hydrochloride IV/IO may repeat 1 time after 5
minutes
◉ tornadoes of hypomag. Answer: 2 grams of mag IV/IO over 10
minutes
◉ peds severe allergic reaction. Answer: .01mg/kg (1 mg/ml) IM up
to .3mg can repeat (3 times) 20mL/kg IV/IO NSS bolus repeat 2
additional times up to 60 mL/kg
◉ peds severe allergic reaction Benadryl. Answer: 1mg/kg IV/IO/IM
up to 50 mg
◉ peds severe allergic reaction soul-medrol. Answer: 2mg/kg
IV/IO/IM up to 125 mg
◉ peds severe allergic reaction not responsive to IM epi. Answer:
.01mg/kg (1 mg/mL) up to .25 mg IV/IO mixed in 100 Ml bag of NSS
infused until symptom improvement
◉ peds moderate allergic reaction. Answer: <1 medical control
>1 Benadryl 1mg/kg PO/IM up to 25 mg
PROTOCOL TEST ACTUAL EXAM QUESTIONS
AND VERIFIED SOLUTIONS 2026
◉ hypertensive crisis. Answer: Bp measured 3 times 5 min. apart
with diastolic Bp > 120 mmHg or MAP >15o mmHg. N./v
◉ 10 mg labetalol IV slowly over 2 min after 10 min 10-20 mg IV
slowly over 2 minutes total of 30 mg. Answer: hypertensive crisis
◉ witnessed V-fib. Answer: three stacked shocks
◉ v-fib. Answer: 1 mg epi (.1mg/ml) IV repeat every 3-5 min. 300
amio IV 2nd dose 150 IV after 10 min.
◉ persistent v-fib. Answer: fails to respond to 4 shocks, 3 mg of epi,
450 mg of amio or occurs >4 times without ROSC
◉ exclusions for persistent v-fib. Answer: < 18 trauma cardiac
arrest, initially was systole or PEA
, ◉ persistent v-fib after 5mg of epi. Answer: withhold and give
.5mg/kg esmolol hydrochloride IV/IO may repeat 1 time after 5
minutes
◉ tornadoes of hypomag. Answer: 2 grams of mag IV/IO over 10
minutes
◉ peds severe allergic reaction. Answer: .01mg/kg (1 mg/ml) IM up
to .3mg can repeat (3 times) 20mL/kg IV/IO NSS bolus repeat 2
additional times up to 60 mL/kg
◉ peds severe allergic reaction Benadryl. Answer: 1mg/kg IV/IO/IM
up to 50 mg
◉ peds severe allergic reaction soul-medrol. Answer: 2mg/kg
IV/IO/IM up to 125 mg
◉ peds severe allergic reaction not responsive to IM epi. Answer:
.01mg/kg (1 mg/mL) up to .25 mg IV/IO mixed in 100 Ml bag of NSS
infused until symptom improvement
◉ peds moderate allergic reaction. Answer: <1 medical control
>1 Benadryl 1mg/kg PO/IM up to 25 mg
