Page 1 of 143
Paramedic Final PRACTICE EXAM NEWEST VERSION
WTH COMPLETE QUESTIONS AND WELL
ELABORATED ANSWERS LATEST UPDATE THIS YEAR
1. What is the cerebral perfusion pressure of a patient with a mean arterial pressure of 80 mm
Hg and an intracranial pressure of 5 mm Hg?
A) 60 mm Hg
B) 75mmHg
C) 90mmHg
D) 95 mm Hg
B) 75mmHg
32. Autoregulation is defined as:
A) reflex bradycardia that occurs secondary to systemic hypertension.
B) an increase in mean arterial pressure to maintain cerebral blood flow.
C) the forcing of cerebrospinal fluid into the spinal cord as intracranial pressure increases.
D) a decrease in cerebral perfusion pressure that reduces intracranial pressure.
B) an increase in mean arterial pressure to maintain cerebral blood flow.
16. What is the mean arterial pressure of a person who has a blood pressure of 140/90 mm
Hg?
A) 82 mm Hg
B) 97mmHg
C) 101mmHg
D) 107 mm Hg
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D) 107 mm Hg
17. The mean arterial pressure must be greater than or equal to ____ mm Hg to ensure that
the brain, coronary arteries, and kidneys remained perfused.
A) 50
B) 60
C) 70
D) 80
B) 60
48. Which of the following hemodynamic parameters decreases, regardless of the etiology of
the shock?
A) Pulse rate
B) Mean arterial pressure
C) Central venous pressure
D) Peripheral vascular resistance
B) Mean arterial pressure
63. If the left ventricle fills with 85 mL of blood and ejects 60 mL during a contraction, the
ejection fraction is approximately ___%.
A) 55
B) 60
C) 65
D) 70
D) 70
177. With regard to the heart, ejection fraction is defined as the:
A) volume of blood that enters the lungs.
B) volume of blood ejected from both atria.
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C) percentage of blood ejected from the heart.
D) percentage of blood returned to the heart.
C) percentage of blood ejected from the heart.
60. Blood pressure is the product of:
A) stroke volume and heart rate.
B) left ventricular ejection fraction and afterload.
C) cardiac output and peripheral vascular resistance.
D) right atrial preload and ventricular stroke volume.
C) cardiac output and peripheral vascular resistance.
20. If the left ventricle contains 80 mL of blood before a contraction and ejects 60 mL during
the contraction, the ejection fraction is:
A) 60%.
B) 65%.
C) 70%.
D) 75%.
D) 75%.
21. Cardiac output is influenced by:
A) heart rate.
B) stroke volume.
C) heart rate and/or stroke volume. D) ejection fraction and heart rate.
C) heart rate and/or stroke volume.
5. Which of the following statements regarding blood flow is correct?
A) Ejection fraction is the percentage of blood that the heart pumps per contraction.
B) If more blood returns to the heart, stroke volume decreases and cardiac output falls.
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C) As more blood is pumped with each contraction, the ejection fraction increases.
D) The amount of blood that returns to the atrium remains fixed from minute to minute.
A) Ejection fraction is the percentage of blood that the heart pumps per contraction.
10. If your department has its own technical rescue team:
A) technical rescue protocols should be established.
B) the rescue team should respond on every EMS call.
C) there is generally not a need to call in an outside agency.
D) it should have only one designated incident commander.
A) technical rescue protocols should be established.
34. When faced with a situation that is not addressed in your EMS system's protocols, you
should:
A) contact the nurse at the receiving facility.
B) radio your medical director to obtain orders.
C) proceed with basic life support and transport.
D) let experience guide further care of the patient.
B) radio your medical director to obtain orders.
44. Specific functions that the paramedic should perform prior to contacting medical control
are called:
A) standing orders.
B) online protocols.
C) physician directives.
D) predefined standards.
A) standing orders.
45. Which of the following statements regarding protocols is correct?
A) Protocols are usually developed in conjunction with national standards.
4
SUCCESS!
Paramedic Final PRACTICE EXAM NEWEST VERSION
WTH COMPLETE QUESTIONS AND WELL
ELABORATED ANSWERS LATEST UPDATE THIS YEAR
1. What is the cerebral perfusion pressure of a patient with a mean arterial pressure of 80 mm
Hg and an intracranial pressure of 5 mm Hg?
A) 60 mm Hg
B) 75mmHg
C) 90mmHg
D) 95 mm Hg
B) 75mmHg
32. Autoregulation is defined as:
A) reflex bradycardia that occurs secondary to systemic hypertension.
B) an increase in mean arterial pressure to maintain cerebral blood flow.
C) the forcing of cerebrospinal fluid into the spinal cord as intracranial pressure increases.
D) a decrease in cerebral perfusion pressure that reduces intracranial pressure.
B) an increase in mean arterial pressure to maintain cerebral blood flow.
16. What is the mean arterial pressure of a person who has a blood pressure of 140/90 mm
Hg?
A) 82 mm Hg
B) 97mmHg
C) 101mmHg
D) 107 mm Hg
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D) 107 mm Hg
17. The mean arterial pressure must be greater than or equal to ____ mm Hg to ensure that
the brain, coronary arteries, and kidneys remained perfused.
A) 50
B) 60
C) 70
D) 80
B) 60
48. Which of the following hemodynamic parameters decreases, regardless of the etiology of
the shock?
A) Pulse rate
B) Mean arterial pressure
C) Central venous pressure
D) Peripheral vascular resistance
B) Mean arterial pressure
63. If the left ventricle fills with 85 mL of blood and ejects 60 mL during a contraction, the
ejection fraction is approximately ___%.
A) 55
B) 60
C) 65
D) 70
D) 70
177. With regard to the heart, ejection fraction is defined as the:
A) volume of blood that enters the lungs.
B) volume of blood ejected from both atria.
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C) percentage of blood ejected from the heart.
D) percentage of blood returned to the heart.
C) percentage of blood ejected from the heart.
60. Blood pressure is the product of:
A) stroke volume and heart rate.
B) left ventricular ejection fraction and afterload.
C) cardiac output and peripheral vascular resistance.
D) right atrial preload and ventricular stroke volume.
C) cardiac output and peripheral vascular resistance.
20. If the left ventricle contains 80 mL of blood before a contraction and ejects 60 mL during
the contraction, the ejection fraction is:
A) 60%.
B) 65%.
C) 70%.
D) 75%.
D) 75%.
21. Cardiac output is influenced by:
A) heart rate.
B) stroke volume.
C) heart rate and/or stroke volume. D) ejection fraction and heart rate.
C) heart rate and/or stroke volume.
5. Which of the following statements regarding blood flow is correct?
A) Ejection fraction is the percentage of blood that the heart pumps per contraction.
B) If more blood returns to the heart, stroke volume decreases and cardiac output falls.
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C) As more blood is pumped with each contraction, the ejection fraction increases.
D) The amount of blood that returns to the atrium remains fixed from minute to minute.
A) Ejection fraction is the percentage of blood that the heart pumps per contraction.
10. If your department has its own technical rescue team:
A) technical rescue protocols should be established.
B) the rescue team should respond on every EMS call.
C) there is generally not a need to call in an outside agency.
D) it should have only one designated incident commander.
A) technical rescue protocols should be established.
34. When faced with a situation that is not addressed in your EMS system's protocols, you
should:
A) contact the nurse at the receiving facility.
B) radio your medical director to obtain orders.
C) proceed with basic life support and transport.
D) let experience guide further care of the patient.
B) radio your medical director to obtain orders.
44. Specific functions that the paramedic should perform prior to contacting medical control
are called:
A) standing orders.
B) online protocols.
C) physician directives.
D) predefined standards.
A) standing orders.
45. Which of the following statements regarding protocols is correct?
A) Protocols are usually developed in conjunction with national standards.
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