PARAMEDIC MEDICAL EXAMINATION TEST
Q&A: 2026 STUDY GUIDE QUESTIONS AND
SOLUTIONS 100% CORRECT
◍ Spasmodic torticollis is characterized by:
A.neck muscle contraction, which twists the head to one side.
B.involuntary unilateral myoclonic contractions of the face.
C.sustained and painful contraction of the eyelids.
D.severe stabbing pain, usually to one side of the face.. Answer:
A.neck muscle contraction, which twists the head to one side
◍ Which of the following would have the MOST negative effect on
the outcome of a patient with an intracranial hemorrhage?
A.Hypertension
B.Hypotension
C.Slow rise in intracranial pressure
D.Tachycardia. Answer: B.Hypotension
◍ You are assessing an unresponsive 66-year-old man with a history
of two prior strokes. According to the patient's wife, he complained of
a severe headache and then passed out. His respiratory effort is poor,
blood pressure is elevated, and pulse is slow and bounding. The
glucometer reads "error." You should:
,A.intubate after 30 seconds of preoxygenation, ventilate at a rate of 8
breaths/min, start an IV with normal saline, administer 50 g of 50%
dextrose, and reassess.
B.hyperventilate with a bag-mask device at 30 breaths/min, begin
transcutaneous pacing, establish vascular access, and administer 25 g
of 50% dextrose.
C.give high-flow oxygen, apply the cardiac monitor, start an IV line
with normal saline, and administer 0.5 mg of atropine to treat his
bradycardia.
D.assist ventilations, apply the cardiac monitor, start an IV line with
normal saline, administer 12.5 g of 50% dextrose, and reassess his
level of consci. Answer: D.assist ventilations, apply the cardiac
monitor, start an IV line with normal saline, administer 12.5 g of 50%
dextrose, and reassess his level of consciousness.
◍ Tremors that increase as the patient's hand gets closer to an object
that he or she is trying to grab are called _________ tremors and are
MOST common in patients with _________.
A.intention, multiple sclerosis
B.postural, Alzheimer disease
C.rest, Parkinson disease
D.clonic, cerebral palsy. Answer: A.intention, multiple sclerosis
◍ Pupils that differ in size by less than 1 mm:
,A.are a sign of methamphetamine abuse.
B.indicate increased intracranial pressure.
C.may be a normal variant in some patients.
D.are a sign of optic nerve compression.. Answer: C.may be a normal
variant in some patients.
◍ 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.95 mm Hg
B.75 mm Hg
C.60 mm Hg
D.90 mm Hg. Answer: B.75 mm Hg
◍ You are dispatched to a local pharmacy, where a 24-year-old
woman experienced an apparent seizure. During your assessment, you
note that the patient is conscious but combative. The patient's
supervisor states that she has a history of seizures and takes Tegretol.
The patient's blood pressure is 146/90 mm Hg, pulse rate is 110
beats/min and regular, and respirations are 24 breaths/min with
adequate depth. The MOST appropriate treatment for this patient
includes:
A.establishing vascular access, administering diazepam or lorazepam
to reduce her combativeness, and transporting to the closest hospital.
, B.administering oxygen as tolerated, establishing an IV line, padding
the rails of the ambulance cot, and transporting without lights and
siren.
C.administering oxygen, restraining her to protect her from further
injury, placing a bite block in her mouth in case she seizes again, and
transporting.
D.giving her high-flow ox. Answer: B.administering oxygen as
tolerated, establishing an IV line, padding the rails of the ambulance
cot, and transporting without lights and siren.
◍ The middle ear consists of the:
A.organ of Corti and the external auditory canal.
B.inner portion of the tympanic membrane and the ossicles.
C.cochlea and semicircular canals.
D.pinna and the exterior portion of the tympanic membrane.. Answer:
B.inner portion of the tympanic membrane and the ossicles.
◍ A frantic mother dialed 911 for her three- year- old daughter, who
stuck a small dried bean into her ear. Assessment shows the bean to be
lodged firmly in the ear canal. When treating this patient, the
paramedic would:
A. Have the patient follow up with her family physician
B. Reassure the mother and transport the patient
C. Gently flush the ear canal with sterile water until the bean is
dislodged
Q&A: 2026 STUDY GUIDE QUESTIONS AND
SOLUTIONS 100% CORRECT
◍ Spasmodic torticollis is characterized by:
A.neck muscle contraction, which twists the head to one side.
B.involuntary unilateral myoclonic contractions of the face.
C.sustained and painful contraction of the eyelids.
D.severe stabbing pain, usually to one side of the face.. Answer:
A.neck muscle contraction, which twists the head to one side
◍ Which of the following would have the MOST negative effect on
the outcome of a patient with an intracranial hemorrhage?
A.Hypertension
B.Hypotension
C.Slow rise in intracranial pressure
D.Tachycardia. Answer: B.Hypotension
◍ You are assessing an unresponsive 66-year-old man with a history
of two prior strokes. According to the patient's wife, he complained of
a severe headache and then passed out. His respiratory effort is poor,
blood pressure is elevated, and pulse is slow and bounding. The
glucometer reads "error." You should:
,A.intubate after 30 seconds of preoxygenation, ventilate at a rate of 8
breaths/min, start an IV with normal saline, administer 50 g of 50%
dextrose, and reassess.
B.hyperventilate with a bag-mask device at 30 breaths/min, begin
transcutaneous pacing, establish vascular access, and administer 25 g
of 50% dextrose.
C.give high-flow oxygen, apply the cardiac monitor, start an IV line
with normal saline, and administer 0.5 mg of atropine to treat his
bradycardia.
D.assist ventilations, apply the cardiac monitor, start an IV line with
normal saline, administer 12.5 g of 50% dextrose, and reassess his
level of consci. Answer: D.assist ventilations, apply the cardiac
monitor, start an IV line with normal saline, administer 12.5 g of 50%
dextrose, and reassess his level of consciousness.
◍ Tremors that increase as the patient's hand gets closer to an object
that he or she is trying to grab are called _________ tremors and are
MOST common in patients with _________.
A.intention, multiple sclerosis
B.postural, Alzheimer disease
C.rest, Parkinson disease
D.clonic, cerebral palsy. Answer: A.intention, multiple sclerosis
◍ Pupils that differ in size by less than 1 mm:
,A.are a sign of methamphetamine abuse.
B.indicate increased intracranial pressure.
C.may be a normal variant in some patients.
D.are a sign of optic nerve compression.. Answer: C.may be a normal
variant in some patients.
◍ 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.95 mm Hg
B.75 mm Hg
C.60 mm Hg
D.90 mm Hg. Answer: B.75 mm Hg
◍ You are dispatched to a local pharmacy, where a 24-year-old
woman experienced an apparent seizure. During your assessment, you
note that the patient is conscious but combative. The patient's
supervisor states that she has a history of seizures and takes Tegretol.
The patient's blood pressure is 146/90 mm Hg, pulse rate is 110
beats/min and regular, and respirations are 24 breaths/min with
adequate depth. The MOST appropriate treatment for this patient
includes:
A.establishing vascular access, administering diazepam or lorazepam
to reduce her combativeness, and transporting to the closest hospital.
, B.administering oxygen as tolerated, establishing an IV line, padding
the rails of the ambulance cot, and transporting without lights and
siren.
C.administering oxygen, restraining her to protect her from further
injury, placing a bite block in her mouth in case she seizes again, and
transporting.
D.giving her high-flow ox. Answer: B.administering oxygen as
tolerated, establishing an IV line, padding the rails of the ambulance
cot, and transporting without lights and siren.
◍ The middle ear consists of the:
A.organ of Corti and the external auditory canal.
B.inner portion of the tympanic membrane and the ossicles.
C.cochlea and semicircular canals.
D.pinna and the exterior portion of the tympanic membrane.. Answer:
B.inner portion of the tympanic membrane and the ossicles.
◍ A frantic mother dialed 911 for her three- year- old daughter, who
stuck a small dried bean into her ear. Assessment shows the bean to be
lodged firmly in the ear canal. When treating this patient, the
paramedic would:
A. Have the patient follow up with her family physician
B. Reassure the mother and transport the patient
C. Gently flush the ear canal with sterile water until the bean is
dislodged
