FINAL PARAMEDIC 2026 ADVANCED
PREHOSPITAL CARE COMPREHENSIVE
STUDY GUIDE
◉If a paramedic transports a patient without the patient's consent
or uses restraints in a wrongful manner. Answer: False
Imprisonment
◉A treatment plan developed for a specific illness or injury.. Answer:
Protocol
◉If you must deviate from your protocols because of unusual
circumstances, you should FIRST:. Answer: Notify Medical Control
◉HIPPA mandates that:. Answer: Patient information shall not be
shared with entities or persons not involved in the care of the
patient.
◉HIPPA Defined:. Answer: a. The first standards established to
protect the confidentiality of a patient's health information.
b. Medical information can be disclosed only if it is necessary for a
patient's treatment or for payment.
,c. Special situations such as dog bites, gunshot wounds, and abuse
require the release of patient information without the patient's
consent.
◉According to HIPAA, it is acceptable and permissible for hospitals
to:. Answer: share information with the EMS providers about patient
outcome for purposes of quality assurance and education.
◉Wheezing that is resolved with administration of bronchodilator
medication was probably caused by?. Answer: constriction of
smooth muscles
◉Wheezing is resolved with medications that?. Answer: Relax the
smooth muscle of the bronchiole
◉Difficulty with exhalation is MOST characteristic of:. Answer:
obstructive lung disease
◉COPD: Emphysema:. Answer: Characterized by distention of the
alveoli and destructive changes in the lungs.
◉COPD: Chronic Bronchitis:. Answer: Defined as sputum production
most days of month for 3 or more months out of year for more than
2 years. Will rarely have normal oxygen saturation; (maybe less than
90%). May have another condition, including respiratory conditions
, ◉A 66-year-old man with chronic bronchitis presents with severe
respiratory distress. The patient's wife tells you that he takes
medications for high blood pressure and bronchitis, is on home
oxygen therapy, and has recently been taking an over-the-counter
antitussive. She further tells you that he has not been compliant with
his oxygen therapy. Auscultation of his lungs reveals diffuse rhonchi.
What is the MOST likely cause of this patient's respiratory distress?.
Answer: Recent antitussive use
◉A 76-year-old woman with emphysema presents with respiratory
distress that has worsened progressively over the past 2 days. She is
breathing through pursed lips and has a prolonged expiratory phase
and an oxygen saturation of 76%. She is on home oxygen at 2 L/min.
Your initial action should be to?. Answer: place her in a position that
facilitates breathing.
◉Common clinical findings in patients with obstructive lung disease
include all of the following, EXCEPT:. Answer: a decreased expiratory
phase
◉Chronic obstructive pulmonary disease (COPD) is characterized
by:. Answer: changes in pulmonary structure and function that are
progressive and irreversible
PREHOSPITAL CARE COMPREHENSIVE
STUDY GUIDE
◉If a paramedic transports a patient without the patient's consent
or uses restraints in a wrongful manner. Answer: False
Imprisonment
◉A treatment plan developed for a specific illness or injury.. Answer:
Protocol
◉If you must deviate from your protocols because of unusual
circumstances, you should FIRST:. Answer: Notify Medical Control
◉HIPPA mandates that:. Answer: Patient information shall not be
shared with entities or persons not involved in the care of the
patient.
◉HIPPA Defined:. Answer: a. The first standards established to
protect the confidentiality of a patient's health information.
b. Medical information can be disclosed only if it is necessary for a
patient's treatment or for payment.
,c. Special situations such as dog bites, gunshot wounds, and abuse
require the release of patient information without the patient's
consent.
◉According to HIPAA, it is acceptable and permissible for hospitals
to:. Answer: share information with the EMS providers about patient
outcome for purposes of quality assurance and education.
◉Wheezing that is resolved with administration of bronchodilator
medication was probably caused by?. Answer: constriction of
smooth muscles
◉Wheezing is resolved with medications that?. Answer: Relax the
smooth muscle of the bronchiole
◉Difficulty with exhalation is MOST characteristic of:. Answer:
obstructive lung disease
◉COPD: Emphysema:. Answer: Characterized by distention of the
alveoli and destructive changes in the lungs.
◉COPD: Chronic Bronchitis:. Answer: Defined as sputum production
most days of month for 3 or more months out of year for more than
2 years. Will rarely have normal oxygen saturation; (maybe less than
90%). May have another condition, including respiratory conditions
, ◉A 66-year-old man with chronic bronchitis presents with severe
respiratory distress. The patient's wife tells you that he takes
medications for high blood pressure and bronchitis, is on home
oxygen therapy, and has recently been taking an over-the-counter
antitussive. She further tells you that he has not been compliant with
his oxygen therapy. Auscultation of his lungs reveals diffuse rhonchi.
What is the MOST likely cause of this patient's respiratory distress?.
Answer: Recent antitussive use
◉A 76-year-old woman with emphysema presents with respiratory
distress that has worsened progressively over the past 2 days. She is
breathing through pursed lips and has a prolonged expiratory phase
and an oxygen saturation of 76%. She is on home oxygen at 2 L/min.
Your initial action should be to?. Answer: place her in a position that
facilitates breathing.
◉Common clinical findings in patients with obstructive lung disease
include all of the following, EXCEPT:. Answer: a decreased expiratory
phase
◉Chronic obstructive pulmonary disease (COPD) is characterized
by:. Answer: changes in pulmonary structure and function that are
progressive and irreversible
