Paramedic Comprehensive Final Exam Practice Latest Update 2024-2025 Actual Exam 100 Questions and 100% Verified Correct Answers Guaranteed A+
A 10-year-old child fell approximately 15 feet from a balcony, landing on a sidewalk. He is conscious and alert, and complains of pain to the right side of his body. After completing your primary survey, you should: - CORRECT ANSWER: provide any immediately needed care, perform a rapid assessment, apply spinal precautions, and transport.
A 22-year-old male with sickle cell disease presents with severe abdominal pain. On assessment, his abdomen appears bloated and is rigid to the touch. What should you
suspect? - CORRECT ANSWER: Splenic sequestration syndrome
A 22-year-old woman experienced an acid chemical burn to her left forearm. She complains of intense pain and tingling in her fingers. She is conscious and alert, and denies any other symptoms. You should: - CORRECT ANSWER: begin immediate irrigation with water.
A 24-year-old woman was struck by lightning. Bystanders moved the patient to an area of safety but did not provide any other care before your arrival. Your primary assessment reveals that the patient is pulseless and apneic. You begin CPR and apply the cardiac monitor, which reveals asystole. After requesting a backup paramedic unit, the MOST appropriate treatment for this patient involves: - CORRECT ANSWER: continuing CPR, protecting her spine while ventilating, reassessing her cardiac rhythm after 2 minutes of CPR, and defibrillating if necessary.
A 29-year-old man presents with bizarre behavior and profuse sweating. His wife tells you that he has type 1 diabetes and that he took his insulin today. During your assessment, you will MOST likely find that the patient is: - CORRECT ANSWER: tachypneic
A 30-year-old man presents with jaw and neck stiffness and fever. During your assessment, he tells you that he cut his hand on a piece of metal about a week ago.You should suspect: - CORRECT ANSWER: tetanus.
A 30-year-old woman presents with bright red vaginal bleeding and severe abdominal pain. She tells you that she is 35 weeks pregnant and that this episode began suddenly about 30 minutes ago. She further tells you that she has not felt the baby move in over an hour. As your partner is treating the patient for shock, you obtain her medical history.The patient tells you that she has high blood pressure and admits to using cocaine
throughout her pregnancy. What should you suspect? - CORRECT ANSWER: Abruptio
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A 33-year-old male presents with chest pain that is alleviated when he sits forward. The 12-lead ECG shows ST elevation of 2 to 3 mm in multiple leads. What should you
suspect? - CORRECT ANSWER: Pericarditis
A 33-year-old woman had an apparent syncopal episode. According to her husband, she complained of dizziness shortly before the episode. He further states that he caught her before she fell to the ground. Upon your arrival, the patient is conscious but confused and is sitting in a chair. Her blood pressure is 90/60 mm Hg, pulse rate is 110 beats/min and weak, and respirations are 22 breaths/min and regular. Her blood
glucose level is 74 mg/dL. The MOST likely cause of her syncopal episode is: -
CORRECT ANSWER: dehydration.
A 36-year-old man experienced significant burns to his face, head, and chest following an incident with a barbeque pit. Your assessment of his airway reveals severe swelling.After administering medications to sedate and paralyze the patient, you are unable to intubate him. Furthermore, bag-mask ventilations are producing no chest rise. The quickest way to secure a patent airway in this patient is to: - CORRECT ANSWER: perform a needle cricothyrotomy.
A 38-year-old man presents with an acute onset of severe right upper quadrant abdominal pain, pain to his right shoulder, and nausea. He is conscious and alert, but is restless from the pain. His blood pressure is 150/86 mm Hg, pulse rate is 120 beats/min and strong, and respirations are 22 breaths/min and regular. You should: - CORRECT ANSWER: start an IV with normal saline and set it to keep the vein open, place him in a position of comfort, and administer morphine and promethazine.
A 39-year-old man in asystole has been unresponsive to high-quality CPR and two doses of epinephrine. The patient is intubated and an IO catheter is in place. You should focus on: - CORRECT ANSWER: searching for reversible causes.
A 39-year-old woman's car broke down, stranding her out in the country for approximately 18 hours. The outside temperature is 23°F. When you arrive and assess the woman, you determine that she is pulseless and apneic; her core body temperature is estimated to be below 86°F. CPR is immediately initiated and the woman is loaded into the ambulance quickly. The ECG reveals ventricular fibrillation. How should you proceed with the treatment of this patient? - CORRECT ANSWER: Give a single shock, immediately resume CPR, place advanced airway, provide ventilations at 10 breaths/min with warm humidified oxygen if possible, establish vascular access, and provide rapid transport.
A 40-year-old man fell 20 feet from a tree while trimming branches. Your assessment reveals that he is unresponsive. You cannot open his airway effectively with the jaw- thrust maneuver. You should: - CORRECT ANSWER: carefully open his airway with the head tilt-chin lift maneuver.
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