Paramedic Comprehensive Final Exam Practice Questions with Correct Answers Latest Updated 2024 Following blunt trauma to the anterior chest, a 44-year-old woman presents with restlessness, respiratory distress, perioral cyanosis, and tachycardia. Further assessment reveals a midline trachea, engorged jugular veins, and absent breath sounds on the right side of her chest. You should: - Correct Answer perform an immediate needle thoracentesis to the right side of the chest.A 40-year-old man presents with difficulty urinating, fever, and tremors. Which of the following should you suspect? - Correct Answer Prostatitis A 45-year-old unrestrained man was ejected from his small truck when it struck a tree. The patient is found approximately 20 feet from the wreckage. Your primary assessment reveals that he is unresponsive and has sonorous respirations and a rapid pulse. Your initial actions should include: - Correct Answer manually stabilizing his head and opening his airway with the jaw-thrust maneuver.A 60-year-old man with crushing chest pain has 3 mm of ST elevation in leads V1 through V4. What should you suspect? - Correct Answer Left anterior descending artery occlusion A patient with a suppressed cough mechanism: - Correct Answer is at serious risk for aspiration.You are caring for a 33-year-old woman who is 35 weeks pregnant and fell down a flight of stairs. Full spinal precautions have been taken, the patient is receiving high-flow oxygen, and a patent IV line is in place. During transport, you reassess her and note that she has become diaphoretic, tachycardic, and
tachypneic. You should: - Correct Answer tilt the backboard to the left side.
Which of the following is the MOST important consideration during a pandemic? - Correct Answer Personal protective equipment The door-to-balloon time for a patient with an ST elevation myocardial infarction is ___ minutes or less. - Correct Answer 90 When attempting resuscitation of a child with pulseless electrical activity, you should: - Correct Answer attempt to identify an underlying cause of the arrest. 1 / 2
Which of the following clinical findings would MOST likely differentiate a massive hemothorax from a tension pneumothorax? - Correct Answer Hemoptysis Which of the following clinical findings is the MOST consistent with hypertrophic cardiomyopathy? - Correct Answer Unexplained syncope A 41-year-old woman attempted to kill herself by cutting her wrists. Law enforcement personnel are at the scene. You have controlled the bleeding with direct pressure and a pressure bandage. The patient's vital signs are stable and she is conscious and alert; however, she refuses to go to the hospital. Despite pleas from her family to go to the hospital, she still refuses. You should: - Correct Answer remain with the patient, contact medical control, and request law enforcement intervention.Any time a patient with end-stage renal disease is found in cardiac arrest, the paramedic should strongly consider which of the following as the cause? - Correct Answer Kyperkalemia Which of the following statements regarding Grey Turner sign is correct? - Correct Answer Grey Turner sign is characterized by flank bruising and indicates internal bleeding.Following decontamination, a patient is presented to you by rescue personnel for transport. The patient is conscious and alert, and is in no obvious respiratory distress. The patient is emitting a pungent odor and has an orange chemical on her clothing. You should: - Correct Answer advise the rescuers that the patient has not been adequately decontaminated.Epiglottitis in children: - Correct Answer is uncommon because children are vaccinated against Haemophilus influenza type b.A young woman experienced massive facial trauma after being ejected from her car when it struck a tree. She is semiconscious, has blood draining from her mouth, and has poor respiratory effort. The MOST appropriate initial airway management for this patient involves: - Correct Answer suctioning her airway until it is clear of blood and other secretions, administering a sedative and paralytic, and performing endotracheal intubation.Two MOST important underlying principles of National Incident Management System are: - Correct Answer flexibility and standardization.
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