CEP Medical Emergencies & Patient Transport 2

Question 1

A patient presents with sudden-onset severe headache described as 'the worst of my life,' neck stiffness, and photophobia. Which condition should be your primary concern?

Accepted Answer

Subarachnoid hemorrhage

Answer

A sudden 'thunderclap' headache with meningeal signs is the classic presentation of subarachnoid hemorrhage until proven otherwise.

Question 2

Which glucose level threshold generally requires paramedic intervention for symptomatic hypoglycemia in adults?

Accepted Answer

Below 60 mg/dL

Answer

Symptomatic hypoglycemia typically occurs below 60 mg/dL and warrants dextrose administration or oral glucose.

Question 3

During patient transport, a STEMI patient becomes pulseless with ventricular fibrillation. What is the immediate priority?

Accepted Answer

Defibrillate as soon as possible

Answer

VF is a shockable rhythm requiring immediate unsynchronized defibrillation before any pharmacological intervention.

Question 4

A 68-year-old diabetic male presents with diaphoresis, nausea, and jaw pain but denies chest pain. Which condition should top your differential?

Accepted Answer

Acute myocardial infarction

Answer

Diabetic patients often present with atypical AMI symptoms such as jaw pain, nausea, and diaphoresis without classic chest pain.

Question 5

Which position is recommended for transporting an unresponsive patient without suspected spinal injury who is breathing adequately?

Accepted Answer

Recovery (lateral recumbent) position

Answer

The recovery position protects the airway from aspiration in unresponsive breathing patients without spinal precautions.

(CEP) Certified Emergency Paramedic Practice Test

(CEP) Certified Emergency Paramedic Practice Test

CEP Medical Emergencies & Patient Transport 2