CEP Medical Emergencies & Patient Transport 3

Question 1

A conscious patient presents with urticaria, wheezing, hypotension, and a history of bee sting 10 minutes ago. What is the first-line treatment?

Accepted Answer

Epinephrine 0.3 mg IM to the lateral thigh

Answer

Epinephrine IM is the first-line and potentially life-saving treatment for anaphylaxis, addressing bronchoconstriction and vasodilation simultaneously.

Question 2

During transport, a patient with a suspected pulmonary embolism deteriorates with decreasing BP and SpO2. Which additional intervention is most appropriate?

Accepted Answer

Cautious fluid resuscitation and rapid transport to ED

Answer

Massive PE management prehospital is supportive with cautious fluids and rapid transport; aggressive fluids can worsen right heart strain.

Question 3

Which finding on a 12-lead ECG is most consistent with a right ventricular infarction?

Accepted Answer

ST elevation in leads II, III, and aVF with ST elevation in V4R

Answer

RV infarction typically accompanies inferior STEMI and is confirmed by ST elevation in right-sided lead V4R.

Question 4

A seizing patient has been actively seizing for 8 minutes. IV access is unavailable. Which benzodiazepine route is most appropriate?

Accepted Answer

Rectal diazepam or intranasal/IM midazolam

Answer

Intranasal or IM midazolam and rectal diazepam are effective alternative routes when IV access is unavailable in status epilepticus.

Question 5

A patient with end-stage renal disease presents with peaked T waves, wide QRS, and a serum potassium of 7.2 mEq/L. Which medication should be given first?

Accepted Answer

Calcium chloride or calcium gluconate

Answer

Calcium stabilizes the myocardial membrane immediately in hyperkalemia-induced cardiac toxicity, buying time for other interventions.

(CEP) Certified Emergency Paramedic Practice Test

(CEP) Certified Emergency Paramedic Practice Test

CEP Medical Emergencies & Patient Transport 3