CEP Medical Emergencies & Patient Transport 4

Question 1

A 45-year-old presents with acute confusion, fever of 104°F, and nuchal rigidity following a URI last week. Which transport priority is most appropriate?

Accepted Answer

Urgent transport with IV access and fluid resuscitation

Answer

Bacterial meningitis is a life-threatening emergency requiring urgent transport with supportive IV access and fluid management en route.

Question 2

Which of the following is the correct algorithm for managing a patient with suspected opioid overdose who is unresponsive and apneic?

Accepted Answer

BVM ventilations first, then naloxone if available

Answer

Airway management and ventilation take priority; naloxone reverses sedation but does not substitute for correcting hypoxia.

Question 3

During interfacility transport of a ventilated patient, the ventilator high-pressure alarm activates. What is the most likely cause?

Accepted Answer

Kinked ETT or mucus plug

Answer

High-pressure alarms during transport most commonly indicate airway obstruction from a kinked tube, mucus plug, or patient biting.

Question 4

A patient presents with altered mental status, temperature of 105.8°F, and anhidrosis after exercising in extreme heat. Which condition is most likely?

Accepted Answer

Exertional heat stroke

Answer

Exertional heat stroke occurs in physically active individuals with hyperthermia, altered mental status, and anhidrosis after exertion.

Question 5

A 72-year-old woman presents with altered mental status, urinary incontinence, and a rapid irregular pulse. Which condition should be considered beyond a cardiac arrhythmia?

Accepted Answer

Urinary tract infection with sepsis

Answer

UTI-induced sepsis commonly presents atypically in elderly patients with confusion and incontinence, and the tachycardia may be sepsis-related.

(CEP) Certified Emergency Paramedic Practice Test

(CEP) Certified Emergency Paramedic Practice Test

CEP Medical Emergencies & Patient Transport 4