CEP Medical Emergencies & Patient Transport 5

Question 1

A patient is found unresponsive with pinpoint pupils and a respiratory rate of 4 breaths/min. After naloxone administration with minimal improvement, what should you suspect?

Accepted Answer

Mixed drug ingestion involving sedatives in addition to opioids

Answer

Incomplete naloxone response suggests co-ingestion of non-opioid CNS depressants such as benzodiazepines or alcohol that naloxone does not reverse.

Question 2

During transport of a patient with acute pulmonary edema, which intervention helps reduce preload and improve respiratory distress most rapidly in a normotensive patient?

Accepted Answer

Nitroglycerin sublingual or infusion

Answer

Nitroglycerin rapidly reduces venous preload and pulmonary congestion in normotensive acute pulmonary edema.

Question 3

A patient with a history of epilepsy has a witnessed generalized tonic-clonic seizure that stops spontaneously after 2 minutes. She is now postictal. What is the priority transport consideration?

Accepted Answer

Immediate airway management and oxygen; transport to ED

Answer

Even a self-terminating seizure requires assessment, airway management, oxygen administration, and ED evaluation to rule out precipitating causes.

Question 4

Which sign is most specific for tension pneumothorax in a patient on positive pressure ventilation?

Accepted Answer

Hypotension with distended neck veins

Answer

Hypotension combined with JVD indicates obstructive shock from mediastinal shift, which is the most specific hemodynamic sign of tension pneumothorax.

Question 5

A patient with known Type 1 diabetes is confused and diaphoretic. Blood glucose reads 38 mg/dL. He is unable to swallow safely. What is the correct treatment?

Accepted Answer

Dextrose 50% IV or glucagon 1 mg IM/IN if no IV access

Answer

Patients unable to protect their airway should receive IV dextrose; glucagon IM/IN is the alternative when IV access is unavailable.

(CEP) Certified Emergency Paramedic Practice Test

(CEP) Certified Emergency Paramedic Practice Test

CEP Medical Emergencies & Patient Transport 5