CPR Emergency Medical Procedures & Protocols 2

Question 1

When performing needle decompression for tension pneumothorax, which landmark is used on the affected side?

Accepted Answer

2nd intercostal space, midclavicular line

Answer

The 2nd intercostal space at the midclavicular line is the primary landmark for needle thoracostomy to relieve tension pneumothorax.

Question 2

A patient presents with a GCS of 8 and is unresponsive to verbal stimuli. What is the MOST appropriate initial airway intervention?

Accepted Answer

Endotracheal intubation

Answer

A GCS of 8 or below indicates the need for definitive airway management, and endotracheal intubation is the gold standard.

Question 3

Which drug is the FIRST-LINE treatment for symptomatic bradycardia with hemodynamic instability in adults?

Accepted Answer

Atropine 0.5 mg IV

Answer

Atropine 0.5 mg IV is the first-line pharmacological agent for symptomatic bradycardia per AHA ACLS guidelines.

Question 4

During rapid sequence intubation (RSI), succinylcholine is contraindicated in which of the following patients?

Accepted Answer

A 60-year-old with crush injury 72 hours prior

Answer

Succinylcholine is contraindicated in crush injuries older than 24-48 hours due to upregulation of acetylcholine receptors causing life-threatening hyperkalemia.

Question 5

A patient is found in cardiac arrest with a narrow complex PEA rhythm. Which reversible cause should be treated FIRST in the field?

Accepted Answer

Tension pneumothorax

Answer

Tension pneumothorax is a common, immediately treatable cause of PEA that can be rapidly reversed with needle decompression in the field.

(CPR) Certified Paramedic Response Practice Test

(CPR) Certified Paramedic Response Practice Test

CPR Emergency Medical Procedures & Protocols 2