FP-C - Flight Paramedic-Certification Specialized Medical Emergencies Questions and Answers

Question 1

A 28-year-old female is found unconscious after a suspected intentional overdose.
Her ECG shows a heart rate of 120, a QRS complex of 140 ms, and a prominent terminal R wave in lead aVR.
Which medication overdose is most likely responsible for these findings, and what is the primary treatment?

Accepted Answer

Tricyclic antidepressant (TCA) toxicity; Sodium Bicarbonate

Answer

Beta-blocker toxicity; Glucagon

Answer

Digoxin toxicity; Digoxin immune Fab

Answer

Calcium channel blocker toxicity; Calcium Chloride

Question 2

A flight crew is transporting a 34-week pregnant female with severe preeclampsia who begins to have a tonic-clonic seizure. Which of the following is the first-line medication for seizure control in this eclamptic patient?

Accepted Answer

Magnesium Sulfate

Answer

Lorazepam

Answer

Phenytoin

Answer

Levetiracetam

Question 3

You are transporting a hiker found unconscious after being lost in the mountains during winter. His core temperature is 27°C (80.6°F) and the cardiac monitor shows ventricular fibrillation. According to advanced life support guidelines for severe hypothermia, what is the most appropriate action?

Accepted Answer

Attempt a single defibrillation, then focus on high-quality CPR and active rewarming, withholding further shocks and drugs until the core temperature is >30°C.

Answer

Immediately administer standard ACLS medications, such as epinephrine and amiodarone, at the usual intervals.

Answer

Withhold all resuscitation efforts as the patient has been in arrest for a prolonged period and is considered clinically dead.

Answer

Provide aggressive chest compressions and defibrillate every two minutes until the core temperature rises.

Question 4

Which of the following laboratory and clinical findings is most characteristic of Diabetic Ketoacidosis (DKA) as opposed to Hyperosmolar Hyperglycemic State (HHS)?

Accepted Answer

Significant metabolic acidosis with an elevated anion gap.

Answer

Profound dehydration with serum glucose > 800 mg/dL.

Answer

Normal or only slightly elevated serum osmolality.

Answer

The presence of some endogenous insulin, which prevents ketosis.

Question 5

A 22-year-old male with a history of sickle cell disease is being transported with acute-onset chest pain, fever, and a new infiltrate on his chest x-ray. He is hypoxic with an SpO2 of 88% on a non-rebreather mask. This clinical picture is most consistent with which life-threatening complication?

Accepted Answer

Acute Chest Syndrome (ACS)

Answer

Aplastic crisis

Answer

Vaso-occlusive pain crisis

Answer

Splenic sequestration

Question 6

A farm worker presents with diaphoresis, lacrimation, urination, defecation, and pinpoint pupils. He has copious bronchial secretions and is bradycardic. This presentation is classic for exposure to which class of toxin?

Accepted Answer

Organophosphates

Answer

Carbon monoxide

Answer

Tricyclic antidepressants

Answer

Sympathomimetics