FREE Paramedics Medical Emergencies and Obstetrics Questions and Answers

Question 1

You are assisting a home birth for a 32-year-old female in active labor.
Upon examination, you discover a pulsating umbilical cord protruding from the vagina ahead of the presenting part.
What is the most critical immediate action?

Accepted Answer

Place the patient in a knee-chest or exaggerated Sims' position and manually elevate the presenting fetal part off the cord.

Answer

Attempt to gently push the prolapsed cord back into the vagina.

Answer

Administer high-flow oxygen via non-rebreather mask and prepare for rapid transport.

Answer

Encourage the mother to push forcefully with the next contraction to expedite delivery.

Question 2

A 28-year-old female who is 36 weeks pregnant is found actively seizing. Her partner reports a recent history of severe headaches, visual disturbances, and significant swelling in her hands and feet. Her blood pressure is 190/110 mmHg. What is the most appropriate medication to treat this patient's condition?

Accepted Answer

Magnesium Sulfate

Answer

Labetalol

Answer

Diazepam

Answer

Furosemide

Question 3

What is the correct initial dose and route of epinephrine for an adult patient experiencing anaphylaxis with respiratory compromise and hypotension?

Accepted Answer

0.3 to 0.5 mg (1:1,000) intramuscular (IM) injection

Answer

1 mg (1:10,000) IV push

Answer

0.1 mg (1:1,000) subcutaneous injection

Answer

1 mg (1:1,000) intramuscular (IM) injection

Question 4

You have just assisted with a field delivery. The placenta has delivered, but the mother continues to have heavy, bright red vaginal bleeding. On palpation, her uterine fundus feels soft and "boggy." Which of the following is the most important initial intervention?

Accepted Answer

Perform a firm, vigorous fundal massage.

Answer

Administer a 2-liter bolus of Lactated Ringer's.

Answer

Place the patient in a Trendelenburg position.

Answer

Apply a pelvic binder.

Question 5

You are assessing a 68-year-old patient who presents with the sudden onset of a severe headache described as "the worst headache of my life." This was followed by nausea, vomiting, and nuchal rigidity. Which of the following conditions is most likely?

Accepted Answer

Subarachnoid hemorrhage (SAH)

Answer

Ischemic stroke

Answer

Transient ischemic attack (TIA)

Answer

Hypertensive crisis

Question 6

An 18-year-old male with a known history of Type 1 diabetes is found with altered mental status. He is breathing deeply and rapidly, and his breath has a distinct fruity odor. His blood glucose level is 450 mg/dL. This clinical picture is most consistent with which condition?

Accepted Answer

Diabetic Ketoacidosis (DKA)

Answer

Hypoglycemic crisis

Answer

Hyperosmolar Hyperglycemic State (HHS)

Answer

Sepsis

You are assisting a home birth for a 32-year-old female in active labor.Upon examination, you discover a pulsating umbilical cord protruding from the vagina ahead of the presenting part.What is the most critical immediate action?

You are assisting a home birth for a 32-year-old female in active labor.
Upon examination, you discover a pulsating umbilical cord protruding from the vagina ahead of the presenting part.
What is the most critical immediate action?