COPR COPR - Canadian Organization of Paramedic Regulators Examination Pharmacology and Medication Administration Questions and Answers

Question 1

A paramedic administers epinephrine 1:1000 IM for anaphylaxis. What is the standard adult dose?

Accepted Answer

0.3 mg

Answer

The standard adult IM dose of epinephrine 1:1000 for anaphylaxis is 0.3 mg (0.3 mL) in the anterolateral thigh.

Question 2

Which pharmacological mechanism describes nitroglycerin's primary action in chest pain management?

Accepted Answer

Venodilation reducing cardiac preload

Answer

Nitroglycerin primarily acts as a venodilator, reducing venous return and cardiac preload, thereby decreasing myocardial oxygen demand.

Question 3

When administering adenosine for SVT, what is the correct initial adult IV dose?

Accepted Answer

6 mg rapid IV push

Answer

The initial adult dose of adenosine for SVT is 6 mg administered as a rapid IV push, followed immediately by a 20 mL saline flush.

Question 4

A patient with suspected opioid overdose is unresponsive with a respiratory rate of 4/min. Which drug should be administered?

Accepted Answer

Naloxone

Answer

Naloxone (Narcan) is the opioid antagonist used to reverse opioid-induced respiratory depression.

Question 5

Which route of medication administration provides the fastest onset of action?

Accepted Answer

Intravenous

Answer

Intravenous administration delivers drugs directly into the bloodstream, providing the fastest onset of action compared to all other routes.

COPR - Canadian Organization of Paramedic Regulators Examination Practice Test