CPR CPR - Certified Paramedic Response Respiratory Emergencies and Management Questions and Answers 2

Question 1

When using CPAP for a patient in acute pulmonary edema, which of the following patient presentations is a CONTRAINDICATION to CPAP use?

Accepted Answer

Systolic BP of 70 mmHg with altered mental status

Answer

Severely hypotensive patients with altered mental status cannot protect their airway and cannot tolerate the positive pressure that CPAP delivers.

Question 2

A 55-year-old male presents with sudden onset pleuritic chest pain, dyspnea, and tachycardia after a long flight. Which condition should be suspected FIRST?

Accepted Answer

Pulmonary embolism

Answer

Sudden pleuritic chest pain, dyspnea, tachycardia after prolonged immobility (long flight) is the classic presentation of pulmonary embolism.

Question 3

During nebulized albuterol therapy, which of the following patient assessments BEST indicates a therapeutic response?

Accepted Answer

Improved breath sounds with decreased wheezing and increased air movement

Answer

Therapeutic response to albuterol is confirmed by improved air entry, reduced wheezing on auscultation, and decreased work of breathing.

Question 4

In a patient requiring RSI (Rapid Sequence Intubation), what is the CORRECT sequence of medication administration?

Accepted Answer

Sedative/induction agent first, then neuromuscular blocking agent

Answer

In RSI, the induction/sedative agent is always given first to achieve unconsciousness before the neuromuscular blocking agent is administered.

Question 5

A patient with COPD presents with worsening dyspnea and is using accessory muscles. Their ETCO2 is 58 mmHg. This value MOST likely indicates:

Accepted Answer

Hypoventilation with CO2 retention

Answer

ETCO2 of 58 mmHg indicates hypoventilation and CO2 retention (hypercapnia), consistent with a COPD exacerbation with impending respiratory failure.

(CPR) Certified Paramedic Response Practice Test

(CPR) Certified Paramedic Response Practice Test

CPR CPR - Certified Paramedic Response Respiratory Emergencies and Management Questions and Answers 2