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

Question 1

A patient presents with severe acute asthma not responding to two albuterol nebulizations. What is the MOST appropriate next pharmacological intervention?

Accepted Answer

Administer ipratropium bromide in combination with albuterol

Answer

Ipratropium bromide combined with albuterol provides additive bronchodilation through different receptor pathways and is recommended for severe acute asthma.

Question 2

Which of the following SpO2 values would indicate the NEED for supplemental oxygen in a patient with COPD per current evidence-based guidelines?

Accepted Answer

SpO2 < 88%

Answer

Supplemental oxygen is indicated in COPD patients when SpO2 drops below 88% to target a safe range of 88–92% and avoid hypoxic drive suppression.

Question 3

A patient in respiratory failure with a GCS of 8 is being managed. Bag-valve-mask ventilation is in progress. What tidal volume and rate are appropriate for adult BVM ventilation?

Accepted Answer

500–600 mL at 10–12 breaths/min

Answer

Adult BVM ventilation should deliver 500–600 mL (6–7 mL/kg) at 10–12 breaths/min to avoid hyperventilation and barotrauma.

Question 4

Which of the following is the MOST reliable indicator of correct endotracheal tube placement in the prehospital setting?

Accepted Answer

Continuous waveform capnography with ETCO2 35–45 mmHg

Answer

Continuous waveform capnography is the gold standard for confirming and monitoring endotracheal tube placement throughout transport.

Question 5

A patient presents in anaphylaxis with respiratory distress and stridor. Epinephrine 1:1,000 has been administered IM. If stridor persists, what is the NEXT priority airway intervention?

Accepted Answer

Prepare for surgical cricothyrotomy if airway obstruction worsens

Answer

Persistent stridor after epinephrine in anaphylaxis indicates severe upper airway edema, and the paramedic must be prepared for a surgical airway if obstruction progresses.

(CPR) Certified Paramedic Response Practice Test

(CPR) Certified Paramedic Response Practice Test

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