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Medical Emergencies and Obstetrics Flashcards

7 cards from real Paramedics Exam practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

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  1. A 25-year-old female at 34 weeks presents with sudden severe headache, visual disturbances, and BP of 168/114, but no seizures. What is this condition?

    Answer: Severe preeclampsia

    Severe preeclampsia is characterized by BP ≥160/110 with symptoms like headache and visual changes, but without the seizures that define eclampsia.

  2. You respond to a call where a patient with asthma is sitting upright, has a respiratory rate of 34/min, is using accessory muscles, and can only speak 1-2 words at a time. SpO2 is 88%. How would you classify this exacerbation?

    Answer: Severe exacerbation

    Severe asthma exacerbation is characterized by inability to speak full sentences, accessory muscle use, SpO2 30/min.

  3. A construction worker is found unresponsive after suspected carbon monoxide exposure. His skin appears cherry red. SpO2 reads 99%. What is the CORRECT interpretation?

    Answer: SpO2 is falsely elevated due to carboxyhemoglobin

    Pulse oximetry cannot differentiate oxyhemoglobin from carboxyhemoglobin, so it reads falsely high in CO poisoning — treat with 100% O2 regardless.

  4. A 19-year-old male with known sickle cell disease presents with severe bone pain in his lower extremities, fever of 38.8°C, and tachycardia. He is fully conscious. What is the prehospital priority?

    Answer: Provide high-flow oxygen, IV fluids, and pain management

    Sickle cell vaso-occlusive crisis is managed with oxygen, IV hydration to reduce blood viscosity, and analgesics for pain control.

  5. A newborn is delivered with meconium-stained amniotic fluid. The infant is vigorous, crying, and has good muscle tone. What is the APPROPRIATE action?

    Answer: Routine care without tracheal suctioning

    Current neonatal resuscitation guidelines no longer recommend routine intubation for meconium if the infant is vigorous — provide routine care and observe.

  6. A 55-year-old male presents with syncope. His ECG shows a regular rate of 38 bpm with P waves that have no relationship to QRS complexes. What rhythm is this?

    Answer: Third-degree (complete) AV block

    Third-degree AV block shows complete dissociation between P waves and QRS complexes — the atria and ventricles beat independently.

  7. During a difficult delivery, you note resistance after the head delivers and the head retracts back against the perineum (turtle sign). What maneuver should be performed FIRST?

    Answer: McRoberts maneuver with suprapubic pressure

    McRoberts maneuver (hyperflexion of maternal thighs onto abdomen) combined with suprapubic pressure is the first-line intervention for shoulder dystocia.