Paramedic Exam EMT 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.
Read the first 7 Paramedic Exam EMT flashcards as text
A patient presents with severe respiratory distress, JVD, tracheal deviation to the right, and absent breath sounds on the left. What is the priority intervention?
Answer: Immediate needle decompression on the left
Tension pneumothorax on the left causes tracheal deviation away (to the right); needle decompression at the 2nd intercostal space, midclavicular line on the affected side is the priority.
Which of the following ECG findings is most consistent with hyperkalemia?
Answer: Peaked T waves and widened QRS
Hyperkalemia classically produces tall, peaked T waves progressing to widened QRS complexes and eventually a sine-wave pattern.
A 6-year-old weighing 20 kg requires an initial fluid bolus for hypovolemic shock. What is the correct volume?
Answer: 400 mL
Pediatric fluid resuscitation for shock is 20 mL/kg; 20 kg × 20 mL/kg = 400 mL of isotonic crystalloid.
During a difficult airway attempt, your first intubation is unsuccessful. What is the maximum recommended number of intubation attempts before moving to a rescue airway?
Answer: 3
Most airway management guidelines recommend no more than 3 attempts at laryngoscopy before moving to a definitive rescue airway device.
A patient with known CHF presents with severe pulmonary edema and a BP of 180/110 mmHg. Which medication is MOST appropriate as a first-line agent?
Answer: Nitroglycerin 0.4 mg SL
Nitroglycerin causes venodilation, rapidly reducing preload and afterload, making it first-line for hypertensive acute pulmonary edema.
When using the Parkland formula for burn resuscitation, how much fluid does a 70 kg patient with 40% TBSA burns receive in the first 8 hours?
Answer: 5,600 mL
Parkland formula: 4 mL × kg × %TBSA = 4 × 70 × 40 = 11,200 mL total; half (5,600 mL) is given in the first 8 hours.
A patient is unresponsive with a suspected opioid overdose and has agonal respirations. What is the FIRST action?
Answer: Open the airway and provide assisted ventilations
Airway management and oxygenation take priority over naloxone administration; ventilate the patient first to correct hypoxia.