Paramedics Exam Paramedic Exam EMT 2

Question 1

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?

Accepted Answer

Immediate needle decompression on the left

Answer

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.

Question 2

Which of the following ECG findings is most consistent with hyperkalemia?

Accepted Answer

Peaked T waves and widened QRS

Answer

Hyperkalemia classically produces tall, peaked T waves progressing to widened QRS complexes and eventually a sine-wave pattern.

Question 3

A 6-year-old weighing 20 kg requires an initial fluid bolus for hypovolemic shock. What is the correct volume?

Accepted Answer

400 mL

Answer

Pediatric fluid resuscitation for shock is 20 mL/kg; 20 kg × 20 mL/kg = 400 mL of isotonic crystalloid.

Question 4

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?

Accepted Answer

3

Answer

Most airway management guidelines recommend no more than 3 attempts at laryngoscopy before moving to a definitive rescue airway device.

Question 5

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?

Accepted Answer

Nitroglycerin 0.4 mg SL

Answer

Nitroglycerin causes venodilation, rapidly reducing preload and afterload, making it first-line for hypertensive acute pulmonary edema.

Paramedics Exam Practice Test

Paramedics Exam Practice Test

Paramedics Exam Paramedic Exam EMT 2