Paramedics Exam Special Patient Populations 2

Question 1

A 7-year-old is in respiratory distress with stridor and a barking cough after a recent URI. What is the most likely diagnosis?

Accepted Answer

Croup (laryngotracheobronchitis)

Answer

Croup causes a characteristic barking cough and stridor due to subglottic inflammation, typically following a viral URI.

Question 2

When assessing a neonate, which finding is MOST concerning and requires immediate intervention?

Accepted Answer

Central cyanosis with poor muscle tone

Answer

Central cyanosis with poor muscle tone in a neonate indicates inadequate oxygenation and requires immediate positive-pressure ventilation.

Question 3

A pregnant patient at 32 weeks gestation presents with painless, bright red vaginal bleeding. What condition should be suspected?

Accepted Answer

Placenta previa

Answer

Placenta previa causes painless bright red bleeding because the placenta overlies the cervical os and bleeds as the cervix changes.

Question 4

Which of the following best describes the Apgar score assessment timing?

Accepted Answer

At 1 and 5 minutes after birth

Answer

The Apgar score is assessed at 1 minute and 5 minutes after birth to evaluate the neonate's transition to extrauterine life.

Question 5

A bariatric patient (350 lbs) in cardiac arrest requires defibrillation. Which adjustment is most appropriate?

Accepted Answer

Place pads in anterior-posterior position if standard placement is ineffective

Answer

Anterior-posterior pad placement can improve transthoracic current delivery in obese patients when standard placement yields poor contact.

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