Airway, Res, & Ventilation
EKG Monitoring
EMS OPS
Medical
Trauma
100
You are on-scene with a 44 year old female asthma patient struggling to breathe. She reports that she takes a corticosteroid as well as beta-adrenergic agent to help control her asthma. The patient’s respiratory status continues to deteriorate despite you administering an almost continuous nebulized albuterol treatment. What medication would be your next best choice?
What is Epinephrine?
100

On the EKG, what does the QRS interval measure?

What is ventricular depolarization?

100
if a paramedic commits a Scope of practice violation, which of the following may result?

Criminal charges.

100

A 22 year old female reports severe pelvic pain that began during her last menstrual period and has progressively worsened. She also reports pain during intercourse. What condition is most likely?

What is endometriosis?

100

What venomous snakes are found in North America?

Rattlesnake

Cotton Mouth

Copperhead

200

What age range best describes the population that RSV effects the most?

6 to 18 months 

200

What Interval on the EKG represents the time between the end of the ventricular depolarization to the start of the ventricular depolarization?

what is ST segment?

200
What does RPM mean during triaging patients?

Respirations 

Pulse

mental status 

200

You are dispatched to a call for a 29-year-old female who is actively seizing. Bystanders report the seizure began approximately 30 seconds before your arrival. What is your immediate priority in managing this patient?

Protecting the patient from injury and protecting the airway

200

What is a sign / symptom of severe ICP elevation?

Unilaterally fixed and dilated pupil 

Biot respirations 

irregular pulse rate 

300

Which of the following finding during an airway assessment most strongly indicates the need for immediate intervention to prevent airway obstruction?

Wet gurgling respirations with diminished mental status. 

300

The part of the EKG the symbolizes atrial depolarization 

What is a P wave?

300

What are some of the major functional areas of the IC?

Command 

planning

finance

administration 

300

When assessing a patients with suspected DKA which breathing pattern best  Kussmaul respirations?

deep, rapid, breathing 

300

What is Thompson test used for?

Testing for Achilles tendon rupture.

400

You are managing a patients with a known opioid overdose who is apneic with pinpoint pupils. After establishing an airway with an OPA what should your next step be?

Positive pressure ventilations with BVM

400

What does it mean if a patient has unifocal PVCs?

All the PVCs are shaped the same

400

You are called to a crime scene involving a 30- year old male With a gunshot wound. What is your responsibility regarding the preservation of the scene while providing patient care. 

Minimize disturbing evidence 

documentation 

400

You are treating a patient who has a history of CHF, who is conscious and breathing and presented with a true pulmonary edema. What is the best way to ensure adequate ventilation. 

Place the patient on CPAP

400

A trauma patient can sustain their own airway but has suffered an injury that damaged the neural pathways between the midbrain and the medulla. What can the paramedic expect to find when evaluating the patient’s respiratory status. 

Cheyenne-stokes respirations. 

500

Your adult patient presents with dyspnea that developed over the last few days and worsened today. During auscultation of the patient’s lungs, the patient’s vocal sounds become louder over the left lower lobe of their lung. What does this likely indicate?

Consolidation (fluid mucus) is present in the left lower lobe of the patient’s lungs.

500

What diagnostic feature is required for multifocal atrial tachycardia?

At least three different P waves.

500

What is a commercially available antidote kit, used in the event of nerve agent exposure?

What is DuoDote?
500

During a significant drop in blood glucose levels, which hormone released by the adrenal medulla stimulates the breakdown of liver glycogen to increase blood glucose?

What is Epinephrine?

500

In a trauma situation, it is acceptable to administer either normal saline or lactated ringer’s to your patient for volume replacement. What is the primary benefit of choosing LR?

It helps decrease acidosis in a hypovolemic patient.