Ch13 Practice Test

Question 1

Which medication is most appropriate for a patient in respiratory distress with wheezing?

Answer 1

Albuterol

Question 2

What is the first-line medication for a bradycardic and unresponsive patient?

Answer 2

Atropine

Question 3

What medication should be given to a diabetic patient who is unresponsive with no IV access?

Answer 3

Glucagon

Question 4

What should be administered next to a trauma patient who remains hypotensive despite fluid resuscitation?

Answer 4

Dopamine

Question 5

Which drug class provides the fastest bronchodilation during an asthma attack?

Answer 5

Beta-2 agonists

Question 6

Which paralytic provides rapid onset and short duration for intubation?

Answer 6

Succinylcholine

Question 7

What drug class is appropriate for immediate treatment of a seizing patient?

Answer 7

Benzodiazepines

Question 8

What drug class should be avoided in a pregnant patient with hypertension?

Answer 8

ACE inhibitors

Question 9

What is the first medication to consider for a patient in supraventricular tachycardia (SVT)?

Answer 9

Adenosine

Question 10

What do you administer to a non-breathing patient suspected of opioid overdose?

Answer 10

Naloxone

Question 11

What antiarrhythmic should be given to a patient in ventricular tachycardia with a pulse?

Answer 11

Amiodarone

Question 12

What drug slows AV node conduction in atrial fibrillation?

Answer 12

Diltiazem

Question 13

What vasodilator should a patient with chest pain and stable vitals receive?

Answer 13

Nitroglycerin

Question 14

Beta blockers should be avoided when a patient is also taking what class of drug?

Answer 14

Calcium channel blockers

Question 15

What medication increases cardiac output without a significant increase in heart rate?

Answer 15

Milrinone

Question 16

What is the term for the time it takes half the drug to be eliminated from the plasma?

Answer 16

Half-life

Question 17

A drug that blocks a receptor is classified as what?

Answer 17

Antagonist

Question 18

What is bioavailability?

Answer 18

The percentage of unchanged drug that reaches circulation

Question 19

What is the fastest and most reliable route for drug delivery in emergencies?

Answer 19

Intravenous (IV)

Question 20

A drug with a low therapeutic index requires what?

Answer 20

Close monitoring

Question 21

What EMS practice helps prevent medication errors?

Answer 21

Verbal read-back of orders

Question 22

In elderly patients, which organ function most affects drug metabolism?

Answer 22

Liver

Question 23

What risk is introduced by drawing up a drug but failing to label it?

Answer 23

Medication error

Question 24

During a cardiac arrest in a hypothermic patient, drug absorption is likely to be:

Answer 24

Impaired

Question 25

How should pediatric drug doses be calculated?

Answer 25

By weight in kilograms

Question 26

What drug reduces mucus and causes bronchodilation in asthma or COPD?

Answer 26

Ipratropium bromide

Question 27

What reversal agent is used for benzodiazepine overdose?

Answer 27

Flumazenil

Question 28

Which sedative also increases heart rate and blood pressure?

Answer 28

Ketamine

Question 29

What class of drugs is used to stop seizures and provide sedation?

Answer 29

Benzodiazepines

Question 30

Which medication treats torsades de pointes?

Answer 30

Magnesium sulfate

Question 31

What is a partial agonist?

Answer 31

A drug that activates a receptor but with reduced effect compared to a full agonist

Question 32

When all receptor sites are occupied, what has occurred?

Answer 32

Maximum drug effect

Question 33

Which type of antagonist binds permanently to a receptor?

Answer 33

Noncompetitive antagonist

Question 34

Which drug is best for treating nausea in EMS?

Answer 34

Ondansetron

Question 35

Which medication is administered for life-threatening acidosis?

Answer 35

Sodium bicarbonate

Question 36

What blood product contains clotting factors but no red cells?

Answer 36

Fresh frozen plasma

Question 37

What drug promotes clotting in trauma patients with severe bleeding?

Answer 37

Tranexamic acid

Question 38

What must be documented for every milliliter of a controlled substance used?

Answer 38

Ordering, administration, and disposal

Question 39

What might you suspect if a narcotic dose suddenly has no effect on a patient?

Answer 39

Tampering or diversion

Question 40

What resource should EMS consult to verify medication information in the field?

Answer 40

A medication monograph or electronic reference

Question 41

How can EMS confirm drug compatibility before administration?

Answer 41

Use a trusted compatibility chart or reference

Question 42

What side effect may result from high doses of epinephrine?

Answer 42

Increased myocardial oxygen demand

Question 43

What is a concern when administering calcium chloride IV?

Answer 43

Tissue damage from extravasation

Question 44

Why is morphine used cautiously in hypotensive patients?

Answer 44

It may worsen hypotension

Question 45

Aspirin and clopidogrel belong to which medication class?

Answer 45

Antiplatelet agents

Question 46

What is the primary therapeutic use of phenytoin?

Answer 46

Seizure prevention

Question 47

H2 blockers like famotidine are used to _______.

Answer 47

Reduce stomach acid secretion

Question 48

Why should thiamine be administered before dextrose in alcoholics?

Answer 48

To prevent Wernicke’s encephalopathy

Question 49

What is a drug that binds temporarily to receptor sites, preventing activation?

Answer 49

Competitive antagonist

Question 50

What is the action of mannitol in a patient with cerebral edema?

Answer 50

Osmotic diuretic that draws water out of tissues