practice quiz

Question 1

your decision to administer a medication with primarily Alpha properties is to achieve what result?
A- vasoconstriction
b- vasodialation
c-increased heart rate
d-decreased heart rate

Answer 1

vasoconstriction

Question 2

what would the mallampati score be if you observed only the base of the uvula?
a- class I
b- class II
c- class III
d- class IV

Answer 2

c- class III

class I- complete visualization of the soft palate
class II - complete visualization of the uvula 
class III- visualization of only the base of the uvula 
class IV- soft palate is not visible at all

Question 3

you have figured out the amount of fluid that your burn patient were to receive over the course of the next 24 hours which is 15L using the parkland formula. you know that the patient is to receive the first half in 8 hours. and the remainder the next 16 hours. using a 20gtts set. what would your drip rate for each portion of fluid administration?
a- 234 gtts/min and 117 gtts/min
b- 313 gtts/min and 156 gtts/min
c-156 gtts/min and 78gtts/min
d- 938 gtts/min and 469 gtts/min

Answer 3

b-313 gtts/min and 156 gtts/min

Question 4

quantitative research involves multiple types of research. A type of research NOT included in qualitative research is: 
a- survey research
b-non-experimental research
c-experimental research
d-retrospective research

Answer 4

non experimental or retrospective?

Question 5

you have decided to begin transcutanious pacing on your patient who was initially unresponsive to stimuli, had a weak pulse of approx 30 matching the monitor, B/P of 60/P and RR of 12, Once you start pacing the patient you know the least sign of positive effectiveness of pacing is 
a- mechanical capture
b- electrical capture
c- increased blood pressure
d- level of consciousness

Answer 5

level of consciousness

Question 6

identify the 12 lead:

ST elevation in V2 V3 and V4 would be ______

Answer 6

anterior septal MI

Question 7

the most dangerous side effect of ACE inhibitors is: 
a- hypertension
b- pulmonary edema
c- hypotension
d- bradycardia

Answer 7

hypotension

Question 8

you have responded to a scene for a patient who has been vomiting and pooping blood all night, upon arrival you find the patient on the bathroom floor, lethargic, skin ashen with weak peripheral pulses, you note signs of bloody stool in the toilet and vomit in the bathtub, based on presentation you determine your pt to be in: 
a- decompensated shock
- compensated shock
- organ failure
- irreversible shock

Answer 8

decompensated shock

Question 9

you have responded to a patient complaining of chest pain. Patient states that the pain came on suddenly and states it starts on the right side and foes across the chest 8/10 scale, pt is cool and pale, you also note crackles bilaterally, JVD and lower extremity edema, vita signs are HR 128, RR26, 02 92% BP 86/56, based on this information what medication would you chose for your patient. 
a-nitro
b-amiodarone
c-morphine
d-dopamine

Answer 9

dopamine

Question 10

an unexpected side effect of loop diuretics is (choose all that apply) 
a- blindness
b- deafness
c- paralysis
d- tinnitus

Answer 10

b- deafness

d- tinnitus

Question 11

which site for needle decompression has been identified to have a lowest predicted failure rate of needle decompression with a 5cm angiocatheter?
a- 4th/5th intercostal space at the midaxillary line
b- 4th/5th intercostal space at the anterior axillary line
c- subxiphoid towards the shoulder
d- 2nd intercostal space at the midclavicular line

Answer 11

2nd intercostal space at the midclavicular line

Question 12

ACE inhibitors have seen success in managing heart and renal failure, and in treating: 
a- pulmonary edema
b- bradycardia
c- hypotension
d- hypertension

Answer 12

hypertension

Question 13

this osmotic diuretic is sued to treat increased intracranial and intraocular pressure
a- calcium chloride
b- furosemide
c- lopressor
d- mannitol

Answer 13

mannitol

Question 14

while most of these are in another area of the body, some also exist in the juxaglomenular cells of the kidney 
a- alpha one receptors
b- alpha two receptors
c- beta one receptors
d- beta two receptors

Answer 14

Beta 1

Question 15

you have a ROSC on your patient after approx 10 min of CPR, defibrillation, epinephrine and lidocaine administration, medical control orders a lidocaine drip at 4mg/min your supply is 2g/250 mL D%W using a microdrip set your drip rate to achieve the orders would be?
a- 15 gtts/min
b- 30 gtts/min
c- 45 gtts/min
d- 60 gtts/min

Answer 15

60 gtts/min

microdrip = 60 drip set
Macro drip sets can range between 10,12,15 or 20

Question 16

with the influence of managed care research for EMS is important because:
a- EMS providers will be forced to integrate all of their field expertise into evidence reports
b- EMS providers will be forced to publish research to renew their certification
c- EMS systems will be forced to prove that the care they provide is ethical
d- EMS systems will be forced to scientifically validate the effectiveness and necessity of treatments

Answer 16

EMS systems will be forced to scientifically validate the effectiveness and necessity of treatments

Question 17

administration of nitroglycerine will result in \_\_\_\_\_ preload, \_\_\_\_\_ stroke volume and \_\_\_\_\_ myocardial O2 demand. 
a- increased, decreased, increased
b- increased, increased, increased
c- decreased, decreased, decreased
d- decreased, decreased, increased

Answer 17

decreased, decreased, decreased

Question 18

the organelle responsible for over 80 % of the cells ATP production is the: 
a- RER
b- SER
c- mitochondria
d- golgi apparatus

Answer 18

mitochondria

Question 19

drugs that bind or attach to a receptor site which initiates a chemical reaction causes the desired physiological or therapeutic response:
a- agonists
b- antagonists
c- administration
d- absorption

Answer 19

agonist

Question 20

a 58 year old patient with a multiple day history of eating without taking insulin has fast and deep respirations, this patient is breathing like this because the patient is in ____ acidosis because the acids are building up in the blood stream from______
a- metabolic; ketoacid production from fat metabolism
b- respiratory; poor CO2 exchange at the alveolar level
c- metabolic; poor CO2 exchange at the alveolar level
d- respiratory; ketoacid production from fat metabolism

Answer 20

metabolic ketoacid production from fat metabolism

Question 21

a mechanism to compensate for metabolic acidosis in pediatric patients is:
a- tachypnea without retractions or abnormal breath sounds
b- tachypnea with retractions or abnormal breath sounds
c- Bradypnea with retractions or abnormal breath sounds
d- Bradypnea without retractions or abnormal breath sounds

Answer 21

b tachypnea with retractions or abnormal breath sounds

Question 22

what arteries branch off of the Aortic arch? select all that apply:
a- left main artery
b- left subclavian 
c- brachiocephalic
d- left common carotid what a

Answer 22

left subclavian
brachiocephalic
left carotid

Question 23

anticoagulants such as Coumadin reduce blood clotting by inhibiting the action of : 
a- vitamin K 
b- Vitamin D
c- vitamin C
d- Vitamin B

Answer 23

Vitamin K

Question 24

Pharmacological classes of antihypertensive medications include all of the following except: 
a- Diuretics 
b- Direct vasoconstrictors 
c- ACE inhibitors
d- Calcium Channel Blockers

Answer 24

direct vasoconstrictors

Question 25

``` in what year was the national registry of emergency medical technicians founded? a- 1965 b- 1970 c- 1975 d- 1980 ```

Answer 25

1970

Question 26

``` all of the following are parentral routes of medication administration EXCEPT: a- subcutanious b- transdermal c- rectal d- intravenous IV ```

Answer 26

rectal

Question 27

what do we do to assess the X of our XABCDEFG trauma assesment mnumonic? a- look at your patient and look for blood around them b- put wet stuff on the red stuff c- reattach any limb that has been separated from the body by any means necessary d- thoroughly assess your patient for exsanguinating hemorrhage utilizing inspection and palpation of the patient

Answer 27

thoroughly assess your patient for exanguinating hemorrhage utilizing inspection and palpation of the patient.

Question 28

``` you are transporting a patient from a level IV hospital with cardiac treatment capabilities. as you are going through the patients paperwork you notice in the lab results the possibility of CHF which lab result would lead you to suspect CHF? a- elevated angiotensin b- elevated ACTH c- elevated BNP d- elevated troponin ```

Answer 28

elevated BNP

Question 29

``` undesirable effects of medications like compazine and phenegran are: a- tachypnea and anxiety b- extrapramidal effects and sedation c- headache and diarrhea d- bradycardia and hallucinations ```

Answer 29

extrapramidal effects and sedation

Question 30

``` your patient twisted their ankle when stepping off a curb. Patient states that they heard a loud pop when the ankle twisted. patient is not able to bear any weight on the ankle which is now bruised and swollen. X ray reveals an angled fracture across the tibia. this type of fracture is: a- transverse fracture b- linear fracture c- open fracture d- oblique fracture ```

Answer 30

oblique fracture

Question 31

``` the formula for figuring out your pediatric patients tube size is: a- age in years + (4 divided by 16) b- (age in years +4) divided by 16 c- (age in years divided by 4) +4 d- age in years + ( 16 divided by 4) ```

Answer 31

(age in years divided by 4) +4

Question 32

``` you have received orders to administer a calcium channel blocker to your patient with a history of A Fib which medication would you not consider as one of your options. a- nicardipine b- varapamil c- aldactone d- ditilazem ```

Answer 32

aldactone

Question 33

``` what acid base balance would you anticipate with a patient who has been vomiting with diarrhea for several days due to a case of gastroenteritis to the local sushi restaurant a- respiratory acidosis b- metabolic acidosis c- metabolic alkalosis d- respiratory alkalosis ```

Answer 33

metabolic alkalosis

Question 34

``` Why would you use the LEMON mneumonic on a patient? a- nasal intubation b- pediatric assessment c- level of consciousness d- difficult airway ```

Answer 34

difficult airway

Question 35

``` in what year did the national emergency medical services education standards: paramedic instructional guidelines offer guidelines that took paramedic education to a much higher level? a- 1979 b- 1989 c- 1999 d- 2009 ```

Answer 35

2009

Question 36

``` you have made the decision to administer levophed to your patient. as you are preparing your medication, you confirm with your paramedic partner that your loading dose of levophed is a-2-4 mcg/min b- 4-6 mcg/min c-6-8 mcg/min d-8-10 mcg/min ```

Answer 36

8-10 mcg/min