Practice Test 2 - NREMT Paramedic Level
20 questions. Answer them in any order, then submit to see your score and every explanation.
- Which factor most strongly supports the paramedic's decision to accept the patient's refusal of care?
- This patient's history is most consistent with which underlying cause of his upper GI bleed?
- Comatose diabetic: glucose 780, pH 7.38, no ketones, osmolality 350. What explains the coma?
- Frontal crash, driver wearing only a lap belt. Likely injury:
- After two failed intubation attempts, SpO2 is 82%; bag-mask ventilation is difficult. Next step?
- A malnourished alcoholic is comatose. Which mechanism best explains the hypoglycemia?
- Based on this patient's presentation suggestive of esophageal variceal hemorrhage, which initial management approach is most appropriate?
- Head trauma: GCS 6, BP 170/60, HR 52, irregular breathing. What best explains these findings?
- What is the most significant remaining electrical hazard that paramedics must be aware of before making patient contact?
- What is the most appropriate treatment for this patient's exposure?
- During a critical incident stress debriefing, a crew member becomes agitated and wants to leave. The facilitator should:
- Three days after being discharged for a large anterior wall MI, a 66-year-old male develops sudden, severe dyspnea. On exam, he is in respiratory distress with diffuse rales and a new, loud holosystolic murmur is auscultated at the apex. What is the most likely cause of his acute deterioration?
- This patient's presentation is most suggestive of which underlying neurologic condition?
- What is the definitive management plan for this patient?
- According to current advanced cardiac life support guidelines, which medication should be considered next?
- Based on the history and presentation, the paramedic should have a high index of suspicion for which gynecologic emergency?
- A 12-lead ECG for a patient with chest pain reveals ST elevation in leads II, III, and aVF, with reciprocal ST depression in lead aVL. The patient is pale with a BP of 102/70 mmHg. Prior to administering any medication to relieve his pain, what is the most important assessment to perform?
- 20 kg child, anaphylaxis, no IV. IM epinephrine 1:1000 dose?
- These considerations are all components of which aspect of airway management?
- What is this patient's Mean Arterial Pressure (MAP), and what is the generally accepted minimum target MAP for resuscitation in shock states?