This intermediate-level exam for paramedics tests knowledge on patient care guidelines, oxygen delivery, hospital choice, resuscitation, and use of capnography. It assesses critical skills needed in emergency medical services to ensure effective patient care and adherence to updated protocols.
60
45
90
20
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True
False
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Epinephrine (1:10,000) 1 mg IVP/IO every 3-5 minutes
Atropine 1 mg IVP/IO every 5 minutes
Adenosine 12 mg IVP, repeat x 1
Epinephrine (1:1,000) 1 mg IVP/IO every 5 minutes
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Asthma
Croup
Congestive Heart Failure
Pneumothorax
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Atropine
Calcium Chloride
Amiodarone
Epinephrine at double the original dose
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Immobilize
Do Not Immobilize
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Immobilize
Do Not Immobilize
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True
False
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98%
96%
94%
99%
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Cardiogenic
Anaphylactic
Septic
Neurogenic
Hemorrhagic
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Start an IV
Place a supraglottic device for airway control
Instruct the bystander to continue CPR until EMS can take over
Tell the bystander to stop compressions while you prepare your equipment
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Adenosine 0.1 mg/kg (max 12 mg)
Amiodarone
Nitro
Synchronized Cardioversion
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January 1, 2012
January 1, 2014
July 1, 2013
They have not yet gone into effect
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True
False
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True
False
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True
False
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Ventricular Tachycardia
Atrial Fibrillation
Asystole
Second degree heart block
Ventricular Fibrillation
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True
False
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True
False
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35
50
10
100
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Up to 10 minutes
Up to 5 minutes
Up to 2 minutes
Do not delay
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Defibrillation
Duoneb
CPAP
Oxygen by nasal cannula
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True
False
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Ensure the umbilical cord is not wrapped around the infant's neck
Pull vigorously on the umbilical cord once the child has delivered so the placenta will rapidly appear.
If the presenting part is an arm or leg, pull until the rest of the baby emerges
Begin CPR if the infant's pulse is less than 60 bpm
Gently massage the fundus after successful delivery of child and placenta
Seated upright
Left side downward
Right side downward
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Gentle verbal stimuli
Narcan 0.4 - 2 mg IV/IN/IO/IM
Versed 2 mg IV/IN/IO
Epinephrine (1:1000) 0.3 mg IM
Non-rebreather oxygen until care is transferred to the ER staff
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True
False
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Adenosine (max 12 mg)
Adenosine (max 3 mg)
Amiodarone
Nitro
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Push the object into the right mainstem bronchus, withdraw to proper position and ventilate
Abort intubation and perform crichothyrotomy
Ventilate forcefully in hopes of driving air around the obstruction
Try to suction the obstruction
Magnesium
Synchronized Cardioversion
Lidocaine
Repeat Epinephrine
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Immobilize
Do Not Immobilize
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Asthma/COPD
Congestive Heart Failure
Supraventricular Tachycardia - Narrow QRS
Cardiogenic Shock
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Adenosine
Nitro
Synchronized Cardioversion
Defibrillation
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True
False
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Supraventricular Tachycardia (SVT)
Atrial Fibrillation (A-fib)
Sinus Tachycardia
Third Degree Heart Block
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Intraosseus (IO), double the IV dose
Intraosseus (IO), same as IV dose
ET tube, same as IV dose
ET tube, double the IV dose
Wait until reaching the hospital before administering any medication
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Immobilize
Do Not Immobilize
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Versed
Ativan
Magnesium
Lidocaine
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IV
IO
PO
Rectally
IN
Into the eye
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Adenosine 0.1 mg/kg (max 12 mg)
Amiodarone
Defibrillation
Synchronized Cardioversion
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Terminal rhythm - asystole
5 minutes of ALS care
Unwitnessed arrest
Secured and confirmed airway
Shockable initial rhythm
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Pull vigorously
Place a gloved hand inside the vagina to relieve pressure on the cord
Position mother with knees to chest
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HR < 100 bpm with effective respirations
HR < 60 bpm with effective respiratory assistance
Flaccid infant with a non-palpable pulse
Pulse 100, RR 40
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Patient use of Viagra shortly before EMS arrival
Allergy to Nitroglycerine
"It gives me a headache"
ST elevation in II, III, and aVF (blood pressure 96/68)
ST elevation in V1 - V3 (blood pressure 162/96)
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Sodium Bicarbonate after release
Sodium Bicarbonate just prior to release
Duoneb
Epinephrine
Ice packs to injured extremity
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Hypoglycemia
Stroke (Cerebrovascular Accident)
Seizure
Hypoxia
Poisoning
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Immobilize
Do Not Immobilize
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Epinephrine (1:1000) 0.3 mg IM
Benadryl 25-50 mg IV/IM
Epinephrine (1:10,000) 0.5 mg IV/IO
Duoneb
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