150 Questions on Protocols PDF

1.When is nitroglycerin contraindicated? a\) In patients with hypertension b\) In patients with tachycardia (HR\>100 bpm) in the presence of heart failure c\) In patients with evidence of a right ventricular infarction d\) In patients who have used erectile dysfunction medications within the las...

1.When is nitroglycerin contraindicated? a\) In patients with hypertension b\) In patients with tachycardia (HR\>100 bpm) in the presence of heart failure c\) In patients with evidence of a right ventricular infarction d\) In patients who have used erectile dysfunction medications within the last 24 hours           2.        Which of the following is NOT an early intubation indication for burn victims? a\) Signs of airway obstruction b\) Extensive deep facial burns c\) Total BSA ≥ 30% d\) Altered mentation           3.        When should telemetry contact be established? a\) Only for trauma patients going to a trauma center b\) For all medical emergencies, regardless of severity c\) For all time-sensitive or life-threatening condition transports d\) Only when explicitly stated in the protocol           4.        What is the correct action for transporting a pregnant patient with limb presentation? a\) Transport in Trendelenburg position b\) Transport in left lateral recumbent position c\) Transport in supine position d\) Transport in sitting position           5.        Which of the following is considered a severe allergic reaction? a\) Skin rashes with no respiratory involvement b\) Wheezing with good tidal volume air exchange c\) Skin disorders with respiratory difficulty and hypotension d\) Itchy sensation with mild respiratory involvement             6.        When is a DNR/POLST Order considered invalid? a\) When the patient is unconscious b\) When the patient indicates they wish to receive life-resuscitating treatment c\) When family members disagree with the order d\) When EMS providers decide it's in the patient's best interest          7.        How should CPR be performed on a pregnant patient at or over 20 weeks estimated gestational age? a\) Standard CPR with no modifications b\) CPR with the patient tilted to the left side c\) CPR with an additional rescuer applying continuous manual leftward lateral displacement of the uterus d\) CPR is contraindicated in pregnant patients          8.        What is the correct management for a CHF/Pulmonary Edema patient with hypotension? a\) Administer high-flow oxygen and nitroglycerin b\) Initiate CPAP and administer furosemide c\) Administer dopamine and consider intubation d\) Perform synchronized cardioversion          9.        What are the criteria for suspected sepsis? a\) Fever, tachycardia, and hypotension b\) Hypothermia, bradycardia, and hypertension c\) Altered mental status, tachypnea, and normal blood pressure d\) Fever, normal heart rate, and hypotension          10.        Which of the following is NOT a criterion for transport to a trauma center? a\) Skull deformity or suspected skull fracture b\) Suspected spinal injury with new motor or sensory loss c\) Suspected fracture of a single proximal long bone d\) Crushed, degloved, or mangled extremity 1. What is the correct management for a patient with an Inferior Wall STEMI?\ a) Administer nitroglycerin immediately\ b) Perform a right-sided ECG to evaluate RV infarction\ c) Avoid nitroglycerin in all cases\ d) Administer high-flow oxygen only          12.        Which of the following is NOT an early intubation indication for burn victims? a\) Signs of airway obstruction b\) Hoarseness or stridor c\) Total BSA ≥ 30% d\) Altered mentation          13.        When should telemetry contact be established? a\) Only for trauma patients going to a trauma center b\) For all medical emergencies, regardless of severity c\) For all time-sensitive or life-threatening condition transports d\) Only when explicitly stated in the protocol          14.        What is the correct dosage for moderate pain management in adults? a\) Morphine 2-5 mg IV/IO b\) Fentanyl 25-50 mcg IV/IO c\) Hydromorphone 0.5-1 mg IV/IO d\) All of the above          15.        When should the first epinephrine dose be administered in cardiac arrest VF/VT? a\) Immediately upon arrival b\) After the first defibrillation c\) After the second defibrillation d\) Only if no response to initial defibrillations          16.        How should a pregnant patient with limb presentation be transported? a\) In Trendelenburg position b\) In left lateral recumbent position c\) In supine position d\) In sitting position     17.What APGAR score would be given for arms and legs flexed?\ a) 0\ b) 1\ c) 2\ d) 3 18.Which of the following is considered a severe allergic reaction?\ a) Skin rashes with no respiratory involvement\ b) Wheezing with good tidal volume air exchange\ c) Skin disorders with respiratory difficulty and hypotension\ d) Itchy sensation with mild respiratory involvement   19.When is a DNR/POLST Order considered invalid?\ a) When the patient is unconscious\ b) When the patient indicates they wish to receive life-resuscitating treatment\ c) When family members disagree with the order\ d) When EMS providers decide it's in the patient's best interest   20.How should CPR be performed on a pregnant patient at or over 20 weeks estimated gestational age?\ a) Standard CPR with no modifications\ b) CPR with the patient tilted to the left side\ c) CPR with an additional rescuer applying continuous manual leftward lateral displacement of the uterus\ d) CPR is contraindicated in pregnant patients   21.What is the correct management for a patient with an Inferior Wall STEMI?\ a) Administer nitroglycerin immediately\ b) Perform a right-sided ECG to evaluate RV infarction\ c) Avoid nitroglycerin in all cases\ d) Administer high-flow oxygen only   22.Which of the following is NOT an early intubation indication for burn victims?\ a) Signs of airway obstruction\ b) Hoarseness or stridor\ c) Total BSA ≥ 40%\ d) Altered mentation   23.When should telemetry contact be established?\ a) Only for trauma patients going to a trauma center\ b) For all medical emergencies, regardless of severity\ c) For all time-sensitive or life-threatening condition transports\ d) All of the above   24.What is the correct dosage for moderate pain management in adults?\ a) Morphine 2-5 mg IV/IO\ b) Fentanyl 25-50 mcg IV/IO\ c) Hydromorphone 0.5-1 mg IV/IO\ d) All of the above   25.When should the first epinephrine dose be administered in cardiac arrest VF/VT?\ a) Immediately upon arrival\ b) After the first defibrillation\ c) After the second defibrillation\ d) Only if no response to initial defibrillations   26.How should a pregnant patient with limb presentation be transported?\ a) In Trendelenburg position\ b) In left lateral recumbent position\ c) In supine position\ d) In sitting position   27.What APGAR score would be given for arms and legs flexed?\ a) 0\ b) 1\ c) 2\ d) 3   28.Which of the following is considered a severe allergic reaction?\ a) Skin rashes with no respiratory involvement\ b) Wheezing with good tidal volume air exchange\ c) Skin disorders with respiratory difficulty and hypotension\ d) Itchy sensation with mild respiratory involvement   29.When is a DNR/POLST Order considered invalid?\ a) When the patient is unconscious\ b) When the patient indicates they wish to receive life-resuscitating treatment\ c) When family members disagree with the order\ d) When EMS providers decide it's in the patient's best interest   30.How should CPR be performed on a pregnant patient at or over 20 weeks estimated gestational age?\ a) Standard CPR with no modifications\ b) CPR with the patient tilted to the left side\ c) CPR with an additional rescuer applying continuous manual leftward lateral displacement of the uterus\ d) CPR is contraindicated in pregnant patients   31.What is the correct management for a CHF/Pulmonary Edema patient with hypotension?\ a) Administer high-flow oxygen and nitroglycerin\ b) Initiate CPAP and administer furosemide\ c) Administer dopamine and consider intubation\ d) Perform synchronized cardioversion   32.Which of the following is a criterion for suspected sepsis?\ a) Fever, tachycardia, and hypotension\ b) Hypothermia, bradycardia, and hypertension\ c) Altered mental status, tachypnea, and normal blood pressure\ d) Fever, normal heart rate, and hypotension   33.Which of the following is NOT a criterion for transport to a trauma center?\ a) Skull deformity or suspected skull fracture\ b) Suspected spinal injury with new motor or sensory loss\ c) Suspected fracture of a single proximal long bone\ d) Crushed, degloved, or mangled extremity   34.What is the correct category for a patient with a temperature of 87°F?\ a) Mild hypothermia\ b) Moderate hypothermia\ c) Severe hypothermia\ d) Normal body temperature   35.        Where should sexual assault victims under 13 years old be transported?\ a) UMC\ b) Sunrise Hospital\ c) St. Rose Siena\ d) The nearest emergency department   36.What is the correct management for pediatric abdominal pain?\ a) Morphine is contraindicated\ b) Morphine can be given for pain relief\ c) Only non-opioid analgesics can be used\ d) No pain medication should be administered   37.What is the correct treatment for a pediatric unconscious patient with a blood glucose level of 60 mg/dL?\ a) Administer oral glucose\ b) Give IV dextrose\ c) Administer glucagon\ d) No treatment needed, glucose level is normal   38.What is the correct CPR ratio for neonatal resuscitation?\ a) 15:2\ b) 30:2\ c) 3:1\ d) 5:1   39.Which medication should NOT be given to a patient in cardiac arrest with hyperkalemia?\ a) Calcium chloride\ b) Sodium bicarbonate\ c) Insulin with glucose\ d) Albuterol   40.What is the correct dose of Amiodarone for pulseless VT/VF in adults?\ a) 150 mg IV/IO\ b) 300 mg IV/IO\ c) 450 mg IV/IO\ d) 600 mg IV/IO   41.What is the correct management for a patient with an Inferior Wall STEMI?\ a) Administer nitroglycerin immediately\ b) Perform a right-sided ECG to evaluate RV infarction\ c) Avoid nitroglycerin in all cases\ d) Administer high-flow oxygen only 42.Which of the following is NOT an early intubation indication for burn victims?\ a) Signs of airway obstruction\ b) Hoarseness or stridor\ c) Total BSA ≥ 30%\ d) Altered mentation   43.When should telemetry contact be established?\ a) Only for trauma patients going to a trauma center\ b) For all medical emergencies, regardless of severity\ c) For all time-sensitive or life-threatening condition transports\ d) All of the above 44.What is the correct dosage for moderate pain management in adults?\ a) Morphine 2-5 mg IV/IO\ b) Fentanyl 25-50 mcg IV/IO\ c) Hydromorphone 0.5-1 mg IV/IO\ d) All of the above   45.When should the first epinephrine dose be administered in cardiac arrest VF/VT?\ a) Immediately upon arrival\ b) After the first defibrillation\ c) After the second defibrillation\ d) Only if no response to initial defibrillations 46.How should a pregnant patient with limb presentation be transported?\ a) In Trendelenburg position\ b) In left lateral recumbent position\ c) In supine position\ d) In sitting position   47.What APGAR score would be given for arms and legs flexed?\ a) 0\ b) 1\ c) 2\ d) 3   48.Which of the following is considered a severe allergic reaction?\ a) Skin rashes with no respiratory involvement\ b) Wheezing with good tidal volume air exchange\ c) Skin disorders with respiratory difficulty and hypotension\ d) Itchy sensation with mild respiratory involvement 49.When is a DNR/POLST Order considered invalid?\ a) When the patient is unconscious\ b) When the patient indicates they wish to receive life-resuscitating treatment\ c) When family members disagree with the order\ d) When EMS providers decide it's in the patient's best interest 50.How should CPR be performed on a pregnant patient at or over 20 weeks estimated gestational age?\ a) Standard CPR with no modifications\ b) CPR with the patient tilted to the left side\ c) CPR with an additional rescuer applying continuous manual leftward lateral displacement of the uterus\ d) CPR is contraindicated in pregnant patients   51.What is the correct management for a CHF/Pulmonary Edema patient with hypotension?\ a) Administer high-flow oxygen and nitroglycerin\ b) Initiate CPAP and administer furosemide\ c) Administer dopamine and consider intubation\ d) Perform synchronized cardioversion   52.Which of the following is a criterion for suspected sepsis?\ a) Fever, tachycardia, and hypotension\ b) Hypothermia, bradycardia, and hypertension\ c) Altered mental status, tachypnea, and normal blood pressure\ d) Fever, normal heart rate, and hypotension   53.Which of the following is NOT a criterion for transport to a trauma center?\ a) Skull deformity or suspected skull fracture\ b) Suspected spinal injury with new motor or sensory loss\ c) Suspected fracture of a single proximal long bone\ d) Crushed, degloved, or mangled extremity   54.What is the correct category for a patient with a temperature of 87°F?\ a) Mild hypothermia\ b) Moderate hypothermia\ c) Severe hypothermia\ d) Normal body temperature   55.Where should sexual assault victims under 13 years old be transported?\ a) UMC\ b) Sunrise Hospital\ c) St. Rose Siena\ d) The nearest emergency department   56.What is the correct management for pediatric abdominal pain?\ a) Morphine is contraindicated\ b) Morphine can be given for pain relief\ c) Only non-opioid analgesics can be used\ d) No pain medication should be administered   57.What is the correct treatment for a pediatric unconscious patient with a blood glucose level of 60 mg/dL?\ a) Administer oral glucose\ b) Give IV dextrose\ c) Administer glucagon\ d) No treatment needed, glucose level is normal   58.What is the correct CPR ratio for neonatal resuscitation?\ a) 15:2\ b) 30:2\ c) 3:1\ d) 5:1 59.Which medication should NOT be given to a patient in cardiac arrest with hyperkalemia?\ a) Calcium chloride\ b) Sodium bicarbonate\ c) Insulin with glucose\ d) Albuterol 60.What is the correct dose of Amiodarone for pulseless VT/VF in adults?\ a) 150 mg IV/IO\ b) 300 mg IV/IO\ c) 450 mg IV/IO\ d) 600 mg IV/IO   61.What is the contraindication for nitroglycerin in patients with Inferior Wall STEMI?\ a) Hypotension\ b) Evidence of a right ventricular infarction\ c) Tachycardia (HR\>100 bpm) in the presence of heart failure\ d) Use of erectile dysfunction medications within the last 24 hours   62.Which of the following is an early intubation indication for burn victims?\ a) Total BSA ≥ 30%\ b) Total BSA ≥ 40%\ c) Hoarseness or stridor\ d) Mild facial burns   63.When should telemetry contact be established?\ a) Only for trauma patients going to a trauma center\ b) For all medical emergencies, regardless of severity\ c) For all time-sensitive or life-threatening condition transports\ d) All of the above   64.What is the correct dosage for moderate pain management in adults using fentanyl?\ a) 25-50 mcg IV/IO\ b) 50-100 mcg IV/IO\ c) 75-150 mcg IV/IO\ d) 100-200 mcg IV/IO   1. When should the first epinephrine dose be administered in cardiac arrest VF/VT?\ a) Immediately upon arrival\ b) After the first defibrillation\ c) After the second defibrillation\ d) Only if no response to initial defibrillations 66.How should a pregnant patient with limb presentation be transported?\ a) In Trendelenburg position\ b) In left lateral recumbent position\ c) In supine position\ d) In sitting position   67.What APGAR score would be given for arms and legs flexed?\ a) 0\ b) 1\ c) 2\ d) 3   68.Which of the following is considered a severe allergic reaction?\ a) Skin rashes with no respiratory involvement\ b) Wheezing with good tidal volume air exchange\ c) Skin disorders with respiratory difficulty and hypotension\ d) Itchy sensation with mild respiratory involvement   69.        When is a DNR/POLST Order considered invalid?\ a) When the patient is unconscious\ b) When the patient indicates they wish to receive life-resuscitating treatment\ c) When family members disagree with the order\ d) When EMS providers decide it's in the patient's best interest   70.        How should CPR be performed on a pregnant patient at or over 20 weeks estimated gestational age?\ a) Standard CPR with no modifications\ b) CPR with the patient tilted to the left side\ c) CPR with an additional rescuer applying continuous manual leftward lateral displacement of the uterus\ d) CPR is contraindicated in pregnant patients   71.What is the correct management for a CHF/Pulmonary Edema patient with hypotension?\ a) Administer high-flow oxygen and nitroglycerin\ b) Initiate CPAP and administer furosemide\ c) Administer dopamine and consider intubation\ d) Perform synchronized cardioversion   72.Which of the following is a criterion for suspected sepsis?\ a) Fever, tachycardia, and hypotension\ b) Hypothermia, bradycardia, and hypertension\ c) Altered mental status, tachypnea, and normal blood pressure\ d) Fever, normal heart rate, and hypotension   73.Which of the following is NOT a criterion for transport to a trauma center?\ a) Skull deformity or suspected skull fracture\ b) Suspected spinal injury with new motor or sensory loss\ c) Suspected fracture of a single proximal long bone\ d) Crushed, degloved, or mangled extremity   74.What is the correct category for a patient with a temperature of 87°F?\ a) Mild hypothermia\ b) Moderate hypothermia\ c) Severe hypothermia\ d) Normal body temperature   75.Where should sexual assault victims under 13 years old be transported?\ a) UMC\ b) Sunrise Hospital\ c) St. Rose Siena\ d) The nearest emergency department   76.What is the correct management for pediatric abdominal pain?\ a) Morphine is contraindicated\ b) Morphine can be given for pain relief\ c) Only non-opioid analgesics can be used\ d) No pain medication should be administered   77.What is the correct treatment for a pediatric unconscious patient with a blood glucose level of 60 mg/dL?\ a) Administer oral glucose\ b) Give IV dextrose\ c) Administer glucagon\ d) No treatment needed, glucose level is normal   78.What is the correct CPR ratio for neonatal resuscitation?\ a) 15:2\ b) 30:2\ c) 3:1\ d) 5:1   79.Which medication should NOT be given to a patient in cardiac arrest with hyperkalemia?\ a) Calcium chloride\ b) Sodium bicarbonate\ c) Insulin with glucose\ d) Albuterol   80.What is the correct dose of Amiodarone for pulseless VT/VF in adults?\ a) 150 mg IV/IO\ b) 300 mg IV/IO\ c) 450 mg IV/IO\ d) 600 mg IV/IO   81.What is the contraindication for nitroglycerin in patients with Inferior Wall STEMI?\ a) Hypotension\ b) Evidence of a right ventricular infarction\ c) Tachycardia (HR\>100 bpm) in the presence of heart failure\ d) Use of erectile dysfunction medications within the last 24 hours   82.Which of the following is an early intubation indication for burn victims?\ a) Total BSA ≥ 30%\ b) Total BSA ≥ 40%\ c) Hoarseness or stridor\ d) Mild facial burns   83.When should telemetry contact be established?\ a) Only for trauma patients going to a trauma center\ b) For all medical emergencies, regardless of severity\ c) For all time-sensitive or life-threatening condition transports\ d) All of the above   84.What is the correct dosage for moderate pain management in adults using fentanyl?\ a) 25-50 mcg IV/IO\ b) 50-100 mcg IV/IO\ c) 75-150 mcg IV/IO\ d) 100-200 mcg IV/IO   85.When should the first epinephrine dose be administered in cardiac arrest VF/VT?\ a) Immediately upon arrival\ b) After the first defibrillation\ c) After the second defibrillation\ d) Only if no response to initial defibrillations   86.How should a pregnant patient with limb presentation be transported?\ a) In Trendelenburg position\ b) In left lateral recumbent position\ c) In supine position\ d) In sitting position   87.What APGAR score would be given for arms and legs flexed?\ a) 0\ b) 1\ c) 2\ d) 3   88.Which of the following is considered a severe allergic reaction?\ a) Skin rashes with no respiratory involvement\ b) Wheezing with good tidal volume air exchange\ c) Skin disorders with respiratory difficulty and hypotension\ d) Itchy sensation with mild respiratory involvement 89.When is a DNR/POLST Order considered invalid?\ a) When the patient is unconscious\ b) When the patient indicates they wish to receive life-resuscitating treatment\ c) When family members disagree with the order\ d) When EMS providers decide it's in the patient's best interest   90.        How should CPR be performed on a pregnant patient at or over 20 weeks estimated gestational age?\ a) Standard CPR with no modifications\ b) CPR with the patient tilted to the left side\ c) CPR with an additional rescuer applying continuous manual leftward lateral displacement of the uterus\ d) CPR is contraindicated in pregnant patients 91.What is the correct management for a CHF/Pulmonary Edema patient with hypotension?\ a) Administer high-flow oxygen and nitroglycerin\ b) Initiate CPAP and administer furosemide\ c) Administer dopamine and consider intubation\ d) Perform synchronized cardioversion   92.Which of the following is a criterion for suspected sepsis?\ a) Fever, tachycardia, and hypotension\ b) Hypothermia, bradycardia, and hypertension\ c) Altered mental status, tachypnea, and normal blood pressure\ d) Fever, normal heart rate, and hypotension   93.        Which of the following is NOT a criterion for transport to a trauma center?\ a) Skull deformity or suspected skull fracture\ b) Suspected spinal injury with new motor or sensory loss\ c) Suspected fracture of a single proximal long bone\ d) Crushed, degloved, or mangled extremity   94.        What is the correct category for a patient with a temperature of 87°F?\ a) Mild hypothermia\ b) Moderate hypothermia\ c) Severe hypothermia\ d) Normal body temperature   95.        Where should sexual assault victims under 13 years old be transported?\ a) UMC\ b) Sunrise Hospital\ c) St. Rose Siena\ d) The nearest emergency department 96.        What is the correct management for pediatric abdominal pain?\ a) Morphine is contraindicated\ b) Morphine can be given for pain relief\ c) Only non-opioid analgesics can be used\ d) No pain medication should be administered   97.        What is the correct treatment for a pediatric unconscious patient with a blood glucose level of 60 mg/dL?\ a) Administer oral glucose\ b) Give IV dextrose\ c) Administer glucagon\ d) No treatment needed, glucose level is normal   98.        What is the correct CPR ratio for neonatal resuscitation?\ a) 15:2\ b) 30:2\ c) 3:1\ d) 5:1   99.Which medication should NOT be given to a patient in cardiac arrest with hyperkalemia?\ a) Calcium chloride\ b) Sodium bicarbonate\ c) Insulin with glucose\ d) Albuterol   1. What is the correct dose of Amiodarone for pulseless VT/VF in adults?\ a) 150 mg IV/IO\ b) 300 mg IV/IO\ c) 450 mg IV/IO\ d) 600 mg IV/IO 101.        What is the indication for tracheostomy tube replacement?\ a) Hypoxia\ b) Respiratory arrest/failure\ c) Obtundation\ d) All of the above   102.        Which of the following is NOT an approved vagal maneuver?\ a) Valsalva maneuver\ b) Head-down tilt with deep inspiration\ c) Carotid massage in patients over 40 years old\ d) Activation of the "diving reflex" by facial immersion in ice water   103.        What is the maximum single dose of fentanyl for analgesia during transcutaneous pacing?\ a) 50 mcg\ b) 75 mcg\ c) 100 mcg\ d) 150 mcg   104.        Which of the following is NOT an indication for synchronized cardioversion?\ a) Ventricular fibrillation\ b) Unstable supraventricular tachycardia\ c) Unstable atrial fibrillation\ d) Unstable atrial flutter   105.        What is required for all intubation attempts?\ a) End-tidal CO2 detection/capnography\ b) Pulse oximetry\ c) ECG monitoring\ d) Blood pressure monitoring   106.What is the contraindication for nitroglycerin in patients with Inferior Wall STEMI?\ a) Hypotension\ b) Evidence of a right ventricular infarction\ c) Tachycardia (HR\>100 bpm) in the presence of heart failure\ d) Use of erectile dysfunction medications within the last 24 hours   107.        Which of the following is an early intubation indication for burn victims?\ a) Total BSA ≥ 30%\ b) Total BSA ≥ 40%\ c) Hoarseness or stridor\ d) Mild facial burns   108.        When should telemetry contact be established?\ a) Only for trauma patients going to a trauma center\ b) For all medical emergencies, regardless of severity\ c) For all time-sensitive or life-threatening condition transports\ d) All of the above   109.        What is the correct dosage for moderate pain management in adults using fentanyl?\ a) 25-50 mcg IV/IO\ b) 50-100 mcg IV/IO\ c) 75-150 mcg IV/IO\ d) 100-200 mcg IV/IO   110.When should the first epinephrine dose be administered in cardiac arrest VF/VT?\ a) Immediately upon arrival\ b) After the first defibrillation\ c) After the second defibrillation\ d) Only if no response to initial defibrillations 111.How should a pregnant patient with limb presentation be transported?\ a) In Trendelenburg position\ b) In left lateral recumbent position\ c) In supine position\ d) In sitting position   112.        What APGAR score would be given for arms and legs flexed?\ a) 0\ b) 1\ c) 2\ d) 3   113.        Which of the following is considered a severe allergic reaction?\ a) Skin rashes with no respiratory involvement\ b) Wheezing with good tidal volume air exchange\ c) Skin disorders with respiratory difficulty and hypotension\ d) Itchy sensation with mild respiratory involvement   114.        When is a DNR/POLST Order considered invalid?\ a) When the patient is unconscious\ b) When the patient indicates they wish to receive life-resuscitating treatment\ c) When family members disagree with the order\ d) When EMS providers decide it's in the patient's best interest   115.        How should CPR be performed on a pregnant patient at or over 20 weeks estimated gestational age?\ a) Standard CPR with no modifications\ b) CPR with the patient tilted to the left side\ c) CPR with an additional rescuer applying continuous manual leftward lateral displacement of the uterus\ d) CPR is contraindicated in pregnant patients   116.        What is the correct management for a CHF/Pulmonary Edema patient with hypotension?\ a) Administer high-flow oxygen and nitroglycerin\ b) Initiate CPAP and administer furosemide\ c) Administer dopamine and consider intubation\ d) Perform synchronized cardioversion   117.        Which of the following is a criterion for suspected sepsis?\ a) Fever, tachycardia, and hypotension\ b) Hypothermia, bradycardia, and hypertension\ c) Altered mental status, tachypnea, and normal blood pressure\ d) Fever, normal heart rate, and hypotension 118.        Which of the following is NOT a criterion for transport to a trauma center?\ a) Skull deformity or suspected skull fracture\ b) Suspected spinal injury with new motor or sensory loss\ c) Suspected fracture of a single proximal long bone\ d) Crushed, degloved, or mangled extremity   119.        What is the correct category for a patient with a temperature of 87°F?\ a) Mild hypothermia\ b) Moderate hypothermia\ c) Severe hypothermia\ d) Normal body temperature   120.        Where should sexual assault victims under 13 years old be transported?\ a) UMC\ b) Sunrise Hospital\ c) St. Rose Siena\ d) The nearest emergency department   121.        What is the correct management for pediatric abdominal pain?\ a) Morphine is contraindicated\ b) Morphine can be given for pain relief\ c) Only non-opioid analgesics can be used\ d) No pain medication should be administered   122.        What is the correct treatment for a pediatric unconscious patient with a blood glucose level of 60 mg/dL?\ a) Administer oral glucose\ b) Give IV dextrose\ c) Administer glucagon\ d) No treatment needed, glucose level is normal   123.        What is the correct CPR ratio for neonatal resuscitation?\ a) 15:2\ b) 30:2\ c) 3:1\ d) 5:1   124.        Which medication should NOT be given to a patient in cardiac arrest with hyperkalemia?\ a) Calcium chloride\ b) Sodium bicarbonate\ c) Insulin with glucose\ d) Albuterol   125.        What is the correct dose of Amiodarone for pulseless VT/VF in adults?\ a) 150 mg IV/IO\ b) 300 mg IV/IO\ c) 450 mg IV/IO\ d) 600 mg IV/IO   126.        What is an indication for tracheostomy tube replacement?\ a) Hypoxia\ b) Respiratory arrest/failure\ c) Obtundation\ d) All of the above   127.        Which of the following is NOT an approved vagal maneuver?\ a) Valsalva maneuver\ b) Head-down tilt with deep inspiration\ c) Carotid massage in patients over 40 years old\ d) Activation of the "diving reflex" by facial immersion in ice water   128.What is the maximum single dose of fentanyl for analgesia during transcutaneous pacing?\ a) 50 mcg\ b) 75 mcg\ c) 100 mcg\ d) 150 mcg   129.Which of the following is NOT an indication for synchronized cardioversion?\ a) Ventricular fibrillation\ b) Unstable supraventricular tachycardia\ c) Unstable atrial fibrillation\ d) Unstable atrial flutter   130.What is required for all intubation attempts?\ a) End-tidal CO2 detection/capnography\ b) Pulse oximetry\ c) ECG monitoring\ d) Blood pressure monitoring 131.What is a contraindication for needle thoracostomy?\ a) Severe respiratory distress\ b) Unilateral diminished breath sounds\ c) Hypotension with signs of shock\ d) There are no contraindications 132.In which case is pediatric needle cricothyroidotomy permitted?\ a) In all pediatric airway emergencies\ b) Only with Telemetry Physician order\ c) Never in pediatric patients\ d) Only in traumatic arrests 133.What size catheter must be used for needle cricothyroidotomy?\ a) 16 gauge\ b) 14 gauge\ c) 18 gauge\ d) 20 gauge 134.What is the maximum single dose of morphine for analgesia during transcutaneous pacing?\ a) 5 mg\ b) 10 mg\ c) 15 mg\ d) 20 mg   135.Which of the following is NOT a criterion for performing needle thoracostomy in traumatic cardiac arrest?\ a) Chest trauma\ b) Abdominal trauma\ c) Ongoing resuscitation\ d) Confirmed tension pneumothorax   1. What is the correct management for a patient with an Inferior Wall STEMI?\ a) Administer nitroglycerin immediately\ b) Perform a right-sided ECG to evaluate RV infarction\ c) Avoid nitroglycerin in all cases\ d) Administer high-flow oxygen only 137.Which of the following is an early intubation indication for burn victims?\ a) Total BSA ≥ 30%\ b) Total BSA ≥ 40%\ c) Hoarseness or stridor\ d) Mild facial burns   138.When should telemetry contact be established?\ a) Only for trauma patients going to a trauma center\ b) For all medical emergencies, regardless of severity\ c) For all time-sensitive or life-threatening condition transports\ d) All of the above   139.What is the correct dosage for moderate pain management in adults using fentanyl?\ a) 25-50 mcg IV/IO\ b) 50-100 mcg IV/IO\ c) 75-150 mcg IV/IO\ d) 100-200 mcg IV/IO 140.When should the first epinephrine dose be administered in cardiac arrest VF/VT?\ a) Immediately upon arrival\ b) After the first defibrillation\ c) After the second defibrillation\ d) Only if no response to initial defibrillations   141.How should a pregnant patient with limb presentation be transported?\ a) In Trendelenburg position\ b) In left lateral recumbent position\ c) In supine position\ d) In sitting position   142.What APGAR score would be given for arms and legs flexed?\ a) 0\ b) 1\ c) 2\ d) 3   143.Which of the following is considered a severe allergic reaction?\ a) Skin rashes with no respiratory involvement\ b) Wheezing with good tidal volume air exchange\ c) Skin disorders with respiratory difficulty and hypotension\ d) Itchy sensation with mild respiratory involvement 144.When is a DNR/POLST Order considered invalid?\ a) When the patient is unconscious\ b) When the patient indicates they wish to receive life-resuscitating treatment\ c) When family members disagree with the order\ d) When EMS providers decide it's in the patient's best interest   1. How should CPR be performed on a pregnant patient at or over 20 weeks estimated gestational age?\ a) Standard CPR with no modifications\ b) CPR with the patient tilted to the left side\ c) CPR with an additional rescuer applying continuous manual leftward lateral displacement of the uterus\ d) CPR is contraindicated in pregnant patients 146.What is the correct management for a CHF/Pulmonary Edema patient with hypotension?\ a) Administer high-flow oxygen and nitroglycerin\ b) Initiate CPAP and administer furosemide\ c) Administer dopamine and consider intubation\ d) Perform synchronized cardioversion   147.Which of the following is a criterion for suspected sepsis?\ a) Fever, tachycardia, and hypotension\ b) Hypothermia, bradycardia, and hypertension\ c) Altered mental status, tachypnea, and normal blood pressure\ d) Fever, normal heart rate, and hypotension   148.Which of the following is NOT a criterion for transport to a trauma center?\ a) Skull deformity or suspected skull fracture\ b) Suspected spinal injury with new motor or sensory loss\ c) Suspected fracture of a single proximal long bone\ d) Crushed, degloved, or mangled extremity   149.What is the correct category for a patient with a temperature of 87°F?\ a) Mild hypothermia\ b) Moderate hypothermia\ c) Severe hypothermia\ d) Normal body temperature   150.Where should sexual assault victims under 13 years old be transported?\ a) UMC\ b) Sunrise Hospital\ c) St. Rose Siena\ d) The nearest emergency department     Answer Key: