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PARAMEDIC QUESTIONS AND ANSWERS


1..Carbon monoxide poisoning sign?

A)seizures

2.Who would benefit the least from intubation?

A)a runner who c/o difficulty breathing

3.Man jumps from second floor window of burning building.

A)wait until the fire department arrives

4.First rhythm strip at a rate of 140-150.

A)PSVT

5.How would you treat that rhythm?

A)vagal maneuver

6.A man sees spiders on the wall.

A)approach the patient and tell him that you are here to help and also check his blood pressure

7.What causes the hallucinations?

A)schizophrenia

8.You decide that you need to restrain the patient.

A)assign one person to each limb

9.Officer comes out and asks for your assistance with the ….

A)ask the officer if the scene is safe and make sure that you have all the necessary equipment

10.Lady is short of breath and is getting really tired like she is not going to be able to continue breathing.

A)assist her with BVM
B)(other choices albuterol, furosimide)

11.How does epi affect histamine?

A)epi is alpha and beta adrenergic

12.When does the first stage of pregnancy end?

A)when the cervix is fully dilated

13.When does the second stage of delivery end?

A)when the baby is born

14.A pediatric patient overdoses on tricyclic (I think there might have been disrhythmia involved).

A)1 meq/kg sodium bicarb

15.Who is ultimately responsible at the scene?

A)medical director

16.Patient is eviscerated.

A)wrap intestines with saline soaked bandage

17.Another rhythm strip was 2nd degree type 2 hb.

18.What is the most ominous sign of a pediatric patient is respiratory distress?

A)cyanosis
B)ALOC

19.Family states that the patient does not want to be resuscitated.  What do you do?

A)continue with resuscitation

20.Perfuse bleeding question.

A)pressure bandage, immobilize, then elevate

21.How is a MI usually described?

A)crushing pain

22.Glascow question.

A)8

23.When you cut the cord, why do you keep the baby at the vagina?

A)you don’t want the baby to lose blood.

24.This is true about treating organophosphate poisoning:

A)you may need to use more than 3 mg of atropine.

25.22-year-old female has LRQ pain.  What would you not expect the patient to have?

A)diverticulitis

26.Patient has PID shuffle.

A)gonorrhea and clymidia 

27.Patient with hallucinations says, “I’m not going to the nut house.”  Under which circumstance would you transport?  (consent question)

A)involuntary commitment

28.Elderly lady keeled over in bed with sonorous respirations at…

A)head tilt chin lift (open airway)

29.Patient unconscious with head injury, resps 32

A)ventilate at 24/min

30.The easiest way to stabilize a pelvic fracture is:

A)PASG

31.With decreased insulin levels you will have:

A)increased glucose

32.What grief process does the family go through?

A)same as patient

33.Man is short of breath and he tells medic that he always gets airway infections.  He also smokes 2 packs a day.

A)emphysema
B)chronic bronchitis
C)asthma

34.90 pound patient needs turbutalin .005mg/kg

A).2 mg

35.What is the definition of ventilation?

A)movement of air in and out of the lungs

36.What is the difference between a MI and angina?

A)MI pain is not relieved with nitro and rest

37.Area burned on man was 63%

38.Area burned on pediatric patient was 27%

39.Pediatric patient was burned on both legs circumferential.  Why would you suspect child abuse?

A)pattern of burns

40.How would you report the child abuse?

A)notify physician

41.Diabetic ketoacidosis – why does patient have kussmauls respirations?

A)metabolic acidosis

42.You notice that you did not note on run sheet that you filled out yesterday that you gave the patient morphine.  What would you do?

A)amend the run report

43.Hypothermic patient you would expect to see a J wave.

44.How would you stop the patient from further hypothermia?

A)blankets

45.A strip that shows peaked T waves

A)hyperkalemia

46.What would you do first for the hypothermic patient scenario?

A)warm the patient

47.Prolapsed cord question

A)the prolapsed cord could prohibit cord circulation

48.What is the most common reason for premature contractions

A)enhanced automaticity

49.What would be the first thing a dispatcher would need to ask a pregnant patient?

A)does she feel like she needs to move her bowels

50.A scenario with a  CHF patient and what med would you give?

A)dobutamine 2-20 mgs

51.A question about a written protocol

A)standing order

52.What do you wear when you deliver a baby?

A)gloves, gown and eyewear

53.While patient is supine, his b/p is 110/80.  When he sits up, it goes to 82/40.

A)keep the patient supine and elevate feet

54.Patient tells you that it is okay for you to do something.

A)expressed consent

55.How is heat lost while sitting in the house all day?

A)radiation

56.5 mg/min; 5 gm in 500 cc bag

A)30 gtts

57.Man found in front seat of truck by police with no apparent injuries.  Strong alcohol smell and man not making any sense.

A)turn guy over to officer and leave
B)tell officer that the man needs medical attention and he needs to assist you *
C)have the guy sign a refusal
D)restrain guy

58.Sign not indicative of CO poisoning

A)jaundice in sclera of eye

59.Perfuse lower GI bleed

A)rapid transport

60.What respiratory illness involves reduced elasticity, increased residual volume while vital compacity remains normal?

A)emphysema

61.Patient presents with melena.

A)lower GI bleed

62.Mortality of child with burns.

A)infection

63.What is unique about the bronchioles?

A)non-cartilaginous smooth muscle

64.Ketacidosis question and what kind of fluid do you give?

A)fluid bolus

65.If you use an adult sized b/p cuff on a child, how will it affect results?

A)it will be inaccurate

66.Guy has severe jaw trauma.  What would be the best way to open an airway?

A)orally intubate

67.How does aspirin help a cardiac patient?

A)helps break clots

68.APGAR question is 8

69.How many veins and arteries in cord?

A)2 arteries and 1 vein

70.Pediatric question where patient wheezes and fever (I think)

A)bronchiolitis

71.Follow up question asks what causes that condition.

A)viral

72.Trauma patient with hyperresonanse.

A)tension pneumothorax

73.PaO2 question

A)deep and rapid

74.What is deep and rapid respiration called?

A)kussmauls

75.Drowning patient in v-fib.

A)defibrillate at 200j

76.What is the difference between crystalloids and colloids (or plasma)?

A)osmolarity

77.What bleeding is easiest to control?

A)arterial 70/palp

78.What system sends and receives info at the same time?

A)duplex

79.What are the signs and symptoms of detecting shock early?

A)narrowed pulse pressure

80.What would you give instead of epi?

A)vassopressin 40 units

81.What do you need to watch out for in cheyne-stokes respirations?

A)tidal volume

82.Patient hit with baseball bat.

A)cardiac contusion

83.CISD question – what is the importance of CISD?

A)to openly talk about the…

84.How do you apply the selic maneuver?

A)push down on the ring just below the adam’s apple

85.Who can you discuss patient info with?

A)receiving physician or nurse

86.Which BVM would you need for a child?

A)one with pop-off valve

87.Elderly patient is susceptible to spinal injury because?

A)answer with spondolysis

88.Respond to an unconscious rape victim

A)establish airway and spinal immobilization

89.Fracture of radius

A)check neurological status, immobilize wrist and elbow, neurological status

90.What is your first concern with a burn patient?

A)hypovolemia

91.What would you do for trauma patient enroute (most important)?

A)reaccess primary
B)2 large bore Ivs

92.Unlawfully touching someone without consent is:

A)battery

93.Pain during a MI is the result of?

A)ischemia

94.Patient presents with abdominal distention.  What would you not do?

A)give 15mg of morphine

95.After you suction, try to stimulate, and warm and dry the …. not responding.  What do you do?

A)chest compressions
B)blow by oxygen
C)assist in ventilating with BVM *

96.Patient now has a pulse of 55.  What do you do?

A)start compressions

97.Air in the plural space is making it difficult to breathe.

A)decompress

98.What is a reason that the body temperature would drop?

A)hypothyroidism

99.Chest pain with high blood pressure.

A)nitro

100.Patient lying on concrete in pool of vomit.  What do you do first?

A)clear airway

101.Question with all s/s leading to the answer of depression.

102.Why would you place pregnant patient on left side?

A)left lateral recumbent position so fetus does not slow circulation

103.DKA question.

A)give fluids and provide supportive care

104.2 follow up questions on the 2nd degree type 2 rhythm strip

105.What is the least important info?

A)patient had an appendectomy 5 years ago

106.Question about a patient being shot in the chest.  What is the most important info?

A)type of weapon used

107.Another prolapsed cord question.  What would you not do?

A)put the cord back in the vagina

108.DKA scenario.  What would you do first and second.

109.As you approach an accident scene, your heart rate goes up as does your b/p.  What is this indicative of?

A)natural anxiety

110.B/p starts at 160 then goes down to 120 and back again.

A)pulsus parodoxis

111.What should you be most concerned about when ventilating patient?

A)tidal volume

112.Small child SOB.  How would you access.

A)let mother hold baby while you access

113.What could be a contraindication of exposing a patient?

A)environmental condition

114.Blisters on burn.

A)2nd degree burn

115.Trauma patient with no distal pulse on leg.

A)rotate knee till you get a pulse

116.What is the worst thing that could happen for a distal injury?

A)lost pulse of extremity

117.What could be a possible complication of giving more than one arrhythmia drug or too much?

A)cause more arrhythmias

118.Patient is showing s/s of stroke.  What is the most important to consider before giving thrombolytics?

A)time of onset

119.What are the 3 hormones secreted by the pancreas?

A)insulin, glucagons, somastasin

120.What do you need to address quickest?

A)narrowed pulse pressure 40 hgmm

121.Female that was in severe crash is ambulatory at scene with tingling.

A)calm her down and continue with assessment

122.How does body compensate for low b/p?

A)post capillary sphincters dilate

123.Acute coronary syndrome question

124.Question about bronchialitis, croup or epiglottis and giving humidified oxygen.

125.Diabetic patient hypoglycemic and acting strange.  What did not lead to this?

A)gastrointestinal infection

126.Which IV access would you not use in a pediatric patient?

A)internal jugular

127.Pediatric patient with a febrile seizure.  What do you do first?

A)give 5mg diazepam rectally
B)take off wet clothes and blankets

128.Pitcher gets hit with baseball.  What is the most important … in his injury?

A)velocity

129.Burn patient who withdraws from pain – how would you classify?

A)purposeful movement

130.25 pound patient who is hypovolemic.  How much for fluid bolus?

A)200cc

131.Patient has glucose of 30.  You give him D50 and he states that he wants to leave.  Tries to take out IV.  Not fully alert.

A)restrain patient

 

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Home

Free Newsletter sign up

 Past FireEMT Newsletters

Contact us

How To Become a Fireman

How to become an EMT

Written Exam Packages

Bonus Packages

Capt Bob’s Prep Packages

How To Become a Paramedic

Top 150 Fire Departments

Locating Firefighter Examinations

Top Scoring Test-taking Strategies

Capt Bob’s Oral Interview Strategies

Top Scoring Physical Agility Strategies

Resumes

Career Articles

Questions and Answers

Encyclopedia of Firefighter Examinations

Reading Comprehension & Mathematics Preparation

Psychological Examination Preparation

Capt Bob’s Oral Interview Preparation

Ultimate Firefighter Examination Prep Package

Gold Bonus Prep Package

Silver Bonus Prep Package

Final Examination Preparation

Understanding Oral Information Exam Preparation

Capt Bob’s Becoming a Firefighter – The Complete Guide to Your Badge

Testimonials

Promotional Strategies

In-Basket Products

Firefighting Pictures

Click Here To Learn How To Become A Paramedic