Paramedic Practice Test

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Question 1
A patient with leukemia:
A
tends to bleed more due an increased production of white cells and a decrease in platelets.
B
tends to bleed less due an increased production of platelets and a decrease in whit cells.
C
tends to bleed less due an increased production of white cells and a decrease in platelets.
D
tends to bleed more due an increased production of platelets and a decrease in white blood cells.
Question 1 Explanation: 
A patient with leukemia tends to bleed more due an increased production of white cells and a decrease in platelets by the blood forming tissues. Because of this shift in focus, a low platelet count is common.
Question 2
The anteroposterior diameter of a healthy infants chest should be:
A
about 1/3 of the lateral diameter.
B
about the same as the lateral diameter.
C
about half of the lateral diameter.
D
has no correlation regarding to the lateral diameter in regard to a healthy infant.
Question 2 Explanation: 
The anteroposterior diameter of a healthy infants chest should be about the same as the lateral diameter giving the infant a rounded appearance around the chest.
Question 3
You are on scene of a 65 year old female who is having an acute MI.  You hear crackles over the lungs and note mild cyanosis to her distal extremities.  Which coronary artery would you expect the blockage to be in?
A
The left anterior descending artery.
B
The Sinoatrial nodal artery.
C
The left circumflex artery.
D
The right coronary artery.
Question 3 Explanation: 
This patient is presenting with pulmonary edema as well as poor perfusion to the extremities. This is usually indicative of left sided heart failure and can be traced back to a blockage in the left anterior descending artery which is the "muscle" behind circulating systematic blood.
Question 4
An individual showing the signs of SLUDGE has most likely had exposure to:
A
manure gas.
B
fertilizer.
C
organophosphates.
D
radiant pesticides.
Question 4 Explanation: 
Organophosphate poisoning is the chemical often associated with the SLUDGE acronym and leads to leakage from multiple orifices.
Question 5
In which of the following situations is the use of lorazepam indicated?
A
Treating a 33 year old male who is suffering from alcohol withdrawal symptoms, a blood pressure of 150/99, and a respiratory rate of 22/minute.
B
An extremely agitated 25 year old female who was in a car wreck, cant slow down her breathing, and is severely hypotensive.
C
A 20 year old male having an episode of status epilepticus with a history of barbiturate abuse.
D
A 50 year old female COPD patient in need of RSI.
Question 5 Explanation: 
Lorazepam is indicated for treatment of patients suffering from alcohol withdrawals. It is contraindicated in patients with severe hypotension, COPD, and prior substance abuse.
Question 6
Which of the following is the least significant reason why pediatrics are at an increased risk of developing hypothermia?
A
They have less hair on their heads then adults.
B
They have less subcutaneous fat than adults.
C
They have a lower muscle mass than the adult.
D
They have a larger surface to volume ratio in comparison to adults.
Question 6 Explanation: 
Not all pediatrics have less hair on their heads than adults. Though the head is a major body point at which heat is lost, it is not considered to be a major factor that put pediatrics at increased risk for hypothermia.
Question 7
Because of the increased risk of cross contamination, cervical spine precautions are taken in what zone of a hazardous material incident?
A
The cold zone.
B
The exclusion zone.
C
The warm zone.
D
The hot zone.
Question 7 Explanation: 
Cervical spine precautions and opening of the airway are the only two tasks that are performed in the warm zone. These tasks should only be performed by responders with the proper chemical resistant PPE. All other treatments should take place in the cold zone.
Question 8
You are on vacation in Mexico and head down to some of the local shopping centers during the day.  You come across a mother and her young son.  The boy does not look well and being a paramedic you go over to them to see if you can help.  While urging them to go see a doctor you hear the boy making an involuntary whooping sound as he repeatedly coughs.  At this moment you would suspect:
A
diphtheria.
B
croup.
C
pertussis.
D
asthma.
Question 8 Explanation: 
The presence of the whoop sound in this patient points to pertussis or whooping cough. If is highly vaccinated against in the US but remains a problem in many 3rd world nations.
Question 9
Procainamide causes all of the following except for:
A
the blockage of sodium through the membrane pores.
B
the slowing of conduction in myocardial tissue.
C
the suppression of atrial and ventricular rhythms.
D
increasing the recovery period after repolarization.
Question 9 Explanation: 
Procainamide does not work to increase the recovery period after repolarization. That is an action of lidocaine.
Question 10
A LeFort fracture is commonly associated with the:
A
Maxillary bone.
B
Orbital bone.
C
Nasal Bone.
D
Zygomatic bone.
Question 10 Explanation: 
LeFort fractures are associated with the instability of the maxilla in relation to the rest of the cranium.
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