2025 PARAMEDIC FINAL EXAM PREP WITH
600 QUESTIONS AND CORRECT VERIFIED
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A 35 year old man is pulseless and apneic. He was found in a lake after falling
through the ice. His wife says he left the house 3 hours ago. His is cold and rigid.
What should you do?
A. Perform chest compressions
B. Begin active rewarming techniques
C. Obtain IO access and administer a warm fluid bolus
D. Contact the medical examiner - ANSWER-A. Perform chest compressions
2. A 52 year old male was the unrestrained driver in a frontal impact car crash.
Which of the following injuries would lead you to believe the patient traveled "up
and over" the dashboard instead of "down and under"?
A. Patellar dislocation
B. Cervical spine fracture
C. Ruptured diaphragm
D. Flail chest - ANSWER-C. Ruptured diaphragm
3. A 22 year old female complains of joint pain and flu-like symptoms over the
past two days. Her abdomen is soft and non-tender, but she appears to have a
circular rash on her lower left quadrant. What should you suspect?
A. Cholecystis
B. Gastroenteritis
C. Lyme's disease
pg. 1
,D. Influenza - ANSWER-C. Lyme's disease
4. A 88 year old male is combative and angry. His wife states that he is normally
pleasant and calm. What intervention would narrow your differential diagnosis?
A. A response to oxygen therapy
B. A blood glucose reading
C. If he responds to forceful control
D. Cincinnati stroke scale - ANSWER-B. A blood glucose reading
5. A 23 year old male complains of diffuse lower leg pain and tension after a car
accident. Pedal pulses are absent bilaterally and you note slight cyanosis in his feet.
Vital signs are BP 130/90, P 88, R 16. What should you suspect?
A. Iliac arterial rupture
B. Bilateral tibial fractures
C. Compartment syndrome
D. Lower leg embolism - ANSWER-C. Compartment syndrome
6. A 52 year old female was the passenger in a car crash in which the airbag
deployed. She complains of violent pain in her left shoulder. What is this known
as?
A. Grey-Turner's sign
B. Cullen's sign
C. Kehr's sign
D. Shoulder dystocia - ANSWER-C. Kehr's sign
7. A 56 year old male complains of diarrhea, nausea, and diffuse pain in his
abdomen for the past 48 hours. What should you suspect?
pg. 2
,A. Cholecystis
B. Gastroenteritis
C. Diverticulitis
D. Peptic ulcer - ANSWER-B. Gastroenteritis
8. A 23 year old male complains of neck stiffness and flu symptoms for the past
few days. He also describes a high fever with a severe headache, dizziness and
blurred vision. What should you suspect?
A. Hemorrhagic stroke
B. Migraine
C. Meningitis
D. Influenza - ANSWER-C. Meningitis
9. What causes an emphysema patient to have a pink appearance?
A. Elevated PCO2 level
B. Polycythemia
C. Anemia
D. Elevated PO2 level - ANSWER-B. Polycythemia
10. Which of the following is a musical, squeaking or whistling sound heard in
inspiration and expiration while auscultating lung fields?
A. Wheezing
B. Snoring
C. Stridor
D. Gurgling - ANSWER-A. Wheezing
pg. 3
, 11. You are treating a 82 year old male in hypovolemic shock. In order to increase
their blood pressure you should administer:
A. 0.45% NaCl via IV
B. isotonic fluids orally
C. dextrose 5% in water via IO
D. isotonic crystalloid via IV - ANSWER-D. isotonic crystalloid via IV
12. You have received an order for a dopamine drip. You carry 500cc bags of
D5W. How much dopamine should you add to the bag to create a 1600mcg/1mL
dilution?
A. 800mg
B. 1600mcg
C. 1600mg
D. 400mcg - ANSWER-A. 800 mg
13. What does a pulsating mass in the abdomen suggest?
A. Abdominal aortic aneurysm
B. Perforated ulcer
C. Hernia
D. Ruptured ectopic pregnancy - ANSWER-A. Abdominal aortic aneurysm
14. What is the safest and most effective landing pattern for a helicopter?
A. At a slight angle like that of a jet
B. Nose of the helicopter pointing up with a tail wind
C. Straight up and down in a vertical motion
D. Nose of the helicopter pointing down with a slow descent - ANSWER-A. At a
slight angle like that of a jet
pg. 4
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