Which of the following is one of the paramedic's primary responsibilities?
Accident reconstruction
Patient disposition
Public relations
Crowd control
2
The paramedic is responsible for determining the mechanism of injury or nature of the illness when carrying out which of
Scene size-up
Response
Patient assessment
Patient management
3
The four fundamental principles or values used to resolve problems in bioethics today include all of the following EXCEP
beneficence.
autonomy.
maleficence.
egalitarianism.
4
Epidemiologically speaking, an ongoing process that determines the effectiveness, efficiency, and impact of activities r
evaluation.
linkage.
policy development.
field evaluation.
5
Which of the following antihypertensive medications is an angiotensin-converting enzyme (ACE) inhibitor?
Captopril (Capoten)
Labetalol (Normodyne)
Clonidine (Catapres)
Reserpine (Serpalan)
6
Injuring a person's name or character through malicious spoken statements is called:
misfeasance.
perjury.
libel.
slander.
7
Shift work, down time between calls, and inadequate pay are all examples of ________ stressors.
administrative
physical
emotional
environmental
8
Which of the following is part of good handwashing technique?
Use only antibacterial bar soap, avoiding liquid soaps when possible.
Thoroughly lather your hands with soap, front and back, for at least 15 seconds.
Use the hottest water that can be tolerated.
Use an ethanol-based, waterless hand sanitizer instead of soap when possible.
9
The study of the ways in which diseases interfere with normal body functions is called:
immunology.
epidemiology.
pathology.
pathophysiology.
10
Which of the following is NOT an example of the paramedic's responsibility for community involvement?
Allowing citizens to vote on EMS protocols
Teaching the public BLS classes
Conducting illness and injury risk surveys
Helping the public learn how to recognize an emergency
11
The paramedic's right to care for patients, administer medications, and perform other related tasks falls on the license
the state secretary of health.
the state medical director.
the EMS system medical director.
the receiving hospital personnel.
12
An action or inaction by a paramedic that causes or worsens damages suffered by a patient is called the ________ of the
potential agent
primary cause
proximate cause
precipitating agent
13
The prehospital care report should document all of the following, EXCEPT:
objective observations.
pertinent negatives.
treatments provided.
subjective opinions.
14
________ describes phenomena in numbers.
Mixed research
Qualitative research
Prospective research
Quantitative research
15
Teratogenic refers to the:
likelihood of multiple births as a drug side effect.
effects of a drug on the developing fetus.
decreased ability of the elderly to metabolize drugs.
potential of a drug to cause cancer.
16
The type of consent that must be obtained from a conscious, competent adult patient before a paramedic can begin treatme
ex officio
implied
voluntary
informed
17
What is one of the emerging roles and responsibilities of a paramedic in the 21st century?
Health promotion
Managed health care
Internet education
Third-party biller
18
Glucagon will affect blood glucose levels by:
enabling the rapid absorption of glucose into the cells.
inducing the storage of glucose into the liver and skeletal muscle through glycogenesis.
enhancing the absorption of glucose from the gastrointestinal tract.
inducing glycogenolysis and gluconeogenesis.
19
An excessive absorption and accumulation of iron in the body, causing weight loss, joint pain, abdominal pain, palpitati
cholecystitis.
hemophilia.
hemochromatosis.
splenomegaly.
20
Common strategies that include child safety seat classes, bicycle safety training, drunk driving education programs, smo
Disease surveillance
Policy development
Injury prevention
Health promotion
21
Into which of the following containers would it be necessary to inject a volume of air equal to the intended volume of m
Vial
Nebulizer
Ampule
Prefilled syringe
22
Pulmonary edema is characteristic of which of the following types of shock?
Neurogenic
Cardiogenic
Hypovolemic
Septic
23
A type of exercise in which muscles are worked through their full ranges of motion to develop muscular strength is calle
isotonic.
isometric.
iatrogenic.
isolateral.
24
The standard charting abbreviation for nitroglycerin is:
NGT.
Nitro.
NTG.
N2O.
25
Which of these terms refers to a disease caused by diminished blood supply?
infectious
metabolic
ischemic
immunologic
26
In which stage of development do the trachea and large airways increase in diameter and enlargement of the end units of
Early adulthood
Adolescence
Middle adulthood
Late adulthood
27
What is a small, sterile glass or plastic container that usually contains a single dose of a solution?
Ampule
Vial
Mix-O-Vial
MDI
28
The paramedic's general impression is documented in the:
diagnosis section.
subjective narrative.
assessment/management plan.
objective narrative.
29
A type of study that does not allow the subjects or the experimenters to know who is in the control group is:
cross-sectional.
quasi-experimental.
single blind.
double blind
30
A plastic or glass container with a self-sealing rubber top is known as a
blister pack.
ampule.
prefilled syringe.
vial.
31
Which of the following best describes the paramedic's professional obligation?
Following long-standing traditions in practice
Placing the system's well-being above that of the patient
Absolute adherence to medical protocols
Acceptance and adherence to a code of professional ethics and etiquette
32
Approximately 70 percent of all body water is found within which compartment?
Interstitial
Intravascular
Extracellular
Intracellular
33
Which of the following is NOT an important action to take when preserving physical evidence at a crime scene?
Above all, protect yourself and the safety of other EMS personnel.
Do not move or touch anything at a crime scene unless it is necessary to do so for patient care.
Report suspected child or elder abuse to the proper authorities.
Once a crime scene has been deemed safe, initiate patient contact and medical care.
34
The intranasal route of drug administration can be used for which of the following?
Antiarrhythmic
Airway constriction
Aural application
Analgesia
35
Which of the following best describes the development of the sensory portion of the nervous system in infants?
None of these is accurate.
They can feel pain but cannot isolate the sensation.
They have not yet developed an acute sense of pain.
They both feel pain and can localize the sensation.
36
The paramedic who routinely fails to complete duties and paperwork in a timely manner is most likely lacking which of th
Leadership
Self-motivation
Integrity
Self-confidence
37
The format that uses a chronological account from the time of arrival on scene to the time of transfer of care is known
body systems.
patient management.
head-to-toe.
SOAP.
38
The type of blood that may be administered to all people in an emergency, regardless of their blood type, is:
O positive.
AB positive.
O negative.
AB negative.
39
Which of the following can increase the risk of back injury?
Weak abdominal muscles
All of these
Poor nutrition
Smoking
40
A concern for patients taking both insulin and beta-blockers is:
beta-blockers, due to their sympatholytic effects on the nervous system, can further reduce available ATP to the cells of the body in the presence of insulin.
the two medications, when taken together, have a synergistic effect.
beta-blockers prevent the release of insulin from the beta cells in the pancreas.
beta2 adrenergic blockers can both hide the effects of hypoglycemia, making it difficult to recognize, and decrease the release of glucagon.
41
Which of these is NOT one of the six rights of drug administration?
Right person
Right distribution
Right documentation
Right dose
42
Which of the following best characterizes the professional development of a paramedic?
It is a career-long pursuit.
It is focused on illness and injury prevention.
It is regulated by the system medical director and state agency.
It is focused on public education efforts.
43
Naloxone is an ________ to opioid receptors.
agonist
antagonist
agonist-antagonist
analgesic
44
The most valid of all the specific study types is:
cross-sectional study.
In vivo research.
expert opinions, editorials, rational conjecture.
meta-analysis of randomized controlled trials.
45
Social, religious, or personal standards of right and wrong are called:
culture.
ethics.
common laws.
morals.
46
Benzodiazepines and barbiturates achieve their sedation effects by ________ in the CNS.
blocking the dopaminergic receptor sites
blocking the GABA receptor sites
depolarizing the neural membranes
enhancing the GABA receptor sites
47
Which of the following fluids helps the newborn infant's lungs remain open by reducing surface tension of the alveoli?
Surfactant
Meconium
Amniotic fluid
Vernix caseosa
48
Types of medications commonly used to relieve symptoms of bronchospasm and decrease inflammation include all of the foll
expectorants.
beta2 selective sympathomimetics.
anticholinergics.
glucocorticoids.
49
Benzodiazepines are safer than barbiturates in seizure patients because:
the therapeutic dose of barbiturates is very close to the lethal dose.
benzodiazepines cannot cause hypotension or respiratory depression.
benzodiazepines cause a counteraction by inducing high levels of dopamine in the CNS.
the effect of benzodiazepines is limited by the amount of endogenous GABA in the CNS.
50
Which of the following is NOT a prevention strategy that EMS personnel should be able to implement?
Policing powers
Document findings
Preserving the safety of the response team
Knowing the community resources
51
Hypoperfusion can result in:
hyperoxia.
alkalosis.
acidosis.
hypocarbia.
52
What is the process of chemically converting drugs into metabolites?
Absorption
Distribution
Biotransformation
Excretion
53
The highest level of prehospital care provider in the United States is a:
emergency medical technician.
advanced EMT.
paramedic.
emergency medical responder.
54
A newborn typically sleeps ________ hours in a 24-hour period.
8 to 10
18 to 22
12 to 16
16 to 18
55
Medications best suited for treating bronchoconstriction generally stimulate ________ receptors.
beta1
alpha1
beta2
alpha2
56
The highest levels of job stress typically occur in the ________ years.
adolescent
late adult
early adult
middle adult
57
A written statement of a patient's preference for future medical care is a
deposition.
power of attorney.
advance directive.
patient narrative.
58
The acronym PSAP stands for:
public safety agency paramedics.
prehospital safety and prevention.
paramedic system answering point.
public safety answering point.
59
The idea that each person must decide how to behave and that whatever decision that person makes is acceptable is known
moral positivism.
the deontological method.
ethical relativism.
consequentialism.
60
Which of the following is NOT a benefit of physical fitness?
Back safety
Improved self-image
Maintenance of motor skills
Enhanced quality of life
61
The stage of the stress response in which the pituitary gland releases a flood of adrenocorticotropic hormones is:
resistance.
alarm.
withdrawal.
exhaustion.
62
Which term best describes the effects a drug has on its target organs?
Pharmacokinetics
Biotransformation
Pharmacodynamics
Bioavailability
63
In order to link its EMS and public health systems, a community must have which of the following in place?
Strong medical oversight over just the EMS system
Disaster plans that are drilled and developed at the state level
Stakeholders having a role in the planning process
A desire to educate public health providers about field investigation.
64
If a legal case is brought against you, your best defense in court is usually:
your partner's corroborating testimony.
a complete and accurate PCR.
your immediate recollection of events.
the dispatch log.
65
Which of the following is NOT one of the core elements of physical fitness?
Flexibility
Cardiovascular endurance
Speed
Muscular strength
66
Which of the following medications has the shortest half-life?
Verapamil
Epinephrine
Adenosine
Digitalis
67
What is the term for the time the body takes to clear one-half of a drug from the body?
Therapeutic level
Optimum dose
Half-life
Duration of action
68
Which of the following is NOT considered an allied health profession?
Respiratory therapy
Physical therapy
Nursing
Paramedicine
69
Aspirin is beneficial to patients with a history of cardiac disease because it:
causes thrombolysis.
inhibits the clotting cascade.
inhibits platelet aggregation.
provides analgesia.
70
Malfeasance, misfeasance, and nonfeasance are three types of:
negligence.
aggravated assault.
breach of duty.
criminal acts.
71
The acronym SLUDGE helps identify the effects of ________ drugs on the autonomic nervous system.
sympatholytic
parasympathomimetic
sympathomimetic
parasympatholytic
72
What is the first step of the scientific method?
Construct a hypothesis.
Conduct research and collect data.
Test the hypothesis.
Observe and ask questions.
73
Which of the following statements about a paramedic's skill competency is TRUE?
All skills should be reviewed equally, regardless of criticality.
Frequent review of infrequently used skills is critical to ensure competency.
High-frequency, low-criticality skills should be reviewed often.
Low-frequency, high-criticality skills should be rarely reviewed.
74
Which of the following is best described as the unlawful touching of another individual without the individual's consent
Negligence
Assault
Battery
Malpractice
75
The maximum volume of medication to be delivered into the deltoid muscle is ________ mL.
