CPR CPR - Certified Paramedic Response Respiratory Emergencies and Management Questions and Answers 2

Question 1

When using CPAP for a patient in acute pulmonary edema, which of the following patient presentations is a CONTRAINDICATION to CPAP use?

Accepted Answer

Systolic BP of 70 mmHg with altered mental status

Answer

Respiratory rate of 28 breaths/min

Answer

SpO2 of 85% on 15 LPM non-rebreather

Answer

Bilateral crackles on auscultation

Question 2

A 55-year-old male presents with sudden onset pleuritic chest pain, dyspnea, and tachycardia after a long flight. Which condition should be suspected FIRST?

Accepted Answer

Pulmonary embolism

Answer

Spontaneous pneumothorax

Answer

Aortic dissection

Answer

Acute MI

Question 3

During nebulized albuterol therapy, which of the following patient assessments BEST indicates a therapeutic response?

Accepted Answer

Improved breath sounds with decreased wheezing and increased air movement

Answer

Heart rate decrease from 110 to 90 bpm

Answer

Blood pressure increase from 90/60 to 110/70

Answer

Respiratory rate increase from 18 to 24 breaths/min

Question 4

In a patient requiring RSI (Rapid Sequence Intubation), what is the CORRECT sequence of medication administration?

Accepted Answer

Sedative/induction agent first, then neuromuscular blocking agent

Answer

Succinylcholine first, then etomidate

Answer

Neuromuscular blocking agent first, then sedative

Answer

Concurrent administration of both agents simultaneously

Question 5

A patient with COPD presents with worsening dyspnea and is using accessory muscles. Their ETCO2 is 58 mmHg. This value MOST likely indicates:

Accepted Answer

Hypoventilation with CO2 retention

Answer

Hyperventilation

Answer

Normal ventilation for a COPD patient

Answer

Adequate respiratory compensation

Question 6

Which of the following is the CORRECT position to place a patient in respiratory distress who is conscious and hemodynamically stable?

Accepted Answer

High Fowler's position (sitting upright at 90 degrees)

Answer

Supine with head of stretcher flat

Answer

Left lateral recumbent position

Answer

Trendelenburg position