Paramedic Science
Mock Exam
Course Introduction
Paramedic Science is a dynamic and comprehensive course that equips students with the professional knowledge, clinical skills, and critical thinking abilities necessary to provide high-quality pre-hospital emergency care. Through a blend of theoretical instruction, practical simulation, and clinical placements, students learn to assess, diagnose, and manage patients experiencing acute medical and traumatic emergencies in a variety of settings. The course covers topics such as anatomy and physiology, emergency medical procedures, pharmacology, patient assessment, and ethical considerations, preparing graduates for registration and practice as paramedics within the healthcare system.
Recommended Textbook
EKG Plain and Simple 4th Edition by Karen Ellis
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15 Chapters
875 Verified Questions
875 Flashcards
Source URL: https://quizplus.com/study-set/2424 Page 2
Chapter 1: Cardiac Anatomy and Physiology
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66 Verified Questions
66 Flashcards
Source URL: https://quizplus.com/quiz/48190
Sample Questions
Q1) The vessel that delivers oxygenated blood to the capillary bed is the A)artery.
B)vein.
C)arteriole.
D)venule.
Answer: C
Q2) The vessel that delivers oxygenated blood to the anterior wall of the left ventricle is the
A)left main coronary artery.
B)coronary vein.
C)right coronary artery.
D)left anterior descending coronary artery.
Answer: D
Q3) In which two chambers of the heart does blood have an oxygen concentration of nearly 100%?
A)Right atrium and right ventricle
B)Left atrium and left ventricle
C)Right atrium and left ventricle
D)Left atrium and right ventricle
Answer: B
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Chapter 2: Electrophysiology
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68 Verified Questions
68 Flashcards
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Sample Questions
Q1) The normal pacemaker of the heart is the AV node.
A)True
B)False
Answer: False
Q2) The PR segment is located between the A)P wave and the QRS complex.
B)QRS complex and the T wave.
C)T wave and the next P wave.
D)P wave and the T wave.
Answer: A
Q3) Which of the following ions has a direct effect on ventricular muscle contraction?
A)Sodium
B)Potassium
C)Magnesium
D)Calcium
Answer: D
Q4) A negative deflection that occurs before a positive one is labeled a ________ wave.
Answer: Q
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Chapter 3: Lead Morphology and Placement
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56 Verified Questions
56 Flashcards
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Sample Questions
Q1) If Lead II's QRS complex is positive,the heart's current is traveling toward the A)right arm.
B)left arm.
C)right leg.
D)left leg.
Answer: D
Q2) Normal current of the heart travels top to bottom and ________. Answer: Right to left
Q3) If Lead I's QRS is positive,the heart's current is traveling toward the right arm.
A)True
B)False
Answer: False
Q4) The electrode on the right leg is the ground electrode and plays no part in any lead. A)True
B)False
Answer: True
Q5) Lead aVR's positive electrode is located on the ________. Answer: Right arm
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Chapter 4: Technical Aspects of the EKG
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54 Verified Questions
54 Flashcards
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Sample Questions
Q1) Electrically speaking,the EKG machine is a ________ and the heart is a transmitter.
Q2) A thick-looking pattern on the EKG paper that looks like someone used a thick Magic Marker to write the baseline is typical of what kind of artifact?
Q3) If your patient's cardiac rhythm is life-threatening,your FIRST action should be to
A)check the monitor wires and patches.
B)exchange the cardiac monitor for a new one.
C)check the patient-assess vital signs and see how he/she feels.
D)notify the family of the patient's deteriorating condition.
Q4) Sometimes,the presence of artifact can be verified by changing the lead. A)True
B)False
Q5) Muscle artifact can be minimized by monitoring the patient in Lead
A)I.
B)II.
C)aVR.
D)V or MCL .
Q6) Broken recording is caused by ________.
Q7) Troubleshooting involves determining and alleviating the cause of ________.
Page 6
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Chapter 5: Calculating Heart Rate
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27 Verified Questions
27 Flashcards
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Sample Questions
Q1) What is the correct procedure for calculating a regular heart rate interrupted by premature beats?
A)Ignore the premature beats and calculate the heart rate using the six-second strip or memory methods.
B)Calculate the range slowest to fastest using the memory method and the mean rate using the six-second strip method.
C)Ignore the premature beats and calculate the heart rate using the little block or memory method.
D)Calculate the range fastest to slowest using the little block method and the mean rate using the six-second strip method.
Q2) Regularity of a rhythm is determined by measuring the A)P-P intervals.
B)QRS intervals.
C)R-R intervals.
D)distance between consecutive U waves.
Q3) If the QRS complexes are all 15 little blocks apart,the heart rate is ________.
Q4) A regular rhythm is one in which ________.
Q5) Heart rate is the same as ________ rate.
Q6) If the QRS complexes are all 50 little blocks apart,the heart rate is ________.
Page 7
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Chapter 6: How to Interpret a Rhythm Strip
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20 Flashcards
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Sample Questions
Q1) An arrhythmia is a(n)________ heart rhythm.
Q2) Sinus rhythm is an irregular rhythm interrupted by premature beats and pauses. A)True
B)False
Q3) If the patient's rhythm changes,you should FIRST
A)assess your patient for signs of decreased cardiac output.
B)calculate the heart rate,rhythm,and intervals.
C)change the lead to see if the rhythm is real or if it's artifact.
D)look for P waves.
Q4) The normal rhythm of the heart has P waves that are
A)upright,matching,and precede the QRS complex.
B)variable in shape and location.
C)often hidden inside QRS complexes.
D)multiple in number,preceding the QRS complex.
Q5) An abnormal rhythm is called an arrhythmia.
A)True
B)False
Q6) Sinus rhythms should have narrow QRS complexes of uniform shape. A)True
B)False
Page 8
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Chapter 7: Rhythms Originating in the Sinus Node
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60 Verified Questions
60 Flashcards
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Sample Questions
Q1) The heart rate in Figure 4 is closest to A)100.
B)70.
C)150.
D)50.
Q2) Sinus bradycardia's heart rate is
A)60-100.
B)greater than 100.
C)less than 60.
D)greater than 170.
Q3) High fever is a common cause of sinus arrest.
A)True
B)False
Q4) ________ is a rhythm with a heart rate greater than 100.
Q5) Diaphoresis is a cold sweat.
A)True
B)False
Q6) The heart rate during sinus rhythm is 60-100. A)True
B)False
Page 9
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Chapter 8: Rhythms Originating in the Atria
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50 Flashcards
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Sample Questions
Q1) PACs are premature beats from the sinus node.
A)True
B)False
Q2) SVT stands for
A)sinus ventricular tachycardia.
B)supraventricular tension.
C)sinus valvular tachycardia.
D)supraventricular tachycardia.
Q3) Blood clots in the atria are associated with multifocal atrial tachycardia.
A)True
B)False
Q4) The P wave of a PAC is shaped _____from sinus P waves.
Q5) Atrial tachycardia is always accompanied by symptoms of decreased cardiac output.
A)True
B)False
Q6) Flutter waves are often described as sawtooth- or picket-fence-shaped waves.
A)True
B)False
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Q7) Multifocal atrial tachycardia has at least ________ different shapes of P waves.
Chapter 9: Rhythms Originating in the AV Junction
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Sample Questions
Q1) Junctional rhythm has a heart rate the same as sinus bradycardia.
A)True
B)False
Q2) A P wave that is upside down is called ________.
Q3) PJC and junctional tachycardia are similar in that
A)both have regular but interrupted regularity.
B)both can have hidden P waves.
C)both have heart rates less than 40.
D)both require electrical shock to the heart.
Q4) Treatment for the rhythm in Figure 8 could include ALL BUT A)atropine.
B)oxygen.
C)electrical shock to the heart.
D)no treatment.
Q5) All junctional rhythms are life-threatening. A)True
B)False
Q6) Junctional tachycardia has a heart rate greater than 100.
A)True
B)False
Page 11
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Chapter 10: Rhythms Originating in the Ventricles
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52 Verified Questions
52 Flashcards
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Sample Questions
Q1) Ventricular fibrillation has
A)no P waves or QRS complexes.
B)P waves but no QRS complexes.
C)QRS complexes but no T waves.
D)P waves and QRS complexes.
Q2) Treatment for the rhythm in Figure 16 would include which of the following?
A)Electrical shock to the heart
B)Atropine
C)Digitalis
D)Oxygen removal
Q3) What causes fusion beats?
A)Depolarization of the ventricle by a sinus impulse that coincides with polarization by a premature ventricular impulse
B)Polarization of the ventricle by a sinus impulse that coincides with depolarization by a premature ventricular impulse
C)Simultaneous depolarization of the ventricle by a sinus impulse and a premature ventricular impulse
D)Simultaneous polarization of the ventricle by a sinus impulse and a premature ventricular impulse
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Page 12
Chapter 11: AV Blocks
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50 Verified Questions
50 Flashcards
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Sample Questions
Q1) In Mobitz II second-degree AV block,where do the P waves originate?
A)Sinus node
B)AV node
C)Atrium
D)Ventricle
Q2) In a second-degree AV block,some impulses from the sinus node ________ to the ventricles; others don't.
Q3) Which strip is consistent with sinus rhythm with first-degree AV block?
A)A
B)B
C)C
D)D
Q4) Mobitz II second-degree AV block involves a block at either the AV node or the ________.
Q5) The AV blocks with a constant PR interval are
A)first-degree AV block and Wenckebach.
B)Wenckebach and third-degree AV block.
C)first-degree AV block and Mobitz II second-degree AV block.
D)first-degree AV block and third-degree AV block.
Q6) Why does atropine not work when the block is at the bundle branches?
Page 13
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Chapter 13: How to Interpret a 12-Lead EKG
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57 Flashcards
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Sample Questions
Q1) If both Lead I and aVF's QRS complexes are positive,the axis is ________.
Q2) If the QRS in I and aVF are both negative,the axis is A)normal.
B)right axis deviation.
C)left axis deviation.
D)indeterminate axis.
Q3) If the heart's current originates in the left ventricle and travels upward to the right,there would be right axis deviation.
A)True
B)False
Q4) Axis deviation can be a normal variant.
A)True
B)False
Q5) A disorder in which there is too much potassium in the bloodstream is called A)hyperkalemia.
B)hypokalemia.
C)hypercalcemia.
D)hypocalcemia.
Q6) Left ventricular hypertrophy is determined by adding ________.
Q7) Critical rate is the rate at which ________.
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Chapter 14: Myocardial Infarction
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76 Verified Questions
76 Flashcards
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Sample Questions
Q1) Subendocardial MI is an old term for A)inferior MI.
B)NSTEMI.
C)STEMI.
D)transmural MI.
Q2) The age of the MI in Figure 20 is A)acute.
B)age indeterminate.
C)old.
D)impossible to tell.
Q3) Occlusion is A)blockage.
B)an EKG finding seen in NSTEMIs.
C)an EKG finding consistent with ischemia.
D)the opening of a coronary artery.
Q4) A significant Q wave
A)is either 0.04 seconds wide or 1/3 to 1/4 the size of the R wave.
B)is taller than the peak of the T wave.
C)implies myocardial injury.
D)is seen only in subendocardial MIs.
15
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Chapter 16: Medications and Electrical Therapy
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113 Verified Questions
113 Flashcards
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Sample Questions
Q1) Treatment for V-fib is to immediately ________.
Q2) Beta-blockers slow the heart rate and decrease blood pressure.
A)True
B)False
Q3) An AOO pacemaker would pace and sense which (if any)chambers of the heart?
Q4) Your patient is in pulseless ventricular tachycardia.Your first intervention should be A)defibrillation.
B)amiodarone bolus IV.
C)electrical cardioversion.
D)to encourage the patient to try vagal maneuvers.
Q5) If the synchronizer button is on when trying to shock the patient in V-fib
A)no shock will be delivered at all.
B)shock delivery will be delayed.
C)the health care worker will be shocked.
D)a dangerously large shock will be delivered.
Q6) AICDs can be found at malls,airports,and on airplanes.
A)True
B)False
Q7) When a pacemaker fires,it causes a ________ on the EKG.
Page 16
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Chapter 17: Diagnostic Electrocardiography
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75 Verified Questions
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Sample Questions
Q1) The patient's blood pressure was 120/80 at rest.During the stress test,it has fallen to 90/50 and he is cold and clammy.What is the appropriate course of action?
A)Stop the test immediately.
B)Stop for a minute,then resume at a slower pace.
C)Continue as is.
D)Slow the pace to let the patient recover,then speed it back up to the previous level.
Q2) Which protocol for treadmill exercise testing is used most often for testing post-MI patients just prior to hospital discharge?
A)Bruce protocol
B)Modified Bruce protocol
C)Naughton protocol
D)Modified Naughton protocol
Q3) Which of the following would be considered a negative Holter?
A)A Holter that reveals tachycardias but not bradycardias
B)A Holter that reveals no ST changes
C)A Holter that reveals bradycardias but not tachycardias
D)A Holter that reveals ST segment elevations
Q4) Bayes' theorem is concerned with the ________ of stress test results.
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Page 17