Paramedic Technology Exam Questions
Course Introduction
Paramedic Technology provides students with the knowledge and skills required to deliver advanced pre-hospital care to patients experiencing medical emergencies. The course covers a broad range of topics including trauma management, advanced airway and respiratory interventions, cardiac care, pharmacology, patient assessment, and emergency medical protocols. Emphasis is placed on the use of life-saving equipment, rapid decision-making, and professional communication in high-stress environments. Through a combination of classroom instruction, hands-on labs, and clinical experiences, students develop the competencies necessary to function effectively as part of an emergency medical team operating in diverse settings.
Recommended Textbook
EKG Plain and Simple 3rd Edition by Karen Ellis RN
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790 Verified Questions
790 Flashcards
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Chapter 1: Coronary Anatomy and Physiology
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Sample Questions
Q1) Pericardial fluid
A)Decreases friction of the pericardial layers as they rub against each other.
B)Prevents backflow of blood from one chamber to the other.
C)Circulates through the heart's chambers.
D)Lubricates the electrical system of the heart.
Answer: A
Q2) Through which vessel does oxygenated blood enter the capillaries?
A)Aorta
B)Veins
C)Venules
D)Arterioles
Answer: D
Q3) The term _____ means half-moon.
Answer: Semilunar
Q4) Which of the following statements about the right atrium is true?
A)It is a receiving chamber for oxygenated blood returning from the lungs.
B)It is the major pumping chamber of the heart.
C)It is about 100% saturated with oxygen.
D)It is the receiving chamber for deoxygenated blood coming from the vena cava.
Answer: D
Page 3
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Chapter 2: Electrophysiology
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Sample Questions
Q1) The normal rate of the sinus node is 60-100 beats per minute.
A)True
B)False
Answer: True
Q2) +20 mV is the
A)Resting transmembrane potential.
B)Transmembrane potential at the conclusion of phase 3 of the action potential.
C)Transmembrane potential at the conclusion of phase 0 of the action potential.
D)Transmembrane potential at the beginning of cardiac rest.
Answer: C
Q3) Contractility is the ability of a cardiac cell to
A)Initiate an impulse without outside stimulus.
B)Pass an impulse along to neighboring cells.
C)Respond to a stimulus by depolarizing.
D)Contract.
Answer: D
Q4) Transmembrane potential is the electrical charge at the _____.
Answer: cell membrane
Q5) Atrial depolarization is represented on the EKG as a _____.
Answer: P wave
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Chapter 3: Lead Morphology and Placement
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Sample Questions
Q1) Einthoven's law states that _____.
Answer: Lead I + lead III = lead II
Q2) The precordial leads are placed on the arms and legs.
A)True
B)False
Answer: False
Q3) The tallest QRS complex should be in lead _____.
Answer: II
Q4) A lead is an electrocardiographic _____.
Answer: Picture of the heart
Q5) It is normal for the QRS complex to be primarily positive in V1.
A)True
B)False
Answer: False
Q6) Lead I connects which limbs?
A)Right arm and left leg
B)Right arm and right leg
C)Right arm and left arm
D)Left arm and right leg
Answer: C
Page 5
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Chapter 4: Technical Aspects of the Ekg
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Sample Questions
Q1) A patient is short of breath and his nurse tells you he must have the head of bed (HOB)at 90 degrees for his 12-lead EKG.You
A)Leave,telling the nurse to call you when the HOB can be lowered flat.
B)Roll the HOB flat and do the EKG,then roll the HOB back up.
C)Call the physician and ask why the HOB can't be lowered.
D)Do the EKG at 90 degrees and document this position on the EKG.
Q2) Baseline sway is caused by lotion or sweat on the skin interfering with the _____ reaching the EKG machine.
Q3) Chills can cause somatic tremor artifact.
A)True B)False
Q4) Artifact does not cause symptoms of decreased cardiac output. A)True B)False
Q5) Life-threatening dysrhythmias will cause symptoms of decreased cardiac output. A)True B)False
Q6) Sometimes,the presence of artifact can be verified by changing the lead. A)True B)False
Page 6
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Chapter 5: Calculating Heart Rate
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Sample Questions
Q1) The most accurate way to determine heart rate would be to
A)Count the number of P waves in a minute-long rhythm strip.
B)Count the number of QRS complexes in a minute-long rhythm strip.
C)Count the number of QRS complexes on a six-second strip and multiply by 10.
D)Count the number of P waves on a six-second strip and multiply by 10.
Q2) Regularity is concerned with the constancy of QRS complexes.
A)True
B)False
Q3) A regular rhythm is one in which _____.
Q4) If the QRS complexes are all 50 little blocks apart,the heart rate is _____.
Q5) R-R intervals are measurements of the distance between consecutive QRS complexes.
A)True
B)False
Q6) Which of the following is NOT a method of calculating heart rate?
A)The six-second strip method.
B)The little block method.
C)The memory method.
D)The P-P interval method.
Q7) If the QRS complexes are all 15 little blocks apart,the heart rate is _____.
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Chapter 6: How to Interpret a Rhythm Strip
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Sample Questions
Q1) A heart rate less than 60 is said to be a
A)Tachycardia.
B)Bradycardia.
C)Tachyarrhythmia.
D)Bundle branch block.
Q2) An abnormal rhythm is called a dysrhythmia.
A)True
B)False
Q3) A rhythm originating in the sinus node should NOT have which of the following?
A)Narrow QRS complexes of uniform shape
B)Regularly spaced QRS complexes
C)Absent QRS complexes
D)Heart rate of 60-100
Q4) Multiple P waves preceding the QRS complexes are typical of sinus rhythm.
A)True
B)False
Q5) A rhythm with a heart rate greater than 100 is a tachycardia.
A)True
B)False
Q6) The distance between consecutive P waves is called the _____.
Page 8
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Chapter 7: Rhythms Originating in the Sinus Node
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Sample Questions
Q1) Oxygen can help return an abnormal heart rhythm to normal.
A)True
B)False
Q2) In sinus block,
A)The pause is a multiple of the R-R intervals.
B)There are P waves inside the pause.
C)All R-R intervals are constant.
D)The heart rate varies from 100 to 160.
Q3) The sinus rhythm that has a heart rate greater than 100 is
A)Sinus rhythm.
B)Sinus bradycardia.
C)Sinus tachycardia.
D)Sinus arrhythmia.
Q4) In sinus rhythm,the heart rate is
A)60-100.
B)Greater than 100.
C)Less than 60.
D)Greater than 170.
Q5) Once the impulse originates in the sinus node,it travels next to the _____ by way of the interatrial tracts.
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Chapter 8: Rhythms Originating in the Atria
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Sample Questions
Q1) In atrial flutter,the flutter waves are regular.
A)True
B)False
Q2) Multifocal atrial tachycardia is an irregular rhythm with a heart rate greater than 100.
A)True
B)False
Q3) Paroxysmal means
A)Starting and stopping suddenly.
B)Life-threatening.
C)Premature.
D)Prolonged.
Q4) Wandering atrial pacemaker has at least three different shapes of A)T waves.
B)QRS complexes.
C)P waves.
D)U waves.
Q5) Atrial fibrillation is routinely a reason to begin CPR. A)True B)False
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Chapter 9: Rhythms Originating in the Av Junction
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Sample Questions
Q1) All junctional rhythms originate in the area around the AV node.
A)True
B)False
Q2) Junctional bradycardia is usually the result of usurpation.
A)True
B)False
Q3) Atropine should be given for junctional bradycardia if the patient is _____.
Q4) Junctional tachycardia has a heart rate greater than 100.
A)True
B)False
Q5) In low junctional rhythms,the P wave is
A)Upright,rounded,preceding the QRS.
B)Inverted following the QRS.
C)Inverted preceding the QRS.
D)Hidden inside the QRS.
Q6) Electrical shock is used to treat frequent PJCs.
A)True
B)False
Q7) Conduction to the atria is said to be _____ in junctional rhythms.
Q8) Junctional tachycardia is best called SVT if there are no _____ P waves.
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Chapter 10: Rhythms Originating in the Ventricles
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Sample Questions
Q1) Ventricular fibrillation has what effect on the cardiac output?
A)No effect
B)Causes an increase
C)Causes a decrease
D)Causes cardiac output to stop completely
Q2) Agonal rhythm has a heart rate less than _____.
Q3) For which of the following rhythms is electrical shock to the heart NOT appropriate?
A)Ventricular tachycardia
B)Ventricular fibrillation
C)Torsades de pointes
D)Asystole
Q4) PVCs are a sign of ventricular irritability.
A)True
B)False
Q5) Idioventricular rhythm has a heart rate of
A)60-100.
B)Greater than 100.
C)Less than 20.
D)20-40.
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Chapter 11: Av Blocks
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Sample Questions
Q1) The type of AV block characterized by a prolonged PR interval is A)Wenckebach.
B)Mobitz II second-degree AV block.
C)Third-degree AV block.
D)First-degree AV block.
Q2) Treatment for third-degree AV block usually includes A)Digitalis.
B)Lidocaine.
C)Amiodarone.
D)Pacemaker.
Q3) The most dangerous of the AV blocks is Mobitz II second-degree AV block. A)True
B)False
Q4) All AV blocks are caused by a block at the bundle branches. A)True B)False
Q5) Third-degree AV block usually needs no treatment. A)True
B)False
Q6) In third-degree AV block,_____ sinus impulses get through to the ventricles.
Page 13
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Chapter 12: How to Interpret a 12-Lead Ekg
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Sample Questions
Q1) Bundle branch block is characterized by
A)A QRS complex at least 0.12 seconds wide.
B)More P waves than QRS complexes.
C)Cardiac arrest.
D)Sudden onset of symptoms of decreased cardiac output.
Q2) If the QRS in I is negative and the QRS in AVF is positive,the axis is
A)Normal.
B)Right axis deviation.
C)Left axis deviation.
D)Indeterminate axis.
Q3) Hypercalcemia is a disorder in which there is too much _____ in the bloodstream.
A)Cholesterol
B)Calcium
C)Calcitonin
D)Potassium
Q4) Left bundle branch block has a QRS interval of at least _____ seconds.
Q5) An axis of +120 degrees is _____ deviation.
Q6) Hypocalcemia causes a prolonged ST segment,thus causing a prolonged QT interval.
A)True
B)False
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Chapter 13: Myocardial Infarction
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Sample Questions
Q1) An inferior MI is most often caused by occlusion of which coronary artery?
A)Right coronary artery
B)Left main
C)Circumflex
D)Left anterior descending
Q2) A STEMI typically
A)Damages only the innermost layer of myocardium.
B)Does not cause the development of significant Q waves on the EKG.
C)Is dangerous because it can herald a subendocardial MI soon to come.
D)Is an MI that damages the full thickness of the myocardium in a certain area.
Q3) A posterior infarction is usually caused by occlusion of which coronary artery?
A)Left main
B)Circumflex
C)Left anterior descending
D)Right coronary artery
Q4) The leads one looks at to find an inferior MI are _____.
Q5) Anterior MI has indicative changes in leads _____.
Q6) An acute MI is indicated by ST segment depression.
A)True
B)False
Page 15
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Chapter 14: Medications and Electrical Therapy
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Sample Questions
Q1) Which medication used to treat SVT can cause several seconds of asystole before the rhythm converts? _____.
Q2) Which of the following interferes with the movement of calcium ions through the cardiac cell membranes?
A)Propranolol
B)Nifedipine
C)Digitalis
D)Nitroglycerin
Q3) Lidocaine is used to treat _____ dysrhythmias.
Q4) Mr.Gorp has a pacemaker that senses atrial and ventricular depolarizations and paces atrium and ventricle.It can be inhibited or triggered by sensed events.What kind of pacemaker is this?
A)DOO
B)VVI
C)DVI
D)DDD
Q5) Class IV antiarrhythmics are calcium channel blockers.
A)True
B)False
Q6) The distance between consecutive pacemaker spikes is referred to as the _____.
Page 16
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Chapter 15: Diagnostic Electrocardiography
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Sample Questions
Q1) The point at which the QRS complex and ST segment join together is called the A)Q wave.
B)R-point.
C)S wave.
D)J-point.
Q2) To ensure good contact with the skin,what preparation is used at stress test electrode sites?
A)Lotion is applied to the skin,then electrodes are placed on top.
B)Skin is cleaned and degreased with acetone,then abraded to remove the horny layer of epidermis.
C)Skin is cleaned with soap and water,then electrodes are applied.
D)Skin is cleaned,benzoin is applied to the electrode sites,then electrodes are attached.
Q3) One MET is equal to
A)3.5 ml O<sub>2</sub>/kg/min.
B)35 ml O<sub>2</sub>/kg/min.
C)0.35 ml O<sub>2</sub>/kg/min.
D)0.035 ml O<sub>2</sub>/kg/min.
Q4) A positive stress test implies that _____ is present.
Q5) Bayes' Theorem is concerned with the _____ of stress test results.
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