New York City REMAC Paramedic Credentialing Practice Test

These questions are part of the practice quiz. Start practicing

• In the case of pulseless electrical activity (PEA) and suspected hyperkalemia, what is the first pharmacologic adjunct treatment?
• For a 4-year-old child wheezing with a respiratory rate of 40 and SpO₂ at 94% on room air, what is the first-line treatment?
• What is the primary role of the NYS Department of Health in EMS?
• What is the appropriate intervention for an infant who is choking and unable to cough?
• Which antiemetic is considered safe for treating hyperemesis gravidarum?
• What defines 'bradycardia' in a patient?
• How should you manage a suspected spinal injury at the scene?
• Which condition is characterized by a sudden reduction in blood flow to the brain?
• What is the next step for a 40-year-old apneic heroin user after administering 0.4 mg of Naloxone IV with no response?
• Under what condition should an adult be given oral glucose when presenting with low blood sugar?
• What is an indication for administering nitroglycerin?
• What is the escalation treatment for an acute COPD exacerbation with an SpO₂ of 88% on 4 L NC?
• What is the first pharmacologic stabilizer for a hyperkalaemic ECG?
• What is the total time limit for completing the NYC REMAC paramedic credentialing exam?
• Which receptor does ondansetron primarily antagonize as its mechanism of action?
• What is the appropriate next step for a 52-year-old patient in anaphylaxis who is still hypotensive after two IM epinephrine doses?
• What airway management is emphasized for a suspected case of epiglottitis?
• What is the proper dosage of atropine for a child with bradycardia?
• Which method is used to assess for peripheral pulses?
• For successful transitions in patient care, paramedics should focus on which aspect of communication?
• In the event of an epistaxis, why is it advised for a patient to lean forward?
• What situation contraindicates the use of the recovery position?
• What is the recommended transport destination for a burn patient with 30% TBSA partial thickness circumferential arm burns?
• What are the two main types of respiratory failure?
• If an adult has a blood glucose level of 3.0 mmol L⁻¹ and no IV/IO access is available, when is oral glucose indicated?
• What should be the priority action when a patient presents with chest pain?
• What is the primary pathophysiology associated with a diabetic presenting with polyuria and Kussmaul respirations?
• Which of the following is NOT a component of the patient assessment process?
• Which observation is not typically treated with nitroglycerin?
• When treating a 5-year-old experiencing a seizure with suspected hypoglycaemia, what is the recommended glucose administration?
• For a 9-year-old patient experiencing anaphylaxis after peanut exposure, what is the appropriate dose of epinephrine 1:1,000 IM?
• How does a paramedic evaluate an effective blood pressure reading?
• In a hypoglycaemic 8-year-old diabetic with a glucose level of 2.2 mmol/L, when is oral glucose considered safe?
• Termination of resuscitation requires online medical control approval when the patient is in which of the following situations?
• When conducting handoffs, paramedics should prioritize which information?
• After an AED shocks a patient in pulseless ventricular tachycardia (VT), what is the recommended action before rechecking the rhythm?
• What role does effective communication play in patient care transitions?
• What is the recommended next step for an adult asthma patient with a PEF less than 40% predicted according to REMAC guidelines?
• What percentage of the standard knowledge questions covers adult medical topics?
• What is the next drug administered for beta-blocker overdose in cases of bradycardia?
• What is the primary management for GHB overdose leading to recurrent apnoea?
• How often should rhythm checks be performed after asystole is confirmed?
• What does the Glasgow Coma Scale assess?
• If VF is witnessed by EMS and the first shock is delivered at 2 minutes, what is the optimal initial joules for biphasic defibrillation?
• What are the primary goals of the National Highway Traffic Safety Administration (NHTSA) in EMS?
• What is the REMAC transport directive for an acute stroke patient if onset was less than 3 hours ago?
• Spinal motion restriction is indicated for which of the following scenarios?
• Which statement describes primary cardiac arrest?
• Which acronym is used to evaluate a patient for potential stroke?
• What is the primary purpose of the rapid sequence intubation (RSI)?
• In emergency medicine, what does the acronym ABC stand for?
• What is the treatment protocol for a tension pneumothorax?
• What should a paramedic assess first in a patient with difficulty breathing?
• Why is performing differential diagnoses important for paramedics?
• What is necessary to ensure compliance with patient confidentiality under HIPAA?
• What is the primary action to take when arriving at an unresponsive patient?
• What position is recommended for an adult experiencing epistaxis?
• What are the signs of an unstable patient in respiratory distress?
• A child presenting with moderate stridor and difficulty breathing should primarily receive what treatment?
• In cases of suspected epidural hematoma, what pupil finding is considered classic?
• During neonatal resuscitation, if heart rate is at 50 after 30 seconds of effective positive pressure ventilation, what should be the next step?
• What is the target systolic blood pressure for hypotensive trauma patients with penetrating torso wounds according to REMAC guidelines?
• In the case of a child who has ingested a toxic substance, which action is appropriate before transport?
• What is the mechanism of action of albuterol?
• After achieving return of spontaneous circulation (ROSC) in a 3-year-old drowning case, with SpO₂ at 90% on BVM 100% O₂, what is the next step?
• What does the acronym AVPU stand for in assessing responsiveness?
• What type of dressing is most effective for an open skull fracture with bleeding?
• What type of mask delivers the highest concentration of oxygen?
• What is the purpose of a sling and swathe immobilization in a fractured mid-humerus?
• What are the potential complications of using a bag-valve-mask (BVM) ventilation?
• During transport, why is it crucial to maintain a low flow rate of oxygen in COPD patients?
• A 67-year-old diabetic patient on ESRD who missed dialysis presents with dyspnoea and crackles. What is the appropriate action?
• What is the pharmacological effect of atropine?
• What immediate steps should be taken for a patient with a suspected spinal injury?
• For a 2-year-old experiencing a febrile seizure after receiving ibuprofen, what is the best next step?
• What is the importance of a DNR order?
• What is the next step for a 30-year-old asthma patient presenting with silent chest and an ETCO₂ of 50 mmHg after continuous nebulizers?
• What is the first-line drug for treating ventricular fibrillation?
• What is the recommended compression-to-ventilation ratio when performing CPR on an adult?
• What is the correct dose of naloxone for paediatric narcotic exposure via IV route?
• What should be the next treatment for an adult experiencing an asthma exacerbation that is refractory to albuterol?
• What factor enhances the effectiveness of a sling and swathe for mid-humerus fractures?
• What should be monitored in a patient receiving sedation?
• What prophylactic medication should be given prior to release for a crush injury of the lower leg that has lasted more than 4 hours?
• For a newborn presenting with central cyanosis and a heart rate of 90, what is the initial action?
• After ROSC, what is the recommended FiO₂ titration goal for a patient's SpO₂?
• For managing an 8-year-old with severe asthma, what is typically the first line of treatment?
• How are the scenario-based questions divided in the NYC REMAC paramedic exam?
• What level of PPE is required in the hot zone of a Level 1 hazmat scene?
• Where is the landmark for paediatric intraosseous (IO) placement in the proximal tibia?
• What is the recommended flow rate for low-flow nasal cannula in a COPD patient with a baseline SpO₂ of 89%?
• What are the signs indicative of sepsis in a patient?
• What is the typical dosage of epinephrine for an adult experiencing anaphylaxis?
• What is the first step in managing a patient who is unresponsive due to respiratory obstruction?
• What is a contraindication for using a traction splint for a mid-shaft femur fracture?
• What is the first intervention recommended per REMAC for post-ROSC hypotension with a SBP of 80 mmHg?
• What is a common complication associated with the use of gastric tubes?
• Which acronym helps remember the signs of a heart attack?
• How should a paramedic document patient care?
• What is the best treatment for a 6-month-old with bronchiolitis and an SpO₂ of 89%?
• A patient exhibiting symptoms of adult croup may suggest which underlying condition?
• What is the primary goal when performing patient reassessment?
• What is the priority intervention for a patient experiencing an asthma attack?
• Which medication is often used as a second-line treatment in cases of persistent ventricular fibrillation?
• After administering 3 shocks for refractory ventricular fibrillation and using amiodarone, what is the next recommended medication?
• What should paramedics assume about the receiving provider during a handoff?
• How should an amputated finger be transported?
• Which of these is a critical component of primary assessment in patient care?
• For an adult oxygen cylinder (D size) at a gauge of 1,200 psi, what is the operating time at a flow rate of 10 L min⁻¹?
• What should be the primary action when a patient's airway is obstructed?
• What is the most critical vital sign to assess in an unstable patient?
• Under what circumstance does HIPAA allow disclosure without patient consent?
• What is the prehospital antibiotic recommended for suspected meningococcemia?
• What is the definition of 'rescue breathing'?
• Which action is considered the first step in managing a paediatric patient with central cyanosis and gasping?
• What is the most common cause of shock in trauma patients?
• What is the repeat dosing protocol for adult status epilepticus after the first administration of midazolam 5 mg IM?
• How can paramedics ensure handoff communication is effective during transitions in care?
• Which medication is the first-line antihypertensive treatment for hypertensive encephalopathy?
• If an adult is experiencing foreign-body airway obstruction and becomes unresponsive, what should be the next action?
• What is one method for controlling severe bleeding?
• Documentation of a refusal must include which of the following?
• What is the recommended initial fluid bolus for a patient with ST-segment elevation and hypotension?
• In regard to the heart rhythm, what does 'monomorphic' refer to?
• What does SBAR stand for in effective communication?
• According to REMAC, a shock index greater than what value is considered high-risk?
• What should be the initial action if direct pressure fails to control hemorrhage after a missile injury through the thigh with intact pulses?
• How quickly should an AED be applied after confirming cardiac arrest?
• What method is used to perform a thorough secondary assessment?
• What does the dispatch code "10-13" indicate?
• What are common signs of stroke?
• Which mnemonic is used to help gather important patient history information?
• Which medication is predominantly used for management of acute asthma attacks?
• What is the appropriate response for a penetrating trauma patient who does not show neurological deficits?
• Which criteria indicate the termination of resuscitation efforts?
• What is a priority intervention when managing a patient in respiratory distress?
• What is the recommended airway approach for suspected epiglottitis?
• What is the first intervention for penetrating chest trauma with absent breath sounds on the right and BP of 90/60 mmHg?
• What does the term 'triage' refer to in emergency medicine?
• What is the adult intramuscular dose of epinephrine for severe anaphylaxis accompanied by stridor?
• What is the immediate step for an infant less than 1 year old, with a heart rate of 60 bpm and no pulses?
• What directive should be followed if a deceased patient with a DNR has a family demanding resuscitation?
• What key element should be included in handoff communication?
• What is the recommended method to open the airway of an unresponsive patient?
• In a hypothermic patient with a core temperature of 32 °C and pulselessness, how many shock attempts should be administered until reaching 30 °C?
• How should circulation be assessed in a patient?
• What are the common methods of oxygen delivery?
• After atropine has failed, what is the next authorized treatment for symptomatic bradycardia under REMAC?
• What indicates a high level of urgency in triage situations?
• What is the standard dose of epinephrine for an adult experiencing anaphylaxis?
• What approach should paramedics take for effective team communication during patient transfer?
• For severe anxiety accompanied by palpitations, which benzodiazepine is indicated according to REMAC?
• What volume of fluid should be used for a paediatric fluid bolus in cases of shock?
• What is an important consideration when managing a hypothermic patient in cardiac arrest?
• What medication and dosage should be administered for paediatric bradycardia with a heart rate of 40 after drowning?
• What is the initial fluid selection for an adult patient with diabetic ketoacidosis (DKA)?
• What is the required size of a helicopter landing zone at night?
• What is the purpose of advanced airway management?
• What is the total number of questions included in the NYC REMAC paramedic credentialing exam?
• How is a femur fracture typically immobilized?
• To prevent secondary injury after a traumatic brain injury, what should the systolic blood pressure (SBP) be maintained above?
• What is the next step for a 12-year-old with severe asthma who is unresponsive to three nebulizer treatments and IM epinephrine?
• What is the significance of the New York State EMS Council?
• What does the term 'golden hour' refer to in trauma care?
• What is the aerosolized medication recommended for moderate croup with stridor at rest?
• Which communication tool is recommended for ensuring clarity during patient handoffs?
• Why is the golden hour critical in trauma situations?
• Which assessment tool can help identify possible aneurysms in patients?
• What is the proper technique for administering oxygen via a non-rebreather mask?
• What is the primary function of a paramedic in emergency medical services?
• What are the characteristics of a safe patient transport?
• For a patient in anaphylaxis, what is the primary medication that should be administered immediately?
• What does the secondary assessment involve?
• If a driver pinned in an MVC has tension pneumothorax diagnosed, what should be the next step after improving SpO₂ with a needle decompression?
• What is the primary difference between a STEMI and an NSTEMI?
• What is the appropriate paediatric fluid bolus volume for shock according to REMAC guidelines?
• In a 14-year-old patient with head trauma showing a GCS of 8 and Cushing response, what is the priority action?
• What is a common psychological intervention used for emergency responders after a critical incident?
• Which trio of symptoms is identified as Beck's triad in blunt cardiac tamponade?
• Which condition is the leading cause of cardiac arrest in adults?
• What medication is indicated for a 28-year-old eclamptic patient with a post-ictal BP of 160/100?
• What is one potential side effect of nitroglycerin?
• For a 45-year-old patient who has fallen 6 meters and presents with GCS 12 and pelvic instability, what is the sequence of treatment?
• What is the role of the alveoli in the respiratory system?
• What governs the penalty for a confidentiality breach regarding patient information?
• How can paramedics reduce errors during patient handoff?
• What is the maximum volume of fluid that should be administered in the first 8 hours for an 18 kg child with a 15% burn?
• Which phase of care does the 'golden hour' primarily emphasize?
• In a case of pediatric hypoglycemia, which of the following is a contraindicated treatment?
• What is the normal range for adult blood pressure?
• What is the purpose of triage tags in emergency situations?
• What tag is assigned to adult walking wounded during MCI START triage?
• For a stable 5-year-old with blunt abdominal trauma, what is the best transport destination?
• In an emergency setting, what is the initial treatment for an infant with respiratory distress and a heart rate of less than 60?
• What is an important consideration in managing a diabetic patient with Kussmaul respirations?
• What is the authorized treatment for cyanide poisoning?
• In managing a severe bleed from an open femur fracture in a 10-year-old after a bicycle crash, what is the appropriate method for hemorrhage control?
• Which of the following is a key component of safe patient lifting practices?
• What percentage of the standard knowledge questions pertains to adult trauma?
• What splinting principle should be applied for a fall injury in a 6-year-old with an isolated forearm deformity?
• Which of the following are signs and symptoms of anaphylaxis?
• After administering fluids, what is the treatment for acute adrenal crisis?
• How should a paramedic assess a patient's airway?
• In a child with hypoglycaemia, what is a crucial consideration for administering oral glucose?
• What is the primary benefit of splinting a closed ankle fracture before transport?
• What is the priority for a 73-year-old patient on warfarin, who is now vomiting with a GCS of 14 and BP of 170/90?
• Within the exam, how many scenario-based questions focus on pediatric cases?
• What is the purpose of the Richmond Agitation-Sedation Scale (RASS)?
• What does 'Cushing's triad' indicate?
• Where should a pelvic binder be placed for a patient with pelvic instability and a BP of 80/50 mmHg?
• What is the best ventilatory strategy for a COPD patient experiencing cyanosis?
• In trauma care, how does the timing of intervention affect patient prognosis?
• What should be done regarding a traumatic amputation with respect to tourniquet application in the field?
• In the event of a mechanical CPR device malfunction mid-transport, what is the immediate action indicated?
• In the case of a 55-year-old patient with STEMI in inferior leads, nausea, and hypotension, what is the best treatment option?
• What is the recommended treatment for a tall, thin 24-year-old patient with sudden pleuritic pain and a 30% collapse of the left lung?
• What is the preferred pharmacologic agent for treating torsades de pointes with a pulse?
• What outcome is most likely if the golden hour is overlooked in trauma care?
• What must be completed within 4 hours according to REMAC requirements?
• According to protocol, what is the maximum on-scene time for suspected stroke from door to door?
• What is the preferred method for managing a patient with suspected spinal injury who is also in respiratory distress?
• What is the correct IM dose of Midazolam for a child weighing 20 kg who has been seizing for more than 5 minutes?
• What is the first step in managing an allergic reaction?
• Which assessment finding is indicative of diabetic ketoacidosis?
• When is rescue breathing appropriate?
• What is the immediate action to be taken in the event of a controlled substance count discrepancy?
• What are common signs of hyperglycemia in a diabetic patient?
• What is the recommended dose of IV magnesium for a child with asthma resistant to albuterol?
• What is the main responsibility of a paramedic during an interfacility transfer with blood products?
• If capnography shows a reading of less than 10 mmHg during CPR, what immediate action should be taken?
• What is a common side effect of administering epinephrine during anaphylaxis management?
• For a 62-year-old patient with a heart rate of 30 and blood pressure of 70/40, what is the preferred sequence of interventions?
• What is the best initial management for a patient with flail chest and respiratory distress?
• What condition does an ECG with ST segment elevation typically indicate?
• When managing a pediatric patient with severe dehydration, which intravenous fluid is commonly administered?
• Which of the following is a common method of assessing respirations?
• What are contraindications for using a supraglottic airway?
• What is the maximum dose of aspirin for a patient with chest pain?
• What constitutes a normal respiratory rate for an adult at rest?
• What is a contraindication for the use of nitroglycerin according to REMAC?
• How often should vital signs be reassessed in a critically unstable patient?
• Which of the following is a key component of the respiratory system?
• According to NFPA, what is the maximum one-hand load for safe lifting?
• What is the REMAC nitrates administration protocol for severe CHF with pulmonary edema?
• What is the correct way to perform the Heimlich maneuver on a conscious adult?
• What is the role of a paramedic during a mass casualty incident?
• Which of the following is a common sign of shock?
• What is the ideal time frame for effective reperfusion therapy for STEMI?