الاجابة النموذجية لاختبار مسعف

Question 01: Scene Size-up Competency

Upon arrival at a motor vehicle accident, which action demonstrates the 'Scene Size-up' competency?

• [ ] Starting the primary survey on the most vocal patient

• [✓] Conducting a 360-degree assessment to identify hazards like fuel leaks or power lines (CORRECT)

• [ ] Immediate extrication of all passengers from the vehicles

• [ ] Checking the patient’s responsiveness using the AVPU scale

Question 02: Hemorrhage Control

Which action indicates proficiency in 'Hemorrhage Control' for a catastrophic arterial bleed in an extremity?

• [✓] Applying a commercial tourniquet 2-3 inches proximal to the injury site (CORRECT)

• [ ] Cleaning the wound with antiseptic solution before applying pressure

• [ ] Elevating the limb and waiting for the bleeding to stop naturally

• [ ] Administering IV fluids before attempting to stop the bleed

Question 03: Tension Pneumothorax Management

How should a paramedic 'Manage' a patient with a suspected tension pneumothorax?

• [✓] Performing needle chest decompression at the appropriate anatomical site (CORRECT)

• [ ] Encouraging the patient to take deep breaths to expand the lungs

• [ ] Applying a simple adhesive bandage over the wound

• [ ] Monitoring the patient's temperature every 15 minutes

Question 04: Pediatric Primary Assessment

Which of the following represents the correct focused pediatric primary assessment in the prehospital setting?

• [ ] SAMPLE history only

• [✓] Pediatric assessment triangle (appearance, work of breathing, circulation) (CORRECT)

• [ ] GCS assessment only

• [ ] Full secondary survey before ABCs

Question 05: Life-Threatening Obstetric Conditions

Which of the following obstetric conditions is immediately life-threatening?

• [ ] Hyperemesis gravidarum

• [✓] Placenta previa with active bleeding (CORRECT)

• [ ] Morning sickness

• [ ] Mild anemia

Question 06: Geriatric Pharmacology

Which age-related change increases risk of drug toxicity in elderly patients?

• [ ] Increased renal clearance

• [ ] Increased hepatic metabolism

• [✓] Decreased renal function (CORRECT)

• [ ] Increased body water

Question 07: Diabetic Ketoacidosis Diagnostics

Which laboratory finding supports the diagnosis of diabetic ketoacidosis (DKA)?

• [ ] High glucose, high pH, normal ketones

• [✓] High glucose, metabolic acidosis, positive ketones (CORRECT)

• [ ] Low glucose, respiratory alkalosis

• [ ] Normal glucose, metabolic alkalosis

Question 08: Acid-Base Imbalances

Which of the following represents respiratory acidosis?

• [✓] Low pH, high PaCO₂ (CORRECT)

• [ ] Low pH, low HCO₃⁻

• [ ] High pH, low PaCO₂

• [ ] High pH, high HCO₃⁻

Question 09: Stroke Differentiation

Which feature is more consistent with hemorrhagic stroke?

• [ ] Gradual onset weakness

• [✓] Sudden severe headache and vomiting (CORRECT)

• [ ] Transient symptoms

• [ ] Isolated facial droop

Question 10: De-escalation in Psychiatry

Which is a correct de-escalation strategy?

• [ ] Confrontation and loud commands

• [ ] Physical restraint as first choice

• [✓] Calm verbal communication and safe distance (CORRECT)

• [ ] Ignoring the patient

Question 11: Severe Toxicology & Envenomation

Which manifestation indicates severe scorpion envenomation?

• [ ] Local redness only

• [✓] Excessive salivation and muscle twitching (CORRECT)

• [ ] Mild pain

• [ ] Pruritus only

Question 12: Drowning Management

The most important initial intervention after rescue from drowning is:

• [ ] Antibiotics

• [✓] Airway and ventilation management (CORRECT)

• [ ] Diuretics

• [ ] Corticosteroids

Question 13: Opioid Toxicity Intervention

A patient is unresponsive with a respiratory rate of 6/min following IV opioid administration. What is the priority intervention?

• [ ] Notify supervisor

• [ ] Administer dextrose 50%

• [✓] Administer naloxone (CORRECT)

• [ ] Complete incident report

Question 14: Chemical Decontamination

Multiple patients arrive after a chemical attack with eye and airway irritation and skin blistering. What is the initial paramedic intervention?

• [ ] Apply lotion

• [ ] Administer benzodiazepine

• [✓] Remove clothing and wash with soap and water (CORRECT)

• [ ] Immediate intubation for all patients

Question 15: Mass Casualty Triage (START System)

Using the START triage system, a patient who is not breathing initially, but starts breathing after airway opening, should be classified as:

• [ ] Green (Minor)

• [ ] Yellow (Delayed)

• [✓] Red (Immediate) (CORRECT)

• [ ] Black (Deceased)