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Paramedic Exam Questions & Answers 2026 (21–30)

Paramedic practice questions and answers 2026. Tap an option to test yourself — you'll see the correct answer and a plain-English explanation for every question. Free, no login.

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  1. Q21The weakened area of a lung which collapses, allowing air into the pleural cavity, is known as which of the following?

    • AHematoma.
    • BTamponade.
    • CBleb.
    • DFlail chest.
    Show answer

    ✓ Correct answer: C. Bleb.

    A bleb is a weakened area of the lung which collapses and allows air into the pleural cavity. This leads to spontaneous pneumothorax.

  2. Q22When assessing a patient, you notice that the patient has difficulties breathing, they are sweating excessively, coughing up blood, orthopnea, pink frothy sputum, and appear to have signs of anxiety.<br/><br/>Which of the following conditions is present in the patient?

    • AShock
    • BPneumonia
    • CAsthma attack
    • DPulmonary edema
    Show answer

    ✓ Correct answer: D. Pulmonary edema

    Pulmonary edema contains the symptoms listed above. Pneumonia is similar, except that the sputum is, in most cases, green or yellow.

  3. Q23A patient with no known prior history is complaining of difficulty breathing. Your assessment reveals wheezing in all lung fields. The difference between this patient and a patient with a known history is that a patient with

    • Aa known history does not require any sort of physical examination.
    • Bno known history will generally respond better to oxygen.
    • Ca known history will not need ambulance transport.
    • Dno known history has no prescribed medication you could assist in administering.
    Show answer

    ✓ Correct answer: D. no known history has no prescribed medication you could assist in administering.

    When the paramedic is treating a patient with a known history, that patient will more than likely have a prescription medication. The paramedic may assist that patient in taking his or her medication, therefore beginning the treatment process. <br/><br/>In a patient with no known history, there is no medication on hand to assist the patient, and the paramedic should, in this case, administer oxygen and transport the patient to definitive care.

  4. Q24For gas to flow into the lungs, a pressure gradient is required. The pressure of the gas in the alveoli is which of the following?

    • Aintrapleural pressure
    • Bintrapulmonic pressure
    • Catmospheric pressure
    • Dintrathoracic pressure
    Show answer

    ✓ Correct answer: B. intrapulmonic pressure

    A pressure gradient is produced by differences between atmospheric pressure, intrapulmonic pressure, and intrathoracic pressure (also known as intrapleural pressure). <strong>Intrapulmonic pressure</strong> is the pressure of the gas in the alveoli. Depending on the size of the thorax, this pressure varies a little above and below 760 mm Hg.

  5. Q25Endotracheal intubation is the method of directly placing a tube into the trachea. What is the purpose of this procedure?

    • AKeep the patient quiet.
    • BReducing effort needed from the patient.
    • CMaintain an open airway for breathing.
    • DMaintaining nutrition in the patient.
    Show answer

    ✓ Correct answer: C. Maintain an open airway for breathing.

    In cases where patients experience difficulty breathing, particularly in trauma situations, a medical professional may conduct an endotracheal intubation to maintain clear airways and facilitate respiration.

  6. Q26Which of the following is not a correct instrument to confirm correct tube placement in performing an intubation?

    • AColorimetric end tidal CO2 detector
    • BPulse oximetry
    • CWaveform capnography
    • DA laryngoscope
    Show answer

    ✓ Correct answer: D. A laryngoscope

    A laryngoscope is not used in determining that the intubation placement is correct. It is used mainly in the operating room.

  7. Q27Which of the following situations can make performing a lighted stylet intubation difficult?

    • AThe lighted stylet is too bright.
    • BThe patient is asleep.
    • CThe patient recently vomited.
    • DThe room is not dark enough to see the stylet.
    Show answer

    ✓ Correct answer: C. The patient recently vomited.

    A lighted stylet intubation is the process of inserting an intubation tube using a lighted stylet as a guide. It guides the tube into the trachea by trans-illuminating the soft tissues in the throat. However, if the patient has recently vomited, the pathway to the trachea (mouth, throat, larynx), could be filled with fluid and debris, making it difficult for the tube to follow the light source into the trachea.

  8. Q28Which of the following conditions gradually impairs blood flow to the heart by obstructing coronary arteries with calcium and fat build-ups?

    • AIschemia
    • BAngina pectoris
    • CMyocardial infarction
    • DAtherosclerosis
    Show answer

    ✓ Correct answer: D. Atherosclerosis

    Chest pain is often caused by atherosclerosis, which is the underlying factor in most cases of angina pectoris, myocardial infarction, and cardiac ischemia.<br/><br/>When calcium and fat particles clog the coronary arteries, blood flow to the heart decreases, leading to ischemia as the heart cells receive insufficient oxygen.<br/><br/>Without medical intervention, this condition will deteriorate, potentially leading to a myocardial infarction.

  9. Q29The protective covering that surrounds the heart is known as

    • APericardium
    • BMyocardium
    • CEndocardium
    • DSeptum
    Show answer

    ✓ Correct answer: A. Pericardium

    The pericardium is the outermost layer out of the other 3 choices.

  10. Q30A heart rate that is faster than normal (&gt;100 per minute in an adult) is called which of the following?

    • Abradycardia
    • Bsyncopal episode
    • Cvasovagal bradycardia
    • Dtachycardia
    Show answer

    ✓ Correct answer: D. tachycardia

    A heart rate that is faster than normal (&gt;100 per minute in an adult) is called <strong>tachycardia</strong>. Tachycardia can be caused by anxiety, fear, pain, blood loss, dehydration, fever, hypoxia, heart failure, caffeine or other stimulants, or cardiac dysrhythmia.

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