Free 10-Question Protocol Exam Sample

Question 1 of 10

Paramedic Medications

Per ICEMA protocol (Ref 11010, Effective 01/01/26), what is the correct dose of Glucagon for a pediatric patient with hypoglycemia when IV access cannot be established?

A

0.5 mg IM/IN, may repeat once

B

1 mg IM/IN, single dose only

C

0.03 mg/kg IM/IN; may repeat one time after 20 minutes (combined max 1 mg)

D

0.1 mg/kg IM/SC, single dose

Question 2 of 10

EMT / Paramedic Medications

Per ICEMA protocol (Ref 11010), how many times may nebulized Albuterol (2.5 mg) be repeated for a pediatric patient with respiratory distress?

A

One time only (total of 2 doses)

B

Two times (total of 3 doses)

C

Three times (total of 4 doses)

D

Continuously until improvement

Question 3 of 10

BLS / EMT Medications

Per ICEMA protocol (Ref 11010), how many puffs of Albuterol MDI are administered to an adult, and how often may it be repeated?

A

2 puffs every 5 minutes

B

4 puffs every 10 minutes for continued shortness of breath and wheezing

C

2 puffs every 15 minutes, max 3 times

D

6 puffs once, then 2 puffs every 20 minutes

Question 4 of 10

Paramedic Cardiac

Per ICEMA protocol (Ref 11010), what is the initial adult IV/IO dose of Atropine for UNSTABLE bradycardia?

A

0.5 mg IV/IO, may repeat every 3-5 min to max 3 mg

B

0.5 mg IV/IO, single dose only

C

1 mg IV/IO, may repeat every 5 min to max 3 mg or 0.04 mg/kg

D

2 mg IV/IO, single dose only

Question 5 of 10

Paramedic Medications

Per ICEMA protocol (Ref 11010), what is the correct treatment for adult hypoglycemia with blood glucose less than 80 mg/dL when IV access is established?

A

Dextrose 50% (D50W) 25 gm IV push

B

Dextrose 25% (D25W) 50 ml IV/IO

C

Dextrose 10% / 250 ml (D10W, 25 gm) IV/IO bolus

D

Dextrose 5% (D5W) 500 ml IV infusion

Question 6 of 10

Paramedic Medications

Per ICEMA protocol (Ref 11010), Ketamine for pain management in adults must be administered by which route?

A

IM injection only

B

IV push (IVP) directly

C

IV infusion in 50-100 ml NS over 5 minutes

D

Intranasal (IN) only

Question 7 of 10

EMT / Paramedic Medications

Per ICEMA protocol (Ref 11010), what is the MAXIMUM total dose of Naloxone that may be administered to an adult regardless of route?

A

4 mg total

B

5 mg total

C

10 mg total

D

No maximum — titrate to effect

Question 8 of 10

Paramedic Cardiac Arrest

Per ICEMA protocol (Ref 14050), what capnography reading after 20 minutes of HP CPR supports consideration of termination of resuscitation in the field?

A

Less than 25 mmHg

B

Less than 20 mmHg

C

Less than 15 mmHg

D

Less than 10 mmHg

Question 9 of 10

Paramedic Cardiac Arrest

Per ICEMA protocol (Ref 14050), after achieving stable ROSC from cardiac arrest, where should the patient be transported?

A

Closest emergency department, regardless of STEMI capability

B

Closest STEMI Receiving Center, regardless of 12-lead ECG findings

C

STEMI Receiving Center only if ST elevation is present on 12-lead

D

Trauma center if mechanism was traumatic, otherwise closest ED

Question 10 of 10

EMT / Paramedic Medications

Per ICEMA protocol (Ref 11010), what is the correct target SpO₂ when administering supplemental oxygen to a patient with COPD?

A

Maintain SpO₂ at 94% — do not exceed 95%

B

Administer high-flow O₂ regardless of SpO₂ in all COPD patients

C

Maintain SpO₂ at 90% — do not exceed 91%

D

Titrate to 98-100% for maximum oxygenation