Examination Practice Questions And

Illinois Flight Paramedic Certification Examination Practice Questions And Correct Answers (Verified Answers) Plus Rationales 2026 Q&A | Instant Download Pdf

• What is the primary physiological risk when transporting a patient to

higher altitude?

• Hypermagnesemia
• Fluid overload
• Hypoxia
• Increased venous return

Hypoxia At altitude, reduced partial pressure of oxygen decreases arterial oxygenation, making hypoxia the key concern.

• Boyle’s Law explains which flight-related risk? 1 / 4

• Effect of altitude on FiO₂
• Expansion of trapped gases
• Changes in blood flow
• Carbon dioxide retention

Expansion of trapped gases Boyle’s Law states gas volume increases as ambient pressure decreases — relevant to pneumothorax, bowel gas, etc.

• A patient with untreated pneumothorax should be transported at what

altitude?

• As high as possible
• Lowest altitude possible
• Moderate altitude
• No altitude restriction

Lowest altitude possible Gas in the pleural space will expand with altitude; minimizing altitude prevents worsening tension pneumothorax.

4. In flight medicine, Dalton’s Law refers to:

• Gas solubility in liquids
• Gas diffusion in tissues
• Partial pressures of gases
• Pressure–volume relationship

Partial pressures of gases 2 / 4

Dalton’s Law states total pressure is sum of partial pressures, relevant to decreased oxygen availability at high altitude.

• What is the main purpose of RSI in an airway‐compromised trauma

patient?

• To increase tidal volume
• To treat tracheal stenosis
• To secure airway rapidly
• To reduce metabolic rate

To secure airway rapidly RSI quickly provides definitive airway control in critically ill or injured patients.

• During positive pressure ventilation, which complication is a major

concern?

• Hyperkalemia
• Hypothermia
• Barotrauma
• Bradycardia

Barotrauma High pressure ventilation can damage alveoli, causing pneumothorax or subcutaneous emphysema.

• A patient with suspected tension pneumothorax requires: 3 / 4

• X-ray before treatment
• IV fluids first
• Needle decompression
• Passive oxygenation

Needle decompression Relieves intrathoracic pressure, restoring venous return and ventilation.

• What is the preferred needle decompression site?
• 4th intercostal space midclavicular
• 2nd intercostal space midaxillary
• 5th intercostal space anterior axillary line
• 8th intercostal space midline

5th intercostal space anterior axillary line Recommended site reduces failure rate due to tissue thickness.

• Which cardiac rhythm commonly results from profound hypoxia?
• Atrial flutter
• Pulseless electrical activity
• Supraventricular tachycardia
• AV block

Pulseless electrical activity PEA often results from hypoxia, tension pneumothorax, tamponade, or severe metabolic disturbances.

• The best airway for a patient with crushed larynx is:
• / 4