Paramedic practice test · 24–28% of the exam
Paramedic Medical, Obstetrics and Gynecology
Medical/Obstetrics/Gynecology is 24–28% of the paramedic exam, the second-largest domain. The test plan samples assessment, pathophysiology and management across the medical complaints paramedics see most: altered mental status, stroke and seizure, diabetic emergencies, poisoning and overdose, anaphylaxis, sepsis, abdominal pain and GI bleeding, renal patients, behavioral emergencies and the full span of obstetrics.
150 questions in 3 hours 30 minutes, weighted to the six official domains, with a score report by domain and topic and an explanation for every answer.
Or start with a free domain drillA 3-year-old boy weighing 33 lb (15 kg) was found with his grandmother's open bottle of lorazepam about 40 minutes ago. He is sleepy but rousable and unsteady, protecting his airway, with HR 110, RR 22, BP 94/58 and SpO2 98%. What is the most appropriate prehospital care?
What the Medical, Obstetrics and Gynecology domain tests
Pediatric and geriatric presentations are mixed in rather than tested separately, so expect the same conditions in a 2-year-old, a 30-year-old and an 85-year-old, each with its own twist in assessment and dosing.
- Neurologic: stroke recognition with last known well and a stroke scale, seizures and status epilepticus, syncope red flags, headache danger signs, the altered-mental-status workup.
- Endocrine: hypoglycemia and its treatment, DKA versus hyperosmolar hyperglycemic state, adrenal crisis, thyroid emergencies.
- Toxicology: opioids and naloxone, sedatives, tricyclic antidepressants and sodium bicarbonate, organophosphates and atropine, carbon monoxide and cyanide, beta-blocker and calcium-channel-blocker overdose, sympathomimetics, acetaminophen, alcohol withdrawal.
- Allergy and anaphylaxis: epinephrine first, then adjuncts; airway and shock management.
- Infectious disease and sepsis: recognition, isolation precautions, fluid and pressor concepts.
- GI, GU and renal: abdominal pain patterns, GI bleeding, dialysis patients and hyperkalemia.
- Behavioral: suicide risk, severe agitation, restraint safety and monitoring, medical mimics of psychiatric presentations.
- Obstetrics and gynecology: labor and delivery, complications of pregnancy and delivery, postpartum hemorrhage, newborn care, vaginal bleeding, ectopic pregnancy and sexual assault care.
In our 150-question practice exam this domain gets 39 questions, the middle of its official 24–28% range.
Know these cold
- Hypoglycemia mimics stroke: check the glucose before you call a stroke alert. Treat with dextrose 10% (10–25 g) or dextrose 50% (25 g) IV, or glucagon 1 mg IM without IV access.
- Adult anaphylaxis: epinephrine 0.3 mg IM of the 1 mg/mL concentration, repeated in 5–15 minutes if needed; children get 0.01 mg/kg IM to a maximum of 0.3 mg.
- Tricyclic overdose with a widening QRS gets sodium bicarbonate 1 mEq/kg; calcium-channel-blocker toxicity and hyperkalemia get calcium chloride 1 g.
- A seizing adult over 40 kg gets midazolam 10 mg IM (5 mg if 13–40 kg) or lorazepam 4 mg IV; eclampsia gets magnesium sulfate 4–6 g IV.
- Prolapsed cord: knee-chest position and lift the presenting part off the cord; never push the cord back. Shoulder dystocia: McRoberts maneuver and suprapubic pressure.
- Placenta previa is painless bright-red bleeding; abruption is painful with a rigid uterus. Postpartum hemorrhage starts with fundal massage.
- A pregnant patient after 20 weeks lies with the left side down to relieve supine hypotension.
Common questions
Does the paramedic exam have an obstetrics section?
Obstetrics and gynecology are part of the Medical/Obstetrics/Gynecology domain, which is 24–28% of the exam, rather than a separate section. Expect delivery, complications of pregnancy, postpartum hemorrhage and newborn care alongside the medical complaints. Our obstetrics drill isolates those questions.
How much pharmacology is in the medical domain?
A lot. Medical items ask which drug, which dose, which route and which contraindication for dextrose, glucagon, naloxone, epinephrine, diphenhydramine, ondansetron, midazolam, magnesium, calcium and sodium bicarbonate, and the dose math behind them. Our pharmacology drill pulls those items from every domain.
Are newborn resuscitation questions up to date with AHA 2025?
Yes. We test only the newborn facts that are the same in the 2020 and 2025 guidelines: dry, warm and stimulate; ventilate at 40–60 breaths per minute for apnea or a heart rate under 100; start compressions at 3:1 when the heart rate stays under 60 after 30 seconds of effective ventilation. We left out cord-clamping timing and preterm oxygen settings, which changed.
Ready for exam day?
150 questions in 3 hours 30 minutes, weighted to the six official domains, with a score report by domain and topic and an explanation for every answer.
Or start with a free domain drillThe other Paramedic domains
- Airway, Respiration and Ventilation 8–12%
- Cardiology and Resuscitation 10–14%
- Trauma 6–10%
- EMS Operations 8–12%
- Clinical Judgment 34–38%
Domain weights and knowledge areas from the National Registry Paramedic Examination Specifications (July 2024). National Registry: AEMT and Paramedic Certification Examinations · National Registry Paramedic Examination Specifications (test plan, July 1, 2024).
Original independent practice questions. Not affiliated with or endorsed by the National Registry of Emergency Medical Technicians. Follow your local protocols and medical director in the field.