6 Flashcards
(492 cards)
1
Q
When checking Lower Extremities for Paralysis; Paramedics should ask the patient to
A
Wiggle their Toes
2
Q
When doing a halo test; what are you looking for
A
CSF
3
Q
When moving a patient by the Four Man Log Roll; the First step of the paramedic should be to
A
Stabilize C – Spine
4
Q
When Palpating the Abdomen
A
Palpate Quadrant that Hurts Last
5
Q
When starting a tourniquet; it is applied so
A
It occludes Venous return but allows arterial flow
6
Q
When Triaging; the highest priority is
A
Sucking chest wound
7
Q
When using a chair to carry the patient down the stairs; you must first
A
Test the chair to make sure it is strong
8
Q
When ventilating a patient with a head injury; the ventilation rate should be
A
20 - 24 BPM
9
Q
Which Drowning causes Hemodilution
A
Fresh Water
10
Q
Which is Not a normal emotion for a patient at a MCI
A
Paranoia
11
Q
Which of the following is the responsibility of the paramedic when Triaging MCI
A
Prioritizing Casualties
12
Q
Which of the following would you expect Fattened Neck Veins
A
Hypovolemia
13
Q
Which one of the following is the Responsibility of the Paramedic when Triaging Mass Casualty
A
Prioritizing Casualties
14
Q
Which soft tissue injury causes the most bleeding
A
Avulsion
15
Q
Which would you treat last
A
Spinal; Arterial hemorrhaging; Airway Obstruction; Sucking Chest Wound?
16
Q
While on site of a plane crash with multiple casualties; the person that would Not receive a high priority is the person in
A
Cardiac Arrest
17
Q
Who would be the one in charge of a medical MCI scene
A
Incident Commander
18
Q
Why does spinal injury cause No Diaphoresis
A
Because it lost its stimulation of sympathetic
19
Q
Worst critical patient at MCI
A
Amnesia; Crying; LOC
20
Q
You find clear fluid coming out of patients ears; you suspect
A
Basilar Fracture
21
Q
You have a patient with head trauma and signs of shock
A
You look elsewhere; Shock is Not due to head trauma
22
Q
You have arrived on the scene of a building collapse involving at least 30 patients. One patient in cardiac arrest. The first paramedic on the scene should classify the patient as
A
Lowest Priority
23
Q
You should Palpating the Abdomen
A
Area that hurts goes last
24
Q
Your index of suspicion is based on mechanism of injury in regards to what
A
Extent of patient injuries
25
Your Job in Triage
To Prioritize patients
26
Re-entry may cause premature beats or Tachydysrhythmias
(PACs)
27
CHF
left ventricle damage
28
Drug that is a positive inotrope
increases the force of cardiac contractions; contractility
29
Maternal blood volume increases
0.4
30
On-line radio contact between medic and medical control DOC
direct medical control
31
Major complication of thrombolytic therapy
bleeding out
32
Pulmonary ventilation to remove excess CO2
normal balance
33
Hemoglobin
iron containing compound; transport O2
34
Civil wrong
tort
35
Epidural hematoma
LOC; regains consciousness then fades away towards AMS
36
Drugs go through a
mini-drip set
37
Syncope is associated with
heart blocks
38
P waves get wider until QRS drops
Mobitz II; wenkebach
39
GCS
eye opening4; verbal response5; motor response
40
Palpate ABD quadrant with
pain; injury last
41
Clear fluids from nose
poss. basilar skull fracture
42
Anaerobic
lactic acid
43
Chemical mediator for parasympathetic
acetylcholine
44
Near drowning
manage hypoxia/acidosis
45
Eyes don’t move in unison
dysconjugate gaze
46
Increased ICP
decreasesed pulse; increasesed BP; decreasesed respirations; Cushing’s reflex
47
Prolonged P-R interval
1st degree block
48
Reciprocity
agency recognizes certification/comparable standards from another agency
49
Burn victims lose
plasma; fluid
50
Adrenal glands secrete
EPI and NorEpi
51
Visceral pleura covers
the lungs
52
Acetycholine and oxytocin are secreted by the
pituitary gland
53
Elavil and Tofranil are two common
tricyclic antidepressants
54
Duplex system
simultaneous transmission and reception
55
Encourage coughing with a
partial airway obstruction in adults
56
Abruptio placenta
premature separation of the placenta from the uterine wall
57
Cerebrum controls
Thought; personality; speech; motor control; learning; posture; memory
58
Glucagon releases/breaks down glycogen from the
liver
59
Droplets spread
measles; mumps; chicken pox
60
Excretory function of the blood is to remove
waste; lactic acid; from the cells
61
Pull EOA out when
the ET is in placed with the cuff inflated
62
Decerebrate posturing
extended extremities
63
Blood loss replacement
3 times the volume lost
64
Half-life
time it takes for half of a radioactive substance to lose its radioactivity
65
PaCO2 regulates
respiration (Partial pressure of CO2 in the blood)
66
Spontaneous pneumothorax S/S
sudden pain of short duration and SOB
67
Concussion
brief LOC followed by complete return of function
68
Do not stop bleeding from ears/nose due to head injury
because the bleeding relieves pressure
69
MVC patient with HR 120; BP 40 palp
hypovolemic shock
70
Frequent urination is NOT a sign of
kidney stones (UTI sign)
71
Deep regular respirations are NOT a sign of
shock
72
If you lose 300 mL of blood replace with
900mL or ringers
73
Abdominal muscle flexion on palp
guarding
74
IV complications
phlebitis and emboli
75
Contraindications for Verapamil
PE; Cardiogenic shock
76
Homeostasis
body’s tendency to stay constant
77
For an adult having an asthma attack the treatment is to
stop bronchial spasms
78
On-line DOC in charge unless on-scene DOC agrees to
accompany the patient
79
Seizure patient is a priority if
they do not respond between seizures
80
Adenosine is used for
PSVT
81
Durable power of attorney
someone else can make decisions for you
82
Patient in PE; IV started next you administer
0.4mg of nitroglycerine
83
Asthma is NOT a contraindication for
Verapamil
84
MCI first to go
thirsty and anxious
85
MCI last to go
spinal injury
86
Ascites
fluid in the abdomen
87
The Good Samaritan Law protects the
Paramedic off-duty
88
Responsibility of a paramedic is the
Duty to Act
89
Intent NOT required to prove
negligence
90
Elements of negligence
duty; breech; cause; and damage
91
Pulse is the quickest way to check
circulation
92
Kussmauls respirations
rapid deep gasping breathing associated with DKA
93
Battle’s signs
Ecchymosis over the mastoid process
94
Cerebral hypoxia SX
bilateral dilated pupils
95
Central venous pressure
right arterial pressure
96
Baby delivers in a “bag of water”
puncture the bag with your fingers and uncover the baby’s face
97
Fluid bolus for a neonate
10-20mL per kg
98
COPD patient with hypoxia drive’s breathing is triggered by
decreasing O2 in the blood
99
2nd stage of labor begins with
the dilation of the cervix and ends with delivery of the fetus
100
Immobilize a shoulder injury with
a sling and swath
101
Patient left unattended at the ER to respond to another call
abandonment
102
Emphysema SX
pink puffer
103
AAA treatment
2 big IV’s
104
Disadvantages of thrombolytic therapy
cost and uncontrollable bleeding
105
Flattened neck veins
possible hypovolemia
106
MVC; airbag did not deploy
disconnect battery cables
107
Patient with rales; SOB; no pedal edema
pulmonary edema
108
Hypercarbia
increasesed CO2 in the blood
109
Carotid artery perfuses
the head
110
Nasal Cannula delivers
28% O2
111
BP decreases during
pregnancy
112
C1 vertebrae is known as
the atlas
113
The upper area of the uterus is the
fundus
114
Where to cut the cord
8 inches from navel; then 2 inches
115
Anaerobic metabolism is caused by
lack of O2
116
Heat cramps SX
cramps; hot; sweaty; normal BP; tachy
117
Heat exhaustion SX
cool; clammy; nausea; vomiting; orthostatic BP
118
Heat stroke SX
dry skin; syncope; weak pulse; hypotension
119
Patient is tachy and talking fast suspect
amphetamines
120
Pink puffers
emphysema
121
Blue bloaters
Chronic bronchitis
122
Both pink puffer and blue bloaters
COPD
123
ASA overdose SX
tinnitus; headache; hyperventilation; agitation; confusion; lethargy; diarrhea; sweating
124
Boy held dry ice for 5 minutes; treatment
immerse in warm water (100-105)
125
Medic gives med’s per who’s orders
written protocols or on-line direction
126
The incident commander is in charge of
an MCI
127
Index of suspicion is based on
mechanism of injury (MOI) in relation to the extent of patient injuries
128
Adult male sitting at a 45 degree angle with distended neck veins
possible right heart failure
129
Beta 2 stimulation
increased respirations/Bronchodilation
130
The glottic opening is the narrowest part of the
adult airway
131
Ventilate a head injury
20-24 times a minute
132
Grava
number of pregnancies
133
Para
number of births
134
EPI does not increase
myocardial O2 demand
135
Amenorrhea (absent of menstruation) is an early sign of
pregnancy
136
Atropine can cause
blurred vision
137
Tendons connect
muscle to bone
138
Dialysis is the removal of
toxins through a semi-permeable membrane
139
Hemotoxin
toxin in the blood
140
White pallor to skin color
peripheral vascular constriction
141
Atelectasis
collapse of alveoli
142
Adenosine slows conduction where
in the AV node
143
Wide bizarre QRS in monitor
V-Tach
144
Saltwater drowning can cause
PE and CO2 retention
145
Sympathetic stimulation
vasoconstriction and increased HR
146
Effusion
the escape of fluids into a cavity
147
DT’s time frame is
24-48 hours
148
Bicarb is the body’s
principle buffer
149
Death generally occurs
1 hour after MI (maybe 2-3)
150
OSHA regulates
disease control
151
In PED’s start the assessment from
Toe to Head
152
PH above 7.45
alkalosis
153
The most common type of rural MVC is
frontal
154
The alveoli are kept open by
surfactant
155
Toxemia of pregnancy treatment
Mag sulfate
156
Transport of a scuba diver
in the left lateral recumbent position
157
Restrain a patient prone
one arm overhead; one by the side and ankles together
158
Braxton-hicks or false labor cannot be determine where
in the field
159
TB SX
weakness; night sweats; fever; rapid weight loss; cough w/blood
160
To check for paralysis ask patient to
wiggle toes
161
Karposi’s sarcoma
purplish/blue lesions associated with HIV
162
The triage nurse is responsible for
sorting patients in the ER
163
Psychotic patients are not in touch with
reality
164
NPA inserted rapidly
bypasses tongue; used with gag reflex NOT with basilar skull FX
165
If a medic affected by an MCI
assign him a different single simple task
166
Decon patients in the
warm zone
167
Delivery imminent if
contractions are 1-2 mins apart
168
Primapara
1st delivered child
169
Ectopic pregnancy
implantation of a fertilized ovum outside the uterus. SX…….shoulder pain
170
Placenta previa
attachment of the placenta low in the uterus so it covers the internal cervical opening
171
Mania is a mood characterized by
great excitement/activity
172
Subluxation
dislocation of a joint
173
Cerebellum
motor control; balance; coordination
174
Medulla oblongata
pulse rate; respiration; BP
175
Narcan reverses the respiratory depression of
darvon
176
Arm muscle for IM injection
deltoid
177
Head injury with left pupil dilated; right pupil slow to respond to light
neuro crisis
178
Use the jaw thrust to open the airway of a
trauma/C-Spine patient
179
Epiglotitis SX
rapid onset; no bark; drooling; painful swallow; high grade fever; bacterial
180
Croup (Laryngotracheobronchitis) SX
slow onset; barking cough; low fever; viral
181
Newborn treatment
position; suction; stimulation (Do What Seems Sensible---Dry; Warm; Suction; Stimulate)
182
Gel for paddles
decrease resistance
183
Babies double birth weight in
6 months
184
SIDS most prevalent from
1-12 months
185
Gestational diabetes
diabetic problems during pregnancy
186
Antepartum
prior to delivery
187
Diffusion
substance from high to low
188
Osmosis
fluid from low to high
189
SQ injection goes into the
fatty tissue
190
Flail chest
free movement of a segment of ribs
191
SX respiratory distress
nasal flaring; tracheal tugging
192
Contrecoup injury occurs
opposite the side of impact
193
Parenteral route of med administration
SQ; IM; IV; IO; ET
194
A thrombus from deep in the leg veins could migrate to the
lungs. DVT; P embolus
195
Diving air embolism SX
joint pain; tingling in the legs; abdominal pain
196
Organophosphate poisoning SX
SLUDGEM
197
Occipital lobe controls
vision
198
Ped c/o headache; stiff neck; vomiting
meningitis
199
T4 injury
paralysis below the nipple line
200
T10 injury
paralysis below the umbilical line
201
Increasing drugs to achieve desired effect
titrated
202
Unable to Defib because you forgot to replace the battery
negligence
203
Primagravida
1st pregnancy
204
Chloecystitis SX
upper quadrant pain after eating fatty foods
205
Mid-asthma treatment
Albuterol 2.5mg
206
Eye injury treatment
cover both eyes
207
Over hydrating due to IV therapy complication
pulmonary edema
208
AIDS primary transmission
sexual contact
209
Red dangerous placard
over 5000lbs. HAZMAT
210
JVD is SX of
tension pneumo; right heart failure; cardiac tamponade
211
Hypovolemic shock prehospital treatment
2000-3000mL fluid
212
Federal food drug and cosmetic act
ensures safe manufacture of drugs
213
Band
group of similar frequencies
214
Intrinsic ventricular rate
20-40 BPM
215
Intrinsic Junctional rate
40-60 BPM
216
Intrinsic AV node rate
60-100 BPM
217
EPI stimulates the heart in
asystole
218
CHF treatment
decrease preload; decrease workload
219
EGTA
esophageal gastric tube airway
220
Rye syndrome
unexplained viral illness in children
221
NorEpi causes
vasoconstriction
222
Liver produces
bile
223
Bile stored in the
gallbladder
224
To give fluids to a neonate use the
umbilical vein
225
START system
Resp.; Pulse; Motor/mental function
226
BVM complications
distended abdomen; pushes diaphragm; causes vomiting
227
Start compressions on an infant if
HR<60 BPM
228
Ventilate infant if
HR<100 BPM
229
Prior to birth
prenatal; Antepartum
230
Shingles is not
contagious
231
Pulse oximetry measures O2 sat in
Peripheral tissues
232
The urge to push is a sign of
imminent delivery
233
Penetrating wound to the abdomen treatment
wet; sterile; occlusive dressing
234
There is no such thing as a
slow code
235
Causes of dehydration in a child
vomiting; diarrhea; fever; burns
236
Rescue breathing pushes
the diaphragm; increases ventricular rate
237
SQ EPI…
0.3-0.5mg 1:1000
238
Delusions
false beliefs
239
SX of hyperglycemia
polyphagia; Polyuria; polydipsia
240
Morphine is a
vasodilator
241
Common ped long bone FX
greenstick
242
Endocrine system acts by releasing hormones into the
bloodstream
243
Decreased HR is NOT a sign of
dehydration
244
Verapamil AKA
Calan; Isoptin
245
Tricyclic antidepressant OD treatment
Sodium Bicarb
246
American with disabilities act protects those with
communicable disease
247
The master endocrine gland is the
pituitary gland
248
Valium routes
rectal; IV; IM
249
Earliest detectable sign of shock
tachycardia
250
Cardiac output
blood pumped in one minute
251
Increased then decreased Resp followed by apnea
Cheyne-Stokes
252
Complication of knee or elbow DX
loss of distal circulation
253
Place for decompression
2nd and 3rd intercostals Midclavicular; or 4th or 5th intercostals Midaxillary
254
Sellick maneuver
pressure on the cricoid cartilage
255
Lung compliance
stiffness or elasticity
256
Patient taking valium required a larger dose
tolerance
257
Severed C4
total paralysis and respiratory paralysis
258
Reasonable confinement is NOT
elderly abuse
259
Size of ET tube for an infant
size of little finger
260
Routes of med administration from slowest to fastest
PO; SQ; IM; ET; IV
261
Spontaneous abortion SX
bright red blood and cramping in first trimester
262
Wernicke’s syndrome
chronic alcoholism and thiamine deficiency
263
Hep A is an
oral/fecal disease
264
1000 grams in a kilogram
???
265
Bronchoconstriction is NOT a
beta effect
266
Use the talk down method on an
LSD PT
267
For CP after O2 morphine gives
the most pain relief
268
Aminophylline dose…
5-6mg/kg
269
Ped w/flu; not acting right; nausea; vomiting
possible Reye’s syndrome
270
Wide QRS with no P waves
idioventricular
271
EOA removal can cause
vomiting
272
Most critical PT at an MCI
amnesia; crying; AMS
273
Cribbing
is used to stabilize things
274
Before administrating D50
check glucose; consider thiamine
275
Piece of glass stuck in the neck TX
stabilize glass and transport
276
Routes for EPI
IV; ET; SQ
277
In a ambulance crash the court will try and prove
lack of due regard for the ambulance driver
278
Chest compression for a child
1-1 ½ inches
279
6 y/o w/unilateral wheezes
FBAO
280
Gave birth 24 hours ago; sudden dyspnea and chest pain
pulmonary embolism
281
A repeater
retransmits
282
A simplex system cannot transmit and receive
at the same time
283
20 y/o cardiac arrest at an MCI
continue triage
284
Chief extracellular cation
sodium
285
Chief intracellular cation
.potassium
286
IO placement
tibial tuberosity; anterior tibia
287
Liable
writing something derogatory
288
No DNR
.start CPR
289
Percentage of RBC in blood
Hematocrit
290
PED Defib at
1 joule/kg
291
Cardiac tamponade SX
JVD; narrowing pulse pressure; clear lung sounds
292
The stylet
makes intubation easier
293
ECG over the radio
biotelemetry
294
Most unstable rhythms start in the
ventricles
295
3 systems that regulate acid-base balance
buffer; respiratory; renal
296
No SQ in
hypovolemic shock
297
Tricyclic OD SX
anticholinergic; coma; seizure; tachy
298
Atropine is not used for
sinus tachycardia; pulse 120
299
Which of the following is not a component of the START triage system
pupil size
300
You have been called to the scene of a GSW and you are told by dispatch that the patient has been shot twice in the chest. Your first concern will be
scene safety
301
Select the correct order for assessing a patient after scene size up
initial assessment; focused assessment; complete assessment; ongoing assessment
302
You and your partner; an EMT; have been called to the scene of a head-on collision on a rural road. There are five patients listed below. Prioritize the five PT’s
33 y/o w/snoring resp.; 29 y/o w/a sucking chest wound; 16 y/o diabetic who is tachy and confused; 55 y/o w/compound femur FX; 2 y/o w/no pulse or resp.
303
What is the Pedi dose of SQ EPI for asthma
0.01 mg/kg
304
You are treating a 3 y/o asthma PT. The PT weighs 33 lbs. Calculate the SQ EPI dose using the recommended 0.01 mg/kg
0.15 mg (notice this question answered question 2813…look out for those questions on the TEST.)
305
Your PT has suffered a head injury; which of the below signs would indicate increased ICP
decreased pulse; increased B/P
306
Which of the following most correctly identifies the signs and symptoms of Hemorrhagic shock
N/V; pupils dilates; pale
307
Emergency Medical Service Act
Chapter 401
308
Rules and regulations of the State EMS
64J-2
309
If a patient loose blood what do they need
BLOOD (if not an answer then Colloid-pre-hospital setting crystalloid)
310
Mitochondria
energy source of cell
311
Homeostasis
maintain internal balance; equilibrium
312
Metabolic acidosis
cardiac or resp. arrest; DKA; aspirin overdose; try increased ventilation with O2 and if not resolved; use Bicarb; treat the underlying cause
313
Metabolic alkalosis
too much Bicarb; let it wear off; treat the underlying cause
314
You have a 15gtts/ml drip set; you must infuse medication for ONE HOUR; and you are running it at 45gtts/min
180cc
315
Orthostatic hypotension can be taken
supine and seating or seating and standing up
316
A pt suffering from orthostatic hypotension will best benefit from
put them in sitting position
317
Pt in a MVA with soft tissue injury; and excessive pain in the LUQ; what injury you expect and how you treat it
spleen injury; hold cervical spine; put an IV etc…
318
Pt with Unilateral wheezing; most probable condition
F.B.A.O.
319
Which is a sign of UNCOMPENSTATED shock
?decreased BP
320
Which one is a contraindication of a nasal gastric tube
basilar skull FX
321
Complications of nasal gastric tube
it makes intubations more difficult
322
In a MVA there is a MULTITRAUMA pt; what is the FIRST thing to control
HEMORRHAGE (other choices: airway)
323
PPE is the same as
BSI or Assumption that all blood and other body fluids are infectious. ??? tricky
324
Man was cleaning the bathroom with bleach and fainted; a co-worker pulled him out and upon arrival you notice the man has RALES. What is his condition
Pulmonary Edema
325
S/S of HYPERglycemia
deep; rapid; gasping respirations associated with Ketoacidosis.
326
High pitch MUSICAL sound heard on Expiration due to bronco-constriction from mucus plugging
wheezing
327
Harsh; high pitch sound heard on inspiration that indicate partial airway obstruction
stridor
328
Burn pt with anterior chest and abdomen; and one whole arm
0.27
329
Burn pt with anterior chest and abdomen; and both arms
0.36
330
Pediatric with broncholitis; do all except
DO NOT Lay Supine
331
What is the LOWEST APGAR score
0 (highest 10)
332
All ambulance in a MCI should report to the
command post
333
Put 1gm in 250cc of D5W; how much do you give
4mg/ml
334
The EOA (combitube) causes
vomiting
335
What happens in the 3rd trimester
?Decreased BP
336
Occipital part of the brain controls
vision
337
You expect to see FLAT NECK veins on what
hypovolemia
338
When you see CLEAR FLUIDS coming out from nose and mouth; you expect
basilar skull FX
339
Transporting a pregnant pt in 3rd trimester
LEFT lateral recumbent supine 10-15°
340
PT in a pool hall has a Right Orbital Eye injury; what do you do
cover both eye
341
21 y/o wheezing and asthma; you give
Albuterol 2.5mg via nebulizer
342
What is the best med for hypotensive pt
give Dopamine 5mcg/kg/min or Dobutamine 2-20mcg/kg/min
343
Rapid cooling for heat stroke pt to prevent
irreversible brain damage
344
Diabetic Ketoacidosis S/S
?HYPERglycemia; dizziness; HOT and DRY skin
345
Compensated shock (1st Tachycardia; Increased pulse; cool; clammy; anxious)
?Increased blood and ?Decreased Peripheral Perfusion
346
Decompensated shock (begins with decreased BP; unpalpable pulse; resp slows; lethargic)
Falling BP; thirst; decreased LOC
347
Epinephrine causes
?increased BP; palpitation; tachycardia
348
Pt in a MVA has a lacerated scalp and low BP; what should you do
Lactated Ringers IV WIDE OPEN
349
Replacement prehospital fluid for bleeding
Ringers Lactated
350
Enlarged liver; distended neck veins and PE
heart failure
351
Treatment for COPD PT is
nasal cannula or venture
352
Pregnant women say she has only one kid; and two miscarriages
Gravida 4; Para 1; Abortions 2
353
Laryngotracheobronchitis presents with
stridor
354
Pt with Dyspnea; Urticaria; Tachypnea; BP 80/60 has
Anaphylactic Shock
355
Pediatric with SPo2 78%; breathing 40bpm you should
assist ventilation
356
Pt with chest pain; P-72 10 mins later Pulse decreases to 38. If stroke volume DOESN’T change
cardiac output DECREASES
357
Narcan for what type of OD
Opioids (EXCEPT: VALIUM)
358
In S.T.A.R.T. system a PT breathing 40bpm
critical PT
359
Which one is true about Coral Snake
Neurotoxin “Black; Yellow; Red” (other INCORRECT choices: black; white; red)
360
Blood that lacks in oxygen
hypoxemia
361
ICP S/S
?Increase BP; ?Decrease pulse
362
6 P’s for Musculoskeletal test
the answer is PRESSURE
363
Spinal Injury to C4
Quadriplegic and pt wont breath on his own (C3; C4; C5 keep the diaphragm ALIVE!)
364
Injury to the Xiphoid Process; what region of spinal cord will it affect
Thoracic or Lumbar
365
Routes from SLOWEST to FASTEST
PO; SQ; IM; ET; IV
366
What is true about HIV pt
they appear NORMAL; can’t tell
367
Measles; Mumps; Rubella are spread by
airborne droplets
368
Which one is part of the narrative PCR
S.O.A.P. (other choices SAMPLE; OPQRST)
369
When intubating you hear absent lung sounds on the left due to
RIGHT Mainstem Bronchus
370
IV complications EXCEPT
slow infusion on site (other choices pain on site; air embolism)
371
Pt in am MVA has a head injury; BP 80/60; Pulse 132; you suspect
HYPOvolemia
372
Pt has scalp wound; BP 80/50; Pulse 120 the best IV choice is
LR Wide Open
373
Pt has back tearing pain; has upper pulse and NO pedal pulse
Abdominal Aortic Aneurysm
374
Writing malicious in the PCR
Libel
375
Which one is NOT a sign of stroke
HYPOTENSION (correct choices: headache; aphasia; facial drooping)
376
Fibrinolytic Therapy time frame
3 Hours
377
Upper part of the uterus
fondus
378
Guy went on vacation; and was diving
BLS Question
379
In burn PT
there is fluid shift into the interstitial SPACE
380
False statement referring to burn PT
there is INSIGNIFICANT damage to underlying tissue
381
Absent P wave in lead ll means
SA node is not the pacemaker
382
Heat stroke PT will have
temp 104°; HOT and DRY skin
383
Signs of kidney stones EXCEPT
frequent urination (Polyuria)
384
Child playing with ice for more than 5 minutes; what should you do
Immerse in warm water 100-105°
385
The paramedic communicates all of the information to the doctor EXCEPT
Pt name and insurance policy
386
To make changes in the PCR
draw a single line and Initial and make a notation at the end of report
387
Pt was exposed to radiation once the PT is decontaminate; PT will have
Little or NO threat to paramedics
388
Pt has angulated leg; LOW BP; high pulse; cool and clammy; you suspect
HYPOvolemia
389
Starting an IV and interpreting ECG means you are using
Standing Orders
390
Traumatic Asphyxia PT give
Sodium Bicarb 1 Meq/kg
391
Pt MVA air hunger; confusion; JVD; ?pulse; ?BP (narrow); muffled heart sounds; may be suffering from
Pericardial Tamponade
392
Heart cells that conduct electrical activity causing depolarization and contraction
Automaticity
393
Glucagon
releases glycogen from the liver
394
The spleen is located
LUQ
395
All happens during the aging process EXCEPT
increase thirst
396
Abdominal pain patients present in what position
FETAL
397
What is a sign on organophosphate poisoning
abdominal cramping (GI disorders)
398
Male at the gym feels an explosive HEADACH
.subarachnoid Aneurysm
399
Kidneys relay on perfusion of what
Systolic BP
400
In spinal injury it causes no diaphoresis below the level of injury because
loss of stimulation of sympathetic
401
Catecholamines cause
cause ?increase vasoconstriction; ?increase heart rate
402
Head trauma with signs of shock
shock is rare to see in head trauma alone
403
Largest percentage of injury for 75 y/o PT and over
FALLS
404
Traumatic Asphyxia occurs from what type of injury
CRUSH
405
Apply Sellick Maneuver by
gentle pressure on the cricoid cartilage
406
JVD are best observed by
SEMI Fowlers 45°
407
What is correct about nasogastric tube on intubation
CANNOT get a good face seal
408
Pulmonary Embolism
sudden chest pain and dyspnea
409
The difference between Systolic and Diastolic is
Pulse Pressure
410
What does QRS means on an ECG
Ventricular Depolarization
411
You attempt to intubate FOUR times and was unsuccessful in a cardiac arrest PT; what should the paramedic do
Attempt other advance airway device by other means or Cricothyrotomy
412
R on T phenomena can cause
V-Fib
413
V-Tach presents how
Wide Bizarre QRS; Irregular
414
Pt in MVA says he has radiating pain on left shoulder; you suspect
spleen injury
415
Pt has stroke like signs & symptoms; but then they RESOLVE and become better; this is what
TIA (transient Ischemia Attack)
416
Pt in an MVA develops peritonitis from what
spill of gastric juice content making lining irritated.
417
Morphine help the pulmonary edema PT by doing what
Vasodilation
418
Behavior emergency PT; you should
try to orient the PT
419
“Man abused on CHILD” your partner knows the man; because the man is a friend of his father. The child has cigarette marks; multiple stages of healing and bruises. The man says; “He will NEVER DO IT AGAIN” what do you do
leave and do an anonymous call to the Child Abuse Hotline (other incorrect choices: take the child and transport to hospital; leave the scene and do nothing)
420
Large amount of Lidocaine will cause
seizures
421
Diabetes develop during pregnancy is called what
.Gestational Diabetes
422
Family has a valid DNR; what treatment can you offer as a paramedic
comfort measures
423
Early signs of shock
tachycardia (?HR)
424
Pt suspected to taken Narcotics; has PIN POINT PUPILS
give Narcan and you can expect to see combative; aggressive behavior
425
Part of the scene size up includes
number of PT on scene
426
You are enroute to a scene of 2 ambulatory PT; and 1 injured PT; police secured the scene; there is a hospital nearby; what do you do in the meantime
Call 2 ambulance for back up or start rapid triage & provide rapid transport. (TRICKY!!!!!)
427
A guy in an MVA; PT has subcutaneous emphysema on the right neck side; DYPNEA; ABSENT lung sounds on the right side and diminish lung sounds on the Left side
Tension Pneumothorax
428
Tourniquet (Venous Constricting Band…as some like to call it) does what
restrict venous blood flow but allows Arterial blood flow
429
At a crime scene; you have a PT that is viable; what do you do
treat the PT; and cooperate with law enforcement....”DO NOT DISTURB THE SCENE”
430
What kind of stress is the type that builds up later; after in days
POST TRAUMATIC
431
Breech presentation
BUTTOCK presents First of Baby
432
When delivering a baby; if the umbilical cord is still bleeding; what do you do
clamp the cord AGAIN proximal to the last clamp
433
Bus loaded with kids; bus crashes into Hazmat truck; what do you do first
scene safety
434
Elderly PT mask MI
because they have DECREASED sensation to pain
435
Excess thyroid hormone; ?increase metabolic rate; tachycardia; weakness; goiter
Grave Disease (incorrect choices: Myxedema “?level of thyroid hormones; HYPOthermia; bradycardia;” Thyrotoxic Crisis “Hyperthermia; Tachycardia; Nervous symptoms; Hypotension; High Fever.”
436
The use of NPA intubation for who
PT with INTACT GAG REFLEX
437
What is the best method to use on LSD PT
Talk down
438
What is the Neurotransmitter for the Parasympathetic Nervous system
Acetylcholine
439
3 types of Aphasia
Expressive (motor); Receptive (sensory); Global
440
ST elevation on lead ll; lll; AVF
Inferior Wall MI “Firefighter Boot”
441
ST elevation on V1-V6; l; AVF
Anterior Wall MI
442
NORMAL PH balance
7.35-7.45 (7.45-base “ALKALOSIS”
443
Chief Extracellular CATION
Sodium “Sweat Tastes SALTY on skin”
444
Chief Intracellular CATION
Potassium “In my Pot”
445
% of RBC in the whole Blood
Hematocrit (45%)
446
For stroke PT use
”FAST” F-Facial Droop; A-Arm Drift; S-Smile or Speech; T-Time 3 hrs or AAOx4
447
Early access; early CPR; Early Defibrillation; Early ACLS
Fast
448
Contraindication for AED
<1 y/o infant and wet PT
449
Bipolar leads
l; ll; lll
450
Unipolar
AVR; AVL; AVF
451
P wave
Atrial depolarization
452
QRS wave
ventricular depolarization
453
T-wave
repolarization of ventricles
454
Chest lead
V1; V2; V3; V4; V5; V6
455
Combitube
100ml of air-Blue; 15ml of air- White(clear)
456
Enteral Routes
per Oral; Buccal; SL; GI Tube; Rectal
457
Parenteral Routes
IV; IO; IM; SQ
458
Pit Vipers
Rattle; Copper Head; Water Moccasin
459
COPD
(ACE-Chronic Bronchitis; Emphysema; Asthma)
460
Phases of stress
(“ARE”- Alarm; Resistance; Exhaustion)
461
Types of shock
(“MR. C.H. SNAP”) M-Metabolic; R-Respiration Insufficiency; C-Cardiogenic; H-Hypovolemic; S-Septic; N-Neurogenic; A-Anaphylactic; P-Psychogenic
462
Grieving PROCESS
(“DABDA”)D-Denial; A-Anger; B-Bargaining; D-Depression; A-Acceptance
463
As you assess your trauma patient; you determine his GCS. He is awake but confused; he obeys commands; but when not stimulated; he falls to sleep. He responds to voice by opening his eyes. What is his GCS?
13
464
According to OSHA; what must be available on site where Hazardous Materials are stored?
MSDS
465
Flat neck veins are common to all of the following except:
Dehydration; Hypovolemia; Cardiac Tamponade; Hemothorax
466
The EGTA
is used on a comatose PT.
467
Input must equal output to maintain
homeostasis.
468
Enlarged liver; distended neck veins and edema are signs of
heart failure.
469
Administration of a hypertonic solution to a hydrated PT will
draw water from the PTs cells into the vascular space.
470
A sealed flashlight is not an
ignition source.
471
Vital signs are NOT part of
a primary survey.
472
Hypoxemia
reduces partial pressure of O2 in the blood.
473
An avulsion
is a soft tissue injury involving the SQ and fascia w/lots of blood loss.
474
Pt fell from 3rd floor; (R) lung sounds absent; FX leg; after airway TX
BVM w/O2; decompress (R) side; PASG; IVs enroute.
475
Orthostatic BP
prone; sitting; standing at 2mins intervals.
476
Narcan can cause
withdrawal symptoms.
477
Pulse is the best way to check
if the heart is pumping.
478
Rule of thumb for HAZMAT
keep a safe distance.
479
Low BP in shock is due to
vasodilation.
480
Decerebrate posturing
brainstem injury.
481
Decorticate posturing
injury above brainstem.
482
The fundus is a muscular structure located
behind the cervix.
483
Pulmonary Edema TX
O2; 40mg Lasix; 2mg morphine
484
17 y/o male w/extreme headache enroute
possible aneurysm
485
The Ligamentum Arteriosun connects
the Aorta to the spine
486
Vomiting is
the most common problem w/BVM’s
487
The 401 emergency services act provides
legislation governing all pre-hospital EMS
488
In a MCI paralysis below the waist is a
LOW PRIORITY
489
Voice and ECG can be transmitted to the hospital at the same time
multiplex system
490
The organization that establishes qualifications for EMS providers nationally
NHTSA
491
Normal systolic BP in males is
age plus 100
492
Bright red frothy blood from the mouth (hemoptysis)
lung damage
