Chapter 6-Integration

Question 1

(Types of heat loss) what’s radiation?

Answer 1

This is the primary way the body loses heat, it involves emission of infrared radiation, similar to how a fire emits radiation of heat. 🔥

Question 2

Convection heat?

Answer 2

Heat is transferred from the body to surrounding air or water through movement of those fluids. Ex- sitting in front of a fan, moving air carries away the heat from your body. 🪭

Question 3

Conduction is what?

Answer 3

Occurs when heat is transferred through direct contact between the body and another object. Sitting on a cold metal bench, heat will transfer from your body to the bench. 🥶

Question 4

Evaporation?

Answer 4

Happens when water on the skin (like sweat💦) turns into vapor absorbing heat in the process. This is an effective way to cool the body especially during exercise or in hot weather 🌡️

Question 5

Reasons to terminate CPR in a prehospital environment?

Answer 5

•Valid DNR is presented
•irreversible death signs are present
•Higher level of care is provided
•effective spontaneous circulation and ventilations are restored

Question 6

Pain can be classified as?

Answer 6

Acute, chronic

Question 7

The ____ nervous system is activated in the face of pain?

Answer 7

Sympathetic

Question 8

Chronic pain is defined as?

Answer 8

Pain lasting longer than 6mo

Question 9

Management of pain does what for patients?

Answer 9

Reduce energy consumption, allowing the body to rest + heal.

Question 10

As an EMR you must assume

Answer 10

The role of health educator

Question 11

Cardiopulmonary examination is what?

Answer 11

Lung sounds, jugular vein distension (JVD), pedal edema and EKG are included in this assessment 🚑

Question 12

Obstetrics examination?

Answer 12

Check for crowning in a woman in labor

Question 13

Neurological examination?

Answer 13

Assess Cincinnati stroke scale, cranial nerves, sensory and motor function of the extremities.

Question 14

Rapid trauma examination?

Answer 14

Provided for trauma patients with significant MOI (method of injury) 🩸🤕

Question 15

Physical examination

Answer 15

Provided for every patient on the ambulance 🚑❤️ 🩺

Question 16

Detailed physical examination

Answer 16

Provided en route to hospital 🏥 typically a re assessment

Question 17

Steps for a two responder CPR (adult)

Answer 17

1) open airway, use head tilt, chin lift or modified jaw thrusts
2)check for breathing 🫁
3) check carotid Pulse. max 10sec
4) one responder begins compressions, counting out loud
5) one responder gets AED and attaches it to patient for analyze
6) if shockable rhythm administer one shock
7) if non shockable rhythm immediately following shock, begin 5 cycles of 30 compression and 2 ventilations.
8) repeat 6,7&8 until rosc or ALS arrives. 🚑

Question 18

What are the responsibilities of a code team leader?

Answer 18

EKG analysis
Give IV or IO medication
Help transition from BLS to ALS airway.
Reassessment after each CPR cycle

Question 19

What’s gestational diabetes?

Answer 19

Increased maternal insulin production results in increased placental production. Which leads to an imbalance of mothers insulin and glucose production. 🤰

Question 20

Pregnant women present with higher Pulse rate? 🫀

Answer 20

True!

Question 21

When a pregnant woman goes into labor, the position she’s in stresses the cardiovascular system?

Answer 21

True

Question 22

A BGL level of 4.2 mmol/L is within normal range?

Answer 22

True

Question 23

If extensive resuscitation is needed for a neonate, optimally baby will transition to second ambulance 🚑 equipped with neonate transport incubator?

Answer 23

Correct

Question 24

What IS NOT an inflammatory disorder of the heart?

Answer 24

Hypertension 🫀

Question 25

Which of the following is an acute coronary syndrome of the cardiovascular system?

Answer 25

Angina 🫀🫀

Question 26

Injuries to the chest in elderly people are much more likely to produce?

Answer 26

Rib fracture and flail chest 👵

Question 27

What condition is more likely to cause incontinence?

Answer 27

Seizures 🤯

Question 28

You're first on scene, patient needs their leg splinted due to a fracture. After splinting you notice decreased pedal pulse, change of sensation and discomfort. Dispatch radios that your advanced medical care is still 45min away. What do you do???

Answer 28

Make a single attempt to straighten the limb with the patients willingness 🚑

Question 29

What results when excess insoluble salts or uric acid crystallize in the urine?

Answer 29

Kidney stones 🪨😷

Question 30

What's caused by excess cortisol production by the adrenal glands or by excessive use of cortisol or similar steroid hormones?!

Answer 30

Cushing syndrome

Question 31

What secretes digestive enzymes as well as the hormones glucagon and insulin which are responsible for regulation of blood glucose levels?

Answer 31

Pancreas

Question 32

Chest pain or discomfort that occurs when the heart muscle doesn't get enough oxygen rich blood often due to narrowed or blocked arteries and it's a symptom of coronary heart disease.

Answer 32

Angina 🫀 😢

Question 33

What is innervated by the phrenic nerve c3 c4, c5. 🦴 🩻

Answer 33

Diaphragm 🫁

Question 34

Why trauma in elderly people may lead to unsuccessful recovery?

Answer 34

Reduced cardiac reserve, decreased respiratory function and impaired renal activity

Question 35

3 risk factors for drowning and submersion?

Answer 35

Alcohol and drug use Ineffective safety barriers (lock and gates) Inadequate supervision

Question 36

What's cold diuresis?

Answer 36

Your body's way of responding to cold temps by making you urinate more. Blood vessels constrict to push blood to your core organs . increased BP to regulate BP.kidneys filter more fluid from blood resulting in increased urine production and greater urge to urinate 🚽

Question 37

2 most common gynecologic infection that affect women are UTI and vaginal yeast infection?

Answer 37

False. It's BV and yeast infection

Question 38

Most common cause of amenorrhea is pregnancy?

Answer 38

True 🤰👶

Question 39

Exposure of disease means infection?

Answer 39

False

Question 40

Vaccination against measles mumps and polio are natural immunity?

Answer 40

No. Vaccinations are acquired immunity 💉

Question 41

When managing a violent patient, Stand to the side at 45 degree angle and maintain approx 2 arm lengths of safe zone

Answer 41

True

Question 42

If a restraint patient is spitting one option is to put a oxygen mask on them?

Answer 42

True

Question 43

Why should you monitor infants closely for apnea? 🍼

Answer 43

Infants have smaller functional residual capacity, fewer alveoli and metabolize oxygen more rapidly.

Question 46

Limit suctioning of a stoma to?

Answer 46

10 seconds

Question 47

You encounter an adult with severe facial trauma, breathing inadequately and has severe oropharyngeal bleeding. What's the best treatment?

Answer 47

Suction the airway for 15seconds, provide positive pressure ventilation for 2mins

Question 48

What are common injuries in motorcycle accidents 🏍️

Answer 48

Bilateral femur fractures and foot injuries 🤕

Question 49

If a tourniquet is applied too loosely it'll??

Answer 49

Increase bleeding, if it occludes the venous return without hampering with arterial flow.

Question 50

How do you treat superficial burn to feet?

Answer 50

Soak in cool water 💦

Question 51

What treatment is beyond your scope that's needed for seizures??

Answer 51

Diazepam

Question 52

What is the mainstay management of altitude sickness?

Answer 52

Oxygen, decent, evacuation. 🏔️

Question 54

A child in mild respiratory distress will be?

Answer 54

Alert and awake ✨

Question 55

What sound indicates your patient needs suctioning?

Answer 55

Gurgling

Question 56

What step IS NOT a part of panic disorder management?

Answer 56

Do everything for the patient so they can focus on breathing 🫁

Question 57

What's an appropriate tool to use if a child is too small for a c collar?

Answer 57

Use rolled up towel and blankets

Question 58

To cool the burn of a patient burned on 50% of the body's surface area, paramedic should?

Answer 58

Apply cool water, cover the patient with sheets

Question 59

A patient says they're suicidal and depressed but has an expression less face, this is what condition?

Answer 59

Altered affect 😢

Question 60

What statement about hypothermia is most correct?

Answer 60

Internal temp of 35C. Moderate Hypo slow shallow breathing. shivering may stop which is dangerous, weak pulse, bluish complexion Severe- unconscious, rigid muscles, absent or weak pulse.

Question 61

What's psychosis??

Answer 61

Severe mental condition characterized by a loss of touch with reality 😜

Question 62

What childhood condition isn't contagious?

Answer 62

Prickly heat rash

Question 63

What's the best indication of death 💀☠️

Answer 63

Lividity and rigor mortis ⚰️💀

Question 64

Most common cause of hypovolemic shock in children?

Answer 64

Dehydration

Question 65

What's not a major function of the blood?

Answer 65

Acts an isotonic volume expander

Question 66

What acronym is used to assess patients neurological function is?

Answer 66

GCS Glasgow coma scale ⚖️