Dive med test Flashcards
(139 cards)
1
Q
P1 V1 = P2 V2 Or PV = K
A
Boyles Law
2
Q
Charles Law
A
Charging
3
Q
Boyles Law
A
pressure and POIS
4
Q
Daltons Law
A
Mixed Gas
5
Q
Henrys Law
A
Absorption and DCS
6
Q
1.3
A
wet
7
Q
2.4
A
dry
8
Q
Vitamin E and HBOT
A
Decreases susceptibility to free radicals which reduces CNS O2 tox
9
Q
RANKINE
A
459.67 or 460
10
Q
absolute pressure during dive of 72 fsw
A
3.18
11
Q
What’s the benefit of using air as gas?
A
dive deeper than you can with 100% O2
12
Q
Which phase of O2 tox includes Edema, Intra-Alveolar Hemorrhage, and destruction of the capillaries?
A
Acute Exudative Phase
13
Q
Reasons for TT6
A
DCS not relieved
AGE
14
Q
skin marbling?
A
cutis mam
tx a type II
15
Q
when tx co poisoning, how is O2 working?
A
Gas Washout
16
Q
Why use saline in ET tube?
A
So it is non-compressible
17
Q
Most common side effect of HBOT?
A
Ear pain eyes CROAC (central retinal artery occlusion)
18
Q
What causes middle ear squeeze / otitis media
A
Eustachian tube dysfunction
19
Q
Cause of Otitis Externa?
A
Wax impaction
20
Q
Pathological response to formation of bubbles in the tissues?
A
DCS
21
Q
Caloric Vertigo
A
Change in water temp
22
Q
Sinus squeeze
A
23
Q
mild redness in canal post diving, tx?
A
7 days no diving / re-assess
24
Q
Alka-Seltzer’s cause what in diving?
A
GI / Abdominal squeeze
25
Decongestants can mimic?
spinal DCS sx
26
Can females take oral contraceptive and dive?
Yes, but it increases chance of stroke
27
Shooting pain in the belly?
Ridicular tx as type II
28
Sx of hypercapnia
RUDE-PHS
29
Dives requiring cardiac monitoring or EKG?
Any deeper than 2 ATA
30
Bilateral myringotomy prior to HBO to prevent perfs, what is the landmark?
Anterior - Inferior quadrant of the TM
| prevents damage to the connection point of the malleus to the TM
31
Round window rupture is most often accompanied with...
Vertigo
32
Oval window rupture is less common due the protection from the?
stapes
33
Alternobaric facial palsy tx
toynbees maneuver
34
Pathology of round window rupture is the leakage of the...
cochlear aqua duct
35
High Doses of oral decongestants may cause?
Arrhythmia (palpitation / syncope)
36
THERE IS NO OFFICIAL APPROVED MEDICATIONS LIST
37
Are oral contraceptives safe for diving?
yes
38
Antihistamines and diving?
currently considered unsafe, but under some circumstances may be authorized
39
Anticholinergic effects include?
sedation, loss of judgement, and worsening of n2 narcosis sx. (contained in sea sickness patches)
40
Divers with latent TB
May be returned to Diving status in 8 weeks (provided they are stable and "A" symptomatic)
41
epinephrine is given at what dose
concentration of 1:1000
0.1-0.5mg
IM/Sub-cu
42
Diphenhydramine dose
25-50 mg Iv or IM
43
Solu/Medrol dose
125mg IV or IM
44
Immersion Dieresis
250-500cc of fluids per hour
45
Never use D5W
46
Fluids for all DCS PTs unless?
pulmonary (chokes)
47
LMWH should be used for all PTs w. inability to walk due to any degree of lower extremity paralysis from DCS/AGE
What's the tx?
Enoxaparin 30 mg Subcutaneous
| EVERY 12 HOURS
48
lidocaine not for DCS
49
What's the lidocaine dose for therapeutic relief of AGE?
- IV 1mg/kg followed by 2-4mg/minute
| - IM4-5mg 15 min after dose, lasting around 90 minutes
50
STEROIDS ARE NOT INDICATED
51
T2
Charles law
52
pressure gradient law
henrys
53
Which DCS is more susceptible to CNS ox tox
spinal
54
sx of pulmonary 02 tox
- end inspiratory discomfort
- substernal burning and severe pain on inspiration
- shortness of breath
- paroxysmal cough
- sx resolve spontaneously
55
When could it be indicated to modify tt and take pt off o2
when there is pain on inspiration
56
When a diver is successfully tx for DCS/AGE, how long until returned to diving duty?
30 days
57
Diver tx for type 1 DCS, returns?
7 days with DMO concurrence
58
What will a pt experience prior to subcutaneous emphysema?
mediastinal
59
What must be ruled out prior to HBOT?
pneumothorax
60
altitude at which helo must stay when transporting pt
1000 ft
61
Non Emergent HBOT tx gets approved by who?
BUMED M95
62
what portion of the ear feels the pressure?
external surface
63
Vascular penetration
expand, leak, burst
64
In middle ear O2 absorption syndrome what does the O2 create?
negative vacuum
65
How does barotrauma occur in the inner ear?
fluid shifts
66
what is the anatomical landmark that exhibits the narrow passage and transmits CFS?
cochlear aqueduct
67
What bone attaches to the oval window?
stapes
68
hole / perforation
fistula
69
If a diver experiences vertigo lasting for 1 minute or less
considered transient, continue dive
70
What is the landmark for alternobaric verigo?
inner ear
71
caloric vertigo
change in water temp
72
frontal maxillary squeeze, often confuse with?
barodontalgia
73
relief of intestinal squeeze
flatulence
74
What is the concern with decongestants?
cardiac concerns, arrhythmias
75
oral decongestants have minimal effect when compared with?
topical
76
NSAIDS are not recommended with?
type II DCS
77
what is recommended to reduce free radicals (oxidation) in HBOT?
400 mg Vitamin E
78
What is recommended with paralysis?
enoxaprin at 30mg (lovinox)
79
Antihistamine are correlated with?
drowsiness / N2 narcosis
80
when you enter water and HR drops?
Hyper-vagotonic syndrome
| tx carotid massage
81
What should be prescribed for deep marine life puncture?
antibiotics
82
How long are you NPQ from INH?
8 weeks (stable and A symptomatic)
83
All divers must have minimum corrected vision of what?
20/25
84
What is the inst for pregnant divers
BUMEDINST 6200.15A
85
ADVANTAGE OF DIVING WITH AIR?
YOU CAN DIVE DEEPER
86
WHAT IS THE GREATEST DANGER OF CNS O2 TOX IN THE CHAMBER?
CONVULSIONS
87
SUB ACUTE SX
INTERSTITIAL FIBROSIS
88
ACUTE EXODATIVE SX
EDEMA
89
SX NOT RELIEVED COMPLETELY W/IN 10 MINUTES?
TT6
90
MOST COMMON SX OF O2 TOX?
EAR PAIN
91
EXTERNAL EAR SQUEEZE STEMS FROM?
WAX IMPACTION
92
MIDDLE EAR SQUEEZE STEMS FROM?
EUSTACHIAN TUBE DYSFUNCTION
93
VERTIGO IS A SX OF WHAT RUPTURING?
ROUND WINDOW RUPTURE
94
WHICH BAROTRAUMA IS NOT DUE TO PRESSURE IMBALANCES
OUTER EAR CANAL
95
SX OF FACIAL PALSY
CANNOT CLOSE EYE ON THE EFFECTED SIDE
96
WHAT IS THE CONCERN WITH DECONGESTANTS?
ARYTHMIA
| SPHINCTER CONTRACTION
97
CAN YOU TAKE VITAMINS AND DIVE?
YES
98
CAN YOU TAKE ANTIBIOTICS AND DIVE?
MUST INVESTIGATE CONTRAINDICATIONS FIRST
99
WHAT MEDICATION COMES WITH A LAUNDRY LIST OF SIDE EFFECTS FOR DIVING?
ANTIHISTAMINES
100
CAN YOU DIVE WHEN TAKING HCTZ WHICH IS A HYPER TENSIVE RX?
YES, AS LONG AS IT IS THE ONLY MED YOURE TAKING FOR BP
101
WHAT SX OF PYSCHOTROPICS ARE NOT DISQUALIFYING FOR DIVING?
MIGRAINS
102
NEVER USE WHAT FLUID FOR DIVING?
D5W
103
WHAT IS THE TIMELINE FOR DIVING AFTER HERNIA REPAIR?
APPLY FOR INTERIM WAIVER AFTER 90 DAYS / 3 MONTHS, THIS WILL BE GOOD FOR A TOTAL OF 6 MONTHS, PERMENANT WAIVER MUST BE COMPLETED BY 1 YEAR MARK.
104
HOW LONG MUST YOU WAIT POST NATAL?
6 MONTHS
105
FORM FOR DOCUMENTING AN UP / DOWN DIVER?
6150/2
106
WHAT HX QUESTION IS MOST IMPORTANT TO ASK?
HAVE YOU HAD AGE / DCS BEFORE?
| IF SO, DIVER IS MORE LIKELY TO GET IT AGAIN
107
WHAT CRAINIAL NERVE AND NUMBER GOVERNS THE VOICE?
VAGUS #10
108
WHAT IS THE TERM FOR IMPAIRED STRENGTH?
PARESIS
109
WHAT IS THE TERM FOR IMPAIRED STRENGTH?
PARESIS
109
WHAT IS THE TERM FOR IMPAIRED STRENGTH?
PARESIS
109
WHAT IS THE TERM FOR IMPAIRED STRENGTH?
PARESIS
110
WHAT DERMATONE LABELS THE SENSATION OF THE KNEE?
L3/L4
111
WHAT DERMATONE LABELS THE SENSATION OF THE KNEE?
L3/L4
112
BURNING SENSATION RUNNING FROM THE ARM DOWN TO THE HAND IS WHAT FORM OF DCS?
SPINAL
| TYPE II
113
SCANARIO WHERE THE PT FEELS PAIN LIKE SX OF ROCK FALLINIG ON THE FOOT, EFFECTING WHAT NERVOUSE SYSTEM
PERIPHERAL
| PNS
114
SHOOTING PAIN AROUND THE RIBS?
RIDICULAR
| TYPE II
115
WHAT DO THESE SX EFFECT: MUFFLED HEARING SENSATION, LOSS OF SENSATION, DECREASED FACIAL SENSATION, DECREASED VISION...
BRAIN STEM
116
DIFFICULTY WITH FINGER TO NOSE TEST / BALANCE, EFFECTS WHAT PORTION OF THE BRAIN?
CEREBELLUM
117
IF PT EXPERIENCES LEG WEAKNESS / NUMBNESS POST DIVE, WHAT PORTION OF THE BRAIN IS EFFECTED?
CEREBRUM
118
AUCTHONOMOUS SENSORY / REFFERED TO AS THE AUTOMATOR FOR THE BODY?
CEREBRUM
119
HOW MANY RCC TX OBJECTIVES ARE THERE?
3
120
ALTERNOBARIC VERTIGO EFFECTS WHAT PART OF THE EAR?
INNER EAR
121
WHAT IS THE PRIMARY CONCERN WITH ASCENT INJURIES?
HOLDING BREATH OR PASSED OUT ON THE WAY UP TO THE SURFACE CAUSING POIS
122
CEREBRAL DCS SX EFFECT
MOTOR DEFICIT
123
WHAT TYPE OF THERAPY IS NECROTIZING SOFT TISSUE TX
ADJUNCTIVE THERAPY
124
WET SUITE HOODY CAUSES WHAT TYPE OF SQUEEZE?
MIDDLE EAR
125
PRESSURE ON THE WAY DOWN IMPACTS WHAT PORTION OF THE EAR?
TM
126
MIDDLE EAR / PRESSURE IMBALANCE RUPTURES WHAT?
OVAL WINDOW
127
WHAT AGE REQUIRES ANNUAL EXAMS
60
128
PAIN FROM THE THIGH DOWN TO THE FEET, STEMS FROM?
LOWER SPINAL CORD
129
BUMED 1300.2
SUITABILITY
130
1754
EFMP
131
WHOS RESPONSIBILITY IS IT TO ASSURE THE FM?
COMMANDS
132
6200.15 SERIES
PREGNANCY
133
WHO APPROVES MATERNITY/CONVELESCENT LEAVE?
CO
134
UP TO WHAT WEEK CAN PREGANT FEMALE FLY OR TRAVEL OVERSEAS?
28 WEEK
135
WHOS RESPONSIBILTY TO WORK WITHIN LIMITATIONS OF PREGNENCY INST?
MEMBER
136
AUTHORIZES 1 OR MORE AREA OF BURIAL FOR NOK?
RETURN OF REMAINS PROGRAM
137
DECEDENT AFFAIRS PROGRAM
HIGH STANDARDS OF UNIFORMITY
