EMSITE 2

Question 1

Things to prevent cold weather illness

Answer 1

Avoid caffeine and alcohol
Maintaining hydration
Layering clothing
Staying dry

Question 2

Recommended decontamination

Answer 2

Clothing removal prior to showering

Question 3

SALT interventions

Answer 3

Control major hemorrhage
Open airway
Chest decompression
Use of autoinjectors

Question 4

Nicotinic effects

Answer 4

Muscle fasiculation
Tachycardia
Hypertension
Paralysis

Question 5

Medical reserve corps

Answer 5

national network of local groups of volunteers that include medical and public health professionals and others who are identified, screened, trained, and organized to improve the preparedness and response capabilities of their local jurisdiction

Question 6

FEMA USAR teams expected to be able to operate self sufficiently for how long

Answer 6

72 hours

Question 7

Radiation decreases by what in distance

Answer 7

Square of the distance from the source

Question 8

5 Stages of disaster

Answer 8

Prevention
Planning
Mitigation
Response
Recovery

Question 9

What is the posse comitatus act

Answer 9

Prevents military from being directly involved in law enforcement activities
Coast guard and national guard exempt

Question 10

Sports drink recs

Answer 10

Contain less than 15 grams of simple carbs per 8 oz
Solutions should not exceed 350 mOsm/liter

Question 11

Lewisite smell

Answer 11

Geraniums

Question 12

How does Pralidoxime (2-Pam) work

Answer 12

reactivates acetylcholinesterase

Question 13

Airborne pathogen must be smaller than what size

Answer 13

5 microns

Question 14

What CN antidote causes methemoglobinemia

Answer 14

Amyl nitrite

Question 15

Most important risks to consider when asking for waiver of informed consent

Answer 15

1. Medical
2. Confidentiality

Question 16

3 levels of protection in the common rule

Answer 16

Federal - Institutional assurance of compliance
Institutional - IRB
Investigator - informed consent

Question 17

Type II error usually caused by

Answer 17

inadequate sample size

Question 18

What is required when records are linked without patient identifiers

Answer 18

Probabilistic linkage - links two or more de-identified data sources using data elements

Question 19

Analytical studies involve

Answer 19

analyzing sample data for the purpose of understanding a causal formation of the population

Question 20

Benchmarking

Answer 20

Preferred process used to identify and understand elements or indicate of superior performance in a particular process

Question 21

Prevalence effect on PPV

Answer 21

Increases with increased prevalence
But NPV decreases

Question 22

Do immunity statutes prevent a lawsuit from being filed against result of QI?

Answer 22

No, but they increase chances of the case being dropped

Question 23

Echelon 1 of military care

Answer 23

Self/Buddy Aid, Combat Lifesavers, Combat Medics, and the Battalion Aid Station

Question 24

Most medical helicopters fly at what altitude

Answer 24

1000-2000 ft

Question 25

When can you transfer an unstable patient

Answer 25

1. the patient requests the transfer, after being fully informed about the risks and benefits of the transfer 2. the sending hospital is unable to provide a service that the patient urgently needs 3. the hospital has found another hospital that can provide the needed care and explicitly agrees to accept the patient

Question 26

3 disruptive adult learners

Answer 26

1. Sturdy battler - challenges leadership role of the teacher 2. Friendly helper - attempts to have all the answers 3. Rigorous thinker - can force class into unnecessary depths of understanding

Question 27

Practice level that provides an option for high benefit, low risk advanced skills

Answer 27

AEMT

Question 28

Value quotient

Answer 28

Quality / Cost

Question 29

What can employers due that does not violate pregnancy disability act

Answer 29

Employers can conduct an individualized assessment of the employee's ability to do essential job tasks, conduct an independent medical examination of the employee's medical fitness, or use engineering controls and personal protective equipment to limit exposures

Question 30

HBsAg tests for

Answer 30

current presence of infection

Question 31

HBsAb or anti-HBs tests for

Answer 31

demonstrates immunity (following infection or vaccination)

Question 32

Anti-HBc tests

Answer 32

Shows you have been infected with Hep B in the past or are currently infected

Question 33

Hep B known non responders should have what

Answer 33

Repeat of 3 dose vaccine series

Question 34

How to perform corkscrew maneuver

Answer 34

rotate the shoulders while suprapubic pressure is being applied

Question 35

3 scary things not transmitted thru human to human contact

Answer 35

Bubonic plague Botulism Anthrax

Question 36

Most common presentation of Variola

Answer 36

Ordinary Variola is smallpox

Question 37

Why would vasopressin be bad in an LVAD patient

Answer 37

Increases after load, worsening pump flow

Question 38

Why is fentanyl best pain med in snake bites

Answer 38

No histamine release - won't confuse for envenomation

Question 39

Most sexual assault evidence collection goes up to

Answer 39

72 hours

Question 40

Most common traumatic indecent affecting pregnant patients

Answer 40

MVCs

Question 41

Pretreatment against nerve agent exposure

Answer 41

Pyridostigmine

Question 42

Axillary nerve motor and sensation

Answer 42

Motor: Deltoid Sensory: Lateral shoulder

Question 43

Impedance threshold device

Answer 43

One way valve that permits exhalation during downstroke of chest compression but prevents passive inhalation in upstroke

Question 44

Txa inhibits what

Answer 44

Conversion of plasminogen to plasmin Preventing clot breakdown

Question 45

Advantages to unipolar splint

Answer 45

Avoids compression of sciatic nerve Provides better alignment More compact

Question 46

Acetazolamide effect for prevents of AMS

Answer 46

Metabolic acidosis by stimulating kidneys to excrete bicarb into urine, leads to a compensatory respiratory alkalosis

Question 47

What does phosgene form when combining with water

Answer 47

Hydrochloric acid

Question 48

UOP goal in burns

Answer 48

30-50 ml/hr in adults 1 mg/kg in children