NREMT Flashcards

1
Q

The tricuspid valve is locates

A

Between the right atrium and right ventrical

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2
Q

The pulmonic valve is located

A

between the right ventricle and pulmonary artery

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3
Q

The mitral valve is locates

A

Between the left atrium and left ventricle

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4
Q

The aortic valve is located

A

Between left ventrical and aorta

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5
Q

hyperglycemia is characterized by

A

pt is hot and dry
tachycardia

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6
Q

hypoglycemia is characterized by

A

cool and clammy skin
tachycardia

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7
Q

Preeclampsia is characterized by

A

protein in urine, swelling of hands and feet, and headaches, new-onset hypertension, blurred vision, and altered mental status

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8
Q

Which of the following signs or symptoms is expected initially in the setting of hypoxia?

A

restlessness, irritability, apprehension, tachycardia, and anxiety.

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9
Q

What are potential Continuous Positive Airway Pressure (CPAP) administration complications?

A

gastric distention, hypotension, and claustrophobia

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10
Q

Carotid and femoral arteries indicate ____ pulses

A

central

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11
Q

What are the signs/symptoms of cholinergic poisoning?

A

excessive salivation or drooling, mucous membrane oversecretion, excessive urination, excessive tearing of the eyes, uncontrolled diarrhea, and an abnormal heart rate.

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12
Q

Scoop stretchers fit around patients in the __ position.

A

supine

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13
Q

What can be used to identify hazardous materials in a transportation incident?

A

emergency response guidebook, waybill, and shipping papers

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14
Q

Kehr’s sign can indicate

A

a ruptured spleen

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15
Q

Murphy’s sign is characterized by __ and can indicate

A

pain just below the right costal margin on inspiration with palpation
cholecystitis

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16
Q

Cullen’s sign is ___ and indicates ___

A

bruising around the umbilicus
intraperitoneal hemorrhage

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17
Q

Grey turner sign is ___ and indicates ___

A

bruising along the abdomen/flank ecchymossis
retroperitoneal hemorrhage

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18
Q

What are signs/symptoms of classic heat stroke?

A

AMS, body temp >104, alteration in sweating, tachycardia/tachypnea

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19
Q

What approximate tidal volume will cause a noticeable rise of the chest during assisted ventilation?

A

500mL

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20
Q

Which of the following terms describes a harsh, high-pitched breathing sound that is heard on inhalation or exhalation and often indicates some degree of airway obstruction?

A

stridor

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21
Q

A low-pitched noisy sound most prominent on exhalation is called __ and indicates ___

A

rhonchi
mucus

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22
Q

Wheezing can be described as ___ and indicates

A

high-pitched whistling sound most prominent on exhalation
obstruction of lower airway

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23
Q

Wet, crackling breath sounds heard on inhalation and exhalation are called ___ and indicate

A

crackles
fluid within the lungs

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24
Q

Describe the pulse and respiration of a pt suffering from CHF

A

tachycardic and tachypnic

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25
Q

The lateral bone in the forearm is

A

radius

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26
Q

The medial bone in the forearm is

A

the ulna

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27
Q

The opening of the airway and assisted ventilation are completed after the ___ compressions during CPR

A

initial thirty

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28
Q

Increased ICP can be characterized by

A

hypertension, irregular breathing, and bradycardia

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29
Q

What is the purpose of lung surfactant?

A

reduces surface tension of the alveoli

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30
Q

Cholecystitis is

A

inflammation of the gallbladder

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31
Q

signs and symptoms of cholecystitis can include

A

URQ abdominal pain
vomiting
referred pain to right shoulder

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32
Q

The cervical collar should be placed before or after the long spine board?

A

Before

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33
Q

Name two contraindications for a supraglottic airway such as a king LT or LMA?

A

esophageal disease
gag reflex

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34
Q

A stokes or basket stretcher is most useful for

A

an uneven terrain

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35
Q

Tension pneumothorax is characterized by

A

hypotension, hypoxia, absent breath sound son affected side, tracheal deviation, tachycardia, and JVD

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36
Q

A short backboard such as the KED may be used for

A

extricating a seated patient with a suspected spinal injury before using the long backboard

37
Q

True or false: hypertension is found in allergic reactions

A

false, it’s hypotension

38
Q

Signs and symptoms of hypovolemic shock include

A

hypotension
AMS, cyanosis, cool and clammy skin

39
Q

The three components of Cushing’s triad include which of the following?

A

widening pulse pressure
bradycardia
changes in respiration

40
Q

Cushing’s triad is indicative of __-

A

brainstem herniation in a patient with a closed head injury

41
Q

If an acute myocardial infarction (MI) is left untreated, 90% of affected myocardial cells will die within what time frame?

A

four to six hours

42
Q

For a palpable radial pulse the patient’s systolic BP must be

A

70mmHg

43
Q

Which of the following is a common finding in hyperglycemia but not hypoglycemia?

A

vomiting

44
Q

An appropriate range of respiration for ages 0 to 12 months is

A

30 to 60 BPM

45
Q

An appropriate range of respiration for ages 1 to 3 years is

A

24 to 40 BPM

46
Q

An appropriate range of respiration for ages 3 to 6 is

A

22 to 34

47
Q

An appropriate range of respiration for ages 6 to 12 is

A

18 to 30

48
Q

An appropriate range of respiration for ages 12 and above is

A

12 to 16 BPM

49
Q

True or false: history of a recent upper GI surgery and rapid respiratory rate are both contraindications for CPAP

A

false: only upper GI is a contraindication here

50
Q

preload can best be defined as

A

the pressure in the heart as blood volume increases prior to contraction

51
Q

afterload can best be described as

A

the force that resists the work of the heart during contraction

52
Q

atherosclerosis is described as

A

the buildup of plaque, formed by cholesterol, within the walls of blood vessels

53
Q

arteriosclerosis differs from atheriosclerosis because

A

arteriosclerosis consists of calcium buildup

54
Q

What are the components of the trauma triad?

A

acidosis, coagulopathy, hypothermia

55
Q

A hypertiensive emergency can be characterized by

A

ringing in the ears, bounding pulse, severe headache, AMS, warm skin

56
Q

The NFPA 704 system is used to indicate hazards found in buildings. The components of NFPA 704 include which of the following?

A

flammability hazard, health hazard, special information

57
Q

A 17-year-old male was struck on the side of the head. Police found him unconscious and called for EMS assistance. By the time they arrive, the patient has regained consciousness and states that he is fine. During the primary assessment, there is no obvious bleeding or airway compromise, and his breathing is fine. As EMS proceeds, he becomes obtunded and subsequently loses consciousness. What is the likely cause of this patient’s sudden decline?

A

epidural

58
Q

ICP is associated with ___ respirations

A

ataxic

59
Q

crackles can be caused by what conditions?

A

CH and pulmonary edema

60
Q

abruptio placentae is __ and can be caused by ____

A

the premature separation of the placenta from the uterine wall
hypertension and trauma

61
Q

The normal pulse rate for ages 12 months and under is

A

100-160

62
Q

The normal pulse rate for ages 1 to 3 years is

A

95 to 150

63
Q

The normal pulse rate for ages 4 to 5 is

A

80 to 140

64
Q

The normal pulse rate for ages 6 to 12 is

A

70 to 120

65
Q

The normal pulse rate for ages adolescent above is

A

60 to 100

66
Q

What are common complications of providing artificial ventilation with a bag-mask device?

A

improper positioning of the head
decreased cardiac output from increased intrathoracic pressure
gastric distention

67
Q
A
68
Q

positive pressure ventilation may result in

A

decreased blood return to the heart/preload

decreased blood pressure

69
Q

true or false: peripheral edema is a result of left ventricular heart failure

A

false, pulmonary edema is

70
Q

Common signs and symptoms of pancreatitis include which of the following?

A

nausea and vomiting
abdominal pain that worsens after eating
severe pain in the URQ that radiates to the back

71
Q

Severe pain in the upper left abdominal quadrant that radiates to the jaw is associated with

A

spleen injury/cardiac ischemia

72
Q

The V1 lead should be placed

A

fourth intercostal space, right sternal border

73
Q

The V2 lead should be placed

A

fourth intercostal space, left sternal border

74
Q

The V3 lead should be placed

A

between V2 and V4/ between the fifth and sixth ribs

75
Q

The v4 lead should be placed

A

fifth intercostal space, left midclavicular line

76
Q

The V6 should be placed

A

the fifth intercostal space, in the midaxillary line

77
Q

the V5 shoul dbe placed

A

fifth intercostal space at the anterior axillary line

78
Q

symphathomimetics such as____ are characterized by___

A

coke, meth,epi, albuterol

hypertension, tachycardia, DILATED pupils, agitation

79
Q

Which of the following is correct regarding the difference between Diabetic Ketoacidosis (DKA) and Hyperglycemic Hyperosmolar Nonketotic Syndrome (HHNS)?

A

ketones are present in DKA and not HHNS

blood glucose is higher in HHNS

note that both have tachycardia

80
Q

A type II ambulance

A

a standard von chassis all in one piece

81
Q

a type I ambulance

A

is a conventional truck-cab chassis separated from the pt compartment

82
Q

a type III ambulance

A

a van chassis separated from the pt compartment

83
Q

diverticulitis occurs when ___ symptoms include

A

small bulging pouches develop in the digestive track
nausea/vomiting
abdominal tenderness, fever, diarrhea

84
Q

spine anatomy

A

cervical 7, thoracic 12, lumbar 5, sacrum, cocyx

85
Q

medial means

A

toward the midline

86
Q

lateral means

A

away from the midline

87
Q

rule of 9s adult

A

head 9
18 front torso, 18 back,
9 arms
18 legs
1 groin

88
Q

rule of 9s pediatric

A

18 head
9 arms
18 torsos front 18 torso back
14 legs