Paramedic Flashcards
(148 cards)
A patient with a history of congestive heart failure c/o shortness of breath. The Auscultation reveals a popping sound similar to hair being rubbed between the fingers. Which of these best describes that finding?
Crackles
A condition marked by right sided hearted failure due to long term high blood pressure in the pulmonary arteries and right ventricle is known as which of the following?
Cor Pulmonale
This is released by the heart in an electrical injury
Potassium
A 24 y/o patient presents with a sudden onset of non-radiating chest pain. The patient is tall, thin, and reports being physically active prior to this event. The patient denies any cough, medications or allergies. VS: BP 136/80; P 112; R 32 and shallow; SpO2 94%. Breath sounds are diminished on the right and clear on the left. What should a paramedic suspect?
Spontaneous pneumothorax
An alert 66 y/o patient is c/o weakness and palpitations which began 15 minutes ago while shopping. The patient has a history of cardiovascular disease and denies any medications or allergies. Skin: cool, moist; BP 118/64; P 180 and regular; ECG narrow complex tachycardia; R 24; SpO2 96%; lung sounds are clear and equal. Which of these is indicated next?
Adenosine
Rapid administration of benzodiazepine may cause which of the following adverse reactions?
Hypotension
A geriatric patient presents with recent onset altered mental status. VS: BP 110/72; P 128 and bounding; R 34 with clear breath sounds; Skin is warm, dry and flushed. History includes a urinary tract infection and pneumonia. What should be suspected?
Septic shock
Which of these occurs when epinephrine and norepinephrine are secreted in response to hypoperfusion in hypovolemic shock?
Blood vessels constrict
A crash victim is unconscious, pale, and diaphoretic. The patient has a bruise across the distended, tense abdomen. VS: BP 86/62, P 132, R 28, SpO2 92%. What type of shock should a paramedic suspect?
Decompensated
A patient inhaled ammonia and chlorine in a closed room. He presents with severe ventilatory distress, hoarseness, brassy cough, stridor and diffuse wheezes in all lung fields. VS: BP 150/84, P 92, R 32. After assuring your own safety, which of these should you do first with this patient?
Secure airway and administer oxygen
A 54 y/o patient has a productive cough and has smoked two packs of cigarettes per day since age 18. The patient’s feet and ankles are swollen; the patient cannot lie flat in bed and must sleep on three pillows. On physical exam, the patient has JVD. Breath sounds reveal generalized wheezing, skin is warm and dry with dusky nailbeds; and SpO2 88% on RA. Which of these is the most likely cause of JVD and edema in this patient?
Right ventricular failure
A 23 y/o patient is complaining of an acute onset of severe shortness of breath and sharp right sided chest pain after a cross country flight. The patient has no prior medical history. The patient smokes and is on birth control pills. VS: BP 126/90; P 124; ECG ST; R 32 and labored; SpO2 90%. Lung sounds are clear bilaterally, skin is pale, cool and diaphoretic. What should a paramedic suspect?
Pulmonary embolism
Which of these is a major cause of mortality after a traumatic duodenal rupture in addition to hemorrhage?
Spillage of intraluminal peritoneum
A 28 y/o patient presents with an acute onset of shortness of breath, hives, and itching on the face, neck, and palms following dinner. The patient has edema of the lips, tongue, and eyelids, facial flushing and stridorous respirations. She is anxious, lightheaded, and struggling to breathe. VS: 86/palp; P 128; R 48; SpO2 82% on room air. Breath sounds are bilaterally diminished. Which medication should a paramedic give first?
Epi 1:10,000
After delivery, a paramedic notices that a newborn’s heart rate has dropped abruptly, skin has become blue and blotchy, and respiration has stopped. After drying the infant, spontaneous respiration occurs. What does this assessment describe?
Secondary apnea
What is the function of insulin on the cellular level?
Allows glucose to enter the cell
Swelling in the big toe?
Gout
Dromotropy
Speed of impulse transmission
Chrontropy
Positive of negative effect on the heart rate
Inotropy
Affects the cardiac cantle force
Ventilation/Perfusion mismatch
Pulmonary embolism
When assessing a patient, you notice the patient has difficulties breathing, they are sweating excessively, coughing up blood, orthopnea, pink worthy sputum, and appear to have signs of anxiety. Which of the following conditions is present in this patient.
Pulmonary edema
A condition caused by partial cutting of one side of the spinal cord resulting in sensory and motor loss to that side of the body
Brown-Sequard syndrome
Monitor shows VTACH rhythm
Synchronized cardio version at 100 joules
