Part 1 Flashcards by Beverly Gunter

You are called to scene of a 56 yr old male. When you approach, you notice he is in fetal position with a trash can in front of him on the floor. He tells you that he has been having right lower quadrant pain and vomiting for the past several hours. Upon assessment you notice he has rebound tenderness. What do you suspect?

Appendicitis

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You are called to the scene of a 56 yr old female who is severe shortness of breath. You walk in and note that she is tripod position, speaking in one to two word sentences. She is cyanotic, audible wheezing and resps of 42. Her airway needs managed how?

BVM at 15lpm

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You are called to scene to assist a 34 yr old male who is sitting at his desk in a cold sweat. You notice that he is pale, cool and clammy. He tells you that he has had a persistent cough for the last 4 weeks since being released from jail. Today he started to cough up some pink foamy stuff. He is fevered and weak. What should you treat him for?

Tuberculosis

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Place an N-95 mask on yourself and a surgical mask on your patient

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You are transporting a 23 yr old male who is the passenger of a car involved in an auto accident. He is complaining of left upper quad pain from his seat belt. His blood pressure is 88/60, pulse 145, resps of 20. Given this information, what should you suspect?

Spleen rupture

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Chest pain is caused by what?

Not enough oxygen to the heart

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During your patient’s seizure you need to do what?

Clear the area so they don’t hit anything and let them seize

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s a basic EMT you are able to treat for shock. What are the steps you should take to do so?

Place the patient in supine position, give 15 lpm of oxygen and keep them warm.

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You have a patient who is have an evisceration. You know that you should treat this how?

Wet, sterile dressing covered with an occlusive dressing

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You are on scene of a 35 yr old female pt who is complaining of lower abdominal pain, cramping and bleeding. When asked, she states that there is a possibility that she may be pregnant. What should you suspect?

Etopic Pregnancy

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15 lpm oxygen position of comfort, and emotional support

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You are on scene of a female patient who is complaining of nausea, vomiting and right upper quadrant pain. She states that she has had fast food almost everyday for the last week do to her work schedule. While doing your OPQRST, she tells you that she also has right shoulder pain. You suspect what?

Cholecystitis

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You have been doing an assessment on a male patient who is complaining of severe left flank pain. He is pale, cool and clammy. He states that his pain is a 10/10. When asked about his last oral intake, he tells you that he’s been drinking a ton of pop and coffee the last few days trying to stay awake to study for his final at school. What should you suspect?

Kidney stones

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When a patient has certain sound or smell right before they have a seizure, this is knows as a what?

Aura

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Which is NOT a cause of altered mental status?

Broken Femur

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You notice that your trauma patient does not have a pulse in his left arm that is deformed. You should…

Make an attempt to manually realign

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You are assisting in an assessment of a baseball player who took a line drive to the chest. When you arrived at his side, you find that he is pulseless and apneic. You know that this is probably due to what?

Commodo cordis

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You are assisting in an assessment of a baseball player who took a line drive to the chest. When you arrived at his side, you find that he is pulseless and apneic. What is the first line treatment for this patient?

Immediately begin CPR and attach an AED and defibrillate

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You are called to the scene of a diabetic patient. When you arrive at the patient’s side, you notice that they are slow to respond, pale, cool and clammy. Just on these finding alone, you can suspect what?

Hypoglycemia

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You are on scene with a 75 yr old female. She is complaining of having severe side pain that radiates to her back. She is pale in color and looks extremely unkept. You notice a strong odor of urine and stacks of empty beer cans. You can suspect what?

Pancreatitis

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You have a patient that is a multi-trauma patient with several broken bones. How should you splint this ?

To the backboard

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How many compressions do we want to achieve in one minute of CPR?

100-120

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You are treating your patient for chest pains. You know that the dose of Nitro is what?

0.4mg sublingual

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Speaking to adult protective services about the care of an elderly adult patient who you suspect is not being taken care of by themselves or family is an example of being what?

Patient Advocacy

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You are called to the scene of a man down. You are guided to a male patient who is laying in the middle of his front yard next to a push lawn mower. You note that it is approximately 105 degrees out! As your partner controls c-spine and airway management, you do a rapid trauma assessment. During your assessment, you find it weird that for as hot as it is outside, your patient's skin is hot and dry. His shirt however is soaked in sweat. You know that he is most likely suffering from what?

Heat Stroke

You are called to the scene of a man down. You are guided to a male patient who is laying in the middle of his front yard next to a push lawn mower. You note that it is approximately 105 degrees out! As your partner controls c-spine and airway management, you do a rapid trauma assessment. During your assessment, you find it weird that for as hot as it is outside, your patient's skin is hot and dry. His shirt however is soaked in sweat. After scene safety, what is your first priority for this patient?

Get him out of the hot environment

You have placed an occlusive dressing on a patient with an open chest wound. While bagging the patient, you notice that you are now getting resistance to the bagging. You have re-positioned the head without any change. You should do what?

Lift the corner of the occlusive dressing to "Burp" the dressing

You are on scene with a female patient who is complaining of a severe tearing back pain. She is pale, cool and clammy. You notice a pulsating mass in her left lower quadrant. What should you suspect ?

AAA

While transporting your patient who was involved in an automobile roll over accident, you noticed that his blood pressure is 110/76, Pulse of 115, and resp rate of 20. He is pale, cool and clammy and extremely anxious. You know he is in what shock?

Compensated

You are called to a scene of an auto accident. Upon arrival on scene, you first respond to the scene find a 32 yr old patient who is critically injured in the driver's seat. Upon further assessment, you realize that the patient is someone that you cannot stand and have had issues with for several years. You are still obligated to treat this patient do to:

Yes, you have a Duty to Act

You are called to scene of a male patient who is not feeling right. He states that he is allergic to peanuts and just ate something that he thinks had peanuts. He is alert and oriented but anxious. He states that he is not having any difficulty breathing. He has hives, red skin and watery eyes. His blood pressure is 90/40, pulse of 122, resps of 24, spo2 of 98% on room air. He states he doesn't currently have and shortness of breath. You suspect what?

Anaphylaxis

You are responding to a male patient who is a known diabetic. He is alert but disoriented. When you take a glucose, your glucometer read "High". You notice that while he spoke to you, you smell a fruity, nail polish remover smell on his breath. His skin is hot and dry. What do you suspect?

Diabetic Ketoacidosis

You notice that your patient has trachea deviation on your rapid trauma assessment. You know that this means what?

Pneumothorax

Your 18 yr old female is experiencing vaginal bleeding and abdominal cramping. Every now and again she has a pain in her lower back. She states that she has not had a menstrual cycle in over a month. She has a scheduled Dr's appointment to confirm pregnancy in a month. You may be able to suspect what?

Etopic pregnancy

Your patient has had a productive cough on and off for the last several months. She has been coughing up yellow sputum. She denies ever having a fever. Her lungs present with a thick Rhonchi. She said she had been to the Dr multiple times and has been given an inhaler and several steroid treatments. You suspect that she probably has been treated by her Dr for what?

Chronic Bronchitis

You must always transfer care off to someone of your same level or higher, or you could be found guilty of

Abandonment

You are on scene of a 3 yr old patient who is fevered and has a rash. The mom states that every time she picks her up, she cries harder. She also said that she noticed yesterday that her daughter would not move her head. You know that she most likely has what?

A Communicable Disease

You are treating a female patient who was involved in an auto accident. While doing a rapid trauma assessment, she stated that she could not feel you touching her legs. Her vitals are 94/76, pulse 124, resps of 31. You know that she is suffering from what?

Neurogentic Shock

You have a patient with unequal chest rise and fall after he was ejected off his motorcycle. You should recognize this as what?

Pneumothorax

You are transporting a 23 yr old female. She is 35 weeks pregnant. She states that she was cleaning the nursery and fell off a step stool that she was standing on. She felt a tearing pain in her stomach and has had cramping and painful bleeding ever since. You should suspect what?

Abrupto Placenta

You are responding to the local equine training facility for a female patient who was kicked in the chest by a horse. You arrive on scene and secure c-spine and airway. The patient has equal chest rise and fall. You assessment reveals and irregular and fast pulse and JVD. She has an altered mental status. You would suspect what condition?

Cardiac Tamponade

You have a 35 yr old female patient laying on the floor crying in pain. She says she has severe left sided flank pain and is fetal position. While taking her history, she states that she drinks a lot of Pepsi. What do you suspect?

Kidney Stones

You have been called to the local shopping center for a male pt having severe chest pain and shortness of breath. During your assessment he states that his pain is in the center of his chest and in his arm and jaw. He has had 2 MI's in the past and says this feels just like the last one. What should you expect?

He is having another Myocardial Infarction

Your patient is a 67 yr old female who is complaining of shortness of breath. While doing your assessment you notice that she has pedal edema and pulmonary crackles. You can tell that she has had a pink frothy sputum. She states that she cannot lay flat. When she speaks, she is speaking in 2 to 3 word sentences. You notice that she has been sleeping in the recliner at night. You know that this is called Orthopnea. Her vitals are resps 38, pulse of 124 and spo2 of 68%. Most patients who have these symptoms are diagnosed with what?

Congestive Heart Failure

C-Pap

Which patient would best benefit from a C-pap?

A CHF patient with spontaneous resps

Your 71 yr old patient tells you that he has been having on and off chest pain. He states that he has been moving boxes all day and every time he walks up the steps, he gets chest pains. If he sits down they go away but as soon as he starts to walk again, they come back. This is known as what?

Pectoral Angina

Your 13 yr old male patient was running in a track meet when he started to have severe shortness of breath and a cough. When you arrive at his side, you noticed that he has forceablely coughing and has expiratory wheezing. He has peripheral cyanosis. He states that he needs his inhaler. He most likely has what condition?

Asthma

You respond to a female patient who is covered in hives and has itchy skin. Her eyes keep watering. Her vitals are 128/84, pulse of 101, resps of 20 and spo2 of 98% on room air. She denies any shortness of breath. She is experiencing what?

Allergic Reaction

What does the Term MDI stand for?

Meter Dose Inhaler

A "MDI' medication would be used for a patient suffering from what?

Breathing Problems

You are transporting a 23 yr old female pt from the scene of an auto accident. She is getting slower to respond to questions. Her skin is pale, cool and clammy. You notice that her abdominal cavity is ridged and distended. Her blood pressure is 90/54. Pulse 145 and resps of 30. You note that she is in what type of shock?

Decompensated

Hypovolemic Shock

You are on scene of a male patient who is complaining of an acute onset of shortness of breath. The patient is cyanotic and diaphoretic. You place him on 15 lpm of oxygen and begin getting his history. He states that 2 weeks ago he had his appendix removed and has been in bed ever since. He said that his pain has been so bad that he hasn't felt like moving. This morning his pain had subsided so he decided to get up and start moving around and cleaning up the house. That's when is difficulty breathing started. He has equal chest rise and fall however diminished lung sounds on the left side. Based on his history, you know he most likely suffered what?

Pulmonary Embolism

You are on scene of a patient having shortness of breath. You notice that the house has a strong odor of cigarettes. Your patient has a barrel chest, club fingers, and he has pursed lip breathing when he exhales. He is cyanotic and in tripod position. You should suspect that the patient has what?

Emphysema

You are transporting a 32 yr old female patient who is 28 weeks pregnant. She states that she has been having painless bleeding for the last few hours and is worried she may be losing the baby. Her blood pressure is 128/80, pulse of 124 and resp rate of 24. What do you suspect is going on with this patient?

Placenta Previa

Your patient is a 56 yr old female who had fallen approximately a week ago bruising her ribs. For the last week she has had a dry cough. Today she is short of breath. She has diminished lung sounds and feels hot to the touch. You suspect what?

Pneumonia

You are called to scene of a male patient who has had a sudden mental status change. The family stated that he was having dinner with him and during conversation, he started to stare off in the distance. He did not respond to them when they tried to speak to him. Your assessment reveals facial drooping, left sided weakness and the patient is unable to follow commands. You should treat him for what?

CVA

You are called to the scene of a MCI. You are helping triage patients. You have a male patient that is unresponsive, pulse of 122 and resps of 30. This patient is tagged what color?

Red

When you are transporting a patient who has a sudden mental status change, the first thing that you should do is what?

Go back and reassess the ABCs

Your 3 yr old patient has been lethargic and slow to respond. The patient's mom stated that this morning she noticed that he has has drooling but stated that he has all his teeth so she's not sure why he's drooling. You know the drooling is a sign of what?

Epiglottitis

We know that the number one cause of pediatric cardiac arrest is what?

Respiratory issues

Your 56 yr old patient has noticeably jaundice skin color. You know that which organ is failing?

Liver

The size of a landing zone should be what?

100' x 100'

You are on scene of a 81 yr old female who has been vomiting for the last 2 hours. You notice as you walk in and get your general impression that she is pale and appears clammy. Her blood pressure is 92/56, pulse 134 and resps 24. She is alert to voice. While packaging her for transport you notice that the vomit in the trash can beside her looks like coffee grounds are floating in it. You know that she most likely has what?

Upper GI bleed

You are on scene assessing an 18 yr old female with severe abdominal pain. While doing her assessment and palpating her abdomen, she screams in pain when you release the pressure. You note that you are over the umbilical area. This could be a sign of what?

Appendicitis

What is the best way to assess a patient with abdominal pains?

Start the furthest away from the pain and end with the painful area

Your difficulty breathing patient has pulmonary edema, rales in her lungs and some pedal edema. Upon further inspection you notice that she has JVD. You should suspect what?

Right sided heart failure

You are on scene of a burn patient. Their front torso and front left leg is burnt. You know this is what percent?

27%

What is the best way to treat the burn patient?

Cover in a dry sterile dressing

Your 16 yr old patient is having bleeding and cramping that is outside her normal menstrual cycle. The patient states that she is not sexually active and there is no chance she is pregnant. Her vitals are stable. She is alert and oriented, pink, warm and dry. She says her cramping and abdominal pain is a 4/10. She most likely experienced what?

Rupture ovarian cyst

Your 45 year old patient has called 911 for lower abdominal pain that is a 7/10. When you arrive on scene, you notice that she is shuffling around the house when she tries to walk. She tells you when you are assisting her to the cot that she has had a yellow vaginal discharge the last 2 days. She has also had a fever and painful urination. She could be suffering from what?

Pelvic Inflammatory Disease

You are assessing a pediatric patient who is 2 months old. You suspect dehydration do to sunken in fontenelles. You decide to assess the reflexes. When you put your finger in their hand and they grip it, you know this as what type of reflex?

Esophageal Varcies

You have just assisted you patient with an epi pen. You know what?

The dose is .3 - .5mg, given in the thigh, jitters and tachycardia are both normal

Your 22 yr old patient is laying on the couch with severe abdominal pain. He said it's been on and off the last several days so he figured it was just stress from work. You notice several fast food bags and pizza boxes on the nearby counter. When asked, pt states that it hurts worse after he has eaten. You know this is probably what?

Cholecystitis

Another word for shock is what?

Hypoperfusion

Your 2 yr old patient has a seal like barking cough. You know that this is a sign of what?

Croup

You are scene of a multi-systems trauma. You know that you need to limit your on scene time to what?

10 mintues

You have an alert and oriented patient having chest pains. His wife called 911 for him to be transported. When you arrive at his side, he is angry that his wife called 911 and asks you not to touch him, but that he has heartburn and does not need 911. What should you do?

Explain to the patient the possible outcomes of not getting treatment for a cardiac issue

You are on scene with your partner working a cardiac arrest on a 9 month old baby. You know that your compression ratio to breath ratio is what?

15:2

What are you indications to giving oral glucose?

Alert enough to follow commands and history of diabetes

If you continue treatment on an alert and oriented patient after they have refused treatment, you could be charged with what?

Assault and Battery

Who is charged with Developing the National standards for EMS?

Department of Transportation

You will use a BMV on a patient who is breathing less then ____ or more then ____ times a minute.

8 - 24

The center line of the body is known as what?

Medial Line

Your patient is unresponsive and unable to give consent to treat. You can treat this patient under what consent?

Implied

You are on scene of a hazmat incident. What book can you look in to see what the placard states the vehicle is carry?

North American Response Guide

You have a female patient is breathing 4 times a minute and unresponsive. You note that her pupils are pinpoint. Family says she is a drug addict. What do you suspect?

Narcotic overdose

You are first on scene and by yourself on a pulseless and apneic patient. What is the best way to ventilate this patient?

Pocket Mask with 15 lpm

You arrive on scene of an auto accident. You are directed to a car with 2 people. Both people are found to be alert and oriented when arrive at their side. The driver is complaining of minor neck pain. The passenger has no complaints at all other then a seat belt rash. What type of move would you do with this patient?

Non-emergent

You are on scene of a 45 yr old male who is the victim of a shooting. During your rapid trauma assessment you notice that he has bubbling bleeding coming from this chest. You should

Immediately place a gloved hand over the wound

You are on scene of a 45 yr old male who is the victim of a shooting. During your rapid trauma assessment you notice that he has bubbling bleeding coming from this chest. Best treatment for this patient is?

An occlusive dressing over the wound

What is the amount of air moved in and out in one breath?

Tidal Volume

What level of EMS does the use of advanced airways, IVs and drug administration start?

AEMT

When giving activated charcoal, you know that it must be given only to patients who have ingested what?

Solid pills

Your patient is a victim of an organophyphate poisoning. You noted that they have SLUDGE-M. You know that the M stands for what?

Miosis

You are giving aspirin to a chest pain patient. You know that the correct dose is what?

4 baby asa at 81mg each

What is the most important part of the primary assessment?

Finding and treating Life Threats

Part 1 Flashcards

(98 cards)