2 Flashcards
Know the S/S of increased intercranial pressure
HIGH BP and LOW HR
Guarding the opening of the trachea is a thin, leaf-shaped valve called the
Epiglotitis
A patient with a long bone fracture may suffer from a
Fat embolism
The pulmonary arteries carries
deoxygenated blood to the lungs
One pint of blood is
500cc’s
Minute volume’s
Respiratory rate x Tidal volume
Kidney’s rely on perfusion during the
systolic phase of blood and blood pressure
Sudden onset of wheezing in one lung is
Foreign Body Inspiration
The medical term for coughing up blood (pink, blood filled sputum) is
Hemoptysis
All are microorganism except
Erythrocytes
In a patient with myocardial infarction, the information the doctor can obtain over the radio is
Present complaints and history
Dehydration has the following signs except
JVD
A patient presents with rapid onset dyspnea, Urticaria (hives), tachypnea, and a blood pressure of 80/60. This patient is suffering from
Anaphylactic Shock
Vomiting usually occurs during removal of an
EOA
Pulse pressure is the
Difference between the systolic and diastolic
If there is a question about which of the 5 or 6 P’s pick
Pressure (it was on the test but cannot remember the question but other people have told me the answer is Pressure)
The whistling sound associated with asthma is called
Wheezing
The purple colored lesions on the face and body from AIDS is called
Karposi Sarcoma
Pale skin (pallor) is caused by
Vasoconstriction
All are clinical signs of shock except
Constricted pupils
Usual MAST deflation sequence is
Abdomen, right leg, left leg (inflation is left leg, right leg, abdomen)
The rate of KVO is
10mL/hour
When starting a tourniquet (venous constricting band) it is applied so
That it occludes venous return, but allow arterial flow
The oxygen delivery device used for emphysema is the
Nasal cannula or venturi mask
The technique that will not help distend a vein for Venipuncture is to
Elevate the arm
A mini drip IV set delivers
60gtts/min
Carpal pedal spasm are caused from
Respiratory alkalosis and hyperventilation
Do not give a subQ injection to a patient that is in
Shock
The patient has blood gases of pH is 7.15, PCO2 is 60, PO2 is 60. The patient is in
Respiratory acidosis
Use an EOA when patient had overdosed on
Valium
The major hazard involved in a catheter through the needle system is the chance of
Catheter embolus
A patient has been intubated and only breath sounds are heard on the right side of the chest. You should attempt to fix this by
Pulling back the tube slightly and listening again
External jugular vein is not a
Central line
When intubating a child under 8, you should use an
Uncuffed tube
When you intubate a patient, it is not a must to
Use a Miller laryngoscope
A local complication of using an IV does not include
Causing sepsis
The patient has blood gases of pH-7.00, PCO2-35, PO2-95, HCO3-12. The most appropriate immediate action is to give
Sodium Bicarbonate
One of the indications for the MAST suit is
A pelvis fracture
The correct placement of a laryngoscope blade is
The Valecula
The patient with COPD has his respiratory drive triggered by
Decreased oxygen levels
A patient in a motorcycle accident. He has lacerations to his head that is actively bleeding. His vitals are, BP 80/40, P 110. Treat him by giving
actated Ringers wide open.
Hyperventilation helps to correct
Respiratory acidosis
The IV solution closest to blood plasma is
Lactated Ringers
A common side effect of Bretylium is
Postural hypotension
Common side effects of EPI subQ (SQ) or IV are
Palpations and high blood pressure
You are to draw up 400mg Dopamine that comes 25mg/cc. The number of cc’s you will draw up to put in the bag is
16cc’s
A major side effect of certain types of diuretic therapies is
Hypokalemia
The drug of choice for treating hyperkalemia is
Calcium Chloride
One of the adverse reactions of Isuprel is not
Bradycardia
Atropine works by
Blocking the effects of the vagus nerve
A 60 y/o patient complains of palpitations. His P-145, BP-110/60, R-24. He also has wide complex tachycardia. Treatment would be
Lidocaine 1-1.5mg/kg
In a chronic heroin user, the use of Narcan can cause
A withdrawal reaction
All of the following are true regarding Lidocaine, except that it
Decreases cardiac function
A 9-month pregnant pt has seizures. The treatment should be
Valium 5-10mg
A migrant worker has been picking tomatoes. He suddenly complains of a headache and dizziness. Upon a physical exam, he has a strong, bounding pulse and hot, flushed, dry skin. He also begins to have seizures. Treatment of this pt would not include using
Diazepam 15mg IV (Heat Stroke)
The most appropriate indication for ammonia ampules would be to
Terminate a syncopal episode
Narcan is used to reverse the respiratory depression of
Darvan
An individual with unknown drug is in respiratory distress, hypotensive, and in a stupor. He also has pinpoint pupils. The paramedic might suspect a
Morphine overdose
Narcan is effective in reversing the effects of
Narcotics and Opiate based derivatives
The pharmacological treatment of anaphylactic shock is
EPI and Benadryl
The fastest route of administration of the following IM, SQ, SC, ET is
ET
A side effect of a small pupils is not an affect of
Valium
Isuprel is used in
Bradycardia
You give 25gm of Dextrose from a 100cc amp of 50% Dextrose
50cc’s of Dextrose will be given
A drug used to decrease intracranial pressure is
Mannitol
An adult dose of activated charcoal is
1gm/kg
Lasix does not
Increase preload
Mallaril and Thorazine are in the category of
Tricyclic antidepressant
Common treatment of Tricyclic antidepressant overdose is
Sodium Bicarb
Two common Tricyclic antidepressant are
Elival and Tofranil
The first drug pediatric bradycardia is
Oxygen
Early signs of Lidocaine toxicity are
Tremors and parasthesia
A side effect that is not common of Atropine is
Bradycardia
The pediatric dose of subQ EPI is
0.01mg/kg
Isuprel is a
Beta stimulator
A doctor orders 1000mg of a drug. The drug comes packaged as 0.5gm/cc. the number of cc’s given will be
2cc’s
All of the following are acceptable indications for the administration of IV Nitro except
Ventricular Dysrhythmia’s (pain relief in unstable angina, PE, MI were the other choices)
The route that is not a parenteral route of drug administration is
Oral
A pt chief complaint is midsternal chest pain. The monitor shows sinus bradycardia with PVC’s, P 40, BP 90/60, and R 22. The first drug to administer is
Atropine
Do not use Lidocaine for
Bradycardia with PVC’s
Narcan reverse the effect of all except
Valium
A needle inserted into connective tissue is called
Subcutaneous
The pediatric dose of Lidocaine (1mg/kg) for a 20 pound child is
9mg
Norepinephrine is classified as an
Alpha and beta stimulator
Mag sulfate is used to treat
Calcium channel blocker overdose
Death could occur if along with alcohol, a person takes
Morphine and/or Valium(potentiating)
A pediatric dosage of subQ EPI is 0.01mg/kg. The patient weighs 57 lbs. The amount of EPI given is
0.3mg
The Lidocaine dose for pulseless V-Tach (and V-Fib) is
1-1.5mg/kg
The need for increasing the amounts of a drug in order to achieve a desire effect is called
Tolerance
When beta-receptors are stimulated
The heart rate increases
All bronchodilators except
Benadryl
Verapamil is contraindicated for
Wolff-Parkinson-White Syndrome (WPW)
An athlete has fallen and injured his ankle. His BP 120/80, P 50, and skin are warm and dry. Treatment is to
Splint the ankle and transport
A pediatric ingests lye by mouth. The best treatment is t
.Give milk (this question popped up on the State test in Nov. of 2008)
Verapamil and Adenocard are used to treat
VT
The adult dose of EPI in asthma is
0.3-0.5mg
In addition to Lasix, all of the following are used to treat pulmonary edema except
Solu-Medrol
The characteristic of an ectopic pregnancy can be all of the following except
Third trimester pregnancy
An appropriate action when dealing with a child is to
let the mother and father to travel with the baby
The common cause of convulsions in a child 6 months to 6 years is
Febrile illness
A child complains of “bells ringing in the head” and is hyperventilating. This can be caused by an
ASA overdose
In pediatric arrest, the initial dose of Sodium Bicarb is
1mEq/kg
When rescue arrives, a woman is found to be in childbirth with a prolapsed cord. You should not
Try to push the cord back inside.
The fundus is massaged after placental delivery in order to
Control bleeding
Pediatric weight in 6 months should
Be double the birth weight
The pediatric dose of Lidocaine is
1mg/kg
The most dangerous disorder causing upper airway stridor is
Epiglottitis
Abrupto placenta is presented by
Abdominal pain and dark red bleeding (if any)
Along with pitocin to help control postpartum hemorrhage, you should
Massage the fundus and place the baby on the mother’s breast
Care must be given when examining a child with a swollen epiglottis because this may cause
Laryngospasms that are common in children with Epiglottitis
SIDS occur in children most frequently under
6 months (range of SIDS is up to 1 year)
When the baby’s head is delivered, the paramedic should support the head by
Distributing his fingers evenly around the head
In normal delivery of a baby, the head should be
Face down
Using EPI to treat respiratory ailments
A “failure” suggests bronchiolitis and “success” suggest asthma
The paramedic should palpate the infant’s pulse by the
Brachial, carotid, or radial (depending on the child’s size)
When opening the airway of an infant do not exaggerate the head tilt because this
May obstruct the breathing passages
Normal delivery of a full-term infant 1 min. after delivery finds that it’s body is pink, extremities are blue, P 120, and is crying lustily while jerking it’s arms and legs. The APGAR score is
9
The stage whose ending is marked by the delivery of the placenta is the
Third stage
You are called at 3am to a female with pain in her lower abdomen, bloody urine, and fever of 2 days. The physical exam reveals tenderness over the bladder and otherwise normal vitals except for a temperature of 100 degrees F. She also states that she “may be pregnant.” Due to the signs and symptoms, you should suspect
Inflammation of the bladder
A 3 y/o is suffering from an asthma attack. The dose of EPI 1:1000 is
0.01mg/kg
A 6 y/o was burned. He has blisters on arms and hands, blistered chest and abdomen. The rule of nine states that his burn percentage is
0.27
You are transporting a multigravida whose last 2 childbirth were C-Sections. She appears near full term and has contractions every 3-4 min. apart. She complains of a tearing pain in her lower abdomen and she begins to go into shock. This suggest
uterine rupture
All of the following cause uterine bleeding during the first trimester except
Placenta Previa
A 23 y/o female who is obese and approximately 6 months pregnant just had a grand mal seizure. Her P 145, BP 240/130, and has edema of extremities. She can be diagnosed with
Eclampsia
Treatment of the #617 patient with all of the following except
Attempting to open her mouth with a padded tongue depressor
The normal time of labor for a women having her first baby is
18 hours
If a baby is having difficulty with shoulder delivery, assist by
Gently pressing the baby downward
Thrombi arising in deep veins of the legs are most likely to migrate to the
Lungs
Emesis should be induced for the ingestion of
Salicylate (ASA)
Rapid cooling of a heat stroke patient is done to prevent
Irreversible brain damage
As you assess your trauma patient, you determine his GCS. He is awake but confused; he obeys commands, but when not stimulated, he falls to sleep. He responds to voice by opening his eyes. What is his GCS?
13
A patient has sustained a stab wound of the neck that has lacerated the jugular vein. He is suspected of having an air embolism. The appropriate treatment is
Applying pressure to the wound and positioning on the left side
Which of the following decreases during the 3rd trimester of pregnancy
B/P
According to OSHA, what must be available on site where hazardous materials are stored?
MSDS
All of the following are true regarding electrical burns except
there is more external than internal damage (there is an entrance and exit wound, it may cause V-Fib, path of electricity may follow nerve pathways…where other answers)
When do you NOT give Lidocaine?
PVC’s with bradycardia
What is the most serious complication of a joint injury?
blood vessel damage
What is the best way for a paramedic to prevent an anaphylactic reaction when giving medications to a patient?
ask about allergy history
A telemetry system in which voice and an EKG can be transmitted from the field to the hospital at the same time is an example of a
multiplex system
A major side effect of Lasix is
Hypokalemia
Flat neck veins are common to all of the following except
cardiac Tamponade (dehydration, hypovolemia, Hemothorax…..where other answers)
The key to effective management in a disaster situation is:
the communication system
Which is corrected with hyperventilation?
respiratory acidosis
What do you do for a patient who has a partial upper airway obstruction (adult) with a good exchange?
encourage coughing
You have just delivered a newborn whose mother was hypovolemic due to blood loss. What is the recommended fluid replacement for this newborn?
10cc/kg
Narcan is used to reverse the respiratory depression of:
darvon
Poor airway compliance is found frequently in all of the following conditions except:
pleuritis
The pediatric dose for atropine is:
0.02mg/kg
A patient needs increased amounts of a drug to achieve the desire effect. This is known as
tolerance
Which of the following is NOT a normal part of the “fight-or-flight” response?
pupils constrict
What is the name of the tower that increases the transmission range of a portable or mobile radio?
repeater
You are called to treat a 22 y/o female with sudden onset of LLQ pain. She is 2 weeks late for her period, and is shocky. What is the most likely diagnosis?
ectopic pregnancy
All of the following are side effects of Verapamil except:
tachycardia (hypotension, dilation of coronary arteries, bradycardia….where the other answers)
Pale skin (pallor) is caused by:
vasoconstriction
You are examining an EKG strip where the P-R interval progressively gets longer until a QRS is dropped. This rhythm is known as all of the following except:
complete heart block (mobitz I, 2nd degree heart block type I, wenkeback…..where the other answers)
Which of the following oxygen delivery devices are most frequently used for a patient with emphysema?
nasal cannula (NRM, simple mask, OPA…where the other answers)
The medical term for coughing up blood (pink, blood-tinged sputum) is:
hemoptysis
Neurological findings that occur during or after dialysis as a result of imbalance of intracellular and extracellular fluids in the brain is known as:
disequilibrium syndrome
You have a patient with apparent injuries from a bar fight. The patient is obviously under the influence of alcohol. The patient refuses treatment and signs a release. Is the release valid?
NO, because he is under the influence of alcohol
Granting of the privilege by physicians to paramedics to perform skills is called:
delegation of authority
Abruptio placenta is a true emergency. It is characterized by:
abdominal pain and dark red bleeding
Movement of air into and out of the lungs depends on:
pressure changes of the thoracic cavity
A legal document that indicates a patient’s end of life request regarding resuscitation is known as:
DNR order
After completing a patient care report, the paramedic realizes that he forgot to enter the drug dose. What should he do?
add a dated and signed written addendum
You are treating a patient in July with hot, dry skin, a temperature of 106 degrees, and unconsciousness. What is the most likely diagnosis?
heat stroke
Your 23 y/o male patient presents with a sharp chest pain of short duration, and SOB. What is the most likely cause of this patient’s problem?
spontaneous pneumothorax
Maintaining equilibrium can be characterized as:
homeostasis
All of the following are schedule I drugs EXCEPT:
COCAINE (heroin, mescaline, LSD…where other answers)
Which of the following bite is most neurotoxic?
coral snake
The most common cause of PID is:
gonorrhea
Treatment of abdominal evisceration should include all except:
replace and cover eviscerating organs
All of the following are signs or symptoms of organophosphate poisoning except:
dry mouth (ABD cramping, diarrhea, constricted pupils….where the other answers)
A fracture of the elbow should always be immobilized:
in the position it was found
A patient presents with pulmonary edema. She should be given:
nitroglycerine to reduce preload
A 55 y/o patient has a pulse rate of 50. There is a P for every QRS and the P-R interval is 0.16. The patient is cold and clammy and the B/P is 70/50. Indicate the rhythm and the initial treatment
sinus bradycardia and atropine 0.5mg
The proper adult dose of EPI for asthma is:
0.3-0.5mg
A seizure which presents the clonic movements of one hand, one arm or leg or one side of the face is called:
focal motor
Which of the following is usually NOT a sign or symptom of increased intracranial pressure?
hypotension (bradycardia, irregular or unequal pupils, vomiting….where some of the other answers)
Supine hypotensive syndrome is caused from:
pressure from the uterus on the vena cava
Which of the following is not a complication of an IV?
hypotension (thrombus formation, cellulitis, infection…..where some of the other answers)
In a patient with COPD, the respiratory drive is triggered by:
a decrease in O2
Which one DOES NOT produce small pupils?
valium (heroin, Demerol, organo phosphates….where some of the other answers)
When intubating a patient, you MUST DO all of the following except:
use a miller laryngoscope (check lung sounds after intubation, check cuff for leaks, ventilate by other means prior to intubation…….where the other answers)
The first compensatory mechanism to be used to maintain homeostasis is:
bicarbonate buffer system
You have an IV running at 50gtts/min. You are using a macro 10. The physician wants to know how many cc per hour your IV is running
300cc/hr
A 55 y/o fell while playing basketball. He injured his right ankle. The skin is warm and dry. B/P 110/80 and pulse rate is 50. All of the following are appropriate except:
atropine 0.5 mg IV (EKG monitor, splint leg, frequent circulation checks….where the other answers)
Narcan reverses the effect of all of the following except:
valium (darvon, morphine, talwin…..where the other answers)
Which of the following is not a side effect of atropine:
sweating (tachycardia, blurred vision, dry mouth….where the other answers)
Hyperthyroidism which causes an increase in thyroid hormone circulating in the blood is also known as:
Graves’ Disease
A patient with a head injury suddenly has a left pupil that is fixed and dilated and the right is slow to respond to light. This is:
neurological crisis
All of the following are opportunistic infections associated with AIDS except:
appendicitis (thrush or monilia, TB, pneumonia….where the other answers)
A 40 y/o female presents with a two week loss of appetite, general malaise and RUQ tenderness. She tells you her stools are clay-colored and her urine is tea colored. What do you think is causing these symptoms?
hepatitis
A psychiatric patient is crying. What should you do?
listen and let him cry
The mechanism of injury can tell the paramedic about the patient’s condition. Of the injuries below, which would most likely occur with a collapsed steering column?
flail chest (basilar skull fracture, ruptured spleen, fractured pelvis……where the other answers)
Atropine works by:
blocking the effects of the vagus nerve
Which of the following infectious diseases are spread by droplets?
measles, mumps, chicken pox
Which of the following is false regarding burns?
there is insignificant damage to underlying soft tissue
When BETA receptors are stimulated, what happens?
heart rate increases
Verapamil is contraindicated in which of the following conditions?
W-P-W
