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Dive Med > Dive med test > Flashcards

Dive med test Flashcards

1
Q

P1 V1 = P2 V2 Or PV = K

A

Boyles Law

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2
Q

Charles Law

A

Charging

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3
Q

Boyles Law

A

pressure and POIS

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4
Q

Daltons Law

A

Mixed Gas

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5
Q

Henrys Law

A

Absorption and DCS

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6
Q

1.3

A

wet

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7
Q

2.4

A

dry

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8
Q

Vitamin E and HBOT

A

Decreases susceptibility to free radicals which reduces CNS O2 tox

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9
Q

RANKINE

A

459.67 or 460

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10
Q

absolute pressure during dive of 72 fsw

A

3.18

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11
Q

What’s the benefit of using air as gas?

A

dive deeper than you can with 100% O2

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12
Q

Which phase of O2 tox includes Edema, Intra-Alveolar Hemorrhage, and destruction of the capillaries?

A

Acute Exudative Phase

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13
Q

Reasons for TT6

A

DCS not relieved

AGE

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14
Q

skin marbling?

A

cutis mam

tx a type II

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15
Q

when tx co poisoning, how is O2 working?

A

Gas Washout

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16
Q

Why use saline in ET tube?

A

So it is non-compressible

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17
Q

Most common side effect of HBOT?

A 
Ear pain
eyes CROAC (central retinal artery occlusion)
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18
Q

What causes middle ear squeeze / otitis media

A

Eustachian tube dysfunction

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19
Q

Cause of Otitis Externa?

A

Wax impaction

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20
Q

Pathological response to formation of bubbles in the tissues?

A

DCS

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21
Q

Caloric Vertigo

A

Change in water temp

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22
Q

Sinus squeeze

A
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23
Q

mild redness in canal post diving, tx?

A

7 days no diving / re-assess

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24
Q

Alka-Seltzer’s cause what in diving?

A

GI / Abdominal squeeze

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25
Q

Decongestants can mimic?

A

spinal DCS sx

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26
Q

Can females take oral contraceptive and dive?

A

Yes, but it increases chance of stroke

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27
Q

Shooting pain in the belly?

A

Ridicular tx as type II

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28
Q

Sx of hypercapnia

A

RUDE-PHS

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29
Q

Dives requiring cardiac monitoring or EKG?

A

Any deeper than 2 ATA

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30
Q

Bilateral myringotomy prior to HBO to prevent perfs, what is the landmark?

A

Anterior - Inferior quadrant of the TM

prevents damage to the connection point of the malleus to the TM

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31
Q

Round window rupture is most often accompanied with…

A

Vertigo

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32
Q

Oval window rupture is less common due the protection from the?

A

stapes

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33
Q

Alternobaric facial palsy tx

A

toynbees maneuver

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34
Q

Pathology of round window rupture is the leakage of the…

A

cochlear aqua duct

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35
Q

High Doses of oral decongestants may cause?

A

Arrhythmia (palpitation / syncope)

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36
Q

THERE IS NO OFFICIAL APPROVED MEDICATIONS LIST

A
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37
Q

Are oral contraceptives safe for diving?

A

yes

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38
Q

Antihistamines and diving?

A

currently considered unsafe, but under some circumstances may be authorized

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39
Q

Anticholinergic effects include?

A

sedation, loss of judgement, and worsening of n2 narcosis sx. (contained in sea sickness patches)

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40
Q

Divers with latent TB

A

May be returned to Diving status in 8 weeks (provided they are stable and “A” symptomatic)

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41
Q

epinephrine is given at what dose

A

concentration of 1:1000
0.1-0.5mg
IM/Sub-cu

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42
Q

Diphenhydramine dose

A

25-50 mg Iv or IM

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43
Q

Solu/Medrol dose

A

125mg IV or IM

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44
Q

Immersion Dieresis

A

250-500cc of fluids per hour

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45
Q

Never use D5W

A
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46
Q

Fluids for all DCS PTs unless?

A

pulmonary (chokes)

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47
Q

LMWH should be used for all PTs w. inability to walk due to any degree of lower extremity paralysis from DCS/AGE

What’s the tx?

A

Enoxaparin 30 mg Subcutaneous

EVERY 12 HOURS

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48
Q

lidocaine not for DCS

A
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49
Q

What’s the lidocaine dose for therapeutic relief of AGE?

A
  • IV 1mg/kg followed by 2-4mg/minute

- IM4-5mg 15 min after dose, lasting around 90 minutes

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50
Q

STEROIDS ARE NOT INDICATED

A
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51
Q

T2

A

Charles law

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52
Q

pressure gradient law

A

henrys

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53
Q

Which DCS is more susceptible to CNS ox tox

A

spinal

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54
Q

sx of pulmonary 02 tox

A
  • end inspiratory discomfort
  • substernal burning and severe pain on inspiration
  • shortness of breath
  • paroxysmal cough
  • sx resolve spontaneously
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55
Q

When could it be indicated to modify tt and take pt off o2

A

when there is pain on inspiration

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56
Q

When a diver is successfully tx for DCS/AGE, how long until returned to diving duty?

A

30 days

57
Q

Diver tx for type 1 DCS, returns?

A

7 days with DMO concurrence

58
Q

What will a pt experience prior to subcutaneous emphysema?

A

mediastinal

59
Q

What must be ruled out prior to HBOT?

A

pneumothorax

60
Q

altitude at which helo must stay when transporting pt

A

1000 ft

61
Q

Non Emergent HBOT tx gets approved by who?

A

BUMED M95

62
Q

what portion of the ear feels the pressure?

A

external surface

63
Q

Vascular penetration

A

expand, leak, burst

64
Q

In middle ear O2 absorption syndrome what does the O2 create?

A

negative vacuum

65
Q

How does barotrauma occur in the inner ear?

A

fluid shifts

66
Q

what is the anatomical landmark that exhibits the narrow passage and transmits CFS?

A

cochlear aqueduct

67
Q

What bone attaches to the oval window?

A

stapes

68
Q

hole / perforation

A

fistula

69
Q

If a diver experiences vertigo lasting for 1 minute or less

A

considered transient, continue dive

70
Q

What is the landmark for alternobaric verigo?

A

inner ear

71
Q

caloric vertigo

A

change in water temp

72
Q

frontal maxillary squeeze, often confuse with?

A

barodontalgia

73
Q

relief of intestinal squeeze

A

flatulence

74
Q

What is the concern with decongestants?

A

cardiac concerns, arrhythmias

75
Q

oral decongestants have minimal effect when compared with?

A

topical

76
Q

NSAIDS are not recommended with?

A

type II DCS

77
Q

what is recommended to reduce free radicals (oxidation) in HBOT?

A

400 mg Vitamin E

78
Q

What is recommended with paralysis?

A

enoxaprin at 30mg (lovinox)

79
Q

Antihistamine are correlated with?

A

drowsiness / N2 narcosis

80
Q

when you enter water and HR drops?

A

Hyper-vagotonic syndrome

tx carotid massage

81
Q

What should be prescribed for deep marine life puncture?

A

antibiotics

82
Q

How long are you NPQ from INH?

A

8 weeks (stable and A symptomatic)

83
Q

All divers must have minimum corrected vision of what?

A

20/25

84
Q

What is the inst for pregnant divers

A

BUMEDINST 6200.15A

85
Q

ADVANTAGE OF DIVING WITH AIR?

A

YOU CAN DIVE DEEPER

86
Q

WHAT IS THE GREATEST DANGER OF CNS O2 TOX IN THE CHAMBER?

A

CONVULSIONS

87
Q

SUB ACUTE SX

A

INTERSTITIAL FIBROSIS

88
Q

ACUTE EXODATIVE SX

A

EDEMA

89
Q

SX NOT RELIEVED COMPLETELY W/IN 10 MINUTES?

A

TT6

90
Q

MOST COMMON SX OF O2 TOX?

A

EAR PAIN

91
Q

EXTERNAL EAR SQUEEZE STEMS FROM?

A

WAX IMPACTION

92
Q

MIDDLE EAR SQUEEZE STEMS FROM?

A

EUSTACHIAN TUBE DYSFUNCTION

93
Q

VERTIGO IS A SX OF WHAT RUPTURING?

A

ROUND WINDOW RUPTURE

94
Q

WHICH BAROTRAUMA IS NOT DUE TO PRESSURE IMBALANCES

A

OUTER EAR CANAL

95
Q

SX OF FACIAL PALSY

A

CANNOT CLOSE EYE ON THE EFFECTED SIDE

96
Q

WHAT IS THE CONCERN WITH DECONGESTANTS?

A

ARYTHMIA

SPHINCTER CONTRACTION

97
Q

CAN YOU TAKE VITAMINS AND DIVE?

A

YES

98
Q

CAN YOU TAKE ANTIBIOTICS AND DIVE?

A

MUST INVESTIGATE CONTRAINDICATIONS FIRST

99
Q

WHAT MEDICATION COMES WITH A LAUNDRY LIST OF SIDE EFFECTS FOR DIVING?

A

ANTIHISTAMINES

100
Q

CAN YOU DIVE WHEN TAKING HCTZ WHICH IS A HYPER TENSIVE RX?

A

YES, AS LONG AS IT IS THE ONLY MED YOURE TAKING FOR BP

101
Q

WHAT SX OF PYSCHOTROPICS ARE NOT DISQUALIFYING FOR DIVING?

A

MIGRAINS

102
Q

NEVER USE WHAT FLUID FOR DIVING?

A

D5W

103
Q

WHAT IS THE TIMELINE FOR DIVING AFTER HERNIA REPAIR?

A

APPLY FOR INTERIM WAIVER AFTER 90 DAYS / 3 MONTHS, THIS WILL BE GOOD FOR A TOTAL OF 6 MONTHS, PERMENANT WAIVER MUST BE COMPLETED BY 1 YEAR MARK.

104
Q

HOW LONG MUST YOU WAIT POST NATAL?

A

6 MONTHS

105
Q

FORM FOR DOCUMENTING AN UP / DOWN DIVER?

A

6150/2

106
Q

WHAT HX QUESTION IS MOST IMPORTANT TO ASK?

A

HAVE YOU HAD AGE / DCS BEFORE?

IF SO, DIVER IS MORE LIKELY TO GET IT AGAIN

107
Q

WHAT CRAINIAL NERVE AND NUMBER GOVERNS THE VOICE?

A

VAGUS #10

108
Q

WHAT IS THE TERM FOR IMPAIRED STRENGTH?

A

PARESIS

109
Q

WHAT IS THE TERM FOR IMPAIRED STRENGTH?

A

PARESIS

109
Q

WHAT IS THE TERM FOR IMPAIRED STRENGTH?

A

PARESIS

109
Q

WHAT IS THE TERM FOR IMPAIRED STRENGTH?

A

PARESIS

110
Q

WHAT DERMATONE LABELS THE SENSATION OF THE KNEE?

A

L3/L4

111
Q

WHAT DERMATONE LABELS THE SENSATION OF THE KNEE?

A

L3/L4

112
Q

BURNING SENSATION RUNNING FROM THE ARM DOWN TO THE HAND IS WHAT FORM OF DCS?

A

SPINAL

TYPE II

113
Q

SCANARIO WHERE THE PT FEELS PAIN LIKE SX OF ROCK FALLINIG ON THE FOOT, EFFECTING WHAT NERVOUSE SYSTEM

A

PERIPHERAL

PNS

114
Q

SHOOTING PAIN AROUND THE RIBS?

A

RIDICULAR

TYPE II

115
Q

WHAT DO THESE SX EFFECT: MUFFLED HEARING SENSATION, LOSS OF SENSATION, DECREASED FACIAL SENSATION, DECREASED VISION…

A

BRAIN STEM

116
Q

DIFFICULTY WITH FINGER TO NOSE TEST / BALANCE, EFFECTS WHAT PORTION OF THE BRAIN?

A

CEREBELLUM

117
Q

IF PT EXPERIENCES LEG WEAKNESS / NUMBNESS POST DIVE, WHAT PORTION OF THE BRAIN IS EFFECTED?

A

CEREBRUM

118
Q

AUCTHONOMOUS SENSORY / REFFERED TO AS THE AUTOMATOR FOR THE BODY?

A

CEREBRUM

119
Q

HOW MANY RCC TX OBJECTIVES ARE THERE?

A

3

120
Q

ALTERNOBARIC VERTIGO EFFECTS WHAT PART OF THE EAR?

A

INNER EAR

121
Q

WHAT IS THE PRIMARY CONCERN WITH ASCENT INJURIES?

A

HOLDING BREATH OR PASSED OUT ON THE WAY UP TO THE SURFACE CAUSING POIS

122
Q

CEREBRAL DCS SX EFFECT

A

MOTOR DEFICIT

123
Q

WHAT TYPE OF THERAPY IS NECROTIZING SOFT TISSUE TX

A

ADJUNCTIVE THERAPY

124
Q

WET SUITE HOODY CAUSES WHAT TYPE OF SQUEEZE?

A

MIDDLE EAR

125
Q

PRESSURE ON THE WAY DOWN IMPACTS WHAT PORTION OF THE EAR?

A

TM

126
Q

MIDDLE EAR / PRESSURE IMBALANCE RUPTURES WHAT?

A

OVAL WINDOW

127
Q

WHAT AGE REQUIRES ANNUAL EXAMS

A

60

128
Q

PAIN FROM THE THIGH DOWN TO THE FEET, STEMS FROM?

A

LOWER SPINAL CORD

129
Q

BUMED 1300.2

A

SUITABILITY

130
Q

1754

A

EFMP

131
Q

WHOS RESPONSIBILITY IS IT TO ASSURE THE FM?

A

COMMANDS

132
Q

6200.15 SERIES

A

PREGNANCY

133
Q

WHO APPROVES MATERNITY/CONVELESCENT LEAVE?

A

CO

134
Q

UP TO WHAT WEEK CAN PREGANT FEMALE FLY OR TRAVEL OVERSEAS?

A

28 WEEK

135
Q

WHOS RESPONSIBILTY TO WORK WITHIN LIMITATIONS OF PREGNENCY INST?

A

MEMBER

136
Q

AUTHORIZES 1 OR MORE AREA OF BURIAL FOR NOK?

A

RETURN OF REMAINS PROGRAM

137
Q

DECEDENT AFFAIRS PROGRAM

A

HIGH STANDARDS OF UNIFORMITY

Dive Med (1 decks)

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