DMMP Topic 1 - A&P Flashcards

1
Q

EAC and the TM are the same layer of ______.

How many layers does the TM have?

A

skin

2 - these layers can accumulate fluid between them.

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2
Q

saf

A

adf

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3
Q

Fx of:

  • EAC
  • TM
  • Malleus, Incus, Stapes
  • Cochlea
A
  • acts as conduit of sound waves
  • changes sound waves into mechanical movement.
  • conducts sound to the oval window
  • sends pressure changes therefore endo/perilymph fluid moves along the cochlea stimulating cilia.
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4
Q

Fx of round window

A

acts as a dampener that allows fluid to move inside the cochlea.

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5
Q

How does air get warmed during ventilation

A

Your face is very vascular, to include the inside of the oro/nasopharynx. Also the vessels are superficial to allow quicker warming of the air.

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6
Q

Fx of turbinates

A

Increase surface area which increases vascularity, which warms air and provides resonance to you’re voice.

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7
Q

Lower respiratory begins at the ____

A

larynx

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8
Q

The only cartilaginous ring of the trachea that forms a full circle?

A

Cricoid cartilage

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9
Q

What is the reflex if the carina is stimulated?

A

cough

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10
Q

How does the heimlich maneuver still work if you are chocking on during an exhale?

A

It doesn’t

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11
Q

anatomy of upper respiratory

A

askjfs

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12
Q

Define:

  • ventilation
    • respiration
    • external respiration
    • internal respiration
A
  • mechanical movement of air/gas
  • gas exchange
  • gas exchange at the lungs
  • gas exchange at the cellular level
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13
Q

6 phases of respiration

A

1 -ventilation of the lungs with fresh air
2 - exchange of gases between blood and air in the lungs
3 - transportation of gases by blood
4 - exchange of gases between blood and tissue
5 - exchange of gases between tissue and cells
6 - use of and production of gases by cells

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14
Q

define circulatory system

A

a enclosed system that delivers O2, nutrients, and hormones to every cell and tissue to the body. And carries away CO2, waste chemicals, and heat.

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15
Q

3 main components of the circulatory system

A

heart
vessels
whole blood

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16
Q

2 types of circulatory circuits

A

pulmonary

systemic

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17
Q

3 main components of blood vessels

A

arteries
veins
capillaries

  • capillary inside diameter can be as small as one blood cell
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18
Q

whole blood:

  • total volume is ~ _____
  • 4 componenets
A
  • ~5L
  • RBC’s (45%)
    WBC’s
    Plasma (50%)
    Platelets
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19
Q

Average whole blood for adults
- male
- female
Wy do we become clammy during shock

A
  • 5-7L
    4-6L

clammy skin occurs like a fogged window.

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20
Q

6 parts to a neuro exam

A
Mental Status
Coordination
CN II-XII
Motor
Sensory
DTR's
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21
Q

The ___ is the principle target of DCS.

A

Nervous system

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22
Q

Goal of a nero exam (4)

A
  • get a thorough hx
  • perform a focused exam
  • perform a full neuro exam
  • perform a focused re-exam (note any changes)
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23
Q

6 parts to a hx

A
  1. isolate the CC
  2. get dive hx/profile (DDTRRS)
  3. Predisposition of casulty
  4. progression of sx’s
  5. previoius hx of same sx’s
  6. pertinent past/present Med hx
24
Q
  1. Isolate the problem (2)
A
  • c/ OPQRST
  • ask and numbness, decreased sensation, paraesthesia, hyperesthesia, or weakness

*go back 72hrs, DCS can be insidious.

25
2. Dive Hx DDTRRS
``` D - dive buddy, if so check him out too. D - depth T - time *chart all dives c/in last 12hrs R - rig R - repet dives last 72 hrs ``` *any altitude exposure, dangerous marine life, anything abnormal about the dive?
26
3. Predisposition of the casualty - before - descent - bottom - ascent - surface
- any environmental exposure, dehydration, fatigue, etc... - barotrauma, vertigo, hypoxia, O2 hit, etc... - any CO2 tox, N2 narcosis, trauma, thermal issues, hypoxia, or HPNS - any POIS, ABV, contaminated gas, hypoxia, O2 Tox - DCS, AGE, IEB
27
4. Progression of sx's (3)
- static - progressive then relapsing - spontaneous improvement (common with hypoxia or CO2 tox)
28
5. PMH (2)
- any hx of same sx's (dive or non dive related) | - SAMPLE
29
5 rights
``` Rt Patient drug/medication dose route time * EXP, document, and that Pt has the rt to refuse tx ```
30
Previous hx of AGE or DCS means ___ mimics an AGE
PMH increases susceptibility for another incident. Requires minimum 1 month of No Dive after a TT or up to 6 months NPQ dive CVA
31
when performing neuro exams; act as if your Pt is deaf, dumb, and blind. Don't demonstrate everything, assess them to apply commands
Just good info
32
Neuro Exams: - most diving casualties have ___ mental status - AMS is more likely to be seen c/ ___ or ___.
- normal | - AGE or Aviation bends
33
Mental Status (6)
- A&Ox3 - Short term memory - Long term memory - reasoning - alphabet - arithmatic * 3 word recall, reassess better, worse, or same
34
Coordination Exam (7)
- walk normally - heel-toe-walk - finger-to-nose - finger-to-finger - Rhombergs - Heel-shin-slide - rapid movement * 3 word recall, reassess better, worse, or the same.
35
CN pics
afa'jf
36
CN exam (12)
``` I - Olfactory II - Optic III - Oculomotor IV - Trochlear V - Trigeminal VI - Abducens VII - Facial VIII - Vestibulocochlear IX - Glossopharyngeal X -Vagus XI - Spinal Accessory XII - Hypoglossal ```
37
CN I (4)
- olfactory epithelium is @ the roof of the nasal cavity - provides sense of smell - not visually tested - test one nostril at a time
38
CN II
Fx's in recognition of light and shade and the perception of objects.
39
CN III (2)
- Somatic motor controls precise eye movement | - Visceral motor controls pupillary light and accommodation reflexes.
40
CN IV
- controls superior oblique muscle | - directs depression, inversion, and adduction.
41
CN VI
- controls lateral rectus muscle | - allows abduction
42
add eyes pic
aslfk'sadjfa'jsf
43
CN V
- innervates the forehead and face. | - innervates the tensor tympani
44
CN VII
- Controls facial muscles, scalp, forehead, eyelids, expressions, cheeks and jaw. - check for symmetry in nasolabial folds.
45
CN VIII
controls hearing and balance
46
CN IX
- sensory from the upper mouth to the throat | - allows gag reflex and constriction of the pharyngeal wall c/ saying "Ahh"
47
CN X
- controls roof of mouth | - controls vocal cords
48
Hoarseness in voice suggest ____. | Nasal voice suggest ____.
- Paralysis of voice box - Paralysis of palate *also consider POIS's (Subcutaneous emphysema)
49
CN XI
- turns head side to side | - shoulder shrugs
50
Weakness/absence of shoulder shrug or head turn suggest nerve injury to the ___ side.
- affected
51
CN XII
- controls Pt's tongue | - deficient response would cause the tongue to twist to the affected side.
52
Sensory Exam (5)
- torso - back - arms, hands, fingers - junk and trunk - legs and feet
53
Strength Exam 0-5
0 - paralysis 1 - profound weakness; flicker or trace movements 2 - severe weakness; cannot move against gravity 3 - moderate weakness; can overcome gravity 4 - mild weakness; resist slight force 5 - normal; equal bilateral strength
54
DTR's 0-4
``` 0 - none 1 - hypoactive 2 - normal 3 - hyperactive 4 - clonus ```
55
Clonus
rapid spastic movement
56
Point of interest: - brain - spinal cord
Brain: - DCS - confusion, drowsiness, fatigue - AGE - CVA c/ focal hemispheric or brain stem sx's. Seizure, aphasia, hemiparesis, and CV arrest. * MAY HAVE COMBO OF BOTH. Spinal: - Pt can't urinate - dermatomal sx's * RARE c/ DIVING
57
Aphasia Hemiparesis Hemiplagia
- lack of emotion - lack of sensation - paralysis to one side of the body.