final exam parkers practice Flashcards

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1
Q

Rank the following in order from 1-5 (1 being first and five being last)

Anger
Acceptance
Bargaining
Denial
Depression

A

2
5
3
1
4

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2
Q

Select all that would qualify as “critical incidents”

Spouse Abuse
Child abuse
Explosive Birth
MCI

A

Spouse Abuse
Child abuse
MCI

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3
Q

be able to trace a drop of blood through heart

A
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4
Q

Select all of the places gas exchange occurs at:

Dura Mater
Bone Marrow
Capillaries
Fovea
Pia Mater
Alveoli

A

Capillaries
Alveoli

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5
Q

The main function of bile is to:

Work in conjunction with the pancreas to begin digestion
Break down fat
Break down food
Break down protein
Neutralize stomach acid

A

Break down fat

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6
Q

Select all of the following that is in the upper airway:

Epiglottis
Nasopharynx
Oropharynx
Thyroid Membrane
Bronchus

A

Epiglottis
Nasopharynx
Oropharynx

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7
Q

Select all that is needed to prove negligence:

Causation
Battery
Breech of duty
Damage
Abandonment
Duty to act
Violating medical directions instructions
Assault

A

Causation
Breech of duty
Damage
Duty to act

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8
Q

What does it mean for your patient to be “legally competent”?

It means they are under legal age and can refuse care
Another term for implied consent
They are A&Ox4 and can refuse care at any point
They are not A&Ox4 but can refuse care at any time

A

They are A&Ox4 and can refuse care at any point

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9
Q

Select all the following that is true about when minors are treated as legal adults:

If you get parental consent
They are engaged
They are legally emancipated
They are pregnant

A

They are legally emancipated
They are pregnant

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10
Q

Select all the following that you need for a refusal of care:

Medical control must agree
Do a patient assessment
Patient needs to be A&Ox4
Have your patient and ideally partner sign

A

Medical control must agree
Do a patient assessment
Patient needs to be A&Ox4

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11
Q

A DNR is:

Used when a patient’s heart is beating, can be overturned by only the patient
Used when a patient’s heart is not beating, can be overturned by only the patient
Used when a patient’s heart is not beating, can be overturned by the patient or close family member
Used when a patient’s heart is beating, can be overturned by the patient or close family member

A

Used when a patient’s heart is not beating, can be overturned by the patient or close family member

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12
Q

What position is the patient at a 45 degree angle

Semi-Fowlers
Assessment Position
Exam Position
Fowlers

A

Semi-Fowlers

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13
Q

The diamond carry is:

1 at head, 2 at legs, 1 at each hip. 5 total
1 at head, 1 at legs, 2 at each hip. 6 total
2 at head, 1 at legs, 1 at each hip. 5 total
1 at head, 1 at legs, 1 at each hip. 4 total people

A

1 at head, 1 at legs, 1 at each hip. 4 total people

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14
Q

What is the minimum number of straps needed for a long-back board?

A

3

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15
Q

Wheeled Stretcher definition

A

most commonly used

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16
Q

Portable Stretcher

A

not commonly used but when in use its for multiple patients

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17
Q

Short Board

A

also known as KED

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18
Q

Select all of the following that is emergency moves:
Extremity Lift
Draw Sheet
Walking assist
Direct ground carry
Carry

A

Walking assist
Carry

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18
Q

Scoop Stretcher

A

for hip and pelvic injury

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19
Q

Stair Chair

A

for narrow hallways

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20
Q

Long Back Board

A

preferred for full body immobilization

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21
Q

What is biological death and when does it take place?

Biological death is when necrosis begins; about 10 minutes
Biological death is when the heart stops; about 4-6 minutes
Biological death is when necrosis begins; 4-6 minutes
Biological death is when the heart stops; about 10 minutes

A

Biological death is when necrosis begins; 4-6 minutes

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22
Q

Select all of the following complications for poor mask seals:

Orbital fracture
Fluid around the mouth
Over inflation of lungs
Missing teeth
Too forceful of breaths
Facial deformity

A

Fluid around the mouth
Missing teeth
Facial deformity

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23
Q

How do you measure an NPA?

Measure From mouth to nose
Measure From corner of mouth to ear
Measure From ear to nose
Measure from corner of mouth to nose

A

Measure From ear to nose

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24
Q

Scene Size Up

A

Done Immediately upon arrival

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25
Q

primary assessment

A

ABCDE

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26
Q

On going assessment

A

every 5 min

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27
Q

The normal range of breathing for the following is:

Adult:

Child:

Infant:

A

Adult: 12-20

Child: 15-30

Infant:25-50

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28
Q

A whistling noise while breathing inward is:

Stridor; reversible narrowing of the upper airway
Wheezing; reversible narrowing of the lower airway
Wheezing; reversible narrowing of the upper airway
Stridor; reversible narrowing of the lower airway
Wheezing; irreversible narrowing of the lower airway
Stridor; upper airway obstruction

A

Wheezing; reversible narrowing of the lower airway

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29
Q

Rales is a sign of:
Pulmonary Embolism
Narrowing of the airway
Pulmonary Edema
Collapse of the alveoli

A

Pulmonary Edema

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30
Q

Capillary refill can be used instead of BP in patients under 3 years of age?

True
False

A

True

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31
Q

When assessing level of consciousness, you would use what scale?

AVPU
GCS
BSI
AEIOU-TIPS

A

AVPU

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32
Q

How many seconds should it take to do the detailed assessment?

A

90

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33
Q

The L in DCAPBTLS stands for:

A

lacerations

34
Q

The quickest way to see how a patient is trending is to reassess:
Skin color and temperature
AVPU
Pulse
Blood pressure

A

AVPU

35
Q

You must suction frothy secretions from the mouth and pharynx of a 31-year-old male patient whose respiration rate is 4 breaths/min. Which process to do so is most appropriate given the patient’s condition?

Suction for no more than 15 seconds at a time, followed by 2 minutes of positive pressure ventilation
Place the patient into a side-lying position and alternate 30 seconds of suctioning and ventilation
Forego suctioning and continue to provide positive pressure ventilation, as frothy secretions rarely complicate the airway
Use a soft-tip catheter and suction for no more than 30 seconds before providing additional oxygen with a nonrebreather face mask

A

Suction for no more than 15 seconds at a time, followed by 2 minutes of positive pressure ventilation

36
Q

Select all of the following drugs an EMT-B is allowed to administer?

CPAP
Glucose
Albuterol
Oxygen
Activated Charcoal
Epi-Pen
Nitroglycerin

A

Glucose
Oxygen
Activated Charcoal

37
Q
A
38
Q

Activated Charcoal (adult dose)

A

25-50g

39
Q

Nitro

A

.4mg

40
Q

Oral Glucose

A

.5g to 1g/kg

41
Q

Epinephrine

A

.3mg or .15mg

42
Q

Albuterol Nebulized

A

2.5mg in 3ml

43
Q

What is the minimum amount of times to recheck a drug before giving it?

A

1

44
Q

What is the mechanism of action for nitroglycerin?

Beta antagonist
Alpha agonist
Alpha-Beta antagonist
Smooth muscle dilator

A

Smooth muscle dilator

45
Q

What does it mean for a patient to have a COPD exacerbation?
The patient is currently being affected by it
The patient’s COPD is currently “dormant”
When COPD becomes a medical emergency
It is worse than normal

A

It is worse than normal

46
Q
A
47
Q

Select all of the following are lethal rhythms?

Asystole
Junctional Tachycardia
A-Fib
V-Fib

A

Asystole
V-Fib

48
Q

Put in order the chain of survival for an adult patient:

Early defib
Early ALS
Early 911
Early CPR

A

Early defib 3
Early ALS 4
Early 911 1
Early CPR 2

49
Q

Select all that is true regarding MI’s:

Most common cause is CHF
Pain goes away with nitroglycerin
Atherosclerosis of the aortic arch
Epi release
Arteriosclerosis of the aortic arch
Palpitations

A

Most common cause is CHF
Epi release
Palpitations

50
Q

Select all that is true regarding when pulse ox can be misleading:

CO poisoning
Bronchitis that reoccurs once a year
Inhaled benzodiazepine poisoning
Emphysema
Smoke inhalation

A

CO poisoning
Emphysema

51
Q

When evaluating severity of diabetes, insulin level is a key indicator

true
false

A

false

52
Q

A moderate allergic reaction:

Runny nose, itching, tearing eyes, with a cough
All of mild symptoms with an affected blood pressure
All of mild symptoms with an affected blood pressure and airway compromise
Runny nose, itching, tearing eyes, rash

A

Runny nose, itching, tearing eyes, with a cough

53
Q

In a submersion incident, what is occurring with the vocal cords?

Nothing, they are unaffected by a submersion incident
They will deviate from the midline
Laryngospasms
They dilate

A

Laryngospasms

54
Q

You have a patient who is severely hypothermic with a GCS of 8. How will you manage this patient?

You will actively warm your patient with warm blankets, warm IV, warm oxygen
Correct Answer
You will provide supportive care for this patient without actively rewarming
You will passively warm your patient using warm blankets, warm IV, warm oxygen
You will actively warm your patient by assisting with pumping warm water in and out of stomach and retroperitoneal area

A

You will provide supportive care for this patient without actively rewarming

55
Q
A
56
Q

Simplex

A

Transmits and receives on same frequency. Old fashion toy walkie-talkies

57
Q

Duplex

A

One for transmitting, one for receiving, like a phone

58
Q

Multiplex

A

several functions on one line

59
Q

Facsimile

A

often used to transmit patient info

60
Q

What is the number one cause of suicide?

Have one or more other psychological disorders
Previous suicide attempts
Depression
Chronic feelings that nothing will get better

A

Depression

61
Q

Select all of the following that is true regarding questions you should ask all poisonings:

How quickly did the patient take it?
Where was it taken?
Did anyone witness the patient take it?
What was the patient’s reason for taking?
How was it taken?
How much does the patient weigh?

A

How was it taken?
How much does the patient weigh?

62
Q

On an infant you should suction the mouth first and then the nose because infants are “mouth breathers”

true
false

A

false

63
Q

What distinguishes pre-eclampsia from eclampsia?
If they are having signs/symptoms such as nausea, vomiting, headache, etc
If they are having a seizure or not
Clinical imaging
Clinical blood work

A

If they are having a seizure or not

64
Q

Abruptio Placentae

A

placenta separates prematurely

65
Q

Pre-mature

A

under 36 wks

66
Q

Therapeutic Abortion

A

medically needed

67
Q

Put in the numerical number for the amount of blood loss that makes it significant: (answer in mL)

Adult:
Child:
Infant:

A

Adult: 1000
Child: 500
Infant: 250

68
Q

Select examples that can cause pump failure shock?

RCHF
Drugs
Damages valves
MI
LCHF

A

RCHF
Drugs
Damages valves
MI
LCHF

69
Q

When considering the severity of a crash, what is the most important factor?
Size
Patient history
Time of day
Velocity
Road conditions

A

Velocity

70
Q

Your patient is a 21 y/o female with burns to the front of the head, abdomen, right arm and right leg. What percentage BSA burns does she have?

A

40.5

71
Q

What is a contusion?

Collection of blood under bone
Collection of blood in the arachnoid space
Collection of blood under the skin
Collection of blood in the pleural space

A

Collection of blood under the skin

72
Q

Bones have a relatively low supply of blood

True
False

A

False

73
Q

Which of the following vital signs are consistent with a hemothorax?

BP: high / pulse: high
BP: normal to low / pulse: high
BP: normal / pulse: elevated
BP: low / pulse: low

A

BP: normal to low / pulse: high

74
Q

Select all that is true of Beck’s triad:

Muffled Heart Sounds
Widening pulse pressure
Tachycardia
JVD
Tracheal deviation

A

Muffled Heart Sounds
JVD

75
Q

Glucose makes brain vessels constrict
True
False

A

False

76
Q

In a significant MOI, one of the first things done should be:

Leave the scene within 10 minutes
Start high flow oxygen
Maintaining C-Spine
Extricate patient if necessary

A

Maintaining C-Spine

77
Q
A
78
Q
A
79
Q
A
80
Q
A
81
Q
A
82
Q
A