final exam parkers practice Flashcards
Rank the following in order from 1-5 (1 being first and five being last)
Anger
Acceptance
Bargaining
Denial
Depression
2
5
3
1
4
Select all that would qualify as “critical incidents”
Spouse Abuse
Child abuse
Explosive Birth
MCI
Spouse Abuse
Child abuse
MCI
be able to trace a drop of blood through heart
Select all of the places gas exchange occurs at:
Dura Mater
Bone Marrow
Capillaries
Fovea
Pia Mater
Alveoli
Capillaries
Alveoli
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
Break down fat
Select all of the following that is in the upper airway:
Epiglottis
Nasopharynx
Oropharynx
Thyroid Membrane
Bronchus
Epiglottis
Nasopharynx
Oropharynx
Select all that is needed to prove negligence:
Causation
Battery
Breech of duty
Damage
Abandonment
Duty to act
Violating medical directions instructions
Assault
Causation
Breech of duty
Damage
Duty to act
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
They are A&Ox4 and can refuse care at any point
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
They are legally emancipated
They are pregnant
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
Medical control must agree
Do a patient assessment
Patient needs to be A&Ox4
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
Used when a patient’s heart is not beating, can be overturned by the patient or close family member
What position is the patient at a 45 degree angle
Semi-Fowlers
Assessment Position
Exam Position
Fowlers
Semi-Fowlers
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
1 at head, 1 at legs, 1 at each hip. 4 total people
What is the minimum number of straps needed for a long-back board?
3
Wheeled Stretcher definition
most commonly used
Portable Stretcher
not commonly used but when in use its for multiple patients
Short Board
also known as KED
Select all of the following that is emergency moves:
Extremity Lift
Draw Sheet
Walking assist
Direct ground carry
Carry
Walking assist
Carry
Scoop Stretcher
for hip and pelvic injury
Stair Chair
for narrow hallways
Long Back Board
preferred for full body immobilization
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
Biological death is when necrosis begins; 4-6 minutes
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
Fluid around the mouth
Missing teeth
Facial deformity
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
Measure From ear to nose
Scene Size Up
Done Immediately upon arrival
primary assessment
ABCDE
On going assessment
every 5 min
The normal range of breathing for the following is:
Adult:
Child:
Infant:
Adult: 12-20
Child: 15-30
Infant:25-50
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
Wheezing; reversible narrowing of the lower airway
Rales is a sign of:
Pulmonary Embolism
Narrowing of the airway
Pulmonary Edema
Collapse of the alveoli
Pulmonary Edema
Capillary refill can be used instead of BP in patients under 3 years of age?
True
False
True
When assessing level of consciousness, you would use what scale?
AVPU
GCS
BSI
AEIOU-TIPS
AVPU
How many seconds should it take to do the detailed assessment?
90
The L in DCAPBTLS stands for:
lacerations
The quickest way to see how a patient is trending is to reassess:
Skin color and temperature
AVPU
Pulse
Blood pressure
AVPU
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
Suction for no more than 15 seconds at a time, followed by 2 minutes of positive pressure ventilation
Select all of the following drugs an EMT-B is allowed to administer?
CPAP
Glucose
Albuterol
Oxygen
Activated Charcoal
Epi-Pen
Nitroglycerin
Glucose
Oxygen
Activated Charcoal
Activated Charcoal (adult dose)
25-50g
Nitro
.4mg
Oral Glucose
.5g to 1g/kg
Epinephrine
.3mg or .15mg
Albuterol Nebulized
2.5mg in 3ml
What is the minimum amount of times to recheck a drug before giving it?
1
What is the mechanism of action for nitroglycerin?
Beta antagonist
Alpha agonist
Alpha-Beta antagonist
Smooth muscle dilator
Smooth muscle dilator
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
It is worse than normal
Select all of the following are lethal rhythms?
Asystole
Junctional Tachycardia
A-Fib
V-Fib
Asystole
V-Fib
Put in order the chain of survival for an adult patient:
Early defib
Early ALS
Early 911
Early CPR
Early defib 3
Early ALS 4
Early 911 1
Early CPR 2
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
Most common cause is CHF
Epi release
Palpitations
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
CO poisoning
Emphysema
When evaluating severity of diabetes, insulin level is a key indicator
true
false
false
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
Runny nose, itching, tearing eyes, with a cough
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
Laryngospasms
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
You will provide supportive care for this patient without actively rewarming
Simplex
Transmits and receives on same frequency. Old fashion toy walkie-talkies
Duplex
One for transmitting, one for receiving, like a phone
Multiplex
several functions on one line
Facsimile
often used to transmit patient info
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
Depression
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?
How was it taken?
How much does the patient weigh?
On an infant you should suction the mouth first and then the nose because infants are “mouth breathers”
true
false
false
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
If they are having a seizure or not
Abruptio Placentae
placenta separates prematurely
Pre-mature
under 36 wks
Therapeutic Abortion
medically needed
Put in the numerical number for the amount of blood loss that makes it significant: (answer in mL)
Adult:
Child:
Infant:
Adult: 1000
Child: 500
Infant: 250
Select examples that can cause pump failure shock?
RCHF
Drugs
Damages valves
MI
LCHF
RCHF
Drugs
Damages valves
MI
LCHF
When considering the severity of a crash, what is the most important factor?
Size
Patient history
Time of day
Velocity
Road conditions
Velocity
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?
40.5
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
Collection of blood under the skin
Bones have a relatively low supply of blood
True
False
False
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
BP: normal to low / pulse: high
Select all that is true of Beck’s triad:
Muffled Heart Sounds
Widening pulse pressure
Tachycardia
JVD
Tracheal deviation
Muffled Heart Sounds
JVD
Glucose makes brain vessels constrict
True
False
False
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
Maintaining C-Spine
