Medical

Question 1

Difference between limb, breech, cephalic and transverse presentation during delivery

Answer 1

Limb - usually single limb (arm/leg) delivery.

Breech - buttocks present first

Cephalic - head presents first

Transverse - baby lying sideways, across placenta

Question 2

Lung sounds - snoring respirations

Answer 2

Partial occlusion of the airway - usually with the tongue

Question 3

Lung sounds - rhoncii

Answer 3

Coarse, low pitched. Mucus in the upper airway

Question 4

Lung sounds - stridor

Answer 4

High pitched, upper airway obstruction. Either blockage due to foreign object or airway smooth muscle spasm

Question 5

Lung sounds - columnar sounda

Answer 5

Adventitious breath sounds

Question 6

What to do after baby delivers

Answer 6

Auction airway (mouth first)

Question 7

When can you place a gloves hand inside the birth canal

Answer 7

During a prolapsed cord presentation.

Question 8

Hypoglycemia

Answer 8

Low blood sugar - usually altered, slow, snoring respirations. Loss of consciousness. BGL 30-40

Question 9

Hyperglycemia

Answer 9

High blood sugar - altered, fruity odor on breath. Vomiting, weakness, polydipsia.

Question 10

Best indications for effective ventilations via BVM

Answer 10

Adequate, equal and bilateral chest rise and fall. Lung sounds

Question 11

Contraindications for AED use

Answer 11

Wet pts, pt in body of water. Asystole or pea.

Question 12

Signs and symptoms of narcotic od

Answer 12

Low respiratory drive, snoring respirations, pinpoint pupils

Question 13

Bloody show

Answer 13

Beginning sign of labour in the pregnant female pt

Question 14

Female with lower abdominal pain

Answer 14

Abruptio placenta

Question 15

Hyperglycemia signs and symptoms

Answer 15

Warm dry skin,, vomiting, rapid/deep respirations (kussmal). Sweet fruity odor on breath. Weak thready pulse, slurred speech.

Question 16

When can we assist with nitroglycerin

Answer 16

Chest pain. Sys BP >100. Neg for ED drugs 24-48 hrs prior

Question 17

When does second stage of labour end

Answer 17

Delivery of baby

Question 18

Pts vomiting blood usually have what?

Answer 18

Peptic ulcers

Question 19

Epi-pen injection site

Answer 19

Later aspect of mid thigh

Question 20

Imminent delivery signs and symptoms

Answer 20

Delivery on scene. Contractions present <1minute apart. Duration of contractions. Water broken? Due date? Need to push?

Question 21

CARDIOGENIC shock causeation

Answer 21

Myocardial infarction/heart attack

Question 22

Trx for CO poisoning?

Answer 22

Remove from hot zone, high flow O2, transport to hospital

Question 23

Emergent heat illness

Answer 23

Moist/sweaty, cool skin, rapid/weak pulse. Normal vitals, BP pulse etc. Elevated body temp.

Question 24

Urgent heat illness

Answer 24

Heat stroke, unconsciousness, hot, dry skin.

Question 25

Common narcotics

Answer 25

Codeine
Fentanyl
Oxycodone
Hydrocodone etc etc

Question 26

Petit Mal seizures

Answer 26

Brief LOC, staring, absent seizure.

Question 27

Status epilepticus

Answer 27

Full body. Usually lasts >5 minutes. Can continue to seize for 30 minutes or more. Loss of consciousness. Poor O2 sats

Question 28

Hypertonic seizure

Answer 28

Extreme muscle activity. Hyperextension of the back

Question 29

Focal motor seizures

Answer 29

Simple/complex. Lip biting, eye blinking, ALOC

Question 30

How to treat hypoglycemia

Answer 30

High flow O2, oral glucose (if airway is patent)

Question 31

Peritonitis

Answer 31

Inflammation of the peritoneum (inner lining of the abdomen).

Question 32

Signs and symptoms of inhaler use

Answer 32

Jitters, elevated pulse, nervousness, muscle tremors

Question 33

Pre-delivery emergency

Answer 33

Placenta previa, abruptio placenta

Question 34

Meds to trx poisoning

Answer 34

Activated charcoal

Question 35

Anaphylaxis signs and symptoms

Answer 35

Hives (uticaria) stridor (high pitched whistle upper airway obstruction) edema (face, tongue, lips), decreased BP, weak pulse