Medical Review - Questions I got wrong Flashcards by victoria hughes

D size oxygen cylinders are capable of carrying how many liters of oxygen? 
A. 360 
B. 36000
C. 3600
D. 36

A. 360

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Which of the following symptoms is most commonly associated with cardiac related chest pain? 
A. Jaw Pain 
B. Productive cough 
C. Low back pain 
D. Lower abdominal pain

A. Jaw pain

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You respond to a local elementary school gym for a report of a 12 year old student with a broken right arm. As you approach the patient from across the room, you can see angulation and gross deformity to the right humerus. Which joints will you immobilize to prepare the patient for transport?
A. Shoulder and Elbow 
B. Elbow only 
C. Wrist and Shoulder 
D. Elbow and Wrist

A. Shoulder and Elbow

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On a hot day, what method of heat exchange is accomplished when the human body sweats? 
A. Evaporation
B. Convection 
C. Conduction 
D. Radiation

A. Evaporation

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You are treating a patient complaining of "crushing" chest pain. The patient has a history of angina pectoris, which you suspect is causing the pain now. The most appropriate medication for this patient is? 
A. Nitroglycerin 
B. Epinephrine 
C. Lidocaine 
D. Aspirin

A. Nitroglycerin

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Excessive ventilation can be either too many breaths per minute, or? 
A. Hpoxgenation 
B. Too large a volume per breath 
C. Over oxygenation 
D. Hypertension

B. Too large a volume per breath

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You are dispatched to a report of a child struck by a motor vehicle. Upon arrival, you find a 5 year old male who was riding his bike when he was struck. Bystanders report that he wasn't wearing a helmet and witnesses his head striking the pavement. He is unconscious, unresponsive, and you notice the patient has an irregular breathing pattern. Which of the following breathing patterns is the patient likely exhibiting? 
A. Kussmaul 
B. Apnea 
C. Cheyne - Stokes 
D. Eupnea

C. Cheyne - stokes

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You are dispatched to a call at a private residence for a 55 year old female complaining of difficulty breathing. When you arrive on scene, you find the women sitting in her living room in the tripod position. Her respirations are labored at a rate of 26 breaths per minute. Your auscultation of breath sounds reveals wheezing bilaterally. What does the wheezing indicate?
A. Fluid accumulation in the alveoli
B.Constriction of the bronchioles
C. Foreign body occluding in the upper airway
D. Dilation of the bronchioles

B.Constriction of the bronchioles

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During your assessment, you find that your pulse oximeter reads 100% when your patient is on 4 liters per minute oxygen via nasal cannula. You suspect your patient's hemoglobin is fully saturated. How many oxygen molecules can one hemoglobin hold when it is considered fully saturated?
A. 6
B. 2
C. 3
D. 4

D. 4

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You shouldn't suction the airway of an adult patient for more than 15 seconds and should ensure that you only suction while removing the catheter due to the risk of causing?
A. Bronchial Constriction
B. Oral aspiration 
C. Hypoxia 
D. Tracheal occlusion

C. Hypoxia.

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You are called to a private home where a 4-year-old female is experiencing cardiac problems. Which of the following is NOT a useful indicator of hypoperfusion in this case?

A. Oxygen saturation

B. Skin condition

C. Tachycardia

D. Capillary refill

A. Oxygen saturation

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Which of the following is correct in ranking the importance of CPR components during a pediatric arrest?

A. Chest compressions, breathing, airway

B. Airway, chest compressions, breathing

C. Chest compressions, airway, breathing

D. Airway, breathing, chest compressions

C. Chest compressions, airway, breathing

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Which of the following is the only acceptable reason to withhold compressions for longer than ten seconds?

A. To move a patient from an unsafe scene

B. To ensure a patent airway

C. When checking a pulse

D. When switching compressors

A. To move a patient from an unsafe scene

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Myocardium is the muscle of the heart (my/o = muscle). The thickness of the myocardium is dependent on the function of each heart structure. Which structure of the heart has the thickest myocardial section?

A. Left atria

B. Left ventricle

C. Right ventricle

D. Right atria

B. Left ventricle

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While doing CPR on a child, a bystander brings you an AED that was nearby, however the AED is only equipped with adult pads. You should?

A. Send the bystander back to where they found the AED to look for pediatric pads

B. Cut the ends off the pads to ensure a smaller electric dose

C. Keep doing CPR, the adult shock will only make things worse

D. Use the adult pads

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When assessing the regularity of a patient’s pulse, which artery should be used?

A. Radial

B. Dorsalis pedis

C. Carotid

D. Femoral

A. Radial

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With any type of CPR, which of the following stays the same for all victims?

A. Compression rate

B. Volume of breaths given

C. Compression depth

D. Compression ratio

A. Compression rate

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In the human heart, blood flows from the pulmonary veins into the?

A. Left atrium

B. Left ventricle

C. Right ventricle

D. Right atrium

A.) Left atrium

What effect would you expect when the chest is not fully recoiled when administering chest compressions?

A. Increased coronary perfusion pressure

B. Negative intrathoracic pressure

C. Increased blood flow

D. Reduced venous return

Which of the following is the best definition of a demand pacemaker?

A. A device that discharges 100% of the time to keep the heart at a constant rate

B. A device that discharges only when the patient’s heart rate drops to a rate that is under the initial rate programmed into the device by a physician.

C. A device that fires only during cardiac arrest

D. A device that causes the heart to beat when the patient programs it to do so

B. A device that discharges only when the patient’s heart rate drops to a rate that is under the initial rate programmed into the device by a physician.

You have been dispatched for abdominal pain at the local grocery store. Your patient is 56-year-old male complaining of abdominal and back pain. He is pale, cool, and diaphoretic. Exposure of his abdomen reveals a pulsating mass, and his only history is hypertension and high cholesterol. Vitals: BP 80/62, P 127, RR 28, SpO2 94%. What do you suspect is wrong with your patient?

A. Abdominal aortic aneurysm

B. Hepatitis B

C. Acute renal failure

D. Incarcerated hernia

A. Abdominal aortic aneurysm

Your 84-year-old patient complains that he is intolerant to his daily exercise routine of walking around the block. This is a key symptom of?

A. Angina

B. Neurological disorder

C. Stroke

D. Liver disease

A. Angina

How many blood pressure measurements does it take to obtain a baseline value for a single patient?

A. 3

B. 4

C. 2

D. 1

A. 3

Where is the urethra meatus located in a female?

A. Superior to the vagina

B. Superior mons pubis

C. Inferior to the perineum

D. Inferior to the vagina

A. Superior to the vagina

All of the following would be considered things to avoid when doing CPR, except for? A. Lean on the chest between compressions B. Minimize pauses in compressions C. Compress the chest at a depth of 1 - 1.5 inches D. Compress the chest at a rate of 150/min

B. Minimize pauses in compressions

When transporting a 28-year-old, 38-week pregnant woman who has fallen from an unknown height, what would be the most appropriate position to transport her in? A. Position of comfort, as the mother instinctively knows what is safe for herself and her baby B. Lying lateral-recumbent on her left side with a c-collar C. Supine, while spinally immobilized in the Trendelenburg position D. Supine, spinally immobilized, while tilted slightly to the left

D. Supine, spinally immobilized, while tilted slightly to the left

Hypothermia can be caused by an exposure to excessively cold temperatures or a lack of heat production. What is the term used to describe heat production? A. Thermogenesis B. Thermolysis C. Pyrogenesis D. Pyrolysis

A. Thermogenesis

What is the life threatening emergency called when fluid fills the pericardial sac around the heart, putting pressure on the chambers? A. Pericarditis B. Hemothorax C. Cardiac tamponade D. Pneumothorax

C. Cardiac tamponade

A woman brings her 5-year-old son into the ER. He is pale in appearance and slightly sweaty. His fingers are starting to show signs of cyanosis. His blood pressure is much lower than normal and pulse is much higher. Which of the following would most likely account for his symptoms? A. Laceration B. Dehydration C. Respiratory Failure D. Hemorrhage

B. Dehydration

You are responding with another ambulance and several fire units to a rollover motor vehicle crash with confirmed entrapment. You have thorough knowledge of the roads in the area and know that your ambulance and a fire engine will be approaching the upcoming intersection in different directions at the same time. What should you do? A. Contact the fire engine on the radio asking for their location B. Turn off your lights and sirens and allow the fire engine to enter the intersection first C. Avoid confusion by taking a side street that will take you out of the way, but also will put your unit further away from the crash D. Speed up so you enter the intersection first

A. Contact the fire engine on the radio asking for their location

The term primigravida refers to? A. A woman who is in active labor B. A woman who has multiple children and is pregnant C. A woman who is pregnant for the first time D. A woman who is pregnant with twins

C. A woman who is pregnant for the first time

How many blood vessels does the umbilical cord contain? A. 3 B. 4 C. 2 D. 1

A. 3

Your 18-year-old patient accidentally swallowed three tablespoons of hydrofluoric acid. The correct treatment includes? A. Administration of Syrup of Ipecac B. Rapid transport C. Administration of activated charcoal, 1 mg/kg D. Administration of activated charcoal, 1 g/kg

B. Rapid transport

In which of the following situations should the jaw-thrust maneuver be used? A. A pediatric patient needing constant suctioning B. An apneic homeless woman with no signs of trauma C. A geriatric patient who is in cardiac arrest D. When you are unclear of the mechanism of injury

D. When you are unclear of the mechanism of injury

The Krebs cycle is responsible for yielding a high amount of energy for the body to use. Which of the following answers requires oxygen and is most efficient? A. Aerobic metabolism B. Anaerobic metabolism C. Shock D. Citric acid cycle

A. Aerobic metabolism

Anatomical position, the standard reference position for the body, is in which position? A. Lying prone, arms outstretched with palms facing down B. Standing erect, palms facing to the rear, arms at the sides C. Standing erect, palms facing forward, arms at the sides D. Lying supine, arms crossed, feet supinated

C. Standing erect, palms facing forward, arms at the sides

The fetus' umbilical cord is made up of how many arteries and how many veins? A. 2 arteries and 1 vein B. 3 arteries and 2 veins C. 3 arteries and 1 vein D. 1 artery and 2 veins

A. 2 arteries and 1 vein

All of the following are signs of a mild allergic reaction, except? A. Respiratory distress B. Watery eyes C. Itching D. Hives

A. Respiratory distress

Which patient is at risk for the most common causes of upper airway obstruction? A. 22-year-old female stung by a wasp B. 21-year-old female unconscious and supine on the floor C. 5-year-old female with epiglottitis D. 4-year-old male with croup

B. 21-year-old female unconscious and supine on the floor

You arrive on scene of a diesel tractor trailer that has jack-knifed and flipped. The driver has confirmed injuries and is entrapped. Diesel is flowing freely from a punctured tank. As you approach the scene, what is the minimum distance that you should park your ambulance? A. Right next to the cab of the tractor, away from the spill B. 50 feet C. 150 feet D. 300 feet

C. 150 feet

You are called to the scene for the 18-year-old female who is 23 weeks pregnant with "the worst headache" she's ever had. Vital signs are BP of 180/94, P 100, R 20. You would suspect the patient is suffering from? A. Severe preeclampsia B. Preeclampsia C. Eclampsia D. Ectopic pregnancy

A. Severe preeclampsia

When you find yourself in a noisy environment, the best way to take a blood pressure measurement is by which method? A. Palpating B. Compounding C. Listening D. Auscultating

A. Palpating

What two major vessels does the right atria collect blood from? A. The veins B. The vena cava C. The jugulars D. The aortas

B. The vena cava

You are treating an 8-year-old male patient. His tongue is protruding out and the corner of his eyes are sloping upward. He has small facial features and you are having difficulty understanding his speech. These characteristics are most common of what condition? A. Septic Shock B. Premature birth C. Anaphylactic reaction D. Down syndrome

D. Down syndrome