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mod 3 practice > mod 3 > Flashcards

mod 3 Flashcards

1
Q

after an advanced airway device has been inserted during 2- person CPR, you should

A

deliver 1 rescue breath every 6 seconds

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2
Q

high flow oxygen w/ nasal cannula during pre oxygenation phase of endotracheal intubation is called

A

apneic oxygenation

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3
Q

gas exchange in lungs is facilitated by

A

adequate amounts of surfactant

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4
Q

the _____ of a med usually dictates the route by which it will be administered

A

form

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5
Q

an oxygen cylinder should be taken out of service when pressure inside is less than

A

500 psi

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6
Q

For which of the following patients is spinal immobilization clearly indicated?

A

man w/ altered mental status after exposed to blunt force trauma

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7
Q

which is not a condition of shock?
ischemic stroke
severe infection
spinal injury
anaphylaxis

A

ischemic stroke

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8
Q

structure of airway include all except..
alveoli
bronchioles
trachea
epiglottis

A

epiglottis

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9
Q

Capnography =

A

determine how much carbon dioxide is being exhaled

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10
Q

In most cases, cardiopulmonary arrest in infants and children is caused by:

A

respiratory arrest

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11
Q

After sizing up the scene of a patient w/ possible infectious disease, next priority is

A

take standard precautions

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12
Q

CPR is in progress on a pregnant woman. Shortly after manually displacing her uterus to the left, return of spontaneous circulation occurs. Which of the following would most likely explain this?

A

pressure was relieved from her aorta and vena cava, which improved chest compression effectiveness.

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13
Q

Patient’s BP reading was 204/120mm Hg, you should ..

A

obtain a manual bp

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14
Q

clinical signs of compensated shock include all of the following except…
absent peripheral pulses
restlessness or anxiety
rapid, shallow breathing
cool and clammy skin

A

absent peripheral pulses

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15
Q

in an acute injury setting, neurogenic shock is commonly accompanied by
diaphoresis
hypothermia
tachycardia
hypovolemia

A

hypothermia

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16
Q

Mucosal atomizer device (MAD) delivers medicine thru

A

intranasal route

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17
Q

The impended threshold device (ITD) may improve circulation during active compression-decompression CPR by:

A

limiting the amount of air that enters the lungs during the recoil phase between chest compressions which results in negative intrathoracic pressure and improved cardiac filling

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18
Q

An infectious disease is most accurately defined as

A

a medical condition caused by the growth and spread of small harmful organisms within the body

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19
Q

A bp cuff too small will

A

give falsely high systolic and diastolic reading

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20
Q

A 23 yr old male experiencing severe head trauma after motorcycle accident. He is unconscious, has atonal gasps, has copious bloody secretions in his mouth. How should you manage airway?

A

Alternate oropharyngeal suctioning and ventilation. with a bag mask device

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21
Q

Capillary sphincters are

A

circular muscular walls that regulate blood flow through capillaries

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22
Q

A patient should be placed in recovery position when he or she

A

is unresponsive, uninjured, and breathing adequately

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23
Q

several attempts to open a trauma patients airway with jaw-thrust maneuver have been unsuccessful. You should…

A

carefully perform the head tilt -chin lift maneuver

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24
Q

A patients short term memory is most likely intact if they can correctly answer

A

day and event

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25
Q

a patient who is suspected of being hypoxic and is breathing adequately should be given supplemental oxygen thru a

A

nonrebreathing mask

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26
Q

27 yr old male was stabbed with knife in chest before you make physical contact it is MOST important to

A

follow standard precautions

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27
Q

Hypovolemic shock caused by severe burns is the result of loss of

A

plasma

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28
Q

flow rate of 6 L/ min thru nasal cannula percentage

A

44%

29
Q

Early signs of viral hepatitis include all of the following EXCEPT

A

jaundice and abdominal pain

30
Q

a 70 yr female was discharged from hospital after a hip replacement. She presents tachycardia, restlessness, and bp of 90/64 mm Hg. Skin is moist and hot, She is most likely experiencing

A

Septic shock

31
Q

An EMT may administer aspirin to a patient if

A

authorization from med control is obtained

32
Q

Cardiogenic shock may result from all of the following except
heart attack
poor contractility
increased preload
increased after load

A

increased preload

33
Q

distributive shock occurs when

A

widespread dilation of the blood vessels cause blood to pool in vascular beds

34
Q

the diaphragm is innervated by the _____ nerve which allows it to contract

A

phrenic

35
Q

Aspirin is beneficial to patients suspects of having a heart attack because it

A

prevents the aggregation of platelets

36
Q

A 74 yr old woman complains pf heaviness on chest, nausea, sweating. She is conscious and alert, but anxious. Her bp is 144/88 mm Hg, heart rate is 110 bpm. She took 2 nitroglycerin tablets before your arrival but feels heaviness in chest. You should

A

Recall that geriatric patients often take multiple meds and that interactions can occur with potentially negative effects

37
Q

A 59 yr old male presents with severe vomiting and diarrhea of 3 dats duration. He is confused and diaphoretic, and his radial pulses are absent. BP is 76/50, after giving oxygen you should

A

prepare for immediate transport

38
Q

A 49 yr old male w/ extensive chest pain and shortness of breath . His meds include nitroglycerin and viagra. his bp is 140/90. After giving Oxygen you should

A

ask if he took his viagra in the past 24 hrs

39
Q

a palpable pulse is created by

A

pressure waves thru the arteries caused by cardiac contraction

40
Q

What occurs when a patient is breathing very rapidly and shallow?

A

air moves primarily in the dead space and does not participate in pulmonary gas exchange.

41
Q

treatment for a mild upper airway obstruction

A

give oxygen and transfer immediately

42
Q

Nitroglycerin-

A

relaxes the walls of coronary arteries

43
Q

in contrast to viral hepatitis, toxin induced hepatits:

A

is not a communicable disease

44
Q

complication with CPR include all of the following except
liver laceration
gastric distention
fractured sternum
rib fracture

A

gastric distention

45
Q

Hep B is more virulent than hep C, this means that

A

it has a greater ability to produce disease

46
Q

Ex of anti- inflammatory

A

Aspirin

47
Q

50 yr. old man returning from Africa has fever, cough, muscle aches. You should suspect

A

influenza

48
Q

RAPID EXAM after primary assessment is to

A

identify less- obvious injuries that require rapid immediate treatment

49
Q

decrease in bp may state

A

loss of vascular tone

50
Q

Determination of whether patient is high or low priority is made after

A

the primary assessment has been completed

51
Q

Hypotension in a child with blunt or penetrating trauma is particular significant because

A

it often indicates the loss of half of his or her blood volume

52
Q

Emts respond to heroin abuser who is unresponsive. If narcan is given emts should remember

A

narcan can cause seizures

53
Q

irregualr respirations w/ increasing rate and depth w/ periods of apnea are called

A

cheyne- strokes

54
Q

71 yr old female fell on rug. Is conscious and confused, complains of severe pelvis pain. Respirations are 22 breaths per min heart rate is 120bpm. What should you do?
gently palpate her pelvis
transport in seated position’
place on her left side
treat her for possible shock

A

treat her for possible shock

55
Q

40 yr old male crashed motorcycle. Is semi-conscious has snoring respirations, laceration to forearm w/ minimal bleeding. You should:

A

open airway w jaw thrust maneuver

56
Q

Assessment of 6 mo. old male, vomiting and diarrhea. Cap refill is 4 secs. You conclude…
systolic bp is normal
skin temp is abnormally cold
respiratory status is adequate
peripheral circulation is decreased

A

peripheral circulation is decreased

57
Q

hypoxic drive is influenced by

A

low blood oxygen levels

58
Q

neurogenic shock occurs when:

A

failure of the nervous system causes widespread vasodilation

59
Q

patients develop a septic shock secondary to ….

failure of blood vessels to adequately dilate

an infection that weakens cardiac contractions

weak vessel tone caused by nervous system damage

poor vessel function and severe volume loss

A

poor vessel function and severe volume loss

60
Q

oxygen toxicity-

A

cellular tissue damage occurs from excessive oxygen levels in the blood

61
Q

after how many mins w/o oxygen is permanent brain damage possible

A

4-6 mins

62
Q

51 yr old female w difficulty breathing, conscious and alert able to speak in complete sentences. Respirations are 22/ min and regular. You should:

A

administer oxygen thru a nonrebreather mask

63
Q

separation is an issue with medicine used as

A

suspension

64
Q

Nasopharyngeal airway is inserted

A

with bevel facing the septum if inserted into right nare

65
Q

properly sized blood pressure cuff:

A

should be 2/3 length from armpit to crease at elbow

66
Q

50 yr old patient found unconscious in car. No witness, when gathering med history, Emt should

A

determine if patient has a med alert bracelet or wallet card

67
Q

in contrast to assessment of trauma patient, assessment of a med patient is

A

focused on nature of illness, chief complaint and symptoms

68
Q

Ventilation/perfusion (V/Q ratio) msismatch occurs when:

A

a disruption in blood flow inhibits the exchange of oxygen and carbon dioxide in lungs, even though the alveoli are filled with fresh oxygen

69
Q

Most indicative of a cardiovascular problem:

A

Jugular vein distention

mod 3 practice (4 decks)

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