NREMT Flashcards

1
Q

The tricuspid valve is locates

A

Between the right atrium and right ventrical

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2
Q

The pulmonic valve is located

A

between the right ventricle and pulmonary artery

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3
Q

The mitral valve is locates

A

Between the left atrium and left ventricle

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4
Q

The aortic valve is located

A

Between left ventrical and aorta

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5
Q

hyperglycemia is characterized by

A

pt is hot and dry
tachycardia

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6
Q

hypoglycemia is characterized by

A

cool and clammy skin
tachycardia

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7
Q

Preeclampsia is characterized by

A

protein in urine, swelling of hands and feet, and headaches, new-onset hypertension, blurred vision, and altered mental status

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8
Q

Which of the following signs or symptoms is expected initially in the setting of hypoxia?

A

restlessness, irritability, apprehension, tachycardia, and anxiety.

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9
Q

What are potential Continuous Positive Airway Pressure (CPAP) administration complications?

A

gastric distention, hypotension, and claustrophobia

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10
Q

Carotid and femoral arteries indicate ____ pulses

A

central

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11
Q

What are the signs/symptoms of cholinergic poisoning?

A

excessive salivation or drooling, mucous membrane oversecretion, excessive urination, excessive tearing of the eyes, uncontrolled diarrhea, and an abnormal heart rate.

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12
Q

Scoop stretchers fit around patients in the __ position.

A

supine

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13
Q

What can be used to identify hazardous materials in a transportation incident?

A

emergency response guidebook, waybill, and shipping papers

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14
Q

Kehr’s sign can indicate

A

a ruptured spleen

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15
Q

Murphy’s sign is characterized by __ and can indicate

A

pain just below the right costal margin on inspiration with palpation
cholecystitis

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16
Q

Cullen’s sign is ___ and indicates ___

A

bruising around the umbilicus
intraperitoneal hemorrhage

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17
Q

Grey turner sign is ___ and indicates ___

A

bruising along the abdomen/flank ecchymossis
retroperitoneal hemorrhage

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18
Q

What are signs/symptoms of classic heat stroke?

A

AMS, body temp >104, alteration in sweating, tachycardia/tachypnea

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19
Q

What approximate tidal volume will cause a noticeable rise of the chest during assisted ventilation?

A

500mL

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20
Q

Which of the following terms describes a harsh, high-pitched breathing sound that is heard on inhalation or exhalation and often indicates some degree of airway obstruction?

A

stridor

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21
Q

A low-pitched noisy sound most prominent on exhalation is called __ and indicates ___

A

rhonchi
mucus

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22
Q

Wheezing can be described as ___ and indicates

A

high-pitched whistling sound most prominent on exhalation
obstruction of lower airway

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23
Q

Wet, crackling breath sounds heard on inhalation and exhalation are called ___ and indicate

A

crackles
fluid within the lungs

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24
Q

Describe the pulse and respiration of a pt suffering from CHF

A

tachycardic and tachypnic

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25
The lateral bone in the forearm is
radius
26
The medial bone in the forearm is
the ulna
27
The opening of the airway and assisted ventilation are completed after the ___ compressions during CPR
initial thirty
28
Increased ICP can be characterized by
hypertension, irregular breathing, and bradycardia
29
What is the purpose of lung surfactant?
reduces surface tension of the alveoli
30
Cholecystitis is
inflammation of the gallbladder
31
signs and symptoms of cholecystitis can include
URQ abdominal pain vomiting referred pain to right shoulder
32
The cervical collar should be placed before or after the long spine board?
Before
33
Name two contraindications for a supraglottic airway such as a king LT or LMA?
esophageal disease gag reflex
34
A stokes or basket stretcher is most useful for
an uneven terrain
35
Tension pneumothorax is characterized by
hypotension, hypoxia, absent breath sound son affected side, tracheal deviation, tachycardia, and JVD
36
A short backboard such as the KED may be used for
extricating a seated patient with a suspected spinal injury before using the long backboard
37
True or false: hypertension is found in allergic reactions
false, it's hypotension
38
Signs and symptoms of hypovolemic shock include
hypotension AMS, cyanosis, cool and clammy skin
39
The three components of Cushing's triad include which of the following?
widening pulse pressure bradycardia changes in respiration
40
Cushing's triad is indicative of __-
brainstem herniation in a patient with a closed head injury
41
If an acute myocardial infarction (MI) is left untreated, 90% of affected myocardial cells will die within what time frame?
four to six hours
42
For a palpable radial pulse the patient's systolic BP must be
70mmHg
43
Which of the following is a common finding in hyperglycemia but not hypoglycemia?
vomiting
44
An appropriate range of respiration for ages 0 to 12 months is
30 to 60 BPM
45
An appropriate range of respiration for ages 1 to 3 years is
24 to 40 BPM
46
An appropriate range of respiration for ages 3 to 6 is
22 to 34
47
An appropriate range of respiration for ages 6 to 12 is
18 to 30
48
An appropriate range of respiration for ages 12 and above is
12 to 16 BPM
49
True or false: history of a recent upper GI surgery and rapid respiratory rate are both contraindications for CPAP
false: only upper GI is a contraindication here
50
preload can best be defined as
the pressure in the heart as blood volume increases prior to contraction
51
afterload can best be described as
the force that resists the work of the heart during contraction
52
atherosclerosis is described as
the buildup of plaque, formed by cholesterol, within the walls of blood vessels
53
arteriosclerosis differs from atheriosclerosis because
arteriosclerosis consists of calcium buildup
54
What are the components of the trauma triad?
acidosis, coagulopathy, hypothermia
55
A hypertiensive emergency can be characterized by
ringing in the ears, bounding pulse, severe headache, AMS, warm skin
56
The NFPA 704 system is used to indicate hazards found in buildings. The components of NFPA 704 include which of the following?
flammability hazard, health hazard, special information
57
A 17-year-old male was struck on the side of the head. Police found him unconscious and called for EMS assistance. By the time they arrive, the patient has regained consciousness and states that he is fine. During the primary assessment, there is no obvious bleeding or airway compromise, and his breathing is fine. As EMS proceeds, he becomes obtunded and subsequently loses consciousness. What is the likely cause of this patient's sudden decline?
epidural
58
ICP is associated with ___ respirations
ataxic
59
crackles can be caused by what conditions?
CH and pulmonary edema
60
abruptio placentae is __ and can be caused by ____
the premature separation of the placenta from the uterine wall hypertension and trauma
61
The normal pulse rate for ages 12 months and under is
100-160
62
The normal pulse rate for ages 1 to 3 years is
95 to 150
63
The normal pulse rate for ages 4 to 5 is
80 to 140
64
The normal pulse rate for ages 6 to 12 is
70 to 120
65
The normal pulse rate for ages adolescent above is
60 to 100
66
What are common complications of providing artificial ventilation with a bag-mask device?
improper positioning of the head decreased cardiac output from increased intrathoracic pressure gastric distention
67
68
positive pressure ventilation may result in
decreased blood return to the heart/preload decreased blood pressure
69
true or false: peripheral edema is a result of left ventricular heart failure
false, pulmonary edema is
70
Common signs and symptoms of pancreatitis include which of the following?
nausea and vomiting abdominal pain that worsens after eating severe pain in the URQ that radiates to the back
71
Severe pain in the upper left abdominal quadrant that radiates to the jaw is associated with
spleen injury/cardiac ischemia
72
The V1 lead should be placed
fourth intercostal space, right sternal border
73
The V2 lead should be placed
fourth intercostal space, left sternal border
74
The V3 lead should be placed
between V2 and V4/ between the fifth and sixth ribs
75
The v4 lead should be placed
fifth intercostal space, left midclavicular line
76
The V6 should be placed
the fifth intercostal space, in the midaxillary line
77
the V5 shoul dbe placed
fifth intercostal space at the anterior axillary line
78
symphathomimetics such as____ are characterized by___
coke, meth,epi, albuterol hypertension, tachycardia, DILATED pupils, agitation
79
Which of the following is correct regarding the difference between Diabetic Ketoacidosis (DKA) and Hyperglycemic Hyperosmolar Nonketotic Syndrome (HHNS)?
ketones are present in DKA and not HHNS blood glucose is higher in HHNS note that both have tachycardia
80
A type II ambulance
a standard von chassis all in one piece
81
a type I ambulance
is a conventional truck-cab chassis separated from the pt compartment
82
a type III ambulance
a van chassis separated from the pt compartment
83
diverticulitis occurs when ___ symptoms include
small bulging pouches develop in the digestive track nausea/vomiting abdominal tenderness, fever, diarrhea
84
spine anatomy
cervical 7, thoracic 12, lumbar 5, sacrum, cocyx
85
medial means
toward the midline
86
lateral means
away from the midline
87
rule of 9s adult
head 9 18 front torso, 18 back, 9 arms 18 legs 1 groin
88
rule of 9s pediatric
18 head 9 arms 18 torsos front 18 torso back 14 legs