NREMT Flashcards
The tricuspid valve is locates
Between the right atrium and right ventrical
The pulmonic valve is located
between the right ventricle and pulmonary artery
The mitral valve is locates
Between the left atrium and left ventricle
The aortic valve is located
Between left ventrical and aorta
hyperglycemia is characterized by
pt is hot and dry
tachycardia
hypoglycemia is characterized by
cool and clammy skin
tachycardia
Preeclampsia is characterized by
protein in urine, swelling of hands and feet, and headaches, new-onset hypertension, blurred vision, and altered mental status
Which of the following signs or symptoms is expected initially in the setting of hypoxia?
restlessness, irritability, apprehension, tachycardia, and anxiety.
What are potential Continuous Positive Airway Pressure (CPAP) administration complications?
gastric distention, hypotension, and claustrophobia
Carotid and femoral arteries indicate ____ pulses
central
What are the signs/symptoms of cholinergic poisoning?
excessive salivation or drooling, mucous membrane oversecretion, excessive urination, excessive tearing of the eyes, uncontrolled diarrhea, and an abnormal heart rate.
Scoop stretchers fit around patients in the __ position.
supine
What can be used to identify hazardous materials in a transportation incident?
emergency response guidebook, waybill, and shipping papers
Kehr’s sign can indicate
a ruptured spleen
Murphy’s sign is characterized by __ and can indicate
pain just below the right costal margin on inspiration with palpation
cholecystitis
Cullen’s sign is ___ and indicates ___
bruising around the umbilicus
intraperitoneal hemorrhage
Grey turner sign is ___ and indicates ___
bruising along the abdomen/flank ecchymossis
retroperitoneal hemorrhage
What are signs/symptoms of classic heat stroke?
AMS, body temp >104, alteration in sweating, tachycardia/tachypnea
What approximate tidal volume will cause a noticeable rise of the chest during assisted ventilation?
500mL
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?
stridor
A low-pitched noisy sound most prominent on exhalation is called __ and indicates ___
rhonchi
mucus
Wheezing can be described as ___ and indicates
high-pitched whistling sound most prominent on exhalation
obstruction of lower airway
Wet, crackling breath sounds heard on inhalation and exhalation are called ___ and indicate
crackles
fluid within the lungs
Describe the pulse and respiration of a pt suffering from CHF
tachycardic and tachypnic
The lateral bone in the forearm is
radius
The medial bone in the forearm is
the ulna
The opening of the airway and assisted ventilation are completed after the ___ compressions during CPR
initial thirty
Increased ICP can be characterized by
hypertension, irregular breathing, and bradycardia
What is the purpose of lung surfactant?
reduces surface tension of the alveoli
Cholecystitis is
inflammation of the gallbladder
signs and symptoms of cholecystitis can include
URQ abdominal pain
vomiting
referred pain to right shoulder
The cervical collar should be placed before or after the long spine board?
Before
Name two contraindications for a supraglottic airway such as a king LT or LMA?
esophageal disease
gag reflex
A stokes or basket stretcher is most useful for
an uneven terrain
Tension pneumothorax is characterized by
hypotension, hypoxia, absent breath sound son affected side, tracheal deviation, tachycardia, and JVD
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
True or false: hypertension is found in allergic reactions
false, it’s hypotension
Signs and symptoms of hypovolemic shock include
hypotension
AMS, cyanosis, cool and clammy skin
The three components of Cushing’s triad include which of the following?
widening pulse pressure
bradycardia
changes in respiration
Cushing’s triad is indicative of __-
brainstem herniation in a patient with a closed head injury
If an acute myocardial infarction (MI) is left untreated, 90% of affected myocardial cells will die within what time frame?
four to six hours
For a palpable radial pulse the patient’s systolic BP must be
70mmHg
Which of the following is a common finding in hyperglycemia but not hypoglycemia?
vomiting
An appropriate range of respiration for ages 0 to 12 months is
30 to 60 BPM
An appropriate range of respiration for ages 1 to 3 years is
24 to 40 BPM
An appropriate range of respiration for ages 3 to 6 is
22 to 34
An appropriate range of respiration for ages 6 to 12 is
18 to 30
An appropriate range of respiration for ages 12 and above is
12 to 16 BPM
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
preload can best be defined as
the pressure in the heart as blood volume increases prior to contraction
afterload can best be described as
the force that resists the work of the heart during contraction
atherosclerosis is described as
the buildup of plaque, formed by cholesterol, within the walls of blood vessels
arteriosclerosis differs from atheriosclerosis because
arteriosclerosis consists of calcium buildup
What are the components of the trauma triad?
acidosis, coagulopathy, hypothermia
A hypertiensive emergency can be characterized by
ringing in the ears, bounding pulse, severe headache, AMS, warm skin
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
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
ICP is associated with ___ respirations
ataxic
crackles can be caused by what conditions?
CH and pulmonary edema
abruptio placentae is __ and can be caused by ____
the premature separation of the placenta from the uterine wall
hypertension and trauma
The normal pulse rate for ages 12 months and under is
100-160
The normal pulse rate for ages 1 to 3 years is
95 to 150
The normal pulse rate for ages 4 to 5 is
80 to 140
The normal pulse rate for ages 6 to 12 is
70 to 120
The normal pulse rate for ages adolescent above is
60 to 100
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
positive pressure ventilation may result in
decreased blood return to the heart/preload
decreased blood pressure
true or false: peripheral edema is a result of left ventricular heart failure
false, pulmonary edema is
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
Severe pain in the upper left abdominal quadrant that radiates to the jaw is associated with
spleen injury/cardiac ischemia
The V1 lead should be placed
fourth intercostal space, right sternal border
The V2 lead should be placed
fourth intercostal space, left sternal border
The V3 lead should be placed
between V2 and V4/ between the fifth and sixth ribs
The v4 lead should be placed
fifth intercostal space, left midclavicular line
The V6 should be placed
the fifth intercostal space, in the midaxillary line
the V5 shoul dbe placed
fifth intercostal space at the anterior axillary line
symphathomimetics such as____ are characterized by___
coke, meth,epi, albuterol
hypertension, tachycardia, DILATED pupils, agitation
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
A type II ambulance
a standard von chassis all in one piece
a type I ambulance
is a conventional truck-cab chassis separated from the pt compartment
a type III ambulance
a van chassis separated from the pt compartment
diverticulitis occurs when ___ symptoms include
small bulging pouches develop in the digestive track
nausea/vomiting
abdominal tenderness, fever, diarrhea
spine anatomy
cervical 7, thoracic 12, lumbar 5, sacrum, cocyx
medial means
toward the midline
lateral means
away from the midline
rule of 9s adult
head 9
18 front torso, 18 back,
9 arms
18 legs
1 groin
rule of 9s pediatric
18 head
9 arms
18 torsos front 18 torso back
14 legs