NREMT-DP2

Question 1

What is the separation of the tunica media from the tunica adventitia, causing referred pain to the left shoulder, upper back, and chest?

Answer 1

Aortic aneurysm

Question 2

Tearing chest pain that radiates to the back or shoulder blades, radial pulse discrepancy?

Answer 2

Thoracic aneurysm

Question 3

ASA role in chest pain

Answer 3

Aggregate, makes platelets slippery keeping clot from getting larger.

Question 4

When is S3 and S4 sound heard

Answer 4

CHF, elderly with heart disease, indicates valve failure

Question 5

Asystole on monitor, next step?

Answer 5

Check in another

Question 6

When does the relative refractory period begin?

Answer 6

Apex of the T wave

Question 7

What causes heart blocks and yellow vision?

Answer 7

Digitalis Toxicity

Question 8

Angiotensin causes what to the blood vessels?

Answer 8

Constriction

Question 9

The difference between systolic and diastolic blood pressure

Answer 9

Pulse pressure

Question 10

Equation for Mean arterial pressure (MAP)

Answer 10

1/3 pulse pressure + diastolic

Question 11

Part of the brain that controls higher though and judgement, sight, memory and cognitive function?

Answer 11

Cerebrum

Question 12

Part of the brain that controls fine motor control

Answer 12

Cerebrum

Question 13

Parasympathetic Neuro transmitter

Answer 13

Acetycholine

Question 14

Sympathetic neuro transmitter

Answer 14

Norepinephrine

Question 15

How long can brain last without perfusion

Answer 15

3-6 seconds

Question 16

Short period immediately after depolarization in which myocytes are not yet repolarized and are unable to fire or conduct an impulse?

Answer 16

Absolute refactory period

Question 17

Becks triad

Answer 17

Seen in cardiac tamponade

Question 18

Dopamine drip doseage

Answer 18

2-10 mcg/kg/min

Question 19

At what MAP is the brain profused

Answer 19

60mmHg

Question 20

What nerve does aceytcholine work on

Answer 20

Vagus nerve

Question 21

What contains 50% of the sugar volume in the entire body

Answer 21

CSF

Question 22

AKA the oculomotor nerve this nerve allows for pupil constriction and eye movement

Answer 22

3rd cranial nerve

Question 23

AKA trigeminal nerve responsible for most facial sensations

Answer 23

5th cranial nerve

Question 24

Facial nerve, when swollen it can cause facial paralysis or bells palsy which can be confused for a stroke

Answer 24

7th cranial nerve

Question 25

AKA vagus nerve, connects brain to numerous organs

Answer 25

10th cranial nerve

Question 26

Stages of a seizure

Answer 26

``` Aura Tonic Clonic Postseizure Postictal ```

Question 27

Stage of a seizure that causes body wide rigidity

Answer 27

Tonic Phase

Question 28

Phase of a seizure that involves rhythmic contractions of major muscle groups

Answer 28

Clonic Phase

Question 29

Whole body seizure

Answer 29

Grandmal/general seizure

Question 30

Seizure that lasts longer than 4-5 mins

Answer 30

Epilepsy

Question 31

Diazepam (valium) Medazolam

Answer 31

Benzos

Question 32

Elevated BP slow or normal HR erratic respirations

Answer 32

Cushings syndrome

Question 33

Pink skin distal to injury in neurogenic shock

Answer 33

A lack of sympathetic response

Question 34

Inadequate cellular diffusion

Answer 34

Shock

Question 35

Shock causes what kind of acidosis

Answer 35

Metabolic

Question 36

Type of shock- Impaired pumping power of the heart

Answer 36

Cardiogenic

Question 37

Treatment of cardiogenic shock

Answer 37

Dopamine

Question 38

Type of shock- Decrease in blood/water volume, cool pale clammy skin, BP low HR up

Answer 38

Hypovolemic shock

Question 39

First organ affected by lack of O2

Answer 39

Brain

Question 40

Type of shock injury to brain or spinal cord disrupts communication between nerves and arteries causing relative hypovolemia

Answer 40

Neurogenic shock

Question 41

Type of shock allergic reaction stridor

Answer 41

Anaphylactic shock

Question 42

What does CNS do in anaphylaxis

Answer 42

Widespread vasodilation

Question 43

Type of shock- Infection in blood stream

Answer 43

Septic shock

Question 44

Type of shock-Abnormal distribution and return of the blood as seen in Anaphylaxis, Sepsis, or Neurogenic Shocks?

Answer 44

Distributive shock