NREMT Paramedic

Question 1

Stridor

Answer 1

Harsh, high-pitched sound during inspiration

Question 2

Mydriasis

Answer 2

Dilated - cardiac arrest, shock, cerebral hypoxia, cocaine, epinephrine, amphetamines

Question 3

Miosis

Answer 3

Small/Constricted - narcotics, CNS disorder, glaucoma medication, bright light

Question 4

Anisocoria

Answer 4

Unequal - brain injury, brain tumor, stroke, artificial eye, some eye medications, eye injury or disease, can be normal

Question 5

Nystagmus

Answer 5

Rapid involuntary movements of eye(s), CNS disorders, some drugs - PCP, ketamine, LSD, Lithium, anticonvulsants

Question 6

Accommodation

Answer 6

Constriction of both pupils when an object moves closer

Question 7

Percussion Sounds

Answer 7

Resonant - Normal

Hyperresonant - Tension Pneumo

Dull- Pneumonia, tumor, blood

Question 8

Pain

Answer 8

Visceral - Internal Organs damaged

Somatic- Peritoneal Lining

Referred- Discomfort perceived in other parts of the body

Question 9

Clubbing of fingers

Answer 9

Chronic Hypoxia, COPD

Question 10

Presbycusis

Answer 10

Age related hearing loss

Question 11

Osteoporosis

Answer 11

Degenerative bone loss

Question 12

Pediatric assessment triangle

Answer 12

Urgent or Stable?
Appearance
Work of breathing
Circulation to skin

Question 13

Cerebral Palsy

Answer 13

Does not worsen with age ; group of chronic non-progressive disorders

Question 14

Blood Glucose Monitor

Answer 14

Normal 70-140 mg/dL

Question 15

Troponin

Answer 15

1st to elevate in MI ; most specific to cardiac muscle injury

Question 16

Colloid

Answer 16

large particles of protein ; Albumin, Hespan, Dextran, blood plasma

Question 17

Crystalloid

Answer 17

NS, LR, 5% D/W, ect.

Question 18

Tonicity

Answer 18

Isotonic - stays in blood longer NS,LR

Hypertonic - into vascular space, 10% Dextrose

Hypotonic - Moves out of vascular space into cells 1/2 NS

Question 19

Fluid Replacement

Answer 19

20 mL/kg (adult or child)
10 mL/kg (newborn)

Question 20

Eosinophils

Answer 20

Fight parasites and other infections

Question 21

gtts/min=

Answer 21

ml X drip size/time in minutes

Question 22

ml/hr=

Answer 22

gtts/min X time in minutes/drip size

Question 23

Hypercarbia

Answer 23

Above 45, respiratory acidosis, decreased tidal vol, resp. arrest

Question 24

Hypocarbia

Answer 24

Below 35, Respiratory alkalosis, hyperventilation, Kussmaul, ASA OD

Question 25

Drug administration 5 rights?

Answer 25

Patient, medication, route, dose, time.

Question 26

Entereal

Answer 26

drugs given via GI tract such as orally, SL, NG tube, rectally

Question 27

Parenteral

Answer 27

ex. IV, SQ, IV

Question 28

Aura

Answer 28

perception or sensation prior to a seizure.

Question 29

Post Ictal

Answer 29

Period regaining consciousness after seizure.

Question 30

Febrile (generalized)

Answer 30

Most common cause of seizures in young children

Question 31

Focal motor seizures (partial seizure)

Answer 31

Jacksonian - from electrical disruption of one area of the brain

Question 32

Cephalgia

Answer 32

Headache - can be condition or symptom of conditions

Question 33

Emesis

Answer 33

Vomiting

Question 34

Photophobia

Answer 34

Sensitivity to light

Question 35

Diplopia

Answer 35

Double Vision

Question 36

Delirium

Answer 36

Sudden state of confusion which is usually reversible

Question 37

Dementia

Answer 37

Chronic deterioration of memory, reasoning, not reversible

Question 38

Wernicke’s Encephalopathy

Answer 38

Thiamine deficiency, chronic alcoholic

Question 39

Erythropoietin

Answer 39

Hormone secreted by the kidneys to increase or decrease production of red blood cells in response to O2