NREMT Quizes I Flashcards
What are the layers of the heart (from outside to inside)
- Epicardium (surrounded by pericardium)
- Myocardium
- Endocardium
What is the cardiac sulcus
Groove in heart separates atrium from ventricles
Where does all venous blood empty into before it dumps back into the R atrium?
The coronary sinus
Parasympathetic NS controls heart via the…
Vagus nerve
What does estrogen do?
Sex development
What are papillary muscles? Where are they and what do they do?
Located in heart, attach to chordae tendineae, which attach to the AV valves.
They contract during ventricular systole = prevent AV valves from back flowing into the atria
Ectopic pregnancies present with lower belly pain & referred pn to what area?
Trapezoids
Alveoli can resist collapse DT presence of what substance?
Surfactant
What is parenchyma?
The functional parts of a gland or solid organ
The narrowest part of laryngeal airway in kids is the….
Cricoid cartilage
PEA is a rhythm? True or false
False. It is a condition
What pea-shaped gland regulates calcium by releasing hormones to increase Ca++ blood levels?
Parathyroid gland
What anatomical feature marks the beginning of the hypopharynx?
The hyoid bone
What is the hypopharynx?
Aka larngopharnx = lowest part of pharynx
What is Murphy’s eye. What does it do?
Murphy’s eye = side hole at end of ET tube.
Enables airflow even if end of tube occluded
What’s kehr’s sign
Ab pn w/ referred pn to L shoulder = spleen rupture
Parietal vs visceral pericardium?
Parietal = outside, touches chest wall
Visceral = inside, touches heart (epicardium)
What’s a colles fracture
Fracture of forearm and wrist
What is it called when the odontoid process is fractured?
Hangman’s fracture.
Odontoid process (aka dens) = connects C1 & C2.
Atlas vs axis?
Atlas = C1
Axis = C2
think: you swivel on an axis
Pt complains cramping pn in calves when walking, but relieved w/ rest. What’s this called?
Claudication (DT ischemia from clot)
12 YOF CC flu SS x4-5days. Pt given ASA for her fever. Now in comatose. What happened?
Reye’s syndrome = brain swelling from giving ASA to pediatrics
Following a blunt force to the head, pt now reports seeing a curtain coming down over his vision. What’s wrong?
Retinal detachment
Pt reports having sudden painless loss of vision in one eye. What’s wrong
Central retinal artery occlusion
What does the hyoid bone do?
Anchors the tongue
Which resp disease causes distortion in alveolar surface area and decreases alveolar/capillary interface?
Emphysema
The terminal end & functional units of the lower airway are the…
Alveolar sacs
What do Alpha 1 sympathetic receptors do?
Vasoconstriction
What do Alpha 2 sympathetic receptors do?
Glucagon secretion, insulin/norepi INHIBITION
What do beta 1 sympathetic receptors do?
Heart receptors: HR, contractility, conduction
Renin
- think Beta 1 (one heart), Beta 2 ( two lungs*
What do beta 2 sympathetic receptors do?
Bronchus/bronchiole relaxation
Insulin
Uterine relaxation
- think Beta 1 (one heart), Beta 2 ( two lungs*
What do beta 3 sympathetic receptors do?
Shivering, goosebumps, heat conservation
Chronotropic vs inotropic vs dromotropic effects on the heart
Chronotropic = more HR
Inotropic = more contractility
Dromotropic = more conduction
Finish the sentence: the AV valves open to allow ventricular filling when the intra-atrial pressure…
Exceeds the intraventricular pressure
What does ACE stand for? What are they?
ACE= angiotensin-converting enzyme
Changes angiotensin I to angiotensin II in the lungs = peripheral artery constriction
What is propranolol?
Propranolol (inderal) = sympathetic beta blocker
Slows HR
Briefly explain brown sequard syndrome
Penetrating trauma or ischemia = hemisection of spinal cord = ipsilateral & contralateral neuro deficits below injury site
What are the neuro deficits involved with a brown-sequard injury?
Ipsilateral motor loss below injury
Contralateral pn sensation/temp sensation loss below injury
Bruit vs thrill
Both = narrowed artery from turbulent blood flow
You HEAR a bruit, FEEL a thrill
What’s a transmural infarct
MI involves full thickness of myocardium
What’s the main role of Epi in a cardiac arrest
To increase SVR (BP) & improve perfusion.
Football player struck on top of head. Became paralyzed below neck for several days before regaining normal motor sensory function. What happened?
Spinal shock (temporary paralysis following a spinal cord injury)
King coral diamond rattle snake. Which is the least harmful?
King snake = non venomous
Which type of snakes have neurotoxins in their venom?
Coral snakes
Pit viper vs coral snake venom
Pit viper = necrosis
Coral snake = neurotoxin SS
What snakes are part of the “Crotalinae” family
Pit viper
What type of snakes are in the “Elapidae” family
Coral snakes
What the different types of pit vipers?
Rattle, cottonmouths, diamondbacks
Besides neurotoxin effects, what is the other main danger of snake bites?
Infection
You have a CHF pt w/ pink frothy sputum. What is the frothiness caused by?
Plasma washes surfactant from alveoli
Which type of cholesterol is the bad kind? LDL or HDL
LDL
Which system doesn’t have ANY organs in the thorax?
The renal system
Which bone is located on the medial aspect of the forearm
Ulna
Hemothorax vs Pneumothorax SS
Both can have absent breath sounds.
But hemothorax = flat jugular veins w/ dull/hyporesonance
What effect does dopamine have at only 2 uq/kg/min?
Increase in vasoconstriction
We know epidermis = superficial skin layer.
But what structures found in dermis?
Nerve endings, Blood vessels, Sweat glands, hair follicles, Sebaceous glands
What are the functions of the skin?
Temp regulation Immunity/protection Sensation Blood reservoir Vitamin D synthesis
Burn shock = protein & fluids leave damaged blood vessels into surrounding tissue = ?
Reduced intravascular oncotic pressure
Pt burned after gas ignited= circumferential 2nd & 3rd degree burns to both arms, hands, face, chest and abdomen. What BSA?
40.5%
Adult has burns to anterior thorax & all R leg. What BSA?
27% (thorax = chest)
How do we recover fluids from interstitial space during microcirculation?
Circulating albumins (from liver) attracts Na back into the vessels = followed by fluids
Where in our bodies is the Torr pressure of Co2 the highest?
The venules