Paramedic State Test 2023 pt 2

Question 1

What does the triage color green mean

Answer 1

The patient can walk away from the scene

Question 2

In the simple triage and rapid transport system what classifies a patient as a red?

Answer 2

No airway, reposition, over 30 RR
No radial pulse
Cannot follow simple commands

Question 3

In the simple triage and rapid transport system what classifies a patient as a yellow?

Answer 3

Severe injury and cannot move from the scene

Question 4

In the jump START system what classifies a patient as a red?

Answer 4

RR over 45 or under 15
No breathing but pulse—give 5 breaths, in breathing after mark red
No peripheral pulse
Unconscious, inappropriate speech, posturing

Question 5

What is triage priority 1?

Answer 5

Red

Question 6

what is triage priority 2?

Answer 6

Yellow

Question 7

What is triage priorty 3?

Answer 7

Green

Question 8

What is black in triage?

Answer 8

Dead on arrival

Question 9

How do you treat a pediatric or neonate patient with spinal cord trauma with exposed cords?

Answer 9

If small: cover with moist dressing
If large: cover with occlusive dressing

Question 10

What is the epi IM dosage for a patient under 30 kg?

Answer 10

0.15 mg IM

Question 11

What is the epi IM dosage for a patient over 30 kg?

Answer 11

0.3-0.5 mg IM

Question 12

What is magnesium sulfates MOA?

Answer 12

Acts peripherally to produce vasodilation

Question 13

what is magnesium sulfate used in?

Answer 13

Pre-eclampsia, eclampsia, asthma, torsade’s, torsade’s maintenance, and suspected hypomagnesemia state (e.g. chronic alcoholism, and chronic use of diuretics)

Question 14

what kind of patients do you have to be careful with using magnesium sulfate in?

Answer 14

Patients with renal compromise

Question 15

what conteracts magnesium sulfate

Answer 15

calcium chloride

Question 16

What is the eclampsia dose for magnesium sulfate?

Answer 16

2 g IV/IO infused over 10-20 minutes

Question 17

What is the torsades dose for magnesium sulfate?

Answer 17

2 g IV/IO
May repeat X1
MAX 4 mg

Question 18

What are the possible adverse effects associated with magnesium sulfate?

Answer 18

hypotension, depression of reflexes, flaccid paralysis, hypothermia, circulatory collapse, depression of cardiac function, and central nervous system depression

Question 19

What is a complication of nasogastric intubation?

Answer 19

High risk of bleeding

Question 20

What are the advantages of nasogastric intubation?

Answer 20

Aspiraton risk is limited, does not require “sniffing position” so better for spinal cord injuries

Question 21

What are contraindications for nasogastric intubation?

Answer 21

Under age of 12, facial trauma, skull fracture, epiglottitis

Question 22

Where are the pads placed in cardioversion/defibrillation?

Answer 22

Right side of sternum below clavicle
Lower left chest area with top of pads 2-3 inches below armpit

Question 23

What is the Parkland Formula?

Answer 23

4 mg x BSA (%) x kg
Take your result and divide by 2 and then take that result and divide by 8

Question 24

What is the Cincinnati stroke screen

Answer 24

facial droop, arm drift, speech

Question 25

When should you administer TPA

Answer 25

Administer within 4 hours of onset of symptoms

Question 26

What should you do to assess burns and lightning strikes?

Answer 26

CPR if needed, O2, cardiac monitor

Question 27

What is done in active warming?

Answer 27

Warm IV fluids, heat packs to core

Question 28

What classifies as hypothermia?

Answer 28

86 degrees F or 35 degrees C NO PACING Defib if needed

Question 29

What causes heat cramps?

Answer 29

Sodium and water loss

Question 30

What are the symptoms of heat cramps?

Answer 30

Cramping and sweating

Question 31

What is the treatment for heat cramps?

Answer 31

Move to cool place and oral fluids if not nauseated

Question 32

What causes heat exhaustion?

Answer 32

Sodium and water loss

Question 33

What are the symptoms of heat exhaustion?

Answer 33

Tachycardia, sweating, pale, dizzy, hypotension, elevated temperature

Question 34

What is the treatment for heat exhaustion?

Answer 34

Cool patient and IV with normal saline

Question 35

What is the cause of heat stroke?

Answer 35

Hypothalamus is unable to control heat

Question 36

What are the symptoms of heat stroke?

Answer 36

Lowered level of consciousness, skin hot, dry and red, body temp 105 and above, seizure, death

Question 37

What is the treatment for heat stroke?

Answer 37

Cool rapidly, protect airway, O2, and IV access

Question 38

When is a NRB mask used?

Answer 38

Spontaneous breathing less than 90%

Question 39

What is ARDS?

Answer 39

Acute respiratory distress syndrome

Question 40

What are the risk factors for ARDS?

Answer 40

Sepsis (33% of cases) Aspiration of gastric contents Shock Infection Trauma Toxic inhalation Near drowning Multiple blood transfusions

Question 41

What does it mean when a vents alarm goes off?

Answer 41

Vent pressure is low

Question 42

What is the degree for sub q injections?

Answer 42

45 degrees

Question 43

What is the degree for IM injections?

Answer 43

90 degrees

Question 44

What order do we put on PPE for a patient with chronic bronchitis?

Answer 44

Mask yourself and partner first, then the patient

Question 45

What is pyloric stenosis?

Answer 45

Projectile vomiting

Question 46

What is heat stroke protocol?

Answer 46

Active cooling measures; target temp under 102.5 degrees 12 lead IV access Cardiac monitor NS bolus 500 mL, IV/IO, repeat to effect SBP >90, MAX 2L Peds: Bolus 20mL/kg IV/IO, repeat to effect age appropriate SBP greater or equal to 70+2x Age, MAX 60 ml/kg

Question 47

What is hyperventilating?

Answer 47

The condition of taking abnormally fast, deep breaths

Question 48

What is hyperventilating ETCO2?

Answer 48

under 35mmhg

Question 49

What causes hyperventilating?

Answer 49

Hyperventilation syndrome High BVM rate

Question 50

What causes hypoventilation?

Answer 50

Narcotic OD CNS dysfunction Heavy sedation