PCP Essentials Assignment Flashcards by Random Carrott

Which of the following is not considered part of the axial skeleton?

A. Clavicle
B. Vertebral column
C. Ribs
D. Sternum

A. Clavicle

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Which lobe of the brain is responsible for memory, cognition, higher level thinking, and personality?

A. Temporal
B. Occipital
C. Frontal
D. Parietal

C. Frontal

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In which portion of the small intestine does the most nutrient absorption occur?

A. Duodenum
B. Jejunum
C. Ileum
D. Cecum

B. Jejunum

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Which of the following is not a cranial nerve?

A. Trigeminal
B. Accessory
C. Oculomotor
D. Pharyngeal

D. Pharyngeal

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Which of the following are considered structures of the upper airway?

1) Oropharynx
2) Larynx
3) Epiglottis
4) Trachea
5) Carina
6) Bronchioles

A. 1, 2, 3
B. 2, 3, 4
C. 1, 2, 4, 5
D. 3, 4, 5, 6

A. 1, 2, 3

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Which of the following antibodies is primarily responsible for the hypersensitive reaction in anaphylaxis?

A. IgM
B. IgG
C. IgD
D. IgE

D. IgE

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Movement of particles from a higher concentration to a lower concentration is best defined as?

A. Osmosis
B. Diffusion
C. Active transport
D. Filtration

B. Diffusion

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Where are red blood cells produced?

A. Spleen
B. Bone marrow
C. Liver
D. Both A and B are correct

B. Bone marrow

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Which of the following hormones is not secreted and/or produced in the anterior pituitary gland?

A. Antidiuretic hormone
B. Adrenocorticotropic hormone
C. Thyroid stimulating hormone
D. Luteinizing hormone

A. Antidiuretic hormone

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Which of the following hormones is not considered a diarthrosis joint?

A. Knee
B. Elbow
C. Shoulder
D. Pubic symphysis

D. Pubic symphysis

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Which of the following supplemental oxygen devices are appropriately matched with their correct percentage of oxygen delivery?

A. NC; 4-24% oxygen
B. Simple face mask; 40-60% oxygen
C. Non-rebreather; 60-80% oxygen
D. BVM; only provides 100% oxygen

B. Simple face mask

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What does the term BIAD stand for?

A. BLS Invasive Airway Device
B. Blind Insertion Adjunct Device
C. Blind Insertion Airway Device
D. Basic Invasive Airway Device

C. Blind Insertion Airway Device

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Which of the following airway devices are within the PCP scope of practice?

1) Oropharyngeal Airway
2) Nasopharyngeal Airway
3) Laryngeal Mask Airway
4) King-LT
5) Endotracheal Tube

A. 1, 2, 5
B. 1, 2, 3, 5
C. 1, 2, 3, 4
D. 1, 2, 3, 4, 5

C. 1, 2, 3, 4

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Which of the following are not causes of gastric distention?

A. Prolonged ventilation using a mask and BVM
B. Improperly placed airway device
C. Use of excessive force while ventilating
D. Using a combination of both an OPA and an NPA while ventilating

D. Using a combination of both an OPA and an NPA while ventilating

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You are dispatched to a suspected narcotic overdose. Your patient has pinpoint pupils, snoring respirations at 4/minute, a weak pulse of 68 at the radial, and a BP of 104/70mmHg. How would hypoventilation affect ETCO2 levels in your patient?

A. ETCO2 levels would increase with hypoventilation
B. ETCO2 levels would decrease with hypoventilation
C. ETCO2 levels would remain the same
D. ETCO2 levels are not relevant in a patient with suspected narcotic overdose

A. ETCO2 levels would increase with hypoventilation

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How far, and for how long do we suction?

A. Continuous suction may be performed as long as needed to clear away, suctionning only to the oropharynx
B. Suctioning attempts should be limited to 10 seconds or less, suctioning only as far as you can see
C. Suctioning attempts should be limited to 15 seconds or less, suctioning only as far as you can see
D. Suctioning attempts should be limited to 15 seconds or less, suctioning as far as needed to clear airway

C. Suctioning attempts should be limited to 15 seconds or less, suctioning only as far as you can see

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Your patient has just been intubated by your paramedic partner. What are two confirmation techniques for the endotracheal tube that are within the PCP scope of practice?

A. Direct visualization, auscultation
B. Misting in the tube, monitoring ETCO2 waveform
C. Ventilating with no resistance, monitoring SPO2 values
D. Auscultation, monitoring ETCO2 values

D. Auscultation, monitoring ETCO2 values

You have been dispatched to a suspected cardiac arrest and have been delegated to manage the patient’s airway. They are confirmed to be apneic with a weak carotid pulse. What rate should you assist ventilations at?

A. 1 breath every 5-6 seconds, at a rate of 10-12/minute
B. 1 breath every 3-4 seconds, at a rate of 15-20/minute
C. The rate does not matter as long as ETCO2 remains between 35-45 mmHg
D. 2 breaths every 30 seconds, alternating with CPR

D. 2 breaths every 30 seconds, alternating with CPR

In regards to ventilating a patient, the term ‘compliance’ refers to?

A. Agreeing with every decision your paramedic partner makes regarding treatment
B. The action of fact of complying with a wish or command
C. Following local protocols as defined by local medical control
D. The ease with which the lungs and thorax expand during pressure changes

D. The ease with which the lungs and thorax expand during pressure changes

Which of the following are contraindications for using a King-LT?

A. Ingestion of caustic substances
B. The action or fact of complying with a wish or command
C. Following local protocols as defined by local medical control
D. There are no contraindications when using a King-LT

A. Ingestion of caustic substances

Which type of shock occurs the fastest in the body?

A. Hypovolemic shock
B. Cardiogenic shock
C. Neurogenic shock
D. Septic shock

C. Neurogenic shock

Which of the following are signs and symptoms of decompensated shock?

A. Increased BP, tachycardia, decreased LOC
B. Normotensive, tachycardia, decreased LOC
C. Hypotensive, bradycardia, no changes in LOC
D. Hypotensive, bradycardia, decreased LOC

D. Hypotensive, bradycardia, decreased LOC

What is the approximate systolic blood pressure at the radial, brachial and carotid pulse points?

A. 90, 70, 50
B. 80, 90, 100
C. 70, 80, 90
D. 80, 70, 60

D. 80, 70, 60

What is the correct weight based formula for IV therapy?

A. 1mg/kg to a max of 1L
B. 20 mcg/kg x 2
C. 20 mL/kg
D. 20 mL/kg x 2

D. 20 mL/kg x 2

Anaphylactic shock is? A. Pump problem B. Volume problem C. Container problem D. Electrical problem

C. Container problem

Septic shock i? A. Pump problem B. Volume problem C. Container problem D. Electrical problem

C. Container problem

Hypovolemic shock is? A. Pump problem B. Volume problem C. Container problem D. Electrical problem

B. Volume problem

Metabolic shock is? A. Pump problem B. Volume problem C. Container problem D. Electrical problem

B. Volume problem

Cardiogenic shock is? A. Pump problem B. Volume problem C. Container problem D. Electrical problem

A. Pump problem

Neurogenic shock is? A. Pump problem B. Volume problem C. Container problem D. Electrical problem

C. Container problem

Which of the following is not a cause of anemia? A. Acute or chronic blood loss B. Decreased production of erythrocytes C. Increased destruction of erythrocytes D. Increased levels of hemoglobin

D. Increased levels of hemoglobin

Which of the following best defines polycythemia? A. A decrease in the total RBC mass of the blood B. An increase in the total RBC mass in the blood C. A decreased in the total WBC mass in the blood D. An increased in the total WBC mass of the blood

B. An increase in the total RBC mass in the blood

You are dispatched to a private residence for an 86 year old male who states that he was in the middle of yard work when he began to experience chest pain. He tells you that since resting the pain has subsided. He states he "sprayed some medication" under his tongue just prior to your arrival. What is your tentative diagnosis? A. Exacerbated asthma B. Angina C. Myocardial infarction D. COPD

B. Angina

You are dispatched to an independent living facility for a 78 year old woman in respiratory distress. You notice that she has home O2 running at 4L/minute. On your primary survey you notice dependent peripheral pitting edema in both lower extremities. Air entry is clear throughout upon auscultation. Vital signs are: HR 86 strong and regular, RR 24 and shallow, BP 136/78 mmHg, SPO2 96%, BGL 4.9 mmol. Based onj your initial assessment and vital signs, what do you suspect is the primary cause of her respiratory distress? A. Asthma B. Emphysema C. Right sided CHF D. Left sided CHF

C. Right sided CHF

You are dispatched to a private residence for a 72 year old male in respiratory distress. You notice that he has home O2 running at 2L/minute. On your primary survey you do not note any peripheral edema. Crackles are heard throughout upon auscultation. Vital signs are: HR 92 strong and regular, RR 22 and shallow, BP 116/72 mmHg, SPO2 96%, BGL 4.9 mmol. Based on your initial assessment and vital signs, what do you suspect is the primary cause of his respiratory distress? A. Asthma B. Emphysema C. Right sided CHF D. Left sided CHF

D. Left sided CHF

Which of the following would be considered appropriate BLS treatment for a patient experiencing ischemic cardiac chest pain? 1. ASA 2. Nitro 3. Oxygen 4. Morphine A. 1 and 2 only B. 1, 2, 3 C. 2 and 3 only D. 1. 2. 3. 4

B. 1, 2, 3

Which law states that myocardial fibers will contract more forcefully when they are stretched due to an increase in the volume of blood filling the heart? A. Boyle's law B. Dalton's law C. Henry's law D. Starling's law

D. Starling's law

The term thrombus refers to which of the following? A. An aggregation of platelets, fibrin, clotting factors and the cellular elements of the blood that form blood clots in a vessel and remain where it was formed B. An aggregation of platelets, fibrin, clotting factors and the cellular elements of the blood that form blood clots in a vessel, which then travel to a different location in the body C. A blood clot which forms as a result of prolonged bed rest and sedentary habits D. A decreased circumference of a blood vessel due to arteriosclerosis

A. An aggregation of platelets, fibrin, clotting factors and the cellular elements of the blood that form blood clots in a vessel and remain where it was formed

A thickening and/or hardening of the walls of arteries refers to? A. Cardiovascular disease B. Atherosclerosis C. Arteriosclerosis D. Hyperlipidemia

C. Arteriosclerosis

Which of the following groups may present with atypical symptoms of a myocardial infarction? A. Women B. Diabetics C. Geriatrics D. All of the above

D. All of the above

Which of the following signs and/or symptoms would you expect to find, indicating a respiratory problem? 1. Bradypnea 2. Tachypnea 3. Tri-pod positioning 4. Speaking in full sentences 5. Tracheal deviation A. 1, 2, 3 B. 1, 2, 3, 4 C. 1, 2, 3, 4 D. 1, 2, 3, 4, 5

C. 1, 2, 3, 4