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Practice Questions Flashcards

1
Q

You arrive to find a 40 y/o male unresponsive at an office meeting. Witnesses say he was normal 5 mins ago. BP 140/80, HR 100, RR 16, O2 94%. He has a medic alert bracelet that states “diabetic”. Which of the following is the least likely cause of his condition?
A. stroke B. vasovagal response (fainting)
C. diabetic coma D. drug ingestion/OD

A

Diabetic coma

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2
Q

Atropine would not be used for

A

PEA or Asystole

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3
Q

Which of the following is not a component of the START triage system?
A. LOC B. RR C. presence of pulse D. pupil size

A

Pupil size

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4
Q

You have been called to the scene of a GSW and told by dispatch the pt has been shot twice in the chest. Your first concern will be

A

scene safety

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5
Q

Select the correct order for assessing a pt after the scene size up

  1. focused assessment
  2. initial assessment
  3. ongoing assessment
  4. complete assessment
A

2,1,4,3

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6
Q

You and your partner, an EMT, have been called to the scene of a head on collision on a rural road. Prioritize the 5 pts

  1. 16 y/o, diabetic who is tachy and confused
  2. 33 y/o, snoring resp
  3. 29 y/o, sucking chest wound
  4. 55 y/o, compound femur
  5. 2 y/o, no pulse or resp
A

2,3,1,4,5

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7
Q

What is the pediatric dose of SQ epi for asthma?

A

0.01 mg/kg

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8
Q

You’re treating a 3 y/o asthma pt. The pt weighs 33 lbs, calculate the SQ epi dose using the recommended 0.01 mg/kg

A

0.15 mg/kg

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9
Q

Your pt has suffered a head injury, which of the below signs would indicate increased ICP?

A

decreased pulse, increased BP

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10
Q

Which of the following most correctly identifies the s/s of hemorrhagic shock?
A. pupils dilated, warm skin, weak muscles
B. Hypotn, diarrhea, constricted pupils
C. N&V, pupils dilated, pale
D. tachycardia, hypotn, hyperthermia

A

N&V, pupils dilated, pale

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11
Q

What system first deals with acid-base balance?

A

buffer system

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12
Q 
Resp acidosis is caused by which of the following?
A. hyperventilation
B DKA
C. anxiety
D. pnuemothorax
A

pnuemothorax

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13
Q

When starting an IV the tourniquet occludes?

A

venous but allows arterial

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14
Q

Minidrip set is always used for?

A

med administration (dopamine)

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15
Q 
Highest concentration of O2 found in?
A. L atrium
B. L ventricle
C. R atrium
D. R ventricle
A

L atrium

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16
Q

Fluid of choice for burns?

A

LR

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17
Q

External jugular is considered what kinda of IV site?

A

peripheral

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18
Q

IV solution closest to plasma?

A

LR

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19
Q

When medic fails to perform required tx they have committed

A

nonfeasance

20
Q 
Which of the following is not true for lido?
A. inc vfib threshold
B. dec cardiac funct
C. used to tx vtach
D. can cause seizures
A

decreases cardiac function

21
Q 
For which is cardizem contraindicated?
A. bradycardia
B. hypotn
C. SVT
D. tachycardia
A

bradycardia

22
Q 
Lasix doesn't do which of the following?
A. works in loop of henle
B. inc preload
C. prevents re-absorption of sodium
D. causes vasodilation w/in 5 min
A

increases preload

23
Q

What do you give for OD on Elavil?

A

sodium bicarb for OD on tricyclic

24
Q

Late sign of lido toxicity?

A

seizures

25
Q

Which drug decreases preload?

A

morphine

26
Q 
Which of the following drugs isn't a vasopressor?
A. intropin
B. Norepi
C. Adenosine
D. Dopamine
A

adenosine

27
Q

Pt c/o palpitations, EKG shows wide complex rate 180, BP 124/76, skin warm and dry. First choice of tx?

A

cordarone 150 mg over 10 min (amiodarone)

28
Q

Pt c/o palpitations, EKG shows wide complex rate 180, BP 124/76, skin warm and dry. Treated with cordarone. Suddenly feels faint & develops crushing chest pain BP 84/48, HR 184, pale and moist skin.Immediate tx?

A

synched cardioversion

29
Q

Pt. has decreased mental status most likely caused by?

A

decreased cerebral perfusion

30
Q 
Classic pneumonia presents with all the following except?
A. rhonchi
B. fever
C. pedal edema
D. hot dry skin
A

pedal edema

31
Q 
Pt has symptoms of cholecystitis. Which of the following would you not find?
A. LUQ pain
B. cullen's sign
C. diffuse abd pain
D. murphy's sign
A

murphy’s sign

32
Q

EKG contains inverted P waves, narrow QRS rate 72. What type of rhythm

A

accelerated junctional rhythm

33
Q 
S/S of hypoglycemia include all the following except
A. seizure
B. weak rapid pulse
C. waekness/tremors
D. polydypsia
A

polydypsia this is found in hyperglycemia

34
Q

With a 3rd degree heart block, the PR interval _____ and the R to R is _______?

A

varies, regular

35
Q

What isn’t a sign of an allergic reaction?

A

HTN, they would have hypotn

36
Q

32 y/o woman c/o severe pain in RLQ, nausea, constipated for 2 days, suspect?

A

appendicitis

37
Q 
67 y/o with dyspnea c/o orthopnea for last 2 nights. Pale, cool,clammy skin. Which is most likely cause of SOB. 
A. pulm edema 
B. R heart failure
C. PE
D. pneumonia
A

pulmonary edema

38
Q 
Pt. presenting with chest pain, pulm edema, and hypotn. Tx of choice?
A. solumedrol
B. epi
C. intropin
D. fluids
A

intropin (dopamine)

39
Q

Helmetless motorcycle rider involved in MVC. Unconscious motionless on ground approx 5 min. As you begin assessment he regains consciousness for several min then rapidly loses it again. Suspect?

A

epidural hematoma

40
Q

Which of the following would be most appropriate sequence of tx for GSW victim.

  1. establish IV/ give fluids
  2. provide patent airway
  3. vent & oxygenate as needed
  4. control moderate bleeding from GSW
A

2,3,4,1

41
Q

86 y/o nursing home pt hot, dry skin SOB & rhonchi. Diagnosis?

A

pneumonia

42
Q 
Which of the following techniques should be used with a spine board in a narrow place as an alternate to 4-man log roll?
A. 4-man seat carry
B. 4-man straddle slide
C. 4-man pickup
D. 4-man ext. carry
A

4-man straddle carry

43
Q

Single most important indicator of neonatal distress?

A

bradycardia

44
Q

What drug should be reduced in elderly pts?

A

lidocaine

45
Q

Laryngotracheobronchitis is characterized by?

A

occurs at night with stridor and seal bark cough

State Exam (10 decks)

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