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paramedic > Randy part 2 > Flashcards

Randy part 2 Flashcards

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1
Q

Question

A

Answer

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2
Q

Wheezing is resolved with medications that

A

Relax bronchial smooth muscles

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3
Q

In a person who normally has good mobility, most pulmonary infections occur

A

At the bases of the lungs

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4
Q

A patient with orthopnea

A

Seeks a sitting position when short of breath

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5
Q

A sudden increase of end-tidal CO2 may be the earliest indicator of

A

ROSC (Return of Spontaneous Circulation)

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6
Q

The most immediate danger to a deeply unconscious patient with acute alcohol intoxication is

A

Aspiration of vomitus

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7
Q

Patient is found unresponsive by her husband. He notes that the patient’s respirations are slow and shallow or pulse is slow and weak and her pupils are markedly dilated. Partner begins assisting the patient’s ventilations and her blood pressure is 70/48. Husband hands you an empty bottle of phenobarbital and tells you this wife takes a medication for seizures. After establishing vascular access you should

A

Administer crystalloid fluid boluses to improve the blood pressure

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8
Q

Death from acetaminophen overdose (Tylenol) is most commonly caused by

A

Liver failure

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9
Q

Caring for an alcoholic patient who’s been abstinent for about 3 days from alcohol. The patient is confused, restless, and tells you that he sees snakes crawling on the walls. His blood pressure is 76/52, heart rate of 140 and weak, referring to 24 with an adequate depth. In addition to administering oxygen, you should

A

Provide fluid boluses

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10
Q

What is LSD classified as?

A

Hallucinogen

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11
Q

Cardiac arrest following a narcotic overdose is usually the result of

A

Respiratory arrest

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12
Q

Your teenage patient has overdosed on amitriptyline. Amitriptyline falls under which group of medications? What symptoms do you expect to see?

A

Tricyclics. Altered mental status and tachycardia

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13
Q

Pre-hospital management of kidney stones includes

A

Fluids and analgesia (pain management)

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14
Q

Of the following injuries, which would be considered a true emergency?

A

Testicular torsion

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15
Q

Classic symptoms of meningitis include

A

Headache, stiff neck, and fever

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16
Q

Which sexually transmitted disease can pass from a mother to her baby during delivery through the birth canal as well as through breastfeeding?

A

HIV

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17
Q

The most common EKG changes in your patients experiencing renal failure are

A

Peaked T waves, with a prolonged QRS and heart blocks

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18
Q

You are dispatched to the residence for an elderly man with an altered mental status. Assessing the patient’s wife tells you that he goes to dialysis several times a week but has missed his last three treatments because their car broke down. The patient’s skin is yellow, blood pressure is 98/60, and heart rate is 118. EKG shows sinus tach with peak symmetrical T waves. Your most immediate concern should be

A

LVH (Left Ventricular Hypertrophy) - ventricular dysrhythmias

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19
Q

The structural and functional unit of the kidney is

A

The nephron

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20
Q

The pediatric assessment triangle includes

A

Appearance

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21
Q

Your patient is a 16-month-old suspected of having bronchiolitis (RSV). What would you expect to see in this patient?

A

Thick nasal secretions

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22
Q

You’re treating a child with suspected epiglottitis. What would you expect?

A

High fever

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23
Q

What size cuffed ET tube would you use to intubate a normal-sized 6-year-old?

A

5

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24
Q

Your 6-month-old patient was involved in a motor vehicle crash with the rollover. He opens his eyes, has speech

A

Glasgow Coma Scale is 12

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25
Q

Which of the following is true regarding autism?

A

Physical exam of an autism patient should be completed slowly to decrease anxiety

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26
Q

Which type of meningitis is potentially more life-threatening in the pediatric patient?

A

Bacterial

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27
Q

Your five-year-old patient fell from a second-floor balcony. Your initial assessment reveals a large hematoma on the right part of his forehead. He opens his eyes when you call his name, tries to push your hand away when you start the IV, and is mumbling words you cannot understand. His vital signs are blood pressure 104/60, heart rate of 110, respirations are 12, pulse ox of nine. What should you do?

A

Provide BVM (Bag-Valve-Mask) ventilations titrated to an end-tidal CO2 of 30 to 35

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28
Q

A 12-year-old boy presents with marked respiratory distress, hot moist skin, anxiety, and drooling. He is sitting with his chin thrust forward and has inspiratory stridor. According to the child’s grandmother, his symptoms began suddenly about 30 minutes ago. What should you be most suspicious of?

A

Bacterial epiglottitis

29
Q

You go to the house for a vent-dependent child with respiratory distress. Upon your arrival, the child’s mother tells you that the child was doing fine but then suddenly began experiencing labored breathing. She further tells you that the child’s home ventilator was recently replaced with a newer one. Assessment of the child reveals that she is in marked respiratory distress and has intercostal retractions. What should be your first action?

A

Disconnect the child from the ventilator and begin BVM (Bag-Valve-Mask) ventilation

30
Q

A 4-year-old child pulled a pot of boiling water off the stove. He has circumferential burns to both legs. What percentage of his body surface area has been burned?

A

33%

31
Q

Child vocal cords can be difficult to visualize during intubation because

A

The epiglottis is floppy and U-shaped

32
Q

Length-based resuscitation tape is used to

A

Estimate the child’s weight based on his or her height

33
Q

Cardiac arrest in children is usually caused by

A

Respiratory failure

34
Q

You’re examining a 24-year-old patient. You palpate the fundus of the uterus at the level of the umbilicus. You estimate this patient is approximately how many weeks pregnant?

A

20-22 weeks

35
Q

You’ve just delivered a baby boy at one minute of life following the neonatal resuscitation protocol. Evaluation reveals central cyanosis, a heart rate greater than 100, a grimace, some flexion of extremities, and a slow and irregular respiratory effort. What is the Apgar score?

A

5

36
Q

The only two situations in which a prehospital provider should place his or her gloved hand into the woman’s vagina are

A

Prolapsed cord and breech presentation

37
Q

You have cleared the airway of your newly born patient and tried to stimulate her. She is still apneic and cyanotic. What should you do?

A

Begin positive pressure ventilation at a rate of 40 to 60 breaths per minute and reassess in 30 seconds

38
Q

(12 lead, no blocks) A 56-year-old patient with seizures, blood pressure 188/108, pulse rate 48, and no reason to suspect illicit drug use. What should you do?

A

Obtain vascular access, check blood

39
Q

Your 30-year-old female patient presents with bright red vaginal bleeding and severe abdominal pain. She tells you she’s 35 weeks pregnant. What is the likely diagnosis?

A

Abruptio placenta

40
Q

The leading cause of first-trimester maternal death is

A

Ectopic pregnancy

41
Q

HPV is a very common STD. HPV transmission usually results in

A

Can cause cervical cancer

42
Q

Pelvic inflammatory disease most commonly affects

A

Sexually active women

43
Q

A 23-year-old patient with sharp pain in the right lower quadrant of her abdomen that began suddenly 10 minutes ago. She says her last menstrual period was about 8 weeks ago and that she has had a small amount of vaginal bleeding for two days. She’s weak, pale, and diaphoretic. What is the likely diagnosis?

A

Ruptured ectopic pregnancy

44
Q

Which of the following statements regarding the umbilical cord is correct?

A

The umbilical vein carries oxygenated blood from the placenta to the fetus

45
Q

A woman has been pregnant three times, has had two spontaneous abortions, and has carried one baby to full term. How do you document this?

A

G: 3 A: 2 P: 1

46
Q

During the second stage of labor, what happens?

A

Effacement of the cervix begins

47
Q

A 75-year-old patient complains of difficulty hearing, which came on suddenly after he began taking a new medication. This form of hearing impairment would be described as

A

Sensorineural deafness

48
Q

A 30-year-old complains of left arm and wrist pain after a ground-level fall. The patient says she fell when she was getting out of bed because her right leg would not hold her up. She also complains of feeling weak for two days. During your assessment, it is revealed that the patient is too weak to stand on her own. She says this has happened a couple of times in the last year, but, in fact, it was her left leg that was weak. In addition to any musculoskeletal injuries sustained in the fall, what is the likely diagnosis?

A

Multiple sclerosis

49
Q

What must be ruled out in the case of an acute change in mental status?

A

Medical causes

50
Q

The leading cause of death in Americans older than 65 is

A

Pneumonia

51
Q

Therapeutic doses of certain drugs may reach toxic levels in older people due to the deterioration of the

A

Liver

52
Q

Which of the following central nervous system functions does not change as a person ages?

A

Intelligence level

53
Q

Most age-related visual disturbances are the result of

A

Cataracts or glaucoma

54
Q

During the process of wound healing, what does hemostasis do?

A

Temporarily stops bleeding via vasoconstriction and platelet aggregation

55
Q

A patient with hemorrhagic shock would be expected to have

A

Widened pulse pressure

56
Q

Your patient was stabbed in the abdomen 20 minutes ago. Vital signs are 80/50, heart rate is 136, he is anxious and pale. What is the most likely stage of shock he is in?

A

Decompensated

57
Q

One of the ways the human body attempts to compensate for decreased perfusion is

A

The adrenal gland secretes EPI and norepinephrine to increase myocardial contractility

58
Q

Obstructive shock may be caused by

A

Pericardial tamponade

59
Q

Distributive shock may be caused by

A

Anaphylactic reaction

60
Q

A hypotensive bradycardic patient whose skin is warm, flushed, and dry is a classic presentation of

A

Neurogenic shock

61
Q

The physiological response to hemorrhage includes

A

Vasoconstriction

62
Q

(ECG) Unstable third-degree block. What is your treatment?

A

Initiate pacing and transport

63
Q

(ECG) Atrial fibrillation with rapid ventricular response (RVR) rate at 72, complaining of palpitations and weakness. A 44-year-old with blood pressure of 142/90, heart rate at 172, respiration 20, and pulse ox of 96%. What medication would you administer?

A

0.25 milligrams per kilogram of diltiazem

64
Q

Side effects of albuterol may include

A

Tremors, lightheadedness, and irritability

65
Q

Prior to administering dopamine to a patient, the paramedic must ensure that the patient is

A

Not hypovolemic

66
Q

Skin turgor in an infant or child is most indicative of

A

Dehydration

67
Q

Ipratropium bromide (Atrovent) causes bronchodilation by

A

Antagonizing beta-2 receptors

68
Q

Which patient is likely to be easiest to intubate?

A

A 12-year-old patient who experienced sudden cardiac arrest for an unknown reason

69
Q

(Drug calculation) Dopamine label states it is 1600 mcg per mL. You’ve been ordered to initiate a dopamine infusion for the patient at 8 mcg/kg/min. Your patient weighs 132 pounds (60 kg). You’re using a microdrip (60 gtts). What is your drip rate?

A

18 gtts/min

paramedic (24 decks)

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