Test 2: 3/3/16 Flashcards
Which of the following types of shock are caused by “relative hypovolemia?”
A) Obstructive and septic
B) Septic and cardiogenic
C) Anaphylactic and neurogenic
D) Cardiogenic and hemorrhagic
C
Nitroglycerin is contraindicated for PT’s who:
A) have an irregular pulse
B) have experienced a head injury
C) took an erectile dysfunction drug within the past week
D) have a systolic bp less than 120 mm HG
B
The coronary arteries of a person with arteriosclerotic heart disease:
A) are thickened and hardened and lose their elasticity
B) begin to dissect through the layers of the arterial wall
C) develop plaque deposits from cholesterol and fatty substances
D) become engorged with blood as cardiac oxygen demand increases
A
You are dispatched to a residence for a 69 y/o female with “breathing problems”. When you arrive, the Pt’s husband directs you to his wife, who is sitting on the couch in obvious respiratory distress. She is semiconscious and has labored, shallow respirations. You ascultate her lungs and hear diffuse rhonchi in all lung fields. Which of the following interventions would be of LEAST benefit to her?
A) Assisted ventilations with a bag mask device
B) IV therapy with up to 500 mL normal saline bolus
C) Suction of her airway for up to 15 seconds if needed
D) Prompt transport and considerations of a paramedic intercept
B
The Spinal nerves branch out from the spinal cord and:
A) are only capable of sensory input
B) send messages exclusively to the brain
C) send motor response to the brain
D) carry signals to and from the body
D
Which of the following is considered an obvious sign of death and would not require the initiation of CPR?
A) Dependent blood pooling
B) Pulselessness and apnea
C) agonal respiratory effort
D) Severe cyanosis to the face
A
Index of suspicion is MOST accurately defined as:
A) Your prediction of the type of illness a patient has based on how the call is dispatched
B) your awareness and concern for potentially serious underlying and unseen injuries or illness
C) ruling out specific medical conditions based on the absence of certain signs and symptoms
D) determining the underlying cause of a PT’s medical condition based on S/S
B
What is the pulse pressure of a patient with BP of 104/58 mm Hg?
A) 23 mm Hg
B) 46 mm Hg
C) 81 mm Hg
D) 162 mm Hg
B
What happens when systemic vascular resistance is decreased?
A) Systolic BP falls
B) A reflex bradycardia occurs
C) Cardiac output is increased
D) Right atrial preload is increased
A
How many pounds does a 90 kg PT weight?
A) 186 lb
B) 189 lb
C) 194 lb
D) 198 lb
D
Which of the following will Most reliably allow you to determine the nature of a PT’s illness?
A) Trending of the PT’s vital signs over time
B) Asking questions related to the CC
C) Refraining from asking open ended questions
D) Focusing solely on how the call is dispatched
B
You respond to an apartment complex for an unconscious male. When you arrive, the PT’s friends tells you that he overdosed on heroin. Following your local protocal, you administer 2 mg of naloxone. You have 1 mL ampules of naloxone that contain 0.4 mg per ampule. How many ampules will you have to use?
A) 1
B) 2
C) 4
D) 5
D
Treatment for a PT experiencing a cardiovascular emergency begins by:
A) Assessing the rate and regularity of the pulse
B) applying 100% O2 via NRB mask
C) administering prescribed nitroglycerin if needed
D) ensuring airway patency and adequate breathing
D
A 70 y/o male presents with acute aphasia, unilateral weakness, and confusion. In addition to administering 100% O2, it is important.
A) use the Cincinnati Stroke scale to rule out stroke
B) start an IV line with a hypertonic cyrstalloid solution
C) assess his BG level to rule out hypoglycemia
D) apply an AED in case the PT develops cardiac arrest.
C
Which of the following represents the correct sequences of electrical conduction through the myocardium?
A) SA node, AV node, Bundle of HIS, bundle branches, Purkinje fibers
B) AV node, SA node, bundle branches, Bundle of HIS, Purkinje fibers
C) SA node, Bundle of HIS, AV node, bundle branches, Purkinje fibers
D) AV node, Purkinje fibers, SA node, Bundle of HIS, bundle branches
A
In contrast to bronchitis, pneumonia typically presents with:
A) fever and chills
B) fluid in the lungs
C) a productive cough
D) varying levels of hypoxia
A
A microdrip administration set features a small, needle-like orifice inside the drip chamber and delivers:
A) 10 gtts/mL
B) 15 gtts/mL
C) 60 gtts/mL
D) 100 gtts/mL
c
Routine treatment for a patient who has just experienced a generalized tonic clonic seizure and is postictal includes all of the following EXCEPT:
A) an IV of normal saline or a saline lock
B) 50% dextrose via IV administration
C) assessing for a trauma to the long bones or spine
D) 100% O2 and ventilatory assistance as needed
B
A 67 y/0 male presents with an AMS following 2 days of severe chest pain. His wife tells you that he would not allow her to call EMS. Your assessment reveals a tachycardic, irregular pulse, diaphoresis, and a BP of 80/50 mm Hg. You should suspect.
A) unstable angina with poor perfusion
B) compensated cardiogenic shock
C) decompensated cardiogenci shock
D) acute myocardial infarction and hypovolemia
C
What physiologic response causes vasovagal reaction?
A) Vasodilation and increase in BP
B) Vasoconstriction and a decrease in BP
C) Vasoconstriction and an increase in HR
D) Vasodilation and a decrease in BP
D
Obstructive shock occurs when the:
A) blood vessels are occluded and perfusion is impaired
B) airway is blocked and results in inadequate oxygenation
C) heart is physically restricted from pumping adequately
D) kidneys are obstructed and are unable to filter the blood
C
Which of the following questions would be of LEAST pertinence when obtaining a focused history of a PT with an acute onset of chest discomfort?
A) Have you ever been told you have low blood pressure
B) Have you experienced paroxysmal nocturnal dyspnea?
C) Do you have any respiratory diseases, such as emphysema?
D) Do you have diabetes or any problems with your blood sugar?
A
An anaphylactic reaction impairs effective breathing secondary to:
A) catecholamine release
B) upper-airway swelling
C) diffuse alveolar collapse
D) excess fluid in the alveoli
B
When forming your general impression of a patient with a medical complaint, it is important to remember that:
A) the majority of medical Pt’s you encounter are also injured
B) it is during the general impression that assessment of the ABC’s occurs
C) most serious medical conditions do not present with obvious symptoms
D) the conditions of many medical PT’s may not appear serious at first
D
Reassessment of a patient with a medical complaint should begin by:
A) reassessing the nature of illness
B) taking another set of vital signs
C) repeating the primary assessment
D) reviewing all treatment performed
C
Cheyne-Stokes respirations are characterized by:
A) irregular tachypnea with occasional periods of apnea
B) impaired respirations with sustained inspiratory effort
C) tachypnea and hyperpnea with an acetone breath odor
D) tachypnea and bradypnea with an alternating apneic periods
D
A patient experiencing status epilepticus:
A) commonly has a therapeutic anticonvulsant level
B) has a return of consciousness in between seizures
C) typically maintains bowel and bladder continence
D) is having a prolonged generalized motor seizure
D
You are treating a responsive 50 y/0 man with a severe airway obstruction when he becomes unresponsive. After properly positioning the PT, you should.
A) perform 30 chest compressions
B) perform a finger sweep of his mouth
C) perform continuous abdominal thrusts
D) open his airway and look in his mouth
A
