Test 27

Question 1

Can botulism be spread person to person

Answer 1

No
Tularemia can, but is is rare

Question 2

Exposure to how many rads causes nausea and vomiting within 2-4 hours? In how many victims?

Answer 2

100-200 rads
nausea and vomiting in 50-100% of victims within 2-4 hours

Question 3

Exposure to 600-800 rads causes

Answer 3

1. Nausea and vomiting in 75-100% of victims in 1-2 hours
2. Lymph count < 500at 24 hours
3. Impairment of routine task performance for 6-20 hours

Question 4

Exposure to 600-3000 rads causes

Answer 4

1. n/v in 90-100% of patients within 1 hour
2. Rapid incapacitation, but patients have lucid interval for several hours
3. Lymph count decreases within hours

Question 5

Exposure to 200-600 rads causes

Answer 5

n/v in 75-100% of patient Lymph count <1000 at 24 hours
Impairment in routine task for 6-20 hours

Question 6

Lymphocyte count differences in rad exposure

Answer 6

100-200: minimal change
200-600: < 1000 at 24 hours
600-800: < 500 at 24 hours
800+ : rapid decrease within hours

Question 7

Biggest risk factor for ambulance crashes

Answer 7

Crossing intersections

Question 8

Characteristics of EMS providers involved in crashes

Answer 8

1. Prior crash (half of all crashes)
2. Younger, less experience drivers
3. Sleep deprived
4. Use of RLS

Question 9

Next step if base station OLMC gets mad that orders outside of protocol weren’t followed

Answer 9

Offer completion of regional base station course for providers

Question 10

What does the fair labor standards act deal with

Answer 10

Wage requirements, hour restrictions, overtime compensation, and minimum wage
Also deals with labor and management relations

Question 11

What does the false claims act deal with

Answer 11

Penalties for inappropriately determining medical necessity

Question 12

Verification of competency and provider credentialing is what type of medical oversight

Answer 12

Indirect

Question 13

Who signs a POLST

Answer 13

Physician or medical care provider
patients and legal representatives are encouraged, but not required, to sign

Question 14

How do social ties decrease morbidity and mortality

Answer 14

Patients encouraged to follow socially accepted health norms/principles: exercise, see a doctor regularly, abstaining from alcohol and tobacco

Question 15

Unique feature to anticholinergics vs sympathomimetics

Answer 15

Dry skin
Urinary retention

Question 16

Best marker of volume overload in CHF patients

Answer 16

JVD

Question 17

Main goal of tx in crush syndrome

Answer 17

Prevention of hypotension and cardiovascular collapse
From fluid shifts from intravascular compartment to interstitium

Question 18

Yellow criteria for trauma center eval

Answer 18

Death in same vehicle
Falls more than 10 feet
Vehicle ejection
Intrusion >12 inches into occupant site