Emt-I Exam 4

Front 1

breathing: Completely irregular breathing pattern, with continually variable rate and depth of breathing;

Back 1

Biot's respiration

Front 2

breathing is the rapid, deep, and labored breathing of people who have acidosis

Back 2

Kussmaul respiration

Front 3

breathing has alternate periods of no breathing (apnea) changing smoothly into periods of hyper-breathing, which smoothly change back to no-breathing. Related to CHF.

Back 3

Cheyne-Stokes respiration

Front 4

is blue-black bruising of the area around the umbilicus.

Back 4

Cullen's sign

It may be accompanied by Grey-Turner's sign which may then be indicative of Pancreatic necrosis with retroperitoneal or intraabdominal bleeding.

Front 5

(bruising of the flank)

Back 5

Grey-Turner's

It may be accompanied by Cullen's sign which may then be indicative of Pancreatic necrosis with retroperitoneal or intraabdominal bleeding.

Front 6

hypertension, irregular respirations, and bradycardia.[1] It is sign of increased intracranial pressure

Back 6

Cushing's triad

Front 7

describes a nervous system response to severe cerebral ischemia.

Back 7

Cushing reflex

Front 8

also known as mastoid ecchymosis, is an indication of fracture of the base of the posterior portion of the skull and may suggest underlying brain trauma.

Back 8

Battle's sign

Front 9

calculated from the difference of the measured systolic and diastolic pressures

Back 9

pulse pressure

Front 10

is a condition characterized by an unequal size of the pupils

Back 10

Anisocoria

Front 11

failure of the eyes to turn together in the same direction

Back 11

dysconjugate gaze

Front 12

indicates the total number of times a woman has been pregnant

Back 12

Gravida

Front 13

TLV-TWA Threshold Limit Value-Time-Weighted Average

Back 13

This is a level at which the “average” worker can be safely exposed repeatedly, day after day, without adverse effect

Front 14

HEENT

Back 14

Review of systems
Head, Eyes, Ears, Nose, and Throat

Front 15

Alcoholism Screening

Back 15

CAGE:
C: CUT DOWN
A: ANNOYED
G: GUILTY
E: EYE OPENER

Front 16

the reason the ambulance was called

Back 16

chief complaint

Front 17

the list of possible causes for your patient's symptoms

Back 17

differential field diagnosis

Front 18

questions that allow for answers in detail

Back 18

open-ended

Front 19

questions that elicit short answers

Back 19

closed-ended

Front 20

process of responding to your patient's statements with words or gestures that demonstrate your understanding.

Back 20

active listening

Front 21

active listening skills:

Back 21

FREICC

facilitation;
reflection;
empathy;
interpretation
confrontation;
clarification;

Front 22

elements of patient History;

Back 22

preliminary data;
chief complaint;
present illness/injury;
past history;
current health status;
review of systems;

Front 23

the underlying cause of patient's symptoms

Back 23

primary problem

Front 24

mnemonic for present illness

Back 24

OPQRST-ASPN

Front 25

pain that is elicited through palpation

Back 25

tenderness

Front 26

pain that is felt at a location away from its source

Back 26

referred pain

Front 27

may provide significant insights into your patient's chief complaint and your field diagnosis

Back 27

past medical history

Front 28

diuretic

Back 28

medication that stimulates the kidneys to excrete water

Front 29

a list of questions categorixed by body systems

Back 29

review of systems

Front 30

tinnitus

Back 30

the sensation of ringing in the ears

Front 31

coughing up of blood

Back 31

hemoptysis

Front 32

difficulty breathing

Back 32

dyspnea

Front 33

difficulty breathing while lying supine

Back 33

orthopnea

Front 34

sudden onset of shortness of breath at night

Back 34

paroxysmal nocturnal dyspnea

Front 35

vomiting of blood

Back 35

hematemesis

Front 36

vomitting of blood

Back 36

hematemesis

Front 37

excessive urination

Back 37

polyuria

Front 38

excessive urination at night

Back 38

nocturia

Front 39

blood in urine

Back 39

hematuria

Front 40

difficult or painful menstruation

Back 40

dysmenorrhea

Front 41

system to document history of pregnancy

Back 41

G-P-A-L

Front 42

G-P-A-L

Back 42

Gravida - how many pregnancies
Para - viable births
Abortions - miscarriages/abortions
Living - living children

Front 43

intermittent calf pain while walking that subsides with rest

Back 43

intermittent claudication

Front 44

a deterioration of mental status that is usually associated with structural neurologic disease

Back 44

dementia

Front 45

an acute alteration in mental functioning that is often reversible

Back 45

delirium

Front 46

problem-oriented evaluation of patient and establishment of priorities based on existing and potential threats to life

Back 46

patient assessment

Front 47

component of patient assessment

Back 47

1. scene size-up
2. initial assessment
3. focused history/physical exam
4. ongoing assessment
5. detailed exam

Front 48

components of scene size-up

Back 48

standard precautions;
scene safety;
location/number of patients;
MOI/Nature of illness

Front 49

two important functions of initial stages of MCI:

Back 49

command and triage

Front 50

combined strength, direction, and nature of force that injured your patient

Back 50

mechanism of injury

Front 51

prediction of injuries based on MOI or analysis of events

Back 51

index of suspicion

Front 52

initial, intuitive evaluation of patient.
helps determine clinical status and priority

Back 52

general impression

Front 53

purposeful response with arms flexed and legs extended

Back 53

decorticate

Front 54

nonpurposeful response with arms and legs extended

Back 54

decerebrate

Front 55

Visual airway check (Abc)

Listen for:

Back 55

food, vomit, blood, teeth, burns, trauma

stridor, gurling, snoring

Front 56

multi-lumen airways are not appropriate for:

Back 56

PL or ETC not for children

Front 57

irregular deep respirations

Back 57

hyperpneic

Front 58

rapid respirations

Back 58

tachynpeic

Front 59

problem oriented assessment process based on initial assessment and chief complaint

Back 59

focused history and physical exam

Front 60

distention beyond 45 degree is significant and in trauma patients may indicate

Back 60

cardia tamponade or tension pneumothorax

Front 61

upper airway obstructions can cause patient to create negative pressure

Back 61

suprasternal, supraclavicular, intercostal retraction

Front 62

patient with lower airway obstruction having difficulty moving air out use

Back 62

abdominal muscles to force diaphragm up and in

Front 63

fracture of two or more adjacent ribs in two or more places

Back 63

flail chest

Front 64

rebound tenderness may indicate hemorrhage of hollow organs

Back 64

peritoneal irritation

Front 65

baseline vitals

Back 65

pulse rate/quality
respiration rate/quality
BP
Skin temp/condition
Eyes/PERL
Breath sounds

Front 66

4 elements of history:

Back 66

Chief complaint;
history of present illness;
past history;
current health condition

Front 67

distention beyond 45 degrees indicates

Back 67

pneumothorax, cardiac tamponade, right heart failure

Front 68

unequal pupils, a benign condition

Back 68

anisocoria

Front 69

fixed and dilated pupils indicates

Back 69

indicates severe brain anoxia

Front 70

sluggish pupils usually suggest

Back 70

suggest decreased perfusion to brain and hypoxia

Front 71

pinpoint pupils

Back 71

narcotic drug overdose or pontine hemorrhage

Front 72

pulse oximetry of below 95%

Back 72

suspect shock, hypoxia, respiratory compromise

Front 73

periorbital ecchymosis

Back 73

raccon's eyes

Front 74

black/blue discoloration of mastoid

Back 74

battle's sign

Front 75

blood in the anterior chamber of eye

Back 75

hyphema

Front 76

unequal pupils may inidicate pathological

Back 76

indicate lesions, meingitis, drug poisoning, nerve paralysis, increasing intracranial pressure

Front 77

range of radio freqs

Back 77

a radio band

Front 78

number of times per second a radio wave oscillates

Back 78

radio frequency

Front 79

300 to 3000 megahertz

Back 79

UHF

Front 80

verbal briefing (transfer of care)

Back 80

vitals, chief complaint, history, exam finding, and treatments

Front 81

comms that are tx & rx on same freq

Back 81

simplex

Front 82

comms allow simultaneous two-way comms using two freqs

Back 82

duplex

Front 83

duplex system that can send voice and data

Back 83

multiplex

Front 84

system that pools freqs and routes to available freq

Back 84

trunking

Front 85

orally defame

Back 85

slander

Front 86

defame in writting

Back 86

libel

Front 87

30 to 300 megahertz

Back 87

VHF

Front 88

EMS Hazmat first responders

Back 88

size-up incident;
assess toxicological risk;
active IMS;
establish command

Front 89

temp at which liquid becomes gas

Back 89

boiling point

Front 90

range (upper/lower) of vapor concentration which an ignition will combust

Back 90

Lower explosive limit (LEL)
Upper explosive limit (UEL)

Front 91

lowest temperature at which liquid will ignite

Back 91

flash point

Front 92

lowest temp that support combustion

Back 92

ignition temp (slightly higher than flash point)

Front 93

neutrons and protons released from nucleus of radioactive substance

Back 93

alpha particles, weak but hazardous if inhaled or ingested

Front 94

electron released from nucleus of radioactive substance

Back 94

beta particles, can penetrate skin

Front 95

high energy photons (x rays)

Back 95

gamma rays, penetrate most substances, heavy shielding required

Front 96

chemically changing a substance in the body

Back 96

biotransformation

Front 97

SLUDGE

Back 97

salivation, lacrimnation, urination, diarrhea, gastrointestinal distress, emesis

Front 98

methods of decontamination

Back 98

dilution;
absorption;
neutralization;
isolation/disposal

Front 99

diamond segments of hazmat placards

Back 99

top, red = flammability;
left, blue = health hazards;
right, yellow = reactivity;
buttom, white = special information