Exam-284-Cs251

Front 1

5 risk factors for gastrointestinal disease are

Back 1

alcohol, smoking, stress, Ingestion of caustic substances, Poor bowel habits

Front 2

A comfortable position for conscious abdominal patients to be placed in for transport to the hospital is

Back 2

Recumbent, with their knees bent to reduce pressure on the abdomen.

Front 3

A cyanotic condition is directly related to:

Back 3

Poor ventilation.

Front 4

A patient with a spontaneous pneumothorax will have a sudden onset of:

Back 4

Pleuritic chest or shoulder pain, often precipitated by coughing or lifting.

Front 5

Before initiating the protocol, you must also consider other causes of shortness of breath, such as:

Back 5

Congestive heart failure, dysrhythmia, risk of myocardial infarction, pulmonary embolism, and pneumothorax.

Front 6

Cardiovascular causes of chest pain include:

Back 6

Cardiac ischemia, Pericarditis, Thoracic dissection of the aorta

Front 7

Emphysema is rarely associated with a cough, except when?

Back 7

In the morning.

Front 8

Epiglottitis is characterized by the following signs and symptoms:

Back 8

"Signs:  sore throat, drooling, ill appearing. 

Front 9

Fingernail clubbing may indicate:

Back 9

Chronic respiratory or cardiac disease.

Front 10

Five examples of sympathomimetic agents are:

Back 10

Dopamine, Dobutamine, Epinephrine, Norepinephrine, Isoproterenol

Front 11

Five lower GI diseases are

Back 11

Ulcerative colitis, Crohn’s disease, Diverticulitis, Hemorrhoids, Bowel obstruction

Front 12

Four major causes of lower GI hemorrhage are

Back 12

Diverticulosis, Colon lesions, Rectal lesions, Inflammatory bowel disorder

Front 13

Four major diseases of the upper gastrointestinal tract are

Back 13

Esophageal varices, Acute gastroenteritis, Chronic gastroenteritis, Peptic ulcers

Front 14

Four mechanisms of nontraumatic urological disorders are

Back 14

Inflammatory or immune-mediated disease, Infectious disease, Physical obstruction, Hemorrhage

Front 15

Gastrointestinal causes of chest pain include:

Back 15

Cholecystitis, Pancreatitis, Hiatal hernia, Esophageal disease, Gastroesophageal reflux, Peptic ulcer disease, Dyspepsia

Front 16

How much Ventolin will you administer to a patient who is

Back 16

2.5 mg Ventolin in 2.5 mL N/S nebulized.

Front 17

How much Ventolin will you administer to a patient who is > 15 kg, and by what route?

Back 17

5.0 mg Ventolin in 5.0 mL N/S nebulized.

Front 18

In up to 50% of suspected pulmonary embolisms, findings suggestive of deep vein thrombosis will be found in the following location:

Back 18

Extremities.

Front 19

It has been 10 minutes since you have initiated the Shortness of Breath protocol on a COPD patient. You reassess him, and note improvement. Your next step is to:

Back 19

Initiate low-flow oxygen.

Front 20

It has been 10 minutes since you have initiated the Shortness of Breath protocol on an asthmatic patient. You reassess her, and note that she has not improved. Your next step is to:

Back 20

Repeat the dose of Ventolin, and consider assisting ineffective respirations.

Front 21

Low-flow oxygen is defined as:

Back 21

1-3 L/minute delivered by nasal cannula.

Front 22

Musculoskeletal causes of chest pain include:

Back 22

Chest wall syndrome, Costochondritis, Acromioclavicular disease, Herpes zoster, Chest wall trauma, Chest wall tumors

Front 23

PEEP is a method of holding alveoli open by:

Back 23

Creating expiratory pressure.

Front 24

Respiratory causes of chest pain include:

Back 24

Pulmonary embolism, Pneumothorax, Pneumonia, Pleural effusion

Front 25

Seven examples of antidysrhythmic medications are:

Back 25

Atropine sulfate, Lidocaine, Procainamide, Bretylium, Adenosine, Amiodarone, Verapamil

Front 26

Sinus tachycardia results from:

Back 26

An increased rate of SA node discharge.

Front 27

Six major causes of upper GI bleeding are

Back 27

Peptic ulcer disease, Gastritis, Varix rupture, Mallory-Weiss tear, Esophagitis, Duodenitis

Front 28

Stable angina occurs during:

Back 28

Activity.

Front 29

The acronym PEEP stands for:

Back 29

Positive end-expiratory pressure.

Front 30

The amount and route of each dose of ASA that you will administer is:

Back 30

160 mg po.

Front 31

The amount and route of each dose of nitroglycerine that you will administer is:

Back 31

0.4 mg SL.

Front 32

The contraindications for the use of the Chest Pain protocol are:

Back 32

Patient has taken Viagra or Levitra in the last 24 hours or Cialis in the last 48 hours, or if the patient has a BP £ 100mn Hg , ASA is contraindicated if the patient has an inability to swallow, an active peptic ulcer or gastrointestinal bleeding, is a pediatric patient, or has already taken their recommended Aspirin dose prior to Paramedic arrival..

Front 33

The indications for the Chest Pain protocol are:

Back 33

Patients whose presentation is suggestive of cardiac chest pain, who have a history of heart disease, and who would normally take their prescribed nitroglycerin for chest pain or 1st episode suggestive of chest pain without being prescribed nitroglycerin..

Front 34

The indications for the use of the Shortness of Breath with a History of Asthma/COPD protocol are:

Back 34

Chief complaint of shortness of breath in a patient with a history of asthma or chronic obstructive pulmonary disease.

Front 35

The ligament of Treitz supports the

Back 35

Duodenojejunal junction.

Front 36

The maximum amount of nitroglycerine that you are allowed to give a patient is 3 doses within the following time frame:

Back 36

30 minutes.

Front 37

The most common symptom of CHF is:

Back 37

Labored breathing.

Front 38

The most important extrinsic factor in the development of respiratory disorders is:

Back 38

Smoking.

Front 39

The most important intrinsic factor in the development of respiratory disorders is:

Back 39

Genetic predisposition.

Front 40

The patient with an acute pulmonary embolism may have a sudden onset of severe, unexplained dyspnea, with or without:

Back 40

Pleuritic chest pain.

Front 41

The QRS complex reflects:

Back 41

Ventricular depolarization.

Front 42

The T wave reflects:

Back 42

Repolarization of the ventricles.

Front 43

The term 'aspiration' can be defined as:

Back 43

Inhaling foreign material, such as vomitus, into the lungs.

Front 44

The term 'cor pulmonale' can be defined as:

Back 44

Hypertrophy of the right ventricle resulting from disorders of the lung.

Front 45

The three goals of managing asthma are to:

Back 45

Correct hypoxia, Reverse bronchospasm, Reduce inflammation

Front 46

The three most common renal emergencies are

Back 46

Acute renal failure, Chronic renal failure, Renal calculi

Front 47

The upper GI tract is comprised of the

Back 47

Mouth, esophagus, stomach, and duodenum.

Front 48

Three categories of acute renal failure are

Back 48

Prerenal, renal, and postrenal.

Front 49

Three examples of obstructive lung diseases are:

Back 49

Emphysema, Chronic bronchitis, Asthma

Front 50

Three processes of gas exchange are:

Back 50

Ventilation, diffusion, and perfusion.

Front 51

Three reasons for ongoing assessment are to:

Back 51

detect trends, determine changes, assess the effect of interventions

Front 52

Three types of gastrointestinal pain are

Back 52

Visceral, somatic, and referred.

Front 53

Unstable angina occurs at:

Back 53

Rest.

Front 54

Which condition, chronic bronchitis or asthma, is best described by the following characteristics overweight, productive cough, and is often cyanotic ( blue bloater )?

Back 54

Chronic bronchitis.

Front 55

Which condition, emphysema or chronic bronchitis, is best described by the following characteristics barrel chest, thin, has a pink color ( pink puffer )?

Back 55

Emphysema.

Front 56

Will you consider any patient with shortness of breath as stable, or unstable?

Back 56

Unstable.

Front 57

You should consider pneumonia in any patient complaining of chest pain, especially if accompanied by:

Back 57

Fever and/or chills.

Front 58

You will normally place a conscious medical patient with shortness of breath in the following position during the primary survey:

Back 58

Sitting upright.