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81 Cards in this Set

  • Front
  • Back
Adminstration of medication into the gluteal muscle must be injected into which quadrant
upper, outer
By which of the following routes will medication have the quickest onset of action
Intramuscular
injuries are the ______ leading cause of death in all age groups combined in the U.S.
Third
Which of the following laws is designed to allow the paramedic who has potentially been exposed to an infectious disease access to the medical records of the patient.
The Ryan White CARE act
Rehabilitation after injury or illness that helps prevents futher problems from occuring is called.
Secondary
Which of the following certification levels is currently NOT recognized by the National Regisrty of EMTs
Emergency Medical Responders (EMR)
Which of the following best describes the purpose of the KKK specifications
Improve the design of ambulances
The patient with COPD may benefit from oxygen delivery through a Venturi mask because
Oxygen concentration is controlled more carefully
The tip of the ET tube for the pediactric patient should be incerted ___ cm below the vocal cords
2-3 cm
A ____ is an example of a dual lumen airway
Combi tube
A properly placed ___ effectively isolates the trachea for ventilations and protection from aspiration
ET tube
drop in blood pressure greater than 10 torr during inspiration is called
Pulsus Paradoxis
Modedrate hypoxia is indicated with a pulse oximeter reading of____ %
86-91
Progressively deeper, faster breathing alternating gradually with shallow, slower breathing is called
Cheyne-Stokes respirations
Which of the following is the most common cause of airway obstruction
The tongue
In which of the following situations would you expect end tidal carbon dioxide levels to be vary low, despite a patent airway
The patient in cardiac arrest
Applying posteriorly directed pressure on the cricoid cartilage to facilitate ET intubation is called
Sellick's maneuver
During a respiratory assessment the absence of breath sounds may indicate a
pneumothorax
A peak flow meter measures
the maximumrate of airflow during forced expiration
The most common indication for a surgical cricothyrotmy is
Massive facial or neck trauma
A portable suction device should generate a flow rate of ___ liters per minute when the tube is open
30
what is , in liter per minute, the highest flow rate on a demand valve device
40
when intubating an adult patient,the onset of bradycardia is most likely due to
stimulation of the vagus nerve
Which of the following is an advantage of the two-person method of bag-valve-mask ventilations
Easier to maintain a seal between the patients face and mask
high pitched inspiratory noise caused by a partial upper airway obstruction is called
Stridor
The aspiration of vomitus into the lungs may result in
tissue damage, pulmonary edema, and pneumonia
A musical squeeking or whistling sound that may be heard on inspiration or exporation while alscultating lung fields is known as
Wheezing
The automatic transport vent is contraindicated for all inubated patients EXCEPT
17 y/o gunshot victim
Which of the following increases the risk of foreign body airway obstruction
Dentures, age, and alcohol consumption
Which of the following indicates an esophageal intubation
Not seeing the ET tube pass through the vocal cords
When using the end-tidal carbon dioxide detector, the absence of carbon dioxide in exhaled air after 6 breaths indicates the ET tube has been placed
In the esophagus
An attempt at endotracheal intubation must not interupt ventilations for more than
30 Seconds
Which of the following patients, assuming each is in critical need of an IV and that you have made multiple unsuccessful attempts to start an IV, would be a candidate for IO infusion.
A 35 y/o female, 9 month old male infant, and an 81 y/o male
Which of the following IV solutions would remain in the vascular system the longest
Plasmanate
Which of the following solutions is appropriate for the patient needing vascular volume replacement in the prehospital setting
0.9% sodium chloride solution
Which of the following is considered a site of central venous access
Femoral vien
Ventilations of _____ is the likley consequence of inserting an ET tube too far
The right lung
Which of the following interferes with ventilation in the presence of a flail segment
The ability to generate negative intrathoracic pressure
The reading obtained by the use of a pulse oximeter reflects the
ratio of unsaturated hemoglobin to saturated hemoglobin
In an adult the narrowest part of the airway is the
larynx
A _____ may be used to facilitate nasotracheal intubation
Endotrol tube
when intubating a stoma site, how far beyound the distal cuff (in cm) should you insert the ET tube
1-2
When a bag-valve ventilation device is used without supplemental oxygen, it delivers an oxygen concentration of ____%
21
Which of the following statements about airway maneuvers is true
They are often neglected by EMT's and paramedics
All of the following drugs can be administered through an ET tube EXCEPT
dextrose
End-tidal colormetric capnography measures
Carbon dioxide in exhaled air
What % of oxygen is delivered by a simple face mask
40 - 60
With the following conditions should you NOT attempt ET intubation of the patient unless airway failure is imminent
epiglottitis
The hypoxic drive is stimulated by
low PaO2
you should be prepared to immediatly intubate any patient with respiratory distress who is exhibiting
altered mentation
immediate intubation should be considered for trauma patients with a GCS of ____ or less
8
Which of the following about the use of a dual lumen airway is true
It requires no neck hyperextension
Which of the following is an advantgae of subligual drug administration
Rapid absorbtion due to subligual vasculature
Administration of a medication to the right eye would be documented medically as administration to which of the following
o.d.
which of the following is a disadvantage of pulmonary drug administraton via nebulizer or metered dose inhaler
It requires that the patient have adequate ventilation
Which of the following is a parenteral route of drug administration
Intramuscular
Which of the following types of medication would be placed in a souffle cup for adminstration to a patient
A tablet of ibuprofen
Which of the following would NOT be appropriate for intradermal drug administration
20 gauge, 3/4" needle
Which of the following is a disadvantage to intravascular volume replacement with isotonic crystalliod
Two-thirds of the volume enters the extravascular space within 1 hour of administration
When preparing for venipuncture, a constricting band should be applied tight enough to restrict ____ flow and not left in place for more than ___ minutes
venous but arterial; 2
Just as you are arriving at the emergency department bay, your patient, on whom you started an IV at the scene, complainis of sudden chills, back pain, and nauseea, The patient appears flushed and his skin is hot and moist to the touch, Which of the folowing most likely accounts for your patient's presentation
Pyrogenic reaction
The maximum volume of medication to be delivered into the deltoid muscle is___ml
5
One teaspoon of medication equals___ml
5
Which of the following is the appropriate method for preparing a site for venipuncture or injection
Use of an antiseptic
Without adequate airway maintenance and ventilation, the patient can succumb to brain injury or death in how many minutes
6-10
In a lawsuit in which the paramedic has been charged with negligence, the paramedic is called the
defendent
Which of the following occurrences is LEAST likely to require mandatory legal reporting by the paramedic
Public intoxication
A paramedic may treat an unconcsious diabetic patient by relying on
Implied consent
A paramedic performs an intervention on a patient that is contrary to current practices. The patient suffers an injury as a result of that intervention. This is an example of
malfeasance
When responding to calls,paramedics can help patients and family members decrease the chances of future emergency calls by
Recognizing and using teachable moments
A supervisor senses that an EMS crew, which has just conducted a very darmatic but unsuccessful rescue of a drowned child, may be experiencing very intense emotions about the incident. what is an appropriate supervisory action
Request a CISM-trained peer to conduct a defusing within 2 tp 4 hours
Which of the following best describes who in a ambulance should use seat belts
All crew members, front and back
One of the principles of proper lifting is to
position the load close to your body
The tip a curved laryngoscope blade is placed correctly
in the vellecula
Which of the following manual airways maneuvers should be used when caring for a patient with a suspected cervical spine injury
Jaw thrust
Which of the following factors is related to an increased likelihood of airway burns
Unresponsive in the burning enviorment, screaming or yelling in a burning enviroment, inhilation of hot steam
The maximum flow rate to be used with a nasal cannula is ___ liters per minute
6
The simplest airway managment technique in a patient without suspected cervical spine injury is
head-tilt chin lift
Which of the following basic airway adjuncts prevents the tongue from falling back to occlude the airway
Oropharyngeal airway
In which of the following conditions is insertion of a nasogastric tude contraindicated
facial fractures
In which of the following patients would the use of a combi-tube dual lumen airway be contraindicated
A 59 y/o male with a history fo chronic alcholism who was found in cardiac arresst at a homeless shelter