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167 Cards in this Set
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- Back
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Lidocaine 2gm/500ml run at 2mg/ minute = __?
Lidocaine Drip = __/Min Lidocaine Drip = __gm in a ___ml bag D5W at __gtts |
- 30gtts - 4mg/min - 2gm; 500ml; 30gtts |
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2gm into 500ml with concentration of 4mg/min =____?? IV set at 20gtts/min using microdrip; how many Ml's? |
60gtts 10Ml's |
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Dr. Orders 1000mg's of a drug. The drug comes packaged at .5gm/Ml, how many Ml's do you give? Dr. orders 200mg's of a drug. The drug comes packaged at 25 mg/kg. How many Ml's do you give? |
2Ml's 8Ml's |
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Epinephrine does what? Epinephrine stimulates the heart in what rhythm? Epinephrine causes what? |
- Vasoconsriction; Bronchodilation - Asystole - Increased BP; Increased HR |
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In regards to Epi, what is the correct dose? A) 1;1000 IV B) 1:1000 SQ C) 1:10,000 IM D) 1: 1:10,000 SQ |
A) 1:1000 IV |
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Burns shift what? _____ to _______ _______ An 80Kg pt who needs lidocaine scenerio answer: A sign of Irreversible shock: |
Plasma to interstitial space 100mg Lido Bolus Bradycardia |
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Administration of IV Hypertonic solution on a hydrated pt will do what? Anaphylactic & Septic shock causes low BP due to? Beta Question = ? |
Draw water from the cells to the vascular space Vasodilation Increased Heart rate |
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When Beta-receptors are stimulated, the heart rate does what? Cells of the heart that conduct electrical activity causing depolarization and contraction? Chief Intracellular Cation =______ Chief Extracellular Cation =______ |
-Increases -Automacity -Potassium -Sodium |
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Lack of tissue perfusion, or inadequate tissue perfusion: ______ One of the first signs of shock: Irreversible Shock = Late sign of Irreversible Shock = |
Shock Restlessness; elevated heart rate Low Heart Rate Bradycardia |
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Which is a sign of Uncompensated Shock? Earliest detectable sign of shock is? |
Decreased BP Increased HR (Tachycardia) |
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Compensated shock causes what?
DeCompensated shock causes what? |
Increased BP; Decreased peripheral Perfusion Falling BP; Thirst; Decreased LOC |
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Pt with a valid DNR order, What treatment can you still offer as a medic? |
Pt comfort measures/ Supportive care (02 & Pain control) |
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You find clear fluid coming out of the pt's ears, you should suspect a _____ _____ fracture. You see fluid running out of the pt's nose and ears, what do you do? Parasympathetic nervous system _____ HR |
-Basilar skull fracture -Halo Test -Decreases HR |
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A chemical Mediator for the parasympathetic nervous system is? ____________ What is the neurotransmitter for the parasympathetic nervous system? Increased PaCO2 regulates/ controls what? |
-Acetylcholine -Acetylcholine -Respirations |
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Intent NOT required to prove? ______ Malicious writing in a report? ______ Elements of Negligence are? 1) 2) 3) |
Negligence Libel 1) Duty to Act 2) Failure to Act 3) Causes |
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Adenosine slows conduction where? 1)______ Node 2)______ Node Sympathetic stimulation causes what? 1) 2) |
1) Sinus Node 2) Av Node 1) Vasoconstriction 2) Increased HR |
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Emergency Medical Service Act: Chapter ___ In an ambulance crash, The court will try to prove lack of what? What is due regard? |
- 401 - Lack of due regard - Driving with care for others |
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Put 1gm in a 250cc of D5W how much do you give? You have a 15 gtts/ml drip set, you must infuse medication for 1 hour, and you are running it at 45gtts/min. How many Ml/CC? |
4mg/ml (1gm=1,000mg/250 = 4mg/ml) 180cc (45 x 60 = 2700/15 =180) |
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Pt in an MVA has a head injury. Pt BP is 80/60, HR 132, you susect what? ________ Shock Who were ethical standards developed for? The best protection a paramedic has against legal involvement? |
Hypovolemic Shock The Patient Proper Training |
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Info transmitted over the radio, everything except? The paramedic communicates all of the information to the doctor except? |
Name and insurance Name and insurance |
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Cushings Triad? A) Widening Pulse pressure B) Hypertension C) Bradycardia D) Irregular Respirations |
A) Widening Pulse pressure |
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PH over 7.45= ?? Movement of fluid from LOW to HIGH across plasma membrane? Drug & Dose for Pt after rapid sequence circulation? |
Alkalosis Osmosis Dopamine @ 5Mcg/kg/Min |
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Child with no parents, what type of consent? You get on scene and Pt rolls up sleeves, what type of consent? Which is not an indication of an infiltrated IV Site? |
Implied Implied Air in tubing |
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The #1 Buffer system is? What electrolyte is the primary buffer? |
Bicarbonate Bicarbonate |
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When you do not have to investigate any further? 2nd dose of albuterol for an adult pt? Pt weighs 86lbs, how many kg's? |
Pertinent Negative 2.5mg 39kg's |
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When a pt tells you he does not want to be treated w/ a glasgow of 15 & you give him a shot. This is called? Unlawfully touching a pt means? _______ Not turning over care to an appropriate professional means? ______ |
Battery Battery Abandoment |
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If a paramedic is charged in a lawsuit, he is the ________. 3 stages of stress? (ARE) 1) 2) 3) |
Defendant 1) Alarm 2) Resistance 3) Exhaustion |
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Which drugs go down the tube? (LEAN) 1) 2) 3) 4) |
1) Lidocaine 2) Epi 3) Atropine 4) Narcan |
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what schedule drug is cocaine? What does HR do in decompensating shock? Racemic Epi treats what? |
II Narrowing of pulse pressure Croup |
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Smooth muscle relaxant medication used for pt w/ bronchial asthma? Systems that regulate acid/base balance? 1) 2) 3) |
Aminophyline 1)Buffer 2)Respiratory 3)Renal |
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Increase in Acid due to metabolism or vomiting, diarrhea, diabetes, or meds? Parenteral routes of med Administration (5) Abduction- Adduction- |
Metabolic Acidosis SQ; IM; IV; IO; ET Away from the body Towards the body |
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Atropine does what? 55 y/o pt with a HR of 50, P wave for every QRS, P-R Interval of 0.16, cold and clammy with a BP of 70/50 with sinus brady. The Pt should be given what drug? |
Blocks vagus Nerve .5mg of Atropine |
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What must occur to maintain relative homeostasis? When a pt doesnt speak English? Anytime you are dispatched to a call you have a Duty to ___. |
Input must equal output try to talk to both pt and person during the interpreting Duty to act |
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Name the controlled substance that does not produce constricted pupils? Blood components: 1 Unit = 1 ____ = 500 Ml Food & Drug administration: Controlled substance act of ____ 1Kg = ___lbs |
Valium 1 unit = 1 pint = 500 Ml 1970 2.2 Lbs |
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After C-spine, how do you open the airway? Hypercarbia-? Hypoxemia-? |
Jaw thrust Increased Co2 in the blood decreased O2 in the blood |
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Pt in a car accident, not breathing with a head injury, what is the risk of intubation? Pediatric with an Sp02 of 78% breathing 40bpm, you should do what? When intubating, you hear absent lung sounds on the left due to the what? |
Increased ICP Assist Ventilation Right mainstem Bronchus |
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What is correct about a Nasogastric tube on intubation? Complications of nasal gastric tubes? Suctioning the back of a childs mouth can cause all of the following except? |
Bad face seal or gets in the way of intubating it makes intubations more difficult Dehydration |
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Pt has air in the stomach, what do you do? Attempt to intubate 4 times without success what do you do? Which blade would you use to intubate an adult? |
NG tube Try another advance airway method A curve blade (Mac) in the vallecula |
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A substance from high to low is called _______ Minute Volume = _____ x_____ In a normal person, what is the body's primary respiratory drive? How to measure pediatric ET = |
Diffusion tidal volume x respiratory rate Increased Pc02 Size of smallest finger |
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How do you measure Pediatric ET tube? What separates the upper and lower airway? A local alcoholic on a cold night is found to be inarousable, in V-fib, and is Apneic. treatment should include what? |
Broselow tape Epiglottis Airway, defibrillate 3 times, CPR, Transport |
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Patient is choking, and has PARTIAL obstruction, you should do what? What is a good indication for nasal intubation? What do you check immediately after intubation? |
Encourage to cough Gag reflex intact Auscultation of epigastric & breath sounds |
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When doing a HALO test, what are you looking for? You should palpate the abdomen quadrant area with pain first or last? Palpate abdominal quadrants in what order? |
CSF Last UL, UR, LL, LR |
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Rapid deep grasping breathing associated with DKA/hyperglycemia Why would you let CSF fluid leak out? Mrs. J is in DKA. Her breathing pattern is Bradypena and Tachypnea, what is the respiratory pattern called? |
Kussmaul To relieve increasing pressure of the brain Kussmaul |
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Increased then decreased respirations followed by apnea is called _____-_____ S/S of hyperglycemia? Harsh, high pitch sound heard on inspiration that indicates partial airway obstruction? |
Cheyne-Stokes Deep rapid gasping respiration's associated with Ketoacidosis Stridor |
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You expect to see Flat neck veins in Pt's with? Most important information for ER Doc is the? What is the first thing you would like to find out in regards to a medical pt? |
Hypovolemia CC, Pt's condition, Treatment CC |
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Which vertibrae is responsible for loss of sensation of the lower and upper extremities? To make changes in a patient care report, you would do what? The difference between systolic and diastolic is _____ pressure. |
T4 or T6 Draw a single line and initial; make notation at the end of the report Pulse pressure |
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The systolic portion of the blood pressure is the? Orthostatic BP = JVD is best checked in a _________ position What is a contraindication for an NPO? |
Pressure of blood against the Atrial wall during a heartbeat Supine, sitting, standing @ 2 minute intervals Semi-Fowlers Basilar skull fracture, Battle signs or raccoon eyes |
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Fluid in the alveoli or crackles is ________ A high pitch whistling indicates ________ Flexion of the arms, extension of legs and clenched fist (head injury) indicates ________ posturing. |
Rales Wheezing Decorticate |
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Trauma pt with arms and legs FULLY extended is ________ posturing a PT with chest pain, you would ask? (_._._._._._) Amount of blood pumped by the heart in one minute is called? |
Decorticate OPQRST Cardiac output |
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Rales are usually heard in the _____ airway and indicates: Man was cleaning the bathroom with bleach and fainted, a co-worker pulled him out and upon arrival you notice the man has rales, what is his condition? |
Lower Pulmonary edema |
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Cardiac tamponade causes the following except: A) flat neck veins B) normal pulse pressure C) Decrease BP D) Muffle heart sounds |
A) Flat neck veins |
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How do you check for a stable pelvis? What to check for in extremities? A repeater does what? |
Downward and inward pressure on illiac crest PMS Boost transmission range |
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Most common frequency in EMS? Types of radio systems? A group of frequencies close together is called a ____ |
VHF & UHF Simplex; Duplex; Multiplex Band |
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A scuba diver has tingling in his HAND and FEET with frothy red sputem. The pt should be transported in what position? Signs of an air embolism include: |
Trendelenberg on his left side Diver with joint pain, tingling in his legs, abdominal pain |
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All of the following are true regarding electrical burns except? A) There is more external than internal damage B) There is an entrance and exit wound C) It may cause V-Fib D) Path of electricity may follow nerve pathways |
A) There is more external than internal damage |
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Name 6 P's: The abdominal covering or lining of the stomach is called the _______ Lining of the lungs is called the ______ ______ |
Pulses, pain, pallor, paralysis, paresthesia, pressure Peritoneum Visceral Pleura |
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A pt in abdominal pain is typically found in the _____ position. Cerebellum controls what? (MCBC) Cerebrum controls what? (T-Palms) |
Fetal Motor control, balance, coordination Thought, personality, Analysis, Learning, memory, & speech |
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Child gets his hand stuck in dry ice for more then 5 minutes, what do you do? A brief period of unconsciousness followed be a complete return of function means _______ Injury occurring on the opposite side of impact of the brain means ______ |
Immerse in warm water; sterile dressing; do not let re-freeze Concussion countracoup |
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When eyes dont move in unison is called ______ Gaze Disconjugated Gaze tx? Pt. severed the spinal chord at c3-c4 that causes what? |
Disconjugated Gaze Cover both eyes loosely total paralysis; pt cannot breath on their own |
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The spleen is located where? Appendix is located where? The liver is located where? |
LUQ RLQ RUQ |
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Signs/symptoms of a spontaneous Pneumothorax: Tendons connect to what? ______ is injury to ligaments ______ is injury to muscle |
Short duration of sudden pain; SOB; knife like pain Muscles to bone Sprain Strain |
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A false statement referring to burns is that? A pt in a motorcycle accident has lacerations to his head that is actively bleeding. His vital signs are: Bp 80 Pulse 110. Treat him by giving what? |
There is insignificant damage to underlying tissue Lactated ringers wide open |
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for a multitrauma pt, what do you treat first? To open the airway of a trauma pt, you would use a _______ Trauma pt fell from the roof with positive JVD, no lung sounds on right side, tx would be? |
Hypoxia Modified Jaw thrust Assisted ventilations; needle decompress; transport; 2 large bore IV's |
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All are TRUE in burn pt's Except? _______ means object penetration/ pressure waves form bullets/ opening produce by force that pushes body tissues away laterally A clear fluid coming out of the nose and mouth, you would suspect a ____ ____ fracture |
Electrical burns dont effect soft tissue Cavitation Basilar skull fracture |
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Most critical concern to a pt with chest trauma? Poor bag compliance can be seen in what type of pts? Pt that has a cervical fracture is referred to a _______ |
Hypoxia Sucking chest wounds; Tension pneumo thorax Quadriplegic |
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Placement for needle decompression is between the ___ and ___ intercostal space midclavicular. Traumatic asphyxia occurs from what type of injury? 2 or more rib fx in 2 or more places is called a _____ chest |
2nd and 3rd crush injury Flail chest |
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Complications of fractures and dislocations? Most commonly fractured bone in the body is the ? Number of liters of blood loss in abdominal distention? |
Nerve and vascular Clavicle 1.5 to 2 liters |
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Anterior dislocation of a shoulder or fracture clavicle, Pt presents how? Always splint bones ____ and ____ joint injury's Tx of a pt who presents with an open fracture, what do you do first? Pt with a 3rd degree burn over 20 % BSA, concern is for what? |
Leaning forward with affected shoulder and arm held close to chest. Above; below Dress wound first, then bandage Hypovolemia |
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You have a pt with head trauma & signs of shock what is wrong here? Your index of suspicion is based on the MOI in regards to what? Major complication of thrombolytic therapy is? |
Shock is not due to head trauma; must look elsewhere Extent of pt injuries Bleeding out |
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Exclusion criteria from thrombolytic therapy includes all except? Blood loss replacement is =? Trauma Bolus = |
Hip surgery 2 years ago 3 x volume lost (20ml/kg) (ex. Pt. Loss 750ml x 3 = 2,250 20Ml/Kg |
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Best fluid for replacement is? The pt with increased ICP varies from the expected in that? ____ decreases; ____ increases Signs of increased ICP: (HBWPP) |
Plasma, packed cells, or whole blood Pulse decreases; BP increases Hypertension; bradycardia, Widening pulse pressure |
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Drug used to decrease ICP = _______ In a MVA there is a multitrauma pt, what is the first thing you need to control? A) Hemorrhage B) Airway C) Circulation D) Deez Nutz |
Mannitol A) Hemorrhage |
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Burn pt with anterior chest (9) Abdomen (9) and both arms (18) =? Adult burn pt with burns to anterior chest (9) Abdomen (9) & anterior upper extremities (4.5 each) what is the burn score? What is your primary concern with burn pt's? |
36 27 Hypovolemic shock |
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Occipital part of the brain controls what? Flat neck veins are common to all of the following except? A) Cardiac Tamponade B) Dehydration C) Hypovolemia D) Hemothorax |
Vision A) Cardiac Tamponade |
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Narrowing pulse pressures is a result of _______ Pt has a scalp wound, BP-80/50 P-120, the best IV choice is ______ _____ Pt in a MVA says he has radiating pain in left shoulder, you suspect _____ injury |
Cardiac tamponade Lactated ringers wide open Spleen |
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Pt has stroke-like s/s, but then they resolve and become better. This is an example of what? Which soft tissue injury causes the most bleeding? |
TIA Avulsions |
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An avulsion is a soft tissue injury involving the ___ and ____ with lots of blood loss Multiple attempts using an ET tube with ICP Causes more what? Pt fell from a 3rd story floor, pt is lying down with absent right lung sounds and a fx leg. What is the treatment? |
SC; fascia ICP, Bradycardia, and other dysrythmias BVM with 02, Needle decompress right side, PASG, IV in route |
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Pt in a trauma accident that gets hit in the abdomen, may mimic peritonitis because? Question about Synch Cardioversion: Trauma pt hits steering wheel, and has absent lung sounds on left side, what shouldnt you do? |
Stomach acids can spill into abdomen cavity Cardioversion is carried out only for pt's whos cardiac output is severely impaired Decompress on the right side |
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The build up of fluid in the space between the lining of the abdomen and abdominal organs is ______ Penetrating trauma to abdomen, 40% blood loss from this organ? Rule of 9's, what percentage is a childs head? |
Ascites Liver 18% |
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C1-C4 injury, problems with? Man complains of SOB, Chest pain after working out, what is his condition? Pt with twisted leg with low BP, high pulse, cool and clammy skin is suffering from? |
Respirations Spontaneous Pneumothorax Hypovolemia |
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Paralyzed from the nipple line down is indication of __ fracture Paralyzed from the umbilicus down is indication of __ fracture Tension pneumothorax is known as what shock? |
T-4 T-10 Obstructive Shock |
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Blood in the eye: _____ Bleeding under the Dura is described as ______ What part of the brain regulates BP, Resp, and heart rate? |
Hyphemia Subdural Medulla Oblongata |
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Damages to tissues due to high speed bullet is known as ______ Toes go up and outward is an indication of _____ sign First thing that happens in a blast injury? |
Cavitation Babinski reflex Compression of air filled organs |
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Fracture on one side of the Long-Bone is a _____ fracture. Most common type of rural MVA? Most common cause of death at a fire scene? |
Greenstick Frontal (Head on) C02 |
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Pt in MVA frontal impact suffering down/under injury, you should suspect _____ fracture Pt fell through a glass door & has a piece of glass stuck in his neck, what would you do? Which injury would you treat last? A) Spinal B) Arterial Hemorrhaging C) Airway obstruction D) Sucking Chest wound |
Femur fracture C-spine, Airway, Occlusive dressing, Stabilize glass, Transport A) Spinal |
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Types of fractures: T- S- O- C- C- |
Transverse Spiral Oblique Compound Comminuted |
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La Forte Fx; Fx within the face: F1 = F2 = F3 = |
F1= maxilla F2 = Nose F3 = Orbits |
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Bradycardia with PVC's. What med do you give? What is a wide ectopic beat called? A 22 y/o woman complains of severe pain in RLQ, she has not eaten in 12 days & is constipated, with no chance of being pregnant. She most likely has? |
Atropine (0.5mg) PVC Appendicitis |
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A 23 y/0 gym rat has explosive headache, this indicates a ______ aneurysm When you approach radiation, the 3 principals of safety are? (TDS) A pt complains of dyspnea, he is cyanotic, has rales , reg pulse-140 BP-150/120 with pink frothy sputem. Pt has what? |
Subarachnoid Time, distance, shielding Pulmonary Edema |
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A pt has a Hx of SOB, ORTHOPNEA, and COUGHING UP PINK TINGED MUCUS. the pt most likely has: Pulmonary edema indicates: |
Left sided Heart failure (Acute pulmonary Edema) Left sided heart failure |
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Lady sitting upright with pink frothy sputem indicates: Best position for Pt. with Orthopnea? A pt is found on the floor in a pool of vomit, shaking and confused and frightened of spiders on the wall. Pt has stopped drinking for 2 days, He is experiencing what? |
Left sided Heart failure Sitting position Withdrawals |
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A pt is unconscious, incontinent and having generalized muscle relaxation and contraindications. what type of seizure? A prolong P-R interval is indicative of a ____ degree heart block 1st degree heart block is indicated on ECG tracing when the PR interval is greater than ___ sec. |
Grand Mal seizure 1st degree heart block .20 |
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P-R interval begins at the __ wave and ends at the beginning of the ___ complex P waves get wider and wider till QRS drops is set to be ______ QRS interval should be between ____ - ____ |
P wave; QRS Mobitz II Wenkebach 0.08 - 0.12 |
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A man repeatedly dove today & made a fast ascent from the last dive. He is complaining of joint pain, tingling legs, and abdominal pain. This is an indication of? Septic, Anaphylactic, neurogenic shocl; the low bp is due to what? A victim is found with bright red frothy blood bubbling from the mouth with each exhalation, this indicates ____ damage (Hemoptysis) |
Bends (Decompression sickness) Vasodilation Lung Damage |
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Pt with abdominal pain should be put in the ____ position or in _____ _____. Acetylcholine and Oxytocin are secreted by the: Adrenal Glands secrete and release what? |
Fetal; Lateral recumbent Pituitary Gland Epi; Norepi |
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Angina caused by exercise or emotional stress is called: During cardiac arrest, build up of pyruvic & lactic acid causes: Primary concern with treating a near drowning victim: |
Stable Angina Metabolic Acidosis Hypoxia/Acidosis |
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Means Prior to the delivery of a fetus: _____ A female pt with ABD pain in her LLQ with vaginal bleeding & a missed menstrual cycle approx. 7-10 days ago means what type of pregnancy? A 22 y/o female with LLQ pain. She is 2 weeks late for her period. Pt is in shock. She is diagnosed as? |
Antepartum Ruptured ectopic pregnancy Ectopic pregnancy |
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A child that has a headache, stiff neck, vomiting, and high fever may have? Pt mother is pregnant her 2nd child, pt mother has had 2 miscarriages before with 1 live birth. What is this called? Transporting a pregnant pt in the 3rd trimester, how do you transport? |
Meningitis Gravid 4; para 1; abortions 2 Left lateral recumbent |
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Woman in 3rd trimester with minimal bleeding, ridged uterus & pain indicates? Abdominal pain and dark bleeding is characterized by? S/S of pregnancy: __BP; __HR; __ plasma |
Abruptio placenta Abruptio placenta Decreased BP; Increased HR; Increased Plasma |
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After you have clamped and cut the chord, blood keeps oozing out, what do you do? A) Clamp proximal to the previous clamp B) Clamp proximal to the previous clamp and cut again C) Do nothing |
A) Clamp proximal to the previous clamp |
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Pregnant female with prolapse chord, what do you do? What do you do if you see a Nuchal chord? If baby delivers with amniotic sac ruptured, what do you do? |
Hold babys face away from chord and trasport Insert gloved hand, move babys head away, and transport poke with glove finger and pull away from baby's face |
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Baby delivers in a "Bag of water" what do you do? Pt has been contaminated from radiation, what is he considered? DKA pt present with? |
Puncture bag with finger and uncover baby's face Low threat Warm/dry skin (dehydration, fever) |
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The upper area of the uterus is called the _____ Top priority of heat stroke pt? Heat stroke S/S? |
Fundus Rapid cooling measures, IV, Transport Hot/dry skin; Syncope; weak pulse; Hypotension |
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Profuse sweating, weak/pale tachycardic indicates? Indication of Heat cramps, and treatment? Which one is not a sign of a stroke? A) Hypotension B) Headache C) Aphasia D) Facial Drooping |
Heat exhaustion Abd cramps & leg cramps; Cool down give fluids A) Hypotension |
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How long does death usually occur after an MI In an MI, which part of the heart is affected? Blue or purple Lesions on AIDS pt face, neck and mouth is called? |
1-3 hours after MI Left Atrium Kaposi's Sarcoma |
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Neurotic Vs. Psychotic pt are not in touch with _____ When talking to a psych pt, you should: PPE is the same as ___ and is used because the assumption that all blood & other body fluids cause infection. |
Reality let them speak and take away from the situation BSI |
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What happens in the 3rd trimester? ____ BP What trimester does toxemia usually occur? Rapid cooling for heat stroke pt is to prevent what? |
Decrease 3rd trimester Irreversible brain damage |
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Cardiac output is the amount of? Total amount of blood ejected in each contraction of the ventricle (Stroke volume) is? Pt with chest pain, P-72 and 10 min later pulse goes down to 38, if stroke volume doesnt change, ______ decreases. |
Blood pumped by the heart in 1 minute 80-100Mls Cardiac output decreases |
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T or F : HIV Pt's appear normal Fibrinolytic therapy time frame is: Causes of AMS: (4 H's) |
T 3 hours Hypoperfusion; hypoglycemia; hyperglycemia; heat stroke |
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Guy went on vacation and went diving, how would you transport him? Absent P waves in lead II means? Normal pacemaker of the heart is the: What does the QRS mean on an ECG? |
LLR SA Node is not the pacemaker SA Node Ventricular depolarization |
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When dealing with a pt exhibiting a hostile, aggressive behavior, appropriate action would be to? With a behavior emergency pt, you should try and ______ the pt. How do you restrain a behavioral emergency pt? |
Contact police dept, and remove bystanders from the scene Orient One arm above head, one arm by his side, pt lying prone with feet tied to the end of the stretcher |
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Hypoglycemia pt resembles what time of problem? A pt complains of sob. Upon assessment, he has pursed lips, barrel chest which indicates ________. Pt With barrel chest, pink skin, and puffing indicates ________ |
Behavioral Emphysema Emphysema |
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A guy in an MVA, Pt has subcutaneous Emphysema on the right neck side, dyspnea, absent lung sounds on the right side & diminished lung sounds on the left side which indicates? Pt is a chronic smoker with barrel chest, what condition would you expect him to have? |
Tension Pneumothorax Emphysema |
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St elevation in leads II, III, and AVF indicates an? Leads V1-V4 indicates an? Leads V3-V6 indicates an? |
Inferior wall MI Anterospetal MI Anterolateral MI |
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St Elevation in V1-V6, I and AVF Indicates: St Elevation in V2-V5 Indicates: Lead placement of V4 is __________ |
Anterior Wall MI Anterior Lateral Wall MI Midclavicular |
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P wave= QRS Wave= T Wave= |
Atrial Depolarization Ventricular Depolarization Repolarization of the Ventricles |
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Enlarged Liver, distended neck veins & Edema are signs of? Pain in the chest "tearing & shearing" pain towards the neck with no pedal pulse indicates a: Man complaining of tearing pain in the back and in between shoulders with no pedal pulse indicates an: |
Right sided Heart Failure Dissecting Aortic Aneurysm Aortic Aneurysm |
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Causes of pinpoint pupils? The drug choice for cardiogenic shock is: Pt presents with whistling sound during exhalation is considered being? |
Narcotics Dopamine Asthmatic Bronchiolitis |
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When blood leaves the lungs, where does it go? 02 rich blood leaves the pulmonary veins and goes to the ____ ____. Where do you put pressure for the sellick maneuver? |
Left Atrium Left Atrium Cricoid Cartilage |
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Sign of a Pt W/ a progressive disease that affects the nervous system is called a _____ status All are s/s of kidney stones except? A) Frequent Urination B) Severe Flank Pain C) Pale D) Lower Abdominal Pain |
Mental Status A) Frequent Urination |
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Pt who has ringing in his ears and is sick most likely has an ____ overdose Pt who is coping with stress has 4 types of common reactions: (SFAA) 2nd phase of child birth is when: |
ASA overdose Stress; Fear; Anxiety; Anger Full dilation of the cervix until child is delivered |
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Blood clot in the legs will lodge where? 35 yr old female has sudden, sharp, severe headache & becomes unconscious & unresponsive, she is suspected to have a ______ Hemorrhage. What is the best method to use on an LSD Pt? |
Lungs Subarachnoid Talk down method |
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Which of the following bites is most neurotoxic? Pt with chest pain and back pain, with no pulse in extremities is considered to have a: What are some of the S/S expected to be seen in a Pt who has been given Narcan? |
Coral Snake Dissecting Aortic Aneurysm Combative & Aggressive behavior |
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Seizure without gaining consciousness in between 2 or more episodes is called ____ ____. ____ __ ____ are seen in children, and you may or may not lose consciousness. Guy playing baseball, and the drops with a swollen tongue and lips is presenting with ______. |
Status Epilecticus Petit Mal Seizures Anaphylaxis |
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Guy with fever, SOB, productive cough, and no edema is presenting with _____ Bilateral, dilated pupils indicate ____ ____. What causes unequal pupils? |
Pneumonia Cerebral Hypoxia CNS Injury |
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Best way to evaluate a behavioral emergency Pt is to: Maternal blood Volume increases __% A Pt has one pupil that is dilated and non-reactive, while the other is slow to respond. this is a form of a _____ crisis |
Take away from the crisis and cause 40% Neurological |
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WPW, meds you cant give like cardizem because it will _____ the AV node & the rapid firing of the ___ will get to the _____ & eventually will go into _____ You would sync a PT in SVT because he is _____ _____. |
Bypass the AV Node & the rapid firing of the atrium will get to the ventricles and eventually will go into V-Fib Hemodynamically Unstable |
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Which are considered Peripheral veins? R on T phenomenon causes ____. What do we NOT want to give a stroke pt? |
Arms, hands, legs, and feet V-Fib Fluid Bolus |
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____ stimulates the liver to change glycogen into sugar and secretes it into the blood stream for energy. Which is not a vector of Hepatitis? A) Saliva B) Blood C) Semen D) Feces |
Glucagon A) Saliva |
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Fecally or orally transmitted disease is which Hepatitis? How does an elderly Pt mask an MI? Proper meds for CHF include: |
Hepatitis A Decreases sensation to Pain 02, morphine, lasix, Nitro |
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Common findings with cyctitis (inflammation of the bladder) What kind of diabetes do you develop during pregnancy? what do you give for a 9 month pregnant pt W/ seizures? |
UTI Gestational Valium 2.5mg-10mg |
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Ped and adult dose for valium: 10 QRS complexes in a 6 sec strip would most likely indicate a _____ rate. Prolong P-R interval indicates a __ degree heart block |
0.2 mg/kg; 5-10mg Ventricular 1st |
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Normal rhythm with no pulses, what med would you give? Strip shown, the above strip represents? A) Sinus brady B) NSR C) Junctional rhythm D) 1st degree heart block |
Epi A) Sinus brady |
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V-tach shows how? Most common route of poisoning: Tricyclic antidepressant meds include: |
Wide, bizarre QRS Ingestion Mellaril, trofranil, Elavil, Amytriptyline |
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Intrinsic rate of the SA Node: Intrinsic rate of the AV Node: Intrinsic rate of the ventricles: |
60-100 BPM 40-60 BPM 20-40 BPM |
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Restrict venous blood flow BUT allows arterial blood flow is a ____ 34 yr old male appears jaundiced with sclera, no appetite, lost 10 lbs in 3 weeks, nauseated, generally fatigued, low fever, and sudden distaste to cigarettes most likely has ___ ___. 51 yr old farmer has cramps and diarrhea, this indicates ______ poisoning |
Tourniquet Viral Hepatitis Organophosphate |
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The pharmacological Tx for anaphylactic shock is ______ & _______. Endocrine system acts by releasing: chicken pox, measles, & mumps are spread by? |
Epi; benadryl Hormones into the bloodstream Airborn droplets |
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Delirium Tremors can occur __-__ hours after cessation of alcohol. Pt says "I hear bells in my head" indication: 22 y/o female w/ RLQ pain, radiating to right shoulder, no menses with spotting indicates: |
48-72 ASA overdose Ectopic Pregnancy |
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Right sided heart failure secondary to chronic lung disease is called ___ ______. Acute MI; what is the treatment? (MONA) 1 big S/S of respiratory distress: |
Cor Pulmonale Morphine, 02, Nitro, Aspirin Nasal Flaring |
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Most common error with AED use: A situation indicated for the MAST Suit is a: Which of these can lead to permanent brain damage if not corrected? A) Hypoglycemia B) Hyperglycemia C) Migraine D) Concussion |
dead battery
Ruptured abdominal aortic aneurysm A) Hypoglycemia |
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Constricted pupils are most indicative of? A) Heroine overdose B) Stroke C) Amphetamine overdose D) Caffeine |
A) Heroin overdose |
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Addison disease = _____ _____ failure Upper GI Hemorrhage indications: Lower GI bleed indications: |
Adrenal Gland Failure Black starry stools, vomiting blood Bright red or wine color stool |
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Adult GCS scenerio = ___ (Lowest 3 - highest 15) What is correct about nasogastric tube on intubation? Complications of nasogastic tubes: |
13 Bad face seal or gets in the way of intubating Makes intubating more difficult |
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Suctioning the back of the childs mouth can cause all of the following except? A) Dehydration B) slower than normal heart rate C) Hypoxia D) Infection |
A) Dehydration |
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Inter-facility transport pt receiving a blood transfusion, but is not feeling well, what do you do next? NPA is used when: When suctioning the Tracheostomy: __ - __ in. |
Strop transfusion Pt has intact gag reflex 3-5 inches |
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If you stimulate the vagus nerve during intubation, what happens? Inability to produce or understand speech is called _____. Catecholamines causes ___ HR, and ___ vasoconstriction |
Bradycardia Aphasia Increase HR; Increase Vasoconstriction |
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Increase in acid due to metabolism or vomiting, diarrhea, diabetes, or meds is called ____ ____. External jugular vein is NOT a _____ Line Movement of fluid or molecules through a cell membrane against the concentration is called ____ ____ |
Metabolic Acidosis Central Active transport. |
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Lowest APGAR score = Highest APGAR score= When do you check APGAR? __ and __ minutes A- P- G- A- R- |
=0 =10 1 and 5 minutes A- appearance P- Pulse G- Grimmace A- Activity R- Respiration |
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A baby is born, delivery finds its body is pink, extremities are blue, pulse is at 120, crying lustly while jerking arms and legs. The APGAR score is: When you get old, you get thirsty because: ____ in bone mass, ___ ____, and ____ in thermoregulation |
9 Decrease in bone mass Skin Turgor Decrease in thermoregulation |
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Which is NOT a characteristic problem in old people? Neonate Pt needs ____ml/kg of fluid replacement Pediatric assessment starts at the ___ and goes up to the ___. |
increased thirst 10ml/kg Toe; head |
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Laryngotracheobronchitis presents with _____ All happens during the ageing process except? Rapport with geriatric pt: |
Stridor Increase thirst Be professional, open stance, caring |
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How would you approach a geriatric pt differently than a non-geriatric pt? The #1 cause of trauma in elderly pt is? Elderly pt output more than input due to? |
More formally with an open stance Fall Electrolyte imbalance |
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What would you do for child abuse? Old man urinates more than he puts in due to what? How do you treat a man on a vent? |
Take him to the hospital and document. report to authorities Dehydration; electrolyte imbalance Remove from vent, suction trachea, put on BVM 02 |
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Child with SOB, mother being hysterical & not letting you treat child, what would you do? Most common seizures in children under the age of 6: Where do you apply pressure when tubing a pediatric? |
Try and talk to her and calm her down Febrile Larynx |
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Landmark for IO in a 10kg infant Diabetic pt with headache, most important question to ask is? Newborn Treatment: (DWSS) |
2-3 inches below tibial tuberosity, medial aspect How long has he had the headache Dry, warm, suction, stimulate |
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Umbilical Cord has __ arteries, __ vein, supplies to the ____ In a Cricothyrotomy, the landmark used to determine the proper insertion location is the depression ____ to the ____ ____. |
2 Arteries; 1 Vein; Fundus Inferior; adam's apple |
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Pt's who are decontaminated in the arm zone have how much of a threat to paramedics? Part of the scene size up includes: MCI, first crew on scene come upon pt in cardiac arrest what happens? |
Little to no threat # pts on scene Both continue triage |
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What do you check in the triage system? (BCL) When triaging at a MCI, what is the highest priority when treating? When prioritizing pt's at an MCI, which one is least important? A) Pt with arm and leg numbness B) Mentation C) Airway D) Sucking chest wound |
Breathing circulation LOC Sucking chest wound A) Pt with arm and leg numbess |
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Last person treated in an MCI is a ____ injury who is in charge of a MCI? You park yourself at the ____ area when you arrive to an MCI to waitfor assignment |
Spinal Incident commander Staging |
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Upon arrival of a disaster scene, the pt who should receive the lowest priority is? A) 3rd degree chest burns over 80 percent B) mid sternal chest pain C) 2nd degree burns 20-30% D) Penetrating chest wound |
A) 3rd degree chest burns over 80% |
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In S.T.A.R.T system, a pt breathing 40bpm is considered _____ or red. At a crime scene, you have a pt that is visible, what do you do? Landing Zone for a helicopter is? How many ft by how many ft? |
Critical Treat the pt while cooperating with law enforcement 100x100 |
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All are ignition sources at a Hydrocarbon spill except: The front windshield glass is made of: In a MVA scene, what should you do first? stabilize the ____, then ____, then ___. |
Sealed flashlight Laminated safety glass Stabilize the scene, then car, then pt. |
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Assessment begins at ____ Pt in an MVA, while trying to gain access, what should you try first, second, third? Arrive to an MVA, how should you disable the car battery? |
Dispatch Door, window, body Disconnect the black (Negative) |
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You arrive on scene and see a burning vehicle, where should you park? at least ___ feet away At intersections before proceeding you must look ___ first. An ambulance is called to a house fire. upon entering the burning house, a paramedic finds an unconscious woman. He decides to move her from the house using a firemans drag. the first step would be to? |
100 ft away Left tie the pt's hands together |
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When a pt is considered to have more than one injury it is called a ___ _____ ____. Highest level of protection of HAZMAT suits is __. Most fatalities among rescuers occur in ____ spaces |
Multi-system trauma A Confined |
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The most major complication of a joint injury is? The tool not to use to pull or roll a dashboard is: |
Blood vessel damage A pry bar |
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RUQ- LUQ- RLQ- LLQ- |
RUQ- Liver, Gallbladder LUQ- Liver, Spleen, Stomach, Pancreas RLQ- Large intestines, Appendix LLQ- Small Intestines |
