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Paramedic final review: P1,2,3/603 Questions and Answers
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Paramedic final review: P1,2,3/603 Questionsand Answers
The amount of air a pt moves into and out of his lungs in one breath is the: -
-tidal volume
-When testing orthostatic vitals, what vital sign change is the most sensitive
positive sign of hypovolemia? - -pulse rate rises by 10-20
-Which pulse is recommended to check in peds - -brachial
-Which skin discoloration represents liver malfunction? - -jaundice
-Definition of pathological Q wave: - -0.04 seconds wide and a depth greater
than ¼ the height of the R wave
-How many parts are there to the scene size up? - -5
-Initially determining priorities of care and transport is part of the: - -
primary assessment
-What organization is responsible for EMS training guidelines? - -
Department of Transportation
-What kind of study would include research on the amount of cardiac arrest
survivors Chicago had last year? - -Retrospective and Quantitative
-Motor is_____, Sensory is _____ in the spinal cord?
Anterior, Posterior - -Anterior, Posterior
-The Vll (7th) cranial nerve controls - -facial expressions and taste
-How many nerves are in the spine? - -33
-Which would indicate spinal cord injury? - -hypotension, bradycardia, and
shallow respirations
-The blood pressure in a patient with suspected head injury should not be
below - -90mmhg
-The tears are manufactured in the __________and then spread across the
eye laterally to medially, where they drain through the lacrimal ducts into
the nose. - -Lacrimal gland
, -An infection or inflammation that is very contagious. Causes red, itching
and production of more tears than usual. Often called "pink eye" - -
Conjunctivitis
-What is the second most common cause of blindness in the United States?
It is characterized by an increase pressure within the eye, that damages the
optic nerve. - -Glaucoma
-An infection of the submandibular space under the tongue, primarily
resulting from infection of the second or third molar; may cause blockage of
the airway. - -Ludwigs angina
-A common form of bone disease, caused by thinning of bone tissue and loss
of bone density.
Occurs when the body fails to produce enough new bone to replace bone
that is being resorbed
or used. - -Osteoporosis
-A discoloration of of the skin that is usually blue or black. This is a foul-
smelling discharge and loss of sensation in the affected area. Results as
death of the tissue. - -Gangrene
-A form of inflammatory arthritis that primarily affects the spine. Resulting in
the spine becomes
stiff and inflexible were the spine if fused together. - -Ankylosing Spondylitis
-What is a disease of the inner ear that affects balance and hearing and
occurs when the labyrinths within the inner ear become swollen. - -Meniere's
disease
-What ribs are the most commonly fractured? - -4-8
-Which of the following is NOT a sign of Beck's triad? - -Pulses paradoxus
-What pathophysiology is associated with a pulmonary contusion? - -
Increased pressure in the head, neck, and chest cavity
-Which of the following best describes cyanosis to the face and neck that
occur in traumatic asphyxia? - -Backflow of blood from the right heart into
the neck
-Your patient is a 17-year-old male who is complaining of left-sided chest
pain after being tackled in a football game. Examination reveals pain and
crepitus around the 10th and 11th ribs on the left side. Which of the
following may be present as an underlying injury? - -Injury to the spleen
, -At what percentage of maternal blood loss in the pregnant mother are
changes in BP or heart rate evident? - -40-45
-A 44-year-old male was hit by a motor vehicle while jogging. You begin to
assess the patient. You notice that he is cyanotic and has agonal
respirations. He has obvious flail chest, multiple contusions, clear heart
tones, and air movement through his airway. Upon
auscultation, you notice that the patient has a deviated trachea and he has
decreased breath sounds on the right. Based on this scenario, which of the
following is the most likely to be fatal if not treated? - -Tension
pneumothorax
-A patient was run over by a car. There are tire marks on the chest wall. The
patient has cyanosis to the face and neck. Heart tones are muffled and lung
sounds are shallow with agonal respirations. Which of the following
conditions is most likely occurring in this patient based on the assessment? -
-Traumatic asphyxia
-Signs or symptoms commonly associated with hemothorax include: - -
shock
-Which of the following agencies became involved with setting ambulance
standards due to awareness of infectious diseases? - -OSHA
-When setting up a helicopter landing zone, what is the minimum size it
should be? - -100x100
-The most dangerous direction to approach an aircraft while the engines are
on is? - -the rear
-Most state EMS agencies establish what kind of standard regarding
ambulance operation? - -Minimum
-Which of the following is a good distance to use when positioning the
ambulance at a crash scene? - -100 ft
-Limitations to air medical transport include? - -cost
-In placenta previa the cervix is is blocked or partially occluded by the
placenta. The most likely symptoms and signs are: - -Painless bleeding
-In an abruptio placentae, the placenta tears away from the uterine wall
causing: - -Severe pain, internal and possible external hemorrhage
, -Changes to woman's cardiovascular system during pregnancy can be be
summed up as: - -Volume increases by 45%, systolic blood pressure
decreases by 10 to 15, heart rate increases by 10 to 15
-Fetuses born after 28 weeks have an excellent chance of survival because:
- -They have formed surfacant that is necessary for lung function.
-It is important in neonates to remember that: - -If the HR is less than 100
assist ventilations, and in less than 60 do compressions.
-If a neonate is delivered with thick meconium staining, it is important to: - -
Suction and intubate.
-Although rare _______ is one of the most common causes of maternal death
following birth. - -Pulmonary Embolism
-Immunity where an individual develops antibodies in response to a vaccine:
- -Active immunity
-Immunity acquired when antibodies are received through maternal
circulation - -Passive immunity
-Lymph has the same composition as: - -Interstitial fluid
-is it not necessary to don protective eyewear - -Bleeding control with
minimal bleeding
-What kind of cell is activated during the inflammatory response - -
Neutrophils
-Which is not a common sign in meningitis - -Sunken fontanelle
-Schizophrenia affects approximately what percentage of the U.S. population
- -1%
-Delirium has a rapid onset, whereas dementia is a chronic condition: T/F - -
true
-The SAD CAGES acronym is a screening mnemonic for what psychological
disease - -Major depression
-fibers carry impulses to the central nervous system from the body, fibers
carry impulses from the central nervous system to the body. - -Afferent,
Efferent
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