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General Medical - Medic Exam With Complete Solutions Latest Update
General Medical - Medic Exam With Complete Solutions Latest Update
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General Medical - Medic Exam With CompleteSolutions Latest Update
What is a prolapsed cord? How do we manage it? - correct answers When the
umbilical cord slips down ahead of the baby and can be a part or cause fetal
asphyxia if wrapped around the head.
Elevate hips to chest, insert fingers to relieve pressure on cord, cover cord w/wet
sterile dressing
What is a breech presentation? - correct answers Occurs when head is delivered
last - buttocks presenting first.
Transport - do NOT pull presenting parts - encourage mother not to push
What is an ectopic pregnancy? What are the risks? - correct answers Egg implants
in a separate area outside of the uterus. Will show positive pregnancy test but will
not know it is ectopic until confirmed by doctor.
Can burst as fetus grows usually w/in 5-10 weeks. Maintain high index of suspicion
w/ women of childbearing age w/ abd pain.
Leading cause of 1st trimester death, 6% of all maternal deaths.
Which organs are in the Right Upper Quadrant? - correct answers liver, gall
bladder, right kidney in retroperitoneal space, and the right portion of the
transverse colon
,Which organs are in the Left Upper Quadrant? - correct answers spleen, pancreas,
left kidney in retroperitoneal space, Aorta, and left portion of the transverse colon
Which organs are in the Right Lower Quadrant? - correct answers Illiac artery,
appendix, ascending colon
Which organs are in the Left Lower Quadrant? - correct answers Bladder,
descending and sigmoid colon
What is the stroke criteria? How do we communicate the last known well time? -
correct answers ***
When you communicate a last known well time be sure that you are telling a
specific time (ex: 1400 today or 2300 last night) and NOT a time in hours (ex: about
3 hours ago)
What is yellow diversion? What does it mean for transporting patients to that
facility? - correct answers Do not bring pts here because equipment is not working
properly
Stroke pt - will need CT if on yellow diversion ensure it is not because of broken CT
or go to next closest facility
What is placenta previa? - correct answers Occurs when the placenta implants in
the lower uterus and partially or completely covers the mother's cervix.
, S/S: Bright red bleeding (usually painless). May have had bleeding in 2nd trimester.
Treatment - monitoring until delivery
What is abruptio placentae and how is it managed/transported? - correct answers
Partial or complete detachment of an otherwise normally implanted placenta. Has
potential to disrupt placental blood flow and oxygen exchange.
Usually happens in last 12 weeks of pregnancy
s/s: sudden onset, heavy dark bleeding, sharp/tearing belly or back pain
(continuous contractions), fetal compromise.
Treatment includes bed rest and monitoring or immediate c-section based on
severity of tear/bleeding
What is the QA criteria for stroke patients? - correct answers Pt Demographics
Well-documented assessment
Stroke screen completed, Stroke Screen form complete
VAN assessment if indicated, Van Screen form complete
Documented last known well time
Scene time <15 minutes or justified
12 lead completed
BGL checked
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