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AIR METHODS CRITICAL CARE EXAM WITH THE FULL LATEST UPDATE
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AIR METHODS CRITICAL CARE EXAM WITH THE FULL LATEST UPDATE
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Air Methods Critical Care examv v v v
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AIR METHODS CRITICAL CARE EXAM WITH THE FULL LATEST UPDATE
1.What is the most reliable method of confirming and montioring correct p
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lacement of an ET tube?: Continuous waveform capnography
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2.The upper airway consists of...: Nose, Mouth, Jaw, Oral Cavity, Pharynx, a
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nd Larynx v
3.No gas exchange occurs here
v v , it's called .: Nos v v v v v v v
e to terminal bronchioles, anatomical dead space. (2ml/kg of inspired tidal
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vvolume) They conduct airflow towards gas exchange units.
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4.Crycothyroid membrane: between thyroid and cricoid, avascular structur v v v v v v v
e that connects the thyroid and cricoid cartilage. Site of CRiCOTHYROTOM
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Y- an emer- gency opening of the airway.
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5.A PaCO2 greater than 45 mmHg indicates:
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A. Metabolic acidosis. v
B. Metabolic alkalosis. v
C. Respiratory acidosis. v
D. Respiratory alkalosis.: C. Respiratory acidosis v v v v
6.PaCO2 normal range: 35- v v v
45 mm Hg Less than 35 likely means hyperventilation
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7.Tracheal deviation AWAY from the affected side, decreased breath sounds,
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and hyperresonance... What's happening?: Tension pneumothorax
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8.In a tension pneumothorax tracheal deviation goes in what direction?: -
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AWAY from affected side. v v v
9.Normal mean pulmonary artery pressure: 10-20 mmHg
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10.Pulmonary hypertension is a mean PA pressure greater than...: (PAm) v v v v v v v v v v
greater than 20 v v
11.Primary pulmonary hypertension: Idiopathic genetic disorder caused by
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ab- normal structure of the pulmonary blood vessels
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12.Name three causes of secondary pulmonary hypertension..: 1. Passive PH-
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vthe result of back pressure. Mitral Stenosis, LV systolic failure.
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2.Active PH- v
vConstriction of the pulmonary circuit Increased volume in pulmonary circ
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, Air Methods Critical Care exam
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vcongenitalvheartvdisease)
3.Obstruction as in Chronic recurrent PE v v v v v
13.TNP of the Pregnant patient: Resuscitation priorities are the same. The
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best way to take care of the baby is to take care of mama
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14.Mechanisms of injury and biomechanics the most common cause of ma-
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vternal injury is...: Blunt trauma caused by MVC. Second is BT caused by falls
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, 3rd is violence
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15.fetal distress is an early sign of maternal distress... Why?: Catecholamine
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vmediated vasoconstriction resulting from blood loss shunts blood away fr
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om the fetus to the mom.
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16.Fetal hypo perfusion is evidenced by....: Fetal tachycardia (140 to 160+)
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and fetal bradycardia v v
17.The FRC in a pregnant patient is....: Reduced by the gravid uterus lifting t
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he diaphragm. v
18.chest tube placement in a pregnant patient is 1- v v v v v v v v
2 spaces higher: Because of the lifted diaphragm
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19.What is the cause of physiological anemia in pregnant patients?: Hemodili
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- tional anemia occurs. Plasma volume increases 30-50%.
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20.Preterm Labor (PTL): v v
21.abruptio placentae: premature separation of the placenta from the uterin v v v v v v v v v
e wall v
22.On a pregnant patient...: Chest compressions must be higher on the stern
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um. Any preg patient 20 weeks pregnant or more with a uterus above the u
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mbilicus should have the uterus left laterally displaced during compression
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s to avoid aorto-
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vcaval compression. A 15 degree tilt of the long board or lateral displaceme
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nt.
23.What is the Maternal Fetal Triage Index?: A valid reliable 5 level triage tool
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that may assist in the triage of obstetric trauma patients.
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24.Displacing the uterus off the vena cava can improve CO by: approximatel v v v v v v v v v v v
y 30%! v
25.Continuous fetal monitoring is recommended...: for all pregnant patients v v v v v v v v v
20 or more weeks gestation... or (uterus above belly button).
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26.Fundal height measurement: equals the approximate gestational a v v v v v v v
ge in weeks, until week 32.
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Belly button is 20 weeks H v v v v v
eight of last rib is 26 weeks v v v v v v
vcostal margin is 36 weeks v v v v
27.Any fundal height indicating 23 or more weeks...: at the last rib and above i
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s consistent with a viable fetus.
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28.What type of blood should a pregnant trauma patient receive?: O-
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NEG baybay. v
29.Initiate cardiotocography in any mother: 20 or more weeks gestation, m v v v v v v v v v v
ust be monitored for at least 6 hours.
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30.What is the serum lab test that detects fetal red cells in the maternal circulat
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ion?: Kleinhauer Bette KB serum test. This lab is used to determine if hemor
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rhage of fetal blood through the placenta and into maternal circulation. KB t
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est is an important detector of abruptio placentae, preterm labor and need
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to administer Rh negative globulin when mom is Rh negative and fetus is R
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hvpositive.
31.Continue fetal monitoring for a minimum of ---- hours for anyviable preg-
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nancy and up to ..........hours if there is abdominal trauma: 6.
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