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CDH Paramedic Entrance Exam Questions and Answers
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CDH Paramedic Entrance Exam Questions and Answers
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CDH Paramedic Entrance Exam Questions and Answersesophageal varices - ANSWER enlarged and swollen veins at the lower end of the
esophagus
-common in Pts with chronic alcohol use, advanced liver disease.
-made worse when blood flow is restricted in liver due to things like blood clots,
sclerosis
**acute rupture = profuse bleeding**
Risks of acute esophageal varices rupture - ANSWER causes profuse bleeding=
-shock
-airway risk
-cause n/v
9 Types of shock - ANSWER Respiratory, Neurological, Cardiogenic, Hemorrhagic,
Anaphylactic, Metabolic, Psychogenic, Septic, hypovlemic
APGAR scale - ANSWER a system of rating the physical condition of a newborn
baby
APGAR- heart rate 0-2 - ANSWER 0= absent
1= <100
2= >100
APGAR: Respiration - ANSWER 0=absent; 1=slow, weak cry; 2=good cry
APGAR Muscle Tone - ANSWER 0: flaccid
1: some flexion of extremities
2: well flexed
APGAR
Reflex irritability - ANSWER 0= none
2= grimace
3= cry
APGAR skin color - ANSWER 0=pale/ blue
1=pink body, blue extrem.
2= pink all over
Steps for delivering a baby - ANSWER 1. crowning
2.support head w/ both hands
-as it delivers check for prolapsed cord, suction
3.guide head downward (this helps upper shoulder)
4.guide head upward (helps lower should)
5. baby comes fast now!!! be prepared
6. suction more if needed, dry and stimulate baby. Cover baby with dry, clean,
towel/blanket (ASAP)
7. wait one minute after delivery (perform above in time), clamp cord, cut.
, 8. asses breathing and APGAR, assess mother.
9. prepare for second delivery of placenta.
10. encourage mother to breastfeed, this will stimulate body to help with bleeding.
Where do you place umbilical clamps - ANSWER 7" from baby, 2-3" apart, cut
between clamps
Abruptio Placenta - ANSWER Presents in 2nd/3rd trimester.
Condition when placenta prematurely separates from uterine wall.
S/S: Pain and bleeding, will show signs of internal bleeding and shock.
Placenta Previa - ANSWER 2nd/3rd trimester.
Placenta is attatched to uterine wall over opening of cervix. Women with prenatal
care will usually know about this.
It's not a problem until labor.
Uterine Rupture - ANSWER Can happen at anytime.
Uterus itself tears and ptentionall spills contents into abd.
S/S: tearing pain, internal bleeding, will show signs of shock. Treat pt for pn and
shock. DRIVE FAST, but safe.
AAA - ANSWER abdominal aortic aneurysm:
wall of abd. aorta begin to buldge and can rupture. Some Pts know about diagnosis.
-Pt often complains of tearting sensation or abd. pn that radiates to back. some
complain of urge for bowel movement.
S/S: pain, shock will occur rapidly.
Nerve Agents - ANSWER A class of chemical called organophosphates; they
function by blocking an essential enzyme in the nervous system, which causes the
body's organs to become overstimulated and burn out..
S/S: rapid/slow HR, increase BP, diaphoresis, salivation, lacrimation, uncontrolled
urination/diarrhea/vomitting, contricted pupils, SOB, decreased mentation, seisures,
Resp/cardiac arrest.
S/S of stroke - ANSWER Severe headache, slurred speech, one sided weakness/
numbness etc, vision problems. facial droop, unequal pupils, n/v/d, siezures
AEIOU TIPS - ANSWER Alcohol, Endocrine, Infection, Overdose, Uremia, Trauma,
Insulin, Poisoning, Stroke.
Primary Assessment Steps - ANSWER Scene safety/BSI/MOI/#Pts/+resources
Level of con/alertness
Airway
Breathing
Circulation
Life threatening interventions need to be made?
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