OCEMT Medical Unit Exam Study Guide questions
with correct answers
How should we focus out assessment with with an unresponsive patient?
Correct Answer-Evaluate airway, breathing, Circulation (if no pulse
begin cpr)
While approaching any medical/trauma patient your first consideration
should be what? Correct Answer-Ensure the safety of yourself and your
partner: Scene safety
What's the best way to manage a patient dealing with heat exposure or
heat related emergency? Esp if the patients is unresponsive Correct
Answer-Move, patient to cool environment, and place cold packs under
armpits, groin, and behind legs.
Understand the signs/symptoms of stroke. Both a Hemorrhagic (CVA)
and an ischemic (TIA). These are 2 very different etiologies yet we put
them both as stroke. That's Ok, but be able to differentiate the 2. Correct
Answer-Hemorrhagic stroke: Blood vessel swells and ruptures
severe headache, seizures, and altered mental status
Ischemic stroke: occurs when blood flow through the cerebral arteries is
blocked
loss of movement on the side of the body opposite the side where the
occlusion has occurred, Sudden confusion, trouble speaking or
understanding.
, Understand the etiology and sequence during a seizure. IE aura, tonic vs
clonic etc. Correct Answer-AURA: can include visual changes (flashing
lights or blind spots in the field of vision) or hallucinations (seeing,
hearing, or smelling things that are not actually present)
TONIC CLONIC: Causes muscles to twitch/jerk, patient seems to stare
and not to respond to anyone
CLONIC: lasts 1-3 min and we see muscle spasms in face neck and arms
TONIC: usually lasting only seconds, in which there is a period of
extreme muscular rigidity (tense up)
ATONIC: Atonic less than 15 seconds lasting , muscles suddenly go
limp and the head may lean forward or fall completely
How to address an actively seizing patient upon arrival? Correct
Answer-Let them seize! (in a cleared space or area)
Make sure you move any objects or hazardous material near them so
they don't injure themselves
Do not attempt to restrain the patient, this could cause injury
Know what a Syncopal episode is and how it may present Correct
Answer-Fainting/loss of consciousness
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