critical care/flight paramedic exam 2023

critical care/flight paramedic exam 2023 babinski reflex ANS-extension and spreading of toes when bottom of foot is stroked. sign of nervous system lesion battles sign ANS-bruise behind ear, basilar skull fracture becks triad ANS-jvd, muffled heart tones, hypotension. from cardiac tamponade brudzinski sign ANS-flexion of the neck results in flexion of the hip. meningitis coopernails sign ANS-ecchymosis on perineum, labia, scrotum. sign of pelvis fracture cullens sign ANS-bruising around umbilicus. Sign of pancreatitis or ectopic pregnancy grey turners sign ANS-discoloration of skin around flank. sign of pancreatitis hammans sign ANS-crunching sound of heart with asynchronous heart beat. sign of mediastinal emphysema/tracheobronchial disruption kehrs sign ANS-left shoulder pain associated with splenic rupture kernigs sign ANS-pain to knee extension when hip is at 90 degrees. sign of meningitis levines sign ANS-pain with clutched fist over midline of chest. sign of cardiac chest pain mcburneys sign ANS-tenderness 2/3 the distance between umbilicus and ileum. sign of appendicitis muphys sign ANS-pt unable to take deep breath on inspiration with deep palpation beneath right coastal margins. sign of gall bladder issues S2 "dub" heart tones ANS-aortic and pulmonary valve closure s1 "lub" sound ANS-bicuspic/tricuspid valve closure stroke volume is affected by ANS-preload, afterload, contractility s4 heart tone ANS-indicative of stiff or noncompliant ventricle, like with an old MI s3 heart tone ANS-ventricle stretch due to fluid overload right coronary artery is typically repaired by using ANS-saphenous vein