FInal Review
A ____ hold is a 14 day hold, where a ____ hold is a 72 hour hold
5250, 5150
What is a useful way to determine the systolic blood pressure in children under 10 Years ld?
70 + (2x Childs age in years)
This condition is when the sphincter between the esophagus and the stomach opens allowing the stomach acid to move up into the Esophagus
Gastroesophageal Reflex Disease
All the following are part of the Cincinnati prehospital stroke scale, except:
Grips
Which of the following questions is of lEast pertinence when determine whether a mother will deliver her baby within the next few minutes?
Have you had a sonogram?
If a patients kidney has been injured the most common finding is
Hematuria
Air and blood collects in the Plural Space
Hemopnuemothorax
Blood collects in the plural space
Hemothorax
This conditions is a protrusion of an organ or tissue through a hole or opening into the body cavity. It can reducible or incarcerated.
Hernia
Involves repeating, in question form, what the patient has said and also encourages the patient to expand on his or her thoughts
Reflective listening
This organ is located in the left upper quadrant and is part of the lymphatic system. It assists in filtration of blood, aids in development of RBC's, and also produces antibodies.
Spleen
This type of seizure has two or more convulsive seizures in a row and the patient will not fully regain consciousness and can last more then 10 minutes
Status Epilepticus
Bleeding occurs into the subarachnoid space, where the CSF circulates
Subarachnoid Hemorrhage
The Three layers of the meninges are all the following except: (remember PM DM and AM)
Subarachnoid mater
Accumlation of blood beneath the dura matter and outside the brain
Subdrural Hematoma
This type of headache is caused by contractions in the head and neck. This headache is attributed to stress and pain is usually described as squeezing, dull, or as an ache.
Tension Headache
Pushes The mediastinum into the opposite pleural cavity and a late sign is Tracheal Deviation
Tension Pnuemothorax
Which of the following observations or statements represents the E in the GEMS diamond
The Patients residence is cold due to a malfunction heater
Braxton-Hicks contractions are characterized by:
alleviation of pain with movement or changing positions
Which of the following statements regarding the placenta is correct?
allows oxygen, carbon dioxide, and other products to transfer between mother and fetus and does not allow blood to mix between mother and fetus
An infant or small child's airway can be occluded if it is overextended or overflexed because:
The occiput is proportionately large and the trachea is flexible
Connected to the Retina and respond to light bu transmitting nerve impulses
optic Nerve
The presence of meconium in the amniotic fluid indicates:
that the baby's airway might be obstructed
Sulfur mustard smells like
Galric
IF a baby is born at 7:52, the second Apgar score should be calculated:
5 minutes after birth
A fractured femur can result in the loss of ___ or more blood into the soft tissues of the thigh
1 L
A patient with a head injury presents with abnormal flexion of his extremities. What numeric value should you assign to him for motor response?
3
Flail Chest is defined as a fracture of ___ or more consecutive ribs in ___ or more places
3 and 2
A patient is considered to be obese when they are more then ___ over their ideal weight
30 percent
You are dispatched to a residence for a 40 year old female who complains of lower abdominal pain, fever, and chills and a foul smelling vaginal discharge. Which of the following additional assessment finds would your index of suspicion of pelvic inflammatory disease>
A shutting gait when walking
Down syndrome is a genetic defect that occurs as the result of:
A triplication of chromosome 21
There will be massive hemorrhage if this ruptures. The patient will complain of severe back pain and describe it as a tearing sensation
Abdominal Aortic Aneurysm
This type of seizure may last for seconds and the patient will fully recover with a brief lapse in memory
Absence Seizure
This type of seizure may last for seconds and the patient will fully recover with a brief lapse in memory:
Absence Seizure
This type of disease develops or originates after birth:
Acquired
Within this age group, the EMT would expect to see self destructive behaviors and suicide is common
Adolescence
Hydrogen Cyanide smells like:
Almonds
A history of pelvic inflammatory disease or tubal ligations increases a woman's risk for:
An ectopic pregnancy
Which of the following most accurately describes a multiple casualty incident?
An incident that greatly taxes or depletes a systems available resources
The components of the pediatric assessment triangle (PAT) are:
Appearance, work of breathing, and skin circulation
In this condition, the patient will complain of fever nausea vommiting lack of appetite, rebound tenderness, pain in the right lower quadrant, and dull or diffuse pain to the center of the umbilical area.
Appendicitis
During your visual inspection of a 25 year old woman in labor, you see the baby head crowning at the vaginal opening. What should you do?
Apply gentle pressure to the baby's head as it delivers
Bright red and spurts in time with the pulse
Arterial Bleed
The smaller vessels that carry blood away from the heart and connect the arteries to the capillaries are called the:
Arterioles
A 58 year old male presents with confusion, right sided weakness, and slurred speech. His airway is patent and his breathing is adequate. His wife is present and is very upset. Which of the following has the most immediate priority?
Asking his wife when she noticed the symptoms
You are assessing a 25 year old woman who is 39 weeks pregnant. She is experience regular contractions that are approximately three minutes apart and states that her amniotic sac broke two hours ago. After taking standard precautions you should:
Assess her for crowning
____ Respirations have a irregular rate, pattern, and volume with intermittent periods of apnea
Ataxic
What do the ABCS for Autism Stand For?
Awareness, Basic, Calm, Safety
The third stage of labor begins when the:
Baby is expelled from the vagina
All the following are part of the B in DUMBLES, Except
Bacteremia
Chlorine smells like:
Bleach
This area of the brain carries messages from the brain
Brainstem
The only indications for placing your gloved fingers in the cagina during delivery are:
Breech presentation and prolapsed umbilical cord
When you arrive on scene, your patient has a dry chemical all over their arm, which of the following is the property to assist your patient?
Brush off the dry material, flush with clean water for 15 to 20 minutes, and wash the skin with soap and water if available
Patients with a spinal cord injury at ___ or above can lose their ability to breath entirely
C3
Dark red, oozed from the wound slowly and steadily
Capillary Bleed
Patients who require frequent intravenous medications have a
Central Line
The area of the brain that coordinates balance and body movements:
Cerebellum
This area of the brain is divided into two hemispheres and consists of 75% of the brains total volume
Cerebrum
According to the "E" in the DOPE mnemonic, which of the following actions should you perform to troubleshoot inadequate ventilation in a patient with a tracheostomy tube?
Check the mechanical ventilator for malfunction
Respirations that are fast then slow with intervening periods of apnea are called?
Cheyne Stroke Respirations
What is the most common STD
Chlamydia
An area where responders stage and where the treatment is provided for victims
Cold Zone
Surgical site between the intestine and surface of body that eliminates waste products
Colostomy
This condition is caused by a sudden, direct blow to the chest and causes the patient to go into Ventricular Fibrillation
Commotio Cordis
This type of Disease occurs during the utero:
Congenital
Pink Membrane inside the eyelids that is kept moist by the lacrimal glands
Conjunctiva
When treating a patient with an evisceration, the EMT should:
Cover it with a moist trauma dressing, and add an occlusive dressing to prevent heat loss
All the following are the indications for the EMT to give a patient narcan except:
Dilated pupils
Phosgen smells like
Cut Grass
The EMT will see ___ posturing when the patients arms move out like "E's"
Decerebrate
The EMT will see ____ posturing when the patients arm move toward the cords like "C's"
Decorticate
This is a condition that typically is bought on one to seven days after the patient stops drinking alcohol levels in the blood decrease suddenly.
Delirium Tremens
Most significant factor that contributes to suicide is:
Depression
Tabun smells like
Fruity Smell
In this condition, bulges in the wall of the colon turn into pouches which feces get trapped and bacteria grows causing inflammation and infection
Diverticulitis
This condition is irreversible and develops over months and years.
End Stage Renal Disease
An accumulation of blood between the skull and dura matter
Epidural Hematome
This is a serious behavioral condition in which agitated behavior is exhibited and combined with disorientation, hallucinations, or delusions. Uncontrolled or poorly controlled patient agitation and physical violence can place the patient at risk for sudden cardiopulmonary arrest
Excited Delirium
To date, the preferred weapons of mass destruction for terrorists have been:
Explosive Devices
Cardiac arrest in the pediatric population is most commonly resulted from
Failure of the respiratory system
Following delivery of a full term baby, you have properly cared for the baby and have clamped and cut the umbilical cord. During transport, you note that the mother is experiencing moderate vaginal bleeding. You should:
Firmly massage there uterine funds with a circular motion
Am area with a known hostile threat or an area with a high probability of a threat:
Hot Zone
All of the following routes poisons are classified by except?
Indiopathic
A 25-year old man overdosed on heroin and is unresponsive. His breathing is slow and shallow and he is bradycardic. He has track marks on both arms. The EMT should:
Insert a nasal airway and ventilate with a bag-mask device.
Pigmentation of the eye
Iris
When performing the Cincinnati Prehopsital Stroke Assessment on your patient you notice that their right arm drops and they have aphasia. Which hemisphere would you suspect is being affected by the stroke?
Left Hemisphere
CPE is in progress on a pulseless and apnea 29 year old woman who's 37 weeks pregnant. When treating the patient, the EMT should:
Manually displace the patients uterus to the left
What does March Stand For?
Massive hemorrhage, Airway, Respiration, Circulation, Head injury/Hypothermia
The first step of triage is to:
Move all walking patients to a designated area
An area where family reunification takes place and where the media stages
Neutral Zone
What group of individuals are most successful at committing suicide?
Older Men
This syndrome is caused by a distrurbance in the physical or physiologic function of the brain ____ , where this disorder there is no known physiologic reason for the abnormal functioning ___ .
Organic, Functional
All of the following are hollow organs except: Small intestine, Gall Bladder, Stomach, Pancreas
Pancreas
During ___ , Large amounts of specially formulated fluid is infused into and back out of the abdominal cavity. while during ___ , the patient blood circulated through a machine that functions in the same way as a normal kidney
Peritoneal disalysis, hemodialysis
All the following are types of nerve agents except: V agent, Said, Tabun, Phosgene
Phosgene
A 33 year old woman who is 36 weeks pregnant is experiencing vaginal bleeding. During transport you note that she suddenly becomes diaphoretic, tachycardic, and hypotensive. You should:
Place her in a left lateral recumbent position
A 26 year old female who is 34 weeks pregnant is experiencing a seizure. Her husband tells you that her blood pressure has been high and she has been complaining of headache for days, You should:
Place her on her side, administer high flow oxygen and transport.
Air collects in the plural space due to injury or can be spontaneous
Pnuemothorax
Any substance that can harm the body:
Poison
This occurs when the patients physical position restricts the chest wall movements or causes airway obstruction and can lead to sudden death
Positional Asphyxia
After delivery of a pulseless apnea infant who has a found odor, skin sloughing, and diffuse blistering you should:
Provide emotional support to the mother
Three days after delivering her baby, a 30 year old woman complains of sudden onset of difficulty breathing. Her level of consciousness is decreased, and she is tachycardic. The EMT should suspect
Pulmonary embolism
Constricts and dilates in relation to light
Pupil
While assessing a pediatric patient, the EMT may use a Wong-Baker Faces Rating Scale to help the patient
Rate their Pain
What does RTF stand for?
Rescue task force
START Triage consists of RPM, which stands for
Respiration, Perfusion, and Mental Status
Drawing in of the muscles between the ribs or of the sternum during inspiration is called:
Retracting
What two reflexes do neonates primarily use for eating
Rooting and Sucking Reflex
In this age group, self esteem is a big concern and parents spend less time with the children
School Age
The white portion of the eye
Sclera
Which of the following inquiries should you make in private when obtaining a SAMPLE history from an adolescent patient
Sexual Activity
A tube from the brain to the abdomen that drains excess Cerebrospinal Fluid is called
Shunt
This type of headache is caused by pressure that is the result of fluid accumlation in the sinus cavities:
Sinus Headache
All the following are stages of seizures, Except:
Sonic
Supine hypotensive syndrome occurs when
The pregnant uterus compresses the inferior vena cava
Children are often "belly breathers" because _______.
Their intercostal muscles are not fully developed
What does TICLS for?
Tone, Interactiveness, consolabillity, look and Speech
The study of toxic substances whose. chemical action can damage body structures or impair the body functions
Toxicology
A poisonous substance produced by bacteria, animals, or plants that changes the normal metabolism of the cell:
Toxin
When a patient experiences this type of stroke, they will have complete resolution of symptoms without treatment within twenty- four hours, but usually much sooner
Transient Ischemic Attack
The Mesentery attaches the Intestines to the walls of the body
True
All of the following are congenital diseases except: Down syndrome, Type 2 diabetes, Cystic Fibrosis, Spina Bifida
Type 2 Diabetes
According to the START triage system, which of the following patients should be triaged as an immediate priority (red tag)?
Unresponsive with a respiratory rate of 34 breaths/min
The most appropriate location to park your ambulance at a HAZMAT incident is:
Upwind at least 100 ft from the incident
Capillaries link the arterioles and the:
Venules
When you arrive on scene, the patient expresses that they are experiencing a sensation of the room spinning around the. Your patient is most likely experiencing:
Vertigo
The ___ peritoneum covers the organs themselves and the ___ peritoneum lines the walls of the abdominal cavity
Visceral: Parietal
An area where there is not an obvious threat and where decontamination occurs
Warm Zone
All the following are part of the beck's train except
Widening pulse pressures
If direct pressure fails to immediately stop severe bleeding from an extremity, you should apply:
a tourniquet proximal to the injury
The decline in cardiac function that commonly occurs in late adulthood is MOST often related to:
atherosclerosis
Activated charcoal is given to patients who have ingested certain substances because it
binds to the substance and prevents absorption
All the following are solid organs, except
gallbladder
While examining a woman in labor, you see the umbilical cord protruding from the vagina. You should:
gently pus the infants head away from the cord
Placards and labels on a storage container are intended to:
give a general idea of the hazard inside that particular container
Peritonitis usually occurs when:
hollow abdominal organs are damaged and spill their contents into the peritoneal cavity.
The EMT has initiated assisted ventilations with a BVM and reassess the neonate after 90 seconds to discover that the pulse is still less than 60 beats per minutes. The emt should:
initial CPR with a compression to ventilation ratio of 3:1
Involves bleeding within the brain tissue itself
intracerebral hematoma
Injury to a hollowing abdominal organ would most likely result in
leakage of contents into the abdominal cavity
Hypovolemic shock occurs when
low fluid volume leads to inadequate perfusion
Cushing Triad consists of all the following except:
narrowing Pulse pressures
To ensure that the airway of an infant or small child is correctly positioned, you may have to:
place a towel or folded sheet behind the shoulders
Hypoperfusion is another name for:
shock
Abruptio placenta occurs when
the placenta prematurely separates from the uterine wall.
After delivery of the placenta, the mother is experiencing vaginal bleeding. After massaging the uterine funds and the allowing the mother to breastfeed, the bleeding stops. This occurs because
the production of oxytocin cause the uterine contraction
Darker than material bleeding, flows steadily
venous bleed