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