Test 5
Cushing's triad
three classic signs—bradycardia, hypertension, and bradypnea—seen with pressure on the medulla as a result of brain stem herniation
term for ringing in the ears
tinnitus
What nerve is responsible for Bell's palsy symptoms
7th
The typical dose for nebulized albuterol in pediatric patients is: A. 0.10 mg/kg. B. 0.3-0.5 mg/kg. C. 1-2 mg/kg. D. 0.15 to 0.3 mg/kg.
0.15-0.3 mg/kg
When a collision vehicle is on fire, consider the danger zone to extend at least_________ feet in all directions.
100
Adequate respiratory rate for a child:
18-30
Pagar score: blue/pale skin, HB<100, no response, weak movements, irregular breathing
2
How many Ml of NS would you give a 60lb child for fluid replacement?
20 mL/kg, 540
Burn pt weighs 120lbs and has 36% bsa, how much fluid are you giving over the first 8 hrs?
3.9 mL
Dextrose 25 ratio is 1 Gram per how many ml?
4 mL
Dextrose 25 ratio is 1 gram per how many mL
4 mL
How many stages are there of a blast injury?
5
When there are no apparent hazards, consider the danger zone to extend at least _________ feet in all directions
50
APGAR score, hr90 respiratory effort slow, active motion, vigorous cry, body pink
7
Which of the following patients would be the MOST likely to be abused? A. A 62-year-old woman with decreased enjoyment of food B. A 68-year-old man with asthma C. An 82-year-old woman with Alzheimer's disease D. A 74-year-old man with hypertension
82 year old woman with Alzheimer's disease
What nerve controls the auditory and vestibular systems?
8th
38lb kiddo has hypoglycemia. What is your dose for D-10?
9 grams
Anemia
A condition in which the blood is deficient in red blood cells, in hemoglobin, or in total volume.
Which of the following statements regarding the elderly is TRUE? A. A decrease in estrogen leads to increased cardiovascular disease in postmenopausal women. B. Osteoporosis can occur in both genders, but is especially common in men. C. Cardiac output remains constant, but hypercholesterolemia and hypertension increase D. There is a marked increase in obesity which is associated with the onset of type 1 diabetes.
A decrease in estrogen leads to increased cardiovascular disease in post menopausal women
Diabetic Ketoacidosis (DKA)
A form of hyperglycemia in uncontrolled diabetes in which certain acids accumulate when insulin is not available.
silent heart attack
A heart attack during which the patient has either no symptoms or very mild symptoms that the person does not associate with heart attacks; mild symptoms include indigestion or sweating.
antibody
A protein that acts against a specific antigen
Antigen
A protein that, when introduced in the blood, triggers the production of an antibody
Which of the following patients would benefit from using a CPAP machine? A. A patient with sleep apnea. B. A dialysis patient. C. A paralyzed patient. D. A patient with liver failure.
A pt with sleep apnea
Heatstroke results in: A. vasoconstriction. B. thermogenesis. C. shivering to release heat. D. an abnormally high core temperature.
Abnormally high core temperature
Your patient is a three-year-old lethargic child whom you have determined to be hypoglycemic. Her mother tells you that the child weighs 44 pounds. Which of the following is the BEST treatment for this patient? • A. Administer 1 mg of glucagon IM. • B. Deliver 25 mL of 10 percent dextrose IV. • C. Give her a sucker to quickly raise her blood sugar. ‹ D. Administer 20 mL of 25 percent dextrose IV.
Admin 20mL of 25% dextrose IV
What gland secretes epinephrine and helps regulate water and electrolytes?
Adrenal gland
You are teaching an EMT class about the role of an EMS response to a terror attack involving weapons of mass destruction (WMD). A student asks you what constitutes a WMD. You should respond by stating that a WMD is any: A. biological agent that will kill but not destroy property. B. weapon used to create fear and panic among the general public. C. agent that is intended to kill a specific segment of the population. D. agent that is used to cause indiscriminate death and destruction.
Agent that is used to cause indiscriminate death and destruction
Drugs that impact the body's CNS, making the user feel like they're speeding up
Amphetamines, stimulants, dopamine, lysergic acid diethylamide
Which of the following patients would be the MOST likely to be abused? A. A 62-year-old woman with decreased enjoyment of food B. A 68-year-old man with asthma C. An 82-year-old woman with Alzheimer's disease D. A 74-year-old man with hypertension
An 82 year old woman with Alzheimer's disease
You are called to care for an elderly man with chest pain but you have difficulty understanding him. His wife tells you that he has Bell's palsy which causes paralysis of facial nerves. This is an example of: A. physical abuse. B. a fluency disorder. C. a language disorder. D. an articulation disorder.
An articulation disorder
Medical term for loss of ability to understand speech?
Aphasia
You suspect that the bruising to the face of an 88-year-old woman is the result of abuse by her caregiver. On-scene which one of the following is MOST appropriate? A. Inconspicuously investigate the house for additional clues. B. Confront the caregiver about your suspicion. C. Apply ice to the bruise and transport the patient to the ED. D. Call law enforcement and wait with the patient for them to arrive.
Apply ice to the bruise, & transport pt to the ED
EKG P waves represent what?
Atrial depolarization
The dysrhythmia commonly encountered as a result of the aging process is: Submit test A. ventricular tachycardia. B. idioventricular. c. sinus bradycardia. D. atrial fibrillation.
Atrial fibrillation
To BEST communicate with a geriatric patient who has diminished hearing, the AMT should do which one of the following? A. Increase both the pitch and volume of your voice. B. Be sure the patient has his hearing aid in place. C. Ask the family members about the patient's history. D. Try to communicate using sign language.
Be sure the pt has his hearing aid in place
Which of the following is NOT one of the problems commonly encountered by a patient who is paralyzed? A. Respiratory infections в. Blocked intraventricular shunts c. Urinary tract infections D. Pressure sores
Blocked intraventricular shunts
Which of the following is an example of a biologic agent that may be employed as a weapon of mass destruction? A. Cyanide B. Chlorine C. Gamma radiation D. Botulism toxin
Botulism toxin
Which of the following laws states that the volume of a gas is inversely proportional to its pressure? A. Boyle's law B. Henry's law c. Charles's law D. Dalton's law
Boyles law
Carbohydrates
Broken down to glucose to provide energy.
You have arrived on scene with a 10 month old infant in respiratory distress. The parents state the infant had an upper respiratory infection for a few days now, but their pediatrician said it would likely pass. The infant has since become more agitated, tachypneic, and is struggling more to breathe. Auscultation of breath sounds reveals bilateral wheezing that is worse on exhalation. The parents add that this has never happened in the past to their child and there has been no exposure to new pets or other sick children. Given these findings, what is the most likely field impression? A. Croup B. Epiglottitis c. Bronchiolitis D. Asthma
Bronchiolitis
A condition commonly in children where small airways become inflamed because of viral infections
Bronchitis
You are working at a multiple-casualty incident (MCI) involving the use of an incendiary device that was thrown into a large group of people. The victims could be expected to have: A. possible radiation exposure. B. burn injuries. C. fractures from the initial explosion. D. contamination from biological agents.
Burn injuries
Pt has no pulse. What are your steps, in order:
CPR Als Aed IV/IO/EPI
myocardial infarction
the occlusion of one or more coronary arteries caused by plaque buildup (heart attack)
A common condition appearing as cloudiness of the lens of the eye that affects the elderly and causes an impairment of vision is/are: A. chemical conjunctivitis. B. astigmatism. C. cataracts. D. blindness.
Cataracts
The Centers for Disease Control and Prevention (CDC categorize biologic agents by their virulence. Which category is the most virulent? A. Category A B. Category C C. Category B D. Category D
Category A
According to the CDC, which category of bioagents is Staphylococcal enterotoxin B? A. Category A B. Category d c. Category b D. Category C
Category B
Which of the following statements regarding treatment of an elderly patient is TRUE? A. Changes in spinal alignment can made airway management challenging. B. Use caution when administering fluids except when the patient is hypovolemic. C. Remove dentures to achieve a good seal between a ventilation mask and the face. D. Most external bleeding must be controlled by medications.
Changes in spinal alignment can make airway management challenging
Which law supports the idea that gases expand equally as temperature increases? A. Henry's law B. Boyle's law c. Dalton's law D. Charles's law
Charles law
You are on the scene of an accident where patients are exhibiting the following symptoms: dyspnea, tachypnea, coughing, pulmonary edema, chest pain, shock, and more generalized signs and symptoms such as headache, nausea and vomiting, altered mental status, and seizures. What type of chemical weapon might be suspected? A. Choking agents B. Blister agents C. Nerve agents D. Riot control agents
Choking agents
Which respiratory disease breaks down the walls of the alveoli, decreasing the surface area of respiratory exchang?
Chronic bronchitis
A client with fibromyalgia states she cannot get anything done during the day. What is the best recommendation for her?
Complete tasks when you have the energy
50 yo in traumatic cardiac arrest. As the AEMT, what tasks would be most appropriate?
Compressions, airway, emotional support for the family, iv therapy and fluid boluses
If you arrive at a multiple-vehicle collision scene where other first responders are already present, you should
Conduct your own scene size up
Heat flowing from a surface of greater temperature to one of lesser temperature via direct contact BEST explains the concept of A. conduction. B. convection. c. radiation. D. evaporation.
Conduction
A client with diverticulitis is having abdominal pain. What do you suspect?
Constipation, gastrointestinal perforation
Car bombs or pipe bombs are examples of which type of WMD? A. Biologic agents B. Chemical weapons c. Conventional explosives D. Small arms
Conventional explosives
Sudden onset of eye pain, photophobia, tearing, foreign body sensation, blurring of vision, and/or conjunctival injection indicate what?
Corneal abrasion
Dextrose 50 is what type of solution
Crystal loud, hypotonic
Which of the following diving conditions is also called the bends? A. Arterial gas embolism B. Nitrogen narcosis C. Barotrauma D. Decompression sickness
Decompression sickness
Which of the following can increase the potential for organ injury in blunt trauma in the elderly? A. Decreased amount of adipose tissue. B. Decreased sensitivity to pain. C. Decreased bone density. D. Decreased circulation to the organs.
Decreased amount of adipose tissue
Pressure sores associated with decreased mobility in the elderly are known as: A. kyphosis. B. decubitus ulcers. c. spondylosis. D. confabulation.
Decubitus ulcers
Which of the following would be the BEST treatment for a four-year-old having an acute asthma attack? Y A. Deliver humidified oxygen, and administer a beta2-agonist by small-volume nebulizer. • B. Provide oxygen and administer SQ epinephrine at a dosage of 0.10 mg/kg. • C. Deliver oxygen via a nasal cannula and administer racemic epinephrine via nebulizer. D. Provide oxygen and a fluid bolus at 10 mL per kilogram up to 200 cc's.
Deliver humidified oxygen, and administer a beta2-agonist by small volume nebulizar
The cumulative effects of vascular disease and inflammatory processes can lead to: A. delirium. B. dementia. c. proprioception. D. Alzheimer's disease.
Dementia
The thin umbrella shaped muscle that divides the chest cavity from the abdominal cavity is called the ______ muscle.
Diaphragm
All of the following can lead to malnourishment in the elderly population EXCEPT: A. decreased financial resources. B. diminished salivation and gastric secretions. C. a disruption of the sleep-wake cycle. D. decreased senses of taste and smell.
Disruption of the sleep-wake cycle
Which of the following would be MOST appropriate when providing care for a blind patient? A. Do not touch the patient without first letting him know what you are going to do. B. Interview the family members to collect information about the patient's problem. C. Determine if the patient is also deaf and check to see if he has his hearing aid in. D. Speak softly to the service dog so he will know you are not a threat to his owner.
Do not touch the patient without first letting him know what you are going to do.
You are called for an elderly woman who fell. She called 911 saying she hurt her head when she fell. When you arrive, her husband tells you that she is fine and doesn't need you. You can see her in the background and she appears to be bleeding from a head wound and is crying. You should suspect: A. psychological abuse. B. she is not really injured. C. sexual abuse. D. domestic abuse.
Domestic abuse
EPI and norepinephrine are catacholamines. Name the third one
Dopamine
Which of the following refers to medical conditions resulting from changes in pressure? A. Dysbarism B. Nitrogen narcosis C. Barotrauma D. Thermolysis
Dysbarism
What is a sign of hyper K or potential hyper K on an ekg:
Dysrhythmias, peak T waves
Medulla is responsible for secrete catachlamines, which are:
EPI & norepinephrine
The rescue team has been working to free an entrapped patient. You are finally able to access the patient and plan to remain in place providing medical care while the extraction team completes their work. What type of hearing protection will you select at this time? A. Ear plugs that are inserted directly into the ear canal B. You do not need hearing protection in this case C. Noise-canceling ear muffs that are worn over the ears D. Semi-insert ear plugs that are used with a headband
Ear plugs that are inserted directly into the ear canal
What is not a sign of rhabdo?
Edema
Which medications can an AEMT administer by IM
Epi 1:1000, glucagon, atropine, & pralidoxmine
Rescue workers are preparing to remove the windshield and roof from a car to extricate a patient who is trapped. Before the rescue commences, which one of the following should the AEMT do FIRST? A. Cover the patient with a heavy tarp for protection. B. Explain to the patient what is taking place. C. Lock all four doors and roll up the windows. D. Wet the car down with a fire hose to prevent an accidental fire.
Explain to the pt what is taking place
Cincinnati prehospital stroke scale evaluates possible stroke patients on what 3 parameters?
Facial droop, arm drift, abnormal speech
Hypotonic solution pulls fluid from the cell, true or false
False
A young man convinces his grandmother to take out a home equity line of credit to loan him $50,000 even though she lives on social security. He invested the money in a business that soon went bankrupt. Now, the bank is foreclosing on grandma and she has nowhere to go. This is an example of A. psychological abuse. B. financial abuse. C. domestic abuse. D. neglect.
Financial abuse
If the feeding tube is surgically inserted into the stomach, it is called a(n): A. gastric tube. B. AV graft. C. jejunal tube. D. AV fistula.
Gastric tube
sickle cell disease
Genetic disorder in which red blood cells have abnormal hemoglobin molecules and take on an abnormal shape.
A concerned parent asks you which vaccine will decrease the risk of her child getting epiglottitis. Which vaccine would you tell her? A. Influenza B. MMR C. Hib D. Hepatitis
Hib
All of the following may require the use of an ostomy bag as a result of medical conditions EXCEPT: • A. Crohn's disease. • B. hydrocephalus. • C. colon cancer. • D. diverticulitis.
Hydrocephalus
A pt who uses an inhaler in abundance would more than likely have what?
Hypokalemia, hypomagnesemia
Symptoms of neurogenic shock are:
Hypotension, bradycardia, hypothermia
Some idea of potential forces involved in the MOI assists the emt in
Immobility pts spine, predicting various injury patterns, determining which standard precautions to use
You are called for a motor vehicle collision involving two elderly women. You are concerned because you know that elderly patients are often prescribed blood thinner for cardiac problems. This can be a problem because? • A. It leads to diminished liver and kidney function. • B. It means they most likely have cardiac problems. • C. Impaired blood clotting can exacerbate blood loss. • D. It increases their risk for pulmonary embolism.
Impaired blood clotting can exacerbate blood Losee
Patients with dementia often have reduced levels of melatonin which can lead to: A. decrease in calcium in the bones. B. decreased absorption of medications. c. an increase in the inflammatory process. D. impairment of the sleep-wake cycle.
Impairment of the sleep wake cycle
If you touch a pt w/o consent it is a form of:
Implied consent, battery
A patient has recently started a new medicine for hypertension that works by decreasing cardiac output. He also has a history of two myocardial infarctions, renal disease and hepatic disease. Two weeks later, he is very weak and is found to be borderline hypotensive and bradycardic. He is very thin and frail, but does have significant peripheral edema and mild inspiratory crackles. What pathophysiologic change to a geriatric patients is least likely contributing to this untoward blood pressure response? A. Impaired renal and hepatic function B. Decreased fat stores C. Increased total fluid volume D. Use of multiple medications
Increased total fluid volume
histamine release
Increases the degree of local inflammation and blood flow
Orogastric tubes are: A. inserted through the mouth. B. inserted through the nose. C. slightly smaller than a nasogastric tube. D. slightly shorter than a nasogasatric tube.
Inserted through the mouth
Insulin
Insulin helps move glucose from blood, into your cells. When glucose enters your cells, it is used as energy immediately, or stored away for later use. Insulin is produced in the pancreas
What name for albuterol is not correct?
Ipratropium
Pulmonary edema is a sign of what side heart failure
Left
You are called to a long-term care facility for a patient with altered mental status and a fever. The staff reports that the patient has an indwelling catheter and he has been passing dark colored urine. He is hypotensive with an O2 saturation of 87 percent. You should suspect A. a severe spinal infection. B. life-threatening sepsis. C. a blocked intraventricular shunt. D. a contaminated ostomy bag
Life threatening sepsis
You are caring for a child who has been burned. Which of the following is TRUE regarding burn prevention? A. Toddlers are unable to reach the stove so kitchen burns are not an issue. B. The older a child gets, the less likely he is to suffer a burn injury. c. Lowering the temperature of the hot water heater can prevent serious burns. D. Children lack the manual dexterity to light matches or use a lighter.
Lowering the temp of the hot water heater can prevent serious burns
You are interviewing an elderly patient about his eyesight. He tells you that he has good peripheral vision but diminished central vision. You should suspect: A. glaucoma. B. proprioception. C. macular degeneration. D. confabulation.
Macular degeneration
What class is dextrose?
Monosaccharide, carbohydrate
Which of the following is not an analgesic administered by the AEMT?
Morphine
Respiratory passages are lined with
Mucous membrane
You are on the scene of an accident where patients are exhibiting the following symptoms: diarrhea, urination, miosis, bradycardia, emesis, lacrimation, and salivation. What type of chemical weapon might be suspected? A. Choking agents B. Nerve agents C. Riot control agents D. Blister agents
Nerve agents
Which of the following devices can be used to suction stomach contents? A. Hickman tube В. СРАР ог ВіРАР C. AV shunt D. NGor OG tube
Ng or og tube
Which of the following diving conditions is also commonly called rapture of the deep? A. Barotrauma B. Arterial gas embolism C. Nitrogen narcosis D. Decompression sickness
Nitrogen Narcosis
Fats
Nutrients that promote normal growth, give you energy, and keep your skin healthy.
An elderly patient presenting with pneumonia may experience no fever but frequently will complain of: A. profuse sweating. B. pain referred to the abdomen. C. pulmonary edema. D. nausea and vomiting.
Pain referred to the abdomen
In a pt with a crush injury, what are the P's
Pain, pallor, paraesthesia, pulselessness, paralysis
Signs and symptoms of _____________ include postural rigidity, tremors, and loss of facial expression A. Starling's disease B. Meniere disease C. Alzheimer's disease D. Parkinson's disease
Parkinson's disease
In the mechanical process of breathing, expiration is a(n) _______ process that involves the __________
Passive; relaxation of the intercostal muscles and the diaphragm
Which of the following statements about pneumonia in the elderly patient is FALSE? A. It may have a bacterial or viral cause. B. Pain may be referred to the shoulders. C. It may be community acquired or nosocomial. D. It may present without any fever.
Pay may be referred to the shoulders
Injury caused by an object that passes into or through the skin is called
Penetrating trauma
There are sensors throughout the surface of the skin known as: A. peripheral thermoreceptors. B. chemoreceptors. c. central thermoreceptors. D. baroreceptors.
Peripheral thermoreceptors
What are purple spots due to bleeding under the skin?
Petechiae
Which phase of the rescue operation involves determining the safest possible way to access the patient while ensuring your own safety? A. Phase three B. Phase four C. Phase two D. Phase one
Phase 3
Characteristics of bacterial meningitis:
Photophobia, elevated WBC, decreased glucose, headache, rash, fever
Shivering is a mechanism in which: A. metabolic activit decreases in order to create heat. B. blood shunts from the muscles generating heat. c. physical activity increases generating heat. D. the muscle cells lose their ability to compensate for heat loss.
Physical activity increases generating heat
A patient with kyphosis has fallen and is complaining of numbness in both arms. Regarding immobilization, you should: A. transport fully immobilized and in a prone position. B. disregard immobilization and transport using lights and sirens. C. place pillows in voids between the patient and stretcher. D. apply a cervical collar and transport in a semi-Fowler's position.
Place pillows in voids between the pt and the stretcher
What gland is only temporary during pregnancy to provide nutrition for the fetus?
Placenta
Risk factors consisting of previous delivery, >35 yo, history of using conception drugs would likely cause what:
Placenta previa
Yersinia pestis can be used in terrorism, although it occurs naturally in the U.S., and causes: A. anthrax. B. plague. C. phosgene. D. botulinum and gamma radiation.
Plague
Pain that worsens with movement of the chest wall during inspiration is called A. visceral B. acute C. somatic D. pleuritic
Pleuritic
If extrication is required manually within a limited space, what tool might be best utilized? A. The Porta-power B. Select snipping tools C. Hydraulic ram D. The Halligan tool
Porta power
You respond for an elderly female who has apparently taken the wrong medication. She tells you that she thought she took an aspirin for her headache, but instead she is feeling real tired. You check her medication and see that the aspirin looks like her sleeping pills. Which of the following likely lead to the problem? A. Proprioception B. Presbycusis C. Presbyopia D. Menopause
Presbyopia
Using cpap on a pt with respiratory distress is a means of:
Preventing the alveoli from collapsing at the end of inhalation
What is the drug propranolol? What type of medications is it and how does it work?
Propranolol decreases HR and slows cardiac output
An elderly man mistakenly presses the gas pedal instead of the brake causing him to crash into a convenience store. This scenario is commonly related to: A. confabulation. B. proprioception. C. dementia. D. Alzheimer's disease.
Proprioception
Enzymes
Proteins that speed up chemical reactions
Your patient states that he "passed out" and fell down. He regained consciousness a few moments later, but had shortness of breath and sharp chest pain. Which of the following in the patient's history is of greatest concern? A. He had hip surgery two years ago. B. The patient took nitroglycerin and now has a headache. C. The patient states his left calf is tender and painful. D. The patient injured his wrist when he fell.
Pt states his left calf is tender and painful
By inhaling and exhaling against the flow of air created by CPAP:
Pts increase their peep
You are called for an elderly man with what appears to be pleuritic chest pain. Further assessment shows he has pain in the lower leg with increased calf pain when he flexes his toes upwards. You should suspect: A. referred pain from appendicitis. B. aortic aneurysm. C. pulmonary embolism. D. acute pulmonary edema.
Pulmonary embolism
You have been called for a 91-year-old woman who fell. Since your assessment reveals bruises to her body in various stages of healing and inconsistencies in information related to the fall from her family, you are suspicious of geriatric abuse. Your BEST action would be to: • A. have the MS supervisor contact the patient's primary care physician. • B. confront the family members regarding your suspicions. • C. notify the Office of Elder Affairs prior to leaving the scene. • D. quietly transport and inform the emergency department physician.
Quietly transport and inform the emergency department physician
A technique that the terrorist may use which involves both conventional and WMD characteristics is/are: A. nuclear detonation. B. Radiological dispersion device C. chemical release. D. biological attack.
Radiological dispersion device
Which of the following terms is a medical disorder that involves inflammation of the joints
Rheumatoid arthritis
O2 in order from least amount to greatest
Room Cannula NRB BVM
It is important to remember that emergencies experienced by elderly patients may NOT present with the normal signs and symptoms experienced by younger populations because: A. hyperreflexia is present in the elderly. B. poor skin turgor diminishes pain sensations. C. sensations may be seriously diminished. D. the brain is unable to interpret signals.
Sensations may be seriously diminished
Decreased clearance of drugs that are metabolized by the liver may contribute to: A. impaired proprioception. B. increased risk of infection. c. constipation and bowel obstruction. D. signs and symptoms of drug overdose.
Signs and symptoms of a drug overdose
Among the following, who is the MOST likely to be the abuser of a child? A brother or sister of the child B. The child's kindergarten teacher c. Someone he knows and trusts D. A babysitter who sits regularly
Someone he knows & trusts
Which of the following techniques will improve communication with a deaf patient? A. Exaggerate the pronunciation of your words. B. Speak slowly and move your lips carefully. C. Raise you voice somewhat and speak more slowly. D. Speak normally while looking directly at the patient.
Speak normally while looking directly at the pt
Degeneration of the vertebrae and intervertebral disc caused by neck and back, limiting mobility and increasing the risk for spine injury. A. pathological fractures B. osteoporosis C. spondylosis D. arthritis
Spondylosis
What type of power-driven hydraulic tool is used for both pushing and pulling? A. Spreaders B. Shears C. Extension rams D. Pedal cutters
Spreaders
Once access to the patient is obtained, if a potential spine injury is suspected, what should you immediately do? A. Order mode of transport в. Stabilize the patient's head and neck C. Don suitable PPE D. Determine how to manage surrounding hazards
Stabilize the pts head and neck
You are participating in the rescue of a couple who was lost during a hike in rugged terrain. The husband has been severely injured and needs to be carried back to the rescue vehicle. What equipment will you use to transport the patient? A. A stretcher B. A Nomex sling C. A Stokes basket D. Along backboard
Stokes basket
What is the formula for measuring cardiac output
Stroke volume X heart rate
All of the following are common causes of seizures in the elderly EXCEPT: A. brain injury. B. stroke. C. syncope. D. epilepsy.
Syncope
What bacterial std has long term complications if not treated and can be transmitted to the unborn child?
Syphilis
A six-month-old has been stung on the tongue after putting a bottle in his mouth that had a bee on the nipple. In comparison to the same injury in an adult, why would you be more concerned with this child? A. When injured, a child's mouth produces more saliva, making airway occlusion a major concern. B. Children tend to be highly allergic to bee stings whereas the same allergy in an adult is rare. C. A child's airway has more blood vessels than an adult's, making bleeding more of a concern. D. The child's tongue is proportionally larger, increasing the chance of airway occlusion from swelling.
The child's tongue is proportionally larger, increasing the chance airway occlusion from swelling
The scene size-up should identify:
The potential for a Violent or dangerous situation
Which one of the following BEST describes the term "silent heart attack"? A. The patient had little to no chest pain or discomfort. B. The patient had a single episode of chest pain followed by cardiac arrest. C. The pain did not radiate into the arms, neck, or back. D. The chest pain was so intense the patient could not speak.
The pt had little to no chest pain or discomfort
Emergencies involving a patient with a tracheostomy tube generally results from which of the following? A. The tube becomes plugged with mucus, or the tube becomes dislodged. B. The tube splits from excess airway pressures or becomes occluded. C. The tube fails or ruptures, or the tube becomes dislodged. D. The tube softens, or becomes occluded with foreign material.
The tube becomes plugged with mucus, or the tube becomes dislodged
The body's attempt at maintaining a core temperature is known as: A. metabolism. B. aerobic metabolism. C. thermoregulation. D. compensation.
Thermoregulation
Which of the following statements regarding myocardial infarction in the elderly is TRUE? A. They are less likely to have cardiac enzyme elevation. B. They usually complain of more severe symptoms. C. They are less likely than younger patients to present with classic symptoms. D. They are more likely to present with classic symptoms.
They are less likely than younger pts to present with classic symptoms
If you arrive on the scene to find a patient in calm water, what do you do first? A. Assess the patient's condition. B. Swim out to the patient. C. Inquire as to what type of help has been called. D. Throw a flotation device with a line attached.
Throw a floatation device, with a line attached
Contraindication for cpap?
Unable to follow commands
All of the following can lead to urinary retention EXCEPT: A. enlarged prostate. B. medications. C. urinary incontinence. D. neurological problems.
Urinary incontinence
Incubation periods for biologic agents: A. vary. B. usually range between 24-48 hours. C. are usually 1-2 hours. D. are short lived.
Varies
Croup is a: • A. viral infection of the upper airway. • B. bacterial infection of the upper airway. • C. bacterial infection of the lower airway. ‹ D. viral infection of the lower airway.
Viral infection of the lower airway
S/s not commonly associated with difficulty breathing
Vomiting/headache
Scene size-up is the first part of the patient assessment process. It begins as you arrive and determine...
Wether there are any threats to your own safety
Becks triad includes everything except:
Widened pulse pressure
When sizing up the scene of an incident, which of the following will best assist you in making critical decisions about needed equipment extrication and resources? A. Hazardous potential assessment B. Resource assessment C. PPE survey D. Windshield survey
Windshield survey
The patient with hypothermia should be transported: A. rapidlv to a Level III trauma facility. B. with the head and shoulders elevated to 45-degrees. c. in Trendelenburg positioning. D. with gentle handling to prevent ventricular fibrillation from occurring.
With gentle handling to prevent ventricular fibrillation from occuring
Hyperosmolar nonketotic hyperglycemia coma (HONK)
a complication of type 2 diabetes that usually occurs in response to an underlying stressor, such as myocardial infarction, infection, or surgery; it is characterized by an extremely high blood glucose level, which leads to severe dehydration and electrolyte abnormalities.
Anaphylaxis
a severe response to an allergen in which the symptoms develop quickly, and without help, the patient can die within a few minutes.
Standard precautions should be taken with all patients. The key element of Standard Precautions is to:
always have personal protective equipment readily available
A lumbar puncture is performed by a physician to withdraw what type of fluid
cerebrospinal
dysphasia
difficulty swallowing
Cellulitis
diffuse, acute infection of the skin marked by local heat, redness, pain, and swelling
Injuries to bones and joints are usually associated with:
falls and vehicle collisions
Aphasia
loss of speech
Addison's disease
occurs when the adrenal glands do not produce enough of the hormones cortisol or aldosterone
What hormone stimulates labor contractions
oxytocin
edema
puffy swelling of tissue from the accumulation of fluid
Medical term for hives:
urticaria