Airway, Respiration, & Ventilation
A blue or greyish coloration of the skin caused by lack of oxygen in the blood is called?
Cyanosis
What do the veins of the body do?
Veins transport deoxygenated blood and waste products back to the heart.
You are called to a local nightclub for an injured patient. Upon arrival, you see a young man who is lying on the ground screaming in pain and blood is spurting from an apparent stab wound. What should your first action be?
A: apply 100% oxygen
B. ensure an open airway
C. elevate the patient's legs
D: Control the bleeding
Control the bleeding.
All of the following are contraindications of oral glucose except:
a. Hypoglycemia
b. Nausea
c. Vomiting
d. Decreased level of consciousness
Hypoglycemia
Name three types of PPE.
Gloves, goggles, face shield, gowns, shoe covers, N95, surgical mask
What is the most common cause of airway obstruction?
Toys
Vomit
Tongue
Swelling
Tongue
You are called to a scene of a 3-year-old who is not breathing and is pulseless. Your CPR should include compressions at what depth?
At least 1/3rd of the chest should be compressed while performing CPR on a child.
During a soccer game, a 20 year old man collided shoulder to shoulder with another player. He has pain and a noticeable anterior bulge to the left shoulder. What is the most effective method of immobilizing this injury?
A sling to support the left arm and swathes to secure the arm to the body.
What are 4 different symptoms of anaphylaxis with regards to skin?
Flushing, Swelling, Hives, Warm/Tingling Sensations
You are called to the scene of a 75 y/o male in Cardiac Arrest. Upon arrival, you are stopped by the patient's husband who informs you that the Pt has a DNR and that you should not try to resuscitate the patient since that is “not what he would have wanted.” The husband is unable to provide the physical DNR but states that it does not matter since it is somewhere in the house. What should you do next?
You should inform the husband that without documentation of a DNR, you will have to do resuscitation efforts and thus should resuscitate the patient until a DNR can be provided by the husband
What is the rate of breaths per minute for an adult?
18-30
12-20
8-12
24-40
12-20 Breaths
Which of the following mechanism occurs without oxygen?
Anaerobic metabolism
You are assessing a 33 year old male's Glasgow Coma Scale (GCS) score. The patient opens his eyes in response to pain, is speaking with incomprehensible words, and withdraws from pain by flexing his upper extremities. What is his GCS score?
7
What are the symptoms associated with preeclampsia?
High BP, seizures
While on scene with a 23 y/o female pt with flu like symptoms, you hear someone call for help across the hall yelling “Help, I think my grandma is having a stroke.” In response, the 23 y/o pt says “wow that sounds serious, you should leave,” prompting you and your partner to immediately leave her room and go down the hall to render care to the second patient. What is this an example of?
Abandonment, regardless of how serious the other call may sound, you can not leave a scene until you have either, transferred care, gotten permission from OLMC to do so, or have signed an AMA.
You are treating an unresponsive but breathing 54 year old female whose chief complaint was respiratory duress prior to becoming unresponsive. You have placed the patient on oxygen and attempted to place an oral airway, but were unable because of an intact gag reflex. In what position should the patient be placed?
Prone
Supine
Semi-fowler’s position
Laterally recumbent position
Laterally Recumbent, On their Side, Recovery Position
The AED is used to treat patients in:
A. asystole
B. ventricular tachycardia with a pulse
C. ventricular fibrillation
D. pulseless electrical activity
Vfib
During transport of a patient with a head injury, what assessment factor will provide you with the most information regarding the patient's condition?
A. Pupil size
B. CSMs
C. Mental status
D. Vitals
Mental status
The type of diabetes that requires a patient to inject insulin daily is
a. Type I.
b. Type II.
c. "maturity-onset diabetes."
d. diabetic ketoacidosis.
Type 1
This law protects patient healthcare information and confidentiality.
HIPAA
What condition is characterized by a high pitched sound resulting from turbulent air flow in the upper airway? It may be inspiratory, expiratory or present on both inspiration and expiration.
Rales
Stridor
Chainy stokes
Wheezing
Stridor
Name the layers of the heart from the outside in.
Epicardium, myocardium, endocardium.
A trauma patient cannot feel anything in his body from the nipple level down. The level of spinal cord injury is likely at
a. C7
b. T1
c. T4
d. T10
T4
What is placental abruption?
High bp during pregnancy
When the baby presents feet-first
Early detachment of the placenta from the uterine wall
When contractions are far apart
Early detachment from uterine wall before birth
500 - What does each letter in DCHARTE stand for and when do you use it?
Dispatch, Chief Complaint, History, Assessment, Treatment, Transport, Exceptions and it is a format for PCRs