Cardiology 1
Cardiology 2
Environmental
Misc Medical
Neuro
Wild Card
100
The patient has ST-segment elevation of >1 mm in each of leads II, III, and aVF. The reciprocal leads show ST-segment depression. Which of the following are the reciprocal leads to leads II, III, and aVf
Leads I and aVL
100
You have an 84-year-old female patient you believe to be in cardiogenic shock. She is responsive only to loud verbal stimuli and does not stay awake long enough to answer questions. Which of the following oxygen administration choices is optimal for this patient with pulse oximetry of 84% on room air and audible bilateral crackles.
4 LPM NC, 10 LPM via simple mask, 15 LPM via NRB, CPAP
15 LPM via NRB
100
You are working as a wilderness EMS professional and are called to help a 33-year-old male who was climbing a mountain and began to complain of nausea and vomiting and dizziness. He descended the mountain to meet you, and the symptoms resolved. From what condition is this patient most likely suffering: Acute mountain sickness (AMS), High-altitude pulmonary edema (HAPE), High-altitude cerebral edema (HACE), High-altitude acclimatization syndrome
Acute mountain sickness (AMS)
100
What type of medication is administered to minimize or prevent late-phase reactions in an anaphylactic patient
Corticosteroids / Solu-Medrol
100
Which of the following would be the Glasgow Coma Score of a patient who opens eyes to verbal stimuli, whose best verbal response is garbled, and who withdraws from pain
9
100
Largest state in the USA
Alaska
200
A 77-year-old-male patient complains of mild chest discomfort and feeling like his heart is beating too fast. The monitor reveals ventricular tachycardia (VT). Vital signs are: HR, 188; BP, 160/78; SpO2, 98%. Which of the following treatments should happen next? Establish a peripheral IV, Initiate high-flow oxygen, Synchronized cardioversion at 150, Valsalva maneuver
Establish a peripheral IV
200
A patient complains of chest pain, and the ECG reveals marked ST-segment elevation in leads V1-V4. In which of the following leads would reciprocal ST-segment depression be seen
Leads V1-V4 do not have reciprocal leads (per Kaplan)
Posterior
200
You have a 28-year-old male patient who passed out while working in a poorly cooled warehouse. The patient is hot to the touch and diaphoretic with a temperature of 104.5°F. He nearly passes out again as you sit him up to get him to the stretcher. Based on these findings, which heat emergency category is this patient presenting with.
Heat exhaustion
200
Having which of the following blood types makes a patient a "universal recipient"
Type AB
200
Which of the following would be the Glasgow Coma Score of a patient whose eyes open only to deep painful stimuli, who shows no verbal interaction, and who moves her arms inward during the stimulus
6
200
Monkey name in Aladdin
Abu
300
An ECG of an 81-year-old female shows ST-segment elevation in leads V3 and V4. What does this most likely indicate
Acute anterior wall MI
300
You are treating a 79-year-old male who is complaining of chest pain and shortness of breath. The ECG shows sinus bradycardia with frequent conducted ectopic beats. He is pale and has a blood pressure of 104/44. Which of the following treatments should NOT be performed: 1 mg atropine, 324 mg baby aspirin, 1.5 mg/kg lidocaine, 0.4 mg nitroglycerine
1.5 mg/kg lidocaine
300
You are transporting a 20-year-old female with severe sunburn after she fell asleep on the beach. During transport, she begins shivering and complains of being cold. What two types of thermolysis methods are most likely responsible for this
Convection and radiation
300
A common sign or symptom of hemolytic crisis is which of the following: Intractable pain in any area of the body, Jaundice, left upper quadrant pain, Shortness of breath
Jaundice
300
When a nerve gets stimulated to transmit an action potential, which ion flows into the neuron
Sodium
300
Is Blue from Blues Clues a girl or a boy
Girl
400
You are called to a suicide attempt. Upon arrival to the scene, you find the following empty medication bottles around the apartment: amlodipine, diltiazem, and ranitidine. The patient's ECG showed third-degree AVB that was unresponsive to 1 mg atropine. Which treatment (medication) is most likely to improve the patient's condition
1 g calcium chloride
400
You have a 68-year-old female patient on continuous positive airway pressure (CPAP) for suspected congestive heart failure. Her vital signs are: HR, 124; BP, 204/116; RR, 28; SpO2, 100% on CPAP. A saline lock has also been initiated. What is the next most appropriate treatment
1 inch of nitro paste
400
Minimally, above which of the following temperatures is a drowning considered a warm-water drowning:
50°F (10°C), 59°F (15°C), 68°F (20°C), 77°F (25°C)
68°F (20°C)
400
A needlestick is an example of which of the following kinds of disease transmission
Direct contact
400
A 13-year-old male is complaining of visual disturbances after a tackle during a rugby game. Which of the following lobes of the brain may have sustained damage during the tackle
Occipital lobe
400
Pythagorean theorem
A^2 + B^2 = C^2
500
You are called to a 35-year-old female who overdosed on cocaine according to her boyfriend. She is responsive only to verbal stimuli. Her vital signs are: BP, 64/26; HR, 204; supraventricular tachycardia on the monitor; SpO2, 95%. What is the best initial therapy for the patient's rhythm
100 J synchronized cardioversion
500
You notice notched P-waves on the ECG of your patient. The P-wave is also inverted in lead V1, and all P-waves are >0.12 s in duration. What causes this finding: Left ventricular hypertrophy, Mitral valve prolapse, Mitral valve stenosis, Tricuspid valve regurgitation
Mitral valve stenosis
500
You are treating a 30-year-old female who was stranded in her car overnight after sliding off the roadway during a blizzard and not being found for several hours. The ECG reveals Osborne waves present in a sinus bradycardic rhythm. Which of the following do you suspect: Benign hypothermia, Mild hypothermia, Moderate hypothermia, Severe hypothermia
Moderate hypothermia
500
Which infection begins with flu-like symptoms and progresses to a neurologic phase that can include hyperactive delirium, seizures, or unconsciousness
Rabies
500
Damage to which of the following structures in the brain is thought to cause Parkinson disease: Basal ganglia, Limbic system, Thalamus, Cerebellum
Basal ganglia
500
What's Newtons 3rd law
for every action, there is an equal and opposite reaction
600
In the ECG provided, the pattern seen is most consistent with which of the following: Cardiac contusion, Cardiac tamponade, Normal pediatric ECG illustrating respiratory sinus arrhythmia, Right branch block
Cardiac tamponade
600
After running a 12-lead ECG on a patient complaining of chest pain, you note the presence of significant Q-waves in leads I, aVL, V5, and V6. What do these indicate (Exact answer for credit)
Previous MI in the lateral wall
600
You have a patient complaining of pain in the ear and dizziness after a training dive. Which of the following dive-related issues do you suspec
Barotrauma
600
A common sign or symptom of aplastic crisis
Shortness of breath
600
During a neurological assessment, you notice that the patient's eye will not move past the midline laterally. Which cranial nerve (CN) is most likely affected
Cranial nerve 6 (CN VI), also known as the abducens nerve
600
all loot colors in fortnite (list them)
Gray, Green, Blue, Purple, Gold/orange
700
You are called to a nursing home for an 80-year-old male with a history of poorly controlled hypertension and CHF complaining of chest pain. Which chronic ECG findings would most likely be expected in this patient
R wave in lead V5 or V6 that, when added to the depth of the S-wave in V1, is >35 mm
700
You have delivered a 200 J defibrillation on a patient in cardiac arrest. The rhythm shown persists. What is the next best treatment (in the absence of Amio) Give exact answer
Lidocaine, 1.5 mg/Kg
700
You are treating a 37-year-old male who is complaining of joint pain after a dive to approximately 120 ft (36 m). He is confused to time but not person or place. The dive used compressed air instead of nitrox, and this was the patient's fourth dive in 34 hours. What is the most likely cause of the patient's symptom
Nitrogen narcosis
700
Which of the following is true regarding cell-mediated immunity: Branch of adaptive immunity that produces B cells, Cells are considered "naïve" until they are activated, Cells mature primarily in the thymus gland, Produces antibodies to mount a specific attack against an antigen
Cells mature primarily in the thymus gland
700
During a physical exam, the patient states that she is unable to feel anything touching her below her belly button bilaterally. At approximately what level is the spinal cord most likely affected
T10
700
what was the new city after Constantinople fell
Istanbul