Patho/physiology
A patient who is apneic will retain CO2. This will likely cause which condition?
Metabolic acidosis/ Alkalosis
Respiratory acidosis/ alkalosis
Respiratory acidosis
The "5" rights of medication administration are:
If you can name 2 more "rights" that are significant and included now in new evidence based practice you will be awarded 150 more points
**** this question came out of a 2022 NREMTP prep book I would know all 7 for national registry testing
Right:
patient
medication
route
dose
time
RIGHT DOCUMENTATION
RIGHT EXPIRATION DATE
You have arrived at the home of a 3-year old female who is in respiratory distress. She is seated in a tripod position, drooling and states she is unable to swallow. Her mother indicates that she has recently been sick with strep throat. You suspect the patient has_____
Epiglottitis
Which layer of the heart is damaged in a heart attack?
Epicardium
Myocardium
Endocardium
ALL of the above
Myocaridum- The muscle layer of the heart
A 38 yof complains of dizziness and balance problems. Which of the following could be the explanation for the dizziness?
Cerebellar infarct
Inner ear infection
Lesion of vestibulocochlear nerve
All of the above
All of the above
Ammonia: pH=10.6
Milk: pH=6.7
Urine: pH=6.0
Blood: pH=7.4
Ammonia Blood
The paramedic should hold nitro from a patient with a systolic BP < ______. In the context of this statement a systolic BP less than one identified above is an example of a ________ to giving nitro.
100
contraindication
______ is the physical act of moving air in and out of the lungs where as ________ is the actual gas exchange.
Ventilation
Respiration
Your EKG for a patient has a PRI consistently 0.20 seconds long and there is a P wave with every QRS complex, but there is not a QRS complex with every P wave. The dropped QRS seems to be consistent. This rhythm is likely interpreted as _________
Second degree type ll
Assessment of a 76-year old male patient reveals that he is unable to move his right eye up, down, and medially. The pupil in his right eye also is dilated. Which cranial nerve is most likely affected?
Oculomotor CN III
Trochlear CN IV
Trigeminal CN V
Abducens CN VI
Oculomotor CN III
A chemical bond formed when an electron is completely donated from 1 atom to another is called:
Ionic Bond
Cardiogenic shock results from pump failure. Which of these medications will be most helpful in restoring an appropriate blood pressure to the patient in cardiogenic shock?
Epinephrine
Labetalol
Nitroglycerine
Dopamine
Dopamine
Which is the best indicator for the paramedic to perform a needle or surgical cricothyrotomy?
Anaphylaxis
Facial Trauma
Superior Airway burns
unable to ventilate or intubate
Unable to ventilate or intubate
Your ECG shows 2mm of elevation in leads ll,lll, and avf. This indicates a ________ STEMI. This type of MI would mean that the ______ artery is likely occluded.
Inferior
RCA
Type ______ diabetes onset is usually childhood where as Type _______ onset is in adulthood.
DKA goes along with type ______ diabetes, and HHS goes alone with type_______.
1,2
1,2
The organelle responsible for >80% of the cells ATP production is the:
Golgi Apparatus
Mitochondria
Mitochondria
All of the following are parenteral routes of medication administration EXCEPT
IV
Subcutaneous
Rectal
Transdermal
Rectal
IV Magnesium
IV solumedrol
IM epi
CPAP treatment
CPAP
Mitral valve regurgitation means that blood flows backward through the mitral valve. Into which of the following structures does blood flow during mitral valve regurgitation?
Left atrium
Left ventricle
Right atrium
Right ventricle
Left Atrium
Name SIRS criteria and what this criteria is used for
Temperature <96.8 >100.4
Respiratory Rate >20
Heart rate > 90
Etco2<26
Sepsis
You're treating a 40 YOFpatient suspected of shock further assessment reveals a patient with the following vital signs temp 101.3, BP 88/60 HR 140 RR 30. She is pale, lethargic and only responsive to pain. Which of the following is the patient likely in at this point?
Decompensated shock
Compensated shock
Neurogenic shock
Hypovolemic shock
Decompensated
Medications that undergo first-pass metabolism require a higher dose to maintain therapeutic levels. Medications given via ______ route are subject to first-pass metabolism.
Oral
Which of the following is true about the lung volumes of a person with COPD?
Residual volume increases
Tidal volume increases
Expiratory reserve volume increases
Residual volume increases
During myocardial contraction, which of the following is true?
Cells depolarize and the cell potential becomes more negative
Cells depolarize and the cell potential becomes more positive
Cells polarize and the cell potential becomes more negative
Cells polarize and the cell potential becomes more positive
Cells depolarize and the cell potential becomes more positive
The primary role of mast cells in anaphylactic reactions is to:
Release IgE
Release histamine
Produce antibodies
Attack foreign substances
Release Histamine.
What medication do we give for this?
What is the dose? both pediatric and adult
answer both for 100 more points.