CARDIOLOGY
During a myocardial infarction, which layer of the heart is primarily affected?
Myocardium
What makes up the bulk of the globe of the eye?
Sclera
What is the advantage of nose breathing over mouth breathing?
Increased surface area warms, humidifies, and traps dust and bacteria
What route of administration is usually the fastest to onset of effects?
Injection
Uncontrollable movement or loss of sensation of one extremity best describes
A simple partial seizure
The powerhouse of the cell
Mitochondria
What is the intrinsic rate of the AV junction?
40-60
A bomb's pressure wave knocked your patient into a nearby car, causing rib fractures. What type of blast injury is this?
Tertiary blast injury
Capillaries are leaky and fill alveolar walls, and sometimes alveoli, with plasma best describes
Pulmonary edema
What neurological receptors do benzodiazepine medications stimulate?
Gamma-aminobutyric acid (GABA)
Which of the following nerves carries signals from the brain to muscles or glands?
Efferent nerves
What is Garrett's middle name?
Ryan
Protects the external part of the myocardium from friction by the pericardium
Epicardium
You are assessing an unresponsive 22-year-old male who was in a fight at a night club. He is bleeding from the mouth, nose, and ears, and you have already found a depressed left parietal skull fracture. What would indicates that a basal skull fracture is likely?
Presence of the halo effect when the blood from the ears or nose is dabbed with gauze
During an intubation attempt using a Macintosh blade, the blade is slid along the curvature of the tongue and placed in which location?
Vallecula
After atropine, what is the next medication to be administered in a suspected cholinergic overdose?
2 mg pralidoxime
What is the resting potential of a nerve cell?
-70 mV
Which literary term refers to a three-line Japanese poem with a 5-7-5 syllable structure?
Haiku
The R-R interval surrounding a premature atrial contraction (PAC) is shorter than would otherwise be expected if the PAC was instead an intrinsic beat. What is this called?
Noncompensatory pause
You are called to a college chemistry laboratory where a 19-year-old male has had an unknown chemical accidentally splashed into his eyes. For how long should the area of the burn be irrigated?
20 minutes
What is best way to measure the depth a suction catheter should be placed in a patient with a stoma?
Until resistance is met or no more than 12 cm
In a heavy drinker, how many hours after the last drink should the paramedic be concerned about the onset of symptoms consistent with delirium tremens?
6 hours
Alternating contraction and relaxation of most of the skeletal muscles best describes
A generalized seizure
What is the name of the longest-running Broadway show in history?
The Phantom of the Opera
Rupture of a left ventricular papillary muscle most likely will result in
Mitral valve regurgitation
You are a triage officer at a mass casualty incident of an apartment building collapse after a gas leak explosion. Firefighters deliver you an approximately 40-year-old female who is not initially breathing but takes a breath after her airway is repositioned. What tag color should this patient receive?
Red
What 3 things make up the dead space of the respiratory system?
Bronchiole, Bronchus, Trachea
A patient is found unresponsive in a room where liquid fertilizer is stored, and several barrels are found to be damaged. What is the most likely cause for this presentation?
Liquid fertilizer interferes with the action of neurotransmitters.
You have a 70-year-old male patient who is speaking clearly but in continuous sentences with no discernible meaning. What condition is this patient most likely displaying?
Receptive aphasia
Who won the 2008 Superbowl?
The New York Giants
What is the best way to identify AV sequential pacing?
Presence of a small spike in front of both the P-wave and QRS complex
During which portion of the cardiac electrical cycle can a child struck in the chest go into cardiac arrest from a phenomenon known as commotio cordis?
Downslope of the T wave
You have been providing positive pressure ventilation to a 75-year- old male in cardiac arrest with just an oral airway and bag valve mask for approximately 15 minutes now and notice that his abdomen is more distended, and it is getting harder to ventilate. What is the best treatment for this patient?
Place an OG or NG tube connected to continuous suction
A firefighter presents to you while you are working in the fire rehabilitation area. The patient is notably weak and lethargic and complaining of feeling short of breath. He advises you that his self-contained breathing apparatus (SCBA) tank ran out while he was inside, and the smoke was thick. He cannot be sure how long he was in the house after the SCBA ran out. What condition do you suspect, and what is the best first-line treatment for that condition?
Carbon monoxide poisoning, high-flow oxygen with PPV
A 24-year-old female is demonstrating a loss of short-term memory, especially for spoken language, after an ATV accident. What area of the brain has sustained damage?
Temporal lobe
Gold on the periodic table
Au
_____ is a sign that is seen in pericardial tamponade as well as other pathologies like congestive heart failure and cardiogenic shock among many others.
Jugular Vein Distention (JVD)
You are called to a motorcycle crash for a 19-year-old male lying on the pavement. As you pull up, you see the motorcycle impacted a car at the left front door and is lying facing the car. What injury do you expect to most likely find in a front-end impact of a motorcycle?
Bilateral femur fractures
Trismus is an indication for performing _____
Needle cricothyrotomy?
You are called to a 50-year-old male patient who is aggressive and agitated. The patient's wife tells you he has been suffering from seasonal allergies recently that are much worse than usual and has been taking a variety of over-the-counter antihistamines to cope with them. What other symptoms would you expect to find in this patient?
Hot, dry, red skin
Which cranial nerve (CN) is responsible only for moving the eye to look medially and downward?
CN IV
What type of matter, hypothesized to make up roughly 85% of the matter in the universe, does not interact with electromagnetic radiation?
Dark Matter
You arrive at a residence and evaluate a 63-year-old male with chest tightness. He states that the pain comes and goes without warning or treatment of any kind. From what condition is this patient most likely suffering?
Unstable angina
You are on scene with a 79-year-old female who fell backwards while walking in an assisted living facility, striking the bed before landing on her buttocks on the floor. She in complaining of lower back pain and has been incontinent to urine and feces as a result of the fall. She also says her buttocks feel numb, but is able to move and feel her feet. What do you suspect?
Cauda equina syndrome
You are treating an 83-year-old female in cardiac arrest. She is intubated, and compressions are producing a palpable femoral pulse. Waveform capnography shows a boxy waveform and a value of 10 mm Hg with each ventilation. What does this capnometry value most likely indicate?
Cellular metabolism is decreased.
A patient is found unresponsive at home where the fire department finds high readings of carbon monoxide. What is the most likely cause for this presentation?
Carbon monoxide takes the place of oxygen on the hemoglobin molecule.
A patient who lacks sensation to the face, forehead, cheeks, and teeth is most likely experiencing a problem with cranial nerve
CN V
Who is the lead singer of Pearl Jam?
Eddie Vedder
A patient begins to complain of a funny feeling in her chest while walking at the mall. EMS arrives to her side and finds a wide complex tachycardia at a rate of 194. What is the most appropriate initial treatment for this patient?
150 mg amiodarone over 10 minutes
You are treating a 24-year-old female who was hit by a car while running. You note shortening of the left thigh and suspect that her femur is fractured. She is in significant pain. What type of fracture do you suspect?
Overriding
In order to facilitate the intubation of a conscious person with respiratory distress, your protocols call for the administration of 1.5 mg/kg lidocaine. What is the most likely reason for this?
Reduce vagus nerve sensitivity to reduce likelihood of induced bradycardia
A patient is found unresponsive in his car in the parking lot of a bar. The smell of an alcoholic beverage is strong when the door is opened. What is the optimal treatment for this patient?
Provide ventilatory support as needed in combination with IV fluids
You have a 70-year-old male who, after experiencing a cerebrovascular accident (CVA), has notable weakness on the right side, is unable to produce grammatically correct sentences, and visibly struggles with forming the words he does get out. Based on this information, which of the following pairs represents the damaged areas of the brain?
Left hemisphere, Broca's area
Who is the only athlete to play in both a World Series and a Super Bowl?
Deion Sanders
You arrive at the side of a 75-year-old male complaining of shortness of breath. He is sitting straight upright. You suspect congestive heart failure (CHF) What symptoms would you expect to see?
Hypertension, crackles, jugular vein distention, bilateral pitting edema
A 19-year-old female fell asleep on the beach and sustained burns to her entire back and the backs of bilateral arms and legs. No blisters are noted. Based on the rule of 9's, approximately how much body surface area has been burned?
45%
You have decided to intubate an 80-year-old male who is in respiratory arrest. You have prepared your equipment, including a 7.5 endotracheal tube (ETT), size 3 Macintosh blade, suction, and a 10-mL syringe, and verified all work properly. What is the next step?
Pre-oxygenate the patient for several minutes and monitor pulse oximetry
You are called to a 50-year-old male patient who is aggressive and agitated. The patient's wife tells you he has been suffering from seasonal allergies recently that are much worse than usual and has been taking a variety of over-the-counter antihistamines to cope with them. What class of drugs has he likely overdosed on?
Anticholinergics
During the assessment of a patient suspected of having a stroke, you note that the patient is unable to smile symmetrically. Which cranial nerve (CN) is most likely affected?
CN VII
Who won the 1986 MLB World Series?
The New York Mets