Pregnancy/Gyno
Pediatrics
Cardiology
Trauma
Random
100
Pregnant pt's need to lose lots of blood before showing signs of shock due to...
Increased blood volume.
100
Why are peds called belly breathers?
Underdeveloped Intercostal Muscles
100
Why is the left ventricle larger than the right?
It pumps blood to aorta and systemic circulation.
100
If you find an unresponsive patient prone, what are your next steps?
maintain c-spine and rollover, check airway breathing
100
Can medical director expand your scope of practice?
If its a prehospital skill, they get state EMS office approval, and provide training
200
List 3 things that should be done IMMEDIATELY following birth...
Dry/stimulate, place head lower than body, keep neck in neutral position/suction mouth then nose.
200
List the components of the pediatric triangle and explain how it is used.
Appearance, work of breathing, skin circulation. Used to get a general impression pediatric patient.
200
Define "supraventricular tachycardia".
Rapid HR originating above the ventricles.
200
Rollover MVA with crushed roof, patient has numbness tingling extremities. What kind of injuries would you suspect?
Head injury, spinal injury.
200
You are exposed to blood or bodily fluid. First action???
Transfer care then rinse.
300
What is Abruptio Placenta and what are the S/S?
Placenta prematurely separates from the uterine wall, 3rd trimester, pain, bright red blood (not always a lot)
caused by trauma, abuse
300
Bacterial infection that may cause obstruction of the upper airway in a child is... and s/s of it
Viral infection common in younger children that can cause increased mucus production and lead to respiratory distress ... and s/s of it
Epiglottitis = bacterial infection
S/s is drooling, high fever, sudden onset
Croup = viral infection
S/s = seal bark cough, low grade fever, lasts days
300
Patient goes in to cardiac arrest during transport, you should...
STOP THE AMBULANCE, begin CPR, attach AED ASAP.
300
What injuries happen to the brain during rapid deceleration (Coup-Counter Coup)?
Compression/bruising to anterior, tearing/stretching to posterior.
300
High humidity reduces body's ability to lose heat by...
Evaporation.
400
What's the APGAR score (limp baby, strong cry, completely cyanotic, HR 70, RR fast)?
5
400
Most reliable indicator of decompensated shock is....
Blood Pressure
70+2(Pt age)
400
List 3 potential treatments or procedures for angina/AMI that can only be done at the hospital.
Thrombolytics, Stents, and CABG
400
Common physical exam findings indicating skull fracture?
Bruising of mastoid process or around eyes, skull deformity, CSF leakage
400
List at least 2 substances that need placard regardless of weight.
Radioactive, explosives, water reactive or poison gas
500
Potentially life threatening consequences of PID and 2 things that can cause it...
Ovarian abscess and ectopic pregnancy, gonorrhea, bacterial vaginosis, chlamydia
500
Triaging a child at MCI and determine they are apneic/unresponsive, next 2 steps (Jump START Triage)
Re-position airway, check pulse
500
Describe electric pathway conduction though the heart.
SA -> Internodal pathways -> AV -> bundle of his -> L/R bundle branches
500
What is Cushings Triad, what does it mean, and what can cause it?
high BP/Low HR/irregular resp, brain herniation, ruptured cerebral artery (medical) (or TBI : Subdural/Epidural/intracerebral hematoma etc..)
500
What causes polyuria in uncontrolled diabetics?
How is hyperglycemia treated?
Excess sugar in blood is excreted by kidneys which draws H2O out of the body.
Insulin + fluids in the hospital setting