Florida State Paramedic Exam

. A dose of Atropine of less than 0.5 mg in an adult patient will result in?
bradycardia

Patient drinks pesticide, what would be your drug of choice?
atropine, organophosphate poisoning

Patient complaining of severe abd pain, excessive drooling, ect., what would you suspect?
organophosphate poisoning, SLUDGE

How do you treat a 3rd degree block?
TCP(Transcutaneous Pacing)

Know what patients not to pace
HR-55, R-20, BP-110/65-asymptomatic bradycardia

What are the side effects of lidocaine?
siezures

Pt has reaction to blood while enroute with a interfacility transfer, How to treat?
Discontinue blood products

What are side effects of diuretics?
Hypokalemia

What does the cerebellum control?
Fine motor skills

What is referred to as the master gland, “pea sized” or size of a grape
pituitary gland, its secretions control or regulate the secretions of the endocrine glands

R on T causes?
V-Fib

Pt has sinus brady with unifocal PVC`s, how do we treat this pt?
0.5mg atropine, treat the bradycardia not the PVC`s

What is a contraindication of Lidocaine?
sinus brady

Fluid resuscitation for a neonate?
10ml/kg

What is the wrongful act that gives rise to a civil suit called?
Tort

Patient is unconscious and ill, it is alright to treat this pt based on what?
Implied consent

A pt left in an ER for 20 mins before returning in order to run another call is an example of what?
negligence or abandonment..if answer key includes abandonment pick abandonment

When you inform a pt of the risks involved with refusing treatment and they agree to treat them they give you what?
informed consent

What offers you protection while off duty?
The good samaritan law

Anytime you are dispatched to a call you have a duty to what?
Duty to Act, it is prescribed by law as what we must do an how we must do it.

Anytime we leave a pt before official transfer we may be sued for what?
abandonment

What did the food, drug and cosmetic act do?
created FDA, required drug makers to label products and admit if they are habit forming, mandated dangerous drugs could only be dispensed with a prescription

What is the FDA charged with doing?
determining the safety and efficacy of drugs before they enter the market

Remember before allowing a pt to refuse treatment?
Must explain to the patient the severity of their condition and risks of refusing.

Can intoxicated pt`s sign refusals?
pt must have decision making capacity in order to refuse care

What causes negligence?
There was a duty to act, breech of duty, which was the proximate cause of harm, INTENT IS NOT NEEDED

What is a legal document indicating end of life request regarding resuscitation?
DNR-yellow in color

Emergency with a minor, no parents, what should the medic do?
treat the pt, assume implied consent

what is one of the first signs of hypovolemic shock?
Tachycardia

What is an early sign of any shock?
Altered mental status

How do we open a trauma pt`s airway?
Jaw thrust or modified jaw thrust

What is taking place in all forms of shock?
inadequate tissue perfussion

What is the most reliable indicator of how severe an injury is in trauma?
The mechanism of injury

Damage to tissues due to a high speed bullet is known as what?
cavitation

What is a physical finding of traumatic asphyxia?
cyanosis of the head, the upper extremities, and the torso above the level of the compression. SWELLING OF THE TONGUE AND LIPS!!!!

Fluid replacement for a trauma pt?
3x the estimated blood loss

Fluid of choice in trauma?
Lactated Ringers

How is traumatic asphyxia most commonly caused?
Crush injury, forceful compression of the thoracic cavity

What specifically can a crushing injury cause?
Compartment syndrome increased pressure within soft tissues

How do we treat someone with an abdominal evisceration?
Treat for shock, oxygen, cover organs, w/ moist saline soaked dressings, lactated ringers..DO NOT PUSH ORGONS BACK INTO ABDOMEN

Pt with JVD, mediastinal shift away from effected area and dypsnea,,what is it?
Tension Pneumothorax

how do we deal with explosive injuries?
Treat Airway, ventilate and oxygenate, stop arterial bleeding and treat closed femur fractures.

What is commonly injured in blast injuries?
Large intestines, hollow organs

What is the pathophysiology of neurogenic shock?
Spinal cord injury occurs resulting in complete dilation of all vessels below the injury, hence the fluid container of the body just got alot bigger an the normal 5L of blood is no longer sufficient so shock ensues.

Wht are S/S of neurogenic shock?
hypotension, bradycardia, lack of sweating below injury.

What is an early sign of ICP?
vomiting(without nausea), headache and altered LOC

What is cushings Triad?
Alater and ominous sign of ICP, Hypertension,. Bradycardia, and irregular respirations. HYPER BRADY!!!!

What will a pt`s pupils look like in Cushings Triad and what causes it?
unilaterally unequal and non-reactive pupil, pressure on the oculomotor nerve. Also posturing(decorticate and Decerebrate)

bleeding from nose and ear, what do you do?
allow to drain, it allows decrease of ICP!

What are the 2 most common forms of death from electrical burn injuries?
asphyxia and cardiac arrest

Rule of nines, head-adult?
9

Rule of nines, head-child?
12

Rule of nines, head infant?
18

Rule of nines chest/abdomen, adult, child and infant?
18

Rule of nines, arms, adult, child and infant?
9 a piece

Rule of nines, legs adult?
18 a piece

Rule of nines, legs child?
16.5 a piece

Rule of nines, legs infant?
13.5 a piece

In an electrical burn injury where will the current be most intense?
at the entrance and exit, causes a bulls eye lesion.

What is the maximum amount of fluid given to a trauma victim?
2000-3000 ml

Unconscious, no response to verbal or painful stimuli, what is this pt`s GCS?
3

What is significant about the pathway of an electrical burn and what can it cause?
It follows the nerve pathways, which can cause V-Fib and more internal then external damage

What is a AAA?
Abdominal Aortic Aneurism

What does a pt with a AAA when symptomatic look like?
Sudden onset of abdominal or back pain, pain centers on the umbilicus, can radiate to thigh or groin, PT MAY COMPLAIN OF AN URGE TO DEFECATE DUE TO THE LEAKING BLOOD IN THE RETROPERITONEAL SPACE, Look for a pulsatile mass in the abdomen

How do u treat AAA?
Get to the hospital!!!!

Place for needle decompression of Tension Pneumo-thorax?
14g needle.Mid clavicular between the 2nd and 3rd intercostal space or 4th and 5th of mid axillary

MVA, HR-120, BP-40 palp, whats happening?
De-compensating Hypovolemic Shock

Severe Angulated Leg, HR110, BP80/60?
Hypovolemic shock

What is Becks Triad?
It is a sign of Cardiac Tampenade, usually secondary to penetrating chest trauma

What are the tell tale signs of Becks Triad?
narrowed Pulse pressure, JVD, Muffled heart Tones, clear lungs

Flat neck veins, mid-line trachea,DEHYDRATION, HYPOVOLEMIA, dullness on percussion of chest?
Hemothorax

With abdominal injuries why palpate the painful quadrant last?
Once palpated the entire abdomen will hurt

What does the visceral Pleura cover?
thin slippery outer lining covers the lungs

What is the Parietal Pleura?
Lines the inside of the thoracic cavity, small amount of fluid is between the pleurae, reduces friction during breathing

What is effusion?
The escape of fluid into a cavity

#1 vertebrae, C1-C2, what is it referred to as?
Atlas or the joint of atlas

Collapsed steering wheel, what do we look for?
Flail Chest

What kind of nerve pathways send signals to the brain?
Affective Nerve Pathways, Affective=Ascending

What is the most common organ injured from blunt trauma?
Liver, RUQ

Motorcycle crash, 3″lac on head, tachy, Low BP, What is the fluid of choice?
Normal Saline KVO, do not want to fluid overload should ICP develop.

What do you not want to give a pt with a closed head injury?
SUGAR, no D5W, Normal Saline or Lac Rings only.

Fluid replacement for an adult trauma pt?
20ml/kg or 3x estimated blood loss

Whats the universal blood donor?
O negative, has AB antigens

Universal Blood recipient?
AB

What is the antidote for triciclate antidepressant overdose?
Sodium Bicarb

Asthma meds?
albuterol 2.5 mg, epi 3-5mg SQ1:1,000

Collapsed Alveoli with decreased ventilation?
Atelactasis

Lack of surfactant?
Atelactasis

What are signs and symptoms of respiratory distress?
Nasal Flaring, tracheal Tugging, Sternomastoid Muscle Use, Intercostal retractions

When will you see JVD?
tension pneumo, Rt sided heart failure, tampenade, traumatic asphyxia..increase in portal htn.

How do we manage a postpartum hemorrhage?
Pitocin, massage fundus, IV fluids, put baby to breast

What does pitocin do?
Increases uterine contractions

How much does pregnancy increase a womans blood volume?
40%

What happens to a womans vitals during pregnancy?
BP<, HR>, Cardiac output>, Resp rate>, stroke volume stays the same

What is released by the pituitary gland?
oxytocin and ACH

If bleeding persists from a clamped cord what do we do?
Clamp again

Gravida?
number of pregnancies

Para?
number of deliveries

Prima Gravida?
first pregnancy

Prima Para?
Delivery of first child

What is the normal pregnancy length?
9 months, 280 days, 40 weeks

Ectopic pregnancy?
fertilization of egg outside uterus, usually in fallopian tubes

Umbilical cord?
2 arteries 1 vein, larger opening

Mother gives birth 24 hours ago, now sudden onset of SOB, Dypsnea, chest pain, Whats happening?
Pulmonary Embolism

26 y/o multi gravida w/ prior c sections, tearing pain!!!,Tender rigid uterus, bright red bleeding?
abrupto placenta

What is abrupto placenta?
premature seperation of a normally implanted placenta from the wall of the uterus, ocurs during last trimester

What is Placenta Previa?
The placenta is implanted to low in the uterus as it grows it blocks the cervical canal. Prevalent in woman over 30.

S/S of placenta previa?
Painless vaginal bleeding, bright red, soft and non tender uterus.

Prolapsed cord?
Gently insert gloved hand in vagina and relieve pressure on the cord, DO NOT PUSH CORD BACK IN CANAL.

When is intervention required regarding APGAR score?
If the score is under 6

What are the 5 parameters of the APGAR and what is a healthy score?
Heart rate, resp efort, muscle tone, reflex irratability, color, between 7-10

Where do you tie clamps to cut the cord?
8″from infants navel with 2 ties, placed 2″ apart.

What is a breech presentation?
another part of the body leads the way, usually the buttocks, Transport fast!

When do we do an APGAR?
1 and 5 mins

How do we transport and OB pt over 3 months gestation?
Left Lateral recumbant, take pressure off inferior vena cava.

22y/o female, severe LRQ, no appetite, with constipation?
Appendicitus

9 months, seizures from Eclampsia, what is our frontline drug of choice?
Mag Sulfate

How will Preeclampsia present?
HTN, Edema, proteinuria, NOT SEIZING

Eclampsia, whats happening?
Seizing

32 y/o woman, excruciating headache while working out and loss consciousness, unresponsive with bilateral dilated pupils?
Cerebral aneurism

What is a common cause of uterine bleeding in the first trimester?
Threatening abortion, incomplete abortion, ruptured ectopic pregnancy

22yo female, RLQ pain, radiating to right shoulder!!!, no menses with spotting?
Ectopic Pregnancy

When does BP begin to decrease?
during third trimester

What is the timeframe for a neonate?
birth-1 month

What is a serous membrane covering abdominal organs?
Visceral

What is the most common cause of PID?
Gonorrhea

Where does decontamination take place in a hazmat situation?
in the yellow or warm zone

Whats the time frame for CISD?
72 hours

What is the highest level of driving referred to as?
due regard for others

4 man log roll when stabalizing a pt, whats the medics first step?
Stabalize C-spine

EKG, No P-waves, what rhythm?
assume A-fib, SA Node is not the pacemaker

What is tracheal deviation considered when it comes to tension pneumothorax?
a late sign

When do we stop giving the pt procainamide?
arrhythmia resolved, QRS widens by 50%, P-R interval is prolonged, BP drops greater than 15mm/hg

P for every QRSm P-R interval is .16s, Pt is cold and clammy w/ BP-70/50, HR-50, Rhythm and treatment?
Sinus Brady, Pt is having symptomatic bradycardia, increase HR and increase BP. Atropine 0.5mg!

What does atropine treat?
bradycardia, asystole, 2nd degree heart block

V-tach, unconscious, no vitals, what do u do?
defibrilate 200j, 300j, 360j

Whats an early sign and symptom of lidocaine toxicity?
muscle twitching, tremors, numbness or tingling

Major side effect of lidocaine?
Hypotension and Bradycardia

What part of the brain regulates BP, Resp, and Pulse?
Medulla Oblangata

What does a calcium channel blocker do?
decreases HR

Double sided heart failure will cause what?
Pulmonary edema

85y/o woman, headache, dizziness, BP-210/120?
Hypertensive crisis

What does Epinephrine cause?
increased HR, BP, Myocardial oxygen demand, automaticity. NOT DECREASED SYSTEMIC RESISTANCE.

What is the definition of automaticity?
the ability of the heart to generate its own electrical impulses

Adult female, tachycardic, vitals are within normal limits, how do we treat?
o2 and vagal maneuvers

When should we intubate a cardiac arrest pt?
Immediately

Where does synchronized cardioversion occur on the QRS complex?
occurs on the R wave

What is a major side effect of Lasix?
Hypokalemia

What is ascites?
Fluid in the abdomen, usually cause of CHF or liver disfunction

Verapamil Side effects?(Think about what it treats!)
hypotension, coronary artery dilation, bradycardia

Pulmonary edema treatment?
Lasix, morphine, Nitro, O2

What causes CHF?
Left ventricular failure, inability of the blood to be pumped to the body, backs up in the lungs

WPW with no S/S?
O2

WPW hemodynamically unstable in PSVT?
adenosine, 6mg, if no change 12mg

What does adenosine do?
slows conduction through the AV node, slows all cations

How do you defibrilate pulseless v-tach?
200j, 300j, 360j

Hyperkalemia, how do we know?
Peaked T waves

How does lasix work?
Works in loop of henle, loop diuretic, decreases preload, prevents reabsorbtion of sodium. REDUCE PRELOAD!!

Acute Myocardial Infarction, whats the treatment?
ASA, Nitro, Morphine

Beta Stimulation?
Vasodilation, broncho dilation,

Where do most unstable or lethal ectopic beats originate?
ventricles

Pt presents with pain in chest, SHEARING OR TEARING IN NATURE, radiates to neck and no pedal pulse.
Aortic Aneurysm

Pink frothy sputum, cyanosis, rhales, tachycardic?
Pulmonary Edema

What do adrenal glands secrete?
Epinephrine

If stroke volume doesnt change but HR decreases?
Then cardiac output decreases as well

EKG paper, large block?
.20s

EKG paper, small block?
.04s

P-R interval greater than .20 s?
first degree heart block

Normal PR interval for QRS?
.12-.20seconds

Hypovolemic mom due to blood loss and newborn is delivered, what is the newborn fluid replacement rate?
10cc/kg(newborn and infant up til 1 year)

Seal bark, stridor, occurs at night?
Croup, do not lay flat, keep calm,humidified O2

Life threatening infection, drooling, can not swallow due to pain, HIGH FEVER, can cause upper airway infection in a child
Epiglotitis

What is important to remember about opening an infants airway?
do not exaggerate head tilt chin lift, could obstruct breathing passages

Remember kids are avid nose breathers, this is important with newborns why?
because when suctioning Mouth first, then nose

SIDS, when does it happen?
occurs at night, 4-6 months of age

PH below 7.35?
acidosis

What will the pt`s PCO2 be in respiratory acidosis?
greater than 40

What will the pt`s PCO2 be in respiratory alkalosis?
PH greater than 7.45, PCO2 will be less than 40

What are your primary concerns when treating a near drowning victim?
Manage Hypoxia and Acidosis

What is the benefit of an NPO?
can be used on pt`s with a gag reflex and its rapidly inserted

What is a contraindication of an NPO?
Basilar Skull fracture, Look for battle signs or raccoon eyes

Intubated pt, sounds heard only on the right, what do you do?
Pull back on the tube slightly, and listen again, could have been right mainstem.

Curved mac blade placement?
Between epiglotis and base of tongue

Miller straight blade Placement?
Lifts epiglotis

Thin shaped valve, covers trachea?
epiglotis

Cricoid stick, what is the landmark?
cricoid cartilage or depression inferior to adams apple

What is a term we use to describe stiffness of airflow with minimal resistance?
Compliance, bag compliance

In what pt`s do we see Kussmaul resps?
Rapid breathing associated with DKA

What is a complication of BVM?
Abdominal Distention, pushes diaphragm down, leads to vomiting

Define Libel
malicious writing

Define slander
malicious spoken

Whats a good way to avoid anaphylactic reaction when interviewing a pt?
Ask what are you allergic to

What are the established policies and procedures of an EMS system?
protocols

What are written medical orders via an EMS physician referred to as?
standing orders

proper distance for an LZ?
100×100

When driving lights and sirens on a four lane highway, which lane do you use and why?
left lane so traffic can move to the right

Define frequency
How frequently a wave recurs in a given time(usually 1 second)

What is VHF?
Very High frequency band-30-175MHZ

What is UHF?
Ultra High frequency band-300-3,000MHZ

What is meant by the term Trunking?
It means that multiple agencies or systems can share frequencies

Name a controlled substance that does not produce constricted pupils?
Valium

What does produce constricted pupils?
heroin, demerol, organophosphates

Whats a major problem with catherters thru the needle system?
Catheter embolus

What is our first compensatory mechanism to maintain Homeostasis?
Bicarbonate buffer, then resp and renal

What is the movement of gas from a higher concentration to lower concentration?
Diffusion

movement of water across a membrane?
Osmosis

Decreased 02 in blood?
hypoxemia

Decreased 02 in lungs?
hypoxia

How do you correct resp acidosis?
Hyperventilation of a patient

Major extracellular cation
sodium(sweat tastes salty on the skin)

Major intracellular cation
potassium

Normal stimulus to breathe
increased PACO2, arterial

PH above 7.45?
alkalosis

Whats the normal cardiac output per 1 heartbeat?
500ml

Adult pulse rate?
60-100

What is intrinsic ventricular firing rate?
20-40

What is significant about heat stroke as opposed to heat exhaustion and how do we treat?
In heat stroke there will be NO SWEATING. aggressive cooling methods and 2 IV`s wide open.

TB s/s?
weakness, weight loss, night sweats, fever, SOB, heoptsis

What deficiencies will a pt have from a fresh water drowning?
electrolyte imbalance, hypoxia w/ resp acidosis

What is the term used to describe divers who make fast ascents and what symptoms do they have?
decompression sickness, joint pain, tingling in legs and abdominal pain

Hot, dry skin, NO SWEATING, pt is 106 degrees and unconscious?
heat stroke

same pt, awake and profuse sweating?
heat exhaustion

Leg cramps from lactic acid accumulation in heat?
heat cramps

What organ of the lymphatic system resides in the LUQ of the abdomen?
spleen

pt vomiting green/yellow bile from eating an excessively fatty meal?
Choleosystitis

Where is bile produced and stored?
produced in liver and stored in gall bladder

What does the occipital lobe produce?
vision

What does the optic nerve do?
transmits sight from back of eye to the brain

What is referred to as the master gland and what does it do?
Pituitary Gland, secretes oxytocin and ACH

Ductless hormones release directly into the bloodstream
endocrine

duct glands, excrete directly through epithelial cells(sweat and salivary)
exocrine

How long after an alcoholic stops drinking do DT`s usually take place?
48-72hrs, chronic ETOH abuse

How do we transport a scuba diver?
Left Lateral recumbent

What is the most common route of poisoning?
ingestion

TCI overdose?
Sodium Bicarb

Benzodiazepine overdose?
flumazenil

Weak rapid pulse, bizarre behavior, cool, clammy, slurred speech? and how do we treat?
hypoglycemia, not polyuria, 25 grams dextrose in 50-ml of saline, 12.5g for a child

When do you see kussmauls respirations?
DKA, deep and gasping

A patient has all the signs and symptoms of DKA except kussmaul resps and no fruity odor, what is it?
HHNK, osmotic diuresis with no keytones being burned for energy

How is JVD best evaluated?
45 degree angle, semi fowlers

A thrombus that forms in the deep veins of the legs that travels to the pulmonary artery?
pulmonary embolis

One of the most common kinds of maternal death
Pulmonary embolism, think recent delivery of a child, sharp chest pain, PE.

When you radio a physician what is one thing you are not permitted to say over the radio?
The patients name

What are the standards governing a group of people or a profession?
ethics

An example of indirect medical control is?
standing orders

In an ambulance crash what will the court try to prove?
lack of due regard

In patients with hypoxic drive, COPD what is there stimulus to breathe?
decreased O2 levels

Skin Pallor, vasoconstriction or vasodilation??
vasoconstriction causes this condition

upper airway sound with inspiratory difficulty?
stridor

Lower airway sound with whistle on inspiration
wheezing

Fluid or mucous in large airway?
rhonchi

seal bark
croup, stridor

fluid heard popping in lower airway
rhales

Poor bag compliance seen in what pts?
sucking chest wounds, tension pneumo thorax

what is a classic sign of anaphylaxis besides facial swelling?
HYPOTENSION

fever, rhonchi, hot dry skin, NO PEDAL EDEMA
pneumonia

SOB, Barrel chest, thin pursed lip breathing indicating there having a difficult time expelling breathes.
emphysema

Coughing up pink tinged sputum, sign of what?
left sided heart failure, CHF

patients with emphysema, what kind of O2 treatment should they receive?
Nasal cannula or venturri mask

What is hemoglobin responsible for?
transport and delivery of O2

Define Cor Pulmonale?
Right sided heart failure secondary to chronic lung disease

21 yo,chest pain after coughing
spontaneous pneumo

What is difficulty breathing while laying down referred to as?
orthopnea, sit them up

How do we check neurological function of a pt?
does he or she follow commands, PUPIL RESPONSE, grip strength

What would a severed C4 cause?
total paralysis of motor and resp

pt`s with suspected ICP, how dow we treat?
hyperventilate and mannitol

What is the cerebellum responsible for?
balance, coordination and motor thought

What does the cerebrum control?
thought, intelligence and higher thought

Seizures without regaining consciousness and 2 additional seizures?
status epilepticus

What is the best place for IV canalization to avoid joints
forearm

What is involved in a central line and what should be cannulated instead?
Internal jugular, femoral and subclavian,, attempt external jugular first

60 mg equals how many grains?
1

child whom feels like bells are ringing in his head, and he is hyperventilating?
aspirin overdose

What is the single indicator of neonatal distress?
bradycardia

How do you treat a child playing with dry ice?
immerse in warm water

What is the first line drug for pediatric bradycardia?
O2

#1 cause for pediatric arrest
resp arrest

What is the proper location for IO placement?
proximal tibia, below tibial tuberosity

Hr less than 60 in an infant?
compressions

When are PPV given to an infant?
HR less than 100

Define battery?
when the ems provider touches another person(pt) without his or her consent.(kicking the persons teeth in)

Define assualt?
when the ems provider instills the fear of bodily harm upon the pt. (Im going to kick your teeth in)

Bright red bleeding, cramping in 1st trimester?
spontaneous abortion

Define antepartum hemorrhage?
hemorrhage before delivery

Signs and symptoms of heart failure?
enlarged liver, JVD, Edema

define a simplex system?
portable units can only transmit in one mode(voice or telemetry) or receive voice at any given time.

define duplex system?
a network that uses 2 different frequencies at the same time. Simultaneous transmission or reception.

define multiplex system?
combine 2 or more signals such as the paramedics voice and telemetry.

what rhythms need to be defibrillated as soon as possible
V-fib, pulseless V-tach

What if cardiac arrest is unwitnessed and CPR is not in progress?
CPR for at least 2mins, before delivering first shock

you start an IV and notice catheter shear, what do you do?
lift arm, aspirate, remove and start over

Intrinsic rate of the sino-atrial?
60-100

Which is an isotonic solution, 0.9%NS or 0.45%NS?
0.9% Normal Saline not plasma or D5W

What will a positive inotropic medication do?
increase contractility

What will a positive chronotropic drug do?
increase Heart Rate

What kind of effect will a dromotropic drug have?
a drug that alters velocity of conduction

Which snakes venom is mostly neurotoxins?
coral snake

Mental pt, with a history of mental illness is saying strange things that are not normal, what should you do?
encourage her to share her feelings

Woman with a history of asthma, what should your first drug be?
Oxygen

What kind of angina would a man have after playing basketball and vigorous exercise?
stable angina, predictable chest pain following exercise that will right itself

after 3 stacked shocks and no pulse on apt in Vfib, what is the next process?
CPR, Epi, shock, Lidocaine(or amioderone)

What does a pt lose when they experience a burn?
Plasma

Most common time of death during sudden onset MI?
2-3 hours after onset of symptoms(1-2 if on answer key)

What do we not want to give a stroke pt?
fluid bolus

20 y/o male sitting watching a football game becomes unconscious, awakes with a stiff neck, hot skin, and a rash?
meningitis, stiff neck dead give away

What does glucagon do?
it is a hormone secreted by islets of langerhans, its a starch form of sugar to raise blood glucose levels when they fall. STIMULATES LIVER TO CHANGE GLYCOGEN INTO SUGAR AND SECRETE IT INTO THE BLOOD STREAM FOR ENERGY.

What are the medication routes from slowest to fastest?
PO, SQ, IM, IV/IO

How many ml are delivered from a 60gtts/ml set at 20gtts/min after 30 min?
20×30=600, 600/60=10
10

Which is not a vector of hepatitis, blood, semen, saliva or feces??
SALIVA?

What is a major neuro change chategorized by?
change in mental status

How does an elderly Pt mask an MI?
They have a decreased sensation to pain

How do we adjust an unconscious pt`s airway that we removed from a pool and put in a C-Collar?
Modified Jaw Thrust, considered a trauma pt

Pt with burn injury, why are they hypovolemic?
Fluid moves from into interstitial tissue

Proper meds for CHF?
02, Morphine sulfate, lasix and Nitro

Why would you administer morphine to a pt with a PE?
Vasodilation

You start an IV, attach cardiac monitor, admin 02, and contact med control, what are you doing?
Following protocol

What would we consider a central line?
Internal Jugular

What does HR do late in de-compensating shock?
less then normal, there will be a narrowing of the pulse pressures

how do we treat a pt with frostbite?
re-warm the injured part with body heat, do not massage, keep away from a heater, do not use radiant or dry heat

What is twitching of the eyes?
nystag-mus

Wht type of seizure involves muscle contraction and relaxation?
Grand Mal

What is the normal width of the QRS?
.12s

Where does the curved blade go when using a macintosh tipped laryngoscope blade?
The tip of the curved blade is placed in the vallecula(the space between the epiglottis and base of the tongue)

Low BP, Tachy, pale cool moist skin, crackles heard in the lungs, what kind of shock?
cardiogenic

Low bp, tachy, pale cool moist skin, lungs are CLEAR, what kind of shock?
hypovolemic

Low BP, Bradycardic, flushed dry warm skin, clear lung sounds, what kind of shock?
neurogenic

Low BP, Tachy, flushed warm moist skin, wheezing to no lung sounds heard, what kind of shock?
anaphylactic

Low BP, Tachy, pale, Hot moist skin, possible crackles heard, what kinf of shock?
Septic

What is the most common cause of cardiogenic shock?
extensive infarction of the left ventricle, diffuse ischemia, decompensated heart failure.

What type of shock can long bone or pelvic fractures cause?
exogenous hypovolemic shock

dehydration, burn injury, crush injury, what type of shock?
endogenous hypovolemic shock, the fluid loss is contained within the body

Where do we listen to lung sounds?
we listen anterior and posterior

Pd has secured the scene, and advised you that you have 6 injuries, what do you do upon arriving at the scene?
Start Triage

How does gas exchange in the body take place?
diffusion

What is it when water moves from an area of low solute concentration to an area of high concentration through a permeable membrane?
Osmosis

What is the movement of water and a dissolved substance from an area of high pressure to low pressure?
Filtration

What is a good indication for a nasal intubation?
Gag reflex intact

How do we measure size of a pediatric ETT tube?
size of the pt little finger

Severe abdominal pain, bleeding, 3rd trimester?
Abrupto placenta

no pain, bleeding, 3rd trimester?
Placenta previa

Pt found with an angulated right leg, AMS, BP-80/50, HR-130, what kind of shock?
Hypovolemic, femur fracture, internal bleeding, low BP, Tachy

23y/o male, asymptomatic pneumo, no BS on left side, all vitals within normal, how do we treat?
Just transport, NO DECOMPRESSION