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Chapter !5 Final
| Question | Answer |
|---|---|
| COPD is characterized by | changes in function that are progressive and irriversable |
| The Venturi mask is most useful in the prehospital setting when | COPD patient requiring long range transport and specific oxygen levels |
| The primary treatment to reverse bronchospasm is | bronchodilator therapy |
| Use of a spacer device in conjunction with a metered dose inhaler | collects in the canister allowing more to be given |
| Signs of clinical improvement during CPAP therapy include | increased ease of speaking |
| The oral pharynx | posterior portion of the oral cavity |
| A person experiences sharp chest pain followed by increased dyspnea coughs or strains to lift something most likely has | Spontaneous Pneumothorax |
| If you suspect that a unconscious patient has experienced a spinal injury you should open his or her airway by | place your fingers behind the angle of the jaw and lift the jaw forward |
| Digital clubbing is most indicative of | hypoxia |
| A patient with a prolonged asthma attack which does not respond to treatment may become a patient with status asthmaticus which commonly presents with | physical exhaustion, dehydration and inaudible breath sounds |
| Based on the oxyhemoglobin dissociation curve graph with regard to pulse ox symmetry The more hypoxic a patient becomes | The faster he or she will desaturate |
| Which of the following statements regarding Austin is correct | Oxygen supports the process of combustion |
| What function do the Nasal turbinates serve | warm the air |
| You should insert the ET tube between the vocal chords until the | Proximal end of the cuff is 1 to 2cm past the vocal cords |
| As a paramedic your chest compressions and repositioning of the airway unsuccessful remove a severely instruction and unconscious patient you should | Preform laryngoscopy and use Magill forceps |
| Portland compliance during your initial attempt to ventilate unconscious adult should be treated by | reopen the airway |
| The hypoxic drive stimulates breathing in patients with | decrease in paO2 |
| Which of the following statements regarding field extubation is correct | Better to sedate than to remove the tube |
| A patient with Orthopnea | seeks a sitting position when short of breath |
| Paramedics plus he's extreme caution when accessing the airway view the cricothyroid memory because | its bordered laterally and inferiorly by the highly vascular thyroid gland |
| Before securing ET tube with a commercial device you should | note the centimeter markings on the ET tube |
| A pulse oximetry reading would be least accurate in a patient with | poor peripheral perfusion |
| Before activating a patient who has been chemically sedated and paralyzed it is most important for the paramedic too | adequately pre oxygenate with 100% O2 |
| When using a straight blade a major mistake a new paramedics is too | try and pass the ET tube down the blade which obstructs their vison |
| On either side of the glottis tissue forms a dead end pocket called the | Piriform fossae |
| According to the most current guidelines for emergency cardiac care the most reliable method for monitoring correct easy to placement is | waveform capnogrophy |
| The flow restricted oxygen powered ventilation device | has a demand valve that delivers oxygen when a patient breaths in |
| Which of the following represents the correct sequence for managing a patient airway | open, clear, asses, intervine |
| The procedure in which the vocal cords or visualized for placement of an ET tube is called | direct laryngoscopy |
| Approximately 10 seconds into an incubation time to cut glimpse of the patients vocal chords but quickly leucite of them you should | pry back on the laryngoscope to improve your view |
| ______ cells are found in the lining of the airways and produce a blanket of mucus that covers the entire lining of the conducting airways | Goblet |
| Several cycles of basic life support maneuvers have failed to relieve the severe airway obstruction and unresponsive 44-year-old woman you should | preform direct laryngoscope with magill forceps |
| In contrast to the right long the left long | has 2 lobes |
| A bird on gauge oxygen flow meter | reduces the high pressure in the oxygen cylinder to safe pressure |
| Which of the following patients has the lowest minute volume | 350 and 12 |
| The________is an automated space located between the base of the tongue in the epiglottis | Vallecula |
| The use of capnography in patients with prolonged cardiac arrest may be limited because | acidosis and minimal carbon dioxide elimination |
| When performing a needle cricothyroidotomy of the proper insertion angle of the needle into the cricothyroid membrane involves a blank angle towards the blank | 45 degree feet |
| Whistle tips suction catheters most often used to | remove stuff from the ET tube |
| The volume of air that is moved into or out of the respiratory tract in one breath is called | Tidal Volume |
| Hyperventilating patients | hypercapneic |
| A morbidly obese man call 911 because of difficulty breathing when you arrive to find the 39-year-old patient lying supine in his bed | Sit him up or place him on his side |
| Respiratory alkalosis is the result of | Carbon dioxide retention |
| With regard to patient difficulty neck mobility problems are most commonly associated with which grouping of patients | Elderly |
| Normally an adult male wll require what size ET tube | 7.5mm - 8.5mm |
| You will know what you have the proper Laron just go pick up view of the vocal cords when you see | two white fibrous bands that lie vertiacally within the glottis opening |
| It would be appropriate to insert the nasopharyngeal airway in patients who | are altered mental with an intact gag reflex |
| A patient with a suppress off mechanism | severe risk for aspiration |
| Anatomically the _____ is directly interior of the glottic opening | thyroid cartilage |
| hypoventilation causes ___and leads to ___ | decreased minute volume and hypercarbia (higher CO2 levels in the blood) |
| Which of the following findings is most clinically significant and 30-year-old woman with difficulty breathing in a history of asthma | Prior ICU admission |
| Surgical opening into the trachea is called | Tracheostomy |
| A 19-year-old woman ingested a large quantity of Darvan she is responsible for pain only and has an eyelash reflex with slow shallow respirations the most appropriate airway management for this patient evolves | Nasal airway |
| The king airway should not be used in patients with known esophageal disease | known esophageal diesease |
| The classic presentation and chronic bronchitis is | Excessive mucus production and a chronic or recurrent productive cough |
| The diagram of the stethoscope is designed to auscultate | high pitch sounds |
| If a patient has a stoma but no trach tube in place you should | mask over the stoma |
| Regardless of the interior diameter all ET tubes have | 15/22 proximal adaptor |
| The hearing Burr reflexes a productive mechanism that | prevents lung overexpansion |
| Under normal conditions the central chemo receptors in the brain increase the rate and depth of breathing when the | |
| _____Breath sounds are the most commonly heard breath sound and have a much more obvious inspiratory component | Tracheal |
| The most clinically significant finding when questioning a patient with chronic respiratory disease is | recent emergency room visit |
| larygospasm is defined as | Spasmodic closure of the vocal cords |
| Common clinical findings in patients with obstructive lung disease include all The following except | |
| The function of the lower airway is too | exchange oxygen and carbon dioxide |
| Asymmetric chest wall movement is characterized by | one side of the chest moving less than the other |
| You would most likely observe a grossly lower respiratory rate in a volume in a patient who is overdose on | Heroin |
| When a patient's respirations are too rapid and too shallow | lingers in the dead space |
| When performing an open cricothyroid to me you most likely avoid damage in the jugular vein's if | its cut vertically |
| During ventilation with the LMA the paramedic should | observe for inadequate ventilations |
| In a person who is not bedridden the most pulmonary infections occur in the blank | base of the lungs |
| Use of an automated transport ventilator is not appropriate patients who are | breathing spontaneously |
| If I remember it is the ideal site for making surgical opening of the trachea because | no important structures lie between the skin and the trachea |
| In contrast to the negative pressure ventilation positive pressure ventilation occurs when | air is forced into the lungs |
| Hepatomegaly and JVD are most suggestive of | Right side heart failure |
| You were transporting a middle-age man on CPAP unit for a severe pulmonary Dema and IV line of normal saline is in place prior to applying the CPAP device the patient was | Remove the CPAP |
| Patient was obvious respiratory failure requiring immediate | ventilation support |
| Which of the following factors would most likely produce a falsely normal pulse oximeter he reading | carboxyhemoglobin |
| Pickwikian syndrome is a sedition in which respiratory compromise results from extreme obesity | Extreme Obesity |
| oxygen that is entirely devoid of moisture | will dry the patients mucous membranes |
| The major advantage of the ET intubation is that it | protects the airway from asperation |
| 60-year-old man in cardiac arrest and a visualize easy to pass in between the vocal chords after moving or just go blade for the patient's mouth mentally stable | inflate the cuff |
| Cor Pulmonale is defined as | |
| Proper placement of the king airway is performed by all the following techniques except | esophageal detection device |
| Stress receptors in the lungs are responsible for the___reflux which causes you to cost if you take into the too deep a breath | hering-breuer |
| Incising the cricothyroid membrane vertically will | |
| Which of the following statements regarding the tonsils is correct | |
| During sleep to metabolic rate is___and the number respirations___ | high, decreases |
| Reactive airway disease is characterized by | bronchospasm |
| open cricothyrotomy is indicated when | you are unable to secure the patients airway with less invasive means |
| Heptojugular reflex occurs when | pressure on the lover engorges the jugular veins |
| Which of the following conditions would least likely present with an acute onset of respiratory distress | Pneumonia |
| You're transporting a debated patient a note that the digital capnography reading as quickly fell below 30 mmHg you should | |
| Which of the following patient may benefit from CPAP | |
| Cuffed ET tubes are generally not used in the field until the child is 8 to 10 years old because | |
| The nasal cannula is a most benefit to patients | Mild hypoxemia |
| Women on birth control be most cautious of | Acute Emboli |
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carsrock112