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NREMT
| Question | Answer |
|---|---|
| A device that delivers a specific amount of medication to the lungs, in the form of a short burst of aerosolized medicine that is inhaled by the patient is known as a(n)? | Metered Dose Inhaler |
| The anatomy of the airway consists of the upper and the lower airways. The upper airway starts at the mouth and Nares and ends at the _________? | Croicoid Cartilage |
| To create negative pressure in the thorax (chest cavity) the diaphragm contracts and moves _____________. This action expands the volume of the thorax, allowing air to rush into the lungs. | Downward (opposite of lungs) |
| This practice of protecting yourself and your patient from the transfer of bodily fluids is known as what? | body substance isolation |
| When you arrive at the receiving facility you must transfer care to the ED staff... | continuity of care |
| What is the correct placement of the color coded ECG cables? | white-pt right shoulder, black-pt left shoulder, red-pt left hip, green-pt right hip |
| A Transient Ischemic Attack (TIA) will usually stop after: | 10-15 min, Transient Ischemic Attack (TIA) is a blockage of vessels in the brain that usually subsides after a period of 10 to 15 minutes. However, if the patient's symptoms persist longer than 15 minutes, continue to treat the patient as if they are having a CVA (Cerebrovascular Accident). If resolution takes place within the 10-15 minutes, then chances are they have had a TIA. The final diagnosis of TIA is made if the symptoms resolve within 24 hours and is determined by a physician. |
| During an assessment of a 78 year old woman you find her skin to be cool, moist, and pale. What would you suspect? | Pale, Cool, skin suggests a lack of oxygen or hypoperfusion of the tissue. |
| Which of the following choices is a normal systolic blood pressure in a child? | 80-110 mm Hg is considered a normal range for a child. |
| What should be done to a French tip catheter after suctioning a patient's airway? | Anticipating the need for additional suctioning should be followed by cleansing of the catheter with sterile water. |
| You are the first EMS unit on scene of a multiple casualty incident. A crane has fallen from a building roof top and ripped through an adjacent building. What should you do according to the ICS? | Take incident command until relieved or reassigned |
| You have requested helicopter transportation of a critical burn patient. The remote nature of the accident will force the helicopter to land on an incline. From which direction should you approach the helicopter? | from the downhill side |
| What does the mnemonic OPQRST stand for? | onset, provocation, quality, radiation, severity, timing |
| You arrive on scene to find a 34-year-old male lying on the ground in a pool of blood. Bright, red blood is spurting from a large cut in his shirt sleeve and he is clutching a knife between his teeth. What should you do first? | Leave the scene until police arrive to make the scene safe |
| The exchange of respiratory gases between the systemic capillaries and the surrounding tissue beds | Cellular respiration and cellular metabolism is the use of oxygen and carbohydrates to produce energy and the creation of carbon dioxide and water by-products. |
| Which list includes only the "Five Rights" of medication administration? | Patient, medication, dose, route, and time. |
| Signs and symptoms of Cushing's phenomenon include all of the following except: | Signs and symptoms of Cushing's phenomenon include: hypertension, bradycardia, irregular respirations, central neurogenic hyperventilation, and Biot respirations. Cushing's triad signs and symptoms are caused by a significant head trauma, also referred to as herniation syndrome. |
| You are assessing an 84 year old man. Upon auscultation of the lungs you discover crackles or rale sounds. He is complaining of chest pain and congestion. These signs and symptoms can indicate? | These are signs and symptoms of a possible failure of the left ventricle. The pump portion of the heart is unable to pump efficiently and fluid begins to back up into the lungs. |
| You have been sent on a call for a building explosion. No one knows exactly what is going on, but the dispatcher’s phone keeps ringing about the same site. What will you do when you get to the site? Identify potential hazards Secure the scene Locate patients All of the above. A & C | A & C |
| What is/are questions that you should ask a patient who is a victim of a poisoning or overdose? | Answer: D - When you get to the scene of an event you will identify potential hazards, secure the scene, and locate patients. Additionally, you will determine mechanism of injury, treat immediate life threats, complete physical exams, obtain baseline vital signs, and identify treatment priorities, gather information about the situation by question bystanders. |
| The National Highway Traffic Safety Administration Technical Assistance Program Standards for EMS include… | - The National Highway Safety Administration Technical Assistance Program Standards include many things such as integration of health services,human resources, EMS research, and medical direction etc., but does not include continuing education. |
| What is the function of the vocal cords? | The function of the vocal cords are to produce sound and to regulate the passage of air into the trachea. |
| While you are assessing your patient who is in the supine position, you notice that their jugular veins are flat, what is this a sign of? | Blood loss |
| The degree that a patient is suffering from hypothermia is in direct correlation with what? | The degree that a patient is suffering from hypothermia is in direct correlation to their decreasing mental status or motor function. Therefore, the worse their mental status or motor function the worse their hypothermia. |
| properly define what age group your patient is in. How old is a newborn? | Birth to 6 weeks |
| What is/are common cause(s) of a compromised airway? | The common causes of airway compromise include the tongue, foreign matter, trauma, burns, allergic reactions, and infection. |
| What structure in the human body is made up of 33 bones? | The spinal column is made up of 33 bones. More specifically there are seven cervical, twelve thoracic, six lumbar, five sacrum, and three coccyx bones. |
| How many pairs of ribs do humans have? | Humans have 12 pairs of ribs. Pairs 1-10 are attached anterior to the sternum while pairs 11 and 12 are unattached, and are known as floating ribs. |
| Your patient has loss the functionality of the left side of their body. There is no apparent cause and all tests have come back negative. The only thing you do know is that the patient was supposed to go jail. What is this person suffering from? | When there is a loss of functionality to the body without apparent physical reason it is considered conversion disorder. The cause of a conversion disorder is often found to be a psychological conflict, such as a need to avoid an unpleasant task or a need to be removed from an unpleasant situation. The conversion places the patient in a situation where the can receive support. |
| Body heat regulation is a constant within the human body and regulation can take place by several means. In which way does the body regulate itself by means of heat loss? | Convection Conduction Respiration |
| the appropriate rate to ventilate a 7 yo pt is? | 1 breath every 3-5 secs |
| the normal resp rate for infants are? | 25-50 |
| what fall height is considered a significant mechanism of injury for an adult? | 20ft |
| what fall height is considered a significant mechanism of injury for an child under 8 yo? | 10ft |
| clear fluid leaking from the ear after a fall is indicative of? | a severe head injury |
| what is considered a narrow pulse pressure? | 30 |
| what is the pulse pressure? | the differences in the systolic and diastolic pressures |
| status asthmaticus is? | a severe, prolonged athsma attack |
| The appendicular skeleton consists of ? | the body's extremities and pelvis. |
| biots resperations are? | Biot's respirations are caused by damage to the pons of the brain stem and in this case, secondary to what we can safely assume is head/facial trauma. |
| Sicklke cell disease | Blockage of blood flow to various tissues and organs is common in sickle cell disease and usually occurs following a period of stress. |
| Abruptio placentae is? | Abruptio placentae, or partial separation of the placenta from the uterine wall, can occur due to several different causes but is often associated with traumatic injury. Preeclampsia, placenta previa, and therapeutic abortion are all medical-related. |
| How many blood vessels does the umbilical cord contain? | The umbilical cord has two arteries and one vein. |
| The spinal column is made up of how many cervical vertebrae? | There are 7 cervical vertebrae in the neck. 12 thoracic vertebrae. 5 sacral vertebrae, and 5 lumbar vertebrae. |
| Healthcare providers should deliver ventilations over roughly how long of a period? | 1 second or just enough to see healthy chest rise and fal |
| The concentration for a nasal cannula | is 24-44%. A non-rebreather at 6-15 lpm is 60-90%. The concentration for a bag valve mask is 100%. |
| the mnemonic RPM stands for? | START triage uses the mnemonic RPM for respiration, pulse, and mental status. Using this tool allows you to quickly and accurately triage any number of patients. |
| The onset of action for NTG is roughly? | 1-2 min. |
| The proper compression rate for two-rescuer adult CPR is? | 100-120 bpm |
| The average tidal volume for an adult male would be which of the following? | is approximately 500-800 mL. |
| When inserting an oropharyngeal airway in an adult patient, you should be sure it is inserted so that? | The best method for inserting an oropharyngeal airway is to depress the patient's tongue and insert the airway upside down (pointing up towards the hard palate). When the OPA reaches the soft palate, rotate the airway 180 degrees until it rests against the lips and teeth. |
| The back of an ambulance is an example of what kind of environment? | medically c lean |
| A complete breech presentation is when the baby is in which position? | The buttocks present first, with the baby having its knees and hips flexed |
| In a patient suffering from COPD, their respiratory drive is dependent on? | oxygen |
| Which of the following is the proper care for someone in active seizure? | Clear the area around the victim of any objects and do not interfere with the seizure |
| Which portion of the digestive tract has an important role in retaining water from the food we eat? | Large intestine |
| The outermost layer of the epidermis is called the? | Stratum corneum |
| Epinephrine has effects on which receptors in the human body? | alpha and beta seizure |
| Which of the following is the most common hypertension disorder seen in pregnancy? | Preeclampsia |
| What is the cause of digital clubbing? | Chronic Hypoxia |
| Antepartum is which part of the pregnancy period? | pre-delivery period |
| The radio that you will use to communicate inside of your ambulance is known as what type of radio? | Mobile |
| When setting up a landing zone for a medical helicopter, you should find an area with a slope of less than? | 10 degrees |
| The medical term that refers to the time period before delivery is: | Antepartum |
| The diaphragm contracts during? | inspiration |
| A radio's frequency refers to the number of times per ______________ a radio wave oscillates? | second |
| What is the key difference between preeclampsia and eclampsia? | Seizures |
| What abnormal breathing sound has characteristics of loud, low coarse sounds that resemble snoring and often clear with coughing? | rhonchi |
| The normal respiratory rate for children is how many breaths per minute? | 15-30 |
| The proper compression rate for two-rescuer adult CPR is? | Distinguishing between compression rates and ratios is extremely important. Although one of the ratios is correct, the question asks for the correct rate which is "100 - 120 compressions per minute." |
| The purpose of the liver is to? | The liver is the most solid organ in the body and sits below the diaphragm on the right upper quadrant of the abdomen. It functions to store sugars and starches as well as produce blood factors that increase the body's ability to clot. |
| ringing in the ears, which is also known as? | Tinnitus |
| when assessing muscleskeletal injuries you should assess? | five p's (pain, Pallor, paralysis, paresthesia, pressure, pulse |
| what does gravid mean? | the number of times a person has been pregnant |
| An adult pt is breathing shallowly, what should your next step be? | assess rate of breathing, ventilate w/ bvm and O2 |
| to maintain a neutral alignment in a 6 yo what should you do? | place padding under head. red pt has a larger head relative to his body than an adult |
| when sizing a nasopharyngeal airway, you should measure the distance between... | earlobe and the nostril |
| you are performing chest compressions on a 2 yo. how deep should the compressions be? | one third anterior-posterior chest diameter ages 0-8, 8+ 2" |
| a 2 month old has a temp of 104 and a bad cough what should you be most concerned about? | meningitis |
| A Pt has been having seizures for the past 15 min w/o regaining consciousness. what is the Pt most likely suffering from? | status epilepticus. ( prolonged seizures over 10 min or reassuring seizures w/o a period of responsiveness indicates status epileptics |
| The correct compression to ventilation ratio in newborn resuscitation | 3:1 |
| D size oxygen cylinders are capable of carrying how many liters of oxygen? | 360L |
| Up to how many mL of blood loss is typically well tolerated by the mother following delivery? | 500ML |
| The portion of the nervous system that is responsible for delivering motor impulses to skeletal muscle is the? | somatic nervous system |
| Your newborn patient is going to be receiving blow-by oxygen. The proper rate and delivery of this should be? | 5l via nrb mask |
| You should assign a score of 0, 1, or 2 in all of what 5 categories for apgar | Appearance, Pulse, Grimece, Activity, Respirations |
| Which of the following increases the cellular uptake of glucose from the bloodstream? | insulin |
| When helping a patient deliver her baby in the field, you should coach her to push for ____ seconds, and rest for ____ seconds. | 10,10 |
| "Cushing's Reflex". This response is characterized by? | Increased BP, decreased HR, and erratic respirations |
| One of the major sets of rules in the United States protecting privacy is known as HIPAA. This stands for? | Health Insurance Portability and Accountability Act |
| Which of the following defines a mass casualty incident? | An incident that exceeds the resources and personnel that are a part of the initial response |
| Preload is an important term in cardiology that refers to? | The force exerted on the ventricle walls at the end of diastole |
| There are two types of valves in the heart. The mitral and tricuspid valves are which kind of valve? | The two types of valves in the heart are atrioventricular and semilunar. The mitral (bicuspid) valve and the tricuspid valve are atrioventricular valves, meaning the separate the atria and ventricles. The pulmonic and aortic valves are both semilunar valves. |
| What is the triad of symptoms called that consists of: muffled heart tones, hypotension and jugular vein distension? | becks triad |
Created by:
Toddgfunk