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1
Q

Routes for administration of valium to 4 yr. old

A

IV, IO, Rectal

2
Q

Routes for Epinephrine

A

IV, ET, SQ

3
Q

Routes of Medication from Slowest to Fastest

A

PO, SQ, IM, ET, IV

4
Q

Seizures without regaining consciousness in between

A

Status Epilipticus (Diazepam 2.5 mg (or 5mg) Incremental Dosing to 10 mg total IV dose)

5
Q

Serious side effect of Venipuncture

A

Air Embolism

6
Q

Shunt

A

Do Not use for Medical Access

7
Q

Side effects of Bretylium

A

Both Supine And Postural Hypotension

8
Q

Side Effects of EPI

A

Palpations, High BP, Tachycardia

9
Q

Side Effects of Lidocaine

A

Hypotension, Bradycardia

10
Q

Side effects of Verapamil

A

Tachycardia (WPW) (Wolfe-Parkinson White) problems)

11
Q

Slowest to Fastest Routes

A

PO, SQ, IM, ET, IV

12
Q

SQ Epinephrine for

A

Mild allergic reaction

13
Q

SQ injection

A

Into fatty tissue

14
Q

Sub Q

A

Contraindication

15
Q

The Adult Dose of Epinephrine in Asthma is

A

0.3 mg to 0.5 mg

16
Q

The drug choice for treating Hyperkalemia is

A

Calcium Chloride

17
Q

The drug used to alleviate intracranial pressure in a head injury

A

Mannitol

18
Q

The fastest route of administration of the following IM, SQ, SC, ET is

A

ET

19
Q

The first drug to treat pediatric Bradycardia is

A

Oxygen

20
Q

The flow rate for KVO (keep vein open) is

A

10 ml / hr

21
Q

The initial dose of Bretylium for V - Fib

A

5 mg / kg

22
Q

The IV Solution closest to Blood Plasma is

A

Lactated Ringers

23
Q

The Lidocaine Dose for Pulseless V Tach (and V Fib) is

A

1.5 mg / kg then 1.5 mg / kg

24
Q

The Major Hazard involved in a catheter through the needle system is the chance of

A

Catheter Embolis

25
Q

The most appropriate indication for ammonia ampules would be to

A

Terminate a syncope episode

26
Q

The need for increasing the amounts of a drug in order to achieve a desired effect is called

A

Tolerance

27
Q

The oxygen delivery device used for emphysema is the

A

Nasal cannula or venturi mask

28
Q

The Pediatric Dose of Lidocaine

A

1 mg / kg

29
Q

The Pediatric Dose of Lidocaine is (1 mg / kg) for a 20 lb Child

A

9 mg

30
Q

The Pediatric Dose of SQ Epinephrine is

A

0.01 mg / kg

31
Q

The pharmacological treatment of Anaphylactic Shock

A

Epinephrine & Benadryl

32
Q

The Rate of KVO is

A

10 ml / hr

33
Q

The route that is Not a parenteral route of drug administration

A

Oral

34
Q

The second dose of Sodium Bicarbonate is

A

1 gm / kg

35
Q

The Technique that will Not help Distend a Vein for Venipuncture is to

A

Elevate the Arm

36
Q

The treatment for Sinus Bradycardia is with PVC’s is

A

Atropine. You Don’t Give Lidocaine

37
Q

Therapeutic Range

A

Range of plasma concentration Not likely to produce desire effect with least like hood of toxicity

38
Q

Thrombi (blood clot) arising in deep leg veins

A

Migrate to lungs (will lodge in lungs)

39
Q

Tourniquet does what

A

Restricts Venous Flow

40
Q

Treatment for Overdose Tricyclic

A

Bicarb

41
Q

Treatment for Pulmonary Edema

A

O2, IV, NTG 0.4mg (1/150 gm), Lasix 40 mg, Morphine Sulfate 2 mg

42
Q

Treatment of Acute Asthma

A

EPI 1:1,000 IV 0.3 mg

43
Q

Two Common Tricyclic Antidepressants are

A

Elavil and Tofranil

44
Q

Universal Blood Donor

A

O

45
Q

Universal Blood Recipient

A

AB

46
Q

Use an EOA when a patient has overdosed on

A

Valium

47
Q

Use D5W for

A

Medication Mix

48
Q

Valium

A

5 - 10 mg pregnant having seizures

49
Q

Valium dose for status Epilipticus

A

2.5 mg - 10 mg slow IVP

50
Q

Venipuncture causes

A

Air Embolism

51
Q

Verapamil & Adenocard

A

Decrease Heart Rate and are used in SVT

52
Q

Verapamil does what

A

Decrease Vasoconstriction, Decrease Conductivity

53
Q

Verapamil is Contraindicated for

A

Wolff - Parkinson - White Syndrome (WPW)

54
Q

Verapamil is used on all of the following except

A

Cardiogenic Shock

55
Q

Verapamil used for

A

SVT, Not for Cardiogenic Shock

56
Q

Warn patient of side effect of Atropine

A

Blurred Vision

57
Q

What are 2 medications for depression

A

NOT Haldol

58
Q

What are the Disadvantages of Thrombolytic Therapy

A

Costly and may cause Excessive Bleeding

59
Q

What can be expected from Beta Agonist Drugs

A

Increased Heart Rate

60
Q

What condition Contraindicates the SQ Route

A

Hypovolemia

61
Q

What do you use Procainamide for, & what are the “4” end points

A

Antiarryhthmic - used for PVC, V-tach, Maintenance of normal sinus rhythm after conversion from A-fib or flutter. 4 - End points - Arrhythmia resolved, QRS complex widens by 50%, PR interval is prolonged, BP drops > 15 mmHg or toxic side effects develop.

62
Q

What does Naloxone reverse

A

Demerol (something like that) (Naloxone blocks OPI receptors)

63
Q

What drug is administered for a patient suffering from COPD

A

Aminophylline

64
Q

What drug is used for Cardiogenic shock

A

Dopamine (to raise BP)

65
Q

What drug is used for Ventricular Dysrhythmias

A

Procainamide

66
Q

What happens if you give Narcan to a Heroin patient

A

Causes Withdrawals

67
Q

What is 150lbs. in kg

A

68 kg

68
Q

What is Not treated with Verapamil or Calan

A

Wide Complex V Tach of Unknown Origin

69
Q

What is the best method to use on an LSD patient

A

Talk Down

70
Q

What is the Drug of Choice for COPD

A

O2, Albuterol

71
Q

What to do before administration of D5W

A

Glucose Check

72
Q

When administering D50, IV

A

Be careful for infiltration tissue necrosis

73
Q

When Beta Receptors are Stimulated

A

The Heart Rate Increases

74
Q

When giving D50, what would happen if it Infiltrates IV

A

Cause Tissue Necrosis

75
Q

When starting a tourniquet, it is applied so

A

That it occludes venous return, but allow arterial flow

76
Q

When you administer glucose, what does it do

A

Stimulates the release of Glucagon

77
Q

Which agency that regulates drugs

A

Drug & Cosmetic Act of 1970

78
Q

Which don’t you Expect to see in ASA OD

A

Hypoventilation (Acidosis Hypervent)

79
Q

Which is the Agency the Regulates Drugs

A

Drug and Cosmetic Act of 1970

80
Q

Worst complication for Retavase

A

Bleeding

81
Q

WPW (Wolfe-Parkinson-White) patient with PSVT’s give

A

Adenocard 6-12-12 mg.

82
Q

You are to draw up 400 mg of Dopamine that comes 25 mg / cc. The number of cc’s you will draw up to put in the bag is

A

16 cc’s

83
Q

You give 25 gm of Dextrose from a 100 cc amp of 50 % Dextrose

A

50 cc’s of Dextrose will be given

84
Q

Young Adult, Mild Asthma

A

2.5 mg Albuterol Inhaled

85
Q

A drug used in the field to counteract a severe Tricyclic Overdose

A

Sodium Bicarbonate

86
Q

1 transmission of AIDS

A

Sexual contact

87
Q

1 Pupil Blown the Other Sluggish

A

Neuro Shock

88
Q

17 year old male in transport with severe headache

A

Aneurysm

89
Q

18 yr old c/o Stiff Neck, Fever, Headache

A

Meningitis

90
Q

21 yr. Old male with asthma - Drug, dose & route

A

Albuterol 2.5 mg via nebulizer

91
Q

21 yr. old male with chest pain after coughing

A

Spontaneous Pneumothorax

92
Q

23 year old gym rat has explosive headache, this indicates

A

Subarachnoid Aneurysm

93
Q

3 systems that Regulate Acid Base Balance

A

Buffer, Respiratory, Renal

94
Q

34 yr. Old male appears Jaundiced with Sclera, No appetite, Lost 10 lbs. In 3 wks., Nauseated, Generally Fatigued, Low fever, and Sudden distaste to cigarettes

A

Viral Hepatitis

95
Q

37 yr. old male, Staggering, Slurred speech, Cool, Clammy, Acting Bizarre

A

Hypoglycemia

96
Q

51 year old farmer has cramps & diarrhea, this indicates

A

Organophosphate Poisoning

97
Q

51 yr old female P 110, BP 112/92, RR 18, do all Except

A

Administer Norepinephrine by titrated IV infusion

98
Q

55 yr. old female mother of four has RUQ pain, nausea & vomiting. She possibly has

A

Cholecystitis

99
Q

61 yr. Old woman is unconscious with a pulse & stable, treatment

A

O2 monitor

100
Q

7.45

A

Acidosis

101
Q

A 22 yr old woman complains of severe pain in RLQ. She has not eaten in 12 days and is constipated. She most likely has

A

Appendicitis

102
Q

A 28 yr old that has been depressed is unconscious, sweating, pinpoint pupils, skin & fine muscle fasciculation, and is tearing excessively

A

These are signs of a Lithium OD

103
Q

A 28 yr. old that has been depressed in unconscious, sweating, pinpoint pupils, skin and fine muscle fasciculation, and is tearing excessively. The toxic amount taken is

A

Parathione

104
Q

A 55 yr old female mother of four has RUQ pain, nausea & vomiting. She may have

A

Cholecystitis

105
Q

A 55 yr old patient with P 50, P Wave for every QRS, P - R Interval of 0.16, Cold and Clammy with BP 70/50 with Sinus Bradycardia. The patient should be given

A

0.5 mg Atropine

106
Q

A 62 yr old female is taking Digitalis. Her chief complaint is that she is weak and dizzy. She is awake, alert, and vitals are WNL. The treatment should be

A

Monitor, IV, Transport

107
Q

A chemical mediator for the parasympathetic nervous system is

A

Acetylcholine

108
Q

A condition is frequently ( chief complaint ), Rapid Speech

A

Amphetamine Reaction

109
Q

A Diabetic patient who is complaining of a headache. The most important information about this complaint is

A

When was Insulin taken last

110
Q

A distraught elderly person urinates while upon the stretcher and does Not inform you until she is finished. The behavior is called

A

Regression

111
Q

A light image is changed into an electrical message that goes to the brain via the

A

Optic Nerve

112
Q

A local alcoholic on a cold night is found to be unarousable, in V Fib, and is Apnec. Treatment should include (in order)

A

Airway, Defibrillate 3 times, CPR, Transport

113
Q

A man repeatedly dived today and made a fast ascent from the last dive. He is complaining of Joint pains, Tingling legs, & abdominal pain. The patient has

A

Decompression sickness

114
Q

A migrant worker has been picking tomatoes. He suddenly C/O a Headache and Dizziness. Upon Physical Exam, he has Strong, bounding Pulse and Hot, flushed Skin. He also begins to have Seizures. ( Heat Stroke) Treatment of the patient would Not include using

A

Diazepam 15 mg IV

115
Q

A patient complains of Dyspnea. He is Cyanotic, has Rales, Reg. P 140, BP 150/120, with a Pink, Frothy Sputum. He has

A

Pulmonary Edema

116
Q

A patient complains of shortness of breath. On assessment he has pursed lips and barrel chest, which indicates

A

Emphysema (“Pink puffers”), Chronic Bronchitis is called (“Blue bloaters”)

117
Q

A patient has a history of SOB, Orthopnea, and coughing up pink tinged mucus. The patient most likely has

A

Left Heart Failure

118
Q

A patient has neurological problems such as a CVA or a seizure. You would, therefore, not want to administer

A

IV 5% Dextrose wide open

119
Q

A patient has crying spells and refuses to eat. She is unkempt and lethargic. Physical exam reveals No abnormalities. She is most likely suffering from

A

Depression

120
Q

A patient has one pupil that is dilated and non-reactive, while the other is slow to respond. This is a form of a

A

Neurological crisis

121
Q

A patient in obvious Diabetic Acidosis will show

A

Warm & Dry Skin

122
Q

A patient is found on the floor in a pool of vomit, shaking, confused and frightened of spiders on the wall (there are no spiders). Patient has quite drinking for 2 days and is experiencing

A

Withdraws (DT’s)

123
Q

A patient is Presenting with Left Side Chest Pain Associated with SOB is found to be Cyanotic. Breath Sounds are Distant over the Left Lung. These findings probably Indicate a

A

Spontaneous Pneumothorax

124
Q

A patient is Unconscious, Incontinent, and having Generalized Muscle Relaxation and Contraindications, what type of seizure

A

Grand Mal Seizure

125
Q

A patient presents with Rapid Onset Dyspnea, Urticaria (hives), Tachypnea, and blood pressure of 80/60. This patient is suffering from

A

Anaphylactic Shock

126
Q

A patient that has been taking Haldol and is Exhibiting Extra pyramidal Reactions should be treated by giving

A

Benadryl

127
Q

A patient was acting funny, cold and sweaty. He is now unconscious. The patient was most likely suffering from

A

Hypoglycemia / Drug Overdose

128
Q

A patient with a Stroke should be transported

A

Affected Side Down

129
Q

A patient with ICP, you would expect what Sx / Sx

A

Increased Blood Pressure, Decreased Pulse, Irregular Respirations

130
Q

A patient with ICP, you would expect what symptoms

A

Increased BP, Decreased Pulse

131
Q

A patient with slow heart rate, skipping a beat, with chest pain and stable vitals (shown strip) treatment is

A

O2, IV, Pain management

132
Q

A person that you would have to restrain is an

A

Enraged person

133
Q

A person witnesses a murder and mutilation of several bodies. He appears to be paralyzed while his physical assessment reveals no injury or abnormality. You should

A

Conversion Hysteria

134
Q

A Problem with Semi - Circular Canals in the Ear Causes

A

Vertigo

135
Q

A prolonged P - R Interval id Indicative of a

A

First degree Heart Block

136
Q

A pulsating mass in the abdomen with back pain is most likely an

A

Aortic Aneurysm

137
Q

A Scuba Diver has Tingling in the Hand and Feet with Frothy Red Sputum. The patient Should be Transported in

A

Trendelenberg on his Left Side

138
Q

A sign Not associated with Anaphylaxis is

A

Hypertension

139
Q

A sign of Intracranial Pressure is

A

Elevated BP

140
Q

A sign of Irreversible Shock

A

Bradycardia

141
Q

A sign of Organophosphate Poisoning is

A

GI Disorders

142
Q

A victim is found with bright red, frothy blood bubbling from the mouth which each exhalation, This is an indication of

A

Lung Damage

143
Q

A woman is complaining of headaches and is seeing “halos around lights”. The physical exam finds that her corneas are hazed. The medic suspects

A

Acute Glaucoma

144
Q

A woman is so frightened of heights that she cannot ride in an elevator. This is a

A

Phobia

145
Q

A woman threatened to kill herself with barbiturates. She is willing to talk, but not open the door. You should

A

Conduct an interview from outside the door and communicate with the police

146
Q

Abdomen Covering

A

Peritoneum

147
Q

Abdominal muscle flexion on palpation

A

Guarding

148
Q

Abdominal pain position of comfort

A

On their sides, lateral recumbent

149
Q

Absorption of ingested toxins occurs within

A

The Small Intestines

150
Q

Acetylcholine / Oxytocin are secreted by

A

The Pituitary Gland (pea shaped)

151
Q

Acid and Base Balance

A

10 unit

152
Q

Administration of IV hypertonic solution on a hydrated patient will

A

Draw water from cells to vascular space

153
Q

Adrenal Gland Secrets / Releases

A

Epinephrine & Norepinephrine

154
Q

Adult female, Tachycardia, don’t remember vitals

A

Try to calm her

155
Q

Adult GCS scenario

A

13

156
Q

Adult in Asthma Attack

A

Treatment is to Stop Bronchial Spasms

157
Q

After IV O2 monitor in PE, what’s next

A

NTG 0.4 mg

158
Q

Air Embolism

A

Diver with joint pain, Tingling in legs, Abdominal pain

159
Q

Alkaline

A

Does most damage to the eye

160
Q

All are clinical signs of shock, Except

A

Constricted Pupils

161
Q

All are contagious, Except

A

Shingles

162
Q

All are Dehydrated Sx / Sx Except

A

Decrease in Heart Rate

163
Q

All are elements of Crushing Effect, Except

A

Decreased Peripheral Vascular Resistance

164
Q

All are microorganisms, Except

A

Erythrocytes

165
Q

All are organic causes of decreased LOC, Except

A

Death of a family member

166
Q

All are signs & symptoms of dehydration except

A

JVD

167
Q

All are signs of dehydration except

A

JVD and /or Polyuria depending on which test you get

168
Q

All are signs of kidney stones Except

A

Frequent urination (UTI symptom)

169
Q

All are signs of Pulmonary Embolus Except

A

JVD (other choices) Dyspnea, Pleural Pain, Tachy

170
Q

All are signs of shock except

A

Deep regular respirations

171
Q

All are Sx / Sx of Dehydration except

A

JVD

172
Q

All are Sx /Sx of Tuberculosis, Except

A

Substernal chest pain that radiates to the arms

173
Q

All are Types of Muscle, Except

A

Involuntary

174
Q

All contagious Except

A

Shingles

175
Q

All except

A

Pupil reaction in GCS

176
Q

All of the following are common Sx / Sx of severe Hypertension, Except

A

Constricted Pupils

177
Q

All of the following are events that leads to suspicion of child abuse except

A

Commutative

178
Q

All of the following are Opportunistic Infections Associated with AIDS, Except

A

Appendicitis

179
Q

All of the following are Sx /Sx of Insulin Shock, Except

A

Hypertension

180
Q

All, Except

A

Pupil reaction in Glascow Coma Scale

181
Q

Alpha

A

Constriction

182
Q

Alpha I

A

Vasoconstriction

183
Q

Alpha vs. Beta

A

Alpha Constrict, Beat Dilates

184
Q

AMI

A

Cause death in 2 - 3 hours

185
Q

AMS - Old lady keeps babbling

A

Encourage her to talk

186
Q

An 85 yr old man has a severe headache, dizzy, nausea, and vomiting. His P 120, BP 210/120. He is experiencing a

A

Hypertensive Crisis

187
Q

An ambulance driver with rapid HR & sweaty palms

A

Dump of Catecholamine

188
Q

An ambulance is called to a house fire. Upon entering the burning house, a paramedic finds an unconscious woman. He decides to move her from the house using the fireman’s drag. The first step would be to

A

Tie the patients hands together

189
Q

An athlete is sweaty, 101 degree F fever, Low BP, you suspect

A

Heat Exhaustion

190
Q

Anaerobic

A

Lactic Acid

191
Q

Anaphylactic & Septic Shock, Low BP due to

A

Vasodilation

192
Q

Angina caused by physical or emotional stress is called

A

Stable Angina

193
Q

Anterior Cord Syndrome

A

Decreased sensation of pain & temp below the level of lesion

194
Q

Antidepressant

A

Elavil & Tofranil (ET)

195
Q

Antipsychotic

A

Mellaril & Thorazine

196
Q

Any patient who is angry, hostile or paranoid should be met with

A

Non aggressive behavior

197
Q

Aphasia

A

Inability to produce or understand speech

198
Q

Ask about allergy history

A

To prevent allergic reaction

199
Q

Aspirin OD will leave patient in

A

Metabolic Acidosis

200
Q

Atelectasis

A

PaO2 will fall

201
Q

Athlete is Sweaty, 101 Fever, Low BP, you suspect

A

Heat Exhaustion

202
Q

Athletic lifting weights sudden headache

A

Suspect Rupture Aneurysm

203
Q

Atrial rate: A 42 y/o women has taken 20 tablets of her antidepressants. All vitals are stable (30 min. ago), What do you do

A

Call poison control, Monitor EKG, IV access, Syrup of Ipecac

204
Q

Bad Cholesterol

A

LDL

205
Q

Barking cough

A

Croup

206
Q

Barrel chest and Pursed lips, Forceful exhalation: Diagnosis

A

Emphysema

207
Q

Before what should you listen to Bruits

A

Carotid Sinus Massage Vagal Maneuver

208
Q

Behavioral Emergency

A

Can Not be tolerated by patient or members of society

209
Q

Best indication of Nero function

A

Level of Consciousness

210
Q

Best method on Psycho Patient

A

Talk Down

211
Q

Best method to use on an LSD patient

A

“Talk Down”

212
Q

Best place for chest decompressions

A

2nd or 3rd intercoastal, midclavicular

213
Q

Best Pre - Hospital Fluid Replacement

A

Colloid (9% Saline)

214
Q

Best way to prevent Anaphylaxis

A

Ask about allergies to medication

215
Q

Beta 1

A

Heart (increase HR and increase force of contraction)

216
Q

Beta 1

A

Increased heart rate - actually question referenced only Beta, not 1 or 2, and increased heart rate was the only one there of the two answers

217
Q

Beta 1

A

Increased HR

218
Q

Beta 2

A

Increased respiration

219
Q

Beta 2

A

Lung (Bronchodilation)

220
Q

Beta stimulation will cause

A

Vasoconstriction

221
Q

Beta Stimulation will cause all, Except

A

Vasoconstriction

222
Q

Bilateral, Dilated Pupils Indicated

A

Cerebral Hypoxia

223
Q

Bile

A

Made in the Liver but Stored in the Gallbladder

224
Q

Blood Clot from Legs will Lodge into

A

Lungs

225
Q

Blood that is lacking in O2

A

Hypoxemia

226
Q

Blood under the Dura is

A

Subdural

227
Q

Blue or purple lesions on AIDS patients face, neck, mouth

A

Kaposi’s Sarcoma

228
Q

Buffer of the Body

A

Bicarbonates

229
Q

Body principal buffer

A

HCo3 (Bicarb)

230
Q

Body Principle Buffer

A

Bicarbonate

231
Q

Body’s tendency to stay constant

A

Homeostasis

232
Q

Bronchiolitis is an

A

Inflammation of the bronchioles

233
Q

Build up of Lactic Acids

A

Metabolic Acidosis

234
Q

Caissons Disease or Bends

A

Diving illness

235
Q

Cardiac Tamponade is indicated by

A

Distant Heart Sounds

236
Q

Care must be taken when restraining a

A

Psychiatric Patient ( due to false imprisonment)

237
Q

Carotid Brutus indicates

A

Atherosclerosis

238
Q

Carpal Pedal Spasm are caused from

A

Respiratory Alkalosis and Hyperventilation

239
Q

Catching a disease from contaminated linen is an example if

A

Indirect Contamination

240
Q

Cations in the Body

A

Calcium (Ca), Magnesium (Mg), Potassium (K), Sodium (Na)

241
Q

Cations in the body

A

Remember the dead cat eyes (+ + ) Ca, Mg, K, Na

242
Q

Causes a breakdown of stored Glycogen to Glucose

A

Glucagon

243
Q

Cells of the heart that conduct electrical activity causing depolarization and contraction

A

Automaticity

244
Q

Central Venous Pressure is the Same as

A

Right Atrial Pressure

245
Q

Cerebellum

A

Motor control, Balance, Coordination, Makes body move smoothly

246
Q

Cerebrum

A

Thought, Personality, Speech, Learning, Memory & Analysis

247
Q

Characterized by periods of extreme highs and lows

A

Maniac Disorders

248
Q

Chemical Blood Attracts Water

A

Sodium

249
Q

Chemical Mediator for Parasympathetic Nervous System

A

Acetylcholine

250
Q

Chemoreceptors

A

Pons, Medulla, Aortic Arch

251
Q

Chicken Pox, Measles, Mumps

A

Spread by Airborne Droplets

252
Q

Chief Extracellular Cation

A

Sodium

253
Q

Chief Intracellular Cations

A

Potassium

254
Q

Child gets hand stuck on dry ice for more than 5 minutes

A

Immerse in warm water 100 degree

255
Q

Cholecystitis

A

Upper quadrant pain after eating fatty foods

256
Q

Chronic Alcohol intake & Vitamin Deficiency

A

Wernicke’s Syndrome

257
Q

Chronic Bronchitis

A

Blue Bloater

258
Q

Chronotropic

A

Rate

259
Q

Chron’s Disease

A

Chronic inflammatory bowel disease affecting the ileum, colon or both

260
Q

Chron’s Disease

A

Gastrointestinal System

261
Q

Common Antidepressants (Cyclic or Tricyclic)

A

Elavil and Tofranil

262
Q

Common causes of Pulmonary Edema, all Except

A

Psychogenic Shock

263
Q

Common Symptom for complete Heart Block

A

Syncope

264
Q

Common treatment for drug Tricyclic antidepressant overdose

A

Sodium Bicarbonate

265
Q

Complication of Thrombolytic Surgery

A

Excessive bleeding

266
Q

Concern with 15% BSA

A

Septic

267
Q

Concussion

A

Brief period of unconsciousness, Followed by complete return of function

268
Q

Countercoup

A

Injury occurring at a site opposite the side of impact

269
Q

COPD

A

Transport Patient

270
Q

Coral Snake Colors are

A

Yellow, Red, and Black

271
Q

Coral Snake has

A

Neurotoxin

272
Q

Croup S / S include all, except

A

Bacterial, (it is a viral infection)

273
Q

Crushing Triad

A

Increase in Systolic pressure, Decrease in pulse & respiratory rate that result from an increase ICP

274
Q

Curvature of the spine

A

Kyphosis

275
Q

Cushing Triad is Associated with

A

Increasing ICP

276
Q

Cushing’s Reflex Sx / Sx

A

Decreased LOC, Increased BP, Decreased HR, Change in Respirations

277
Q

CVA - LOC

A

Hemiparalisis

278
Q

CVA only lasting couple of hours

A

TIA

279
Q

CVP

A

Measure Right Atria pressure

280
Q

Damage to C 1 to C 2 results in

A

Cessation of respirations

281
Q

Death of tissue is called

A

Necrosis

282
Q

Decorticate posturing occurs by

A

A lesion in the brain stem

283
Q

Decerebrate posturing

A

Damage in brainstem (Decorticate can be above brainstem)

284
Q

Define Osmosis

A

Low to High

285
Q

Definition

A

Grand Mal Seizure

286
Q

Definition for Shock

A

Hypoperfusion

287
Q

Definition of Countercoup

A

Occurring on the opposite side of impact on the brain

288
Q

Definition of Dysconjugate Gaze

A

Failure of the eyes to rotate simultaneously in the same direction, or the eyes gazing in different directions

289
Q

Definition of Shock

A

Lack of Tissue Perfusion

290
Q

Dehydrated Sx / Sx, Except

A

Decrease in Heart Rate

291
Q

Dehydration has the following signs, Except

A

Jugular Vein Distention

292
Q

Delirium Tremors can occur

A

48 -72 hours, After Cessation of alcohol (ETOH)

293
Q

Delusional Geriatric

A

Remove Pt. from situation

294
Q

Delusional patient seeing things

A

Go along with problem

295
Q

Developed diabetes during pregnancy

A

Gestational diabetes

296
Q

Diabetes

A

Type I insulin (acetone odor low LOC, Kussmaul resp.

297
Q

Diabetic Keto Acidosis

A

Kussmaul

298
Q

Diabetic ketoacidosis can be caused by

A

The patient not taking his / her insulin

299
Q

Diabetic with BS 40, action you would Not do

A

IV Insulin

300
Q

Diabetic patient with headache, Most important question

A

How long has he had the headache

301
Q

Dialysis

A

Removal of toxins in the blood through semi - permeable membrane

302
Q

Diffusion

A

Movement of gasses from high concentration to a lower concentration

303
Q

Digitalis Toxicity

A

Atrial fibrillation, do not shock

304
Q

Dilated pupils most diagnostic of

A

Cerebral Hypoxia

305
Q

Discolor of Skin

A

Ecchymosis

306
Q

Disconjugated Gaze

A

Pt.’s eyes do not move together

307
Q

Diseases spread by droplets

A

Measles, Mumps, Chicken Pox, Rubella

308
Q

Diuretic therapy

A

Side effect is Hypokalemia (potassium)

309
Q

Diuretic therapy with Lasix

A

Hypokalemia

310
Q

Dive questions

A

Let Lateral Recumbent

311
Q

DKA

A

High Blood Sugar, Dry Skin

312
Q

DNR Color

A

Yellow

313
Q

Do Not give a SQ injection to a patient that is in

A

Shock

314
Q

DO NOT physically restrain

A

out of control parents

315
Q

Drop BP

A

Late sign of Decompensated Shock

316
Q

Drowning victim want to treat

A

Hypoxia / Acidosis

317
Q

Due to bronchiole spasm, a patient with asthmatic bronchitis exhibits

A

Expiratory wheezes

318
Q

During Cardiac Arrest there is a buildup of Lactic Acid

A

Metabolic Acidosis

319
Q

During the Heimlich Maneuver, the Rescuer places his hand on the

A

Epigastrium

320
Q

Dysarthria

A

Difficulty speaking, Speech may be slurred

321
Q

Dyspnea is

A

Difficult or Painful breathing

322
Q

Earliest Detectable Sign of Shock

A

Tachycardia

323
Q

Ecchymosis over Flanks

A

Gray - Turner

324
Q

Eclampsia

A

Seizures

325
Q

Effusion

A

The escape of fluid into a cavity

326
Q

Elavil / Tofranil

A

Two common Tricyclic Antidepressants

327
Q

Elderly Abuse

A

Unreasonable Confinement

328
Q

Elderly abuse is all except

A

Reasonable confinement

329
Q

Emesis should be induced for the ingestion of

A

Salicylate (aspirin)

330
Q

Emphysema

A

(Pink Puffer) Barrel chest, Pink skin, Recent weight loss, Makes exhalation active

331
Q

Endocrine System Acts By

A

Releasing hormones into the bloodstream ( i.e.: Insulin)

332
Q

Enlarged Liver, Distended Neck Veins, & Edema

A

Heart Failure

333
Q

Epidural Hematoma

A

Loss of consciousness, regains consciousness the fades away & quickly moves toward unconsciousness with decreased level of consciousness

334
Q

Epinephrine & Norepinephrine

A

Secrete from Adrenal Glands

335
Q

Epistaxis

A

Blood from nose

336
Q

Erythrocyte

A

Carried 0 2 on Hemoglobin

337
Q

Erythrocytes

A

95 % of formed element in the blood

338
Q

Escape of fluids from vascular space into cavity

A

Effusion

339
Q

Escape of fluids from vascular space into pleural space

A

Pleural Effusion

340
Q

Exchanging various biochemical substances across semi permeable membranes to remove substances

A

Dialysis

341
Q

Exclusion Criteria for Thrombolytics all, Except

A

Hip Surgery 2 yrs. Ago

342
Q

Exclusion Criteria from Thrombolytic Therapy, all Except

A

Hip Surgery 2 Years Ago.

343
Q

Excretory Function of Blood

A

Removing Waste Products Such as Urea, Lactic Acid & Creatine from Cells

344
Q

Excretory function of the blood

A

To remove lactic acid from cells

345
Q

Experiencing a sense of death or fear. Distress over a real or imagined threat to one’s own mental or physical well being. This is the definition of

A

Anxiety

346
Q

Experiencing a sense of dread or fear, Distress over real or imagined threat to one’s own mental or physical well being is the definition of

A

Anxiety

347
Q

External Jugular vein is Not a

A

Central line

348
Q

Extra Cellular Cation

A

Sodium

349
Q

Extracellular Cation

A

Sodium

350
Q

Extrapyramidal

A

Caused by Antipsychotic drugs

351
Q

Extrapyramidal Reaction

A

Response to treatment or to a drug characterized by involuntary movement & changes in muscle tone

352
Q

Eyes don’t move in unison

A

Dysconjugate Gaze

353
Q

Facial Droop

A

CVA

354
Q

False beliefs

A

Delusions

355
Q

Farmer with Headache & Nausea

A

Organophosphate

356
Q

Fast Occurring Problem that can cause Brain Damage if Untreated

A

Hypoglycemia

357
Q

Fecal or Orally Transmitted Disease

A

Hepatitis A

358
Q

Female, 50ish, Mild Intermittent Chest Pain. Vitals stable

A

O2, Monitor, IV, Transport

359
Q

Fever, Productive Cough, Night Sweats, Weight Loss

A

Tuberculosis TB (If NO cough, go with AIDS)

360
Q

Field treatment for fever

A

Remove clothing

361
Q

Fluid in Abdomen

A

Ascites

362
Q

Found in red blood cells and transports O2 to the body

A

Hemoglobin

363
Q

Gallup heart sound ( S-3 ) is a symptom of

A

CHF

364
Q

GCS

A

Eye Opening - 4, Verbal Response - 5, Motor Response - 6

365
Q

Generalized cooling of the body (hypothermia) is caused by

A

Prolonged Exposure to Cold Temperatures

366
Q

Glasgow Coma Scale

A

No Pupil Response

367
Q

Glucagon

A

Protein released by Alpha Cell. When Glucose level is low.

368
Q

Glucagon releases

A

Glycogen from the liver

369
Q

Grand Mal Seizures

A

Sudden LOC with Loss of Organized Muscle Tones

370
Q

Head Injury

A

Sub Dural Hematoma

371
Q

Headache, stiff neck

A

Meningitis

372
Q

Heat Stroke - Nipple line T - 4 - Heat exhaustion, Fever 101 degree, BP 84/P, Sitting & Standing changes what medical condition do you think is caused

A

Peripheral / Vascular Constriction

373
Q

Heat Stroke is caused by

A

The failure of heat regulating mechanism in the body

374
Q

Hematochezia

A

Blood from rectum

375
Q

Hemiplegia, Facial droop, Dysphasia, Characteristic of

A

Cerebrovascular accident

376
Q

Hemoglobin

A

Responsible for Transport and delivery of o2 to body cells

377
Q

Hemoglobin

A

Transport o2 iron containing compound

378
Q

Hemoptysis

A

Coughing blood

379
Q

Hemotoxin

A

Toxin in the blood

380
Q

Hepatitis A

A

No blood borne - Fecal

381
Q

High Respiration

A

Acidosis

382
Q

High risk for AIDS

A

Increase exposure to blood or body fluids secretions (unprotected sex)

383
Q

Homeostasis is the

A

Stability of the Internal Environment, Maintains Equilibrium

384
Q

How are Measles, Rubella, and Varicella transmitted

A

Airway droplets

385
Q

How do you transport scuba diving patient foaming from mouth

A

Trendelenberg (left side)

386
Q

How to restrain a behavioral emergency

A

One arm above his head, One arm by his side, Patient lying prone with feet tied at the end of the stretcher

387
Q

Hydrogen Ions

A

Eliminated by the kidneys

388
Q

Hypercalomia

A

Calcium

389
Q

Hypercarbia

A

Lot of Co2

390
Q

Hyperkalemia

A

Is high level of Potassium

391
Q

Hyperplasia

A

Increase in # of cell resulting and increase tissue size of an organ

392
Q

Hyperpnea and Orthopnea (deep and rapid) are signs of

A

Kussmaul respirations

393
Q

Hypertension & JVD are common in

A

Chronic Bronchitis

394
Q

Hypertensive Crisis

A

Severe headache 210/130

395
Q

Hyphema

A

Blood in the eye

396
Q

Hypoglycemia is dangerous because of

A

Possible Brain Cell Damage

397
Q

Hypokalemia

A

Is a low level of Potassium

398
Q

Hypotonic solution given to a dehydrated person will

A

Push fluid into the intestinal space

399
Q

Hypoxemia

A

Low O2 in the Blood

400
Q

ICP

A

Mannitol

401
Q

If a EOA is inserted and No Breath Sounds are Heard, The EOA id probably

A

In the Esophagus

402
Q

If a patient is exposed to Dry Lime on the body, you should

A

Brush off the chemical and flush with water

403
Q

If a psychiatric patient is crying, you should

A

Listen and let him / her cry

404
Q

If the patient is laying face down on the floor, he is

A

Prone

405
Q

IgE

A

Antibody responsible for the release of Histamine

406
Q

IgE

A

Primary antibody affecting anaphylactic reaction

407
Q

In a patient with a Myocardial Infarction, the information the doctor can obtain over the radio is

A

Present complaints and history

408
Q

In a patient with Status Epilipticus, we should Not

A

Try to Intubate

409
Q

In dealing with a hostile patient, You and your partner should

A

Stand apart from each other at equal distances from the patient

410
Q

In order to help with CHF one must

A

Reduce Pre - load

411
Q

In paranoid patient

A

Do Not take relatives aside to discuss patient

412
Q

In shock patients, low BP is due to

A

Vasodilation

413
Q

Increased carbon dioxide in the blood

A

Hypercarbia

414
Q

Increased ICP

A

Decreased LOC, Increased BP, Decreased P, Widening pulse pressure

415
Q

Increased Pyruvic & Lactic Acid During Cardiac Arrest

A

Metabolic Acidosis

416
Q

Indication for transport of seizure patient

A

No regaining of consciousness between seizures

417
Q

Injury to the opposite if impact is

A

Countercoup

418
Q

Inotropic refers to

A

Contractility

419
Q

Intelligence part of the brain

A

Cerebrum

420
Q

Intracellular Cation

A

Potassium

421
Q

Inotropic

A

Contraction

422
Q

Irreversible Shock

A

Low Heart Rate, Slower than Normal

423
Q

Isolated Head Injury

A

Rare to see shock

424
Q

Isuprel

A

Beta Stimulator

425
Q

Isoproterenol

A

Increases myocardial o2 consumption

426
Q

It is Not Appropriate for a Rape Victim to

A

Cleans her Perineum with Sterile Saline

427
Q

IV for COPD at KVO rate

A

5 % Dextrose in sterile water

428
Q

IV slow rate in cardiac

A

Pulmonary Edema

429
Q

JVD is best observed at a

A

45 degree angle

430
Q

JVD Sx / Sx

A

Tension Pneumo, RT Heart Failure, Cardiac Tamponade

431
Q

JVD, Narrowing Pulse Pressure, Clear Lung Sounds

A

Cardiac Tamponade

432
Q

Kaposi’s Sarcoma

A

Multifocal cell that begins as soft brownish or purple papules on the feet and slowly spreads in the skin. ( Associated with Diabetes, Malignant Lymphoma AIDS and other Disorders

433
Q

Kaposi’s Sarcoma

A

Purplish / bluish lesions on AIDS patient

434
Q

Kidneys Rely on Perfusion During the

A

Systolic Phase of Blood and Blood Pressure

435
Q

Know the description of different seizures

A

Grand Mal Seizure

436
Q

Know the SX / SX of Increased Intercranial Pressure

A

High Blood Pressure, Low Heart Rate

437
Q

Kussmaul and Central Neurologic Respirations are characterized How

A

Deep & Rapid

438
Q

Laryngotracheobronchitis is

A

Croup…Occurs in young PEDS at night, Stridor

439
Q

Laryngotracheobronchitis, (Croup) Sx / Sx of

A

Stridor, Fever, Brassy cough

440
Q

Late sign of irreversible shock

A

Bradycardia

441
Q

Left Shoulder Pain

A

Spleen

442
Q

Lining of Abdominal Cavity

A

Peritoneal

443
Q

Lining of Stomach

A

Peritoneum

444
Q

LOC for 3 - 5 minutes and return is

A

Concussion

445
Q

Location of spleen

A

LUQ

446
Q

Loss of consciousness for 3 - 5 minutes and return

A

Concussion

447
Q

Loss of Consciousness for 3 minutes and return

A

Concussion

448
Q

Loss of consciousness then slowly decreased LOC

A

Epidural hematoma

449
Q

Loss of Intercoastal Muscle

A

Retains Co2

450
Q

Loss of Memory, Hemiplegia, Asphagia are Classic Signs of a

A

CVA

451
Q

Loss of sensation below nipple line, Where is the problem coming from

A

T – 4

452
Q

LSD

A

Talk down Technique

453
Q

Lungs are covered by

A

Visceral Pleura

454
Q

LUQ Pain

A

Spleen

455
Q

Main Priority with COPD

A

Transport

456
Q

Major Cation is

A

Potassium

457
Q

Major extracellular cation is

A

Sodium

458
Q

Male patient that takes 0.25mg Digoxin daily, Should not shock because

A

He takes Digoxin

459
Q

Male with Sweating & Nausea

A

Syncope

460
Q

Man complains of sudden onset of SOB & CP after working out

A

Spontaneous Pneumothorax

461
Q

Mania / maniac depressant

A

Condition causes tremendous mood swings, near euphoria to depression

462
Q

Mania

A

Mood characterized by great excitement / activity

463
Q

Massive Hemothorax is associated with

A

Increasing ICP

464
Q

Master Endocrine Gland

A

Pituitary gland

465
Q

Measles, Mumps, and Chicken Pox are Spread by

A

Airborne Droplets

466
Q

Mechanism of Action for Glucagon

A

Releases Glycogen from the Liver

467
Q

Medical patient, the first thing you ask or evaluate

A

Chief complaint

468
Q

Medulla Oblongata

A

Pulse rate, Respiration, BP

469
Q

Meningitis

A

Kind with headache, Fever, Stiffness

470
Q

Metabolic Acidosis

A

Excess acid is added to the body fluids / bicarbonate lost from them

471
Q

Metabolic Alkalosis

A

Loss of acid in the body or increase levels of base bicarbonate

472
Q

Mild Asthma

A

Albuterol 2.5mg

473
Q

Minimum # on GCS

A

3

474
Q

Mood Swings

A

Maniac disorder

475
Q

Most common of sexually transmitted disease

A

Gonorrhea

476
Q

Most common route of poisoning

A

Ingestion

477
Q

Must occur to Maintain Relative Homeostasis

A

Input Must Equal Output

478
Q

Mother acting / interfering in unconscious child’s treatment - How do you deal

A

Calmly tell her what you are doing to the child

479
Q

Mother interfering in unconscious Childs treatment, do all except

A

Restrain her from scene

480
Q

Motor Function

A

Cerebellum

481
Q

Movement of (Water) from area of Lower to an area of Higher Concentration

A

Osmosis

482
Q

Movement of fluid or molecules through a cell membrane against the concentration

A

Active transport

483
Q

Movement of Molecules Across Membrane, using energy

A

Active Transport

484
Q

Muscle to bone

A

Tendon

485
Q

Must occur to maintain relative homeostasis

A

Input must equal output

486
Q

Narcan patient combative, aggressive waking up, Mood swings

A

Maniac Disorder

487
Q

Narrow Pulse Pressure with JVD and Clear Breath Sounds

A

Cardiac Tamponade

488
Q

Naturally occurring Catecholamines in body

A

Epi, NorEpi, Dopamine

489
Q

Naturally occurring chemical for Vagus Nerve

A

Acetylcholine

490
Q

Near Drowning

A

Management of Hypoxia Acidosis

491
Q

Neurogenic, Anaphylaxis & Septic Shock, the Low BP is due to

A

Vasodilatation

492
Q

No Contraction of Heart Muscle in Spite of Normal Electrical Activity

A

PEA

493
Q

NorEpi causes

A

Vasoconstriction

494
Q

Normal Pulse Rate of an adult is

A

60 - 100 Beats per / minute

495
Q

Not a Beta Effect

A

Bronchoconstriction

496
Q

Not an Exclusion Criteria for Thrombolytics

A

Hip Surgery 2 years ago

497
Q

Not part of Primary Survey

A

Vital Signs

498
Q

Not to be contracted by blood & body fluids

A

Hepatitis A (water, food)

499
Q

Number one Vertebra is also known as

A

Atlas