Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
81 Cards in this Set
- Front
- Back
Adminstration of medication into the gluteal muscle must be injected into which quadrant
|
upper, outer
|
|
By which of the following routes will medication have the quickest onset of action
|
Intramuscular
|
|
injuries are the ______ leading cause of death in all age groups combined in the U.S.
|
Third
|
|
Which of the following laws is designed to allow the paramedic who has potentially been exposed to an infectious disease access to the medical records of the patient.
|
The Ryan White CARE act
|
|
Rehabilitation after injury or illness that helps prevents futher problems from occuring is called.
|
Secondary
|
|
Which of the following certification levels is currently NOT recognized by the National Regisrty of EMTs
|
Emergency Medical Responders (EMR)
|
|
Which of the following best describes the purpose of the KKK specifications
|
Improve the design of ambulances
|
|
The patient with COPD may benefit from oxygen delivery through a Venturi mask because
|
Oxygen concentration is controlled more carefully
|
|
The tip of the ET tube for the pediactric patient should be incerted ___ cm below the vocal cords
|
2-3 cm
|
|
A ____ is an example of a dual lumen airway
|
Combi tube
|
|
A properly placed ___ effectively isolates the trachea for ventilations and protection from aspiration
|
ET tube
|
|
drop in blood pressure greater than 10 torr during inspiration is called
|
Pulsus Paradoxis
|
|
Modedrate hypoxia is indicated with a pulse oximeter reading of____ %
|
86-91
|
|
Progressively deeper, faster breathing alternating gradually with shallow, slower breathing is called
|
Cheyne-Stokes respirations
|
|
Which of the following is the most common cause of airway obstruction
|
The tongue
|
|
In which of the following situations would you expect end tidal carbon dioxide levels to be vary low, despite a patent airway
|
The patient in cardiac arrest
|
|
Applying posteriorly directed pressure on the cricoid cartilage to facilitate ET intubation is called
|
Sellick's maneuver
|
|
During a respiratory assessment the absence of breath sounds may indicate a
|
pneumothorax
|
|
A peak flow meter measures
|
the maximumrate of airflow during forced expiration
|
|
The most common indication for a surgical cricothyrotmy is
|
Massive facial or neck trauma
|
|
A portable suction device should generate a flow rate of ___ liters per minute when the tube is open
|
30
|
|
what is , in liter per minute, the highest flow rate on a demand valve device
|
40
|
|
when intubating an adult patient,the onset of bradycardia is most likely due to
|
stimulation of the vagus nerve
|
|
Which of the following is an advantage of the two-person method of bag-valve-mask ventilations
|
Easier to maintain a seal between the patients face and mask
|
|
high pitched inspiratory noise caused by a partial upper airway obstruction is called
|
Stridor
|
|
The aspiration of vomitus into the lungs may result in
|
tissue damage, pulmonary edema, and pneumonia
|
|
A musical squeeking or whistling sound that may be heard on inspiration or exporation while alscultating lung fields is known as
|
Wheezing
|
|
The automatic transport vent is contraindicated for all inubated patients EXCEPT
|
17 y/o gunshot victim
|
|
Which of the following increases the risk of foreign body airway obstruction
|
Dentures, age, and alcohol consumption
|
|
Which of the following indicates an esophageal intubation
|
Not seeing the ET tube pass through the vocal cords
|
|
When using the end-tidal carbon dioxide detector, the absence of carbon dioxide in exhaled air after 6 breaths indicates the ET tube has been placed
|
In the esophagus
|
|
An attempt at endotracheal intubation must not interupt ventilations for more than
|
30 Seconds
|
|
Which of the following patients, assuming each is in critical need of an IV and that you have made multiple unsuccessful attempts to start an IV, would be a candidate for IO infusion.
|
A 35 y/o female, 9 month old male infant, and an 81 y/o male
|
|
Which of the following IV solutions would remain in the vascular system the longest
|
Plasmanate
|
|
Which of the following solutions is appropriate for the patient needing vascular volume replacement in the prehospital setting
|
0.9% sodium chloride solution
|
|
Which of the following is considered a site of central venous access
|
Femoral vien
|
|
Ventilations of _____ is the likley consequence of inserting an ET tube too far
|
The right lung
|
|
Which of the following interferes with ventilation in the presence of a flail segment
|
The ability to generate negative intrathoracic pressure
|
|
The reading obtained by the use of a pulse oximeter reflects the
|
ratio of unsaturated hemoglobin to saturated hemoglobin
|
|
In an adult the narrowest part of the airway is the
|
larynx
|
|
A _____ may be used to facilitate nasotracheal intubation
|
Endotrol tube
|
|
when intubating a stoma site, how far beyound the distal cuff (in cm) should you insert the ET tube
|
1-2
|
|
When a bag-valve ventilation device is used without supplemental oxygen, it delivers an oxygen concentration of ____%
|
21
|
|
Which of the following statements about airway maneuvers is true
|
They are often neglected by EMT's and paramedics
|
|
All of the following drugs can be administered through an ET tube EXCEPT
|
dextrose
|
|
End-tidal colormetric capnography measures
|
Carbon dioxide in exhaled air
|
|
What % of oxygen is delivered by a simple face mask
|
40 - 60
|
|
With the following conditions should you NOT attempt ET intubation of the patient unless airway failure is imminent
|
epiglottitis
|
|
The hypoxic drive is stimulated by
|
low PaO2
|
|
you should be prepared to immediatly intubate any patient with respiratory distress who is exhibiting
|
altered mentation
|
|
immediate intubation should be considered for trauma patients with a GCS of ____ or less
|
8
|
|
Which of the following about the use of a dual lumen airway is true
|
It requires no neck hyperextension
|
|
Which of the following is an advantgae of subligual drug administration
|
Rapid absorbtion due to subligual vasculature
|
|
Administration of a medication to the right eye would be documented medically as administration to which of the following
|
o.d.
|
|
which of the following is a disadvantage of pulmonary drug administraton via nebulizer or metered dose inhaler
|
It requires that the patient have adequate ventilation
|
|
Which of the following is a parenteral route of drug administration
|
Intramuscular
|
|
Which of the following types of medication would be placed in a souffle cup for adminstration to a patient
|
A tablet of ibuprofen
|
|
Which of the following would NOT be appropriate for intradermal drug administration
|
20 gauge, 3/4" needle
|
|
Which of the following is a disadvantage to intravascular volume replacement with isotonic crystalliod
|
Two-thirds of the volume enters the extravascular space within 1 hour of administration
|
|
When preparing for venipuncture, a constricting band should be applied tight enough to restrict ____ flow and not left in place for more than ___ minutes
|
venous but arterial; 2
|
|
Just as you are arriving at the emergency department bay, your patient, on whom you started an IV at the scene, complainis of sudden chills, back pain, and nauseea, The patient appears flushed and his skin is hot and moist to the touch, Which of the folowing most likely accounts for your patient's presentation
|
Pyrogenic reaction
|
|
The maximum volume of medication to be delivered into the deltoid muscle is___ml
|
5
|
|
One teaspoon of medication equals___ml
|
5
|
|
Which of the following is the appropriate method for preparing a site for venipuncture or injection
|
Use of an antiseptic
|
|
Without adequate airway maintenance and ventilation, the patient can succumb to brain injury or death in how many minutes
|
6-10
|
|
In a lawsuit in which the paramedic has been charged with negligence, the paramedic is called the
|
defendent
|
|
Which of the following occurrences is LEAST likely to require mandatory legal reporting by the paramedic
|
Public intoxication
|
|
A paramedic may treat an unconcsious diabetic patient by relying on
|
Implied consent
|
|
A paramedic performs an intervention on a patient that is contrary to current practices. The patient suffers an injury as a result of that intervention. This is an example of
|
malfeasance
|
|
When responding to calls,paramedics can help patients and family members decrease the chances of future emergency calls by
|
Recognizing and using teachable moments
|
|
A supervisor senses that an EMS crew, which has just conducted a very darmatic but unsuccessful rescue of a drowned child, may be experiencing very intense emotions about the incident. what is an appropriate supervisory action
|
Request a CISM-trained peer to conduct a defusing within 2 tp 4 hours
|
|
Which of the following best describes who in a ambulance should use seat belts
|
All crew members, front and back
|
|
One of the principles of proper lifting is to
|
position the load close to your body
|
|
The tip a curved laryngoscope blade is placed correctly
|
in the vellecula
|
|
Which of the following manual airways maneuvers should be used when caring for a patient with a suspected cervical spine injury
|
Jaw thrust
|
|
Which of the following factors is related to an increased likelihood of airway burns
|
Unresponsive in the burning enviorment, screaming or yelling in a burning enviroment, inhilation of hot steam
|
|
The maximum flow rate to be used with a nasal cannula is ___ liters per minute
|
6
|
|
The simplest airway managment technique in a patient without suspected cervical spine injury is
|
head-tilt chin lift
|
|
Which of the following basic airway adjuncts prevents the tongue from falling back to occlude the airway
|
Oropharyngeal airway
|
|
In which of the following conditions is insertion of a nasogastric tude contraindicated
|
facial fractures
|
|
In which of the following patients would the use of a combi-tube dual lumen airway be contraindicated
|
A 59 y/o male with a history fo chronic alcholism who was found in cardiac arresst at a homeless shelter
|