Final Exam Review

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What is Beck's Triad?

A. Decreased HR/BP/RR
B. Tracheal deviation/ JVD/ Wide PP
C. Narrowed PP/ Muffled Heart Tones/ JVD
D. Increased HR/BP/RR
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Terms in this set (100)
What is Beck's Triad?

A. Decreased HR/BP/RR
B. Tracheal deviation/ JVD/ Wide PP
C. Narrowed PP/ Muffled Heart Tones/ JVD
D. Increased HR/BP/RR
C. Narrowed PP/ Muffled Heart Tones/ JVD
What is Cushings Triad?

A. Tracheal Deviation/ JVD/ Wide PP
B. Widening PP/ Bradycarida/ Cheyne-stokes RR
C. Increased HR/BP/RR
D. Decreased HR/BP/RR
B. Widening PP/ Bradycarida/ Cheyne-stokes RR
What Blood type is Universal Donor?

A. O+
B. O-
C. AB
D. A
B. O-
What signal is first shown when a simple pneumothorax turns to a tension?

A. Increase BP
B. JVD
C. Diminished breath sounds
D. Narrowed PP
B. JVD
What size hole should you be worried about turning into a tension pneumothorax from a simple pneumothorax?

A. 2 Inches
B. 2/3 glottic opening (Pinky)
C. 1 inch
D. 2.5"
B. 2/3 glottic opening (Pinky)
62 year old male missed dialysis, what most likely applies to this patient?

A. Metabolic Acidosis
B. Metabolic Alkalosis
C. Respiratory Acidosis
D. Respiratory Alkalosis
A. Metabolic Acidosis
Which size catheter would be best for fluid resuscitation?

A. 14 GA 2.5"
B. 20 GA 1.25"
C. 18 GA 1.25"
D. 16 GA 1.25"
D. 16 GA 1.25"
What does the "P" Wave represent in a normal sinus rhythm?

A. Atrial Repolarization
B. Ventricular Repolarization
C. Ventricular Polarization
D. Atrial Depolarization
D. Atrial Depolarization
What does the QRS Complex represent?

A. Atrial Depolarization
B. Ventricular Repolarization
C. Atrial Repolarization
D. Ventricular Depolarization
D. Ventricular Depolarization
What does the "T" Wave represent?

A. Atrial Depolarization
B. Ventricular Polarization
C. Atrial Repolarization
D. Ventricular Repolarization
D. Ventricular Repolarization
Your patient is a 36 year old male, Vital signs RR-6 and shallow, HR 58 and weak, BP 92/50, Pinpoint pupils, Low POX, High PAC02. What is your patient in? A. Metabolic Acidosis B. Metabolic Alkalosis C. Respiratory Acidosis D. Respiratory AlkalosisC. Respiratory AcidosisYour patient is a 65 year old male sudden cardiac arrest, what is your patient initially in? A. Metabolic Acidosis B. Metabolic Alkalosis C. Respiratory Acidosis D. Respiratory AlkalosisC. Respiratory AcidosisYour patient is a 65 year old male and you have been doing CPR for 20 minutes, he is now in? A. Metabolic Acidosis B. Metabolic Alkalosis C. Respiratory Acidosis D. Respiratory AlkalosisA. Metabolic AcidosisYour Patient has been in Cardiac Arrest for 20 plus minutes. What Medication should you consider now? A. Mag Sulfate B. Epi C. Calcium Chloride D. Sodium Bi-carbonateD. Sodium Bi-carbonateIf your patient is in early sepsis, how should they present? A. Low Body Temp, Increase HR, BP Normal, BGL 60-90 B. Elevated temp, Low to Normal BP, Increase HR, Increased BGL C. Normal presentation D. None of the above apply.B. Elevated temp, Low to Normal BP, Increase HR, Increased BGLIf your patient is in LATE sepsis, how should they present? A. Elevated temp, Low BP, Increase HR, Increased BGL B. Low Body Temp, Increase HR, BP Normal, BGL 60-90 C. Normal presentation D. None of the above apply.B. Low Body Temp, Increase HR, BP Normal, BGL 60-90What is your prehospital treatment for sepsis? A. 200-500 Fluid Bolus of Isotonic Crystalloids if pressure is elevated B. Slow Transport to ER C. IV antibiotics D. 200-500 Fluid Challenge of Isotonic Crystalloids if pressure is elevatedD. 200-500 Fluid Challenge of Isotonic Crystalloids if pressure is elevatedWhat are the main two differences between early and late sepsis? Answers: A. LOC, Blood pressure B. Temperature, Blood Pressure C. Temperature, Sugar D. Pneumonia, InfectionC. Temperature, SugarWhat is your first drug to give during any CPR? A. Amiodarone B. Epi C. Sodium Bicarb D. Mag SulfateB. EpiYour patient is a 15 year old male that got hit by a baseball going 70 mph in the chest and went unconscious, has no pulse, and is not breathing... You put the patient on the monitor to see the following rhythm, what anti arrhythmic medication should you administer to fix this? Hint: ( Commotio Cordis - R on T Phenomenon ) A. Mag Sulfate B. Sodium Bicarb C. Epi D. AtropineA. Mag SulfateYour patient is the following ECG strip, what medication should you administer to correct this rhythm? A. Calcium Chloride B. Thiamine C. Mag Sulfate D. AmiodaroneC. Mag SulfateWhat is the rhythm below? A. Ventricular Fibrillation B. Idioventricular C. Torsades De Pointes D. Atrial Fibrillation with a varianceA. Ventricular FibrillationYou respond to a CPR in progress call of a 65 year old male in renal failure, your patient has no pulse and is not breathing. His rhythm on the monitor is PEA. What medication would you administer for the potential renal failure? A. Calcium Chloride B. Epi C. Mag Sulfate D. Sodium BicarbA. Calcium ChlorideWhich of the following MI would you withhold giving fluids from? A. Inferior B. Septal C. Anterior D. LateralD. LateralWhat does ST Elevation represent? A. Injury B. Old Infarction C. Inferior D. IschemiaA. InjuryWhat does ST Depression represent? A. Infarction B. Injury C. Ischemia D. InferiorC. IschemiaWhat is the number 1 risk factor for having an MI? A. Family History B. Stress C. Obesity D. Bad Eating habitsA. Family HistoryDuring a right sided MI, What medication should you not give? A. Aspirin B. O2 C. Nitro D. MorphineC. NitroWhat class of medication is Lisinopril? A. Diuretic B. Beta-Blocker C. Ace Inhibitor D. Pain killerC. Ace InhibitorWhat class of medication is Labetalol? A. Diuretic B. Beta-Blocker C. Ace Inhibitor D. Pain killerB. Beta-BlockerIf a patient has pericardial tamponade, what can you expect to see? A. Narrowing Pulse Pressure B. Beck's Triad C. JVD D. Muffled Heart TonesB. Beck's TriadYou respond to a CPR in progress call of a 65 year old male in renal failure, your patient has no pulse and is not breathing. His rhythm on the monitor is PEA. What medication would you administer first? A. Epi B. Sodium Bicarb C. Calcium Chloride D. Mag SulfateA. EpiYour patient is a 22 year old male, he is 6'4" and thin with shortness of breath. The patient's girlfriend stated he has no prior medical history and they were just watching TV when he sneezed very hard and started having trouble breathing. What most likely is going on? A. Spontaneous Pneumothorax B. Mallory Wise Tear C. Bronchiole Rupture D. Marfins SyndromeA. Spontaneous PneumothoraxYour patient is a 23 year old female that you have just tubed with a size 7.0 ET, You mark 26cm at the teeth and you have absent breath sounds on the left side, what should you suspect? A. Diaphragmatic Rupture B. Tubed esophagus C. Right Main stem D. Tension pneumothoraxC. Right Main stemYour patient is a 23 year old female with blunt chest trauma, that you have just tubed with a size 7.0 ET, You mark 21cm at the teeth and you have difficulty ventilating, but you hear lung sounds and epigastric sounds. What should you suspect? A. Tension pneumothorax B. Tubed esophagus C. Diaphragmatic Rupture D. Right Main stemC. Diaphragmatic RuptureYour patient is a 17 year old female that hit her head at 12:00pm 3 days ago playing soccer (It is now 11:30pm 3 days later) and your patient is complaining of a severe headache while lying down. What kind of head bleed do you suspect? A. Epidural B. Subdural C. Subarachnoid D. ContusionB. SubduralYou arrive on scene to find a 45 year old female smoking a cigarette (as usual) complaining of SOB and slight chest pain upon inhalation. Your patient states the only medication she is on is birth control and has taken it today. What is most likely going on with her? A. Pulmonary Embolism B. CHF C. Asthma Attack D. Chronic Pulmonary DiseaseA. Pulmonary EmbolismYou arrive on scene to find a 45 year old female smoking a cigarette (as usual) complaining of SOB and slight chest pain upon inhalation. Your patient states the only medication she is on is birth control and has taken it today. How would you treat the patient prehospital? A. 45 Degree elevation turn on left. B. Fluids C. Trendelenburg D. CPAPA. 45 Degree elevation turn on left.You arrive on scene to find a 32 year old male complaining of a constant pain radiating to his right shoulder. What kind of pain is he having? A. Severe B. Mild C. Somatic D. VisceralC. SomaticYou arrive on scene to find a 32 year old male complaining of a constant pain radiating to his right shoulder. what kind of organ is most likely damaged in your patient? A. Hollow B. Gallbladder C. Stomach D. SolidD. SolidBabinski's law is: A. Plantar Reflex B. Severe stiffness of the hamstrings C. Appendicitis D. Renal CalculiA. Plantar ReflexYou arrive on scene to find an 84 year old male complaining of difficulty breathing. You arrive on scene to find an 84 year old male complaining of difficulty breathing with a recent diagnosis of pneumonia, what treatments should you Not give? A. Fluids B. Albuterol C. Lasix D. SteroidsC. LasixYou arrive on scene to find a large 45 year old male not feeling well complaining of hallucinations, and is a known diabetic that does not take his insulin on a regular basis. BGL level on your glucometer reads high. Your patient's respiratory is normal, and you do not smell any ketones. What is most likely going on with your patient? A. DKA B. HHNKS C. Metabolic Alkalosis D. Renal CalculiB. HHNKSWhat is the first thing that kills burn patients? A. Shock B. Infection C. Swelling of the airway D. Fluid ShiftC. Swelling of the airwayYou arrive on scene to find a 8 year old male post drowning-resuscitation being attempted by bystanders. What is the first thing you do after confirmation of no pulse or respiration? A. CPR B. Ventilation C. Suction D. C-SpineA. CPRWhat are the highest survival conditions for a drowning? A. Cold Fresh water B. Cold Salt Water C. Warm Salt Water D. Warm WaterA. Cold Fresh waterWhat would be the most appropriate airway to attempt on a dry drowning case? A. Needle Cricothyrotomy B. Endotracheal Intubation C. NPA/OPA - BVM D. Dual lumen endotracheal intubationB. Endotracheal Intubation27 year old female, frontal collision MVC, Vitals : HR 118, BP 128/98, RR 22. How much blood has this patient lost? A. Less than 300cc B. 1250-1750cc C. 750-1250cc D. 500ccC. 750-1250cc27 year old female, frontal collision MVC, Vitals : HR 118, BP 128/98, RR 22, How much total fluid to replace the patient's blood loss? A. 3L B. 2L C. 20mL/Kg D. 1LA. 3L27 year old female, frontal collision MVC, Vitals : HR 118, BP 128/98, RR 22. How much fluid SHOULD you give to this patient right now? A. 20mL/Kg B. 200-500 Bolus C. 25cc/hr D. 3LC. 25cc/hrIf a patient was stung by a bee for the first time and they presented with s/s of a severe allergic reaction with airway swelling, what are they having? A. Type II Reaction B. Anaphylaxis reaction C. Anaphylactoid reaction D. Munchausen SyndromeC. Anaphylactoid reactionWhat causes a histamine reaction in anaphylaxis? A. IgE B. IgB C. IgT D. IgDA. IgEYou arrive on scene a MVC and find a patient not breathing with a pulse, what is the first action you take? A. Open airway with head tilt B. Open airway with Jaw Thrust C. Full C- Spine Precautions D. Positive Pressure VentilationB. Open airway with Jaw ThrustYour patient is cool, pale, and clammy. What is not wrong with them? A. Hypoglycemia B. Neurogenic Shock C. Hypovolemic Shock D. HypoxiaB. Neurogenic ShockWhat does Chronotropic mean/pertain to? A. Rate B. Contractility C. Velocity D. Kinetic EnergyA. RateWhat does Dromotropic mean/pertain to? A. Velocity B. Rate C. Contractility D. Kinetic EnergyA. VelocityWhat does Inotropic mean/pertain to? A. Rate B. Kinetic Energy C. Velocity D. ContractilityD. ContractilityYour patient called 911 because she took her whole bottle of labetalol in attempt to kill herself, but called immediately. What medication should you give for this overdose? A. Narcan B. Glucagon C. Fluids D. Activated CharcoalB. GlucagonYou receive a call to the state fair of Texas in the middle of august to find a 45 year old patient with dry hot skin, AMS, Rectal temp of 105 and hyperventilating. What is most likely going on with your patient? A. Heat exhaustion B. Heat Stroke C. Dehydration D. TIAB. Heat StrokeYou receive a call to the state fair of Texas in the middle of august to find a 45 year old patient with pale, cool, moist, muscle cramps, and rectal temp of 104. What is most likely going on with your patient? A. Heat exhaustion B. Heat Stroke C. Dehydration D. TIAA. Heat exhaustionWhich of the following patients shows adequate cerebral perfusion? A. 26 year old male drowned, Pink, warm, flushed skin B. 26 year old female unresponsive, cool, pale, and clammy skin C. 26 year old male alert, cool, pale, and clammy skin D. 26 year old male confused, cool, pale, and clammy skinC. 26 year old male alert, cool, pale, and clammy skinYou arrive on scene to a structure fire to be assigned by command, rehab. A firefighter comes to get checked and is dehydrated. What should you administer? A. Blood transfusion B. Lactated Ringers bolus 200-500cc C. Isotonic Crystalloid Bolus 200-500cc D. Normal Saline bolus 200-500ccB. Lactated Ringers bolus 200-500cc32 year old female complaining of abdominal pain with hematemesis, Blood pressure is 80/40, HR 118, RR 28. How much blood has your patient lost? A. <750cc B. 1250-1750cc C. 750-1250mL D. >2LB. 1250-1750cc45 year old female frontal collision MVC, HR 68, RR 16 and shallow, BP 70/40, Cap refill is 1 second. What phase of shock are they in? A. Hypovolemic B. Spinal C. Hemorrhagic D. LateD. Late45 year old female frontal collision MVC, HR 68, RR 16 and shallow, BP 70/40, Cap refill is 1 second. What type of shock are they in? A. Late B. Hypovolemic C. Spinal D. HemorrhagicC. SpinalPick the most recommended positive pressure delivery device: A. Mouth to Mask B. Single rescuer BVM C. Endotracheal Intubation D. King tubeA. Mouth to Mask45 year old female frontal collision MVC, HR 68, RR 16 and shallow, BP 70/40, Cap refill is 1 second. Pick the most appropriate measure to increase blood pressure initially. A. Fluid Challenge B. Raise Legs C. Fluid Bolus D. VasopressorB. Raise Legs45 year old female frontal collision MVC, HR 68, RR 16 and shallow, BP 70/40, Cap refill is 1 second. Pick the most likely measure to increase blood pressure. A. Fluid Challenge B. Raise Legs C. Fluid Bolus D. VasopressorD. VasopressorYour patient has sustained a spinal injury, and has one side paralysis. What is this called? A. Kern's Sign B. McBurney's Point C. Brown-Sequard Syndrome D. Mallory Wise tearC. Brown-Sequard Syndrome6 year old male was at the Zoo eating ice cream. Your patient is lactose intolerant, has a rash after eating peanuts sometimes, and was just stung by a bee. Your Patient's HR is 138, BP 40/0 RR are 30. What is your treatment? A. 2.2mL epi IVP B. Fluid Challenge C. Fluid Bolus D. 0.15mg epi IMA. 2.2mL epi IVP6 year old male was at the Zoo eating ice cream. Your patient is lactose intolerant, has a rash after eating peanuts sometimes, and was just stung by a bee. Your Patient's HR is 138, BP 40/0 RR are 30. You suspect what type of reaction? A. Severe B. localized C. moderate D. MildA. SevereYour patient is in psychogenic shock, RR 40, Pulse Oximetry reads 100%, and your Capnography reads 17. What is your patient? A. Metabolic Alkalosis B. Metabolic Acidosis C. Respiratory Alkalosis D. Respiratory AcidosisC. Respiratory Alkalosis32 year old female, RR 38 HR 128, BP 118/68,CAPNO 18, POX 100%. She has carpel pedal spasms. Which most applies? A. Hypoxia and Hypercarbia B. Hyperoxemia and Hypocarbia C. Oxyemia and Carbia D. Hypoxia and hypocarbiaB. Hyperoxemia and Hypocarbia32 year old female Xanax overdose, RR6, Bp 92/60, HR 48. What best applies? A. Hypoxia and hypocarbia B. Hyperoxemia and Hypocarbia C. Oxyemia and Carbia D. Hypoxia and HypercarbiaD. Hypoxia and Hypercarbia62 year old female, complaining of epigastric pain x 3 days. Diagnosed with NIDDM and has been taking Prilosec for 3 days. Vitals are HR 82 RR 16 Bp 128/88. Which most likely applies? A. Metabolic Acidosis B. Respiratory Acidosis C. Respiratory Alkalosis D. Metabolic AlkalosisD. Metabolic Alkalosis27 year old male, asthma attack. Refractory to all treatments. What should you now consider administering? A. Albuterol B. Terbutaline C. Mag Sulfate D. AtroventC. Mag Sulfate62 year old male, was complaining of severe pain throughout the day. No noted medical history. Respirations are 6 and shallow and a heart rate of 28. What medication should you consider administering immediately? A. Naloxone B. Epinephrine C. Atropine D. DopamineA. NaloxoneYou arrive on-scene to find a 50 year old male complaining of severe chest pain and shortness of breath. Blood pressure is 138/90, Respirations are 18 and heart rate is 48. What treatment should you do first? A. Lidocaine B. Nitro C. Aspirin D. AtropineC. AspirinWhich of the following patients should you withhold giving fluids from? A. Lateral Wall MI B. Elevation in II, III, avF, V4/V4R C. DKA D. Lasix OverdoseA. Lateral Wall MIYou have just given an IO to a 4 year old male. What drop set should you use for fluid resuscitation? A. 60gtts B. 10gtts C. 15gtts D. 20gttsB. 10gttsYou have just given an IV to a 4 year old male. What drop set should you use for fluid resuscitation? A. 15gtts B. 60gtts C. 20gtts D. 10gttsB. 60gttsYou have just given an IO to a 40 year old male. What drop set should you use for fluid resuscitation? A. 10gtts B. 20gtts C. 60gtts D. 15gttsA. 10gttsYou arrive on scene to find a male, unknown age, hemorrhaging. You have controlled the bleeding but your blood pressure is 60/40. How long should it take to give a fluid bolus? A. 15 minutes B. 2 minutes C. less than 10 minutes D. 20minutesC. less than 10 minutesYou patient's last known normal was 1 day ago. All signs point to ischemic stroke. What facility should you transport your patient to? A. Comprehensive B. Level 1 C. Closest ER D. Care NowC. Closest ERWhich is considered Medium velocity? A. Hunting rifle B. Arrow C. Handgun D. KnifeC. HandgunYou arrive on scene to a 68 year old male with an extensive history of COPD. Your patient has fallen and fractured his left ankle. You place your patient on the monitor to note HR:98 RR:18 POX:92 Capnography:50 on 2lpm home O2. How much oxygen does your patient need? A. CPAP 5-10cm/water B. 10lpm NRB C. 2-4lpm Nasal Cannula D. 0 lpm aka no O2C. 2-4lpm Nasal CannulaWhat is polycythemia? A. Increase production of RBC B. Blood anemia disease C. diabetes D. increased white blood cellA. Increase production of RBCYou arrive on scene to find a 4 year old male patient that is AOx4 and is obviously agitated. How much does your patient weigh in kg? A. 17kg B. 20 kg C. 16kg D. 25kgC. 16kgWhat ET tube would suit best for a 4 year old patient? A. 3.0 uncuffed B. 5.0 cuffed C. 4.5 uncuffed D. 5.0 uncuffedD. 5.0 uncuffedYou arrive on scene to find a 25 year old female patient sitting on a park bench due to severe sharp abd pain that came on while running. Your patient's last menstrual cycle was 4 weeks ago. What is most likely happening? A. Mittelschmerz B. Colestitis C. Appendicitis D. Ectopic pregnancyD. Ectopic pregnancyYou arrive on scene of a major accident to find a 19 year old male frontal collision mvc. Your patient is unresponsive with a lacerated forehead and right temple. While holding c-spine your partner notes a fruity odor coming from your patient. Respirations are irregular at 8 times a minute and HR is 62 and regular. What is your next step? A. D-Stick B. Focused Exam C. Detail Exam D. Rapid Trauma SurveyD. Rapid Trauma SurveyYour patient is a 27 year old male unresponsive on the ground pinpoint pupils, shallow breathing at 8 times a minute. What is your next step? A. Narcan 0.4mg B. Check gag reflex C. Open airway D. Full C-Spine precautionsC. Open airwayYour patient has a pulse oximetry reading of 80% and Capnography is showing readings at 60. What best applies? A. Hyperventilation B. Hypoventilation C. Metabolic Acidosis D. Respiratory AlkalosisB. HypoventilationYour patient has suffered a blast wave and has a tension pneumothorax from the explosion. What part of the explosion caused this injury? A. Quaternary B. Secondary C. Primary D. TertiaryC. PrimaryYour patient is a 35 year old male that has significant burns on 40% of his body, you note no other obvious life threatening signs. Your patient is cool, pale, and clammy and vital signs are HR 118 BP 76/56 RR 28. What is causing your patient to decompensate? A. Infection and swelling B. Secondary internal hemorrhage C. 40% BSA Burned D. WeatherB. Secondary internal hemorrhageA 3-month-old infant who is extremely lethargic has had a cough, vomiting, and diarrhea for the past 3 days. Assessment reveals that he responds to pain, has mottled skin color, and a capillary refill time of 4 seconds. He has a blood pressure of 74/60 mm Hg, a pulse of 190 beats/min, and rapid respirations (60 breaths/min) without increased work of breathing.96. The tachycardia in this infant is most likely due to: A. Hypovolemia. B. Anxiety. C. Swelling of the brain. D. Pneumothorax.A. Hypovolemia.A 3-month-old infant who is extremely lethargic has had a cough, vomiting, and diarrhea for the past 3 days. Assessment reveals that he responds to pain, has mottled skin color, and a capillary refill time of 4 seconds. He has a blood pressure of 74/60 mm Hg, a pulse of 190 beats/min, and rapid respirations (60 breaths/min) without increased work of breathing. The appropriate initial treatment is to: A. Administer epinephrine via an intraosseous needle. B. Perform endotracheal intubation. C. Administer 100% oxygen by mask. D. Administer dopamine intravenously.C. Administer 100% oxygen by mask.Which of the following findings in a 2-year-old child assists in identifying the cause of a grand mal seizure? A. Crackles in the lungs B. Fever C. Abdominal tenderness D. Cardiac dysrhythmiaB. FeverAssessment of a newborn 5 minutes after delivery reveals cyanosis of the hands, feet, trunk, and face. Vital signs include a pulse of 80 beats/min and respiratory rate of 14 breaths/min. Treatment of this newborn includes: A. Performing intubation and positive pressure ventilation. B. Initiating bag-valve-mask ventilation. C. Reassessing the skin color in 5 minutes and then initiating oxygen therapy if needed. D. Applying free-flow oxygen by mask at 5 liters/min.B. Initiating bag-valve-mask ventilation.What is the correct method to confirm proper placement of an endotracheal tube? A. Observe for gastric distention, which indicates leakage of air around the tube in the trachea. B. Palpate for chest rise and fall over the anterior chest and abdomen. C. Auscultate the anterior chest and midabdominal area for the presence of bubbling or gurgling sounds. D. Auscultate for bubbling or gurgling sounds over the epigastrium and for breath sounds at the midaxillary regionsD. Auscultate for bubbling or gurgling sounds over the epigastrium and for breath sounds at the midaxillary regions