CIEMT FINAL EXAM QUESTIONS AND
ANSWERS
Question 1
Oral Glucose
Correct Answer
- administer to BOTH DKA and insulin shock
Contraindications:
1. Unconscious
2. Can't swallow
Question 2
Inhalants
Correct Answer
S/S:
1. Smell on patient
2. ALOC (very goorked out!)
3. glassy eyed
Watch for seizures and cardiac arrest!
Page 1 of 65
,Question 3
Anaphylactic Shock
Correct Answer
- allergic overreaction
- body release MAST CELLS = which EXPLODE and release Histamines and
Leukotryines (tell blood vessels to dilate and become leaky)
S/S:
1. Urticaria
2. Wheezing
3. Flushed
4. Low b.p. (< 90)
Treatment:
1. Epipen!
0.3 mg adults / 0.15 mg children
- powerful, peripheral vasoconstrictior
- bronchial dilatior
- increases heart rate
Question 4
Abdominal Evisceration
Correct Answer
1. Big, bulky trauma dressing soaked in SALINE (need electrolytes)
2. Pick up organs and put on top
3. Tape all FOUR sides
4. Add occlusive dressing on top (DOT)
keep moist and warm
Question 5
Types of Impact
Correct Answer
Primary = vehicle + something else
Secondary = passenger + inside of car
Tertiary = internal organs + body cavity
Page 2 of 65
,Question 6
Blast Injuries
Correct Answer
Primary = blast wind/pressure wave
Secondary = flying debris
Tertiary = patient displacement
Quarternary = collapse building
Question 7
Negligence
Correct Answer
1. Duty to Act
2. Breech of Duty
3. Damages
4. Proximal Cause
Question 8
BENICE ( WEAPONS OF MASS DESTRUCTION)
Correct Answer
B- BILOGIC
N- NUCLUER
I - INCIDERARY
C- CHEMICAL
E- EXPLOSIVE
Question 9
Three Stages of Labor
Correct Answer
Stage 1 = onset contraction to full dilation
Stage 2 = full dilation to expulsion
Stage 3 = expulsion to delivery of placenta
Page 3 of 65
, Question 10
Kidney Stone
Correct Answer
Retroperitoneal pain
costovetebral angle pain
Question 11
Cardiogenic Shock
Correct Answer
- huge MI
- left side = pulmonary edema
- right side = pitting/pedal/dependent edema
low blood pressure, weak/irregular pulse, be pale or have cyanosis, anxiety, and
nausea
Treatment:
1. Oxygen
2. Fowler's (left side)
3. Position of Comfort (right side)
4. Blanket
Question 12
Reverse Trendelenburg's Position
Correct Answer
- lift head of backboard
- used for ICP
Question 13
Names for Flexion and Extension
Correct Answer
Flexion = decordicate
Extension = decerebrate
Page 4 of 65
ANSWERS
Question 1
Oral Glucose
Correct Answer
- administer to BOTH DKA and insulin shock
Contraindications:
1. Unconscious
2. Can't swallow
Question 2
Inhalants
Correct Answer
S/S:
1. Smell on patient
2. ALOC (very goorked out!)
3. glassy eyed
Watch for seizures and cardiac arrest!
Page 1 of 65
,Question 3
Anaphylactic Shock
Correct Answer
- allergic overreaction
- body release MAST CELLS = which EXPLODE and release Histamines and
Leukotryines (tell blood vessels to dilate and become leaky)
S/S:
1. Urticaria
2. Wheezing
3. Flushed
4. Low b.p. (< 90)
Treatment:
1. Epipen!
0.3 mg adults / 0.15 mg children
- powerful, peripheral vasoconstrictior
- bronchial dilatior
- increases heart rate
Question 4
Abdominal Evisceration
Correct Answer
1. Big, bulky trauma dressing soaked in SALINE (need electrolytes)
2. Pick up organs and put on top
3. Tape all FOUR sides
4. Add occlusive dressing on top (DOT)
keep moist and warm
Question 5
Types of Impact
Correct Answer
Primary = vehicle + something else
Secondary = passenger + inside of car
Tertiary = internal organs + body cavity
Page 2 of 65
,Question 6
Blast Injuries
Correct Answer
Primary = blast wind/pressure wave
Secondary = flying debris
Tertiary = patient displacement
Quarternary = collapse building
Question 7
Negligence
Correct Answer
1. Duty to Act
2. Breech of Duty
3. Damages
4. Proximal Cause
Question 8
BENICE ( WEAPONS OF MASS DESTRUCTION)
Correct Answer
B- BILOGIC
N- NUCLUER
I - INCIDERARY
C- CHEMICAL
E- EXPLOSIVE
Question 9
Three Stages of Labor
Correct Answer
Stage 1 = onset contraction to full dilation
Stage 2 = full dilation to expulsion
Stage 3 = expulsion to delivery of placenta
Page 3 of 65
, Question 10
Kidney Stone
Correct Answer
Retroperitoneal pain
costovetebral angle pain
Question 11
Cardiogenic Shock
Correct Answer
- huge MI
- left side = pulmonary edema
- right side = pitting/pedal/dependent edema
low blood pressure, weak/irregular pulse, be pale or have cyanosis, anxiety, and
nausea
Treatment:
1. Oxygen
2. Fowler's (left side)
3. Position of Comfort (right side)
4. Blanket
Question 12
Reverse Trendelenburg's Position
Correct Answer
- lift head of backboard
- used for ICP
Question 13
Names for Flexion and Extension
Correct Answer
Flexion = decordicate
Extension = decerebrate
Page 4 of 65
