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EMT-B National Registry Study QUESTIONS AND ANSWERS

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EMT-B National Registry Study Stroke is a common cause of brain disorder that is ______ ? ans: Potentially treatable Petit mal seizure typically occurs in children ___ to ___ y/o ans: 4-12 years old In some situations the postical state may be characterized by? ans: Hemapharesis or weakness on one side of the body, resembling a stroke. Treat stroke and AMS in children how? ans: The same way you would for an adult. In geriatric patients you should consider a headache as ________ ? ans: Potentially serious The parasympathetic nervous system is responsible for _______ ? ans: Decreased breathing and slowing heart rate. Cephalic presentation is _____ ? ans: Normal position of childbirth where the head enters the pelvis first. Diabetics often suffer from medical complications such as? ans: Heart disease, visual disturbances, renal failure, stroke, ulcers or infections to the feet or toes. The sympathetic nervous system is responsible for ______ ? ans: Speeding up the heart rate and the breathing. Normal blood glucose levels are? ans: 80-120 mg/dL Once blood glucose levels reach _______ mg/dL, excess glucose is excreted by the _____ ? ans: 200 mg/dL, kidneys A 73 y/o woman was in her backyard gardening when she collapsed to the ground. Her husband told 911 that "she is breathing very fast and will not talk to me." You arrive to find the woman lying on her side in the grass. She is breathing at 7 breaths per minute and her pulse is irregular and very thready. Her lungs also present with crackles upon auscultation As you are taking a blood pressure (88/66) the husband tells you that the woman has been having jaw pain and some weakness for approximately 3 days. What is the most likely cause of this woman's condition and how would you treat her? ans: Cardiogenic shock, assist ventilations and transport. The woman is likely experiencing pump failure and is hypoperfusing. Name the forms of medication (hint- there's 8) ans: 1). compressed powder/tablet 2). liquid injection 3). gel 4). suspension (must shake!) 5). gas 6). spray 7). fine powder for inhalation (i.e. MDI's) 8). liquid vaporized fixed dose nebulizer (compressed gas) Routes of medication administration ans: 1). sublingual 2). oral (swallowed) 3). inhalation 4). injection Medication name types ans: 1). chemical name 2). generic name 3). trade (brand) name 4). official name Epinephrine stimulates four receptors, what are they? ans: Alpha 1 & 2, Beta 1 & 2. These properties make up the sympathetic nervous system. **Beta 1- speeds up heart rate Beta 2 agonist drug causes ______ to dilate. ans: Bronchioles Epinephrine is a ________ ? ans: Vasoconstrictor, bronchodilator, and decreases capillary permeability (to reduce fluid leakage). Nitroglycerin is a __________ ? ans: Vasodilator. (Main side effect: hypotension, causes headache) Define a "drug". ans: A chemical substance used to treat or prevent a disease or condition. Define a "medication". ans: A drug or other substance used as a remedy for illness. The bronchioles are lined _______ and _______. ans: Lined with smooth muscle and mucous membranes. The ____ lung is slightly larger than the ______ lung. ans: Right lung, larger than the left. Brain cells only use ______ for energy. ans: Glucose Trachea posterior wall is _________ ? ans: Made up of muscle therefore not a rigid structure. The first few levels of bronchi are ________ ? ans: Supported by rings of cartilage. The trachea (aka "windpipe") extends from the _____ to the ______. ans: Larynx to the carina. The lower airway extends from the ______ to the ______. ans: Cricoid cartilage to the alveoli of the lungs. Name the possible positions in which to place a patient. ans: 1). Supine 2). Prone 3). Fowlers: (sitting up) patient's upper body is at a 45-60 degree angle. 4). Semi-fowlers: patient's upper body is at less than a 45 degree angle.

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EMT-B National Registry Study
Stroke is a common cause of brain disorder that is ______ ? ans: Potentially treatable

Petit mal seizure typically occurs in children ___ to ___ y/o ans: 4-12 years old

In some situations the postical state may be characterized by? ans: Hemapharesis or weakness on one
side of the body, resembling a stroke.

Treat stroke and AMS in children how? ans: The same way you would for an adult.

In geriatric patients you should consider a headache as ________ ? ans: Potentially serious

The parasympathetic nervous system is responsible for _______ ? ans: Decreased breathing and slowing
heart rate.

Cephalic presentation is _____ ? ans: Normal position of childbirth where the head enters the pelvis
first.

Diabetics often suffer from medical complications such as? ans: Heart disease, visual disturbances, renal
failure, stroke, ulcers or infections to the feet or toes.

The sympathetic nervous system is responsible for ______ ? ans: Speeding up the heart rate and the
breathing.

Normal blood glucose levels are? ans: 80-120 mg/dL

Once blood glucose levels reach _______ mg/dL, excess glucose is excreted by the _____ ? ans: 200
mg/dL, kidneys

A 73 y/o woman was in her backyard gardening when she collapsed to the ground. Her husband told
911 that "she is breathing very fast and will not talk to me." You arrive to find the woman lying on her
side in the grass. She is breathing at 7 breaths per minute and her pulse is irregular and very thready.
Her lungs also present with crackles upon auscultation As you are taking a blood pressure (88/66) the
husband tells you that the woman has been having jaw pain and some weakness for approximately 3
days. What is the most likely cause of this woman's condition and how would you treat her? ans:
Cardiogenic shock, assist ventilations and transport. The woman is likely experiencing pump failure and
is hypoperfusing.

Name the forms of medication (hint- there's 8) ans: 1). compressed powder/tablet
2). liquid injection
3). gel
4). suspension (must shake!)
5). gas
6). spray
7). fine powder for inhalation (i.e. MDI's)

,8). liquid vaporized fixed dose nebulizer (compressed gas)

Routes of medication administration ans: 1). sublingual
2). oral (swallowed)
3). inhalation
4). injection

Medication name types ans: 1). chemical name
2). generic name
3). trade (brand) name
4). official name

Epinephrine stimulates four receptors, what are they? ans: Alpha 1 & 2, Beta 1 & 2. These properties
make up the sympathetic nervous system.

**Beta 1- speeds up heart rate

Beta 2 agonist drug causes ______ to dilate. ans: Bronchioles

Epinephrine is a ________ ? ans: Vasoconstrictor, bronchodilator, and decreases capillary permeability
(to reduce fluid leakage).

Nitroglycerin is a __________ ? ans: Vasodilator. (Main side effect: hypotension, causes headache)

Define a "drug". ans: A chemical substance used to treat or prevent a disease or condition.

Define a "medication". ans: A drug or other substance used as a remedy for illness.

The bronchioles are lined _______ and _______. ans: Lined with smooth muscle and mucous
membranes.

The ____ lung is slightly larger than the ______ lung. ans: Right lung, larger than the left.

Brain cells only use ______ for energy. ans: Glucose

Trachea posterior wall is _________ ? ans: Made up of muscle therefore not a rigid structure.

The first few levels of bronchi are ________ ? ans: Supported by rings of cartilage.

The trachea (aka "windpipe") extends from the _____ to the ______. ans: Larynx to the carina.

The lower airway extends from the ______ to the ______. ans: Cricoid cartilage to the alveoli of the
lungs.

Name the possible positions in which to place a patient. ans: 1). Supine
2). Prone
3). Fowlers: (sitting up) patient's upper body is at a 45-60 degree angle.
4). Semi-fowlers: patient's upper body is at less than a 45 degree angle.

,5). Trendelenberg: patient's legs are elevated higher than the head.
6). Shock position
7). Lateral recumbent: (recovery position) patient is laying on their left or right side.

"Ipsilateral" refers to _______ ? ans: The same side.

"Contralateral" refers to _______ ? ans: The opposite side.

Plantar & palmar refer to _______ ? ans: The sole of the foot and the palm of the hand.

Ligaments connect ______ to ______. ans: Bone to bone.

Tendons connect ________ to ______. ans: Muscle to bone.

The skeletal system serves 4 main functions, what are they? ans: 1). Gives the body shape.
2). Provides protection of vital internal organs.
3). Allows for movement.
4). Stores minerals and produces blood cells.

Name the 6 main components of the skeletal system. ans: 1). Skull
2). Spinal column
3). Thorax
4). Pelvis
5). Upper extremities
6). Lower extremities

Name the skeletal components of the skull. ans: Interlocking bones: the occipital, two parietal, two
temporal, the frontal.

Name the skeletal components of the face. ans: 14 bones, 13 of which are immovable & interlocking.

Includes: orbits, nasal bones, the maxillae (upper jaw), the zygomatic (cheek) bones, the mandible
(lower jaw, strongest bone in the face).

What is an intervertebral disc? ans: A fluid pad of tough elastic cartilage between each vertebrae. It acts
as a shock absorber & allows for movement of spine.

The thorax (aka the chest) is composed of what? ans: The ribs, sternum and thoracic spine.

The ____ ribs are ______ arches of bone, which are arranged in _____ and are attached by ______ to
the ________. ans: The 24 ribs are semi-flexible arches of bone, which are arranged in 12 pairs and are
attached posteriorly by ligaments to the 12 thoracic vertebrae.

Name the components of the midline area (abdominal quadrant). ans: -the aorta
-pancreas
-small intestines
-bladder
-spine

, Name the components of the LLQ (left lower quadrant). ans: -colon
-small intestines
-major artery & vein to the left leg
-ureter

Name the components of the RLQ. ans: -colon
-small intestines
-major artery & vein to the right leg
-ureter
-appendix

Name the components of the RUQ. ans: -liver
-right kidney
-colon
-pancreas
-gallbladder

Name the components of the LUQ. ans: -liver
-spleen
-left kidney
-stomach
-colon
-pancreas

Name the components (inferior & superior) of the sternum. ans: The superior manubrium and the
inferior xiphoid process.

Describe the attachment of the ribs. ans: -First 7 pair (true ribs) are attached to the sternum by cartilage.
-Next 3 pair are attached to the ribs above them with cartilage.
-Last 2 pair are not attached to the sternum (false or floating ribs).

Name the components of the pelvis. ans: -the sacrum & coccyx of the spine
-the iliac crest
-pubis
-the ischium

What is the iliac crest? ans: The part of the pelvis that forms the "wings".

What is the ischium? ans: The posterior & inferior portion of the pelvis.

What is the pubis? ans: The anterior & inferior portion of the pelvis.

What is the acetabulum? ans: The rounded cavity or socket on the external surface of the pelvis that
receives the head of the femur.

Which bone is the "shin bone" ? ans: The tibia (the medial larger bone of the lower leg).

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