critical care/flight paramedic exam
UPDATED ACTUAL Questions and
CORRECT Answers
babinski reflex - CORRECT ANSWER - extension and spreading of toes when bottom of
foot is stroked. sign of nervous system lesion
battles sign - CORRECT ANSWER - bruise behind ear, basilar skull fracture
becks triad - CORRECT ANSWER - jvd, muffled heart tones, hypotension. from cardiac
tamponade
brudzinski sign - CORRECT ANSWER - flexion of the neck results in flexion of the hip.
meningitis
coopernails sign - CORRECT ANSWER - ecchymosis on perineum, labia, scrotum. sign
of pelvis fracture
cullens sign - CORRECT ANSWER - bruising around umbilicus. Sign of pancreatitis or
ectopic pregnancy
grey turners sign - CORRECT ANSWER - discoloration of skin around flank. sign of
pancreatitis
hammans sign - CORRECT ANSWER - crunching sound of heart with asynchronous heart
beat. sign of mediastinal emphysema/tracheobronchial disruption
kehrs sign - CORRECT ANSWER - left shoulder pain associated with splenic rupture
,kernigs sign - CORRECT ANSWER - pain to knee extension when hip is at 90 degrees.
sign of meningitis
levines sign - CORRECT ANSWER - pain with clutched fist over midline of chest. sign of
cardiac chest pain
mcburneys sign - CORRECT ANSWER - tenderness 2/3 the distance between umbilicus
and ileum. sign of appendicitis
muphys sign - CORRECT ANSWER - pt unable to take deep breath on inspiration with
deep palpation beneath right coastal margins. sign of gall bladder issues
S2 "dub" heart tones - CORRECT ANSWER - aortic and pulmonary valve closure
s1 "lub" sound - CORRECT ANSWER - bicuspic/tricuspid valve closure
stroke volume is affected by - CORRECT ANSWER - preload, afterload, contractility
s4 heart tone - CORRECT ANSWER - indicative of stiff or noncompliant ventricle, like
with an old MI
s3 heart tone - CORRECT ANSWER - ventricle stretch due to fluid overload
right coronary artery is typically repaired by using - CORRECT ANSWER - saphenous
vein
dresslers sign - CORRECT ANSWER - pericarditis from recent MI or cardiac surgery
alpha 1 stimulation results in - CORRECT ANSWER - increased SVR/vasoconstriction
, beta 1 stimulation results in - CORRECT ANSWER - increased HR, contractility
janeway lesions and osler nodes are indicative of - CORRECT ANSWER - endocarditis
elevated BNP signals - CORRECT ANSWER - increased stretching of ventricles. found in
CHF
where should a cardiac transducer be placed? - CORRECT ANSWER - phlebostatic axis
(4th intercostal space midaxillary)
what does the dicrotic notch symbolize? - CORRECT ANSWER - aortic valve closing
saline from ART line should infuse at what rate - CORRECT ANSWER - 3ml/hr
normal central venous pressure (CVP) - CORRECT ANSWER - 2-6
when utilizing a swan ganz catheter, never exceed ____mL of air in distal balloon - CORRECT
ANSWER - 1.5
coronary perfusion pressure calculation - CORRECT ANSWER - PAWP-DBP (should be
50-60)
PAWP range - CORRECT ANSWER - 8-12
PVR range - CORRECT ANSWER - 50-250
PA pressure - CORRECT ANSWER - 15-25 systolic, 8-15 diastolic
UPDATED ACTUAL Questions and
CORRECT Answers
babinski reflex - CORRECT ANSWER - extension and spreading of toes when bottom of
foot is stroked. sign of nervous system lesion
battles sign - CORRECT ANSWER - bruise behind ear, basilar skull fracture
becks triad - CORRECT ANSWER - jvd, muffled heart tones, hypotension. from cardiac
tamponade
brudzinski sign - CORRECT ANSWER - flexion of the neck results in flexion of the hip.
meningitis
coopernails sign - CORRECT ANSWER - ecchymosis on perineum, labia, scrotum. sign
of pelvis fracture
cullens sign - CORRECT ANSWER - bruising around umbilicus. Sign of pancreatitis or
ectopic pregnancy
grey turners sign - CORRECT ANSWER - discoloration of skin around flank. sign of
pancreatitis
hammans sign - CORRECT ANSWER - crunching sound of heart with asynchronous heart
beat. sign of mediastinal emphysema/tracheobronchial disruption
kehrs sign - CORRECT ANSWER - left shoulder pain associated with splenic rupture
,kernigs sign - CORRECT ANSWER - pain to knee extension when hip is at 90 degrees.
sign of meningitis
levines sign - CORRECT ANSWER - pain with clutched fist over midline of chest. sign of
cardiac chest pain
mcburneys sign - CORRECT ANSWER - tenderness 2/3 the distance between umbilicus
and ileum. sign of appendicitis
muphys sign - CORRECT ANSWER - pt unable to take deep breath on inspiration with
deep palpation beneath right coastal margins. sign of gall bladder issues
S2 "dub" heart tones - CORRECT ANSWER - aortic and pulmonary valve closure
s1 "lub" sound - CORRECT ANSWER - bicuspic/tricuspid valve closure
stroke volume is affected by - CORRECT ANSWER - preload, afterload, contractility
s4 heart tone - CORRECT ANSWER - indicative of stiff or noncompliant ventricle, like
with an old MI
s3 heart tone - CORRECT ANSWER - ventricle stretch due to fluid overload
right coronary artery is typically repaired by using - CORRECT ANSWER - saphenous
vein
dresslers sign - CORRECT ANSWER - pericarditis from recent MI or cardiac surgery
alpha 1 stimulation results in - CORRECT ANSWER - increased SVR/vasoconstriction
, beta 1 stimulation results in - CORRECT ANSWER - increased HR, contractility
janeway lesions and osler nodes are indicative of - CORRECT ANSWER - endocarditis
elevated BNP signals - CORRECT ANSWER - increased stretching of ventricles. found in
CHF
where should a cardiac transducer be placed? - CORRECT ANSWER - phlebostatic axis
(4th intercostal space midaxillary)
what does the dicrotic notch symbolize? - CORRECT ANSWER - aortic valve closing
saline from ART line should infuse at what rate - CORRECT ANSWER - 3ml/hr
normal central venous pressure (CVP) - CORRECT ANSWER - 2-6
when utilizing a swan ganz catheter, never exceed ____mL of air in distal balloon - CORRECT
ANSWER - 1.5
coronary perfusion pressure calculation - CORRECT ANSWER - PAWP-DBP (should be
50-60)
PAWP range - CORRECT ANSWER - 8-12
PVR range - CORRECT ANSWER - 50-250
PA pressure - CORRECT ANSWER - 15-25 systolic, 8-15 diastolic
