Flight Paramedic Exam UPDATED Questions and CORRECT Answers

Flight Paramedic Exam UPDATED
Questions and CORRECT Answers
FiO2 adjustment equation - CORRECT ANSWER - (FiO2 x P1)/P2 = FiO2 needed


P1= ground pressure
P2= altitude pressure you're flying to


Sea level is equal to - CORRECT ANSWER - 760 torr



ST depression and flipped t indicates - CORRECT ANSWER - ischemia



ST elevation with flipped T is marked as - CORRECT ANSWER - injury



ST elevation with Q wave and flipped T is - CORRECT ANSWER - infarct



What artery is affected by Inferior MI - CORRECT ANSWER - RCA



Inferior wall MI - CORRECT ANSWER - -involves RCA
-Leads: II, III, aVF
-papillary muscle dysfunction
-Supplies blood to right atrium, SA node, and AV node
-may develop bradycardia, 1st or 2nd degree AV block
- Right sided EKG; 2L fluid challenge


Anterior Wall MI - CORRECT ANSWER - -involves LAD artery
-Leads V1, V2, V3, V4 with ST elevation

,-supplies blood to left anterior ventricle
-increased risk of death
- MONA treatment


Lateral MI - CORRECT ANSWER - -LCX
-ST elevation leads I, aVL, V5 and V6
ST depression leads II, III, aVF
-MONA


Posterior Wall MI - CORRECT ANSWER - involves RCA or circumflex artery
-Leads: V1, V2, V3
- ST DEPRESSION IN THESE AREAS.
-Upright and tall broad t waves
-supplies blood to the right atrium and ventricle; may develop right HF
-MONA


Left shift of oxygen dissociation curve - CORRECT ANSWER - Left shift is the "Love
shift"..."Oxygen Loves Hb"..
-increased affinity
- Increased pH
- Decreased 2,3 DPG
- Decreased Temperature
-Hypocapnia
-Increased


RIght shift of oxygen dissociation curve - CORRECT ANSWER - -Low pH
-Low Affinity for O2
-Increased 2,3 DPG

,- Increased Temperature
-Increased PCO2
-Hypercapnia
Right = Raised


Blood transfusions on Blood - CORRECT ANSWER - - High Citrate and low 2,3 DPG
-leads to hypocalcemia and will lower 2,3 DPG in body (alkalosis)


ATM calculations: 1ATM = - CORRECT ANSWER - 33ft
sea level is 1ATM


Variability - CORRECT ANSWER - the single most important predictor of fetal well being
indicates that the fetus is neurologically intact


#1 cause of poor variability - CORRECT ANSWER - Fetal Hypoxia



Normal variability includes - CORRECT ANSWER - 10-15 BPM
Normal HR is 120-160BPM


Most common cause of fetal tachycardia - CORRECT ANSWER - maternal fever (sepsis)



Most common cause of fetal bradycardia - CORRECT ANSWER - hypoxia



Variable decelerations caused by and what to do - CORRECT ANSWER - *always some
sort of cord problem*
Cord compression
V like appearance
Prolapsed cord= knees to chest, saline gauze, raise cord to relieve pressure, tocolytics

, Nuchal cord: clamp and cut


Early Decelerations - CORRECT ANSWER - Head pressed on moms cervix during
contraction
BENIGN
Mirrors contractions
U shaped


Accelerations in FHR - CORRECT ANSWER - OK, means good O2 reserve for fetus



Late decelerations - CORRECT ANSWER - Placental/Uterine insufficiency
Hypoxic bradycardia
- fluid bolus, position change, and high flow oxygen are indicated.


Tocolytics - CORRECT ANSWER - stop contractions!
Terbutaline
Magnesium Sulfate


Late decelerations associated with what conditions - CORRECT ANSWER - PIH
Diabetic Mothers
Smokers
Late deliveries
Pre-eclampsia


What are the causes of sinusoidal variations on a fetal heart rate monitor? - CORRECT
ANSWER - Accidental tap of the umbilical cord during amniocentesis, fetomaternal
transfusion, placental abruption