CRITICAL CARE/FLIGHT PARAMEDIC EXAM
babinski reflex - Answers :extension and spreading of toes when bottom of foot is
stroked. sign of nervous system lesion
battles sign - Answers :bruise behind ear, basilar skull fracture
becks triad - Answers :jvd, muffled heart tones, hypotension. from cardiac tamponade
brudzinski sign - Answers :flexion of the neck results in flexion of the hip. meningitis
coopernails sign - Answers :ecchymosis on perineum, labia, scrotum. sign of pelvis
fracture
cullens sign - Answers :bruising around umbilicus. Sign of pancreatitis or ectopic
pregnancy
grey turners sign - Answers :discoloration of skin around flank. sign of pancreatitis
hammans sign - Answers :crunching sound of heart with asynchronous heart beat. sign
of mediastinal emphysema/tracheobronchial disruption
kehrs sign - Answers :left shoulder pain associated with splenic rupture
kernigs sign - Answers :pain to knee extension when hip is at 90 degrees. sign of
meningitis
levines sign - Answers :pain with clutched fist over midline of chest. sign of cardiac
chest pain
mcburneys sign - Answers :tenderness 2/3 the distance between umbilicus and ileum.
sign of appendicitis
muphys sign - Answers :pt unable to take deep breath on inspiration with deep
palpation beneath right coastal margins. sign of gall bladder issues
S2 "dub" heart tones - Answers :aortic and pulmonary valve closure
s1 "lub" sound - Answers :bicuspic/tricuspid valve closure
stroke volume is affected by - Answers :preload, afterload, contractility
s4 heart tone - Answers :indicative of stiff or noncompliant ventricle, like with an old MI
, s3 heart tone - Answers :ventricle stretch due to fluid overload
right coronary artery is typically repaired by using - Answers :saphenous vein
dresslers sign - Answers :pericarditis from recent MI or cardiac surgery
alpha 1 stimulation results in - Answers :increased SVR/vasoconstriction
beta 1 stimulation results in - Answers :increased HR, contractility
janeway lesions and osler nodes are indicative of - Answers :endocarditis
elevated BNP signals - Answers :increased stretching of ventricles. found in CHF
where should a cardiac transducer be placed? - Answers :phlebostatic axis (4th
intercostal space midaxillary)
what does the dicrotic notch symbolize? - Answers :aortic valve closing
saline from ART line should infuse at what rate - Answers :3ml/hr
normal central venous pressure (CVP) - Answers :2-6
when utilizing a swan ganz catheter, never exceed ____mL of air in distal balloon -
Answers :1.5
coronary perfusion pressure calculation - Answers :PAWP-DBP (should be 50-60)
PAWP range - Answers :8-12
PVR range - Answers :50-250
PA pressure - Answers :15-25 systolic, 8-15 diastolic
SVR range - Answers :800-1200
what does PVR signify - Answers :right heart afterload, pulmonary vascular resistance
what is PCWP - Answers :same as pAWP
left heart preload is also called - Answers :left ventricular end diastolic pressure LVEDP
what is CI - Answers :same as CO
what happens to pressures during cardiogenic shock - Answers :decreased cardiac
output (CO/CI), increased everything else
babinski reflex - Answers :extension and spreading of toes when bottom of foot is
stroked. sign of nervous system lesion
battles sign - Answers :bruise behind ear, basilar skull fracture
becks triad - Answers :jvd, muffled heart tones, hypotension. from cardiac tamponade
brudzinski sign - Answers :flexion of the neck results in flexion of the hip. meningitis
coopernails sign - Answers :ecchymosis on perineum, labia, scrotum. sign of pelvis
fracture
cullens sign - Answers :bruising around umbilicus. Sign of pancreatitis or ectopic
pregnancy
grey turners sign - Answers :discoloration of skin around flank. sign of pancreatitis
hammans sign - Answers :crunching sound of heart with asynchronous heart beat. sign
of mediastinal emphysema/tracheobronchial disruption
kehrs sign - Answers :left shoulder pain associated with splenic rupture
kernigs sign - Answers :pain to knee extension when hip is at 90 degrees. sign of
meningitis
levines sign - Answers :pain with clutched fist over midline of chest. sign of cardiac
chest pain
mcburneys sign - Answers :tenderness 2/3 the distance between umbilicus and ileum.
sign of appendicitis
muphys sign - Answers :pt unable to take deep breath on inspiration with deep
palpation beneath right coastal margins. sign of gall bladder issues
S2 "dub" heart tones - Answers :aortic and pulmonary valve closure
s1 "lub" sound - Answers :bicuspic/tricuspid valve closure
stroke volume is affected by - Answers :preload, afterload, contractility
s4 heart tone - Answers :indicative of stiff or noncompliant ventricle, like with an old MI
, s3 heart tone - Answers :ventricle stretch due to fluid overload
right coronary artery is typically repaired by using - Answers :saphenous vein
dresslers sign - Answers :pericarditis from recent MI or cardiac surgery
alpha 1 stimulation results in - Answers :increased SVR/vasoconstriction
beta 1 stimulation results in - Answers :increased HR, contractility
janeway lesions and osler nodes are indicative of - Answers :endocarditis
elevated BNP signals - Answers :increased stretching of ventricles. found in CHF
where should a cardiac transducer be placed? - Answers :phlebostatic axis (4th
intercostal space midaxillary)
what does the dicrotic notch symbolize? - Answers :aortic valve closing
saline from ART line should infuse at what rate - Answers :3ml/hr
normal central venous pressure (CVP) - Answers :2-6
when utilizing a swan ganz catheter, never exceed ____mL of air in distal balloon -
Answers :1.5
coronary perfusion pressure calculation - Answers :PAWP-DBP (should be 50-60)
PAWP range - Answers :8-12
PVR range - Answers :50-250
PA pressure - Answers :15-25 systolic, 8-15 diastolic
SVR range - Answers :800-1200
what does PVR signify - Answers :right heart afterload, pulmonary vascular resistance
what is PCWP - Answers :same as pAWP
left heart preload is also called - Answers :left ventricular end diastolic pressure LVEDP
what is CI - Answers :same as CO
what happens to pressures during cardiogenic shock - Answers :decreased cardiac
output (CO/CI), increased everything else
