FUNDAMENTAL CMS FINAL EXAM AND MIDTERM EXAM
UNITEK COLLEGE NEWEST COMPLETE ALL
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND
NEW VERSION!
In which cases is air transport used?*** - ANSWER-critically ill pts when ground
transport would take too long/terrain is difficult
which ER should you go to if a pt is in cardiac or respiratory arrest? - ANSWER-
ALWAYS go to CLOSEST facility → can transfer after
inappropriate (not accepting) transfer is a violation of which law? - ANSWER-
EMTALA → prohibits ERs from refusing to examine and tx pts with emergency
med condition
what is indirect communication? - ANSWER-paramedic operates under *medical
director's* standard operating procedure manual/training
what is direct communication? - ANSWER-once care is established with receiving
facility, the care of the patient can be directed by the *ER doc*
which decontamination zone: hospital area where arriving pts without
decontamination are held?*** - ANSWER-hot zone → also area of spill/chemical
release
which decontamination zone: area where decontamination and medical
stabilization occurs?*** - ANSWER-warm zone***
,which decontamination zone: area to which fully decontaminated pts are
transferred?*** - ANSWER-cold zone
which class of bioterrorism agents is the highest risk? - ANSWER-class A →
smallpox, anthrax, plague, botulism
which class of bioterrorism agents are moderately easy to disseminate but have less
potential for causing widespread illness/death? - ANSWER-class B → west nile
virus, hep A, ricin toxin, salmonella, E. coli
which class of bioterrorism involves agents that could emerge as future threats? -
ANSWER-class C → flu, SARS, rabies, MDR-TB, yellow fever, tick borne
hemorrhagic fever
what is the treatment for anthrax? - ANSWER-cipro
what is the DOC for brief procedures requiring a local block? - ANSWER-
lidocaine
which local anesthetics have longer duration of action? - ANSWER-bupivacaine,
mepivacaine
what should be documented prior to administering a block? - ANSWER-
Neurovascular status
,which type of block is used for procedures on digits, hands, and feet? - ANSWER-
peripheral nerve block → requires less total LA med → site of delivery is less
painful than local infiltration
what does severe pain during needle insertion indicate? - ANSWER-contact with
nerve → withdraw and reposition
which nerves are blocked in a foot block? - ANSWER-at least 2 → posterior tibial,
sural, saphenous, peroneal
what is a CI for digital block? - ANSWER-compromise of digit's blood supply
what are hematoma blocks useful for? - ANSWER-isolated closed fracture
reduction → not as effective as IV regional (Bier's) block but good when IV block
is CI
which type of block involves lidocaine w/o epi being infiltrated in the fx cavity
around the periosteum? - ANSWER-hematoma block
which type of block involves IV infusion of LA distal to inflated pneumatic
tourniquet? - ANSWER-IV regional block (Bier's) block
What is Bier's block used for? - ANSWER-fx reductions
large lacs
FB removal
what are the CI to a Bier's block? - ANSWER-- PVD/Raynaud's
, - sickle cell
- cardiac conduction abnormalities
- HTN
- cellulitis
- children <5
should you rely on non-self report pain measurement to determine severity of pain?
- ANSWER-no, use self-report also
HOWEVER → non-self report is used in children, pts with difficulty
communicating, non-verbal patients (can also use visual analog scale for these pts)
when should opioids be withheld for pain management? - ANSWER-resp
depression <10 breaths/min
what is the primary tx of acidosis in shock? - ANSWER-reverse underlying cause
→ do not give bicarb unless acidotic
what is a common presenting sx of sepsis in elderly pts? - ANSWER-AMS
what are the 4 clinical goals of sepsis treatment?**** - ANSWER-1. blood cultures
BEFORE abx
2. lactate before 90 mins
3. IV abx before 60 min
4. 30 ml/kg of IV fluids before 180 mins
UNITEK COLLEGE NEWEST COMPLETE ALL
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND
NEW VERSION!
In which cases is air transport used?*** - ANSWER-critically ill pts when ground
transport would take too long/terrain is difficult
which ER should you go to if a pt is in cardiac or respiratory arrest? - ANSWER-
ALWAYS go to CLOSEST facility → can transfer after
inappropriate (not accepting) transfer is a violation of which law? - ANSWER-
EMTALA → prohibits ERs from refusing to examine and tx pts with emergency
med condition
what is indirect communication? - ANSWER-paramedic operates under *medical
director's* standard operating procedure manual/training
what is direct communication? - ANSWER-once care is established with receiving
facility, the care of the patient can be directed by the *ER doc*
which decontamination zone: hospital area where arriving pts without
decontamination are held?*** - ANSWER-hot zone → also area of spill/chemical
release
which decontamination zone: area where decontamination and medical
stabilization occurs?*** - ANSWER-warm zone***
,which decontamination zone: area to which fully decontaminated pts are
transferred?*** - ANSWER-cold zone
which class of bioterrorism agents is the highest risk? - ANSWER-class A →
smallpox, anthrax, plague, botulism
which class of bioterrorism agents are moderately easy to disseminate but have less
potential for causing widespread illness/death? - ANSWER-class B → west nile
virus, hep A, ricin toxin, salmonella, E. coli
which class of bioterrorism involves agents that could emerge as future threats? -
ANSWER-class C → flu, SARS, rabies, MDR-TB, yellow fever, tick borne
hemorrhagic fever
what is the treatment for anthrax? - ANSWER-cipro
what is the DOC for brief procedures requiring a local block? - ANSWER-
lidocaine
which local anesthetics have longer duration of action? - ANSWER-bupivacaine,
mepivacaine
what should be documented prior to administering a block? - ANSWER-
Neurovascular status
,which type of block is used for procedures on digits, hands, and feet? - ANSWER-
peripheral nerve block → requires less total LA med → site of delivery is less
painful than local infiltration
what does severe pain during needle insertion indicate? - ANSWER-contact with
nerve → withdraw and reposition
which nerves are blocked in a foot block? - ANSWER-at least 2 → posterior tibial,
sural, saphenous, peroneal
what is a CI for digital block? - ANSWER-compromise of digit's blood supply
what are hematoma blocks useful for? - ANSWER-isolated closed fracture
reduction → not as effective as IV regional (Bier's) block but good when IV block
is CI
which type of block involves lidocaine w/o epi being infiltrated in the fx cavity
around the periosteum? - ANSWER-hematoma block
which type of block involves IV infusion of LA distal to inflated pneumatic
tourniquet? - ANSWER-IV regional block (Bier's) block
What is Bier's block used for? - ANSWER-fx reductions
large lacs
FB removal
what are the CI to a Bier's block? - ANSWER-- PVD/Raynaud's
, - sickle cell
- cardiac conduction abnormalities
- HTN
- cellulitis
- children <5
should you rely on non-self report pain measurement to determine severity of pain?
- ANSWER-no, use self-report also
HOWEVER → non-self report is used in children, pts with difficulty
communicating, non-verbal patients (can also use visual analog scale for these pts)
when should opioids be withheld for pain management? - ANSWER-resp
depression <10 breaths/min
what is the primary tx of acidosis in shock? - ANSWER-reverse underlying cause
→ do not give bicarb unless acidotic
what is a common presenting sx of sepsis in elderly pts? - ANSWER-AMS
what are the 4 clinical goals of sepsis treatment?**** - ANSWER-1. blood cultures
BEFORE abx
2. lactate before 90 mins
3. IV abx before 60 min
4. 30 ml/kg of IV fluids before 180 mins
