PARAMEDIC FINAL EXAM PREPARATIONS||
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A protocol that is a written document signed by the EMS system's medical director
that outlines specific directions, permissions, and sometimes prohibitions regarding
patient care that is rendered prior to contacting medical control. - ANSWER:
Standing order
If a paramedic transports a patient without the patient's consent or uses restraints in
a wrongful manner - ANSWER: False Imprisonment
A treatment plan developed for a specific illness or injury. - ANSWER: Protocol
If you must deviate from your protocols because of unusual circumstances, you
should FIRST: - ANSWER: Notify Medical Control
HIPPA mandates that: - ANSWER: Patient information shall not be shared with
entities or persons not involved in the care of the patient.
HIPPA Defined: - ANSWER: a. The first standards established to protect the
confidentiality of a patient's health information.
b. Medical information can be disclosed only if it is necessary for a patient's
treatment or for payment.
c. Special situations such as dog bites, gunshot wounds, and abuse require the
release of patient information without the patient's consent.
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According to HIPAA, it is acceptable and permissible for hospitals to: -
ANSWER: share information with the EMS providers about patient outcome for
purposes of quality assurance and education.
Wheezing that is resolved with administration of bronchodilator medication was
probably caused by? - ANSWER: constriction of smooth muscles
Wheezing is resolved with medications that? - ANSWER: Relax the smooth
muscle of the bronchiole
Difficulty with exhalation is MOST characteristic of: - ANSWER: obstructive
lung disease
COPD: Emphysema: - ANSWER: Characterized by distention of the alveoli and
destructive changes in the lungs.
COPD: Chronic Bronchitis: - ANSWER: Defined as sputum production most days
of month for 3 or more months out of year for more than 2 years. Will rarely have
normal oxygen saturation; (maybe less than 90%). May have another condition,
including respiratory conditions
A 66-year-old man with chronic bronchitis presents with severe respiratory
distress. The patient's wife tells you that he takes medications for high blood
pressure and bronchitis, is on home oxygen therapy, and has recently been taking
an over-the-counter antitussive. She further tells you that he has not been
compliant with his oxygen therapy. Auscultation of his lungs reveals diffuse
rhonchi. What is the MOST likely cause of this patient's respiratory distress? -
ANSWER: Recent antitussive use
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A 76-year-old woman with emphysema presents with respiratory distress that has
worsened progressively over the past 2 days. She is breathing through pursed lips
and has a prolonged expiratory phase and an oxygen saturation of 76%. She is on
home oxygen at 2 L/min. Your initial action should be to? - ANSWER: place her
in a position that facilitates breathing.
Common clinical findings in patients with obstructive lung disease include all of
the following, EXCEPT: - ANSWER: a decreased expiratory phase
Chronic obstructive pulmonary disease (COPD) is characterized by: - ANSWER:
changes in pulmonary structure and function that are progressive and irreversible
The hypoxic drive is a phenomenon in which - ANSWER: bicarbonate ions
migrate into the cerebrospinal fluid of a chronically hypoventilating patient,
making the brain think that acid and base are in balance
Pulmonary Embolism Characteristics - ANSWER: Sudden dyspnea & cyanosis,
and perhaps, a sharp pain in the chest. A hallmark of pulmonary embolism is that
the cyanosis does not resolve with oxygen therapy.
A grief stage in which the individual has come to terms with the reality of his or
her imminent death - ANSWER: Acceptance
The involvement of a repetitive behavior. - ANSWER: Addiction
The involvement in repetitive behavior such as gambling or substance abuse -
ANSWER: Addictive Behavior
The bodys autonomic in repetitive behavior such as gambling or substance abuse. -
ANSWER: Alarm reaction
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A stage in the greiving process in which the individual is upset by the stated future
loss - ANSWER: anger
The sometimes vague feeling of apprehension, uneasiness, dread, or worry that
often occurs without a specific source or cause - ANSWER: anxiety
daily rhytmic activity cycle based on 24 hour intervals or events that occur at
approximatley 24 intervals - ANSWER: circadian
the 24 hour cycle that relates to work and rest time - ANSWER: circadian rhythm
to wash with soap and water - ANSWER: clean
a common defense mechanism that presents with feelings of disbelief, such as "no,
that cant be right" when a life threatening or terminal diagnoses is recieed -
ANSWER: denial
to clean with an agent that should kill many of surface organisms - ANSWER:
disinfect
last stage of stress response and the bodys inability to respond appropriately to
subsequent stressors - ANSWER: exhaustion
amount of weight moved or lifted during isotonic exersize - ANSWER: resistance
the stage of stress response in which the specific stimulus no longer elicits an
alarm reaction - ANSWER: resistance stage