Paramedic test Questions & Answers

Miosis - ANSWERSExcessive muscle twitching What does RICE mean - ANSWERSRest , ice , compression , elevation SLUDGEM - ANSWERSSalivation , urination , defecation , Gi distress , emesis , miosis What part of initial assessment would you perform a needle decompression - ANSWERSBreathing The most reliable indicator of early decompensated shock is - ANSWERSLevel of consciousness A paramedic who intubates the esophagus instead of the trachea and leaves it in has breached his duty by - ANSWERSMisfeasance Identifying the mechanism of injury is done in what part of the primary survey - ANSWERSScene size up What orthostatic changes occur when going from supine to sitting position - ANSWERSBp decreases 10-20mmHg Hr increases 10-20Bpm OPQRST - ANSWERSOnset , Provokes , Quality , Radiates , Severity , Time The act of injuring a persons character by spoken word - ANSWERSSlander A sudden shortness of breath that occurs at night and sometimes wakes a person from sleep - ANSWERSParoxysmal nocturnal dyspnea How the focused history and physical exam are performed is based on the initial assessment and - ANSWERSThe patient's chief complaint The rules that govern the conduct of a particular group or profession - ANSWERSEthics The history for a responsive patient should include - ANSWERSChief complaint , history of present illness , past medical history and current health status Consent for treatment that is presumed for a patient who is mentally , physically or emotionally unable to grant consent is called - ANSWERSImplied consent Drug legislation passed in 1906 to protect the public from adulterated or mislabeled drugs - ANSWERSPure Food and Drug Act According to the Controlled Substances Act of 1970 , Valium , Lorazepam and Phenobarbital are - ANSWERSSchedule IV drugs Stimulation of Beta 2 receptors will cause the following - ANSWERSBronchodilaton , Vasodilation , Glycogenolysis How a drug is absorbed , distributed , metabolized and excreted is called - ANSWERSPharmacodynamics What are example of parenteral drug routes - ANSWERSIV, IM , SL When two drugs that have the same effect are given together they produce a response greater than the sum of their individual responses it is called - ANSWERSSynergism Drugs that produce a state of paralysis without affecting consciousness are called - ANSWERSNeuromuscular blocking agents Beta 2 specific agents used to treat asthma include - ANSWERSProventil The substance secreted by pancreatic islets by the alpha cells that increases blood glucose levels is - ANSWERSGlucagon When should you not attempt intubation in a pediatric patients unless airway failure is imminent - ANSWERSIf you suspect epiglottis Pulmonary ventilation is important in maintaining a normal acid-base balance because it can - ANSWERSRetain or rapidly eliminate large volumes of carbon dioxide Physiologically the term respiration refers to - ANSWERSThe exchange of gases at the cellular level The preferred neuromuscular blocking agent for RSI is - ANSWERSSuccinylcholine When a portion of the lung is unavailable for gas exchange , yet pulmonary circulation continues in that area you have a condition called - ANSWERSVentilation-Perfusion mismatch The Hypoxic drive is stimulated by - ANSWERSLow PaCo2 The average volume of gas inhaled in one respiratory cycle is called - ANSWERSThe tidal volume When would you expect to find a very low end tidal CO2 levels despite a patent airway - ANSWERSWhen the patient is in cardiac arrest What is the primary difference between the adult and pediatric airway - ANSWERSThe narrowest part of the pediatric airway is the cricoid ring in the trachea The most ominous finding of auscultation is - ANSWERSSilent chest In a healthy individual this type of shock may not present with cool , pale , moist skin , tachycardia and narrowed pulse pressure - ANSWERSNeurogenic shock When a object or force impacts the body and kinetic energy is transferred through body tissues the result is - ANSWERSBlunt trauma What layer of the arteries controls the diameter - ANSWERSTunica media What are the layers of a artery - ANSWERSTunica intima , tunica media , tunica adventitia A early indicator of internal hemorrhage is - ANSWERSChange in mental status They are located in the aortic arch , monitor blood pressure and send feedback to the medulla oblongata to maintain homeostasis - ANSWERSBaroreceptors The following occurs in late stage decompensated shock - ANSWERSThe blood pressure falls Kinetic energy is - ANSWERSThe energy a object has while it is in motion The Frank - Starling mechanism is - ANSWERSThe process by which an increase in cardiac output occurs in proportion to the diastolic stretch of heart muscle fibers The amount of venous blood returning to the heart is known as - ANSWERSPreload Shock caused by histamine release is - ANSWERSAnaphylactic shock Injuries commonly associated with penetrating chest trauma are - ANSWERSMyocardial contusion , pericardial tamponade and hemothorax The formation of a partial vacuum and subsequent cavity within a semi fluid medium is - ANSWERSCavitation