CCT Paramedic Acadian Final Exam Study Set with All
Correct & 100% Verified Answers |Latest Version |
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What is the best reason to apply capnography monitoring to your intubated and mechanically
ventilated patient prior to moving her from the hospital bed to your stretcher? ✔Correct Answer-
rapid and real time evidence of ET tube dislodgement
An intubated patient being prepared for transport is gagging, mouthing her tube and raising her
head off the ED bed. What should the CCT medic do? ✔Correct Answer-provide sedation
List the elements of assessment of the CCT patient. ✔Correct Answer-scene size up w dispatch-
eqipment needed
hx of illness- MOI, vital trends, med hx, parameters
chart review-demographic, insuarnce last meds given
ongoing treatment- meds routes doses
reassess all lines and tubings after moving
ensure all proper documents, discs and films brought w pt
What is the hierarchy of medical control for CCT transports? ✔Correct Answer-heirarchy of orders
=Sending physician - recieving physician- med control
How do you handle giving report when you had to change vent settings enroute? ✔Correct
Answer-provide initial vent settings and vitals, report new vent settings and why with trending vital
signs
Recall the difference between protocols and standing orders. Can you honor a verbal order as you
are "heading out the door" with a patient? ✔Correct Answer-if you are still "heading out the door"
ensure all orders are written.
Identify a case in which a hospital would be EXEMPT from the requirement to provide a patient with
an appropriate screening exam and stabilizing treatment. ✔Correct Answer-EXEMPT- if ems is
using the helipad for transfer of care to fly pt out
otherwise that facility must do what they can within their capabilities to stabilize. sometimes they
have limited services and the best option to stabilze the pt is to transfer them to an appropriate
facility
Who is responsible for all clinical aspects of a CCT program? ✔Correct Answer-Medical director
What makes a transfer CCT eligible? (meds, equipment). A pump alone does NOT! ✔Correct
Answer-
What are the requirements for Medicare reimbursement for SCT? ✔Correct Answer-
What is lobular consolidation indicative of? ✔Correct Answer-mucus in the lungs such as in
bacterial pneumonia
, What is a flattened diaphragm suggestive of? ✔Correct Answer-emphysema or COPD(will also see
hyperinflation)
What features would you note on the chest xray of a patient with ARDS? ✔Correct Answer-edema
patchy bilateral, scratchy glass looking, foggy
How are different densities represented on an xray? ✔Correct Answer-dark shadows = low density
ex lung tissue
light shadows= high density ex bone, dense organs
air will appear black or "radiolucent"
soft tissue/water appears grey
bone appears the brightest "radiopaque"
the more rays absorbed the brighter or white the object appears
What diagnosis is consistent with a "ground glass" appearance of the lungs? ✔Correct Answer-
associated with edema seen in ARDS
What is normal HgB for men and women (they are different!) ✔Correct Answer-MEN 13-18 g/dl
WOMEN 12-16 g/dl
What features would you note on the chest xray of a patient with CHF? ✔Correct Answer-widened
mediastinum w/ shaggy borders, engorged upper lobes
A diagnostic test that is just fair at detecting disease, but has very few false positives, can be
described as having________ SENSITIVITY and ________ SPECIFICITY ✔Correct Answer-LOW; HIGH
Sensitivity is the ability to measure __________________? ✔Correct Answer-true positives
Specificity is the ability to measure ___________________? ✔Correct Answer-true negatives
Increased nuertophils and bands is what type of shift in WBC and indicates what type of infection?
✔Correct Answer-left shift, bacterial infection
increased lymphocytes is what typer of shift in WBC and indicates what type of infection ?
✔Correct Answer-right shift, viral
BNP is a marker for what condition of the heart? ✔Correct Answer-CHF
Normal Na+ (sodium) lab levels ✔Correct Answer-135-145 mEq/L
Normal K+ (potassium) lab levels ✔Correct Answer-3.5-5.0 mEq/L
What are the components of the BMP(Base metabolic panel)? ✔Correct Answer-sodium Na+
potassium K+
chloride Cl-
Bicarb HCO3
glucose
BUN (blood urea nitrogen)
creatinine
Elevation (even slight) of what can be idicative of dehydration? ✔Correct Answer-sodium
Correct & 100% Verified Answers |Latest Version |
Already Graded A+
What is the best reason to apply capnography monitoring to your intubated and mechanically
ventilated patient prior to moving her from the hospital bed to your stretcher? ✔Correct Answer-
rapid and real time evidence of ET tube dislodgement
An intubated patient being prepared for transport is gagging, mouthing her tube and raising her
head off the ED bed. What should the CCT medic do? ✔Correct Answer-provide sedation
List the elements of assessment of the CCT patient. ✔Correct Answer-scene size up w dispatch-
eqipment needed
hx of illness- MOI, vital trends, med hx, parameters
chart review-demographic, insuarnce last meds given
ongoing treatment- meds routes doses
reassess all lines and tubings after moving
ensure all proper documents, discs and films brought w pt
What is the hierarchy of medical control for CCT transports? ✔Correct Answer-heirarchy of orders
=Sending physician - recieving physician- med control
How do you handle giving report when you had to change vent settings enroute? ✔Correct
Answer-provide initial vent settings and vitals, report new vent settings and why with trending vital
signs
Recall the difference between protocols and standing orders. Can you honor a verbal order as you
are "heading out the door" with a patient? ✔Correct Answer-if you are still "heading out the door"
ensure all orders are written.
Identify a case in which a hospital would be EXEMPT from the requirement to provide a patient with
an appropriate screening exam and stabilizing treatment. ✔Correct Answer-EXEMPT- if ems is
using the helipad for transfer of care to fly pt out
otherwise that facility must do what they can within their capabilities to stabilize. sometimes they
have limited services and the best option to stabilze the pt is to transfer them to an appropriate
facility
Who is responsible for all clinical aspects of a CCT program? ✔Correct Answer-Medical director
What makes a transfer CCT eligible? (meds, equipment). A pump alone does NOT! ✔Correct
Answer-
What are the requirements for Medicare reimbursement for SCT? ✔Correct Answer-
What is lobular consolidation indicative of? ✔Correct Answer-mucus in the lungs such as in
bacterial pneumonia
, What is a flattened diaphragm suggestive of? ✔Correct Answer-emphysema or COPD(will also see
hyperinflation)
What features would you note on the chest xray of a patient with ARDS? ✔Correct Answer-edema
patchy bilateral, scratchy glass looking, foggy
How are different densities represented on an xray? ✔Correct Answer-dark shadows = low density
ex lung tissue
light shadows= high density ex bone, dense organs
air will appear black or "radiolucent"
soft tissue/water appears grey
bone appears the brightest "radiopaque"
the more rays absorbed the brighter or white the object appears
What diagnosis is consistent with a "ground glass" appearance of the lungs? ✔Correct Answer-
associated with edema seen in ARDS
What is normal HgB for men and women (they are different!) ✔Correct Answer-MEN 13-18 g/dl
WOMEN 12-16 g/dl
What features would you note on the chest xray of a patient with CHF? ✔Correct Answer-widened
mediastinum w/ shaggy borders, engorged upper lobes
A diagnostic test that is just fair at detecting disease, but has very few false positives, can be
described as having________ SENSITIVITY and ________ SPECIFICITY ✔Correct Answer-LOW; HIGH
Sensitivity is the ability to measure __________________? ✔Correct Answer-true positives
Specificity is the ability to measure ___________________? ✔Correct Answer-true negatives
Increased nuertophils and bands is what type of shift in WBC and indicates what type of infection?
✔Correct Answer-left shift, bacterial infection
increased lymphocytes is what typer of shift in WBC and indicates what type of infection ?
✔Correct Answer-right shift, viral
BNP is a marker for what condition of the heart? ✔Correct Answer-CHF
Normal Na+ (sodium) lab levels ✔Correct Answer-135-145 mEq/L
Normal K+ (potassium) lab levels ✔Correct Answer-3.5-5.0 mEq/L
What are the components of the BMP(Base metabolic panel)? ✔Correct Answer-sodium Na+
potassium K+
chloride Cl-
Bicarb HCO3
glucose
BUN (blood urea nitrogen)
creatinine
Elevation (even slight) of what can be idicative of dehydration? ✔Correct Answer-sodium
