NREMTsParamedicsExam
stridors-sCORRECTsANSWER✔Harshsorshigh-
pitchedsrespiratoryssound,sswelling,sfbsinsuppersairway.sCroupsissansexamp
le
Snorings-
sCORRECTsANSWER✔Thessoundsofsthessoftstissue sofsthesuppersairways
creatingsaspartialsobstructionsofsairsflow.sThestonguesblockingsthesairwaysis
sansexample.
gurglings-
sCORRECTsANSWER✔indicates spresencesofsfluidsinsthesuppersairway,s
needsforssuctioning
Decorticates-
sCORRECTsANSWER✔elbowssandshandssflexed,sandslegssflexed.sTheys
aresinternallysrotateds(thesletsslooksbowlegged)s(makesansOswithstheirsarms
:scorticate)
Decerebrates(worse)s-
sCORRECTsANSWER✔Stiffened sandsinternally srotatedselbowssandslegs
,steethsclenched,slegssstiffsandsfeetsextended.
Babinski'ssresponses-
sCORRECTsANSWER✔dorsiflexions(splaying)sofstoess
,-abnormalsplantaesreflexsresponsesifsovers18smonths
mydriasiss-
sCORRECTsANSWER✔dilation sofsthespupil.sAppearssinscardiacsarrest,ss
hock,scerebralshypoxia,scocaine,sepinephrine,sandsamphetamines.
Miosiss-
sCORRECTsANSWER✔Constricted spupils.sNarcotics, sCNSsdisorder,sgl
aucomasmedication,sbrightslight
anisocorias-
sCORRECTsANSWER✔unequalspupilssizesthatsmaysindicate sserioussneu
rologicsdysfunction
nystagmuss-sCORRECTsANSWER✔involuntarysrapidseyesmovementss-
softensreportedsasshorizontal, svertical, sorsrotary
subcutaneoussemphysemas-
sCORRECTsANSWER✔Airsundersthesskin;screpitusssound
raless(crackles)s-
sCORRECTsANSWER✔Fluidsinssmallsairwayss(aveoli).sCommonsinsCH
F,spulonarysedema,sdrowning,spneumonia,sandsCOPD
, Rhonchis-sCORRECTsANSWER✔Coarse,slow-
pitchedsbreathssoundssheardsinspatientsswithschronicsmucussinsthesuppersair
ways.sFoundsinsBronchitus,sCOPD,sandspneumonia.
Wheezings-
sCORRECTsANSWER✔Thesproductionsofswhistling ssoundssduringsexpi
rationssuchsassoccurssinsasthmasandsbronchiolitis.
Bronchialslungssoundss-sCORRECTsANSWER✔heardsoverstrachea/
upperssternum;sexpiratoryssoundspredominates;sisshigherspitchedsandsloud
er;sifsheardsinsotherslocationssitsindicatessconsolidations--
sasspacesthatsusuallyscontainssairsnowshassfluid
Bronchovesiculars-
sCORRECTsANSWER✔Heardsoversscapulasands2/3rdsintercostalsspacesl
ateralstossternum.
Apneusticsbreathings-
sCORRECTsANSWER✔Characterizedsbysprolongedsinspirationssunrelie
vedsbysattemptsstosexhale,swhichsindicatesstraumastosthespons.sAKAslong,s
deepsbreathssthatsaresstoppedsduringsinspirationssthensperiodssofsapnea.
Biot'ss(Ataxic)sRespirationss-
sCORRECTsANSWER✔Shallow,sdeepsrespirationsswithsperiodssofsapne
a
Irregularspattern
Precipitatingsfactors:srespiratorysdepression,sbrainsdamage
stridors-sCORRECTsANSWER✔Harshsorshigh-
pitchedsrespiratoryssound,sswelling,sfbsinsuppersairway.sCroupsissansexamp
le
Snorings-
sCORRECTsANSWER✔Thessoundsofsthessoftstissue sofsthesuppersairways
creatingsaspartialsobstructionsofsairsflow.sThestonguesblockingsthesairwaysis
sansexample.
gurglings-
sCORRECTsANSWER✔indicates spresencesofsfluidsinsthesuppersairway,s
needsforssuctioning
Decorticates-
sCORRECTsANSWER✔elbowssandshandssflexed,sandslegssflexed.sTheys
aresinternallysrotateds(thesletsslooksbowlegged)s(makesansOswithstheirsarms
:scorticate)
Decerebrates(worse)s-
sCORRECTsANSWER✔Stiffened sandsinternally srotatedselbowssandslegs
,steethsclenched,slegssstiffsandsfeetsextended.
Babinski'ssresponses-
sCORRECTsANSWER✔dorsiflexions(splaying)sofstoess
,-abnormalsplantaesreflexsresponsesifsovers18smonths
mydriasiss-
sCORRECTsANSWER✔dilation sofsthespupil.sAppearssinscardiacsarrest,ss
hock,scerebralshypoxia,scocaine,sepinephrine,sandsamphetamines.
Miosiss-
sCORRECTsANSWER✔Constricted spupils.sNarcotics, sCNSsdisorder,sgl
aucomasmedication,sbrightslight
anisocorias-
sCORRECTsANSWER✔unequalspupilssizesthatsmaysindicate sserioussneu
rologicsdysfunction
nystagmuss-sCORRECTsANSWER✔involuntarysrapidseyesmovementss-
softensreportedsasshorizontal, svertical, sorsrotary
subcutaneoussemphysemas-
sCORRECTsANSWER✔Airsundersthesskin;screpitusssound
raless(crackles)s-
sCORRECTsANSWER✔Fluidsinssmallsairwayss(aveoli).sCommonsinsCH
F,spulonarysedema,sdrowning,spneumonia,sandsCOPD
, Rhonchis-sCORRECTsANSWER✔Coarse,slow-
pitchedsbreathssoundssheardsinspatientsswithschronicsmucussinsthesuppersair
ways.sFoundsinsBronchitus,sCOPD,sandspneumonia.
Wheezings-
sCORRECTsANSWER✔Thesproductionsofswhistling ssoundssduringsexpi
rationssuchsassoccurssinsasthmasandsbronchiolitis.
Bronchialslungssoundss-sCORRECTsANSWER✔heardsoverstrachea/
upperssternum;sexpiratoryssoundspredominates;sisshigherspitchedsandsloud
er;sifsheardsinsotherslocationssitsindicatessconsolidations--
sasspacesthatsusuallyscontainssairsnowshassfluid
Bronchovesiculars-
sCORRECTsANSWER✔Heardsoversscapulasands2/3rdsintercostalsspacesl
ateralstossternum.
Apneusticsbreathings-
sCORRECTsANSWER✔Characterizedsbysprolongedsinspirationssunrelie
vedsbysattemptsstosexhale,swhichsindicatesstraumastosthespons.sAKAslong,s
deepsbreathssthatsaresstoppedsduringsinspirationssthensperiodssofsapnea.
Biot'ss(Ataxic)sRespirationss-
sCORRECTsANSWER✔Shallow,sdeepsrespirationsswithsperiodssofsapne
a
Irregularspattern
Precipitatingsfactors:srespiratorysdepression,sbrainsdamage
