CRITICAL CARE PARAMEDIC
COMPREHENSIVE EXAM SCRIPT VERIFIED
QUESTIONS COMPLETE ANSWERS
GRADED APLUS
◉ Burns >20% (pg. 126)
Answer: Possibility for Adynamic Ileus (Decreased Bowel
Movement)
Causes problems in-flight due to the expansion of wet gasses is
restricted (Boyle's Law)
◉ Newton's 1st Law of Motion (pg. 130)
Answer: Law of Inertia
Unless it is acted upon by a force, a body at rest will remain at rest
and a body in motion will move at constant speed in a straight
line.
◉ Newton's 2nd Law of Motion (pg. 130)
Answer: Force = Mass x Acceleration (F = M x A)
,When a force is applied to a body, the body accelerates, and the
acceleration is directly proportional to the force applied and
inversely proportional to the mass of the body.
◉ Newton's 3rd Law of Motion (pg. 130)
Answer: For every reaction there is an equal and opposite
reaction.
◉ Killers in Flight (pg.130)
Answer: Tension Pneumothorax
Pericardial Tamponade
Hypovolemia
◉ The most definite assessment of shock is: (pg.130)
Answer: Lactic Acidosis (Lactate >4 mmol/L)
Normal Range of Lactate 2-4 mmol/L
◉ The most commonly damaged organ in trauma is: (pg.130)
Answer: Skin
◉ Urine Output (pg.108)
Answer: Infant 2cc/kg/hr
Child 1cc/kg/hr
, Adult 0.5cc/kg/hr (Normal 30-50 cc/hr)
1 cc = 1 mL
◉ Spinal Shock (pg.99)
Answer: Due to the swelling of the spinal cord after trauma.
Decreased Systemic Vascular Resistance SVR<800
Treat with IV fluids and vasopressors
Can treat with high dose steroids (however, controversial)
◉ Neurogenic Shock (pg.99)
Answer: Distributive Shock
Causes a decrease in sympathetic nervous system outflow (unable
to vasoconstrict or increase HR)
Occurs due to spinal cord swelling after trauma
Decreased Systemic Vascular Resistance SVR<800
However, a normal heart rate (HR normal)
Hypotension, no tachycardia
Warm, red skin
Treat with IV fluids and vasopressors
◉ Meningitis (pg.99)
Answer: Caused by inflammation of the meninges
Disease is carried in the Cerebral Spinal Fluid (CSF)
COMPREHENSIVE EXAM SCRIPT VERIFIED
QUESTIONS COMPLETE ANSWERS
GRADED APLUS
◉ Burns >20% (pg. 126)
Answer: Possibility for Adynamic Ileus (Decreased Bowel
Movement)
Causes problems in-flight due to the expansion of wet gasses is
restricted (Boyle's Law)
◉ Newton's 1st Law of Motion (pg. 130)
Answer: Law of Inertia
Unless it is acted upon by a force, a body at rest will remain at rest
and a body in motion will move at constant speed in a straight
line.
◉ Newton's 2nd Law of Motion (pg. 130)
Answer: Force = Mass x Acceleration (F = M x A)
,When a force is applied to a body, the body accelerates, and the
acceleration is directly proportional to the force applied and
inversely proportional to the mass of the body.
◉ Newton's 3rd Law of Motion (pg. 130)
Answer: For every reaction there is an equal and opposite
reaction.
◉ Killers in Flight (pg.130)
Answer: Tension Pneumothorax
Pericardial Tamponade
Hypovolemia
◉ The most definite assessment of shock is: (pg.130)
Answer: Lactic Acidosis (Lactate >4 mmol/L)
Normal Range of Lactate 2-4 mmol/L
◉ The most commonly damaged organ in trauma is: (pg.130)
Answer: Skin
◉ Urine Output (pg.108)
Answer: Infant 2cc/kg/hr
Child 1cc/kg/hr
, Adult 0.5cc/kg/hr (Normal 30-50 cc/hr)
1 cc = 1 mL
◉ Spinal Shock (pg.99)
Answer: Due to the swelling of the spinal cord after trauma.
Decreased Systemic Vascular Resistance SVR<800
Treat with IV fluids and vasopressors
Can treat with high dose steroids (however, controversial)
◉ Neurogenic Shock (pg.99)
Answer: Distributive Shock
Causes a decrease in sympathetic nervous system outflow (unable
to vasoconstrict or increase HR)
Occurs due to spinal cord swelling after trauma
Decreased Systemic Vascular Resistance SVR<800
However, a normal heart rate (HR normal)
Hypotension, no tachycardia
Warm, red skin
Treat with IV fluids and vasopressors
◉ Meningitis (pg.99)
Answer: Caused by inflammation of the meninges
Disease is carried in the Cerebral Spinal Fluid (CSF)
