AIR METHODS CC PARAMEDIC VERIFIED
QUESTIONS AND SOLUTIONS
◉ Coags: PT - what do high values indicate.
Answer: High values can indicate liver cirrohsis, vitamin K deficiency
or DIC
◉ Coags: INR.
Answer: International normalized ratio. Normal INR = 1.0.
◉ Coags: aPTT - what does it measure & how long?
Answer: Measures Heparin
25-40 second
◉ OB: What are some physiological changes which occur in
pregnancy?.
Answer: -Blood volume increases 40%
-Plasma increases, showing false anemia on labs
-BP decreases in 2nd trimester, but returns to normal
-Cardiac output increases, up to 50%
-HR increases 10-15 bpm
-SBP increases
,-Body becomes more insulin resistant
-Uterus enlarges 20x
◉ OB: Physical assessment of pregnant patient.
Answer: Palpate / Check vitals / Check FHT / Ask GP-PAL
◉ OB: What is GP-PAL.
Answer: Gravida, Para, Preterms, Abortion, Living children
◉ OB: Tx for distressed fetus?.
Answer: 100% O2 via NRB on mother; place in LLR; give fluids for
hypotension and perform external vaginal exam
◉ OB: Vaginal bleeding - caused by?.
Answer: Ovarian cysts, spotting, fetal loss, ectopic pregnancy or
uterine rupture
◉ OB: Vaginal bleeding - TX?.
Answer: O2/IV/Monitor
Manage blood loss
Blood products
Tx for shock
, Monitor FHT
◉ OB: Gestational hypertension - TX?.
Answer: Treat with:
-Beta Blockers like Labetalol
-Arterial vasodilators like Hydrolozine
-Consider seizure prophylaxis like 4G Mag over 20 min
◉ OB: Pre-eclampsia - S/S & TX?.
Answer: S/S = HTN with edema, neuro changes and clonus
TX = -Beta Blockers like Labetalol
-Arterial vasodilators like Hydrolozine
-Consider seizure prophylaxis like 4G Mag over 20 min
(Delivery is only option to stop condition)
◉ OB: Pre-eclampsia - severe S/S?.
Answer: BP >160/100
Pulmonary edema
Platelets under 100k
Headache/ vision changes
RUQ pain
QUESTIONS AND SOLUTIONS
◉ Coags: PT - what do high values indicate.
Answer: High values can indicate liver cirrohsis, vitamin K deficiency
or DIC
◉ Coags: INR.
Answer: International normalized ratio. Normal INR = 1.0.
◉ Coags: aPTT - what does it measure & how long?
Answer: Measures Heparin
25-40 second
◉ OB: What are some physiological changes which occur in
pregnancy?.
Answer: -Blood volume increases 40%
-Plasma increases, showing false anemia on labs
-BP decreases in 2nd trimester, but returns to normal
-Cardiac output increases, up to 50%
-HR increases 10-15 bpm
-SBP increases
,-Body becomes more insulin resistant
-Uterus enlarges 20x
◉ OB: Physical assessment of pregnant patient.
Answer: Palpate / Check vitals / Check FHT / Ask GP-PAL
◉ OB: What is GP-PAL.
Answer: Gravida, Para, Preterms, Abortion, Living children
◉ OB: Tx for distressed fetus?.
Answer: 100% O2 via NRB on mother; place in LLR; give fluids for
hypotension and perform external vaginal exam
◉ OB: Vaginal bleeding - caused by?.
Answer: Ovarian cysts, spotting, fetal loss, ectopic pregnancy or
uterine rupture
◉ OB: Vaginal bleeding - TX?.
Answer: O2/IV/Monitor
Manage blood loss
Blood products
Tx for shock
, Monitor FHT
◉ OB: Gestational hypertension - TX?.
Answer: Treat with:
-Beta Blockers like Labetalol
-Arterial vasodilators like Hydrolozine
-Consider seizure prophylaxis like 4G Mag over 20 min
◉ OB: Pre-eclampsia - S/S & TX?.
Answer: S/S = HTN with edema, neuro changes and clonus
TX = -Beta Blockers like Labetalol
-Arterial vasodilators like Hydrolozine
-Consider seizure prophylaxis like 4G Mag over 20 min
(Delivery is only option to stop condition)
◉ OB: Pre-eclampsia - severe S/S?.
Answer: BP >160/100
Pulmonary edema
Platelets under 100k
Headache/ vision changes
RUQ pain
