Critical Care Final Exam LATEST EDITION

Critical Care Final Exam LATEST EDITION Abdominal Assessment with Abdominal Pain - CORRECT ANSWER-Inspect, Auscultate, Percuss, Palpate Abdominal Assessment without Abdominal Pain - CORRECT ANSWER-Note quality and frequency of sounds, and auscultate before percussion and palpation Boyle's Gas Law - CORRECT ANSWER-Volume is inversely proportional to pressure Dalton's Gas Law - CORRECT ANSWER-Total pressure is equal to the partial pressure of all gases Charle's Gas Law - CORRECT ANSWER-Temperature is directly proportional to volume Henry's Gas Law - CORRECT ANSWER-The amount of dissolved gas in a liquid is proportional to its pressure Gay-Lussac's Gas Law - CORRECT ANSWER-Temperature is directly proportional to pressure Organs in the retroperitoneal space - CORRECT ANSWER-Kidneys, Adrenal Glands, Pancreas, Lymph Nodes, Nerve roots, Abdominal Aorta, Inferior Vena Cava Criteria for Intubation - CORRECT ANSWER-Inability to protect airway, oxygenate, ventilate, and anticipated clinical course 5 Ps Criteria for Intubation - CORRECT ANSWER-Protection, Positive Pressure, Partial Pressure of O2 (PO2), Pulmonary Toilet, and Patient Progression Types of Shock - CORRECT ANSWER-Hypovolemic, Distributive, Cardiogenic, and Obstructive Types of Hypovolemic Shock - CORRECT ANSWER-Hemorrhagic and NonHemorrhagic Signs and Symptoms of Hemorrhagic Hypovolemic Shock - CORRECT ANSWERChanges in blood pressure and triad of death After how much blood volume lost will changes in blood pressure occur? - CORRECT ANSWER-30-40% Signs and Symptoms of Non-Hemorrhagic Hypovolemic Shock - CORRECT ANSWERVomiting, diarrhea, excessive sweating, polyuria, and skin loss Types of Distributive Shock - CORRECT ANSWER-Septic, Neurogenic, and Anaphylaxis Signs and Symptoms of Septic Shock - CORRECT ANSWER-AMS, SBP less than or equal to 100mmHg. RR greater than or equal to 22/min. MAP greater than or equal to 65 on vasopressors Causes of Septic Shock - CORRECT ANSWER-Bacterial, Fungal, or Viral infections. What effect does Septic Shock have on the body? - CORRECT ANSWER-Vasodilation from histamine release, and systemic leakage. Signs and Symptoms of Neurogenic Shock - CORRECT ANSWER-Hypotension and a variable HR Cause of Anaphylactic Shock - CORRECT ANSWER-Acute systemic allergic reaction, resulting from release of chemical mediators after an antigen antibody reaction Signs and Symptoms of Anaphylactic Shock - CORRECT ANSWER-Increased HR, Decreased BP, warm/hot flushed skin, bronchoconstriction, laryngeal edema, angioedema, airway compromise Define Cardiogenic Shock - CORRECT ANSWER-Extreme pump failure leading to inability of the heart to perfume vital organs Signs and Symptoms of Cardiogenic Shock - CORRECT ANSWER-Low BP, AMS, low urine output Most Common Cause of Cardiogenic Shock - CORRECT ANSWER-MI with Left Ventricular Failure Causes of Obstructive Shock - CORRECT ANSWER-Pulmonary Embolism, Cardiac Tamponade, and Tension Pneumothorax Criteria for NCD - CORRECT ANSWER-Tension Pneumothorax Signs and Symptoms of Pulmonary Embolism - CORRECT ANSWER-PT History, Dyspnea, Pleuritic Chest Pain, and Cough Medical Causes of Hypotension - CORRECT ANSWER-Sepsis, Dehydration Trauma Causes of Hypotension - CORRECT ANSWER-Hemorrhagic Shock Criteria for Pericardiocentesis - CORRECT ANSWER-Cardiac Tamponade and Becks Triad Beck's Triad - CORRECT ANSWER-JVD, Muffled Heart sounds, and Hypotension The person responsibility for all aspects of safe aircraft operation IAW FAA Regulations - CORRECT ANSWER-The Pilot What is a sterile cockpit? - CORRECT ANSWER-No talking over intercom system When should there be a sterile cockpit? - CORRECT ANSWER-Critical Phases of Flight What are the Critical Phases of Flight - CORRECT ANSWER-Taxi, Takeoff, Turbulence, and Landing Where to meet after an emergency landing in Rotor Wing - CORRECT ANSWER-12 o'clock Where to meet after an emergency landing in Fixed Wing - CORRECT ANSWER-6 o'clock What are the medical team roles in disaster? - CORRECT ANSWER-Command, Operations, Planning, Logistics, Finance "First on, Last off" - CORRECT ANSWER-Helmet and Comms Proper approach to a helicopter - CORRECT ANSWER-3 and 9 o'clock Purpose of preflight walk around - CORRECT ANSWER-Ensure the aircraft is ready to respond Signs of Aircraft Pressurization Failure/Slow Decompensation - CORRECT ANSWERInsidious and gradual onset, signs and symptoms of hypoxia Signs of Aircraft Pressurization Failure/Rapid Decompression - CORRECT ANSWEROnset is immediate, 1-3 seconds accompanied by noise, flying debris, and fog Partial Pressure of Oxygen at Sea Level - CORRECT ANSWER-160 mmHg, 21% What is Distributive Shock? - CORRECT ANSWER-High/Normal arterial resistance with expanded venous capacitance Stagnant Hypoxia - CORRECT ANSWER-Reduced blood flow/cardiac output; pooling of blood within certain regions of the body Causes of Stagnant Hypoxia - CORRECT ANSWER-Heart Failure, P.E., Shock, Tourniquets Histotoxic Hypoxia - CORRECT ANSWER-Metabolic disorders or poisoning resulting in cellular inability to use oxygen Causes of Histotoxic Hypoxia - CORRECT ANSWER-Alcohol, Narcotics/other drugs, cyanide and other poisons, smoke and fumes. Hypoxic Hypoxia - CORRECT ANSWER-lack of sufficient oxygen due to High altitudes, strangulation, or drowning Hypemic Hypoxia - CORRECT ANSWER-decrease in oxygen carrying capacity Barosinusitis - CORRECT ANSWER-Inflammation of sinuses due to pressure difference Barodontalgia - CORRECT ANSWER-Tooth pain secondary to pressure difference When does barodontalgia worsen? - CORRECT ANSWER-During ascent Barotitis Media - CORRECT ANSWER-Popped ear When does Barotitis Media occur? - CORRECT ANSWER-On descent How is the bends defined? - CORRECT ANSWER-Limb Pain How is the chokes defined? - CORRECT ANSWER-Respiratory disturbances How is the creep defined? - CORRECT ANSWER-Skin irritation How is the staggers defined? - CORRECT ANSWER-Disturbances of the CNS What is the cause of syncope with decompression sickness? - CORRECT ANSWERCardiovascular collapse Define mass - CORRECT ANSWER-A measure of the inertia of an object Define speed - CORRECT ANSWER-The rate of movement of a body regardless of the direction of travel Define velocity - CORRECT ANSWER-The rate of change of distance and direction of travel of an object Define acceleration - CORRECT ANSWER-Rate of change of velocity of an object Systems responsible for perception of movement and orientation - CORRECT ANSWER-Visual, vestibular, and proprioceptive What system plays the most important role in perception of movement and orientation? - CORRECT ANSWER-Visua