Critical Care Paramedic Exam Questions with Complete Solutions

Critical Care Paramedic Exam Questions with Complete Solutions Systemic Vascular Resistance (SVR) (Hemodynamic Values) - Answer-Normal: 800-1200 800 = Dilated 1200 = Constricted Pulmonary Vascular Resistance (PVR) (Hemodynamic Values) - Answer-Normal: 50-250 Dynes Cardiac Index (CI) (Hemodynamic Values) - Answer-Formula: CO/BSA (Body Surface Area) Central Venous Pressure (CVP) (Hemodynamic Values) - Answer-"Right Atrial Pressure" -Measures right heart preload -Normal: 2 - 6mmHg Right Ventricular Pressure (RVP) (Hemodynamic Values) - Answer--Right Heart Afterload -Normal: 15 - 25mmHg systolic/ 0-5mmHg diastolic Pulmonary Artery Pressure (PA) (Hemodynamic Values) - Answer-*When you see the diacrotic arch* Normal: 15-25mmHg systolic/8-15mmHg diastolic Pulmonary Artery Wedge Pressure (PAWP) (Hemodynamic Values) - Answer-"Wedge Pressure" -Measures right heart afterload/left heart preload Normal: 8-12mmHg Cardiac Output (CO) (Hemodynamic Values) - Answer-Normal: 4-8L/min Formula: SVxHR Coronary Perfusion Pressure (CPP) (Hemodynamic Values) - Answer-Formula: DBP-PAWP Normal: 50-60mmHg Babinski's Reflex - Answer--Extension and spreading of toes when bottom of foot is stroked Indication of: Nervous System Lesion Battle's Sign - Answer--Bluish discoloration to bony prominence behind the ear Indication of: Basilar skull fracture Beck's Triad - Answer--Jugular vein distention, Muffled heart tones, hypotension Indication of: Cardiac tamponade Brudzinski's Sign - Answer--Flexion of the neck usually results in flexion of the hips Indication of: Meningitis Coopernail's Sign - Answer-Bruising on the perineum, scrotum, or labia Indication of: Pelvic fracture Cullen's Sign - Answer-bluish discoloration around umbilicus Indication of: Intraperitoncal hemorrhage i.e: ectopic pregnancy, hemorrhagic pancreatitis Cushing's Triad - Answer--Bradycardia, hypertension, changing respiratory patterns Indication of: Increased ICP, brain stem herniation Grey-Turner's Sign - Answer-Discoloration of the flanks Indication of: Pancreatitis Hamman's Sign - Answer--Crunching sound with heartbeat Indication of: Mediastinal emphysema Kehr's Sign - Answer--Left should pain Indication of: Ruptured spleen, blood irritation the diaphragm. Kernig's Sign - Answer--Pain or resistance to knee extension when hip is flexed 90 degrees. Indication of: Meningitis Kerr's Sign - Answer--Alteration of the texture of the skin below the lesion. Indication of: Spinal lesion Levine's Sign - Answer--Present pain with a clutched fist over middle chest Indication of: Cardiac chest pain McBurney's Sign (Point) - Answer--Tenderness 2/3 distance between the umbilicus and the ileum. Indication of: Appendicitis