NREMT Paramedic Study Guide Exam
Containing 837 Questions with
Definitive Solutions 2024-2025.
what is HHNK? - Answer: Hyperglycemic Hyperosmolar Non-ketosis coma,
complication of DM Type 2. S&S of DKA but no fruity breath or kussmauls
breathing.
what are the two types of immunity? - Answer: natural and acquired
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what type of reaction is an allergic reaction? what type of protein is the antibody?
*High pt* - Answer: antigen-antibody reaction. IgE immunoglobulins
When histamine is released, what is the effect on the body? - Answer: vasodilator,
increases capillary permeability, bronchoconstriction
what is S&S of anaphylactic reaction? - Answer: wheezing, stridor, urticaria,
itching, angioedema, laryngeal edema, increase HR, decrease BP
What is angioedema? - Answer: swelling of the tongue, lips, and eyes
treatment for allergic reaction? - Answer: airway, o2, bronchodilator(albuterol),
antihistamines (Benadryl), epi 1:1 IM, IV fluids, vasopressors, corticosteroids,
magnesium sulfate
why do patients go into anaphylactic shock? - Answer: due to 3rd space fluid loss
and vasodilation
Most common cause of anaphylactic shock - Answer: penicillin injection and
Hymenoptera stings (like a bee)
what is an anaphylactoid reaction? - Answer: same clinical effects as anaphylaxis
but *NOT IgE mediated*... more common in *Pts taking beta blockers* or NSAIDS,
exercise
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Collagen disease... name two types? - Answer: systemic lupus and scleroderma
what is systemic lupus? - Answer: an inflammation disease where the body
attacks its own tissue.
What is scleroderma? - Answer: Chronic hardening and tightening of the skin and
connective tissues.
name three problems related to transplants? - Answer: infection, rejection, and
drug toxicity
5 causes of infectious disease - Answer: bacteria, viruses, fungi, protozoa,
helminths(worms)
best way to prevent the spread of disease? - Answer: hand washing
what is the main cause of HIV/AIDS? - Answer: unprotected sex
Kaposi's sarcoma - Answer: Form of skin cancer frequently seen in AIDS patients.
cancer that forms blue/red/purple lesions in blood and lymph vessels.
Pneumocystis’ carinii - Answer: life-threatening sun infection. most AIDS patients
develop PCP
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pneumonia - Answer: An inflammation of lung tissue, where the alveoli in the
affected areas fill w/fluid
Tuberculosis - Answer: disease caused by bacteria called Mycobacterium
tuberculosis. The bacteria usually attack the lungs, but they can also damage
other parts of the body. TB spreads through the air
what is hepitis - Answer: infection of the liver
S/S of Hepatitis - Answer: slow onset, fever, RUQ pain, nausea and vomiting,
decrease in appetite, jaundice, dark-colored urine, light -colored stools, ascites
how do you get hepatitis A? - Answer: fecal-oral contamination, not blood borne
or travel
how do you get hepatitis B and C? - Answer: blood borne
S&S of tuberculosis - Answer: fever, night sweats, loss of energy/appetite, weight
loss, chills, cough, hemoptysis
what PPE if Patient has TB? - Answer: HEPA or N95 mask
chickenpox - Answer: A highly contagious viral infection causing an itchy, blister-
like rash on the skin.