©EMILLECT 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
critical care/flight paramedic exam
Questions and Answers
babinski reflex - ANSWER✔✔-extension and spreading of toes when bottom of foot is stroked. sign of
nervous system lesion
battles sign - ANSWER✔✔-bruise behind ear, basilar skull fracture
becks triad - ANSWER✔✔-jvd, muffled heart tones, hypotension. from cardiac tamponade
brudzinski sign - ANSWER✔✔-flexion of the neck results in flexion of the hip. meningitis
coopernails sign - ANSWER✔✔-ecchymosis on perineum, labia, scrotum. sign of pelvis fracture
cullens sign - ANSWER✔✔-bruising around umbilicus. Sign of pancreatitis or ectopic pregnancy
grey turners sign - ANSWER✔✔-discoloration of skin around flank. sign of pancreatitis
hammans sign - ANSWER✔✔-crunching sound of heart with asynchronous heart beat. sign of
mediastinal emphysema/tracheobronchial disruption
kehrs sign - ANSWER✔✔-left shoulder pain associated with splenic rupture
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, ©EMILLECT 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
kernigs sign - ANSWER✔✔-pain to knee extension when hip is at 90 degrees. sign of meningitis
levines sign - ANSWER✔✔-pain with clutched fist over midline of chest. sign of cardiac chest pain
mcburneys sign - ANSWER✔✔-tenderness 2/3 the distance between umbilicus and ileum. sign of
appendicitis
muphys sign - ANSWER✔✔-pt unable to take deep breath on inspiration with deep palpation beneath
right coastal margins. sign of gall bladder issues
S2 "dub" heart tones - ANSWER✔✔-aortic and pulmonary valve closure
s1 "lub" sound - ANSWER✔✔-bicuspic/tricuspid valve closure
stroke volume is affected by - ANSWER✔✔-preload, afterload, contractility
s4 heart tone - ANSWER✔✔-indicative of stiff or noncompliant ventricle, like with an old MI
s3 heart tone - ANSWER✔✔-ventricle stretch due to fluid overload
right coronary artery is typically repaired by using - ANSWER✔✔-saphenous vein
dresslers sign - ANSWER✔✔-pericarditis from recent MI or cardiac surgery
alpha 1 stimulation results in - ANSWER✔✔-increased SVR/vasoconstriction
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, ©EMILLECT 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
beta 1 stimulation results in - ANSWER✔✔-increased HR, contractility
janeway lesions and osler nodes are indicative of - ANSWER✔✔-endocarditis
elevated BNP signals - ANSWER✔✔-increased stretching of ventricles. found in CHF
where should a cardiac transducer be placed? - ANSWER✔✔-phlebostatic axis (4th intercostal space
midaxillary)
what does the dicrotic notch symbolize? - ANSWER✔✔-aortic valve closing
saline from ART line should infuse at what rate - ANSWER✔✔-3ml/hr
normal central venous pressure (CVP) - ANSWER✔✔-2-6
when utilizing a swan ganz catheter, never exceed ____mL of air in distal balloon - ANSWER✔✔-1.5
coronary perfusion pressure calculation - ANSWER✔✔-PAWP-DBP (should be 50-60)
PAWP range - ANSWER✔✔-8-12
PVR range - ANSWER✔✔-50-250
PA pressure - ANSWER✔✔-15-25 systolic, 8-15 diastolic
SVR range - ANSWER✔✔-800-1200
Page 3/20
FIRST PUBLISH OCTOBER 2024
critical care/flight paramedic exam
Questions and Answers
babinski reflex - ANSWER✔✔-extension and spreading of toes when bottom of foot is stroked. sign of
nervous system lesion
battles sign - ANSWER✔✔-bruise behind ear, basilar skull fracture
becks triad - ANSWER✔✔-jvd, muffled heart tones, hypotension. from cardiac tamponade
brudzinski sign - ANSWER✔✔-flexion of the neck results in flexion of the hip. meningitis
coopernails sign - ANSWER✔✔-ecchymosis on perineum, labia, scrotum. sign of pelvis fracture
cullens sign - ANSWER✔✔-bruising around umbilicus. Sign of pancreatitis or ectopic pregnancy
grey turners sign - ANSWER✔✔-discoloration of skin around flank. sign of pancreatitis
hammans sign - ANSWER✔✔-crunching sound of heart with asynchronous heart beat. sign of
mediastinal emphysema/tracheobronchial disruption
kehrs sign - ANSWER✔✔-left shoulder pain associated with splenic rupture
Page 1/20
, ©EMILLECT 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
kernigs sign - ANSWER✔✔-pain to knee extension when hip is at 90 degrees. sign of meningitis
levines sign - ANSWER✔✔-pain with clutched fist over midline of chest. sign of cardiac chest pain
mcburneys sign - ANSWER✔✔-tenderness 2/3 the distance between umbilicus and ileum. sign of
appendicitis
muphys sign - ANSWER✔✔-pt unable to take deep breath on inspiration with deep palpation beneath
right coastal margins. sign of gall bladder issues
S2 "dub" heart tones - ANSWER✔✔-aortic and pulmonary valve closure
s1 "lub" sound - ANSWER✔✔-bicuspic/tricuspid valve closure
stroke volume is affected by - ANSWER✔✔-preload, afterload, contractility
s4 heart tone - ANSWER✔✔-indicative of stiff or noncompliant ventricle, like with an old MI
s3 heart tone - ANSWER✔✔-ventricle stretch due to fluid overload
right coronary artery is typically repaired by using - ANSWER✔✔-saphenous vein
dresslers sign - ANSWER✔✔-pericarditis from recent MI or cardiac surgery
alpha 1 stimulation results in - ANSWER✔✔-increased SVR/vasoconstriction
Page 2/20
, ©EMILLECT 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
beta 1 stimulation results in - ANSWER✔✔-increased HR, contractility
janeway lesions and osler nodes are indicative of - ANSWER✔✔-endocarditis
elevated BNP signals - ANSWER✔✔-increased stretching of ventricles. found in CHF
where should a cardiac transducer be placed? - ANSWER✔✔-phlebostatic axis (4th intercostal space
midaxillary)
what does the dicrotic notch symbolize? - ANSWER✔✔-aortic valve closing
saline from ART line should infuse at what rate - ANSWER✔✔-3ml/hr
normal central venous pressure (CVP) - ANSWER✔✔-2-6
when utilizing a swan ganz catheter, never exceed ____mL of air in distal balloon - ANSWER✔✔-1.5
coronary perfusion pressure calculation - ANSWER✔✔-PAWP-DBP (should be 50-60)
PAWP range - ANSWER✔✔-8-12
PVR range - ANSWER✔✔-50-250
PA pressure - ANSWER✔✔-15-25 systolic, 8-15 diastolic
SVR range - ANSWER✔✔-800-1200
Page 3/20
