COMMUNITY PARAMEDICINE
QUESTIONS AND ANWERS (GRADED
A+)
social determinants of health - ANSWER-conditions in which people are born, grow,
live, work, and age, shaped by the distribution of money, power, and resources at
global, national, and local levels
health care delivery system gap analysis - ANSWER-identifies potential gaps in the
local health care system during a meeting that may include local health care stake
holders.
community health assessment - ANSWER-formal assessment of the health
demographics and health status of the residence in a community performed by local
public health department/stakeholders
BUN - ANSWER-10-20 mg/dL
elevated BUN could indicate kidneys are no longer able to pull out the urea from the
bloodstream (compromised renal functions)
Serum lactate level - ANSWER-Normal 5.0-15Mg/Dl
metabolic acidosis
sepsis
levels are predictive mortality
Troponin - ANSWER-cardiac troponin I is released in MI, measures acuteness of
myocardial infarction
normal= 0-0.4
two key anions with a BMP - ANSWER-Bicarb & chloride
web of resources - ANSWER-a collection of the outreach services available, cataloged
and referenced by type, geography, eligibility, and hours of operation
Four dimensions of culture - ANSWER-individualism, power distance, masculinity,
conflict style
medication reconciliation - ANSWER-A procedure to maintain an accurate and up-to-
date list of medications for all patients between all phases of health care delivery.
BMP - ANSWER-glucose, BUN, creatinine & electrolytes; measures BGL, kidney
function, blood acid-base balance
, ABG - ANSWER-analysis of the gases in the blood; used to determine the effectiveness
of the lungs in exchanging gases
Pco2, Po2, bicarb, Ph
CBC (complete blood count) - ANSWER-a set of tests that include all WBC, RBC and
platelet measurements.
RBC: 3.9-5.5
hemoglobin Males 14-18; females 12-16
hematocrit males 45-52% females 37-48%
platelets 150-350 X10(3)
WBC: 4500-11000
D-dimer - ANSWER-protein fragment made when a blood clot dissolves in the body.
(DVT,PE,CVA,DIC)
Normal: <0.50
Positive: <0.50
BNP - ANSWER-B-type natriuretic peptide; used to diagnose CHF, secreted by
ventricles of heart due to excessive stretching.
>400 moderate/severe
>/=200 - </=400 moderate
> normal but less than 200 compensated
INR - ANSWER-International normalized Ratio
0.8-1.1
on warfarin/coumadin: 2-3
HbA1c - ANSWER-measure average BGL over 2-3 months
4-5.6% normal
5.7-6.4% diabetic risk
>6.5% diabetus
Glomerular Filtration Rate (GFR) - ANSWER-90-120 mL/min
eGFR= estimated
Albumin - ANSWER-3.5-5
low= breakdown of protein, decreased production, or edema in spaces between tissue
High= generally only indicate dehydration and are not pathologic
which venue may be the most difficult when completing health screening for the
homeless population? - ANSWER-police station
QUESTIONS AND ANWERS (GRADED
A+)
social determinants of health - ANSWER-conditions in which people are born, grow,
live, work, and age, shaped by the distribution of money, power, and resources at
global, national, and local levels
health care delivery system gap analysis - ANSWER-identifies potential gaps in the
local health care system during a meeting that may include local health care stake
holders.
community health assessment - ANSWER-formal assessment of the health
demographics and health status of the residence in a community performed by local
public health department/stakeholders
BUN - ANSWER-10-20 mg/dL
elevated BUN could indicate kidneys are no longer able to pull out the urea from the
bloodstream (compromised renal functions)
Serum lactate level - ANSWER-Normal 5.0-15Mg/Dl
metabolic acidosis
sepsis
levels are predictive mortality
Troponin - ANSWER-cardiac troponin I is released in MI, measures acuteness of
myocardial infarction
normal= 0-0.4
two key anions with a BMP - ANSWER-Bicarb & chloride
web of resources - ANSWER-a collection of the outreach services available, cataloged
and referenced by type, geography, eligibility, and hours of operation
Four dimensions of culture - ANSWER-individualism, power distance, masculinity,
conflict style
medication reconciliation - ANSWER-A procedure to maintain an accurate and up-to-
date list of medications for all patients between all phases of health care delivery.
BMP - ANSWER-glucose, BUN, creatinine & electrolytes; measures BGL, kidney
function, blood acid-base balance
, ABG - ANSWER-analysis of the gases in the blood; used to determine the effectiveness
of the lungs in exchanging gases
Pco2, Po2, bicarb, Ph
CBC (complete blood count) - ANSWER-a set of tests that include all WBC, RBC and
platelet measurements.
RBC: 3.9-5.5
hemoglobin Males 14-18; females 12-16
hematocrit males 45-52% females 37-48%
platelets 150-350 X10(3)
WBC: 4500-11000
D-dimer - ANSWER-protein fragment made when a blood clot dissolves in the body.
(DVT,PE,CVA,DIC)
Normal: <0.50
Positive: <0.50
BNP - ANSWER-B-type natriuretic peptide; used to diagnose CHF, secreted by
ventricles of heart due to excessive stretching.
>400 moderate/severe
>/=200 - </=400 moderate
> normal but less than 200 compensated
INR - ANSWER-International normalized Ratio
0.8-1.1
on warfarin/coumadin: 2-3
HbA1c - ANSWER-measure average BGL over 2-3 months
4-5.6% normal
5.7-6.4% diabetic risk
>6.5% diabetus
Glomerular Filtration Rate (GFR) - ANSWER-90-120 mL/min
eGFR= estimated
Albumin - ANSWER-3.5-5
low= breakdown of protein, decreased production, or edema in spaces between tissue
High= generally only indicate dehydration and are not pathologic
which venue may be the most difficult when completing health screening for the
homeless population? - ANSWER-police station
