AIR METHODS CRITICAL CARE EXAM
1. Pulmonary hypertension is a mean PA pressure greater than...: (PAm) greater than 20
2. Primary pulmonary hypertension: Idiopathic genetic disorder caused by ab- normal structure
of the pulmonary blood vessels
3. Name three causes of secondary pulmonary hypertension..: 1. Passive PH- the result of back
pressure. Mitral Stenosis, LV systolic failure.
2. Active PH- Constriction of the pulmonary circuit Increased volume in pulmonary circuit (i.e.
congenital heart disease)
3. Obstruction as in Chronic recurrent PE
13.TNP of the Pregnant patient: Resuscitation priorities are the same. The best way to take
care of the baby is to take care of mama
14.Mechanisms of injury and biomechanics the most common cause of ma- ternal injury is...: Blunt
trauma caused by MVC. Second is BT caused by falls, 3rd is violence
15.fetal distress is an early sign of maternal distress... Why?: Catecholamine mediated
vasoconstriction resulting from blood loss shunts blood away from the fetus to the mom.
,16.Fetal hypo perfusion is evidenced by....: Fetal tachycardia (140 to 160+) and fetal bradycardia
17.The FRC in a pregnant patient is....: Reduced by the gravid uterus lifting the diaphragm.
18.chest tube placement in a pregnant patient is 1-2 spaces higher: Because of the lifted
diaphragm
19.What is the cause of physiological anemia in pregnant patients?: Hemodili- tional anemia
occurs. Plasma volume increases 30-50%.
20. Preterm Labor (PTL):
21.abruptio placentae: premature separation of the placenta from the uterine wall
22.On a pregnant patient...: Chest compressions must be higher on the sternum. Any preg
patient 20 weeks pregnant or more with a uterus above the umbilicus should have the uterus
left laterally displaced during compressions to avoid aorto- caval compression. A 15 degree tilt
of the long board or lateral displacement.
23.What is the Maternal Fetal Triage Index?: A valid reliable 5 level triage tool that may assist in
the triage of obstetric trauma patients.
24.Displacing the uterus off the vena cava can improve CO by: approximately 30%!
25.Continuous fetal monitoring is recommended...: for all pregnant patients 20 or more weeks
,gestation... or (uterus above belly button).
26.Fundal height measurement: equals the approximate gestational age in weeks, until
week 32.
Belly button is 20 weeks Height
of last rib is 26 weeks costal
margin is 36 weeks
27.Any fundal height indicating 23 or more weeks...: at the last rib and above is consistent with a
viable fetus.
28.What type of blood should a pregnant trauma patient receive?: O-NEG baybay.
29.Initiate cardiotocography in any mother: 20 or more weeks gestation, must be monitored for
at least 6 hours.
30.What is the serum lab test that detects fetal red cells in the maternal circulation?: Kleinhauer
Bette KB serum test. This lab is used to determine if hemorrhage of fetal blood through the
placenta and into maternal circulation. KB test is an important detector of abruptio placentae,
preterm labor and need to administer Rh negative globulin when mom is Rh negative and fetus
is Rh positive.
31.Continue fetal monitoring for a minimum of ---- hours for any viable preg- nancy and up to
hours if there is abdominal trauma: 6................................................................24
, 32.Sonography has for diagnosis placental abruption,: POOR....
they miss 50-80% of abruptions.
33.In addition to routine labs a: Prothrombin (PT ) and PTT and serial coags should be drawn.
Beta Human Chorionic gonadotropin (BHCG)
34.Measure and record fundal height every: 30 minutes.
35.Pediatric Mechanisms of injury and biomechanics: Blunt trauma MVC > suffocations >
drownings > fires/burns. No. 1 cause of fatalities is TBI.
36.Primary Survey/ Resuscitation: Survival rates in pediatric emergency can be directly
correlated with
1. RAPID AIRWAY MANAGEMENT,
2. INITIATION OF VENTILATORY SUPPORT, AND
3. EARLY RECOGNITION OF AND EARLY RESPONSE TO INTRA abdominal AND
intracranial hemorrhages
37.A STEMI is a resulting from a .: Complete Occlusion of
1. Pulmonary hypertension is a mean PA pressure greater than...: (PAm) greater than 20
2. Primary pulmonary hypertension: Idiopathic genetic disorder caused by ab- normal structure
of the pulmonary blood vessels
3. Name three causes of secondary pulmonary hypertension..: 1. Passive PH- the result of back
pressure. Mitral Stenosis, LV systolic failure.
2. Active PH- Constriction of the pulmonary circuit Increased volume in pulmonary circuit (i.e.
congenital heart disease)
3. Obstruction as in Chronic recurrent PE
13.TNP of the Pregnant patient: Resuscitation priorities are the same. The best way to take
care of the baby is to take care of mama
14.Mechanisms of injury and biomechanics the most common cause of ma- ternal injury is...: Blunt
trauma caused by MVC. Second is BT caused by falls, 3rd is violence
15.fetal distress is an early sign of maternal distress... Why?: Catecholamine mediated
vasoconstriction resulting from blood loss shunts blood away from the fetus to the mom.
,16.Fetal hypo perfusion is evidenced by....: Fetal tachycardia (140 to 160+) and fetal bradycardia
17.The FRC in a pregnant patient is....: Reduced by the gravid uterus lifting the diaphragm.
18.chest tube placement in a pregnant patient is 1-2 spaces higher: Because of the lifted
diaphragm
19.What is the cause of physiological anemia in pregnant patients?: Hemodili- tional anemia
occurs. Plasma volume increases 30-50%.
20. Preterm Labor (PTL):
21.abruptio placentae: premature separation of the placenta from the uterine wall
22.On a pregnant patient...: Chest compressions must be higher on the sternum. Any preg
patient 20 weeks pregnant or more with a uterus above the umbilicus should have the uterus
left laterally displaced during compressions to avoid aorto- caval compression. A 15 degree tilt
of the long board or lateral displacement.
23.What is the Maternal Fetal Triage Index?: A valid reliable 5 level triage tool that may assist in
the triage of obstetric trauma patients.
24.Displacing the uterus off the vena cava can improve CO by: approximately 30%!
25.Continuous fetal monitoring is recommended...: for all pregnant patients 20 or more weeks
,gestation... or (uterus above belly button).
26.Fundal height measurement: equals the approximate gestational age in weeks, until
week 32.
Belly button is 20 weeks Height
of last rib is 26 weeks costal
margin is 36 weeks
27.Any fundal height indicating 23 or more weeks...: at the last rib and above is consistent with a
viable fetus.
28.What type of blood should a pregnant trauma patient receive?: O-NEG baybay.
29.Initiate cardiotocography in any mother: 20 or more weeks gestation, must be monitored for
at least 6 hours.
30.What is the serum lab test that detects fetal red cells in the maternal circulation?: Kleinhauer
Bette KB serum test. This lab is used to determine if hemorrhage of fetal blood through the
placenta and into maternal circulation. KB test is an important detector of abruptio placentae,
preterm labor and need to administer Rh negative globulin when mom is Rh negative and fetus
is Rh positive.
31.Continue fetal monitoring for a minimum of ---- hours for any viable preg- nancy and up to
hours if there is abdominal trauma: 6................................................................24
, 32.Sonography has for diagnosis placental abruption,: POOR....
they miss 50-80% of abruptions.
33.In addition to routine labs a: Prothrombin (PT ) and PTT and serial coags should be drawn.
Beta Human Chorionic gonadotropin (BHCG)
34.Measure and record fundal height every: 30 minutes.
35.Pediatric Mechanisms of injury and biomechanics: Blunt trauma MVC > suffocations >
drownings > fires/burns. No. 1 cause of fatalities is TBI.
36.Primary Survey/ Resuscitation: Survival rates in pediatric emergency can be directly
correlated with
1. RAPID AIRWAY MANAGEMENT,
2. INITIATION OF VENTILATORY SUPPORT, AND
3. EARLY RECOGNITION OF AND EARLY RESPONSE TO INTRA abdominal AND
intracranial hemorrhages
37.A STEMI is a resulting from a .: Complete Occlusion of
