FLIGHT PARAMEDIC PRACTICE EXAM QUESTIONS WITH CORRECT DETAILED ANSWERS | ALREADY GRADED A+RECENT VERSION

FLIGHT PARAMEDIC PRACTICE EXAM QUESTIONS WITH CORRECT DETAILED ANSWERS | ALREADY GRADED A+RECENT VERSION 1) Treatment for Pregnancy Induced Hypertension - answer - Hydralazine (apresoline) Labetalol Mag 2) Time of Useful Consciousness (TUC) @30,000ft @41,000ft - answer - 30k: 90s 41k: 14s 3) coarctation of the aorta - answer narrowing of the descending portion of the aorta, resulting in a limited flow of blood to the lower part of the body presents w/. Bounding pulses in UE and threads pulse in lower 4) Target PaO2 for IC Herniation - answer 1. 35-40mmHg 30-35mmHg 5) Capacitance formula - answer C=VF C = capacitance, or compliance (mL/mm Hg) V = voltage F = Farad 6) Blind Emergency percutaneous Pericardiocentesis - answer Needle below Xiphoid process and point towards the shoulder and aspirate. 7) If blood clotts you were in heart chamber and need to pull back blood doesn't clot in pericardial cavity due to lack of fibrinogen Ventilator settings for: Airway Protection - answer Keep in normal physiology 8) Mallampati concerns - answer Mouth opening less than 4cm is not good M1: easy MIV: difficult 9) What drug do you avoid with head trauma? - answer Morphine morphine causes respiratory depression and CO2 retention as well as vasodilation of cerebral arteries which increase cerebrospinal fluid pressure 10) Ideal Body Weight (IBW) formula - answer Men: 50 + 2.3kg(height-60) Women: 45.5kg + 2.3kg(height-60) 11) Narcan complication - answer Pulmonary Edema pulmonary ultra sound will show B-lines and can show pleural effusion and lung hepatization in pneumonia. 12) Tetralogy of Fallot - answer congenital malformation involving four distinct heart defects P- pulmonary stenosis R- right ventricular Hypertrophy O- overriding the aorta V- ventricular septal defect (VSD) 13) Murphy's Sign - answer Presents with RUQ pain with inspiration (gallbladder) 14) Gay-Lussac's Law - answer the pressure of a gas is directly proportional to the Kelvin temperature if the volume is constant -Temp increase, Pressure increase and opposite ex: O2 tank has 2200psi in afternoo and 1800psi in evening 15) Federal Aviation Regulation (FAR) - answer FAA rules established for the airlines to guard against potential safety hazards Par 91: no passengers par 135: passengers (14hr max for pilots) 16) Post survival sequence - answer Shelter Fire water Food 17) Normal Body Temp - answer 98.6 F (37 C) 18) Central Cord Syndrome - answer loss of function in upper extremities more so than lower. caused by injury to the middle portion of the spinal cord 19) Anterior cord syndrome - answer - caused by flexion injuries occurs when 2/3 of the anterior cord is lost *motor function, pain, and temperature sensation lost bilaterally below the lesion* (*flaccidity* below the lesion) 20) Brown-Sequard Syndrome - answer Hemi-section of the cord ipsilateral (same side) spastic paralysis and loss of position sense contralateral (opposite side) loss of pain and thermal sense 21) Autonomic Dysreflexia - answer Urinary retention and HTN (potentially life threatening emergency!) HOB elevate 90 degrees, loosen constrictive clothing, assess for full bladder or bowel impaction, (trigger) administer antihypertensives (may cause stroke, MI, seizure) TX: Foley 22) Kerning's Test - answer instruct pt. to flex hip and knee to 90 deg (ok for Dr. to support leg) then instruct pt. to extend knee (bilat., unaffected side first) Dx: possible bacterial Meningitis pos: inability to straighten leg or pain while straightening Ind: meningeal irritation, meningitis, or nerve root involvement, disc, tumor, radicular pain in pt. with lumbar radiculopathy 23) Tube depth for neonate - answer Weight(kg) + 6 24) PEDS weight formula - answer 2(Age) + 8 25) Most common side effect of prostaglandin - answer Apnea and Hypotension 26) HELLP syndrome - answer Hemolysis: RBC fragmentation Elevated Liver enzymes: can be over 4,000 Low Platelets under 100K (form of severe preeclampsia) Manifested by: RUQ pain, N/V, malaise, headache, visual changes, proteinuria, HTN 27) Causes of low CVP - answer hypovolemia, vasodilation 28) MAP formula - answer SBP+2(DBP)/3 29) What closes PDA? Keeps it open? - answer Closes~Indomethacin or continual oxygen Open~PGE2 30) Max distance UHF can travel - answer 30-40 miles 31) peds fluid rescusitation = ? - answer 4-2-1 4ml/kg/hr ——1st 10 kilo 2ml/kg/hr——-2nd 10 kilo 1ml/kg/hr——-20kilo + 32) How do you maintain PDA - answer Indomethacin 0.2mg/kg followed by 0.1mg/kg over 12 hrs indomethacin is prostaglandin Synthroid inhibitor 33) What type of shock ? SVR: 1500. BP: 80/40 CI: 2.1. HR: 62 PAWP: 2 CVP: 400 - answer Neurogenic shock 34) Boyle's Law (Balloon=Barotrauma - answer The pressure a gas is inversely proportional to the volume of a gas at a constant temperature. IV drip rates increase, affects ETT cuffs 35) Dalton's Law "Dalton's Gang" - answer Law of partial Pressures. Responsible for soft tissue swelling at altitude 36) Charles' Law "Charging Charles" - answer At a constant pressure, the volume of gas is directly proportional to the absolute temperature of a gas. As you charge O2 tank, the tank gets hot 37) Gay Lussac's Law - answer Direct relationship between temperature and pressure. ex: car tires in cold weather. 38) Graham's Law Grey Matter - answer Law of Gaseous Diffusion Gas exchange at cellular level 39) Henry's Law Heineken - answer Solubility of a gas in a liquid the BENDS