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Exam (elaborations)

Paramedic Final Review SOE Questions with Correct Answers

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Lateral positioning - ANSWERSFarther from midline of the body Medial positioning - ANSWERSMidline of the body Ipsilateral positioning - ANSWERSSame side of the body Contralateral positioning - ANSWERSOpposite side of the body afterload - ANSWERSForce against which the ventricles must contract to eject blood. Influenced by arterial blood pressure, distensibility, and arterial resistance. Preload - ANSWERSVolume of blood in the ventricles at the end of diastole and primarily reflects venous return. Alpha one - ANSWERSCauses vasoconstriction Alpha two - ANSWERSCause smooth muscle contraction inhibits insulin release induction of glucagon suppression of norepinephrine release Beta one - ANSWERSFound in the heart and kidneys. Stimulation of the heart sites increases heart rate and cardiac output. From the kidney it releases renin into the blood. (A powerful vasoconstrictor) Beta two - ANSWERSFound in several locations. In the lungs, they cause bronchodilation. Acidosis - ANSWERSBlood pH lower than 7.35 (below 7 causes coma) Alkalosis - ANSWERSBlood pH higher than 7.45 (above 7.8 causes uncontrollable and unstable skeletal muscle contractions) Signs of DKA - ANSWERSFrequent urination Hungry Thirsty Dehydration Vomiting Loss of weight Kussmaul respirations Acetone smell ECG findings for hyperkalemia - ANSWERSPeaked T waves Flattened P waves Prolonged PR intervals ST depression Prolonged QRS duration Distributive Shock - ANSWERSCaused by widespread dilation Anaphylactic Shock - ANSWERSHistamines and other Vasodilator proteins released into the body following the exposure of an allergen. Neurogenic Shock - ANSWERSCaused by spinal cord injuries. Leads to loss of normal sympathetic nervous system tone and vasodilation. Newborn respiratory distress - ANSWERSNasal flaring abdominal expansion Clear airway if possible and provide supplemental oxygen Systolic Pressure - ANSWERSThe pressure during contraction of the ventricles Diastolic Pressure - ANSWERSPressure at rest Cardiac Output - ANSWERSHeart rate x stroke volume Measured in LPM Stroke Volume - ANSWERSThe volume of blood ejected with each ventricular contraction. Dehydration in an infant - ANSWERSPoor skin turgor Absence of tears Dry mucous membranes Weight loss Depressed fontanel Decreased urinary output Hypotonic fluids - ANSWERSSolution with a lower solute concentration Distilled water 0.45% Saline 0.25% Saline

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Paramedic Final Review SOE
Questions with Correct Answers
Lateral positioning - ANSWERSFarther from midline of the body

Medial positioning - ANSWERSMidline of the body

Ipsilateral positioning - ANSWERSSame side of the body

Contralateral positioning - ANSWERSOpposite side of the body

afterload - ANSWERSForce against which the ventricles must contract to eject blood.

Influenced by arterial blood pressure, distensibility, and arterial resistance.

Preload - ANSWERSVolume of blood in the ventricles at the end of diastole and
primarily reflects venous return.

Alpha one - ANSWERSCauses vasoconstriction

Alpha two - ANSWERSCause smooth muscle contraction
inhibits insulin release
induction of glucagon
suppression of norepinephrine release

Beta one - ANSWERSFound in the heart and kidneys.

Stimulation of the heart sites increases heart rate and cardiac output.

From the kidney it releases renin into the blood. (A powerful vasoconstrictor)

Beta two - ANSWERSFound in several locations.

In the lungs, they cause bronchodilation.

Acidosis - ANSWERSBlood pH lower than 7.35
(below 7 causes coma)

Alkalosis - ANSWERSBlood pH higher than 7.45
(above 7.8 causes uncontrollable and unstable skeletal muscle contractions)

Signs of DKA - ANSWERSFrequent urination
Hungry

, Thirsty
Dehydration
Vomiting
Loss of weight
Kussmaul respirations
Acetone smell

ECG findings for hyperkalemia - ANSWERSPeaked T waves
Flattened P waves
Prolonged PR intervals
ST depression
Prolonged QRS duration

Distributive Shock - ANSWERSCaused by widespread dilation

Anaphylactic Shock - ANSWERSHistamines and other Vasodilator proteins released
into the body following the exposure of an allergen.

Neurogenic Shock - ANSWERSCaused by spinal cord injuries.

Leads to loss of normal sympathetic nervous system tone and vasodilation.

Newborn respiratory distress - ANSWERSNasal flaring
abdominal expansion

Clear airway if possible and provide supplemental oxygen

Systolic Pressure - ANSWERSThe pressure during contraction of the ventricles

Diastolic Pressure - ANSWERSPressure at rest

Cardiac Output - ANSWERSHeart rate x stroke volume

Measured in LPM

Stroke Volume - ANSWERSThe volume of blood ejected with each ventricular
contraction.

Dehydration in an infant - ANSWERSPoor skin turgor
Absence of tears
Dry mucous membranes
Weight loss
Depressed fontanel
Decreased urinary output

Hypotonic fluids - ANSWERSSolution with a lower solute concentration

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