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Less Stress - Mod 7 Exam Questions AND Correct Answers

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Less Stress - Mod 7 Exam Questions AND Correct Answers

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Less Stress - Mod 7 Exam Questions AND Correct Answers
advanced directive - ✔✔Written documentation that specifies medical treatment for a competent
patient should the patient become unable to make decisions; also called a living will or health care
directive.



ageism - ✔✔prejudice or discrimination on the basis of a person's age

(not all older people hard of hearing, have dementia, dependent on others, etc



At what age is padding under the neck no longer necessary for children? - ✔✔after age 8-10



atherosclerosis - ✔✔condition in which fatty deposits called plaque build up on the inner walls of the
arteries and then artery rupture leading to platelet aggregation in that area leading to a clot forming
that can cause conditions such as MI, stroke, etc



Benign Prostrate Hypertrophy - ✔✔Swelling of the prostrate gland, which compresses the urethra,
slowing the stream of urine that leaves the bladder. It also compresses the bladder causing frequent
urination.



bloody show - ✔✔A small amount of blood at the vagina that appears at the beginning of labor and may
include a plug of pink-tinged mucus that is discharged when the cervix begins to dilate. Means that labor
has progressed but delivery may not be imminent



breech presentation - ✔✔birth position in which the buttocks presents first rather than the head
(vertex)



if possible don't allow delivery since these tend to take longer but if necessary during delivery of the
head make "v" with fingers, place them into vagina, and to keep walls of vagina from compressing the
fetus airway and then deliver



causes of mental status (AEIOU TIPS) - ✔✔A - alcohol

E - epilepsy, endocrine, electrolytes

I - insulin

,O - opiates + other drugs

U - uremia

T - trauma, temperature

I - infection

P - psychogenic + poison

S - shock, stroke, space occupying lesion, subarachnoid hemorrhage



clostridium difficile - ✔✔bacterium responsible for hospital acquired infectious diarrhea (easily
transmissible)



collagen - ✔✔Fibrous protein that gives the skin form and strength



describe how to calculate minimum systolic pressure in a child - ✔✔70 + (2 x child's age) = systolic BP
minimum

**ages 1-10 only

if child less than 1 = 70 systolic

above 10 = 90 systolic



diabetic retinopathy - ✔✔occurs when diabetes damages the tiny blood vessels in the retina, causing
blood to leak into the posterior segment of the eyeball



DOPE mneumonic - ✔✔reasons why tracheostomy may be obstructed



D - displaced, dislodged, damaged tube

O - obstruction of the tube

P - pneumothorax, pulmonary problems

E - equipment failure



down syndrome - ✔✔A genetic chromosome 21 disorder (extra chromosome) that develops during fetal
development and results in mild to severe developmental and intellectual delays

,elastin - ✔✔A protein that is similar to collagen and allows for skin elasticity



external defibrillation vests - ✔✔are worn under a patients clothing. monitor the patient's cardiac
rhythm and provide and audible warning before administering a shock to correct the dysrhythmia



eye cataracts - ✔✔cloudy patches that develop in the lens of the eye and causes blurred vision



GEMS diamond - ✔✔- Geriatric Patients (are they presenting typically?)

- Environmental Assessment (are they in safe living conditions?)

- Medical Assessment (obtain thorough history)

- Social Assessment (do they have interaction? hygiene? caregiver if necessary?)



generalized seizure - ✔✔A seizure characterized by severe twitching of all of the body's muscles that
may last several minutes or more; formerly known as a grand mal seizure.



gestational diabetes - ✔✔high blood sugar due to lack of insulin that occurs during pregnancy and ends
following birth

can be regulated with diet, exercise, insulin injections



glaucoma - ✔✔increased intraocular pressure results in damage to the retina and optic nerve with loss
of vision



gravida - ✔✔number of pregnancies a woman has had (total)



hearing impairment - ✔✔when somebody has decreased ability to hear ranging from slight loss to
complete deafness, can be genetic or developed due to obstruction of earwax and other causes



How are elderly more likely to experience trauma and falls? - ✔✔imbalance

slower reaction time

, osteoporosis = injury (hip most common)

calcium deficiency

tumor



How can abuse affect pregnancy? What should EMT do? - ✔✔increased chance of domestic violence
and abuse during pregnancy leading to high chance of miscarriage, premature delivery, low birth weight.
Trauma can lead to uterine rupture, bleeding, infection



talk to pt privately, observe environment, let hospital staff know of any suspicious behavior



How do you know you have successfully moved prolapsed cord from vaginal opening? - ✔✔should feel
pulsation in cord



How do you treat eclampsia? - ✔✔lie pt on side (preferably left)

maintain airway

provide supplemental O2

suction if needed

rapid transport + call ALS



How far apart is the delivery of multiples? What should EMT do? - ✔✔delivery of next usually about 10
minutes after first (contractions will restart), can have 1 or 2 placenta



EMT should support delivery for all babies, transport, record time of birth for all babies



How is the structure of pediatric bones different? - ✔✔still have growth plates not calcified so softer
and higher probability of stress fractures

infants have fontanelles which can become damaged and bulging/sunken due to increased ICP or
dehydration



How many main blood vessels are in the pregnant pt's uterus? - ✔✔2 arteries, one vein

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