STUDY EXAMS AND STUDY GUIDES SUMMARIES ESSAY ALL VERIFIED

Climate The long-term pattern of weather in a particular area. Five major components of a a climates system. The atmosphere, the hydrosphere, the cryosphere, the lithosphere, and the biosphere. Atmosphere Layers of gases surrounding a planet or other celestial body. Hydrosphere All the Earth's water in the ground, on the surface, and in the air. Cryosphere Icy part of the Earth's water including icebergs, glaciers, and ice caps. Lithosphere The solid, outer part of Ea...

Posterior Cerebral Artery (PCA) - Arises from basilar. Supplies Occipital Lobe , Midbrain, Thalamus, Pineal Gland, Choroid Plexus, and Corpus Callosum Symptoms of PCA Stroke - -Contralateral Visual Field Homonymous hemianopia -Visual Agnosia (unable to interpret/recognize visual information) - Weber's Syndrome (3rd nerve palsy + contralateral hemiplegia) -Parinaud's Syndrome (Impaired upwards gaze, convergence-retraction nystagmus, primary conjugate downward gaze) Anterior Inferior Ce...

A person with a stroke who seems unaware of their disability: - anosognosia Pt presents complaining of double vision, lacks horizontal eye movements while tracking is preserved. What area of the brain can cause internuclear opthalmoplegia? - Brainstem Watershed stroke is described as: - Stroke between two adjacent cerebral arteries Cerebrospinal fluid is produced at a rate of... - 0.3-0.4ml/min A patient with locked-in syndrome most likely had an infarct in the... - pons (pontine...

A 67yo man with a hx of HTN, DM, HLD, and smoking presents to the ED. CC of persistent dizziness q1week that has become so severe he now has double vision, N/V. His wife tells you she noticed a L facial droop and slurring. Pt reports weakness in L arm and leg. He denies HA or SZ. Head CT was negative for acute bleed. Upon returning to the room he has become increasingly obtunded and difficult to arouse. You notice he now has a nystagmus and slightly dysconjugate gaze. His exam appears to be wors...

cerebral cortex - gray matter on the outermost section of the cerebrum and cerebellum composed of neuronal cell bodies Four lobes of the cerebral cortex and cerebrum - Frontal Parietal Temporal Occipital Oxygen supplemental need - > 93% BP goal post tPA - <180/105 Vast majority of fatal hemorrhages occur within - the first 12 hours hyperthermia management - strict < 38.0 or 100.4 tylenol for fevers neurogenic fevers with an early increase in temperature after 24...

NFPA 1001 is the - Standard for Firefighter Professional Qualifications One of the primary functions of the truck/ladder company is - performing forcible entry to fire scene buildings OSHA may establish regulations governing fire department activities such as - health and safety In the ICS, the functional area responsible for all incident activities, including the development and implementation of strategic decisions, is - Command What normal body cooling mechanism is lost when weari...

The normal type of sprinkler system used where there is a risk of the system freezing is a: - Wet System. In order to help minimize exposures to risk at a structural fire scene, firefighters should: - Do a risk/benefit analysis for every action. What does NFPA 1500 require to be part of the fire department training programs? - A process for evaluating firefighter skills & knowledge. Following each use, the facepiece of a breathing apparatus should be cleaned by: - Washing with a mixture...

A fire department has posted the following message in a prominent location: "The Smith City Fire Department is Committed to Professional Excellence Through a Tradition of Protecting Lives, Property, and the Environment by Providing the Highest Quality of Service in Prevention, Fire Protection, Emergency Medical Services, and Community Preparedness." This is an example of a __________ statement. A. vision B. department purpose C. charter D. mission - D. mission A fire fighter who is tr...

the NFPA requires that, at minimum ppe clothing should be cleaned every _______ months a. 12 b. 6 c. 9 d. 14 - b. 6 National Fire Protection 1001 is ? A. Standard for firefighting professional qualifications B. Standard for Industrial Fire Brigades C. Standard for fire department occupational safety and health program D. standard for Blood Borne Pathogen training - A. Standard for firefighting professional qualifications Historically, the standard operating unit of a fire depar...

According to recommended guidelines, the minimum duration Of a significant leg movement is? - .5 seconds (10 seconds maximum 8uv above resting EMG) According to recommended guidelines four naps on an MSLT would be acceptable when the patient: - Normally an MSLT would have five nap opportunities. The only way it would have four is if the patient is being tested for narcolepsy and they had two REM periods of sleep According to recommended guidelines the AaSM would consider an optional to in...

Percentage of patients who experience status epilepticcus due to withdrawing from alcohol - Approx. 3% Percentage of clients that experiences delirium tremens due to alcohol withdraw - Approx. 5% Mechanism of action of Disulfiram (Antabuse) - inhibits aldehyde dehydrogenase Which SSRI is most likely associated with strong withdrawal symptoms? - Paroxetine (Paxil) Withdrawal symptoms of paroxetine (Paxil) include - akathisia, restlessness, GI upset, dizziness, and tingling. Most co...

complex trauma - developmental consequences of multiple traumatic events or prolonged exposure to trauma complex trauma may develop from - -maltx -neglect -abuse immediate emotional response - -numbness and detachment -anxiety/severe fear -guilt -exhilaration -anger. sadness -helplessness -depersonalization -disorientation -feeling out of control -denial -constriction of feelings -feeling overwhelmed delayed emotional response - -irritability/hostility -depression -mood ...

substantia nigra - dopamine is produced here Aplastic anemia - Tegretol side effect Serotonin discontinuation syndrome - Sensory disturbance, sleeping disturbance, disequilibrium, flu like sx, dizzy, n/v Sign of fetal alcohol syndrome - small head, smooth palpebral fissure, inner epicanthal folds *sign of serotonin syndrome - hyperthermia, shivering, anxiety, diaphoresis, diarrhea to get reluctant patient to engage use what - open ended questions Rhett syndrome - a rare disorde...

Define and identify symptoms of dystonia - Involuntary muscle contractions that cause repetitive twisting movements. The condition can affect one part of the body- focal dystonia; two or more adjacent parts- segmental; or all parts- general dystonia. Cervical dystonia- cause head to twist and turn to one side. Eyelids- rapid blinking or involuntary spasms Jaw/tongue- slurred speech, drooling, difficulty chewing hand/forearm- repetitive activity (writers or musicians dystonia) Define and...

Parkinson's disease - progressive, chronic degenerative disease of unknown cause that involves extrapyramidal system—neurodegeneration of substantia nigra at beginning of dopamine tracts; characterized by 4 cardinal symptoms—tremors, bradykinesia, rigidity, postural instability. Pathophysiological cause is imbalance of acetylcholine and dopamine (deficiency); treated w/ agents that increase dopamine/dopaminergic levels Extrapyramidal side effects (EPSEs) - caused by blockade of dopamine ...

Safety is compromised any time a jailer goes "hands-on" with a person. - True Prejudice is belief while discrimination is an act - True We perceive stress differently, what may be stressful for one may not be for another - True One was to know that you are maintaining personal space during a crisis is to observe the persons reaction to your proximity - True Impartiality is a fundamental requirement of all jailers? - True The Right to be free implies the right to be different - T...

What should the PMHNP consider when prescribing chemical restraints? - -allergy status -prior med hx for adverse drug reactions r/t the meds ordered in the chemical restraint -state regulations regarding chemical restrains must be reviewed Are the PMHNP and other staff liable if the client has an allergic reaction or adverse side effects to the drugs used for chemical restraint? - No. The client has been court-ordered to take the prescribed medications and the standing order for chemical r...

MDD Criteria - Must have at least five of the following symptoms (must include either number I or number 2) for at least a 2-week period: 1. Depressed mood 2. Anhedonia (loss of interest in pleasurable activities) 3. Change in appetite or body weight (f or J,) 4. Feelings of worthlessness or excessive guilt 5. Insomnia or hypersomnia 6. Diminished concentration 7. Psychomotor agitation or retardation (ie, restlessness or slowness) 8. Fatigue or loss of energy 9. Recurrent thoug...

naloxone - MOA: Pure opioid antagonist that competes and displaces opioids at opioid receptor sites. methadone, buprenorphine, buprenorphine+naloxone - Treatments for opioid use disorder. buprenorphine+naloxone - Treatment for opioid use disorder with comorbid pain. opioids - Inappropriate use of what substance may be due to uncontrolled pain? tablet, injectable, implant - Naltrexone delivery methods. implant - Form of naltrexone limited to inpatient use. buprenorphine - Mu rec...

A nurse is caring for a client who adheres to a kosher diet. Which of the following food choices would be appropriate for this client? - Vegetable salad with cheese Clients who adhere to a kosher diet can eat dairy products combined with non-meat products at the same meal. NO meat and shellfish A nurse is assessing a client who has type 2 diabetes mellitus. The nurse should recognize which of the following as a manifestation of hypoglycemia? - Confusion A nurse in a clinic is reviewing th...