NREMT Advanced-EMT Exam with Complete Solutions Graded A+, Exams of Nursing

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NREMT Advanced-EMT Exam with Complete Solutions Graded A+

Initial Assessment: B-SMNAC - Correct Answers- BSI (body substance isolation);

• Scene Safety;
• Mechanism of Injury (MOI)/Nature of Illness (NOI);
• Number of Patients;
• Assistance (additional units, Fire, Police, etc.);
• C-spine (and/or C-collar) Initial Assessment: G-CAAT - Correct Answers- General Impression;
• Chief Complaints, Life Threats (hemorrhage);
• AVPU;
• ABC's (airway, breathing, circulation);
• Transport Decision (Load and Go or Stay and Play) Components of General Impression - Correct AnswersASSS-FLOP-VD:
• Apparent state of health;
• Skin color, obvious lesions;
• Signs of distress;
• Sexual development;
• Facial expressions;
• Level of consciousness;
• Odors;
• Posture, Motor, Gait;
• Vital statistics;

• Dress, Grooming, Hygiene Components of AVPU - Correct Answers- Alert;
• responds to Verbal stimuli;
• responds to Painful stimuli;
• Unresponsive Secondary Assessment: OPQRST-I - Correct Answersespecially for Respiratory and Cardiac patients:
• Onset;
• Provocation/Palliation;
• Quality;
• Radiation;
• Scale/Severity;
• Time;
• Interventions What is OPQRST? - Correct Answersa mnemonic for remembering the questions to ask when assessing the patient's chief complaint or major symptoms Onset - Correct Answers- When and how did the symptom begin?
• Ask the patient if the onset was sudden or gradual.
• Also determine if the onset was associated with a particular activity. Provocation/palliation: - Correct Answers- What makes the symptom worse?
• What makes the symptom better? Quality - Correct AnswersHow would you describe the pain?

Radiation - Correct Answers- Where do you feel the pain?;

• Where does the pain go? Scale/Severity - Correct Answers- On a scale from 0 to 10, with 10 being the worst.
• How bad is the symptom? Time - Correct Answers- Determine if the symptom has been present for minutes, hours, days, weeks, months, or years;
• The length of time the symptoms are present is important to document Secondary Assessment: SAMPLE - Correct Answers- Signs and Symptoms (history of present issues);
• Allergies;
• Medications;
• Past Medical History, Pertinent Negatives;
• Last Oral Intake;
• Events (leading to present: trauma or medical) Secondary Assessment: V-FITD - Correct Answers- Vital Signs, baseline (VS);
• Focused Physical Exam (performed);
• Interventions (RX's per medical direction, etc.);
• Transport (re-evaluate decision);
• Detailed Physical Exam (verbalized); Order of Initial Assessment - Correct Answers- B-SMNAC;
• G-CAAT; Order of Secondary Assessment - Correct Answers- OPQRST-I;
• SAMPLE;

- V-FITD

S1 - Correct Answers"Lub" Caused by the closing of the Mitral (Bicuspid) and Tricuspid atrioventricular valves. S2 - Correct Answers"Dub" Caused by blood closing the semilunar valves (aortic and pulmonic). S3 - Correct Answers"Ta" Oft referred to as the galloping heart, caused by blood sloshing around in a compliant left ventricle. S4 - Correct AnswersA rare noise in the middle of "lub," caused by a failing left ventricle and best heard in the cardiac apex. Ta-LUB-dub, ta-LUB-dub Septum - 2 Sub Types - Correct AnswersSeparates the two halves of the heart. Interatrial and Interventricular NSAID - Correct AnswersNonsteroidal Anti-inflammatory Drug Antipyretic Agent - Correct AnswersInhibits Prostaglandins Acts on hypothalamus, heat regulation center. Vasodilation & Sweating Platelet Inhibitor - Correct AnswersPrevents formation of thromboxane A Decreased Afterload Effects - Correct AnswersDecreased Arteriole Pressure = Decreased Aortic Pressure = Left Ventricle Works Better

Decreased Preload Effects - Correct Answers1. Venous Dilation = Decreased Preload = Decreased Heart Size

2. Decreased Heart Size = Increased Blood Flow to Coronary and Collateral Vessels = Myocardial Perfusion is Improved A parasympatholytic drug blocks the effects of the parasympathetic nervous system by? - Correct AnswersBinding to receptors and blocking the release of acetylcholine. Sympathetic Nervous System - Other Name - Correct AnswersAdrenergic Nervous System Medications typically administered via the subcutaneous route? - Correct AnswersInsulin Epinephrine Which of the following is NOT a form of liquid drug? - Correct AnswersCapsule Which of the following physiologic responses would you expect to occur following administration of a drug that possesses alpha- 1 (α1) properties? - Correct AnswersPeripheral Vasoconstriction The function of a drug or the particular action of a drug on an organism is called: - Correct AnswersMechanism of Action Cushing's Reflex (Define) - Correct AnswersAttempt by the body to compensate for a decline in cerebral perfusion by increasing the mean arteriole pressure. Cushing's Triad - Correct AnswersSxS of Increased Intracranial Pressure Increased Systolic Pressure Widened Pulse Pressure Decreased Pulse and Respiratory Rate PAT: Pediatric Assessment Triangle - Correct AnswersGeneral Appearance Work of Breathing

Circulation to the Skin TICLS - Correct AnswersTone Interactiveness Consolability (Agitable) Look (Gaze) Speech (Cry) Commotio Cordis - Correct AnswersA direct blow to the thorax during the hearts depolarization period - possibly causing the patient to experience V-Fib. Dromotropic Agent - Effect - Correct AnswersEffects the hearts conduction velocity. Effects the conduction speed of the AV Node, and subsequently the rate of electrical impulses in the heart. S3 - Indication - Correct AnswersMost commonly heard in the early stages of L-sided heart failure. Coronary Artery Perfusion - Time of Occurrence - Correct AnswersDiastole Beck's Triad - Correct AnswersIndicates Cardiac Tamponade HoTN, JVD, Muffled Heart Tones Glycogenolysis - Correct AnswersBreakdown of Glycogen - Creates Glucose

• Lysis - Correct AnswersBreakdown Chloride - Correct AnswersMajor Extracellular Anion in the Body Inotropic - Correct AnswersContractility of the Heart The greater the inotropic response, the greater the contractile force.

Modifying force or speed of muscle contraction. Effects the hearts contractile strength. P-Wave - Correct AnswersAtrial Depolarization The first deflection on the EKG, represents atrial contraction. QRS Complex - Correct AnswersVentricular Depolarization Large spike indicating a quick discharge of electrical current within the ventricles. SA Node - Correct AnswersSinoatrial Node Responsible for the rhythm & rate of the heart. Depolarizes faster than any component of the cardiac conduction system. Action Potential - Correct AnswersPolarization of the cell, preparing it for discharge. Sodium - Correct AnswersCreates a positive charge within the myocardium. A-Fib SxS (New Onset) - Correct AnswersTachycardia, HoTN, Altered LOC Cardiac Output - Correct AnswersStroke Volume x Heart Rate Chron's Disease - Correct AnswersChronic inflammatory disease of the intestines, especially the colon & ileum, associated w/ ulcers & fistulae. A form of inflammatory bowel disease which may potentially affect anywhere from the mouth to the rectum. Gastritis - Correct AnswersInflammation of the Stomach Lining

Diverticulitis - Correct AnswersInflammation of a diverticulum, especially in the colon. Causes pain & disturbance of bowel function. Stroke Minimum Acceptable SaO2 - Correct Answers95% Tuberculosis SxS - Correct AnswersWeight Loss, Hemoptysis(Coughing Blood), Pyrexia(Fever) Hemoptysis - Correct AnswersCoughing Blood Pyrexia - Correct AnswersElevated Body Temperature Fever Midaxillary Line - Correct AnswersLateral the midline of the body, parallel to the midline. Apneustic Respirations - Correct AnswersProlonged inspirations with short ineffective expirations. Cause by damage to the Upper Pons - stroke or trauma. Biot's Respirations - Correct AnswersQuick/shallow inspiration followed by periods of apnea. Caused by damage to the Pons - stroke, trauma or opioid use. DVT - Description - Correct AnswersDeep Vein Thrombosis Painful, swollen, inflamed leg with increased pain on flexion of the foot. DVT - Contributing Factors - Correct AnswersRecent inactivity & reduced fluid intake. Zofran - Admin Method - Correct AnswersSlow IVP so as to avoid causing a syncopal episode. UTI - SxS - Correct AnswersUrinary Tract Infection Hot/Flushed Skin

Cardiac Conduction Pathway - Correct AnswersSA Node - Internodal Pathways - AV Node - Bundle of His - Bundle Branches - Purkinje Fibers Verpamil - Common Side-Effect - Correct AnswersSyncope when pulse rate & bloop pressure drop. Vena Cava - Function - Correct AnswersDelivers deoxygenated blood to the R-Atria. Chronotropic Effects - Correct AnswersEffect heart rate, chronotropic drugs may affect nerves controlling the heart or change rhythm produced by the SA Node. Frank-Starling Mechanism - Correct AnswersStarling's Law An increase in preload will result in an increase of the next ventricular contraction. Cardiac Workload - Affects - Correct AnswersPreload, Afterload, Heart Rate All by either increasing or decreasing workload and subsequently, myocardial oxygen demand. Cardiac Blood Flow Pathway - Correct AnswersSuperior Vena Cava - R-Atrium - Tricuspid Valve - R-Ventricle - Lungs - Pulmonary Valve - L-Atrium - Bicuspid Valve - L- Ventricle - Aortic Valve - Aorta Bicuspid Valve - Correct AnswersMitral Valve Valve between L-Atrium and L-Ventricle Tricuspid Valve - Correct AnswersR-Atrioventricular Valve Valve between R-Atrium and R-Ventricle Cardiac Apex - Correct AnswersPoint of maximal impulse, where the heart comes into contact with the thorax. SVT - Correct AnswersSupraventricular Tachycardia

Faster than normal heart rate originating above the ventricles. Cardiac Cell Automaticity - Correct AnswersCells ability to spontaneously depolarize. AV Node - Rate - Correct Answers40- 60 BPM Left Coronary Artery - Supplies - Correct AnswersAnterior, Posterior and Lateral Wall of L- Ventricle Restrained Patient - Number of Responders - Correct Answers5 - one person in control of each limb and the head. Chemoreceptor - Correct AnswersSensory cell/organ, responsive to chemical stimuli. Detects changes to levels of pH, O2, CO2, etc. Baroreceptor - Correct AnswersReceptor sensitive to changes in pressure - BP. Integumentary System - Function - Correct AnswersProvides innate immunity - that is, immunity we are born with prior to experiencing exposure to pathogens. Integumentary System - Composure - Correct AnswersSkin, hair, nails and sweat glands. Poisoning - SxS - Correct AnswersDilated pupils, excessive salivation, discoloration around the mouth, AMS - clumsy/confused, vomiting, loose/bloody stool. Varicella Zoster Virus - Correct AnswersChickenpox & Shingles Peptic Ulcers - Correct AnswersMost common cause of GI bleeds, created when pH balance of digestive tract becomes overly acidic. Hypogastric - Correct AnswersInferior the umbilical, between the iliac regions.

Addison's Disease - Correct AnswersReduced activity of the adrenal glands, treated with steroids. Cushing's Syndrome - Correct AnswersMetabolic disorder caused by overproduction of corticosteroid by the adrenal cortex. Causes obesity and high blood pressure. Subarachnoid Hemorrhage - SxS - Correct AnswersThunderclap/worst-ever headache, sudden coma, Hx of HTN, nausea/vomiting, seizures, coma, decreased LOC, etc. Cytokines - Correct AnswersReleased when infection is detected to help fight off infection. Adverse Effects - damaged vessels, peripheral vasodilation, increase capillary permeability. Hepatitis B - Correct AnswersAlarming incidence with EMS workers, more contagious than HIV. Hemorrhagic Stroke - SxS - Correct AnswersThunderclap/worst-ever headache, sudden coma, Hx of HTN, nausea/vomiting, seizures, coma, decreased LOC, etc. Anterior Pituitary Hormones - Correct AnswersLuteinizing Hormone, Growth Hormone, Follicle-Stimulating Hormone Oxytocin - Secretion Site - Correct AnswersPosterior Pituitary Gland Cystitis - Correct AnswersInflammation of the Inner Lining of the Bladder Murphy's Sign - Correct AnswersPain of palpation of RUQ, causes patient to gasp. Indicative of gallbladder inflammation - cholecystitis/gallstones. McBurney's Point - Correct AnswersRLQ Pain - Indicates Appendicitis Grey Turner's Sign - Correct AnswersBruising of the flanks, sign of retroperitoneal hemorrhage or pancreatitis.

Cullen's Sign - Correct AnswersSuperficial edema/bruising of the umbilicus, indicative of acute hemorrhage. Cholecystitis - Correct AnswersGallstones Obstruction of the cystic duct from that gallbladder to the duodenum. Pain radiates from RUQ to the R-Shoulder. Gastroenteritis - Correct AnswersInflammation of the stomach and/or intestines, typically resulting from bacterial toxins or viral infection. Causes vomiting and diarrhea. Pancreatitis - Correct AnswersInflammation of the pancreas. Generally caused by ETOH abuse or cholecystitis. Guillan-Barre Syndrome - Correct AnswersAcute form of polyneuritis, often preceded by respiratory infection. Causes weakness and paralysis of the limbs, migrating to the trunk. Caused by the immune system attacking the nerves. Polyneuritis - Correct AnswersDisorder that affects the peripheral nerves collectively. Neuropathy - Correct AnswersDisease/Dysfunction of the peripheral nerves, typically causing numbness or weakness. Characterized by painful extremities. Referred Pain - Correct AnswersFelt in different area than where it originates due to close proximity of the nerves. Antibodies - Correct AnswersProteins that attach to an antigen & either deactivate the antigen or make it susceptible to the bodies defenses. Melena - Correct AnswersBlack, tar-like feces. Caused by oxidization of the iron in hemoglobin.

Clubbing - Correct AnswersBulbous ends of the fingers with rounded (vs. flat) nails. Occurs over time due to hypoxia, secondary to COPD/respiratory disease. Also seen in patients with inflammatory bowel disease, liver disease and AIDS. Neuron - Correct AnswersBasic unit of the nervous system. Composed of an axon, dendrites and neurofibrils. Terry's Nails - Correct AnswersAppear white with "ground glass" appearance and no lanula. Common in patients with liver failure, cirrhosis, diabetes, CHF, hyperthyroidism and malnutrition. Beau's Lines - Correct AnswersGrooved lines (indentations/ridges) that run side-to-side, horizontally across the nail bed. May be caused by infection of the nail fold, systemic infection, trauma, coronary occlusion, hypocalcemia or skin disease. Koilonychia - Correct AnswersSpoon Nails Abnormally thin nails having lost their convexity, becoming flat or concave. Associated with hypochromic anemia or iron-deficient anemia. Adrenocorticotropic Hormone - Correct AnswersSecreted by the pituitary gland, stimulates adrenal cortex. Charcoal - Contraindication - Correct AnswersAcid or Alkaline Ingestion Hydrofluoric Acid Ingestion - Rx - Correct AnswersRapid Transport Parathyroid Glands - Number/Location - Correct Answers One on top and bottom of each thyroid lobe.

Glucagon - Requirement - Correct AnswersGlycogen must be available in the body. Myasthenia Gravis - SxS - Correct AnswersDrooping eyelids, double vision, difficulty swallowing, facial weakness, weakened respiratory muscles, difficulty moving extremities. Myasthenia Gravis - Description - Correct AnswersAutoimmune or congenital neuromuscular disease. Wernicke's Encephalopathy - SxS - Correct AnswersAMS, decreased eye movement, changes in gait. Wernicke's Encephalopathy - Description - Correct AnswersLong-term deficiency of thiamine (Vit-B1). Over time progresses to Korsakoff Psychosis. Commonly due to ETOH abuse or chronic puking. Korsakoff Syndrome - Description - Correct AnswersNeuro disorder caused by thiamine deficiency or viral encephalitis. Hypoxia - SxS (Pedi) - Correct AnswersAMS and Bradycardia Most Common Method of Suicide - Correct AnswersGSW - over 50% Multiple Sclerosis - Description - Correct AnswersDemyelination of neurons in the brain and spinal cord. Muscular Dystrophy - Description - Correct AnswersHereditary progressive weakening/wasting of the muscles. Parkinson's Disease - Correct AnswersDegeneration of basal ganglia in the brain and dopamine deficiency. Characterized by tremor, muscular rigidity and slow/imprecise movement.

Alzheimer's Disease - Correct AnswersGeneralized degeneration of the brain, causing mental deterioration and premature senility. Norepinephrine - Description - Correct AnswersHormone released by the adrenal medulla and sympathetic nerves. Binds with adrenergic receptors in the sympathetic nervous system. Norepinephrine - Function - Correct AnswersNeurotransmitter and raises BP. Binds with adrenergic receptors in the sympathetic nervous system. Acetylcholine - Description - Correct AnswersNeurotransmitter released by sympathetic neurons. Binds with nicotinic and muscarinic receptor proteins in the parasympathetic nervous system. Epinephrine - Correct AnswersHormone secreted by adrenal glands. Raises rate of blood circulation, breathing rate and carbohydrate metabolism in preparation for muscle exertion. Tidal Volume - Average Adult - Correct Answers500ml-600ml Epiglottitis - SxS - Correct AnswersInspiratory stridor, high-grade fever, drooling. Dyskinesia - Correct AnswersAbnormality or impairment of voluntary movement. Associated with antipsychotic medications. Dystonia - Correct AnswersState of abnormal muscle tone, resulting in spasm or abnormal posture. Typically caused by neuro-disease or drug side-effects. Dysmetria - Correct AnswersLack of coordinated movement.

Typified by under/over-shoot of intended target/position. Inability to judge distance/scale. Ataxia - Correct AnswersLoss of full control of bodily movements. B-Lymphocytes - Correct AnswersB-Cell A lymphocyte that produces antibodies. T-Lymphocytes - Correct AnswersWBC with a role in cell mediated immunity. RUQ - Organs - Correct AnswersLiver, Gallbladder, Colon (Portion) LUQ - Organs - Correct AnswersSpleen, Stomach RLQ - Organs - Correct AnswersAscending Colon, Cecum, Appendix, Small Intestine (Portion) LLQ - Organs - Correct AnswersDescending Colon, Sigmoid Colon, Small Intestine (Portion) Schizophrenia - Classes - Correct AnswersResidual, Catatonic, Undifferentiated, Paranoid, Disorganized Virus - MoA - Correct AnswersRequires a host cell to survive and replicate. Attaches to a healthy cell, takes over cell's machinery, reproduces more viruses, and then destroys the cell, releasing everything into the bloodstream. Diphenhydramine - Dose (Pedi) - Correct Answers1mg/kg - max of 50mg Most Common OD Drug - Correct AnswersAcetaminophen Visceral Pain - Correct AnswersDull, pressure, burning pain around hollow organs that is difficult to localize.

Arises from the viscera (lining of chest/abdominal organs). Most Damaging Radiation Type - Correct AnswersGamma Radiation Arterial Muscle - Correct AnswersMore prominent the venous musculature. Angina - Characterization - Correct AnswersChest pain caused by exercise intolerance. Starling's Law - Correct AnswersAs cardiac muscle fibers are stretched, they are able to contract with greater force. The greater the preload, the greater the force of contraction. Grave's Disease - SxS - Correct AnswersBug-eyed/bulging-eyes, fatigue, feverish, insomnia, bounding HR, diarrhea, weight loss. AAA - Pain - Correct AnswersAbdominal Aortic Aneurism Shooting pain that radiates down the legs, accompanied by numbness. Septic Shock - SxS - Correct AnswersAMS, increased HR, increased RR, feverish with flushed skin. Somatic Pain - Correct AnswersSharp and easy to pinpoint. Caused by skin, muscles, bones, joints, connective tissue. Exophthalmos - Correct AnswersProtruding/Bugged-Out Eyes Hyperthyroidism - SxS - Correct AnswersUnexplained weight loss, heat sensitivity, exophthalmos, anxious, agitated, hyperactive, goiter, warm/flushed skin, fever, psychosis. Glottic Opening - Correct AnswersSpace between vocal cords and larynx, superior border is the epiglottis.

Meningitis - SxS Triad - Correct AnswersNuchal Rigidity, AMS, Headache Additional: flu-like symptoms, fever, purpura, photophobia. Nuchal Rigidity - Correct AnswersStiffness of the Neck Purpura - Correct AnswersRash of purple spots caused by internal bleeding from small blood vessels. Diastolic Pressure - Correct AnswersPressure within the vessels during rest - between contractions of the heart. Purkinje Fiber - Beat Rate - Correct Answers15- 40 BPM Intrinsic Cardiac Factors - Correct AnswersCome from within the heart or damage to the heart itself. Extrinsic Cardiac Factors - Correct AnswersExterior sources that affect the heart. Fibrous Pericardium - Correct AnswersCompletely surrounds/encloses the heart, composed of the parietal and visceral pericardium. Visceral Pericardium - Correct AnswersPhysically covers the heart, attached at the apex of the heart. Parietal Pericardium - Correct AnswersOuter layer of pericardium, creates a cavity filled with pericardial fluid, which reduces friction of heart contractions. Apex of Heart - Correct AnswersLowest superficial part of the heart. Auscultation of the heart at this point is associated with closure of the mitral valve, behind the 5 th intercostal space. Pseudoseizure - Correct AnswersFake/False Seizure With genuine seizure activity, patient will not be able to verbalize and generally cannot breath adequately, causing a drop in SaO2.

Sarcoidosis - Correct AnswersCharacterized by inflammation to the lungs, heart and brain. Miosis - Correct AnswersContracted/Pinpoint Pupils Mydexema - Description - Correct AnswersComplication of Hypothyroidism Swelling of and underlying tissues, giving the skin a waxy consistency. Mydexema - SxS - Correct AnswersBradycardia, HoTN, hypoglycemia, low sodium levels. Hyponatremia - Description - Correct AnswersCondition caused by low sodium levels in the blood. IgE - Correct AnswersAntibody responsible for causing anaphylactic reactions. Decontamination Steps - Correct AnswersReduce Toxin Intake Reduce Absorption of Toxin Increase Elimination of Toxin Epiglottis - 4D's - Correct AnswersDysphagia Drooling Dysphonia Distress Dysphagia - Correct AnswersDifficulty/discomfort with swallowing, as a disease symptom. Dysphonia - Correct AnswersDifficulty speaking - disorder of the mouth, tongue, throat or vocal cords. Thyroxine - Correct AnswersMain hormone of the thyroid gland. Major affect on metabolic state, growth and development.

Parathyroid Hormone - Correct AnswersSecreted by the parathyroid gland - regulates calcium levels. Ectopic Beat - Correct AnswersElectrical impulse originating anywhere other than the SA Node. Preload - Correct AnswersAmount of blood returning to the ventricles. The volume of blood returning to the heart. T-Wave - Correct AnswersRepolarization of the Ventricles QRS Time-Interval - Correct Answers0.12 seconds - max PVC - Correct AnswersPremature Ventricular Contraction Single Irritable Beat CBG - Correct AnswersCapillary Blood Glucose O2 Concentration - Nasal Canula - Correct Answers24%-44% O2 Concentration - Non-Rebreather - Correct Answers60%-90% O2 Concentration - Bag Valve Mask - Correct Answers100% Respiratory Synctial Virus - Correct AnswersPediatric Illness Common in winter/early spring. Characterized by cold-like symptoms. Progresses to moderate-severe respiratory symptoms including increased respiratory rate, wheezing and respiratory distress. Status Epilepticus - Correct AnswersTwo or more seizures without regaining consciousness in-between.

Suctioning - Method/Duration Intervals - Correct AnswersAlternate suctioning for 15 seconds and ventilations for 2 minutes. Minute Volume - Correct AnswersAmount of gas inhaled/exhaled in one minute. Severe SOB - Rx - Correct AnswersAlways start immediately with O2. Kussmaul Respirations - Correct AnswersDeep and rapid respirations to blow off excess CO2. Common with DKA, metabolic acidosis or kidney failure. Head-Tilt/Chin-Lift - Pediatric Considerations - Correct AnswersDo not hyperextend the neck as it may collapse the trachea. Hemothorax - SxS - Correct AnswersHyperresonance/dullness upon percussion of the chest. Resonance - Correct AnswersQuality of sound being deep, full and reverberating on percussion of an area, i.e. chest percussions. Heat Exhaustion - SxS - Correct AnswersTemperature Less Than 104* Sweating Normal Mentation Heat Stroke - SxS - Correct AnswersTemperature Over 104-105 Throbbing Headache Dizziness Not Sweating Red, Hot, Dry Skin Muscle Weakness/Cramps Nausea/Vomiting Rapid HR

Rapid Shallow Breathing AMS Seizures Loss of Consciousness Rule of 9's - Pediatric - Correct AnswersAnterior/Posterior Head - 9% Each Anterior/Posterior Torson - 18% Each Anterior/Posterior Arms - 4.5% Each Anterior/Posterior Legs - 6.75% Each Narcan - Dose (Pedi) - Correct Answers0.1mg/kg IVP Abruptio Placentae - Correct AnswersPremature separation of placenta from uterine wall. APGAR - Correct AnswersTake immediately after birth and again 5 minutes later. Appearance Pulse Grimace - Irritability Activity Respirations Labor - Stages - Correct AnswersDilation Expulsion Placental Supine Hypotension Syndrome - Correct AnswersPressure put on the inferior vena cava when a pregnant woman lies on her back. Lay on her side to prevent. Complete Abortion - Correct AnswersPassage of all fetal tissue before 20 weeks. Incomplete Abortion - Correct AnswersFailure to pass all fetal tissue.

Threatened Abortion - Correct AnswersFlank bleeding/discharge in first half of pregnancy without dilation. Theraputic Abortion - Correct AnswersPlanned surgical removal of fetus. Preeclampsia - SxS - Correct AnswersHTN, Headache, Fluid Retention, Proteinuria Progresses to eclampsia - seizures. Severe - BP > 160/110 Severe Preeclampsia - Correct AnswersBP > 160/110 Gamma Radiation - Decon - Correct AnswersNo Decontamination Required Common Law - Correct AnswersCreated by judges or as a result of past cases. Choking - Rx (Pedi > 1yo) - Correct AnswersAbdominal Thrusts Choking - Rx (Pedi < 1yo) - Correct AnswersBack Blows & Chest Trusts HazMat - Cold Zone - Correct AnswersClean Zone HazMat - Clean Zone - Correct AnswersCold Zone Goiter - Correct AnswersAbnormal enlargement of thyroid gland (below Adam's Apple). Systolic Pressure - Describe - Correct AnswersPressure of blood against the arteries during contraction of the heart. Polyuria - Correct AnswersExcessive Urine Production Tuberculosis - SxS - Correct AnswersHemoptysis, Pyrexia, Unexplained Weight Loss

Mononucleosis - Correct AnswersLethargy, Splenomegaly, Lymph Node Enlargement, Pyrexia (Fever) Splenomegaly - Correct AnswersEnlargement of the Spleen Liver - Function - Correct AnswersStore Sugars/Starches Produce Clotting Agents/Factors Dysarthria - Correct AnswersDifficult/Unclear Speech Articulation - Neuro-Deficit Dyspepsia - Correct AnswersIndigestion Dysthymia - Correct AnswersPersistent Mild Depression Metabolic Acidosis - SxS - Correct AnswersRespiratory rate increased (Kussmaul Respirations) in order to blow off excess CO2. Duo-Nebulizer - Correct AnswersTreatment for Bronchospasm Beta2 Agonist/Ipratripium Bromide Ipratripium Bromide - Correct AnswersAtrovent COPD/Asthma Diaphragm - MoA - Correct AnswersContracts on Inspiration Expands on Expiration Diaphragm - Inspiration - Correct AnswersContracts Diaphragm - Expiration - Correct AnswersExpands Larynx Fracture (Fx) - SxS - Correct AnswersStridor, Hoarseness, Hemoptysis, Difficulty Speaking

Cushing's Triad - Correct AnswersIndicates ICP Increased BP, Irregular Breathing, Decreased HR CSF - Rx - Correct AnswersClean away fluid, do not apply pressure. Zygomatic Bones - Location - Correct AnswersSides of the Skull Mild Hypothermia - SxS - Correct Answers90-95 Rapid RR Shivering Severe Hypothermia - SxS - Correct AnswersSlow RR Not Shivering AMS Uterine Rupture - Correct AnswersAcute Sharp/Stabbing/Ripping Pain Rigid/Tender Abdomen Shock-like Vitals Cessation of Labor Epiglottitis - Correct AnswersInflammation of the Epiglottis Difficulty Breathing Hx of Recent Illness Drooling Stridor Premature Infant - Correct AnswersBorn Before 37 Weeks Pediatric Airway - Narrowest Portion - Correct AnswersCricoid Cartilage