NREMT- EVERY thing else

  1. What is Cushings triad??
    due to increased intracranial pressure.

    you'll have irregular respiration's, Bradycardia and systolic hypertension
  2. What is Hammans sign?
    Is a Crunching rasping sound. its the sound of the heartbeat beating against air filled tissues
  3. The AV node usually beats at
    40-60 beats per min
  4. Half of the blood gets filtered by the liver. where does the other half of the blood bypasses the liver through the....
    the ductus venosus bypasses the liver and goes into the inferior vena cava.
  5. what is the best place to listen for distal air movement.
    under each armpit.
  6. When a neo-nate is suffering from hypoxia they respond with....
    Brady cardia
  7. When pulled out of a fire what is the greatest risk to a person respiratory status
    First should be Cyanide poisoning. Hydrogen cyanide is produced when plastics are burning the gas stops mitochondrial aerobic metabolisim and causes cellular asphyxia.
  8. What is the first thing you should do for all burn patients
    Keep the patient warm and cover with burn sheets.
  9. What is Stage 4 hemorrhaging characterized by?
    Weak or absent core pulses. inadequate respiratory effort and altered mental status of LOC
  10. What should you do for all impaled objects.
    Impaled objects should be left in place and to decrease nerve damage and bleeding
  11. Which artery serves the Left ventricle?
    Left Coronary arteries cover the left posterior wall. the left lateral wall is covered by the left Circumflex artery.
  12. What is the Optic nerve (2) respomsible for?
    our ability to see
  13. what is the oculomotor nerve responsible for?
    its responsible for pupil size,shape and reactivity
  14. What is Hypema
    when blood collects in the anterior chamber of the eye due to trauma.
  15. What is serious apnea
    Apnea lasting longer than 20 seconds or any apnea with bradycardia or cyanosis
  16. what does confrontation mean?
    making statements about how the paitet may be feeling its used with behavoiral and psych paitents
  17. what are the three types of bone cells?
    • Osteocyte= a mature bone cell(cortical cancellous bones )
    • osteoblast= Creates new bony matrix
    • osteoclast=Destroys bone by reabsorbing
    • mineralized bone
  18. What are the eight bones in the wrist?
    Lateral to medial Proximal row: Scaphoid, Lunate, triqutrum, pisiform

    Distal row: trapezium, trapezoid, capitate and hamate.
  19. what are the bones of the ankle
    • 7 Calcanous, talus and navicular are in the proximal row and the distal row is the
    • cuboid, medial cuniform, intermediate cuniform and lateral cuniform.
  20. What is the serous membrane, Viceral and parital pleura
    • Serous=the bodys cavities are lined with those
    • Vicereal pleura= in contact with the organs
    • Parietal=in contact with the body cavity.
  21. what is the cerebrums job?
    memory, face recognition and planning speech and emotion
  22. what is the role of:
    • Cerebellum=Controls fine movement
    • thalamus=Relays sensory impulses to C.Cortex
    • hypo= maintain homeostasis
  23. What is the role of the:
    hippo campus
    • amygdala=libic- fear and anxiety
    • hippo= memory, short term to long term conversion
    • Pons-regulation of respiratory and cardio function and coordination of eye movements.
    • Medulla=HR and BP
  24. What are Vacuoles?
    They Store Food and water  and waste for later disposal
  25. What poses the greatest risk to your job
  26. What is a Multiplex and simplex system
    Multiplex can work simultaneously and simplex is one way.
  27. When parking your ambulance. what is your main goal? and what about helicopters
    Scene protection. use your ambulance to protect the scene for helicopter make sure you approch from the front.
  28. when staging where should you be? When backing up an ambulance
    several blocks away with the lights and sirens cut off.

    you should be in the rear on the drivers side.
  29. clubbing of the finger nails usaully means what?
    usually with chronically low oxygen

    usually means that its a paitent with long term emphysema and long history of smoking.
  30. What is a full thickness burn
    white leathery and charred damaged nerve endings so pain isnt felt
  31. When an individual gets scared what hormones are released?
    Catecholamines are released. epi and nor epi are catecholamines. they stimulate the alpha and beta receptors of the sympathetic nervous system.
  32. what does activated charcoal do?
    binds to the poison and moves thru the body and comes together as one without being absorbed. the correct adult dosage is 50-70g
  33. at what oxygen rate should you be giving albuterol?
    at about 5-8 lpm anything else may cause damage
  34. What should you suspect if a patient has a fever right after you start an IV
    They may have pyrogens. it may happen if they had that in the administration set or iv solutions. you'll know by the sudden onset of chills, backache, headache and nausea.
  35. What is the difference between Heat exhaustion and Heat stroke?
    heat exhaustion happens from excessive water and sweat loss. heat stroke is when the hypothalmic regulation is lost also when you stop perspireing  and probably gain a muscle twitch and convulsions will lead to a heat stroke.
  36. Henry's law
    States that the quantity of Nitrogen and oxygen that dissolves in the body tissues when 33 feet below.
  37. bradycardia in an infant is a sign of...
    Cardiac arrest.
  38. What does infusing hypo tonic solution do..
    It causes water to move from the blood stream to the cells.
  39. Estrogen production is promoted by what hormone?
    Gonadotropin- testosterone and progesterone production is also promoted by gonadotropin. because of this and and the demands of becoming an adult makes teens an easy risk for depression
  40. what is immediate memory, recent memory and remote memory
    • Immediate= names and unrrelated objects
    • recent= recalling somthing that happened earlier in the day
    • remote=recall events in the past.
  41. What is cranial nerve 1?
    cranial nerve one is sensory olfactory for smell. carries information to the olfactory area of the brain.
  42. what is cranial nerve 2
    Cranial nerve two is the optic nerve and its sensory. it transmits information to the brain
  43. what is cranial nerve number three
    • CN 3 is the oculomotor nerve. this is a motor nerve that..
    • Uplifts the eyelid
    • superior raise the eyeball
    • constricts the pupil for incoming light and several other ocular muscles.
  44. what is cranial nerve number 4
    CN 4 is the trochlear nerve. its a motor nerve that supplies the mid brain and handles the eye and the turning of the eyeball
  45. what is crainial nerve 5
    CN 5 is motor and sensory. it serves the nose teeth, tounge and eyes. it also has the opthalmic, maxillary and mandibular nerves.
  46. what is cranial nerve number 6
    CN 6 is the abducens nerve. its motor and its responsible for laterally turning the eye.
  47. what is cranial nerve number 7
    CN 7 is the facial nerve. its motor and responsible for many facial expressions.
  48. what is cranial nerve number 8
    CN 8 is the vestibulococlear nerve and its motor and responsible for carrying vesibular and coclear information to the head. but mainly there for balance
  49. what is cranial nerve number 9
    CN 9 is motor and sensory and carries information to the brain about the pharynx. and some portion about the tongue and palate and temperature.

    motor wise it carries info about the salivary glands and
  50. what is cranial nerve number 10
    CN 10 is the vagus nerve. its motor and sensory. its sensory job is to transfer info about the tasting ability of the tongue.

    the motor is responsible for pharynx, larynx, esophagus, trachea, bronchi. its also responsible for the heart and palate.
  51. what is cranial nerve number 11
    CN 11 is the spinal accessory nerve. its a motor nerve that provides info for the spinal cord and traps, neck and shoulders
  52. what is cranial nerve number 12
    CN 12 motor nerve that deals with the movement of the tongue.
  53. what is pulsus paradoxus??
    when a patient systolic is dropping 10mmhg for each respiratory cycle. usually associated with COPD, cardiac tamponade, you should not take the time to look for it.
  54. what are corticosteroids used for?
    used to decrease inflammation. prednisone and beclometh
  55. what is the tunica intimas job
    to aloow blood gasses to and from the tissue
  56. what is the tunica medias job?
    elastic fibers and muscle allows it to recoil and is responsible for the presure on the inside and outside of a cell.
  57. What is the Circle of willis?
    common term for the joining of the carotid system and vertebobasilar system. the carotid system is anterior and the vertebro basilar is posterior.
  58. what is the junction between the CNS and Endocrine system?
    the hypothalmus. it acts as nerve cells and gland cells transmitts messages to glandular response.
  59. what are the 5 classes of immunity?
    • Im- G,A,M,D,E
    • G-provides passive immunity and long term
    • A-most common for mucus secretions
    • M-large size and dont leave blood vessels.
    • D- found on lymph
    • E- baophils and mast cells. for Allergic reactions
  60. what is creatinine?
    waste product that is caused by metabolisim of muscles cells.
  61. What are signs and symptoms of anxiety?
    palpitations, insomnia, and hyperventilation. its a normal response to stress and can overwhelm a paitent.
  62. what is the pediatric assessment?
    looks at Apperance, circulation and work of breathing.
  63. what is becks triad
    • used to check for cardiac tamponade
    • low Blood pressure
    • distended neck veins
    • and muffled heart sounds
  64. What is bacteria trachitis
    its a bacterial infection that Mainly follows croup and infects children from 1-5
  65. What is Nuchal cord
    Nuchal cord is when the babys head is delivered and the cord is wrapped around it. try to unwrap it. or clamp it and cut it.
  66. what are the two main things that cause PID
    Gonorrhea and Chlamydia
  67. what sites do Acytlcoline and norepinephrine bind to?
    Nor-epi binds to adrenergic receptors in the SNS

    Acytlcholine binds to muscarnic receptors and nicotinic receptors in the parasympathic
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NREMT- EVERY thing else