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Special Pops Final Review - Paramedic Flashcards | StudBud
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Special Pops Final Review - Paramedic
Special Pops Final Review - Paramedic
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1
Stage 3 of labor starts with _____ and ends with _____.
Birth of infant - Delivery of placenta
Stages? There are stages to this?!
Complete cervical dilation & effacement - Delivery of fetus
Onset of contractions - Complete cervical dilation & effacement
2
3rd step of neonatal resuscitation
Provide Oxygen if HR <100, Provide CPR if HR <60
Administration of Epinephrine
Assess Tone, breathing and crying
Suction Secretions/ Clear the Airway, Dry, Warm and stimulate the neonate
3
1st step of neonatal resuscitation
Suction Secretions/ Clear the Airway, Dry, Warm and stimulate the neonate
Provide Oxygen if HR <100, Provide CPR if HR <60
Assess Tone, breathing and crying
Administration of Epinephrine
4
What is the primary impact of Autism Spectrum Disorder (ASD)?
Physical abilities
Mathematical skills
Memory function
Social skills
5
What is the key indicator of placenta previa?
Hypertension and proteinuria
Painless vaginal bleeding in the third trimester
Severe abdominal pain and rigid abdomen
Hemolysis, Elevated Liver enzymes, and Low Platelet count
6
For pediatric synchronized cardioversion: the first energy setting is:
2 J/kg
4 J/kg
0.5 - 1 J/kg
1 - 2 J/kg
7
What is
NOT
a cause of endometritis?
Difficult pregnancies
An STI
Complication from miscarriage
Complication from a D&C
8
3m/o suddenly became apneic and cyanotic. Pt is currently conscious, acting age appropriate. What do you suspect?
The patient had a foreign body airway obstruction that resolved
The child experienced a brief TIA
New onset diabetes
Apparently Life Threatening Event/ Brief Resolved Unexplained Episode
9
What is the most common form of cerebral palsy?
Mixed type
Ataxic cerebral palsy
Athetosis
Spastic paralysis
10
What percentage of Americans are considered obese according to the presentation?
More than 40%
More than 45%
More than 35%
More than 30%
11
A conscious infant is choking. You should:
Deliver 5 back blows & 5 chest compressions
Suction as needed
Start CPR
Deliver 5 back blows & 5 abdominal thrusts
12
What is the treatment for a pediatric pt in DKA?
Perform a 12 Lead ECG
Give 20 mL/kg slow fluid boluses
IM Insulin
Give rapid 10 mL/kg NS boluses
13
What is a common early symptom of Multiple Sclerosis?
Severe pain
Tingling sensation
High fever
Immediate paralysis
14
In Multiple Sclerosis (MS), what age group is most commonly affected?
20-40 years
10-20 years
60-80 years
40-60 years
15
You have delivered a newborn in a trailer in Hearne. The infant has a heart rate of 40, what is your first intervention?
Begin CPR
Administer 0.1mg/kg of IN Narcan
Administer 0.01mg/kg of Narcan IM
Suction the Airway
16
Which type of deafness prevents sound waves from being transmitted from the external ear to the middle or inner ear?
Conductive deafness
Sensorineural deafness
Partial deafness
Progressive deafness
17
In patients with speech impairments, what should you avoid?
Speaking clearly
Using written communication
Finishing their sentences
Looking at the patient
18
What type of aphasia involves both sensory and motor components?
Partial aphasia
Motor aphasia
Global aphasia
Sensory aphasia
19
Why do we perform a fundal massage?
Because we're really nice people
To slow bleeding
To assist in relaxation after delivery
To help initiate placental delivery
20
What is the target heart rate to indicate effective resuscitation in a newborn?
Greater than 60bpm
Greater than 100bpm
Greater than 120bpm
Greater than 80bpm
21
88y/o male presents with AMS and lethargy with vitals BP88/52 HR 142irr RR 28. What is the most likely diagnosis?
Diabetic Shock
Sepsis
CVA
Hyperkalemia
22
What percentage of hearing loss is related to high-pitched sounds?
60%
90%
70%
80%
23
Which disease primarily affects boys between ages three and six with progressive muscle weakness?
Multiple Sclerosis
Duchenne muscular dystrophy
Poliomyelitis
Myasthenia Gravis
24
What is the pediatric energy setting for the
SECOND
defibrillation/shock?
2 J/mg
1 J/mg
4 J/mg
6 J/mg
25
What percentage of Americans experience some element of chronic pain?
25%
30%
35%
40%
26
How many inches from the newborn should you place the first clamp when cutting the umbilical cord?
4 inches
10 inches
8 inches
2 inches
27
Which of the following likely indicates eclampsia?
Seizure activity
Profound Hypertension
Diabetes in the first trimester
Abdominal Pains, abdominal rigidity, and hypotension
28
What is a key characteristic of patients with Down syndrome?
Heart defects possible
No physical features
No developmental delays
Normal muscle tone
29
5y/o has a barking cough, low-grade fever and stridor. What is the best prehospital treatment?
Blow-by oxygen
Racemic Epinephrine
DuoNeb
NIV (CPAP/BiPAP)
30
Which is false about Epiglottitis?
Causes a low grade temperature
Caused by a bacterial infection
Will have drooling and stridor
Child will appear acutely ill
31
Which speech impairment presents as the inability to understand spoken or written word?
Dysarthria
Voice production disorder
Language disorder
Fluency disorder
32
What is the formula for estimating Systolic BP in the pediatric patient?
70 + (Age X 2)
90 + (Age X 2)
20 + (Age X2)
60 + (Age X 2)
33
What is the respiratory rate for a newborn?
10 = 12/min
12 - 20/min
40 - 60/min
30 - 60/min
34
A 14y/o male complains of abdominal pain, nausea, polyuria, and polydipsia for the past 3 days. You suspect
Sepsis
Diabetic Ketoacidosis
Urinary Tract Infection
Testicular Torsion
35
What consideration is important when transporting obese patients?
Regular stretchers are sufficient
No special considerations needed
Special bariatric equipment may be needed
Always transport alone
36
What should you consider when treating terminally ill patients?
Respect end-of-life wishes
Ignore emotional aspects
Always transport to hospital
Refuse treatment
37
What is the compression to ventilation ratio for Neonatal Resuscitation?
3:1
15:2
5:1
30:2
38
A cocaine using 3rd trimester pregnant woman C/O sudden sharp, tearing pain and a rigid abdomen. This could be:
Severe preeclampsia
Placenta previa
Abruptio placentae
Braxton Hicks contractions
39
Geriatric patients do not commonly experience depression.
True
False
40
"Appearance" in the pediatric assessment triangle assesses for what?
Pallor/ Mottling/ Cyanosis
Palpation of central and peripheral pulses
Breathing sounds/ Body positioning
Tone/ consolability/ Look, gaze
41
What is important to remember about patients with developmental disabilities?
Can recognize tone and disrespect
Cannot understand body language
Cannot recognize disrespect
Cannot communicate at all
42
What percentage of patients with cerebral palsy experience seizures?
One-quarter
Two-thirds
One-half
One-third
43
What is the unique characteristic used for diagnosing Cystic Fibrosis?
Sweat test
Genetic test
Blood test
Urine test
44
Which condition is a preventable disorder caused by excessive alcohol consumption during pregnancy?
Down Syndrome
Fetal Alcohol Syndrome
Cerebral Palsy
Autism
45
Patient has profound bleeding post delivery, med control requests you administer Pitocin. What is the appropriate dose?
10-20 units IV
10-20Mg IV
15-25 units IV
10-20 units IM
46
All are changes experienced by geriatrics due to aging
EXCEPT
:
Less saliva production
A decrease in collagen
An increase in acute confusion
An increase in infections
47
4th step of neonatal resuscitation
Assess Tone, breathing and crying
Provide Oxygen if HR <100, Provide CPR if HR <60
Administration of Epinephrine
Suction Secretions/ Clear the Airway, Dry, Warm and stimulate the neonate
48
Which condition results from an extra chromosome, with the person having 47 chromosomes?
Fetal Alcohol Syndrome
Down Syndrome
Autism
Cerebral Palsy
49
When suctioning using a meconium aspirator, it should be set at ______ or less.
80 cm/H2O
10 cm/H2O
40 cm/H2O
100 cm/H2O
50
At 5min after birth, the newborn should have an SpO2 level of ____% to ____%?
60-65%
70-75%
90-95%
80-85%
51
A pediatric patient with agonal respirations and a slow pulse is in:
Respiratory arrest
Respiratory distress
Cardiac arrest
Respiratory failure
52
What is the primary concern when encountering a patient with a service dog?
Not disturbing the dog while in harness
Feeding the dog
Removing the dog from the scene
Petting the dog for comfort
53
Which visual impairment results from increased intraocular pressure on the optic nerve?
Cataracts
Glaucoma
Retinopathy
Macular degeneration
54
A 3 year old male presents with a fever and barking cough. What medical condition should you suspect?
FBAO
Epiglottitis
Croup
Bronchiolitis
55
What is the correct initial dose of epinephrine 1:10,000 for a pediatric cardiac arrest patient weighing 15 kg?
0.05mg/kg
0.5mg
1.5mg
0.15mg
56
In spina bifida patients, what important consideration must always be assumed?
Latex allergies
Temperature sensitivity
Sound sensitivity
Light sensitivity
57
Central line catheters are inserted using a sterile technique.
False
True
58
What term describes paralysis of all four extremities?
Paraplegia
Hemiplegia
Diplegia
Quadriplegia
59
You arrive to find a 3y/o M in resp distress. He is drooling, sitting in tripod position. What condition do you suspect?
Bronchitis
Croup
Severe Asthma
Epiglottitis
60
What is the maximum APGAR score possible?
6
15
8
10
61
What autoimmune disease causes chronic weakness of voluntary muscles and progressive fatigue?
Rheumatoid Arthritis
Muscular Dystrophy
Myasthenia Gravis
Multiple Sclerosis
62
What is a key characteristic of patients with juvenile rheumatoid arthritis (JRA)?
Only temporary symptoms
May have spleen complications
Only affects adults
Only affects joints
63
When assessing a newborn for hypothermia, you will see shivering.
False
True
64
What is a critical consideration for patients with previous head injuries?
Never have speech problems
Always conscious
Always have visible scars
May not remember original injury
65
2nd step of neonatal resuscitation
Assess Tone, breathing and crying
Administration of Epinephrine
Suction Secretions/ Clear the Airway, Dry, Warm and stimulate the neonate
Provide Oxygen if HR <100, Provide CPR if HR <60
66
Which age-related change increases the risk of respiratory complications in elderly patients?
Decreased lung elasticity
Increased diaphragmatic strength
Increased tidal volumes
Decreased mucus production
67
Which group is more commonly affected by Multiple Sclerosis?
Women
Men
Elderly
Children
68
What is the treatment for supine hypotension syndrome?
Tilt patient to the left
Place the patient in a prone position
Boluses of NS or LR until a MAP ~65
Vasopressors
69
Which condition affects the gray matter of brain and spinal cord, now rare due to immunization?
Cerebral Palsy
Spina Bifida
Multiple Sclerosis
Poliomyelitis
70
What is a critical consideration for polio survivors?
Always fully recovered
May need ventilation assistance
No respiratory concerns
No muscle atrophy
71
What should you do when communicating with deaf patients?
Speak in a high-pitched voice
Use exaggerated gestures
Always use sign language
Face the patient while speaking
72
The first step in the neonatal resuscitation inverted pyramid is:
Compressions
Ventilations
Drying, warming, stimulation
Blow-by Oxygen
73
What is the primary concern when treating cancer patients undergoing chemotherapy?
Medication timing
Blood pressure
Infection risk
Pain management
74
What is the most obvious sign of hearing impairment during initial assessment?
Hearing aid
Hand gestures
Head tilting
Speech pattern
75
In patients with cystic fibrosis, what equipment should be readily available?
Suction device
Splints
Blood pressure cuff
Defibrillator
76
Routine laryngoscopy and tracheal suctioning of newborns with evidence of meconium staining is recommended?
True
False