Study questions for Primary Care Paramedic (Saskatchewan) to get you thinking
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| show | Visceral
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| ________ is a progressive, degenerative disease of the medium-sized and large arteries | show 🗑
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| In children younger than 18 months, their state of hydration, and possibly head trauma, can be assessed by evaluating their fontanelles. A “normal presentation” should be _________. | show 🗑
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| What is the difference between stable and unstable angina? | show 🗑
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| show | The electrical impulse is moving toward the positive electrode
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| A run of ventricular tachycardia occurs if at least ____ PVCs occur in a row | show 🗑
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| show | Right of the upper sternum and left in an anterior auxiliary line over the apex of the heart
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| What rhythms can PCP's defibrillate? | show 🗑
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| show | Systolic below 100mmHg
Heart rate below 50BPm
Viagra, Levitra, Cialis or similar in last 24hours
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| show | 91%
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| show | Systolic of 110/120
ICP=MAP-CPP
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| show | Prolonged asthma attack that does not respond to bronchodilator therapy
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| Numbness and tingling of the hands and feet, caused by hyperventilation syndrome, is due to: | show 🗑
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| What is the primary antibody involved in an anaphylactic reaction? | show 🗑
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| What is the safe residual (when an oxygen cylinder is considered empty)? | show 🗑
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| Your patient is a 16 year old girl who has just been involved in an argument with her family. Examination reveals rapid, deep ventilations; dizziness; numbness around the mouth and tingling in the fingers. What condition is she suffering from? | show 🗑
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| Flow rates for Nasal Cannula | show 🗑
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| show | Chronic Hypoxia
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| The OPA should be measured from | show 🗑
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| show | Tip of the nose to earlobe
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| show | Forces fluid from the alveoli, improve pulmonary gas exchange
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| Etc02 Volumes (ICP/Non-ICP) | show 🗑
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| What is Dysphagia? | show 🗑
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| show | Cease resuscitation efforts
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| show | Deformities, contusions, abrasions, penetrations (protruding viscera/paradoxical movement/pulsating masses)
Burns, lacerations, swelling
Tenderness, instability and crepitus
Distension, rigidity, tenderness
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| show | Volume(ml) x set(gtts/ml)=time (min) x drip rate (gtts/min)
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| What is orthostatic tilt testing? | show 🗑
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| What should you do with a prolapsed cord? | show 🗑
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| Scenario: You arrive at the scene just as a 28-year-old has delivered her first child. Your initial assessment of the neonate revealed core and peripheral cyanosis, apnea, and a pulse of 74beats/min. Your initial treatment is: | show 🗑
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| A lethargic 5 year old child presents with diarrhea, dry mucous membranes, sunken eyes, oliguria and vomiting. Your treatment for fluid resusatation, as per protocol is: | show 🗑
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| Meconium staining indicates | show 🗑
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| show | Desired dose x volume of container/pill = amount to give
Dose on hand
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| show | Absent breathing-vent twice and check pulse
Less than 8-assist at 8-10/min
Low tidal volume-assist at 8-10/min
Labored-o2 by NRB
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| show | GCS less than 8 with posturing
GCS less than 8 with pupillary asymmetry or nonreactive
GCS less than 8 with drop of two or more points
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| What are normal breathing rates for: Adults Small children Infants | show 🗑
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| What is Serum Lactate monitoring? | show 🗑
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| Formula for MAP | show 🗑
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| show | LOC
No signs of impairment (mental, drugs/alcohol, ect.)
Vitals must be stable
Pt must understand the risks of refusing
Pt understands instructions given on how to call EMS back or seek medical eval
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| Indications for a BVM | show 🗑
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| show | Intact gag reflex
Airway obstruction/actively vomiting
Pt under 4 feet
Known or suspected caustic ingestion
Know esophageal disease
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| show | Intact gag reflex
Airway obstruction/Actively vomiting
Pt under 3 feet (3 kings)
Known or suspected caustic ingestion
Known esophageal disease
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| What are the three chambers in chest tube drainage unit or ‘helmlich valve’. Explain them. | show 🗑
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| CPAP indications | show 🗑
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| show | Pneumothorax/chest trauma or tracheotomy
Hemodynamically unstable
Altered LOC
Actively vomiting
Upper GI Bleed
Under 12 or unable to fit mask
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| show | Reduction of fever
Hypersensitivity/actetam-induced liver disease
ADULT: 325-650mg q 4-6 hrs not to exceed 4000mg/24hrs
PEDS: 10-15mg/kg q 4-6hrs not to exceed 75mg.kg/24hrs
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| ASA Indications/Contra Dose | show 🗑
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| Dextrose Indications/Contra Dose | show 🗑
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| Epinephrine Indications/Contra Dose | show 🗑
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| show | Treat hypoglycemia where a large vein cannot be established
Hypersensitivity/pheochromacytoma
ADULT: 1mg repeat q 15 min as needed
PEDS: (under 12) 0.1mg/kg repeat q 15 min as needed
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| Atrovent Indications/Contra Dose | show 🗑
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| Narcan Indications/Contra Dose | show 🗑
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| Nitroglycerine Indications/Contra Dose | show 🗑
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| Nitrous Oxide Indications/Contra Dose | show 🗑
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| Salbutamol Indications/Contra Dose | show 🗑
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| Signs of Compensated Shock & Reasons | show 🗑
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| Signs of Decompensated Shock | show 🗑
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| show | Two or more adjacent ribs in or more places fractured
Ventilation & pain management
PEEP with ET tube for large, CPAP for small
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| show | Neck veins are usually flat, shock may be present, decreased breath sounds and dullness to percussion on affected side.
High flow O2-Load and Go-notify med control
Treat for shock
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| Signs of Tension Pneumothorax & how to treat it. (as PCP) | show 🗑
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| show | Beck’s Triad, pulsus paradoxus. Shock
High flow O2-load and go-ECG-treat for shock/dysrhythmias-watch to other complications.
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| show | Results from a severe compression of the chest. Pts appear similar to those who have been strangulated. (cyanosis & swelling of neck and head) Conjunctival hemorrhage. Skin below injury appears normal.
Airway-IV-treat other injuries-Rapid transport
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| In regards to a brain injury, what is Coup, Contracoup and Secondary brain injury? | show 🗑
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| What is Cushing’s Reflex? | show 🗑
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| show | Activity, Pulse, Grimace, Appearance & Respirations
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| Why is it so important to have IV started before relieve a crushed patient? | show 🗑
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| Baby has a HR of 90, is not crying, pale blue and hardly moving. What is baby’s APGAR? | show 🗑
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| Pt tracks you as you enter, uses inappropriate words but is able to localize pain. What is their GCS? | show 🗑
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| Pt opens eyes to pain, is confused and withdraws from pain. What is their GCS? | show 🗑
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| Baby’s HR is 110, is crying, pink with blueness in extremities and active. What is baby’s APGAR | show 🗑
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| What is the Parkland Formula? | show 🗑
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| Pt has mottled red burns that are weeping, what degree of burn do they have? | show 🗑
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| show | 1st degree or superficial
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| show | Cool with room temp water. Remove clothing and jewelry around burn. Cover with dry sterile dressing unless small burn you are trying to keep cool. Watch for hypothermia! Manage pain. Causes vasoconstriction limiting blood supply to already damaged tissues
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| Your patient has burns to the entire left leg, groin area and front bottom half of the right leg. What is the percentage? | show 🗑
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| What is FAST and what is it for? | show 🗑
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| show | Alcohol, epilepsy, insulin, overdose, uremia
Trauma, infection, psychiatric/poisons, stroke
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| show | 32%
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