Shared Flashcard Set

Details

Mod 3
Quizes
50
Medical
02/27/2011

Additional Medical Flashcards

 


 

Cards

Term
The normal respiratory rate for a newborn should not exceed ___ breaths/min
Definition
60
Term
The components of the PAT are:
Definition
Appearance, work of breathing, and skin circulation
Term
Capillary refill time is MOST reliable as an indicator of end-organ perfusion in children younger than:
Definition
6 years
Term
Signs of an upper airway obstruction in an infant or child include all of the following, EXCEPT
Definition
Wheezing
Term
An 8-year old female with a history of asthma continues to experience severe respiratory distress despite being given multiple doses of her prescribed albuterol by her mother. She is concious but clearly restless. Her heart rate is 130 beats/min and her respiratory rate is 30 breaths/min. She is recieving high flow oxygen via a non rebreathing mask. You should:
Definition
Be prepared to assist her ventilations, transport at once, and request ALS intercept en route to the hospital.
Term
Blood loss in a child exceeding ____ of his or her total blood volume significantly increases the risk of shock.
Definition
25%
Term
Children with N meningitides would MOST likely present with:
Definition
Cherry-red spots or a purplish rash
Term
A 4yr old female ingested an unknown quantity of liquid drain cleaner. Your assessment reveals that she is concious and alert, is breathing adequately, and has skin burns around her mouth. You should:
Definition
Monitor her airway and give oxygen
Term
When a child is struck by a car, the area of greatest injury depends MOSTLY on the:
Definition
Size of the child and the height of the bumper upon impact.
Term
Which of the following is NOT a known risk factor of SIDS?
Definition
Putting a baby to sleep on his or her back
Term
An infant's blood pressure typically increasing with age because:
Definition
Blood pressure directly corresponds to the body weight
Term
You are dispatched to a call for a 4 month old infant with respiratory distress. While you prepare to take care of this child, you must remember that:
Definition
Small infants are nose breathers and require clear nasal passages at all times
Term
The anterior fontanelle fuses together between the ages of:
Definition
9 and 18 months
Term
At what age does seperation anxiety typically peak in infants and small children?
Definition
10-18 months
Term
The pulse rate of a child from ages 6 to 12 years is approximately:
Definition
70 to 120 beats/min
Term
A 16 year old female complains of vaginal bleeding and abdominal cramping that began several hours ago. During your assessment interview, you should:
Definition
Inquire about the possibility of pregnancy in private, if possible
Term
Which of the following statements regarding middle adults is correct?
Definition
Cardiovascular health becomes an issue in this age group, as does the greater incidence of cancer
Term
With increasing age, the heart must work harder to move the blood effectibely because:
Definition
The blood vessels become stiff
Term
Breathing is often more labor intensive in older adults because the:
Definition
Elasticity of the lungs decreases
Term
In late adults, the amount of air left in the lungs after expiration of the maximum amount of air:
Definition
Increases, which hampers diffusion of gases because of stagnant air that remains in the alveoli.
Term
Sedentary behavior while healing from a hip fracture would MOST likely predispose the older patient to:
Definition
Pneumonia
Term
A 69yr old female was involved in a motor vehicle crash. She is semiconscious with a blood pressure of 80/50mm Hg and a heart rate of 74 beats/min that is weak. Her daughter, who was uninjuried in the crash, tells you that her mother has a history of hypertension and takes beta blockers. Considering the fact that this patient is probably in shock, what is the MOST likely explanation for the absense of tachycardia?
Definition
The effects of her antihypertensive medication
Term
The purpose of GEMS diamond is to:
Definition
Help EMS personel  remember what is different about elderly patients
Term
Which of the following patients is at highest risk for a pulmonary embolism?
Definition
71yr old male with recent surgery to a lower extremity
Term
In contrast to delirium, dementia:
Definition
Is usually considered irreversible
Term
Motor nerve neuropathy is characterized by:
Definition
Loss of balance, muslce weakenss, and spasms
Term
When performing your secondary assessment on an older patient who has been injured, it is important to:
Definition
Recall that it will take a less severe mechanism of injury to cause significant injuries
Term
You recieve a call for a sick person. When you arrive, you find the patient, a 75yr old male, lying unresponsive in his bed. His respirations are slow and irregular and his pulse is slow and weak. His daughter tells you that he fell the day before, but refused to allow her to dial 911. His past medical history is significant for hypohyrioidis, deep vien thrombosis, heavy alcohol use, and liver cirrhosis. His medications include blood thinners and vitamins. You should be MOST suspicious that this patient is experiencing:
Definition
A subdural hematoma
Term
In contrast to a living wil, a "DNR" order becomes valid when:
Definition
The patient develops cardiac arrest.
Term
Many older victims of physical abuse may make false statements or lie about the origin of their injuries because:
Definition
The fear retribution from the abuser.
Term
Patients with autism:
Definition
Have extreme difficulty with complex task that require many steps
Term
Airway management can be challenging in patients with Down sydrome because their:
Definition
Teeth are misaligned and they have a large tongue
Term
By placing one hand on top of your head and other hand over your abdomen, you are asking a hearing impaired patient if he or she:
Definition
Is sick
Term
A 70yr old male complains of shortness of breath. During your assessment, you note that he has bilateral hearing aids. When you ask him questions related to his chief complaint, he does not answer you. You can hear a whistling sound coming from his hearing aids. You should:
Definition
Try repositioning the hearing aid or remove it and turn down the volume.
Term
A significant number of patients with cerebral palsy also have:
Definition
A seizure disorder
Term
You are assessing a 440lb man who complainss of shortness of breath and lower back pain. The patient is conscious and alert, his blood pressure is 148/98mm Hg, and his heart rate is 120 beats/min. Your MOST immediate action should be to:
Definition
Avoid placing him in a supine position if possible and administer oxygen.
Term
According to the "E" in the DOPE mnemonic, which of the following actions should you perform to troubleshoot inadequate ventilaions in a patient with a tracheostomy tube?
Definition
Check the mechanical ventilator for malfuntion.
Term
A 13yr child is on a home venilator. The parents calle because the ventilator is malfunctioning and the child has increasing respiratory distress. You should:
Definition
Disconnect the ventilator and use a bag mask device
Term
Under what circumstances is a left ventricular assist device used?
Definition
As a bridge to heart transplantation while a donor heart is being located
Term
Which of the following statements regarding interaction with the caregiver of a child or adult with special health care needs is correct?
Definition
Communication with the patient's caregiver or family members is important because they are the most familar with the patient's condition.
Term
You are dispatched to the residence of an Asian family for a child with a high fever. When you assess the child, you note that he has numerous red marks on his back. The child's parents explain that these represent coining--a traditional Asian healing practice in which hot coins are rubbed on the back. You should:
Definition
Document this on the patient care report and advise the emergency department staff of what the child's parents told you.
Term
During your assement of a 20yr old man with a severe headache and nausea, you ask him when his headache began, but he does not answer your question immediately. You should:
Definition
Allow him time to think about the question and respond to it.
Term
As you are wheeling your patient through the emergency department doors, you recieve another call for a major motor vehicle crash. You should:
Definition
Respond only after giving a verbal patient report to a nurse or physician
Term
The patient care report ensures:
Definition
Continuity of care
Term
After delivering your patient to the hospital, you sit down to complete the PCR. When documenting the patient's last blood pressure reading, you inadvertenly write 120/60 instead of 130/70. To correct this mistake, you should:
Definition
Draw a horizontal line through the error, inital it, and write the correct data next to it.
Term
Which of the following incidents does NOT require a report to be filed with the local authorites?
Definition
Cardiac arrest
Term
Two-way communication that requires the EMT to "push to talk" and "release to listen" descibes what mode of communication?
Definition
Simplex
Term
Immediately after being dispatched to a residence for an elderly patient with diabetic complications, you should:
Definition
Confirm with dispatch that you recieved the call information
Term
Information included in a radio report to the recieving hospital should include all of the following EXCEPT:
Definition
A preliminary diagnosis of the patient's problem.
Term
You and your partner are attemping to resusciate a middle-aged female in cardiac arrest. Because of the remote location you are in, you are unable to contact medical control. What should you do?
Definition
Follow locally established protocols or standing orders