Shared Flashcard Set

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Paramedic Pearls Vol 1
Questions for final review for Paramedic Certification
50
Health Care
Professional
12/19/2012

Additional Health Care Flashcards

 


 

Cards

Term
Bleeding or Dehydration
Definition
Presentation of High Heart rate with low blood pressure. Think: ________________?
Term
Bleed or dehydration
Definition
Presentation of flat jugular veins while lying supine, think ___________________?
Term
Septic Shock
Definition
Presentation of hot skin in a shock patient. What kind of shock are you most likely dealing with?
Term
Source of infection.
Definition
You suspect septic shock in your patient. What should you begin to consider / look for?
Term

Foley Catheter

(Causes Urinary Tract Infection)

Definition
You are presented with a nursing home patient exhibiting signs of septic shock and no obvious cause. What is a common source of infection for these patients?
Term
Bacteria that produce endo and exotoxins
Definition
What is the pathogenesis for septic shock?
Term
Pulmonary Embolism
Definition
If presented with a 35 year old female on birth control or who is a smoker (or both) with a chief complaint of trouble breathing, what should your immediate consideration be?
Term
Pulmonary Embolism
Definition
What condition mimics right side failure, blocks blood flow through the lungs causing blood to back up into the Right heart, thus causing edema and JVD?
Term
Anaphylaxis (allergy)
Definition
If presented with hives or laryngeal edema, what cause should be considered first?
Term
Urticaria
Definition
Hive related itching is called what?
Term
Stridor
Definition
What airway sound is commonly associated with allergy related swelling of the throat?
Term
Pulmonary Embolism
Definition

You are presented with a patient complaining of chest pain with difficulty breathing. They have indicated during your assessment that they have a history of one or more of the following factors:

 

1. Travel or a long period of inactivity


2. surgery


3. cancer

 

What should you suspect as a cause?

Term

IgE

Type 1

Definition
Which of the antibodies is responsible for anaphylaxis and what type of reaction is it typically responsible for?
Term
Trauma or localized infection
Definition
Other than anaphylaxis, give two more causes of laryngeal edema (angioedema)
Term
Allergic reaction. (food poisoning onset is appx 12 hours)
Definition
Patient states that they experienced nausea / vomiting and diarrhea within an hour of eating dinner at the local chinese restaurant. What do you suspect as the cause?
Term
Cool Clammy Skin
Definition
What sympathetic response is commonly associated with shock?
Term
Neurogenic Shock
Definition
Presented with cool clammy skin above a traumatic insult and warm dry skin below, what type of shock do you immediately suspect?
Term
Neurogenic
Definition
What type of shock classically presents with low blood pressure and a normal or possibly low pulse?
Term
Allergy or Anaphylaxis
Definition
What are hives a classic indicator of?
Term
Allergic response / anaphylactic shock
Definition
Presented with a patient complaining of laryngeal edema and stridor who is taking an ACE inhibitor. What is your suspicion?
Term
Lisinopril, Hypertension
Definition
What is the most common ACE inhibitor and what does it treat?
Term
ACE inhibitor / Hypertension
Definition
You are examining an unresponsive patient who is taking a medication unfamiliar to you that ends in "pril." What kind of drug is it (most likely) and what does it treat?
Term

ACE Inhibitor

Causes rapid onset anaphylactoid shock (treated with Bicarb)

Definition
Presented with a 54 year old male, complaining that he feels like his throat is closing, no history of anaphylaxis, "Stiff" hands and feet. What do you suspect could be the cause? 
Term
Lower GI Bleed
Definition
Presented with a patient who is complaining of black, tarry stool. From what are they suffering?
Term
Hematochiza / Typically hemorrhoids
Definition
Patient complaining of bright red blood in their stool. What is the term for it and what is the most common cause?
Term
Ligament of Trietz
Definition
What is the dividing line between the upper and lower GI?
Term
Digested blood / Ulcer
Definition
Emesis that appears to contain coffee grounds is composed of what and is usually due to what condition?
Term
H-Pylora
Definition
What bacteria has been found to be the cause of most ulcers in the United States?
Term
SVT
Definition
Presented with a patient complaining that her heart "feels like it's beating out of my chest!" What arrhythmia do you expect to find on the monitor?
Term
Wolf Parkinson White Syndrome
Definition
What Syndrome is is the most common cause of SVT?
Term
Fluid or "wet" sounds
Definition
What lung sounds are very likely to be heard in a patient complaining of shortness of breath and chest pain?
Term
SVT
Definition
What arrhythmia can / will result in left side failure resulting in backup to the lungs?
Term

C.H.A.P.

=

Chest Pain

Hypotension

Altered Mental Status

Pulmonary Edema

Definition
What acronym is used to describe four conditions that will determine if a patient is stable or unstable? (only one of the four must be present to deem a patient unstable)
Term
Myocardial Infarct
Definition
What is crushing substernal chest pain a classic indicator of?
Term
Pulmonary Embolism
Definition
Presented with sudden onset shortness of breath. What is your first suspicion?
Term

1. Right Side Failure

 

2. Pulmonary Embolism

 

3. Tension Pneumothorax

 

4. Cardiac Tamponade

 

5. COPD

Definition
When presented with Jugular Vein Distension (JVD), what 5 possible causes should the paramedic consider?
Term
COPD
Definition
Sufferers of what condition are chronically hypercarbic?
Term
Ectopic Pregnancy
Definition
Any female of child bearing age experiencing belly pain should be treated as though she is suffering from what, until you can definitely rule it out?
Term
Spontaneous Pneumo (or Marfrans Syndrome)
Definition
You are presented with a tall, thin male complaining of idiopathic sudden onset of shortness of breath. What is one of your primary suspicions?
Term

MI

Stroke

Aneurysm

Definition
Your patient states a history of Hypertension (either controlled or uncontrolled). What three potentially fatal conditions should you consider?
Term
Left Side Failure
Definition
What is the number one cause of Pulmonary Edema?
Term
MI
Definition
What is the number one cause of Left Side Failure?
Term
Left Side Failure
Definition
What is the number one cause of right side failure?
Term
MI
Definition
If you hear wet lungs, based on what you know about right and left side failure and the related pathogenesis, what potentially fatal condition should you be considering?
Term
Abdominal insult
Definition
You are presented with a patient complaining of shoulder pain. Based on what you know of referred pain, what do you suspect may be the origin of the pain?
Term
Environmental Considerations
Definition
What is the only reasonable consideration for not disrobing a trauma patient?
Term
Opiates
Definition
Presented with an unresponsive patient. Exam reveals pinpoint pupils. What do you suspect to be the cause?
Term
Dilated
Definition
Presented with a patient in police custody who was arrested for cocaine possession. In what state do you expect to find his / her pupils?
Term
Blood Glucose
Definition
After you assess an unresponsive patient's airway, breathing and circulation, what assessment should be performed first?
Term
Diabetic
Definition
What kind of patient can never be "trusted" when giving you a history of their current complaint?
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