Term
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Definition
| Chest Pain resulting in death of cardiac tissue |
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Term
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Definition
| True or False: Females in active MI often present with no chest pain, complaining only of a belly ache. |
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Term
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Definition
| Listening to the lungs for pulmonary edema tells you if the person has this #1 cause of Myocardial Infarction? |
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Term
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Definition
| Other than women, what other group of people tend to not present with chest pain when suffering a MI? |
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Term
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Definition
| What condition presents with Fever, headache, loss of appetite, swelling and pain of the parotid glands? |
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Term
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Definition
| What is the pathogenesis of the Mumps (bacterial or viral)? |
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Term
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Definition
| This condition is a diving emergency that presents with altered level of consciousness and impaired judgment? |
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Term
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Definition
| This condition is caused by an overabundance of nitrogen in the blood stream that latches onto the same neurons as ETOH, causing a drunken state? |
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Term
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Definition
| Nitrogen Narcosis occurs in which stage of diving? (descent, ascent, surface or on the bottom?) |
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Term
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Definition
| How is Nitrogen Narcosis treated? |
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Term
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Definition
| What condition must you consider upon discovering your patient has penetrating chest trauma with frothy blood presenting at the site of injury? |
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Term
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Definition
| Open pneumo is very likely in penetrating chest trauma where the wound is how large? |
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Term
| Place a gloved hand immediately over the injury, then place occlusive dressing over the site; taped on three sides. Administer High flow O2. |
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Definition
| What is the definitive treatment for a sucking chest wound? |
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Term
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Definition
| Upon discovery of a sucking chest wound, what condition do you suspect this injury will progress to / should you monitor for? |
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Term
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Definition
| What condition presents with tremor, rigidity, bradykinesia (slowness in the execution of movement), and postural instability? |
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Term
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Definition
| This condition generally appears in the patient's 50's or 60's and is of unknown etiology? |
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Term
| Tremor and rigidity of muscles, Shuffling Gait (parkinson's gait), bradykinesia, progressive paralysis of facial muscles. |
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Definition
| What are the classic signs of Parkinson's Disease? |
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Term
Lack of Dopamine
Supplemental Dopamine |
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Definition
| What is the cause of Parkinson's Disease? Therefore what is the definitive treatment? |
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Term
Dopamine is a neurotransmitter. In Parkinson's, dopamine secreting cells exhibit greatly reduced activity causing subsequent disruption of the neural circuits.
There are five major pathways in the brain connecting other brain areas with the basal ganglia. These are known as the motor, oculo-motor, associative,limbic and orbitofrontal circuits, with names indicating the main projection area of each circuit. All of them are affected in PD, and their disruption explains many of the symptoms of the disease since these circuits are involved in a wide variety of functions including movement, attention and learning. Scientifically, the motor circuit has been examined the most intensively. |
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Definition
| Why is Dopamine (or a lack of it) key in the development of Parkinson's? |
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Term
Pericardial Tamponade
(aka Cardiac Tamponade) |
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Definition
| This condition presents with Dyspnea, possible cyanosis, JVD, weak thready pulse, decreasing BP, shock and a narrowing pulse pressure? |
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Term
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Definition
| When found together, these signs: JVD, narrowing pulse pressure and muffled heart tones are referred to as what? |
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Term
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Definition
| What term describes blood in the pleural space around the heart? |
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Term
| Breath Sounds (tension pneumo would be diminished, while tamponade would be clear) |
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Definition
| What is the definitive assessment to differentiate between tension pneumothorax and cardiac tamponade? |
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Term
Bleed
Medical issue such as R side failure (venous system leak into the pericardium)
Pericarditis (which would cause some fluid to enter the space) |
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Definition
| Name three conditions that can be responsible for pericardial tamponade? |
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Term
| ST changes (either depression or elevation) |
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Definition
| You suspect pericardial tamponade. What presentation would you expect to find on the monitor? |
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Term
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Definition
| What condition presents with fang marks, swelling and pain at the wound site, continual oozing with associated weakness, dizziness, faintness, sweating and or chills, thirst, nausea, vomiting diarrhea, tachycardia and hypotension, bloody urine and gastrointestinal hemorrhage (late), ecchymosis, necrosis, shallow respirations progressing to respiratory failure, numbness and tingling around the face and head? |
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Term
| Keep Supine, immobilize the limb, apply lymphatic constriction, keep extremity neutral, High flow O2, crystalloid IV and transport. |
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Definition
| What is the treatment of a Pit Viper Bite? |
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Term
Apply Ice, cold pack or freon spray.
Apply electrical stimulation in attempt to retard venom spread. |
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Definition
| What treatments should you avoid when presented with a Pit Viper Bite? |
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Term
| Water Moccasin, Cottonmouth, Rattlesnake |
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Definition
| Name three most common pit vipers? |
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Term
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Definition
| What condition presents with painless, bright red vaginal bleeding? |
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Term
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Definition
| In this condition, the placenta is pushed out before the baby? |
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Term
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Definition
| In which trimester can you expect to find a patient displaying signs of placenta previa? |
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Term
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Definition
| What condition presents with substernal chest pain, irregular pulse, abnormal heart sounds, reduced BP, narrowing pulse pressure and hoarseness? |
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Term
Trauma (i.e. torn trachea)
the Bends (air bubbles leaking out into this space) |
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Definition
| Name two potential causes of pneumomediasteinum? |
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Term
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Definition
| If you put pressure on the heart for any reason, what is the expected outcome / what sign do you expect to find? |
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Term
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Definition
| S/S: chills, deep productive cough with pleuritic chest pain, yellow or brown sputum - often streaked with blood |
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Term
| Steroids (particularly inhalers) |
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Definition
| What medication makes a person more prone to acquiring pneumonia? |
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Term
Left Lower Lobe
This lobe is least affected by normal respirations |
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Definition
| Where will you normally find the first appearance of signs of pneumonia? Why? |
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Term
| Either Bacterial or Viral |
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Definition
| Is Pneumonia viral or bacterial in origin? |
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Term
| bacterial is always worse because viruses are self eliminating. |
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Definition
| Which infection is generally worse: bacterial or viral? Why? |
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Term
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Definition
| What sign indicates that you are more likely dealing with bacterial pneumonia rather than viral? |
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Term
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Definition
| What virus is typically responsible for "walking pneumonia"? |
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Term
Progression to bacterial pneumonia
Continued stressors or work / failure to rest |
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Definition
| What is the danger of walking pneumonia? What is typically causes this? |
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Term
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Definition
| What condition do you suspect when presented with Chest trauma, chest pain upon inspiration, hyperinflation of the chest, diminished breath sounds on one side? |
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Term
| Closed pneumothorax in an MVA (traumatic in origin) |
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Definition
| What is the condition nicknamed "paper bag syndrome"? |
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Term
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Definition
| What do you suspect when presented with a tall, skinny male complaining of sudden chest pain with onset during exertion? |
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Term
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Definition
| Presentation of JVD, tracheal deviation, decreased lung sounds on one side with narrowing pulse pressure. What do you suspect? |
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Term
| Chest Decompression (between 2nd and 3rd rib, mid clavicular on affected side) |
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Definition
| What is the treatment for a tension pneumothorax? |
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Term
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Definition
| What sound do you expect to hear from percussion of the chest on a patient with a tension pneumo? |
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Term
Poisonous plant / mushroom ingestion
Amanita Phalloides (death cap mushroom) |
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Definition
What do you suspect when presented with Excessive salivation, lacrimation, diaphoresis, abdominal cramps, nausea and vomiting, diarrhea, altered / decreasing level of consciousness leading to eventual coma?
What is a likely source? |
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Term
Mushrooms are Cholinergic Effect
Plants are cholinergic poisoning |
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Definition
| By what mechanism do mushrooms kill us? How is this different from plants? |
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