NATIONAL REGISTRY PREP 1

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Eastside Preparatory School Quizzes & Trivia

PARAMEDIC NATIOANL REGISTRY PREP

Questions and Answers

1.

YOU AS A MEDIC ARE USING AEIOU-TIPS FOR YOUR ASSESMENT, WHAT DOES I STAND FOR
- A.
  
  INSULIN
- B.
  
  INJECTION
- C.
  
  INGESTION
- D.
  
  INCOHERENT
Correct Answer
A. INSULIN
2.

HAPE STANDS FOR?

Correct Answer
HIGH ALTITTUDE PULMONARY EDEMA
3.

EXCESSIVE PARASYMPATHETIC STIMULATION WILL CAUSE?
- A.
  
  TACHYCARDIA
- B.
  
  BRADYCARDIA
- C.
  
  VTACH
- D.
  
  BRADYPNEA
Correct Answer
B. BRADYCARDIA
4.

THE DEVELOPMENT OF PULMONARY EDEMA IS DUE TO

Correct Answer
A DECREASE IN LEFT VENTRICLE EJECTION FRACTION
5.

YOU ARRIVE O/S OF A PT THAT HAS BEEN DOWN FOR APX 7 MINUTES IN FULL CODE ARREST, CPR NOT IN PROGRESS YOUR 1ST LINE TREATMENT WOULD BE:
- A.
  
  SECURE ALS AIRWAY
- B.
  
  C-SPINE
- C.
  
  CPR FOR 2 MINUTES
- D.
  
  AED
Correct Answer
C. CPR FOR 2 MINUTES
6.

BETA 2 SPECFIC BRONCHODILATORS WILL NOT HELP
- A.
  
  COPD
- B.
  
  ASTHMA
- C.
  
  PLEURLSY
- D.
  
  ANAPHALAXIS
Correct Answer
C. PLEURLSY
7.

PR INTERVAL OF .32 INDICATES
- A.
  
  1 ST DEGREE BLOCK
- B.
  
  RIGHT SIDE BUNDLE BRANCH BLOCK
- C.
  
  LEFT SIDE BUNDLE BRANCH BLOCK
- D.
  
  NONE OF THE ABOVE
Correct Answer
A. 1 ST DEGREE BLOCK
8.

BASED ON FRANK STERLINGS LAW, WHEN A FAILING HEART IS SUBJECTED TO INCREASE IN PRELOAD AND AFTERLOAD ITS ABILITY TO COMPENSATE IS DUE TO
- A.
  
  LEFT VENTRICLE EJECTION FRACTION
- B.
  
  STRENGTH OF CONTRACTION
- C.
  
  RHYTHM OF CONTRACTION
- D.
  
  INTRINSTIC RATE OF VENTRICLES
Correct Answer
B. STRENGTH OF CONTRACTION
9.

DEHYDRATION IN A LOSS OF WHAT?

Correct Answer
VOLUME
10.

WHEN PACING A PT WITH A HR RATE OF 22 AND NO OBTANABLE BP YOU HAVE FALIURE TO CAPTURE. THIS IS DUE TOO:

Correct Answer
NOT HAVING THE MILLIAMPS AT A HIGH ENOUGH SETTING
11.

YOU ARE DISPATCHED ON EN303 TO A KNOWN RESIDENCE FOR A 72 YOM WITH DB. U/A YOU FIND A 72YOM IN THE TRIPOD POSTION ON THE COUCH COUGHING UP PINK FLEM AND BI LATERAL RALES. PULSE = 102 RESP 28 IRREGULAR FSBS=72 BP= 60/PALP. HX PROVES CHF, COPD, DM TYPE 1 AND NO MEDICATIONS TO BE FOUND. THE WIFE STATES THAT THE PT HAS GAINED 27LBS IN 2 WEEKS. UPON PHYSICAL EXAM YOU FIND JVD AND PERIPLERAL EDEMA IN ALL EXTREMITES. BASED ON THE SCENARIO ABOVE WHAT PAST MEDICAL HX DO YOU BELEIVE IS LEADING TO THIS ACUTE ILLNESS? PLEASE DESCRIBE YOUR TREATMENT.
12.

A LEFT ANTERIOR DESCENDING ARTERY OCCULSION WILL CAUSE WHAT ON A 12 LEAD
- A.
  
  3RD DEGREE BLOCK
- B.
  
  2ND DEGREE BLOCK
- C.
  
  1ST DEGREE BLOCK
- D.
  
  BUNDLE BRANCH
- E.
  
  ALL OF THE ABOVE
Correct Answer
E. ALL OF THE ABOVE
13.

THE LEFT CORONARY ARTERY PERFUSES WHAT PART OF THE MYOCARDIUM

Correct Answer
SEPTUM
14.

DO YOU GIVE NITRO TO A PT THAT HAS TAKEN THERE OWN EVEN IF THERE BP IS ABOVE 90 SYSTOLIC AND HAVE NO CONTRAINDICATIONS?

Correct Answer
YES
15.

NOTCHING OR SLURRING OF THE QRS INDICATES
- A.
  
  A-FIB
- B.
  
  A-FLUTTER
- C.
  
  BUNDLE BRANCH BLOCK
- D.
  
  WPW
Correct Answer
C. BUNDLE BRANCH BLOCK
16.

NORMAL PR INTERVAL IS LESS THAN
- A.
  
  .12
- B.
  
  .20
- C.
  
  .18
- D.
  
  .16
Correct Answer
A. .12
17.

AN INVERTED P WAVE INDICATES THAT ELECTRICAL ACTIVITY BEGAN IN WHICH AREA OF THE HEART
- A.
  
  SA NODE
- B.
  
  ATRIUM
- C.
  
  VENTRICLES
- D.
  
  AV NODE
Correct Answer
D. AV NODE
18.

NORMAL QRS COMPLEX SHOULD BE NO MORE THAN HOW MANY SECONDS

Correct Answer
.12 SECONDS
19.

PT EXPERIENCING CP 10 OF 10 WITH PAIN IN THE JAW AND LEFT ARM. THIS PAIN IS ALSO CALLED?

Correct Answer
REFFERED PAIN
20.

PLEASE DESCRIBE S1,S2,S3,S4 HEART TONES AND WHAT THEY REPERSENT
21.

COMMON NAME FOR "ACCIDENTAL DEATH AND DISABILITY: THE NEGLECTED DISEASE OF MODERN SOCIETY" DOCUMENT?
- A.
  
  SHOCK TRAUMA 1982
- B.
  
  RYAN WHITE ACT
- C.
  
  NHTSA ACT OF 1966
- D.
  
  WHITE PAPER
Correct Answer
D. WHITE PAPER
22.

YOU RESPOND TO THE BORDER PATROL CHECK POINT FOR UNK MEDICAL PROBLEM. U/A YOU FIND A 23YOF UDA IN BP CUSTODY. BP STATES THAT SHE WAS WALKING THROUGH THE DESERT FOR 12 DAYS AND RAN OUT OF WATER, THEY ALSO STATE SHE IS A SPANISH SPEAKER ONLY AND DOES HAVE AN ALTERED MENTAL STATUS. PULSE 100 BP 98/62 FSBS 62 RESP 18 CBT 102 WITH MOIST SKIN. WHAT MEDICAL CONDITION WOULD YOU TREAT? WHAT IS YOUR FIRST PRIORTY IN TREATMENT? IF YOU WERE TO GIVE AN IV WHAT FORMULA WOULD YOU USE?
23.

LIST TWO STEPS FOR PREPARING A PT FOR NASOGASTRICT DECOMPRESSION

Correct Answer
HEAD IN NEUTRAL POSTION AND PRE OXYGENATE
24.

THIS ANATOMICAL FEATURE DIVIDES THE UPPER AND LOWER AIRWAY
- A.
  
  GLOTTIS
- B.
  
  TRACHEA
- C.
  
  VOCAL CORDS
- D.
  
  TONGUE
Correct Answer
A. GLOTTIS
25.

DOSAGE FOR MIDAZOLAM FOR STATUS SZ PEDS

Correct Answer
0.02MG/KG
26.

NEWBORNS HEAD ACCOUNTS FOR WHAT PERCENT OF THE TBSA? WHAT IS THE PERCENT OF WEIGHT THAT A NEWBORNS HEAD CARRIES?

Correct Answer
18%,25%
27.

THIS TYPE OF SHOCK DOES NOT REQUIRE VOLUME EXPANDERS?
- A.
  
  SPINAL
- B.
  
  OBSTRUCTIVE
- C.
  
  HYPOVOLEMIA
- D.
  
  CARDIOGENIC
Correct Answer
D. CARDIOGENIC
28.

YOU RESPOND TO A ANAPHLACTIC EMERGENCY. PLEASE DESCRIBE IN A LIFE THREAT WHAT TYPE OF CARDIAC SIGNS AND SYMPTOMS YOU WOULD EXPECT TO SEE

Correct Answer
CHEST TIGHTNESS, DYSTHRMIAS, HYPOTENSION,TACHYCARDIA
29.

WELL ASSESING AN 18YOM STABBED IN THE LEFT ANTERIOR CHEST, YOU USE A PERCUSSION TECHNIQUE, THIS TECHNIQUE IS TO CHECK FOR THE PRESENCE OF? IF THE PT'S HEART WERE TO BE EFFECTED WHAT VENTRICLE WOULD MOSTLY LIKLY BE STABBED?
- A.
  
  HOLLOW,SHALLOW--RIGHT VENTRICLE
- B.
  
  AIR,FLUID---RIGHT VENTRICLE
- C.
  
  AIR,FLUID---LEFT VENTRICLE
- D.
  
  WET,HORSE---SEPTUM
Correct Answer
B. AIR,FLUID---RIGHT VENTRICLE
30.

AN DRUG THAT DOES NOT ENTER THE GI TRACT IS GIVEN?

Correct Answer
PARENTERAL
31.

PM302 RESPONDS TO MVA ON AZ 86 MP 151. U/A YOU FIND 1 VECH ON ITS ROOF WITH 2 PEOPLE LYING ON THE GROUND COVERED IN COPUS AMOUNTS OF BLOOD. HOW FAR SHOULD YOU STAGE FROM THE SCENE? IN WHAT TYPE OF POSTION SHOULD YOU VECH BE IN IF PARKED ON THE ROADWAY?

Correct Answer
50 FEET, FEND OFF
32.

YOU ASSUME COMMAND AND ASSESS THE SCENE: YOU FIND AN SUV ON ITS ROOF WITH HEAVY DAMAGE STILL SMOKING AND WHEELS STILL SPINNING. THERE IS A FEMALE SCREAMING "WERE IS MY BABY", YOU HAVE A PASSANGER MOVING AROUND IN THE FRONT SEAT AND 2 UNC MALES LYING ON THE GROUND. UPON CALLING FIRE ALARM TO REQ A FULL ALARM ASSIGNMENT, YOUR EMT PARTNER STATES THAT THERE IS A NEWBORN IN A CARSEAT THAT GOT THROWN INTO THE CARGO SECTION OF THE SUV. YOU FEEL OVERWHELMED AND DECIDE TO TRIAGE PT''S, YOU USE THE START METHOD, PLEASE DESCRIBE WHAT START TRIAGE FOUR BASIC ASSESSMENT STEPS? PLEASE ALSO DESCRIBE THE TRIAGE COLORS AND WHAT THEY SIGNIFY?
33.

UPON ASSESSING A 16 YOM LYING SUPINE ON THE GROUND YOU DETERMINE HE IS UC/UR YOU CHECK AIRWAY AND FIND NO RESPIRATIONS AND A PULSE OF 18 WEAK AND THREADY. YOU TRIAGE PRIORTY FOR THIS PT WOULD BE
- A.
  
  PRIORTY 0
- B.
  
  PRIORTY 1
- C.
  
  PRIORTY 2
- D.
  
  PRIORTY 3
Correct Answer
A. PRIORTY 0
34.

YOU THEN MOVE ON TO THE SECOND PT ON THE GROUND AND FIND 4O'SYOM APX 160LBS ALSO UC/UR WITH BIOTS RESPIRATIONS AT 32 AND IRREGULAR WITH A PULSE RATE OF 122. YOUR TRANSPORT PRIORTY FOR THIS PT IS
- A.
  
  PRIORTY0
- B.
  
  PRIORTY2
- C.
  
  PRIORTY 1
- D.
  
  PRIORTY 3
Correct Answer
C. PRIORTY 1
35.

UPON ASSESING PT NUMBER 2 C300,EN301,EN303,EN121,EN431,PM433,PM431,P899,PM121 ALL ARRIVE O/S, C300 ASSUMES COMMAND AND INSTRUCTS YOU TO TAKE PT CARE OF THE 40 YOM PRIORTY 1 PT. WHAT REOURCE WOULD YOU REQUEST FROM COMMAND? BASED ON YOUR INTIAL ASSESMENT WHA LEVEL OF SHOCK WOULD YOU ASSUME THE PT TO IN?
36.

WHILE GATHERING YOUR EQUIPMENT OUT OF THE RIG YOUR CREW HAS C-SPINED THE PT. YOU START YOUR ASSESMENT AND FIND THE FOLLOWING?RESP- 38 IRREGULAR WITH BIOTSPULSE- 115 BP- 90/60WITH THESE VITALS WHAT WOULD YOUR MOI BE?
37.

IRREGULAR RESPIRATIONS VARYING IN DEPTH INTERUPTED BY APNEA
- A.
  
  BIOTS
- B.
  
  CHEYNE-STOKES
- C.
  
  EUPENA
- D.
  
  TACHYPNEA
Correct Answer
A. BIOTS
38.

IF THE PT HAS DEEP RAPID SIGHING RESPIRATIONS THIS RESP PATTERN WOULD BE CALLED

Correct Answer
KUSSMAUL
39.

YOU INSTRUCT YOUR EMT TO BAG AT 12-20 BPM BUT HE IS UNABLE TOO DO TO JAW CLENCHING AND THE PT'S SATS ARE AT 43% WITH PAC02 OF 52. BASED ON THIS YOU DECIDE TO RSI THE PT. PLEASE GIVE ALL DRUGS USED IN PROPER SEQUENCE? WITH DOSAGES.
40.

EAXAMPLE OF A CRYSTALLOID SOLUTION
- A.
  
  BLOOD
- B.
  
  PLASMA
- C.
  
  NORMAL SALINE
- D.
  
  PLATLETS
Correct Answer
C. NORMAL SALINE
41.

YOU START AN 16 GA IV IN THE RIGHT AC. YOU DECIDE TO SET YOUR INFUSION RATE TO NATIONAL STANDARDS THAT IS?

Correct Answer
20CC/KG
42.

BEFORE YOU RSI YOU SEE TRACHEAL DEVIATION. YOU NOTICE THAT THE TRACHEA IS PULLING TO THE RIGHT WITH JVD PRESENT. WHAT DOES THIS MEAN?

Correct Answer
PNUEMO TO LEFT
43.

YOU PROCEED WITH RSI AND ATTEMPT TO INTUBATE, YOU SINK THE TUBE AND HEAR RIGHT SIDED LUNG SOUNDS ONLY? WHAT WOULD YOUR NEXT ACTION BE.
44.

WELL LOADING THE PT ONTO THE GURNEY FOR TRANSPORT THE PT GOES INTO VTACH AT 220 BPM PLEASE DESCRIBE YOUR TREATMENT FOLLOWING ACLS GUIDLINES.
45.

AFTER TREATMENT THE PT GOES INTO FULL TRAUMATIC CODE ARREST. THE PT IS SHOWING PEA ON THE MONITOR. PLEASE DESCIRBE TREATMENT FOLLOWING ACLS GUIDLINES.

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Quiz Edited by
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Feb 09, 2010

Quiz Created by
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National Registry Prep 1

YOU AS A MEDIC ARE USING AEIOU-TIPS FOR YOUR ASSESMENT, WHAT DOES I STAND FOR

HAPE STANDS FOR?

EXCESSIVE PARASYMPATHETIC STIMULATION WILL CAUSE?

THE DEVELOPMENT OF PULMONARY EDEMA IS DUE TO

YOU ARRIVE O/S OF A PT THAT HAS BEEN DOWN FOR APX 7 MINUTES IN FULL CODE ARREST, CPR NOT IN PROGRESS YOUR 1ST LINE TREATMENT WOULD BE:

BETA 2 SPECFIC BRONCHODILATORS WILL NOT HELP

PR INTERVAL OF .32 INDICATES

BASED ON FRANK STERLINGS LAW, WHEN A FAILING HEART IS SUBJECTED TO INCREASE IN PRELOAD AND AFTERLOAD ITS ABILITY TO COMPENSATE IS DUE TO

DEHYDRATION IN A LOSS OF WHAT?

WHEN PACING A PT WITH A HR RATE OF 22 AND NO OBTANABLE BP YOU HAVE FALIURE TO CAPTURE. THIS IS DUE TOO:

A LEFT ANTERIOR DESCENDING ARTERY OCCULSION WILL CAUSE WHAT ON A 12 LEAD

THE LEFT CORONARY ARTERY PERFUSES WHAT PART OF THE MYOCARDIUM

DO YOU GIVE NITRO TO A PT THAT HAS TAKEN THERE OWN EVEN IF THERE BP IS ABOVE 90 SYSTOLIC AND HAVE NO CONTRAINDICATIONS?

NOTCHING OR SLURRING OF THE QRS INDICATES

NORMAL PR INTERVAL IS LESS THAN

AN INVERTED P WAVE INDICATES THAT ELECTRICAL ACTIVITY BEGAN IN WHICH AREA OF THE HEART

NORMAL QRS COMPLEX SHOULD BE NO MORE THAN HOW MANY SECONDS

PT EXPERIENCING CP 10 OF 10 WITH PAIN IN THE JAW AND LEFT ARM. THIS PAIN IS ALSO CALLED?

PLEASE DESCRIBE S1,S2,S3,S4 HEART TONES AND WHAT THEY REPERSENT

COMMON NAME FOR "ACCIDENTAL DEATH AND DISABILITY: THE NEGLECTED DISEASE OF MODERN SOCIETY" DOCUMENT?

LIST TWO STEPS FOR PREPARING A PT FOR NASOGASTRICT DECOMPRESSION

THIS ANATOMICAL FEATURE DIVIDES THE UPPER AND LOWER AIRWAY

DOSAGE FOR MIDAZOLAM FOR STATUS SZ PEDS

NEWBORNS HEAD ACCOUNTS FOR WHAT PERCENT OF THE TBSA? WHAT IS THE PERCENT OF WEIGHT THAT A NEWBORNS HEAD CARRIES?

THIS TYPE OF SHOCK DOES NOT REQUIRE VOLUME EXPANDERS?

YOU RESPOND TO A ANAPHLACTIC EMERGENCY. PLEASE DESCRIBE IN A LIFE THREAT WHAT TYPE OF CARDIAC SIGNS AND SYMPTOMS YOU WOULD EXPECT TO SEE

WELL ASSESING AN 18YOM STABBED IN THE LEFT ANTERIOR CHEST, YOU USE A PERCUSSION TECHNIQUE, THIS TECHNIQUE IS TO CHECK FOR THE PRESENCE OF? IF THE PT'S HEART WERE TO BE EFFECTED WHAT VENTRICLE WOULD MOSTLY LIKLY BE STABBED?

AN DRUG THAT DOES NOT ENTER THE GI TRACT IS GIVEN?

PM302 RESPONDS TO MVA ON AZ 86 MP 151. U/A YOU FIND 1 VECH ON ITS ROOF WITH 2 PEOPLE LYING ON THE GROUND COVERED IN COPUS AMOUNTS OF BLOOD. HOW FAR SHOULD YOU STAGE FROM THE SCENE? IN WHAT TYPE OF POSTION SHOULD YOU VECH BE IN IF PARKED ON THE ROADWAY?

UPON ASSESSING A 16 YOM LYING SUPINE ON THE GROUND YOU DETERMINE HE IS UC/UR YOU CHECK AIRWAY AND FIND NO RESPIRATIONS AND A PULSE OF 18 WEAK AND THREADY. YOU TRIAGE PRIORTY FOR THIS PT WOULD BE

YOU THEN MOVE ON TO THE SECOND PT ON THE GROUND AND FIND 4O'SYOM APX 160LBS ALSO UC/UR WITH BIOTS RESPIRATIONS AT 32 AND IRREGULAR WITH A PULSE RATE OF 122. YOUR TRANSPORT PRIORTY FOR THIS PT IS

WHILE GATHERING YOUR EQUIPMENT OUT OF THE RIG YOUR CREW HAS C-SPINED THE PT. YOU START YOUR ASSESMENT AND FIND THE FOLLOWING?RESP- 38 IRREGULAR WITH BIOTSPULSE- 115 BP- 90/60WITH THESE VITALS WHAT WOULD YOUR MOI BE?

IRREGULAR RESPIRATIONS VARYING IN DEPTH INTERUPTED BY APNEA

IF THE PT HAS DEEP RAPID SIGHING RESPIRATIONS THIS RESP PATTERN WOULD BE CALLED

YOU INSTRUCT YOUR EMT TO BAG AT 12-20 BPM BUT HE IS UNABLE TOO DO TO JAW CLENCHING AND THE PT'S SATS ARE AT 43% WITH PAC02 OF 52. BASED ON THIS YOU DECIDE TO RSI THE PT. PLEASE GIVE ALL DRUGS USED IN PROPER SEQUENCE? WITH DOSAGES.

EAXAMPLE OF A CRYSTALLOID SOLUTION

YOU START AN 16 GA IV IN THE RIGHT AC. YOU DECIDE TO SET YOUR INFUSION RATE TO NATIONAL STANDARDS THAT IS?

BEFORE YOU RSI YOU SEE TRACHEAL DEVIATION. YOU NOTICE THAT THE TRACHEA IS PULLING TO THE RIGHT WITH JVD PRESENT. WHAT DOES THIS MEAN?

YOU PROCEED WITH RSI AND ATTEMPT TO INTUBATE, YOU SINK THE TUBE AND HEAR RIGHT SIDED LUNG SOUNDS ONLY? WHAT WOULD YOUR NEXT ACTION BE.

WELL LOADING THE PT ONTO THE GURNEY FOR TRANSPORT THE PT GOES INTO VTACH AT 220 BPM PLEASE DESCRIBE YOUR TREATMENT FOLLOWING ACLS GUIDLINES.

AFTER TREATMENT THE PT GOES INTO FULL TRAUMATIC CODE ARREST. THE PT IS SHOWING PEA ON THE MONITOR. PLEASE DESCIRBE TREATMENT FOLLOWING ACLS GUIDLINES.