National Registry Prep 1

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.

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

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?

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?

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?

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?

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.

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.

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