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Paramedic Pearls Vol 6
Questions to prepare for the Paramedic Exam
45
Medical
Professional
02/02/2013

Additional Medical Flashcards

 


 

Cards

Term
Poisonous plants and mushroom ingestion
Definition
Patient presents with excessive salivation, lacrimation, diaphoresis, abdominal cramps, nausea and vomiting, diarrhea, decreasing levels of consciousness and eventual coma. What do you suspect is the cause?
Term

Organophosphate Poisoning

 

Poisonous plant / mushroom ingestion

Definition
The acronym SLUDGE is used to recognize what two similar scenarios in the prehospital environment?
Term
SLUDGE: Salivation, Lacrimation, Urination, Defecation, Gastrointestinal distress, Emesis
Definition
What acronym helps the paramedic to recall the signs and symptoms of organophosphate poisoning? What do each of the letters stand for?
Term
Amanita Phalloides (Death Cap Mushroom)
Definition
What is the most common killer among mushrooms?
Term
Either by cholinergic poisoning - too much acetylcholine creating an exaggerated parasympathetic response or by blocking acetylcholinesterase which is an enzyme that destroys / inhibits acetylcholine, thus allowing a longer action.
Definition
By what mechanism do poisonous plants and mushrooms affect the body / nervous system?
Term
Pulmonary Contusion (bruised lung)
Definition
Patient involved in an MVA presents with blunt or penetrating chest trauma, increasing dyspnea, hypoxia, increasing crackles, hemoptysis, diminishing breath sounds and is showing signs / symptoms of shock. What do you suspect is the cause?
Term
blood leaking into the alveoli and causing a productive, bloody cough.
Definition
Patient suffering from pulmonary contusion presents with hemoptysis. What mechanism is responsible for this condition?
Term
Pulmonary Embolism
Definition
Patient presents with sudden onset of severe unexplained dyspnea, possible pleuritic chest pain, cough, labored breathing, tachypnia and tachycardia. What are you thinking is the cause?
Term
Pulmonary Embolism
Definition
35 year old female smoker on birth control complains of sudden onset calf pain with shortness of breath. What is your first thought?
Term

calf, knee or thigh pain with associated swellling

 

Lower leg and behind the knee

Definition
Other than breathing issues, what are the classic indicators of a pulmonary embolism? Which of these are the most common?
Term
Deep Vein Thrombosis
Definition
What is most commonly responsible for the generation of the clot often found in Pulmonary Embolism?
Term
No. they are a risk factor, but varicose veins are superficial veins as opposed to deep veins which most commonly generate a clot.
Definition
Your patient complains of SOB. You note varicose veins upon examination. Are these a classic indicator that you may be dealing with a PE?
Term
Thrombus
Definition
What is the name for a stationary clot of blood?
Term
Embolus
Definition
What is the name for a moving clot of blood (or anything moving through the blood stream such as a sheared IV catheter)?
Term

Anyone immobilized for a long period of time such as travel, hospital stay, etc.

 

Knee or hip surgery

Definition
Name two risk factors that are key in identifying a Pulmonary embolism.
Term
A Fib
Definition
What arrhythmia may a person suffering a PE show on the monitor?
Term

Homens Test

 

No. Inaccurate and known to possibly dislodge clots.

Definition

What is a classic test for PE in which a positive sign is painful response to dorsiflexion of the calf?

 

Is this test still considered valid? Why or why not?

Term

High.

 

Compensating for the blockage.

Definition

Do you expect to find respiration rates that are high or low in a person suffering from PE?

 

Why?

Term
No. Fast respirations are to compensate for the blockage. Even though you may find the patient in a state of respiratory alkalosis, the elevated respiratory rate is not psychogenic in origin (it is serving a purpose).
Definition

Should you treat the respiration issues associated with PE? (Fast or Slow?)

 

Why or why not?

Term
Pulmonary Embolism
Definition
If a patient presents with pregnancy, long bone fracture, has just endured a long flight or period of inactivity and is now exhibiting shortness of breath you should be thinking of what as the cause?
Term
Pneumothorax
Definition
Patient presents with all or some of the following signs and symptoms: Sudden onset of sharp pleuritic chest or shoulder pain, decreased breath sounds on involved side, hyperresonance, tachypnea, diaphoresis and pale skin; you suspect?
Term
Scorpion Sting
Definition
Signs and Symptoms include burning and tingling sensation, numbness, slurred speech, restlessness, muscular twitching, salivation, abdominal cramping, nausea and vomiting and possibly seizures; what do you suspect is the cause?
Term

Bark Scorpion

 

Arizona

Definition
What is the only type of scorpion with enough venom to kill a person and where is it found?
Term
Severe Acute Respiratory Syndrome (SARS)
Definition
Patient presents with sore throat, rhinorrhea, chills or rigors, myalgias (muscle aches), headache, diarrhea that develop into more severe signs such as cough, sputum production, respiratory distress and eventually respiratory failure. What is one possible cause that should be ruled out?
Term

Viral

 

Upper respiratory system

Definition

What is the pathogenesis of SARS? (viral or bacterial)

 

What part of the body does it attack?

Term
Stroke / Intracranial hemorrhage
Definition
What condition presents with signs and symptoms that include facial droop, headache, confusion and agitation, dysphasia, aphasia, dysarthria (motor speech disorder), vision problems, hemiparesis, hemiplegia (half the body is paralyzed), inability to recognize touch, gait disturbance or uncoordinated fine motor movements, dizziness, incontinence and possible coma?
Term
Diffuse ischemia to the cerebrum secondary to emboli from the left atrium from A Fib.
Definition
What is the most common cause of Stroke / Intracranial Hemorrhage?
Term
Occlusive / Hemorrhagic
Definition
What are the two categories of stroke?
Term
Occlusive Stroke
Definition
Which category of stroke generally has a window of 3 - 4 1/2 hours for treatment?
Term
Occlusive Stroke
Definition
Which type of stroke results from a thrombosis in the brain, has a gradual onset and has the key finding that it may appear after a period of rest?
Term
Hemorrhagic Stroke
Definition
Which type of stroke is typically described as "The worst headache of my life"?
Term
Hemorrhagic
Definition
Which type of stroke is described as a bleed in the brain?
Term
Hemorrhagic
Definition
Which type of stroke is commonly misdiagnosed as a migraine (meaning that migraines can be a predisposing factor)?
Term

Awareness of the location of your body parts

 

Stroke Patients

Definition
What is Proprioception? What patients do you expect to lack proprioception?
Term
Malignant stroke affecting the hypothalamus
Definition
You encounter a stroke patient who is hyperthermic. What do you suspect is the cause?
Term

fatal

 

(malignant stroke affecting the hypothalamus)

Definition
What is the prognosis for a stroke patient who presents as hyperthermic?
Term
Half of the esophagus will also exhibit deficit and anything introduced orally will get stuck.
Definition
Why is it contraindicated to give anything orally to a stroke patient?
Term
Get the Pt to the hospital, avoid giving anything orally.
Definition
What is the standard treatment of teh stroke patient in the prehospital environment?
Term
tension pneumothorax
Definition
Patient presents with some or all of the following signs and symptoms: chest trauma, severe dyspnea, ventilation / perfusion mismatch, hypoxemia, hyperinflation of affected side of the chest, diminished then absent breath sounds, cyanosis, diaphoresis, altered mental status, JVD, hypotension, hypovolemia and narrowing pulse pressure. What do you suspect?
Term

Needle Decompression and High Flow O2

 

(Needle Thoracentesis with flutter valve)

Definition
What is the prehospital treatment for relief of a tension pneumothorax?
Term
Thyrotoxic Crisis (Thyroid Storm)
Definition
What is the term for excess production of thyroid, specifically T3 and T4?
Term
Thyrotoxic Crisis
Definition
You encounter a patient exhibiting some or all of the following signs and symptoms: Recent dramatic weight loss, profuse sweating and subsequent dehydration, Fever (100 to 106), irritability, weakness or fatigue, palpitations or chest pain, SOB, tachycardia (up to 200 bpm), hypertension, nausea and vomiting, diarrhea, confusion, delirium or coma. What do you suspect as the cause?
Term
Thyrotoxic Crisis
Definition
What condition is described as a dramatic rise in metabolism resulting in respiratory increase and temperature spike (excessive Heat, water, and hydrogen ions are the products of this increased metabolism)?
Term

Ingestion of a large amount of thyroid product

 

Illness

 

Trauma

Definition
Give the top three causes of thyrotoxic crisis from the notes handed out in class?
Term
Death via Hyperthermia
Definition
What is the danger of Thyrotoxic Crisis?
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