WorksheetsParamedic Semester 1 Final Study Guide
Total questions: 185
Worksheet time: 2hrs 33mins
What is the vertebral foramen?
The part of the vertebrae the spinal cord passes through
The opening at the base of the skull
The anterior portion of the vertebrae
The posterior portion of the vertebrae
What does the phrenic nerve do?
Controls your diaphram
Controls the parasympathetic nervous system
Controls the sympathetic nervous system
Controls the face
What does the vagus nerve do?
Controls the parasympathetic nervous system
Controls the face
Controls the sympathetic nervous system
Controls the diaphram
What do multiple tissues make?
An organ
A tissue
A cell
An organ system
What do multiple cells make?
A tissue
An organ
An organ system
A cell
What do multiple organelles make?
A cell
An organ
An organ system
Tissues
What do multiple organs make up?
An organ system
An organ
A tissue
A cell system
When is anaerobic metabolism used?
When there is a lack of O2 for cells to use
When there is a lack of glucose for cells to use
Normally
Never
When is aerobic metabolism used
Normally
Never
When there is no O2 to use
When there is no glucose to use
What is the pressure the LV must pump against called?
Afterload
Preload
Systolic
Diastolic
What is the top BP number?
Afterload
Preload
Systolic
Diastolic
What is the bottom BP number?
Preload
Afterload
Systolic
Diastolic
Constricted pupils is a function of the...
parasympathetic nervous system
Sympathetic nervous system
peripheral nervous system
Central nervous system
Dilated pupils is part of the...
Sympathetic nervous system
Parasympathetic nervous system
central nervous system
peripheral nervous system
Arousal is part of the...
Parasympathetic nervous system
Sympathetic nervous system
peripheral nervous sytem
central nervous system
Lowering BP is part of the...
sympathetic nervous system
parasympathetic nervous system
central nervous system
peripheral nervous system
Increasing HR is part of the...
sympathetic nervous system
parasympathetic nervous system
central nervous system
peripheral nervous system
decreasing HR is part of the...
parasympathetic nervous system
sympathetic nervous system
peripheral nervous system
central nervous system
Increased GI motility is mediated by the...
parasympathetic nervous system
sympathetic nervous system
central nervous system
peripheral nervous system
Cardiac output equals...
SVxHR
SBPxHR
SBP+2*DBP
RRxVT
What is the amount of air in each breath?
Stroke volume
Cardiac output
minute volume
tidal volume
What is the amount of air in and out of the lungs per minute?
Minute volume
stroke volume
tidal volume
heart rate
IO medication administration has medications going into the...
Bone cavity
Arterial circulation
Venous circulation
muscle
What is the amount of blood pumped per beeat?
Heart rate
stroke volume
cardiac output
tidal volume
When we give artificial breaths, what system do we use?
Negative pressure ventilation
Positive pressure ventilation
BVM type ventilation
tidal volume
CO2 and O2 in the lungs exchanging is called...
diffusion
perfusion
Ventilation
cardiac output
Perfusion is when...
There is a passage of blood through vessels in tissue or an organ
There is O2 and CO2 exchange in the lungs
The heart is beating
There is an adequate CO
The epiglottis...
Covers the trachea when swallowing
Is a flap of skin
Is unnecessary
A valve to the trachea
Elimination is...
When substances are excreted from the body
When blood pumps in an organ
When CO2 and O2 are exchanged
When someone breaths in
What is the axial skeleton?
The central part - the head, ribs, etc
The peripheral part - the arms and legs, etc.
The upper part - the thorax and head
The bottom part - the legs and hips
What is the appendicular skeleton?
The central part - the ribs and skull, etc.
The peripheral part - the arms and legs, etc.
The upper part - the head and ribs, etc.
The part of your appendix with bones in it
1mg equals
1000mcg
10g
10000mcg
100mcg
200mcg equals
0.2mg
20g
2mg
20mg
100mg equals
0.1g
10g
1g
1000g
IV medication administration has the medication going into the...
muscle
bone
venous circulation
arterial circulation
What is the foramen magnum?
The opening at the base of the skull
The part of the vertebra that the spinal cord goes through
The anterior portion of the vertebrae
The posterior portion of the vertebrae
IM Medication administration has the medication going into the
Muscle
Vein
Skin
Bone
What do we do when a drug is contraindicated?
Do not give it
Discontinue the medication
Seek medical advice
Monitor the patient closely
What do we do when a patient is allergic to a drug?
Do not give it
Give a half dose
Monitor the patient closely
Consider giving the drug anyway
A 2cc vial contains 10mg of a drug, what is the concentration?
5mg/mL
10mg/mL
0.2mg/mL
20mg/mL
A 2cc vial contains 20mg of a drug, what is the concentration?
10mg/mL
5mg/mL
0.2mg/mL
20mL/mg
A 10cc vial contains 5mg of a drug, what is the concentration?
2mg/mL
0.5mg/mL
20mg/mL
5mg/mL
What medication route is fastest?
IV/IO
IM
Oral
Topical
What route is faster?
SL
SQ
IM
Topical
A 132lb patient weighs...
60kg
45kg
72kg
90kg
A 154lb patient weighs...
70kg
35kg
60kg
55kg
A 176lb patient weighs...
80kg
50kg
60kg
70kg
a 198lb patient weighs...
90kg
45kg
100kg
95kg
You have dextrose at 25g/50cc. You must give 12.5g. How many ccs do you give?
25cc
10cc
30cc
50cc
You have dextrose at 12.5g/50cc. You must give 12.5g. How many ccs do you give?
50cc
25cc
75cc
100cc
You have dextrose at 25g/50cc. You must give 25g. How many ccs do you give?
50cc
10cc
75cc
100cc
A microdrip set is typically how many gtts?
60
30
45
75
A macrodrip set is usually...
10 or 15 gtts
20 or 30 gtts
5gtts
60gtts
What does a 60gtts mean?
1 drop is 60cc
60 drops equals 1cc
60gtts is the same as 1 teaspoon
60gtts is the same as 1 tablespoon
Lidocaine is packaged in 100mg in 20cc. You must give 1.5mg/kg for a 220 lb patient. How many ccs must you give for a full dose?
30cc
10cc
20cc
40cc
Lidocaine is packaged in 100mg in 20cc. You must give 1mg/kg for a 220 lb patient. How many ccs must you give for a full dose?
20cc
10cc
30cc
40cc
You must give amiodarone at 300mg/dose. It is packaged 150mg/2cc. How many ccs must you give?
4cc
2cc
6cc
8cc
All IO needles should be...
Flush with the skin at 90 degrees
At a 45 degree angle
Drawing blood back
Allowed to infuse, even if creating a hematoma
What is a pyrogenic reaction?
When a patient has a hyperthermic reaction to a medication
When a patient has a hypothermic reaction to a medication
When a patient cannot breath due to a medication
When a patient is complaining too much
What angle is an IM needle inserted into the skin at?
90
45
60
35
What promotes a cell's functions by attaching to on the receptor?
An agonist
An antagonist
An enzyme
A hormone
What blocks a cell's reaction by attaching and staying on a receptor?
Antagonist
Agonist
Inhibitor
Catalyst
What effects how fast the heart beats?
Inotropic medication
Chronotropic medication
Dromotropic medication
Stress levels
What increases electricity flow in the heart?
Dromotropic medication
inotropic medication
chronotropic medication
Dietary changes
What increases the squeeze (pumping) of the heart?
Inotropic agent
chronotropic agent
dromotropic agent
Increased blood pressure
What are endogenous catecholamines?
Synthetic catecholamines
catecholamines made in the body
Neurotransmitters
Chemical messengers
What do you do if the IV site is swollen, red, and has edema?
Use the IV until it stops flushing
Flush the IV aggressivly
Discontinue the IV
Administer a topical ointment
What do the midbrain and pons have in common?
They both control speech
They are both part of the brainstem
They both control gross motor functions
They both are not part of the brain
What patient will benefit MOST from CPAP?
CHF exacerbation
COPD exacerbation
PE with clear lung sounds
Patients with asthma
What is 500mcg equal to?
0.5mg
0.5g
5g
0.05mg
Body parts away from the midline are...
proximal
distal
medial
lateral
body parts toward the midline are...
medial
lateral
proximal
distal
When we breath, what system do we use? (normally)
Positive pressure ventilation
negative pressure ventilation
diaphragmatic relaxation
Heart relaxation
body parts further away from the patient are...
distal
proximal
medial
lateral
What is semi-folwer position?
on the back
on the abdomen
sitting up somewhat
legs up
What is trendelenburg position?
legs up higher than the core
sitting upright
On the back
On the abdomen
What is supine?
on the back
sitting up
legs up
on the front
What is closer forward on the body?
(Forward from the frontal plane)
anterior
distal
posterior
proximal
What do RBCs do?
carry O2 and CO2
Fight infection
Provide fluid for blood products to circulate in
Clot
What do WBCs do?
Fight infection
Provide fluid for blood products to flow in
carry O2 and CO2
Clot
What do platelets do?
clot
provide fluid for blood products to circulate in
fight infection
carry CO2 and O2
Efferent nerves...
Carry motor signals
Carry information signals
Fight infection
Attack people
Afferent nerves...
Carry information (toward the brain)
Carry motor messages
Carry signals away from the brain
Transmit signals from the brain
First cervical vertebrae...
Atlas
Axis
Occipital
Thoracic
Second cervical vertebrae is called...
Axis
Atlas
Occipital
Thoracic
Hearts primary pacemaker...
AV node
SA node
Perkinjie Fibers
Bundle of His
Heart node between the top and bottom of the heart...
AV node
SA node
QA node
SV node
What kinds of patients have a hypoxic drive?
Asthmatics
End stage COPD
CHF
Drug users
What is the primary drive for our bodies to breath?
Hypoxic drive - from O2
Hypoxic drive - from CO2
Carbonic drive - from O2
Carbonic drive - from CO2
What is the secondary drive to breath?
Hypoxic drive - from O2 levels
Hypoxic drive - from CO2 levels
Carbonic drive - from O2 levels
Carbonic drive - from CO2 levels
The central nervous system contains...
Brain and spinal cord
Other nerves outside of the spinal cord
Just the spinal cord
Skin and hair
The peripheral nervous system is...
The nerves outside of the spinal cord and brain
The spinal cord
A system of organs and tissues
A network of neurons and synapses
What slows down impulses in the heart?
SA node
AV node
Bundle of His
Stress
What in the pancreas is responsible for producing insulin and glucagon?
Isles of All the Hands
Islets of Langerhans
Beta cells
Alpha cells
What does systole represent?
The ventricular squeeze
The atrial squeeze
The relaxation of the ventricle
The release of hormones from the adrenal glands
What does diastole represent?
The ventricular relaxation
The ventricular squeeze
A blood pressure
The atrial squeeze
What is the universal donor?
O neg
O pos
AB neg
AB pos
What is the universal recipient?
AB pos
AB neg
O neg
O pos
What does ejection fraction equal?
Stroke volume / total ventricular filling volume
SV x HR
Cardiac output / total heart rate
Heart rate / total cardiac output
What is the vessel that pumps from the heart to the lungs?
Pulmonary Artery - O2 rich blood
Pulmonary Artery - CO2 rich blood
Pulmonary Vein - O2 rich blood
Pulmonary Vein - CO2 rich blood
If I am having trouble giving PPV and want to insert an airway into a patient with a gag reflex, what are my options?
OPA
NPA
ETT orally
Supraglottic airway
When I am hyperventilating, what happens to my EtCO2 levels?
They stay the same
They increase
They decrease
They don't matter
When a patient is apnic, what happens to their EtCO2 levels?
They decrease
They increase
They stay the same
They don't matter
When a patient has a gag reflex, what is an advanced airway that can be used?
Nasal ETT
LMA
igel
ETT
A contraindication to CPAP is...
Altered LOC
Hypertension
COPD
CHF
What is a common curved laryngoscope blade?
MAC
Miller
King Vision
CMAC
What is a common straight laryngescope blade?
Miller
MAC
King Vision
CMAC
When using a MAC laryngoscope, where should the tip of the blade be?
Holding the epiglottis
At the back of the throat
At the base of the tongue
at the vallecular space
When using a Miller laryngescope, how should it be used?
Hold the epiglottis
Place it in the vallecular space
Poke the vocal cords to stop them from moving
Place the laryngoscope deep in the hypopharynx
Blood goes from the vena cava to the...
RA
RV
LA
Lungs
Blood goes from the RV to the...
Pulmonary Artery
Pulmonary Vein
vena cava
Aorta
Blood goes from the lungs to the...
Pulmonary Artery
Pulmonary Vein
Aorta
Vena Cava
Blood is received from the pulmonary vein to the...
RA
LA
LV
lungs
After the LV blood is pumped to the...
Aorta
Vena Cava
Lungs
Pulmonary artery
Body parts closer to the patient's core are...
proximal
distal
medial
lateral
What is the vessel that pumps from the lungs to the heart?
Pulmonary Vein - CO2 rich blood
Pulmonary Artery - CO2 rich blood
Pulmonary Vein - O2 rich blood
Pulmonary Artery - O2 rich blood
How many leaflets does the tricuspid valve have?
1
2
3
4
How many leaflets does the aortic valve have?
1
2
3
4
How many leaflets does the pulmonary valve have?
1
2
3
4
How many leaflets does the mitral valve have?
1
2
3
4
What is hyperkalemia?
High Sodium
High Calcium
High Potassium
High Bicarb
What is hypercalcemia?
High Sodium
High Calcium
High Potassium
High Bicarb
What is hypernatremia?
High Sodium
High Calcium
High Potassium
High Bicarb
A pH of 7.2 is...
Acidotic
Basic
Impossible
Neutral
A pH of 7.52 is...
Acidotic
Basic
neutral
Impossible
A pH of 7.37 is...
acidotic
basic
neutral
impossible
a CO2 of 60 is...
Acidotic
Basic
Neutral
Impossible
a CO2 of 25 is...
Acidotic
Basic
Neutral
Impossible
a CO2 of 40 is...
Acidotic
Basic
Neutral
Impossible
a HCO3 of 20 is...
Acidotic
Basic
Neutral
Impossible
a HCO3 of 30 is...
Acidotic
Basic
Neutral
Impossible
a HCO3 of 24 is...
Acidotic
Basic
Neutral
Impossible
If I mix 4mg of Epinephrine into a 100cc bag, what is the concentration?
40mcg/mL
0.04mcg/mL
4mcg/mL
400mcg/mL
If I mix Levophed at 8mg/250cc, what is the concentration?
32mcg/mL
16mcg/mL
64mcg/mL
8mcg/mL
If I mix 2g of an antibiotic into a 500cc bag, how many mLs is administering only 1g of antibiotic?
250cc
100cc
500cc
125cc
What is a DNR order?
An order to not resuscitate a patient in accordance with their wishes
A form to show that someone is in a nursing home
A legal document granting permission to perform a medical procedure
A directive to not provide medical treatment
Can someone with a DNR go to the ED and be admitted to the hospital?
Yes, but they must give up their DNR
Yes, they keep their DNR
No, the must give up their DNR
They aren't allowed to be treated
What happens on hospice or comfort care?
The patient is not treated
The patient is treated to keep them comfortable
The patient is monitored closely
The patient is given medication
What does iatrogenic mean?
Caused by a healthcare treatment or exam
An illness caused by a virus
A condition caused by a paramedic
A medical condition caused by a drug
Why is PPE worn on every call?
To provide proper body substance isolation
To annoy providers
To keep the patient clean
To look cool
What does an N95 protect against (commonly)
TB
Pollen
Bacteria
Viruses
How much stronger is Fentanyl than Morphine?
1000x
81x
10x
100x
What is the minimum gauge needle to use for an EJ?
18g
20g
16g
14g
Which needle size is typically used in small children?
24g
22g
20g
18g
What is ETT depth approximatly?
3x tube legnth
Twice the diameter of the tube
The length of the tube multiplied by four
The circumference of the tube divided by two
Do supraglottic airways need to be measured?
No - one size fits all
No - they should all work on most airways
Yes - they are based on real weight
Yes - they are based on ideal body weight from height
What is Josh's favorite kind of monster?
White
Pipeline Punch - Pink
Ultra Red
Regular Green
When doing CPR, what rate should we go at?
80-100
100-120
110-130
90-110
Is visualizing the cords a confirmation method for intubation
No - it is not recorded
No - it does not count
Yes - but you need more than 1 confirmation method
Yes - that is all you need
After intubating, where do we listen for sounds?
Epigastric sounds first
R upper lung first
L upper lung first
Trachea first
Albuterol Dose
2.5mg
0.5mg
3mg
2.5cc
Aspirin Dose
324mg
81mg
400mg
600mg
Atropine Dose
1mg
2mg
3mg
1mcg
Diphenhydramine Dose
50mg
50mcg
100mg
100mcg
Fluid Bolus dose
20cc/kg
30cc/kg
10cc/kg
40cc/kg
Epi anaphylaxis dose
0.3mg
0.3mcg
0.3g
3mg
Epi cardiac arrest dose
1mg/kg
1mg
1mcg
10mcg
Fentanyl Dose
1mcg/kg
1mg/kg
1mg
1mcg
Ipratropium Bromide Dose
500mcg
500mg
50mcg
0.05mg
Ketamine Pain dose
0.2mg/kg
1-2mg/kg
2-4mg/kg
4mg/kg
Ketamine excited delirium dose
0.2mg/kg
0.4mg/kg
2-4mg/kg
1-2mg/kg
Toradol Dose
15mg
15mcg
60mg
60mcg
Solu-Medrol dose
125mg
125mcg
250mg
250mcg
Midazolam Dose during seizure
5-10mg IM
2mg IV
5-10mcg IM
2mg IM
Ondansetron dose
4mg
4mg/kg
4mcg
4mcg/kg
Prednisone Dose
50-60mg PO
50-60mg IV
50-60mcg PO
50-60mcg IV
Racemic Epinephrine dose
500mcg
500mg
0.05mmg
5mg
What receptor does Narcan bind to?
Opioid
Cannaboid
Serotonin
Histamine
What is narcan?
An opioid agonist
An opioid antagonist
A type of antidepressant
A type of anti-inflammatory
What category of medications are Solu-Medrol and Prednisone?
Analgesics
Steroids
Antibiotics
Antidepressants
What kind of medication is Warfarin?
Blood thinner
Antibiotic
Steroid
Anti-inflammatory
Is epinephrine made naturally in the body?
Yes - but not in high enough quantities to matter
Yes - and the body uses it often
No - it is only produced in a laboratory
Maybe - it depends on the individual
Is norepinephrine made naturally in the body?
Yes - but not in high enough quantities to matter
Yes - and the body uses it often
No - it is only produced in a laboratory
Maybe - it depends on the individual
Is atropine made naturally in the body?
Yes - but not in high enough quantities to matter
Yes - and the body uses it often
No - it is only produced in a laboratory as a medication
Maybe - it depends on the individual
When initially intubating, what should always be on hand and be in the paramedic's right hand?
The ETT
A supraglottic device
Suction
A laryngoscope
When initially intubating, what should always be on hand and be in the paramedic's left hand?
The ETT
A supraglottic device
Suction
A laryngoscope
What happens if a patient cannot be intubated or oxygenated? (CICO)
Cricothyrotomy
Attempt another intubation
Further attempt PPV
The patient is given a tracheostomy
What happens if a patient cannot be intubated but can be oxygenated?
Cricothyrotomy
Attempt another intubation
Further attempt PPV if working - if not follow CICO and preform a Cricothyrotomy
The patient is given a tracheostomy
When priming a bag of saline, what should you ensure?
There is minimal air in the drop set
There is already an IV in place
The patient has not had anything to drink recently
The patient is not on ED medications
Which is a contraindication to aspirin?
GI bleeding
Not liking the taste
Took a baby aspirin this morning
Only adult aspirin are available
What happens if Atropine is pushed too slow?
Reflex bradycardia
Extreme tachycardia
It can cause an increase in blood pressure
It can cause a decrease in respiration rate
What is a side effect of Fentanyl?
apnea/decreased respiratory drive
hallucinations
screaming
diarrhea
What is a side effect of Albuterol?
Tachycardia
Bronchodilation
constipation
hallucinations
What is a side effect of IM Epi for anaphylaxis
Nausea and vomiting
bradycardia
hypotension
decreased respiratory drive
How can you prevent nausea when giving opioids? (does not always work)
Push the medication slowly and dilute it
Give the patient an emesis bag
Take the medication with food
Take the medication with antacids
