EMS 1
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Q1           Score:  1.39
 P
 Q
 S
 T
Q2           Score:  1.39
 At the general impression
 During the scene size-up
 After the airway is secured
 When exposing the patient
Q3           Score:  1.39
 Inspection
 Palpation
 Percussion
 Auscultation
Q4           Score:  1.39
 Adenosine rapid IV bolus
 Diltiazem IVP bolus
 Carotid sinus massage
 Synchronous cardioversion
Q5           Score:  1.39
 This event is not related to her heart because she feels no chest pain.
 This may be a cardiovascular problem.
 If this is a cardiovascular event, she will develop chest pain or shortness of breath.
 Treatment for diabetes is more appropriate than treatment for cardiovascular problems.
Q6           Score:  1.39
 Standard 3-lead
 10-lead
 12-lead
 Modified
Q7           Score:  1.39
 Accelerated heart rate
 Increased blood flow to vital organs
 Enhanced visual and auditory acuity with improved reflexes and muscle strength
 Shortened attention span
Q8           Score:  1.39
 Use TCP (transcutaneous pacemaker) immediately.
 Synchronize cardioversion at 100 joules initially.
 Deliver an initial unsynchronized shock of 200 joules.
 Electrical therapy is not indicated in Asystole.
Q9           Score:  1.39
 Allergies
 Inflammatory disease
 Pulmonary edema
 Pneumonia
Q10           Score:  1.39
 Important reflex arc
 Safeguard to ensure continued blood supply to the brain
 Large grouping of neurons attached to the medulla
 Sensory nerve that transmits directly to the brain
Q11           Score:  1.39
 Gallbladder
 Liver
 Stomach
 Pancreas
Q12           Score:  1.39
 Hormonal imbalance leading to disturbed thinking patterns
 Metabolic emergency that jeopardizes the patient’s health and welfare
 Chemical imbalance in the brain that affects a person’s medical well-being
 Change in mood or behavior that cannot be tolerated by the involved person or others
Q13           Score:  1.39
 Serotonin
 Dopamine
 Acetylcholine
 Norepinephrine
Q14           Score:  1.39
 Hypoxia
 Elevated carbon dioxide levels
 Changes in pH
 Increased bicarbonate ions
Q15           Score:  1.39
 Cholecystitis
 Pneumonia
 Brain abscess
 Bladder infection
Q16           Score:  1.39
 Aspirating to clear the occlusion
 Attempting to clear the occlusion via percussion
 Administering normal saline boluses
 Transporting the patient because this is an emergency requiring surgical intervention
Q17           Score:  1.39
 1 to 3
 3 to 5
 8 to 12
 12 to 24
Q18           Score:  1.39
 Administer D50W 25 g IV.
 Administer naloxone 2 mg IV.
 Infuse a bolus of normal saline.
 Increase the ventilation rate.
Q19           Score:  1.39
 Ice
 Warm water soaks
 Heat first, then ice once the muscles are warmed
 Heat and ice, alternating every 3 to 4 hours
Q20           Score:  1.39
 Mechanism of injury
 Allergies and medications
 Past hedical history
 Nature of illness
Q21           Score:  1.39
 Detailed head-to-toe examination
 Focused physical examination
 Immediate exam by medical control
 Rapid head-to-toe examination
Q22           Score:  1.39
 Decreases to promote hemostasis
 Increases, causing further damage to already injured tissue
 Increases to meet the increased metabolic demands of injured tissue
 Decreases, causing hypoxic damage to the injured tissue
Q23           Score:  1.39
 Increased vascular resistance except in the hyperemic zone
 A euphoric psychological presentation in response to increased serotonin release
 Decreased susceptibility to infection resulting from increased erythrocyte production
 Decreased circulating epinephrine from a parasympathetic response to the pain associated with burn trauma
Q24           Score:  1.39
 Head, torso, legs, arms
 Torso, head, legs, arms
 Torso, legs, arms, head
 Head, torso, arms, legs
Q25           Score:  1.39
 Traumatic asphyxia
 Flail segment
 Open chest wound
 Diaphragmatic rupture
Q26           Score:  1.39
 Unexplained shock
 Bowel sounds in the chest cavity
 Referred pain in one or both shoulder blades
 Abdominal distention
Q27           Score:  1.39
 Hands
 Spine
 Lower leg
 Foot
Q28           Score:  1.39
 The patient reports extreme pain.
 Circulation is impaired.
 The site is bleeding.
 The lower leg is involved.
Q29           Score:  1.39
 Epinephrine
 Diphenhydramine
 Albuterol
 Methylprednisolone
Q30           Score:  1.39
 Normal blood pressure
 Low blood pressure
 Decreased heart rate
 Decreased respiratory rate
Q31           Score:  1.39
 Inadequate tissue perfusion
 Low blood pressure
 Hypoxemia
 Internal or external blood loss
Q32           Score:  1.39
 Pulse pressure
 Vascular resistance
 Mean arterial pressure
 Hemostasis
Q33           Score:  1.39
 Hypovolemic
 Anaphylactic
 Cardiogenic
 Septic
Q34           Score:  1.39
 Vomiting
 Diarrhea
 Sepsis
 Hemorrhage
Q35           Score:  1.39
 Psychogenic shock
 Antihistamine shock
 Septic shock
 Anaphylactic shock
Q36           Score:  1.39
 Capillary leakage
 Vasoconstriction
 Increased preload pressure
 Cellular/vascular shunting
Q37           Score:  1.39
 Hypovolemic
 Neurogenic
 Cardiogenic
 Septic
Q38           Score:  1.39
 Decreased production of lactate and hydrogen ions
 Anaerobic metabolism to replace aerobic metabolism
 Capillaries to retain large molecular structures
 Aerobic metabolism to produce an increase in hydrogen ions
Q39           Score:  1.39
 Syncope
 Cramps
 Exhaustion
 Stroke
Q40           Score:  1.39
 Antidote therapy
 Gastric lavage
 Control of arrhythmias
 Supportive care
Q41           Score:  1.39
 Absorption of the poison
 Inducing vomiting
 Adsorption (binding)
 Peristalsis
Q42           Score:  1.39
 Inherited traits
 Viral infections
 Parasitic infestations
 Congenital abnormalities
Q43           Score:  1.39
 APGAR
 AVPU
 GCS
 RTS
Q44           Score:  1.39
 A proportionally larger head
 A large face
 A small occiput
 Weak and fragile skull bones
Q45           Score:  1.39
 Hypotension
 Jugular-vein distention
 Pale, clammy skin
 Tachycardia
Q46           Score:  1.39
 Alkalosis
 Hypercarbia
 Bradycardia
 Hyperglycemia
Q47           Score:  1.39
 Endometriosis
 Ruptured ovarian cyst
 Ectopic pregnancy
 PID
Q48           Score:  1.39
 Magnesium sulfate
 Calcium gluconate
 Naloxone
 Morphine
Q49           Score:  1.39
 The declaration phase
 The preplanning phase
 The post-disaster phase
 The scene management phase
Q50           Score:  1.39
 Rapid access to the patient or patients
 The safety of the rescuers and patients
 Rapid extrication for ALS and surgical intervention
 Needs assessment for equipment and manpower requests
Q51           Score:  1.39
 Industrial settings
 Manufacturing businesses
 Shipping and transportation vehicles
 Virtually every home, work, and transportation environment
Q52           Score:  1.39
 Ethics
 Duty to act
 Obligation
 Systematic appraisal
Q53           Score:  1.39
 Nonmaleficence
 Integrity
 Beneficence
 Autonomy
Q54           Score:  1.39
 “What can be justified?”
 “What is in the patient’s best interest?”
 “What is the legally acceptable treatment?”
 “What does the patient want?”


   



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