PARAMEDIC FINAL EXAM
A protocol that is a written document signed by the EMS system's medical director that
outlines specific directions, permissions, and sometimes prohibitions regarding patient
care that is rendered prior to contacting medical control. –
Standing order
If a paramedic transports a patient without the patient's consent or uses restraints in a
wrongful manner –
False Imprisonment
A treatment plan developed for a specific illness or injury. –
Protocol
If you must deviate from your protocols because of unusual circumstances, you should
FIRST: -
Notify Medical Control
HIPPA mandates that: -
Patient information shall not be shared with entities or persons not involved in
the care of the patient.
HIPPA Defined: -
a. The first standards established to protect the confidentiality of a patient's
health information.
b. Medical information can be disclosed only if it is necessary for a patient's
treatment or for payment.
c. Special situations such as dog bites, gunshot wounds, and abuse require the
release of patient information without the patient's consent.
According to HIPAA, it is acceptable and permissible for hospitals to: -
share information with the EMS providers about patient outcome for purposes of
quality assurance and education.
Wheezing that is resolved with administration of bronchodilator medication was
probably caused by? –
constriction of smooth muscles
Wheezing is resolved with medications that? –
Relax the smooth muscle of the bronchiole
Difficulty with exhalation is MOST characteristic of: -
obstructive lung disease
, COPD: Emphysema: -
Characterized by distention of the alveoli and destructive changes in the lungs.
COPD: Chronic Bronchitis: -
Defined as sputum production most days of month for 3 or more months out of
year for more than 2 years. Will rarely have normal oxygen saturation; (maybe
less than 90%). May have another condition, including respiratory conditions
A 66-year-old man with chronic bronchitis presents with severe respiratory distress. The
patient's wife tells you that he takes medications for high blood pressure and bronchitis,
is on home oxygen therapy, and has recently been taking an over-the-counter
antitussive. She further tells you that he has not been compliant with his oxygen
therapy. Auscultation of his lungs reveals diffuse rhonchi. What is the MOST likely
cause of this patient's respiratory distress? –
Recent antitussive use
A 76-year-old woman with emphysema presents with respiratory distress that has
worsened progressively over the past 2 days. She is breathing through pursed lips and
has a prolonged expiratory phase and an oxygen saturation of 76%. She is on home
oxygen at 2 L/min. Your initial action should be to? –
place her in a position that facilitates breathing.
Common clinical findings in patients with obstructive lung disease include all of the
following, EXCEPT: -
a decreased expiratory phase
Chronic obstructive pulmonary disease (COPD) is characterized by: -
changes in pulmonary structure and function that are progressive and
irreversible
The hypoxic drive is a phenomenon in which –
bicarbonate ions migrate into the cerebrospinal fluid of a chronically
hypoventilating patient, making the brain think that acid and base are in balance
Pulmonary Embolism Characteristics –
Sudden dyspnea & cyanosis, and perhaps, a sharp pain in the chest. A hallmark
of pulmonary embolism is that the cyanosis does not resolve with oxygen
therapy.
You are dispatched to a residence for a young woman with difficulty breathing. When
you arrive, you find the patient sitting in a tripod position, noticeably dyspneic and
tachypneic. She tells you that she experienced a sudden sharp pain to the left side of
her chest and then started having trouble breathing. She denies any past medical
history and states that she only takes birth control pills. Based on this patient's clinical
presentation, you should be MOST suspicious for: -
acute pulmonary embolism
A protocol that is a written document signed by the EMS system's medical director that
outlines specific directions, permissions, and sometimes prohibitions regarding patient
care that is rendered prior to contacting medical control. –
Standing order
If a paramedic transports a patient without the patient's consent or uses restraints in a
wrongful manner –
False Imprisonment
A treatment plan developed for a specific illness or injury. –
Protocol
If you must deviate from your protocols because of unusual circumstances, you should
FIRST: -
Notify Medical Control
HIPPA mandates that: -
Patient information shall not be shared with entities or persons not involved in
the care of the patient.
HIPPA Defined: -
a. The first standards established to protect the confidentiality of a patient's
health information.
b. Medical information can be disclosed only if it is necessary for a patient's
treatment or for payment.
c. Special situations such as dog bites, gunshot wounds, and abuse require the
release of patient information without the patient's consent.
According to HIPAA, it is acceptable and permissible for hospitals to: -
share information with the EMS providers about patient outcome for purposes of
quality assurance and education.
Wheezing that is resolved with administration of bronchodilator medication was
probably caused by? –
constriction of smooth muscles
Wheezing is resolved with medications that? –
Relax the smooth muscle of the bronchiole
Difficulty with exhalation is MOST characteristic of: -
obstructive lung disease
, COPD: Emphysema: -
Characterized by distention of the alveoli and destructive changes in the lungs.
COPD: Chronic Bronchitis: -
Defined as sputum production most days of month for 3 or more months out of
year for more than 2 years. Will rarely have normal oxygen saturation; (maybe
less than 90%). May have another condition, including respiratory conditions
A 66-year-old man with chronic bronchitis presents with severe respiratory distress. The
patient's wife tells you that he takes medications for high blood pressure and bronchitis,
is on home oxygen therapy, and has recently been taking an over-the-counter
antitussive. She further tells you that he has not been compliant with his oxygen
therapy. Auscultation of his lungs reveals diffuse rhonchi. What is the MOST likely
cause of this patient's respiratory distress? –
Recent antitussive use
A 76-year-old woman with emphysema presents with respiratory distress that has
worsened progressively over the past 2 days. She is breathing through pursed lips and
has a prolonged expiratory phase and an oxygen saturation of 76%. She is on home
oxygen at 2 L/min. Your initial action should be to? –
place her in a position that facilitates breathing.
Common clinical findings in patients with obstructive lung disease include all of the
following, EXCEPT: -
a decreased expiratory phase
Chronic obstructive pulmonary disease (COPD) is characterized by: -
changes in pulmonary structure and function that are progressive and
irreversible
The hypoxic drive is a phenomenon in which –
bicarbonate ions migrate into the cerebrospinal fluid of a chronically
hypoventilating patient, making the brain think that acid and base are in balance
Pulmonary Embolism Characteristics –
Sudden dyspnea & cyanosis, and perhaps, a sharp pain in the chest. A hallmark
of pulmonary embolism is that the cyanosis does not resolve with oxygen
therapy.
You are dispatched to a residence for a young woman with difficulty breathing. When
you arrive, you find the patient sitting in a tripod position, noticeably dyspneic and
tachypneic. She tells you that she experienced a sudden sharp pain to the left side of
her chest and then started having trouble breathing. She denies any past medical
history and states that she only takes birth control pills. Based on this patient's clinical
presentation, you should be MOST suspicious for: -
acute pulmonary embolism
