EMS 1055 FINAL EXAM QUESTIONS AND ANSWERS
WITH COMPLETE SOLUTIONS GRADED A++ LATEST
UPDATE
Signs of shock
Pale, cool, diaphoresis, cyanosis
Symptoms of shock
Anxiety, nervousness, dizziness, weakness, nausea and vomiting (dependent on type)
Different types of shock
Cardiogenic, hypovolemic, distributive (septic, toxic, anaphylactic, neurogenic,
endocrinologic, toxic), obstructive, insulin, hyperglycemic
Beck's triad
Acute cardiac tamponade: muffled heart sounds, distended neck veins (JVD),
hypotension
Cushing's triad
Increased ICP/cerebral hemorrhage:
hypertension, bradycardia, widening pulse pressure
Waddell's
Associated with high velocity vehicle accidents involving children:
femur fracture, intraabdominal/intrathoracic injury, head injury
Common diseases of geriatric patients
,Diabetes, arthritis, kidney/bladder problems, dementia, parkinson's disease, lung
disease, osteoporosis, depression, cardiovascular disease, alzheimer's disease
Signs and symptoms of a basilar skull fracture
Signs: raccoon eyes, positive HALO test, injury (trauma) to the side of the head
Symptoms: pain, head injury, headache
Two rhythms that an AED will "shock"
Cardiac arrhythmias: ventricular tachycardia (v-tach) and ventricular fibrilation (v-fib)
How many weeks for a viable neonate?
23 weeks
Two types of posturing and what do they indicate
Decorticate: at the "core"; arms point up = high brain injury
Decerebrate: the arms point down = low brain injury
Cardiac output formula
CO = HR x SV
Normal: 5L / min
Stroke volume is made up of preload, contractility, and afterload
Hematochezia
Fresh, bright red blood in the stool, indicates bleeding on the lower end of the digestive
tract
Melena
Black stool, blood digested in the stool, indicates GI hemorrhage has taken place in the
beginning to middle of the digestive system; most likely stomach or duodenum
AMI presentation in men
, Pressure/tightness in the chest, pain in the chest, back, jaw, and other areas of the
body that lasts for more than a few minutes or that goes away and comes back;
shortness of breath, sweating, nausea, vomiting, anxiety, cough, dizziness, tachycardia
AMI presentation in women
Shortness of breath, jaw pain, upper back pain, lightheadedness, nausea, vomiting, flu-
like symptoms
Diabetes
No pain due to neuropathy
Treatment of impaled objects*
Stabilize
Signs of anaphylaxis and indications for use of epipen
SOB, uritcaria (hives), swollen tongue, skin is pale, cool and diaphoretic
Symptoms of anaphylaxis and indications for use of epipen
Nausea, confusion, fatigue/weakness, abdominal pain
What makes the most ATP in cellular respiration and how does it shut down?
Oxidative phosphorylation, without oxygen it will shut down
Babinski reflex in adults and infants (stimulating sole of foot)
Adult: norma/positive response is toes flex and close together, abnormal is when they
flare out (indicates CNS injury)
Infants: normal/positive is when they flare out (opposite to what would be normal in
adults)
Glottic edema in the adult and pediatric patient
WITH COMPLETE SOLUTIONS GRADED A++ LATEST
UPDATE
Signs of shock
Pale, cool, diaphoresis, cyanosis
Symptoms of shock
Anxiety, nervousness, dizziness, weakness, nausea and vomiting (dependent on type)
Different types of shock
Cardiogenic, hypovolemic, distributive (septic, toxic, anaphylactic, neurogenic,
endocrinologic, toxic), obstructive, insulin, hyperglycemic
Beck's triad
Acute cardiac tamponade: muffled heart sounds, distended neck veins (JVD),
hypotension
Cushing's triad
Increased ICP/cerebral hemorrhage:
hypertension, bradycardia, widening pulse pressure
Waddell's
Associated with high velocity vehicle accidents involving children:
femur fracture, intraabdominal/intrathoracic injury, head injury
Common diseases of geriatric patients
,Diabetes, arthritis, kidney/bladder problems, dementia, parkinson's disease, lung
disease, osteoporosis, depression, cardiovascular disease, alzheimer's disease
Signs and symptoms of a basilar skull fracture
Signs: raccoon eyes, positive HALO test, injury (trauma) to the side of the head
Symptoms: pain, head injury, headache
Two rhythms that an AED will "shock"
Cardiac arrhythmias: ventricular tachycardia (v-tach) and ventricular fibrilation (v-fib)
How many weeks for a viable neonate?
23 weeks
Two types of posturing and what do they indicate
Decorticate: at the "core"; arms point up = high brain injury
Decerebrate: the arms point down = low brain injury
Cardiac output formula
CO = HR x SV
Normal: 5L / min
Stroke volume is made up of preload, contractility, and afterload
Hematochezia
Fresh, bright red blood in the stool, indicates bleeding on the lower end of the digestive
tract
Melena
Black stool, blood digested in the stool, indicates GI hemorrhage has taken place in the
beginning to middle of the digestive system; most likely stomach or duodenum
AMI presentation in men
, Pressure/tightness in the chest, pain in the chest, back, jaw, and other areas of the
body that lasts for more than a few minutes or that goes away and comes back;
shortness of breath, sweating, nausea, vomiting, anxiety, cough, dizziness, tachycardia
AMI presentation in women
Shortness of breath, jaw pain, upper back pain, lightheadedness, nausea, vomiting, flu-
like symptoms
Diabetes
No pain due to neuropathy
Treatment of impaled objects*
Stabilize
Signs of anaphylaxis and indications for use of epipen
SOB, uritcaria (hives), swollen tongue, skin is pale, cool and diaphoretic
Symptoms of anaphylaxis and indications for use of epipen
Nausea, confusion, fatigue/weakness, abdominal pain
What makes the most ATP in cellular respiration and how does it shut down?
Oxidative phosphorylation, without oxygen it will shut down
Babinski reflex in adults and infants (stimulating sole of foot)
Adult: norma/positive response is toes flex and close together, abnormal is when they
flare out (indicates CNS injury)
Infants: normal/positive is when they flare out (opposite to what would be normal in
adults)
Glottic edema in the adult and pediatric patient
