Flight Paramedic Exam Questions And Answers | Updated

Flight Paramedic Exam Questions And Answers | Updated /.Boyle's Law (Balloon=Barotrauma - Answer-The pressure a gas is inversely proportional to the volume of a gas at a constant temperature. IV drip rates increase, affects ETT cuffs /.Dalton's Law "Dalton's Gang" - Answer-Law of partial Pressures. Responsible for soft tissue swelling at altitude /.Charles' Law "Charging Charles" - Answer- At a constant pressure, the volume of gas is directly proportional to the absolute temperature of a gas. As you charge O2 tank, the tank gets hot /.Gay Lussac's Law - Answer-Direct relationship between temperature and pressure. ex: car tires in cold weather. /.Graham's Law Grey Matter - Answer-Law of Gaseous Diffusion Gas exchange at cellular level /.Henry's Law Heineken - Answer-Solubility of a gas in a liquid the BENDS /.Bends Ground transport is preferred - Answer-Type 1 Nitrogen related, painful joints mottled skin, pruritus; "ants are crawling on their Skin" Cutis Marmorata- Mottled Skin, can look like a sunburn Type 2 Neurologic s/s hypovolemic Shock /.Arterial Gas Embolism - Answer-Boyle's Law breathe holding during ascent on a dive. causes pnuemo. air can be forced into blood stream creating air bubble blocks. Hyperbaric Chamber! fly in aircraft under 10k Mean Sea Level /.Pulmonary Overpressurization - Answer-POP; Boyle's law greatest pressure difference 4 ft inexperienced divers can cause pneumo or mediastinal emphysema /.atmosphere - Answer-Sea Level = 1 ATM = 760 Torr 33ft = 2 ATM 66ft = 3 ATA /.Physiologic Zone - Answer-sea level to 10,000 feet Night Vision is decreases at 5000ft MSL /.Physiologic Deficient Zone TUC=Time of useful Consciousness - Answer-10K to 50K ft MSL O2 pressurization is required Sign of compression loss is cooler temperature and window fogging. Normally 90 Sec TUC at 30000ft If a rapid decompression occurs TUC is @45 Sec /.Pressure Values - Answer-Sea level = 760 Torr = 1 ATM 10K = 523 Torr 18K = 380 Torr = 1/2 ATM /.Hypemic Hypoxia - Answer-- Reduction in oxygen carrying capacity of the blood. -Anemia, blood loss /.histotoxic hypoxia - Answer-Limits available 02 due to poisoning of the cytochrome oxidase system Cyanide, Alcohol, Carbon Monoxide, Nitroglycerin, Sodium Nitroprusside /.Hypoxic - Answer-Decrease partial pressure of oxygen at altitude Deficiency in Alveolar 02 exchange Cardiovascular/Pnuemo pts are more susceptible /.Stagnant Hypoxia - Answer-Reduction in blood flow; e.g. positive G maneuvers Cardiogenic Shock /.Stages of Hypoxia (ICDC) - Answer-Indifferent: Full reasoning, some loss of night vision Compensatory: Increased HR Ventilations, Slowed Judgement Disturbance: Slurred Speech, impaired judgement, "drunk" Critical: No longer able to physiologically function, death immenent /.G forces affects - Answer-Decrease Blood Pressure effect people: B/P meds (beta Blockers), dehydrated, hyperglycemic meds /.Barondontalgia - Answer-Boyle's Law Ascent Air trapped in the fillings /.Barotitis - Answer-Descent, Middle ear can't vent /.Barosinusitis - Answer-Both Ascent and Descent Sinus Block /.Commission for the Accreditation of Medical Transport Systems (CAMTS) - Answer-Accredits companies to become Medical transport systems. Set Standards and profession conduct standards /.Air Medical Resource Management - Answer-Distributes workload. /.Sterile Cockpit - Answer-Only essential gets communicated Critical phases of flight: Takeoff, Landing, refueling and Taxi /.Rotary Wing PIC Qual - Answer-2000 hours total flight time 1200 hrs in helicopter 1000 hrs as PIC 100 hrs as PIC at night Must be instrument rated /.Area Orientation - Answer-5 hours total w/ 2 at night /.FAR Part 91 - Answer-Applies to Everyone No Duty Day No weather minimums (PIC assumes risk ) /.FAR Part 135 - Answer-Flying passengers for $ Max 14 hours duty day 8 hours total flying; 8 hours "bottles to throttle" /.Weather Minimums Non Mountainous - Answer-Condition Local, Day 800' - 2 miles Night 800' - 3 miles Condition Cross Country, Day 800' - 3 miles night 1000' 3 miles /.Weather minimums Mountainous - Answer-Condition Local day 800' - 3 miles night 1000' 3 miles Condition Cross Country 1000' - 3 miles night 1000' - 5 miles /.Visual Flight Rules - Answer-Fly if weather conditions allow you to see with no assistance No intended instrument flying under these rules /.Instrument Flight Rules - Answer-Weather does not allow for safe flight without instruments /.Inadvertent Instrument Meteorological Conditions - Answer-Flying VFR and weather unexpectedly changes that require flying by instruments /.Hasty HLZ - Answer-Most have communication with ground 100x100 large enough to land 1 approach and departure heading 2 passes required prior to landing (to look for hazards on the HLZ) High to Low pass two car lights create X /.Permanent helipad - Answer-2 approach and departure headings perimeter with lights landing beacon windsock /.Land Immediately - Answer-Engine Failure Fire RPG in your tail boom /.Land as soon as possible - Answer-Low Transmission pressure Chip light /.Land as soon as practical - Answer-go to closest convenient place "check something non-emergent out" /.Pre-Crash - Answer-Lay pt flat turn O2 off assume crash position /.Post-Crash - Answer-Turn off: Throttle, Fuel, Battery. Exit and Help 12 o clock position Set up Shelter, Fire, Water, Signal /.Emergency Locator Transmitter - Answer-Transmit frequency 121.5 upgrade 406 self activates at 4 Gs /.Emergency Medical Treatment and Active Labor Act - Answer-250 yards must be helped near hospital Sending Physician is responsible for patient /.Standard of Care - Answer-Duty to Act Breach of Duty Forseeability Causation Injury Damages /.Duty to report - Answer-Child abuse elder abuse Violent Crime /.Respiratory Failure - Answer-pH 7.2, CO2 55, PaO2 60 /.Mallampati Score - Answer-1 Soft palate, Uvula, anterior/posterior tonsillar pillars visible. Tall thin neck, no difficulty 2 Tonsillar pillars hidden by tongue 3 Only the base of the uvula can be seen, moderate difficulty 4 Uvula can't be seen, short fat neck, extreme difficulty /.Chest X-ray 25mmhg - Answer-Gold standard to confirm Chest tube; 2-3 cm above carina, 1 inch above carina, t2-t3 vertebrae . second most reliable way is visualization of passing of tube through cords /.Succinylcholine - Answer-Anectine Dose 2mg/kg 1-2 minutes onset 4-6 duration Contraindications: Crush Injuries, Eye injuries, Narrow-angle Glaucoma, History of Malignant hyperthermia, burns 24 hours, Hyperkalemia, Nervous System Disorder /.Malignant Hyperthermia - Answer-Dantrolene 3 mg/kg Contraindication Calcium Channel Blockers Caused by a defect in the skeletal muscle Sarcoplasmic Reticulum