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Critical Care Flight Paramedic Exam Question And Answers 2025
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babinski reflex - correct answers ✅extension and spreading of toes when bottom of foot is stroked. sign of nervous system lesion battles sign - correct answers ✅bruise behind ear, basilar skull fracture becks triad - correct answers ✅jvd, muffled heart tones, hypotension. from cardiac tamponade brudzinski sign - correct answers ✅flexion of the neck results in flexion of the hip. meningitis coopernails sign - correct answers ✅ecchymosis on perineum, labia, scrotum. sign of pelvis fracture cullens sign - correct answers ✅bruising around umbilicus. Sign of pancreatitis or ectopic pregnancy
grey turners sign - correct answers ✅discoloration of skin around flank. sign of pancreatitis hammans sign - correct answers ✅crunching sound of heart with asynchronous heart beat. sign of mediastinal emphysema/tracheobronchial disruption kehrs sign - correct answers ✅left shoulder pain associated with splenic rupture kernigs sign - correct answers ✅pain to knee extension when hip is at 90 degrees. sign of meningitis levines sign - correct answers ✅pain with clutched fist over midline of chest. sign of cardiac chest pain mcburneys sign - correct answers ✅tenderness 2/3 the distance between umbilicus and ileum. sign of appendicitis
right coronary artery is typically repaired by using - correct answers ✅saphenous vein dresslers sign - correct answers ✅pericarditis from recent MI or cardiac surgery alpha 1 stimulation results in - correct answers ✅increased SVR/vasoconstriction beta 1 stimulation results in - correct answers ✅increased HR, contractility janeway lesions and osler nodes are indicative of - correct answers ✅endocarditis elevated BNP signals - correct answers ✅increased stretching of ventricles. found in CHF where should a cardiac transducer be placed? - correct answers ✅phlebostatic axis (4th intercostal space midaxillary)
what does the dicrotic notch symbolize? - correct answers ✅aortic valve closing saline from ART line should infuse at what rate - correct answers ✅3ml/hr normal central venous pressure (CVP) - correct answers ✅2- when utilizing a swan ganz catheter, never exceed ____mL of air in distal balloon - correct answers ✅1. coronary perfusion pressure calculation - correct answers ✅PAWP-DBP (should be 50-60) PAWP range - correct answers ✅8- PVR range - correct answers ✅50-
what happens to pressures during anaphylactic shock - correct answers ✅increased CO/CI, decreased everything else when should PAWP readings be taken - correct answers ✅at the end of exhalation if a swan ganz catheter is in the right place, the two pressures that can be continuously monitored are - correct answers ✅CVP and PA (central venous and pulmonary artery) what should you do if the IABP console shuts down during transport? - correct answers ✅inflate balloon with air every 3- 5 minutes. this prevents formation of clots most deadly IABP timing error - correct answers ✅late deflation what does late deflation look like? - correct answers ✅diastolic notch higher than unassisted, waveform has widened appearance
signs that IABP balloon has migrated? - correct answers ✅decreased urinary output and decreased pulse to left hand what does early inflation of IABP look like? - correct answers ✅weak/loss of dicrotic notch what does early deflation of IABP waveform look like - correct answers ✅"cliff" shape what does late inflation of IABP waveform look like - correct answers ✅a W shape, widened do you have to manually purge the IABP at altitude? - correct answers ✅no for a patient in A-fib what is the best trigger for the IABP? - correct answers ✅pressure mode
hyperglycemia in brain injuries - correct answers ✅makes it worse hyponatremia in brain injuries - correct answers ✅associated with brain edema subdural hematoma CT presentation - correct answers ✅looks like a crescent moon epidural hematoma CT presentation - correct answers ✅lens shape central cord syndrome - correct answers ✅upper extremity weakness that is greater than lower extremeties anterior cord syndrome - correct answers ✅ most common cause of encephalitis - correct answers ✅Herpes simplex 1
status epilepticus is characterized by - correct answers ✅one seizure lasting longer than 5 minutes or recurrent seizures longer than 30 minuets scorpion treatment - correct answers ✅atropine and diazepam if you dont have anascorp crofab, what is it and dose - correct answers ✅snake antivenom. give 4-6 vials initially and maintenance 2 vials q (3 rounds) for 18 hours following treatment for acetaminophin OD - correct answers ✅mucamyst (N-acetylcystine) treatment of ethylene glycol toxicity - correct answers ✅fomepizole (antizol) what happens with phenergan when you administer and they have an upward gaze - correct answers ✅this is a dystonic reaction. give benadryl
Newton's second law - correct answers ✅Mass(force)=acceleration Newton's first law - correct answers ✅an item in motion will remain in motion unless acted on by an outside force Newton's third law - correct answers ✅for every action there is an equal and opposite reaction what is the most important predictor in GSW damage? - correct answers ✅velocity kehrs sign is a sign of a - correct answers ✅splenic rupture chance fracture - correct answers ✅T12-L1. caused by rear impact C2 fracture - correct answers ✅hangmans fracture
C1 fracture - correct answers ✅jeffersons fracture collee fracture - correct answers ✅bilateral distal radial fractures from catching yourself while falling most commonly injured hollow organ in abdominal trauma - correct answers ✅small intestine what is the most dangerous pelvic fracture - correct answers ✅vertical shear Le Forte I - correct answers ✅horizontal across maxilla Le Forte II - correct answers ✅bridge of nose and around mouth, usually from downward blow to nose Lefort III - correct answers ✅craniofacial dissociation for femoral vein cannulation, is artery or vein more lateral? - correct answers ✅artery is more lateral, vein is medial
partial thromboplastin time - correct answers ✅21-35 sec INR levels - correct answers ✅0.9 - 1. calcium levels - correct answers ✅8.8-10. anion gap - correct answers ✅12 +- 4 RBC count - correct answers ✅5 million/mL osmolality # - correct answers ✅275 - 295 what is proper ET placement? - correct answers ✅2-3 cm above carina, level of T2-T4, 1 inch above carina what is anectine - correct answers ✅succinylcholine target for ET cuff pressure - correct answers ✅20-
what is LOAD - correct answers ✅pneumonic for pre RSI meds. Lidocaine, opiates, atropine, defasciculation dose 7Ps of RSI - correct answers ✅preparation, preoxygenate, pretreatment, paralysis, protect and position, placement, post intubation pneumonic for pressure alarms - correct answers ✅DOPE normal tidal volume - correct answers ✅4-8 ml/Kg normal minute ventilation volume - correct answers ✅4-8 lpm VE symbolizes - correct answers ✅ventilation volume what is important to monitor when using pressure control mode on a ventilator? - correct answers ✅VTE (expired tidal volumes)
beta blockers in cocaine ovrdose - correct answers ✅CCP doesnt want you to give it, can cause unopposed alpha adrenergic activity some anticholinergic drugs - correct answers ✅atropine, dramamine, benadryl, anything that ends in -ine anticholinergic antidote - correct answers ✅physostigmine mothers plasma increases by ___% during pregnancy - correct answers ✅40% late decelerations cause - correct answers ✅uteroplacental insuffiency/pre eclampsia variable decelerations cause - correct answers ✅cord compression - nuchal cord or prolapsed cord tocolytic - correct answers ✅drugs that stop labor
what drugs are tocolytics - correct answers ✅mag and terbutaline normal fetal heart rate variability - correct answers ✅15- antidote for mag toxicity - correct answers ✅calcium HELLP syndrome - correct answers ✅in pregnancy. Hemolysis, Elevated Liver enzymes, Low Platelets. has jaundice and RUQ pain treatment for HELLP - correct answers ✅steroids to stimulate fetal lung maturity how to suction neonate - correct answers ✅mouth before nose most common cause of neonatal sepsis - correct answers ✅group B strep