Download 2013_Medic_PreTest

2013 Integrity Ambulance Standing Orders
Paramedic Pretest
Note: The pretest is not inclusive of the questions and content of the post test. You as the
provider are responsible for all material contained within the appropriate Standing Orders
Training Manual.
Name:
Date:
1. Describe the use of lidocaine 10% and lidocaine jelly during intubation:
2. You’re transporting a 20 year old patient from a Chinese Restaurant in severe respiratory
distress from anaphylaxis from a peanut allergy. He has altered mental status and is
hypotensive after appropriate fluid administration. In your drug bag you have Benadryl
50mg, Epinephrine (1:10,000) and Epinephrine (1:1000). What drug, route and dosage is
the primary administration for this case?
3. You’re transporting a 3 y.o. patient with asthma in severe respiratory distress. The
Broselow tape shows him to approximate at 28 lbs. You access the drug bag for
epinephrine (1:1000) 30ml/30mg. How much epi will you administer?
4. List the H’s and T’s of Trauma/Cardiac Arrest and the possible ways to manage in the
prehospital environment.
5. When you arrive on scene for a cardiac arrest, this is a “load and go” operation. You
should immediately move the patient to the truck and initiate transport.
True _____
False _____
6. Under 48 hours after incident, ALL trauma patients shall have ______________ placed as a
minimum.
7. While performing _____________ neck rotation/movement, if the patient experiences
pain in the cervical region, the patient shall have a _________ placed. If pain is
below _____________, the patient shall be ____________________.
8. Regardless of timing, a patient ______ years old shall be fully immobilized if they remain
_________ or were placed into bed immediately after the fall and not moved further.
9. The definition of a distracting injury is one that:
10. Describe recommendations for the use of tourniquets in hemorrhage control:
11. For non-life threatening situations who require IVs, only ____ attempts should be made in
the field, additional attempts shall be performed while en route.
12. When orders are received from a hospital ED/ER, you must get orders from the
___________ and document his/her name in the ____________ box on the EMS report.
13. Patients with difficulty breathing, irregular pulse, chest pain or ____________ shall be
placed on a monitor and a copy of the _____ must be attached to the EMS report. (Not
applicable if patient has an active DNR-CC)
14. For trauma patients, scene time should be limited to _______ minutes or less.
15. Which treatments are permitted for a patient with a DNR-CC?
a. Oxygen, Morphine, Monitor, Fracture Stabilization
b. C-PAP, Morphine, Nasal Trumpet
c. Bag-assisted breathing, Bleeding Control, Deep Suctioning
d. High-flow O2, NTG, Lasix, Morphine
16. Which device can Paramedics NOT access?
a. PICC Line
b. Central Line
c. Fistula
d. Graft
e. Sub-Q Port
17.
Paramedics can only access these sites when a patient is _______________. They may
also access when the patient is _____________________.
18.
During access of these sites, a __________ technique should be used. This is
accomplished by cleaning the site with Betadine _____ times.
19.
Atropine for bradycardia should be administered in ______mg doses, up to a max of
_____mg.
20.
You MUST finish all NTG doses for chest pain patients prior to administering morphine.
True _____
False _____
21.
By administering Furosemide to a patient with pneumonia, you can likely push the patient
into _____________ shock due to their borderline dehydration.
22.
When considering the intubation of an allergic reaction/anaphylaxis patient, the paramedic
should use an ETT that is ___________ than normal.
23.
You can administer oral glucose to an unresponsive patient.
True _____
False _____
But, you have to:
24.
You should transport all infants _________ with a history or temperature of >100.4 F.
25.
Describe the unassisted neck movements to evaluate c-spine injury after clearing patients
with the Selective Spinal Immobilization checksheet:
26.
The decision to implement or not to implement spinal immobilization is the sole
responsibility of ________________.
27.
You are called to the ECF for a 62 year old female that was found on the floor by nursing
staff after lunch today. She was placed into her wheelchair and placed next to the nurse’s
station for observation. She has not had any mental changes, but would like to be seen at
the hospital to “check out her new hip implant to make sure it’s okay.” (After all, she did
pay a lot of money for it.) You must:
a.
b.
c.
d.
28.
Complete SSI form, fully immobilize and transport
Complete SSI form, apply c-collar and transport
Complete SSI form, evaluate c-spine pain by moving patient’s head, transport
Complete SSI form, evaluate c-spine with unassisted movements, transport
You are called back to the ECF for this same patient four days later. She now complains
that her neck hurts just a little. When she was at the ER, they released her without any
definitive findings. The nurse states that she was “bruised so bad the x-rays were
inconclusive.” You complete the SSI form without exclusions, control c-spine, palpate
spinal column without pain and ask the patient to perform unassisted neck movements.
During movement she states she has pain “between her shoulder blades.” You must:
a.
b.
c.
d.
Complete SSI form, fully immobilize and transport
Complete SSI form, apply c-collar and transport
Complete SSI form, evaluate c-spine pain by moving patient’s head, transport
Complete SSI form, evaluate c-spine with unassisted movements, transport
29.
In the abbreviation of “PERRLA” related to eye exams, Accommodation means:
30.
The phone number for “Life Connection of Ohio” is _______________________.
31.
The _____ is the primary airway device for pediatrics, except in extreme cases.
32.
A patient with pulmonary arterial hypertension (PAH) may have been on the drug
________ or is now on Flolan. This patient would require extreme caution for the
administration of NTG.
33.
You should not administer narcotic analgesia if there is any suspicion of ____________.
34.
Having a patient rise from lying to standing and assessing their vitals is called_______
_________ _________. If there is a ____ - _____mmHg of decrease in BP or a pulse
increase of ____ - _____ beats per minute, the patient is considered to be volume
depleted.
35.
List the five disorders than can mimick a stroke:
a.
b.
c.
d.
e.
36.
List one of the exceptions to transportation guidelines of trauma victims:
37.
For inhalation burns, the paramedic may consider 3ml of saline ____________.
38.
Paramedics should elevate the head of the patient to at least _____o when major eye
trauma has occurred.
39.
Define “buccolingual crisis.”
40.
Define the following:
O–
P–
Q–
R–
S–
T–
41.
Combative patients may be restrained chemically with the following medications. Denote
the dose for each route.
Versed - ___ mg IV
Versed - ___ mg IM
Versed - ___ mg IN
Valium - ___ mg IV
42.
Selective Spinal Immobilization is not to be used for patients under ____ years old.
43.
List the 6 Rights of Drug Administration:
44.
Connect the following medication trade names and generic names:
45.
Midazolam
Proventil
Adenocard
Valium
Albuterol
Benadryl
Diazepam
Lasix
Ipratropium
Adenosine
Diphenhydramine
Versed
Furosemide
Atrovent
For the renal dialysis patient in asystole or PEA arrest, administration of ______mg of
Calcium Chloride 10% and _____mEq of Sodium Bicarb.