CFRN test questions

Contraindications to autotransfusion – bowel contents

Enter scene and you feel tingling/numbness. What do you do? Can’t remember if they mentioned down power lines. Choices were similar to these - Stop where you are - Call for help and wait - Quickly retreat (definite choice on test) Hop on one foot to safe area (definite choice on test)
Fractured larnynx Fremitus Changing vocal tones

Which is the worse eye injury Flash (arc burn) Acid Alkali
Decompression sickness – joint pain, how do you transport – lowest altitude
Stagnant Hypoxia - patient has stagnant hypoxia and is a vent-dependent patient; what treatment is approx (can’t remember is decompensating or just a treatment that will improve the condition) Choices included: increasing PEEP, decreasing SVR

Snake bites – removing jewelry
Also one about what you do before treatment 4 hrs later with slight redness and swelling: Choices included: give antivenom, immobilize extremity

Dig toxic: patient in AVB 2, type II; which do you use for treatment? Atropine of transcutaneous pacemaker. Can’t remember is patient was stable or unstable

Change patient from transport pacemaker to facility pacer and don’t get capture. What do you do? CPR or place back on transport pacer.

TCA OD. Patient received gastric lavage. Pt in ST with QRS 0.12
Answers include: treatment is working Expect cardiac abnormalities

Suspect pneumo. Put in chest tube; air leak still present. Choices include Ruptured diaphragm Bronchial rupture or tear

Aortic rupture would give what type of presentation

Aorta is most often sheared from (or point of attachment)

Tracheobronchial disruption Mediastinal emphysema; crunching sound with inspiration

DIC – give FFP
Shock with decrease perfusion to vital organs; which do you see first? Incr HR Decr BP Decr urinary output

With Ca channel blockers what won’t you see: choices included Incr QT interval Decr QT interval

Increase in potassium; what will you give: choices included give Insulin Cal gluconate
Mechanism of action of IIb/IIIa

Sepsis – will see coag defects
With 15 u of blood what will you see – Prolonged QT interval – give Ca

Questions about crashes – find shelter as first priority
Near drowning – hypoxia to respiratory system and: neuro system

DIC – give oxygen to prevent hypoxia and: choices Facilitate platelet regeneration Prevent RBC lysis Prevent hypoxia to thrombotic tissue

Elements of negligence Presence of duty Breach of duty Foreseeability Causation * this was one of the answer along with three other choices

19 y/o male to be transported for emergency surgery; Pt refuses, parents want him transported. Explain to parents: Patient minor – parent’s wished will be adhered to Patient injured – implied consent If team transports patient as parents wish, team would be involved in battery

Hydralazine for HTN in preg patient
PIH – classic signs

Late variables – what does it mean, how do you treat
S/S of mag toxicity
Fetal bradycardia – causes and treatment
Pediatric ACLS including atropine doses, min dose; joules for cardioversion and defib; tx of SVT with adenosis – doses
Bronchiolitis questions
Epiglottitis questions

Fractured femur ; watch for: occult blood was one choice

Mannitol – several questions: uses, doses
Incr ICP questions
Unilateral papillary dilation – what does it mean
Neurogenic shock – HR, BP
Know 3rd CN – what compression of it means

Epidural bleeds – can be acute and subacute; ipsilateral dilated pupil

Subdural hematomas: where is the location of the bleed

Why do you ventilate a patient with incr ICP - increase cerebral blood flow - decrease cerebral blood flow - increase cerebral perfusion pressure

Question on PPHN

Treatment of an unresponsive homeless person; one choice was respiratory isolation

Which of the following children with bronchiolitis needs to be hospitalized - hyperinflated lungs - < 3 mths of age

Hyperthermic patient: rapid cooling

Lots of questions on rhabdo: dark colored urine; treatment

Decompression Sickness: anthralgia, transport at lowest altitude or at sea level
If time is not a factor, transport by ground

Disaster – overwhelm resources
Incident commander – what does he do

Most important to survival; choices were - two-way radio - flares - smoke - signal mirrors

Active rewarming includes humidified oxygen

Crash in cold weather to minimize heat loss: one choice was Breath in cold air through layers of clothing

Tylenol OD: restrain patient or give sedation
Chemical explosion with victims: No Hazmat on scene; what to do: choices Evacuate patients Wait for Hazmat to evacuate patients

Ammonia hydrous incident – where do you park

Patient being transported, C/O chest pain, develops increasing SOB: Info given: BP 80/60 HR 116 SVR 1600 PCWO 20 CO 3 L/min
Do you have a congestive heart failure or a ruptured papillary muscle?

You have a closed head injury patient. What do you assess first? Cervical immobilization and neurological signs Respiratory and cardiovascular status Vital signs and LOC

Pulsus paradoxis – what does it mean?
Where does an aortic tear most likely to occur? L. arteriosus Need to look it up
CXR shows C1-C7 – is that enough to remove immobilization from c-spine

HHNK – think polyuria and dehydration
C/I for fibrinolytics all except: Postpartum 3 weeks Chest pain x 12 hrs Chest pain in diabetic patient Chest pain post knee surgery 4 weeks

Fractures x2 in pelvic ring – you treatment
JVD, decreased BP, widened mediastinum: choices included Cardiac tamponade Aortic rupture Pneumothorax

Leg amputated – direct pressure doesn’t work. Which next: Tourniquet Distal pulse pressure Proximal artery pressure

Long transport of patient with epiglotittis: choices included Administer antibiotics Administer bronchodilator

Shoulder pain after accident: choices included Visceral injury Unlnar nerve injury Spinal cord injury

Blunt abdominal trauma occurred. Physician suspects gastric injury: Choices: Abdominal pain and hematemesis Increased lipase Increased amylase Tenderness and blood in stool

Esophageal varices given vasopressin. What would you expect? Hypertension Tachycardia

Early bowel obstruction choices included Absent bowel sounds Hyperactive bowel sounds Faint bowel sounds No change (not sure if an answer in test)

Burned extremity; did a medial escharotomy. Pain c/o increased pain, decr sensation, no pulse. Choices included: Cut to digits Lateral escharotomy Pain meds