SNHD Protocol Test Review Exam Questions with 100% Correct Answers 2024, Exams of Clinical Medicine

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SNHD Protocol Test Review Exam Questions with 100% Correct Answers 2024.  If the ability to adequately ventilate the patient cannot be established, the patient must be... - Correct answer transported to the nearest emergency department  Sexual assault victims under 13 should be transported to... - Correct answer sunrise  Sexual assault victims 13 to 18 should be transported to... - Correct answer sunrise or UMC  Sexual assault victims over 18 should be transported to... - Correct answer UMC  BVM is acceptable method of ventilation and managing air way if the pulse oximetry can be maintained at... - Correct answer greater than or equal to 90%  Neuro disorders or signs of hypo perfusion/shock in the presence of abdominal pain my indicate... - Correct answer an aneurysm  After each fluid bolus... - Correct answer repeat vital signs  In patients with abdominal/flank pain, nausea and vomiting, older than 35 years old... - Correct answer consider cardiac origin and consider a 12 lead  Nitroglycerin is contraindicated in in any patient with... - Correct answer hypotension, bradycardia, tachycardia in the absence of heart failure and evidence of a right ventricular infarction  Perform a 12 lead on all patients 35 years old experiencing... (suspected acute coronary syndrome) - Correct answer vague jaw/chest/abdominal discomfort  Always perform ___________ when administering Epi. - Correct answer ECG monitoring  For patients with altered mentation/syncope give oral glucose for a blood sugar value... - Correct answer less than 60  Dystonic reaction - Correct answer involuntary muscle movements or spasms typically of the face, neck and upper extremities, typically adverse reaction to drug like haloperidol?  S.  A. SNHD Protocol Test Review Exam Questions with 100% Correct Answers 2024.  F.  E.  R. - Correct answer Stabilize the situation  Assess and acknowledge the crisis  Facilitate the id and activation of resources  Encourage the patient to use resources and take action is his best interest  Bradycardia causing symptoms is typically... - Correct answer less than 50 a minute  A common cause of bradycardia is... - Correct answer hypoxemia  Cover a burned area only with... - Correct answer dry sterile dressing  Adult burn patients should be transported to... - Correct answer UMC trauma center  Burn patients are prone to... - Correct answer hypothermia  What kind of burns must be transported to UMC burn center? - Correct answer 1. second/third degree adult >20%  2. second/third degree cover >10% in patients under 10 or over 50  3. burns to face hands feet genitals perineum or joints  4. electrical or chemical burns  5. circumferential burns  6. inhalation injury  Parkland formula for fluid replacement - Correct answer 4 ml x weight in kg x %BSA burned=total fluids for 24 hrs (1/2 for first 8 hrs, rest over next 16 hrs)  What times do you record an APGAR score? - Correct answer at one and five minutes after birth  APGAR of 7-10 is... - Correct answer normal  APGAR of 4-7 requires... - Correct answer resucitative measures  How is apgar scored? - Correct answer 0,1,2  0 being absent  1 being flexion, pulse below 100, grimace, normal skin except extremities, and slow irregular respirations  2 being active move, pulse over 100, sneeze/cough/pull away, normal skin, crying/good respirations SNHD Protocol Test Review Exam Questions with 100% Correct Answers 2024.  What must you document during labor - Correct answer delivery, contraction, duration, and frequency  Do not use Activated Charcoal if... - Correct answer AMS, hydrocarbon or heavy metal ingesion  Estimated Min Systolic BP calculation applies up to age... - Correct answer 10  Estimated minimum Systolic BP calculation - Correct answer (age in years x 2) +70  The most common tachyarrythmia in children is... - Correct answer sinus  An intubation attempt is defined as... - Correct answer passing the laryngoscope blade or endotracheal tube past the teeth or inserted into the nasal passage  Telemetry shall be established: - Correct answer 1. all code 3 transports  2. med emergency when ems thinks necessary  3. trauma patients going to a trauma center  4. telemetry requred per protocol  Pediatric patients shall be transported to one of the following facilities: - Correct answer 1. St Rose-Siena  2. Summerlin  3. Sunrise  4. UMC  Intoxicated persons who have no emergent need should be transported to an alcohol and drugs abuse facility rather than a hospitals emergency center if the patient meets all of the following criteria: - Correct answer A. Patient able to stand with minimal assistance of one or two people  B. Normal vitals, GCS >_14, SPO2 >94 or 90 for smoker, approval of physician  Resuscitation started in the field may be discontinued only by physician order for MEDICAL ARREST if: - Correct answer Patient remains in persistent asystole or atonal rhythm and has capnography les than 10 after 20 min of appropriate resuscitation to include:  CPR 2. Effective ventilation with 100%oxygenation 3. Admin on appropriate ACLS meds  Resuscitation started in the field may be discontinued only by physician order for TRAUMATIC ARREST if: - Correct answer !. Open airway with basic life support measures 2. provide effective ventil 100% for 2 min 3. provide bilateral needle thoracentesis if tension pneumo suspected SNHD Protocol Test Review Exam Questions with 100% Correct Answers 2024.  When resuscitation has been terminated in the field... - Correct answer all medical interventions should be left in place  For sexual assault victims outside a 50 mile radius from UMC and sunrise, shall transport the patient to... - Correct answer the nearest appropriate facility  All patients in cardiac arrest or in whom the ability to adequately ventilate cannot be established should be transported... - Correct answer to the closest facility  Stable patients should be transported to... - Correct answer the hospital of their choice  If a hospital declares an internal disaster the facility is to be bypassed for all patients except... - Correct answer patients in cardiac arrest or in whom the ability to adequately ventilate is not established  Step 1 of Trauma Field Triage - Correct answer if GCS 13 or less, systolic under 90, or RR abnormal patient must be transported to a level 1 or 2 center for the treatment of trauma. pediatric patient must be transported to pediatric center  Step 2 Trauma Field Triage - Correct answer for patients with penetrating injuries to head neck torso, chest wall deformity, 2+ prox long bone fractures, f'ed up extremity, amputation prox to wrist or ankle, pelvis fracture, open/depressed skill fracture, and paralysis must go to level 1 or 2 center  Step 3 Trauma Field Triage - Correct answer Assess MOI: Adults higher than 20 ft, kids higher than 10 ft, 40 mph crash, intruding roof 12 in +, ejection, rollover w/ unrestrained, death of other passenger, motorcycle over 20 ft, bike hit at 20 mph go to level 1,2, or 3  All trauma calls that meet step 3 or 4 of triage and occur w/i Henderson or geographical area bordered by I-15 to the west and Sunset rd to the north are to be transported to... - Correct answer St. Rose Siena  All adult trauma calls/ pediatric step 3 trauma calls and occur w/in border of Paradise to the west, Sahara to the north, sunset rd to the south are to be transported to ... - Correct answer Sunrise  Adult trauma calls that meet step 1 or 2 of the trauma triage protocol and occur w/i the st rose siena area, city of henderson, or area bordered by paradise rd to the west continuing along that portion where is becomes maryland pkwy, sunset rd to the north, are to be transported to... - Correct answer Sunrise  All trauma calls that meet the Trauma triage criteria and occur w/i any other area of clark county are to be transported to... - Correct answer UMC SNHD Protocol Test Review Exam Questions with 100% Correct Answers 2024.  All pediatric step 1 and step 2 trauma calls that occur within Clark Country are to be transported to... - Correct answer UMC  Adult Trauma calls that meet step 1 or 2 of the trauma triage and occur in the geographical area bordered by paradise rd to the east, sunset rd to the north, I15 to the west are to be transported to... - Correct answer UMC  All trauma calls that are transported by air ambulance are transported to... - Correct answer UMC  Indications for c spine - Correct answer 1. midline cervical tenderness  focal neuro deficit  AMS  Drug/alcohol intoxication  Any painful, distracting injury  Contraindications for c spine - Correct answer 1. penetrating trauma to head or neck and no evidence of spinal injury  2. collar might compromise assessment, airway or hemorrhage control  3. patients in cardiac arrest SNHD Protocol Test Review Exam Questions with 100% Correct Answers 2024.