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FP-C Examination Review
FP-C Examination Review
Editors’ note: These questions are provided to help personnel preparing to take the certified flight paramedic examination. For more information, contact the National Flight Paramedics Association at (800) 381-NFPA or [email protected].
1. Newton’s first law of motion states: A. A body at rest tends to remain at rest, and a body in motion tends to remain in motion until acted on by an outside force. B. When a force is applied to a body, the body accelerates, and the acceleration is directly proportional to the force applied and inversely proportional to the mass of the body. C. For every action, there is an equal and opposite reaction. D. Energy is neither created nor destroyed; it is merely transferred. 2. Tensile forces are the result of stretching forces on body tissues. The flight paramedic knows to assess the patient for resulting injuries, such as: A. Compartment syndrome B. Splenic rupture C. Aortic tear D. Pneumothorax 3. You are called to a rural facility for a 56-year-old man who was found unconscious in a local river. The patient has lacerations to the head and upper extremities. The sending facility has placed an ET tube and has sedated and paralyzed the patient. The patient has a pulmonary artery catheter showing a CVP-2, PA pressures of 16/9, a cardiac output of 3.2L/min, and an SVR of 426. Based on this profile, you expect the patient to be experiencing: A. Cardiogenic shock B. ARDS C. Hypovolemic shock D. Neurogenic shock This scenario pertains to questions 4 and 5. The flight paramedic is called to transport a 26-year-old gravida 2 para 1. This 38-week pregnant patient was involved in a low impact MVA. This patient presents with a heart rate of 100, a BP of 125/66, and respirations of 24. 4. The flight paramedic remembers that the pregnant patient in her third trimester has: A. Increased RBCs, resulting in an increased hematocrit B. Increased serum plasma, resulting in a dilutional anemia C. Increased serum plasma and hematocrit D. Decreased clotting factors, resulting in DIC 5. Upon placing this patient on a fetal monitor for transport, the flight paramedic notes hypertonic contractions on the tocometer, late decelerations on the fetal monitor, followed by a sinusoidal pattern. The flight paramedic suspects what condition? A. Chorionitis B. Placental abruption C. Uterine rupture D. Oligohydramnios Answers on page 17
September-October 2003
15
FP-C Examination Review Answers 1. A. A body at rest tends to remain at rest, and a body in motion tends to remain in motion until acted on by an outside force. Newton’s first law of motion states unless it is acted on by a force, a body at rest will remain at rest, and a body in motion will move at a constant speed in a straight line. (Air & Surface Patient Transport: Principles & Practice, p. 56) 2. C. Aortic tear Tensile forces cause body tissues to stretch, causing such injuries as bony fractures and aortic tears. (Air & Surface Patient Transport: Principles & Practice, p. 241) 3. D. Neurogenic shock This patient is presenting with low CVP, pulmonary artery pressures, cardiac output, and systemic vascular resistance. A patient in neurogenic shock loses sympathetic stimulation below the level of injury, thus inhibiting vasoconstriction and resulting in hypotension or low filling pressures. (Critical Care Nursing: Diagnosis and Management) 4. B. Increased serum plasma, resulting in a dilutional anemia Pregnant patients experience a 20% increase in red blood cells; however, plasma volume increases by 45%-50%, causing a dilutional anemia. (Critical Care Nursing: Diagnosis and Management) 5. B. Placental abruption Patterns of placental abruption include hypertonic or titanic contractions, distressed fetal response, and sinusoidal patterns on the fetal monitor. In addition, pregnant patients in their third trimester are predisposed to placental abruption, even in low impact collisions. (Air & Surface Patient Transport: Principles & Practice, p. 533, 547) Copyright 2003 by Air Medical Journal Associates 1067-991X/2003/$30.00 + 0 doi:10.1067/mmj.2003.63
September-October 2003
17
Editors’ note: These questions are provided to help personnel preparing to take the certified flight paramedic examination. For more information, contact the National Flight Paramedics Association at (800) 381-NFPA or [email protected].
1. Newton’s first law of motion states: A. A body at rest tends to remain at rest, and a body in motion tends to remain in motion until acted on by an outside force. B. When a force is applied to a body, the body accelerates, and the acceleration is directly proportional to the force applied and inversely proportional to the mass of the body. C. For every action, there is an equal and opposite reaction. D. Energy is neither created nor destroyed; it is merely transferred. 2. Tensile forces are the result of stretching forces on body tissues. The flight paramedic knows to assess the patient for resulting injuries, such as: A. Compartment syndrome B. Splenic rupture C. Aortic tear D. Pneumothorax 3. You are called to a rural facility for a 56-year-old man who was found unconscious in a local river. The patient has lacerations to the head and upper extremities. The sending facility has placed an ET tube and has sedated and paralyzed the patient. The patient has a pulmonary artery catheter showing a CVP-2, PA pressures of 16/9, a cardiac output of 3.2L/min, and an SVR of 426. Based on this profile, you expect the patient to be experiencing: A. Cardiogenic shock B. ARDS C. Hypovolemic shock D. Neurogenic shock This scenario pertains to questions 4 and 5. The flight paramedic is called to transport a 26-year-old gravida 2 para 1. This 38-week pregnant patient was involved in a low impact MVA. This patient presents with a heart rate of 100, a BP of 125/66, and respirations of 24. 4. The flight paramedic remembers that the pregnant patient in her third trimester has: A. Increased RBCs, resulting in an increased hematocrit B. Increased serum plasma, resulting in a dilutional anemia C. Increased serum plasma and hematocrit D. Decreased clotting factors, resulting in DIC 5. Upon placing this patient on a fetal monitor for transport, the flight paramedic notes hypertonic contractions on the tocometer, late decelerations on the fetal monitor, followed by a sinusoidal pattern. The flight paramedic suspects what condition? A. Chorionitis B. Placental abruption C. Uterine rupture D. Oligohydramnios Answers on page 17
September-October 2003
15
FP-C Examination Review Answers 1. A. A body at rest tends to remain at rest, and a body in motion tends to remain in motion until acted on by an outside force. Newton’s first law of motion states unless it is acted on by a force, a body at rest will remain at rest, and a body in motion will move at a constant speed in a straight line. (Air & Surface Patient Transport: Principles & Practice, p. 56) 2. C. Aortic tear Tensile forces cause body tissues to stretch, causing such injuries as bony fractures and aortic tears. (Air & Surface Patient Transport: Principles & Practice, p. 241) 3. D. Neurogenic shock This patient is presenting with low CVP, pulmonary artery pressures, cardiac output, and systemic vascular resistance. A patient in neurogenic shock loses sympathetic stimulation below the level of injury, thus inhibiting vasoconstriction and resulting in hypotension or low filling pressures. (Critical Care Nursing: Diagnosis and Management) 4. B. Increased serum plasma, resulting in a dilutional anemia Pregnant patients experience a 20% increase in red blood cells; however, plasma volume increases by 45%-50%, causing a dilutional anemia. (Critical Care Nursing: Diagnosis and Management) 5. B. Placental abruption Patterns of placental abruption include hypertonic or titanic contractions, distressed fetal response, and sinusoidal patterns on the fetal monitor. In addition, pregnant patients in their third trimester are predisposed to placental abruption, even in low impact collisions. (Air & Surface Patient Transport: Principles & Practice, p. 533, 547) Copyright 2003 by Air Medical Journal Associates 1067-991X/2003/$30.00 + 0 doi:10.1067/mmj.2003.63
September-October 2003
17