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Flight Bridge Test Flashcards

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1
Q

What is malignant hyperthermia a result of?

A

Massive release of calcium

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2
Q

Systemic inflammatory response syndrome – SIRS can lean to multi organ dysfunction. Which organ is involved first?

A

Lungs

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3
Q

Patient with brief floss of consciousness after a fall now with the GCS of 14 slightly hypotensive what is the diagnosis?

A

Neurogenic shock

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4
Q

Patient ingested ate peach pits. What type of ingestion is it?

A

Cyanide toxicity

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5
Q

While ventilating DKA’s?

A

Lower title, volume, higher respiratory rate

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6
Q

What is a sign of deterioration in a DKA?

A

Deep tendon reflexes decreasing from +2 to +1

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7
Q

A spinal cord injury after diving accident, no lower extremity movement they can flex their arms. Where is the fracture?

A

C7

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8
Q

Patient experiencing repetitive motion of a bicycling type action with lipsmacking is presenting with what type of seizure?

A

Subtle

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9
Q

Sudden cardiac arrest with widen QRS complex after intubating with sucks. What condition do you expect?

A

Hyperkalemic crisis

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10
Q

What is the purpose of a trachea hook during a surgical cricothyroidotomy?

A

To stabilize the trachea interiorly

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11
Q

What is the correct site for needle, decompression and attention pneumothorax?

A

Second intercostal space, midclavicular, superiorly

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12
Q

Increase in PIP but PLAT stays the same?

A

Upper airway involvement

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13
Q

Excess hydrogen ions

A

Acidosis

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14
Q

Black and blue eccymosis around umbilicus?

A

Cullen’s sign

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15
Q

Progression of rewarming

A

Passive external, active external, active internal rewarming

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16
Q

Dopamine alpha – adrenergic effects are related to?

A

Coronary vasoconstriction

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17
Q

Fluids in an already dehydrated patient will cause increase serum level levels of what?

A

Sodium

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18
Q

Myoglobinuria will cause what?

A

Acute tubular necrosis

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19
Q

What is the primary treatment and reversing malignant hyperthermia?

A

Dantrolene

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20
Q

A skull fracture with multiple fractures that radiate from a compressed area?

A

Stellate fracture

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21
Q

What altitude does the most significant change in atmospheric pressure occur?

A

15,000 feet to 20,000 feet

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22
Q

What is the new emergency transmit frequency that utilizes 800 MHZ technology and tracking?

A

406

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23
Q

Central cord syndrome?

A

Upper extremity weakness, but not lower

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24
Q

What will aortic disruption show on an x-ray?

A

Widened mediastinum, apical cap, displaced trachea

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25
What lab value is best utilized when evaluating the patients GFR?
Urine, creatinine clearance
26
Deadspace defined as?
33% volume 1ml/pound
27
What indicates a neonate is in distress?
Hiccuping or sneezing
28
FAA regulates a program can only fly?
VFR in VMC conditions
29
Orbital wall and floor fracture are associated with what?
Entrapment of extra ocular muscles
30
Patient exposed to a substance inhibiting ATP production by blocking the electron transport chain and mitochondria. What antidote management with best suit the patient?
Sodium nitrite, amyl nitrite and sodium thiosulfate
31
What is a complication of a pelvic fracture?
Retroperitoneal hemorrhage
32
What vertebrae are damaged in paralysis from the nipple line down?
T4
33
What is the minimum urine output expected for a patient with Radom myosis ?
1-2ml/kg
34
What causes the high vascular resistance in the fetal lung?
Pulmonary arterial vasoconstriction
35
Which medication causes a decrease in PVR?
Nitroprusside
36
37
What is the cause of the patient’s blood sugar decreasing during a rotor wing flight?
Vibration
38
COBR a requires?
Referring hospital, assume liability for adequacy of stabilization before transfer
39
The dicrotic notch on the PA waveform is refective of what?
Pulmonic valve closure
40
Sudden decompensation after going home. Preductal SPO2 is 90 lower extremity is 70 no femoral pulses?
Left outflow obstruction defect
41
Phenylephrine
Drug with alpha effects and treats neurogenic and septic shock
42
Spinal cord injuries that caused respiratory and diaphragmatic paralysis will be at what level?
Above C3
43
Dopamine’s alpha affects are related to?
Coronary vasoconstriction
44
What is the leading cause of neonatal sepsis?
Group B strep
45
What is the drug of choice for treating seizures?
Ativan
46
When monitoring invasive ICPs, where should your transducer be?
Foramen of Monroe
47
Why does a patient experience cellular hypoxia after a massive transfusion with PRBCs?
Decrease levels of two, three – DPG
48
Left access deviation on an EKG indicates?
Left ventricular hypertrophy
49
High vascular resistance in the fetal lung is due to what?
Pulmonary arterial vasa restriction
50
Large V wave on PCWP wave form?
Mitral valve regurgitation
51
If the pulmonary artery diastolic pressure is more than five above the PCWP, what does that mean?
Pulmonary hypertension
52
Which is associated with a poor prognosis and a patient with a RDS?
Significantly high lactate
53
Cushing’s triad consist of what three things?
Increase systolic blood pressure, Brady, Cardia, and change respiratory status
54
What type of shock suggest an increase in Venus O2 sat saturation in a decrease in oxygen consumption in pH?
Septic shock
55
What is the most common predictor of sepsis in a neonate?
Neutropenia
56
What is the first sign of CHF in a neonate?
Tachycardia greater than 140, could also be tachypnea
57
A neonate with severe asphyxia, what causes poor perfusion and modeling in the neonate?
Cardiogenic shock
58
Which position is optimal to transport infant with neural defects?
Prone – kneeling position
59
Increase intrathoracic pressure secondary to overzealous bagging contributes to?
A reduction in cardiac output
60
Increasing altitude and a pressurized aircraft predisposes the patient too?
Dehydration
61
Upon ROSC, it’s recommended the OXY hemoglobin saturation B?
Targeted for less than 100% but at least 94%
62
What indicates you need to decrease amiodarone for white complex VTEC?
Prolonged QT interval
63
In opioid poisoning, what does naloxone reverse?
Apnea
64
In a tricyclic, antidepressant overdose what drug achieves, rapid stabilization of hemodynamic and stability?
Sodium bicarb 
65
What is a resolution for Peaked T waves in a potassium of 8.7
Hemodialysis
66
What is the correct precaution to use in a patient with meningitis?
Droplet
67
What anabiotic do you give for gram-negative cocci or meningitis?
Rocephin
68
Treatment for bacterial meningitis due to neisseri meningitides?
Penicillin
69
What antibiotic is used to treat amoebic meningoencephalitis?
Amp B
70
What is the treatment for cardiac tamponade after a pericardiocentesis?
IV fluid bolus, and dobutamine
71
What can cause increase heart rate temperature in ET CO2 and rigidity in limbs?
Malignant hyperthermia – common and muscular dystrophy patients
72
If you see REYE’s syndrome Tinnitus Tachypnea, resp alkalosis and metabolic acidosis
Think aspirin OD Treat with gastric lavage, charcoal and bicarb. Worse case hemo-dialysis
73
What is the reversal agent for benzodiazepines?
Romazicon
74
What medication do you give for cardiogenic shock?
Dobutamine
75
What is not affected by propofol?
Analgesia
76
Which benzo is preferred impatience with liver failure?
Lorazepam
77
Dopamine is contraindicated and what type of shock
Septic shock
78
What alarming side effects can be seen with dexmedetomine?
Hypotension and bradycardia
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