GRIFFIN NREMT NOTES

Question 1

Child bitten by ants, is vomiting and itching;

Answer 1

• EPI

Question 2

Pt with history of asthma, diff breather, outside work space, what meds should you be preparedto give? Pick 3

Answer 2

• EPI, ALBUTEROL, (can’t remember third, I remember it being an obvious one)

Question 3

Hyperglycemic pt-

Answer 3

• Hot and dry skin

Question 4

Your pt overdose on hydrocodone, pt is lethargic and nauseous. Vitals are stable.

Answer 4

• ADMINISTER NALOXONE, supportive care and transport

Question 5

What are the signs of pyloric stenosis in newborn?

Answer 5

• PROJECTILE VOMITING, difficulty feeding or diarrhea

Question 6

What infectious disease causing frequent uncontrollable bouts of coughing?

Answer 6

• PERTUSSIS, croup

Question 7

MOST Important INTIAL Treatment for MI, 92% SPO2

Answer 7

• O2, nitro, aspirin

Question 8

MOST Important Treatment for INFERIOR MI:

Answer 8

• TRANSPORT to CLOSEST Cardiac Facility (PCI Hospital)
• Aspirin
• Nitro.

PCI: Percutaneous CORONARY Intervention

Question 9

Vaginal bleeding after placental delivery is due to:

Answer 9

• UTERINE TONICITY, Pieces of the placenta left over in the uterus, loss of uterine clotting

Question 10

Are speech slurring and facial drooping more indicative of a hemorrhagic stroke? If so, selectwhich one is more indicative:

Answer 10

• Both are indicative, neither, facial drooping, slurred speech

Question 11

What is the purpose of communication with the BLS engine on scene?
Delegate Roles and Responsibilities
Designate team leader
Avoid adverse situation

Answer 11

DELEGATE ROLES AND RESPONSIBILITIES

Question 12

Your BLS engine is on scene, pt has severe abd pain, what would you instruct BLS firefighter todo first?

Palpate abdomen,
vitals,
get pt history,
ask for medication list

Answer 12

• Palpate abdomen,

Question 13

Pt with abdominal complaint, alert and oriented, vitals are stable, would either of these causeyou to cancel the responding BLS engine?

Neither,
LOC alone,
Vitals alone,
Both

Answer 13

NEITHER

Question 14

Which medication is prescribed for seizure?

Answer 14

• CARBAMAZEPINE

Question 15

Atropine eyes drops?

Answer 15

• Cause mydriasis, Anisocoria, meiosis

Question 16

Pt has crackles, htn, diff breather, not altered:

Answer 16

• CPAP AND NITRO

Question 17

Bell’s Palsy is generally NOT Below what level?
Eyes,
Clavicles,
Neck,
Navel

Answer 17

Eyes

ChatGPT: Bell’s Palsy Does Not extend below this level

Question 18

GCS: Pt does not open eyes to any stimuli, moves arm to block painful stimuli, and makes

Answer 18

• 8 (E1 V2 M5)

Question 19

IM Epi injection sites, pick 2:

Answer 19

• VASTUS LATERALIS, RECTUS FEMORIS, tricep, sartorius

Question 20

What Signs are INDICATIVE of Pericarditis?

Answer 20

• PULSUS PARADOXUS, Friction rub, others (no option for global ST elevation, or positional

Question 21

Female has seizures after marathon, bp 90/60, pt is postictal, what do you do?

Answer 21

• IV and fluids, cold cloth, ice bath, versed (potentially could have been cold rag, I chose IV

Question 22

A DECREASE in ETCO2 can be caused by:

Answer 22

• DECREASED CARDIAC OUTPUT, increased metabolic rate, hypercapnia, hypoventilation

Question 23

What is IMMEDIATE Action AFTER Achieving ROSC?

Answer 23

• ADMINISTER VASOPRESSORS TO MAINTAIN MAP, target temp management, 12 lead ekg

Question 24

What could cause a DECREASE in ETCO2 from 24 - 12mmHg During CPR, Maintains 12mmHg

Answer 24

• INEFFECTIVE CHEST COMPRESSIONS, dislodged ETT, ROSC, slow ventilations

Question 25

Most Prevalent Intracellular Cation?

Answer 25

• Potassium (I remember it by K+ has 2 letters IN has 2 letters, Na+ has 3 letters OUT has 3

Question 26

Standard of Care is Determined by:

Answer 26

• HOW A REASONABLE PARAMEDIC WOULD ACT, state guidelines, standing orders, ems

Question 27

Where is the “Lead II” Positive + Electrode located?

Answer 27

• Left Leg (LL)

Question 28

Where is it MOST ACCURATE to Palpate a Neonate’s Pulse?

Answer 28

• ?, brachial vein, carotid artery, umbilical cord (you can’t feel a pulse on the brachial vein,

Question 29

POSTERIOR STROKE MOST Specific Symptom?

Answer 29

• I went with Dizziness,

Question 30

Cystic Fibrosis (CF) is Caused By:

Answer 30

CF is NOT Contagious and NOT Caused By Lifestyle or Parenting.

Question 31

Destruction of Bone Marrow by Radiological Weapon causes what Anemia?

Answer 31

• APLASTIC, sickle cell, hemolytic, hemorrhagic

Question 32

Where is Mallory Weis tear?

Answer 32

• Esophagus

Question 33

Compression to Ventilation Ratio for Neonate:

Answer 33

• 3:1, 5:1, 30:2, 15:2

Question 34

LOSS of Feeling BELOW Umbilicus, which Level is Injury?

Answer 34

• C5, T10, L1, C6 • ANSWER = T10 (Look up Dermatomes)

Question 35

What Organs Rupturing can cause Peritonitis? Pick 2

Answer 35

• Gallbladder, Intestines, kidney, can’t remember others

Question 36

Fibrinolytic therapy vs Endovascular Thrombectomy, pt had onset of symptoms at 8:45, it is

Answer 36

• I chose ENDOVASCULAR (due to greater than 3 hour time to reperfusion therapy), other

Question 37

Drag and Drop the Drug to its Pharmacological Action:

Answer 37

• Metformin – Anti-HYPERGYCEMIC

Question 38

What do you Consider En-Route to call when it is Raining Heavily?

Answer 38

• ENVIRONMENTAL CONDITIONS, fast response time, pt history

Question 39

12yo Female has Abdominal Pain in Week 2 of her cycle. Had regular periods. Denied Sexual Activity. What do you suspect?

Answer 39

• MITTELSCHMERTZ, ectopic pregnancy

Question 40

Which medication and action for treating difficulty breathing is correct?

Answer 40

• METHYLPREDNISOLONE DECREASES ALVEOLAR INFLAMMATORY RESPONSE,

Question 41

Trauma pt is unresponsive with edematous facial tissue, displaced lower jaw, stridor and air

Answer 41

• CRIC, RSI

Question 42

4 year old pulled TV on top of himself. Brushing to the anterior chest. 140/? Bp, 70hr,

Answer 42

• Intracranial pressure?, pulmonary contusion, (I suspected ICP due to htn and low HR for

Question 43

Dispatched to Cardiac Arrest. On scene the pt’s caretaker presents Valid DNR, BUT family wants you to Resuscitate:

Answer 43

• Assess pt condition, start CPR, apply aed, check DNR for validity

Question 44

Pt with history of alcoholism. Dispatch notes include: pain above navel, blood in vomit, nausea. What is suspected? Pick 2

Answer 44

• Mallory weis tear, pancreatitis, acute hepatitis, gastritis

Question 45

Determine which signs are indicative of cannabis hyperemesis, alcohol intoxication, or both.

Answer 45

• Relief with hot shower- hyperemesis

Question 46

alcohol intoxication, Htn, tachycardia, dilated pupils, what is the poisoning?

Answer 46

• ANTICHOLINERGIC, cholinergic, opioid, parasympathomimetic

Question 47

Von Willebrand Disease?

Answer 47

Von Willebrand Disease is an inherited bleeding disorder caused by a deficiency or dysfunction of Von Willebrand factor (vWF). Causes EXCESSIVE BLEEDING