Quiz
Primary Care Paramedic Medical Directives Version 3.2 ALS
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Questions in this quiz (41)
1The conditions for salbutamol are:
AGE: N/A
LOA: [blank_start]N/A[blank_end]
HR: [blank_start]N/A[blank_end]
RR: [blank_start]N/A[blank_end]
SBP: N/A
Other: [blank_start]N/A[blank_end]- AN/A
- BN/A
- CN/A
- DN/A
2The contraindications for salbutamol are: [blank_start]Allergy or sensitivity to salbutamol[blank_end]
- AAllergy or sensitivity to salbutamol
3The conditions for epinephrine under the bronchoconstriction directive are:
AGE: N/A
LOA: [blank_start]N/A[blank_end]
HR: [blank_start]N/A[blank_end]
RR: [blank_start]BVM ventilation required[blank_end]
SBP: [blank_start]N/A[blank_end]
Other: [blank_start]Hx of asthma[blank_end]- AN/A
- BN/A
- CBVM ventilation required
- DN/A
- EHx of asthma
4The contraindications for Epinephrine under the Bronchoconstriction Medical Directive are: [blank_start]Allergy or sensitivity to epinephrine[blank_end]
- AAllergy or sensitivity to epinephrine
5Under the Bronchoconstriction Medical Directive Consider Salbutamol:
Weight: <[blank_start]25[blank_end] kg
Route: MDI
Dose: Up to [blank_start]600[blank_end] mcg ([blank_start]6[blank_end] puffs)
Max. Single Dose: [blank_start]600[blank_end] mcg
Dosing interval [blank_start]5[blank_end]-[blank_start]15[blank_end] min. PRN
Max # of doses [blank_start]3[blank_end]- A25
- B30
- C20
- D5
- E600
- F800
- G500
- H700
- I6
- J1
- K4
- L8
- M600
- N800
- O100
- P10000
- Q5
- R3
- S8
- T10
- U15
- V10
- W8
- X20
- Y3
- Z5
- AA7
- AB12
6Under the Bronchoconstriction Medical Directive Consider epinephrine:
Weight: [blank_start]N/A[blank_end]
Route: [blank_start]IM[blank_end]
Concentration: [blank_start]1:1,000[blank_end]
Dose: [blank_start]0.01[blank_end]mg/kg
Max. Single Dose: [blank_start]0.5[blank_end] mg
Dosing interval : [blank_start]N/A[blank_end]
Max # of doses: [blank_start]1[blank_end]- AN/A
- B>25 kg
- C<25 kg
- D>50 kg
- EIM
- FIV
- GPO
- HSC
- I1:1,000
- J1:10,000
- K2:20,000
- L1:10
- M0.01
- N0.05
- O0.5
- P1.0
- Q0.5
- R0.2
- S1.0
- T5.0
- UN/A
- V10 min.
- W3-5 min.
- X5-15 min. PRN
- Y1
- Z2
- AA3
- AB6
7Under the Bronchoconstriction Clinical Considerations:
[blank_start]Epinephrine[blank_end] should be the [blank_start]first[blank_end] drug administered if the patient is [blank_start]apneic[blank_end].
[blank_start]Salbutamol[blank_end] MDI may be administered subsequently using a [blank_start]BVM MDI adapter[blank_end].- AEpinephrine
- Bfirst
- Capneic
- DSalbutamol
- EBVM MDI adapter
8Under the Bronchoconstriction Clinical Considerations:
Nebulizations is contraindicated in patients with a known or suspected [blank_start]fever[blank_end] or in the setting of a declared [blank_start]febrile[blank_end] [blank_start]respiratory[blank_end] [blank_start]illness[blank_end] [blank_start]outbreak[blank_end] by the local [blank_start]medical officer[blank_end] of [blank_start]health[blank_end].- Afever
- Binfection
- Cpnneumonia
- DDNR
- Efebrile
- Fbacterial
- GHIV
- Hwater-based
- Irespiratory
- Jautomimmune
- Kurinary tract
- Lgastrointestinal
- Moral
- Nillness
- Ocontagion
- Pvector
- Qepidemic
- Rpandemic
- Soutbreak
- Tsituation
- Uuprising
- Vpatient
- Wmedical officer
- Xminister
- Yjurisdiction
- ZCollege of Nursing Representative
- AAhealth
- ABOntario
- ACthe Medical Advisory Committee
- ADBase Hospital
9Under the Bronchoconstriction Clinical Considerations:
When administering salbutamol MDI, the rate of administration should be:- A100 mcg every 4 breaths
- B1 puff every breath
- Cgradual, so as not to cause reflux hypokalemia
- D1000 mcg every 6 breaths
10Under the Bronchoconstriction Clinical Considerations:
A [blank_start]spacer[blank_end] should be used when administering salbutamol [blank_start]MDI[blank_end].- Aspacer
- BMDI
11Under the Bronchoconstriction Medical Directive Consider Salbutamol:
Weight: <25 kg
Route: [blank_start]NEB[blank_end]Dose: 2.5 mg
Max. Single Dose: [blank_start]2.5 mg[blank_end]
Dosing interval [blank_start]5-15[blank_end] min. PRN
Max # of doses [blank_start]3[blank_end]- A3
- B5
- C10
- D1
- E5-15
- F4-5
- G2
- H2.5 mg
- I5.0 mg
- J50 mcg
- K5.0 mcg
- LNEB
- MNRB
- NBVM
- OMDI
12The indications for the Moderate to Severe Allergic Reaction Medical Directive:
[blank_start]Exposure[blank_end] to a [blank_start]probable allergen[blank_end]
AND
[blank_start]Signs[blank_end] and/or symptoms of a [blank_start]moderate to severe[blank_end] allergic reaction ([blank_start]including anaphylaxis[blank_end])- AExposure
- Bprobable allergen
- CSigns
- Dmoderate to severe
- Eincluding anaphylaxis
13Conditions for Epinephrine under the Moderate to Severe Allergic Reaction Medical Directive:
AGE: [blank_start]N/A[blank_end]
WEIGHT: N/A
LOA: [blank_start]N/A[blank_end]
HR: [blank_start]N/A[blank_end]
RR: [blank_start]N/A[blank_end]
SBP: N/A
Other: For [blank_start]anaphylaxis only[blank_end]- AN/A
- BN/A
- CN/A
- DN/A
- Eanaphylaxis only
14The ONLY contraindication to giving a pediatric patient IM epinephrine without an autoinjector in the case of anaphylaxis according to the Moderate to Severe Allergic Reaction Medical Directive "contraindications" for Epinephrine is: "Allergy or sensitivity to epinephrine"
- ATrue
- BFalse
15Under the Moderate to Severe Allergic Reaction Medical Directive Consider epinephrine:
Weight: [blank_start]N/A[blank_end]
Route: IM
Concentration: 1/[blank_start]1000[blank_end]
Dose: 0.01mg/kg
Max. Single Dose: [blank_start]0.5[blank_end] mg
Dosing interval: N/A
Max # of doses: [blank_start]1[blank_end]- AN/A
- B1000
- C0.5
- D1
16According to the formula for approximate pediatric weight (kg) calculation, a 4 year old child should weigh [blank_start]18[blank_end] kg.
Using this weight, the proper dose of IM epinephrine for this child according to the Moderate to Severe Allergic Reaction Medical Directive for anaphylaxis would be [blank_start]0.18[blank_end] mg which may be rounded to the nearest [blank_start]0.05[blank_end] mg, making the proper dose [blank_start]0.2[blank_end] mg.
According to the Epinephrine 1:1000 IM Dosing Chart on page 24, the dose of epinephrine that would be given to a 4 year old child who weighs 18kg is actually [blank_start]0.15[blank_end] mg.
However, according to the same chart, a child weighing 28 kg should receive a dose of [blank_start]0.3[blank_end] mg.- A18
- B15
- C28
- D20
- E0.18
- F0.28
- G0.5
- H1.8
- I0.05
- J1
- K0.5
- L0.1
- M0.2
- N0.19
- O0.5
- P2.00
- Q0.15
- R0.20
- S0.10
- T0.18
- U0.3
- V0.5
- W0.28
- X0.25
17The two drugs administered under the Moderate to Severe Allergic Reaction Medical Directive are:
- AEpinephrine and Diphenhydramine
- BEpinephrine and Dimenhydrinate
- CEpinephrine and Salbutamol
- DSalbutamol and Benadryl
18Conditions for Diphenhydramine under the Moderate to Severe Allergic Reaction Medical Directive:
AGE: [blank_start]N/A[blank_end]
WEIGHT: ≥[blank_start]25[blank_end]kg
LOA: [blank_start]N/A[blank_end]
HR: N/A
RR: N/A
SBP: N/A
Other: N/A- AN/A
- B25
- CN/A
19Under the Moderate to Severe Allergic Reaction Medical Directive Consider diphenhydramine (if certified and authorized):
Weight: ≥[blank_start]25[blank_end] kg to <[blank_start]50[blank_end] kg
Route: [blank_start]IV[blank_end] or IM
Dose: [blank_start]25[blank_end] mg
Max. Single Dose: [blank_start]25[blank_end] mg
Dosing interval: [blank_start]N/A[blank_end]
Max # of doses: [blank_start]1[blank_end]- A25
- B50
- CIV
- D25
- E25
- FN/A
- G1
20Under the Moderate to Severe Allergic Reaction Medical Directive Consider diphenhydramine (if certified and [blank_start]authorized[blank_end]):
Weight: ≥[blank_start]50[blank_end] kg
Route: [blank_start]IV[blank_end] or IM
Dose: [blank_start]50[blank_end] mg
Max. Single Dose: [blank_start]50[blank_end] mg
Dosing interval: [blank_start]N/A[blank_end]
Max # of doses: [blank_start]1[blank_end]- Aauthorized
- B50
- CIV
- D50
- E50
- FN/A
- G1
21Patch to BHP for authorization to use pediatric auto injector for patients <[blank_start]10[blank_end]kg
- A10
- B5
- C12
- D25
22Epinephrine should be the first drug administered in anaphylaxis.
- ATrue
- BFalse
23Under the Croup Medical Directive, the indications are:
[blank_start]Severe[blank_end] r[blank_start]espiratory[blank_end] [blank_start]distress[blank_end]
AND
[blank_start]Stridor[blank_end] [blank_start]at[blank_end] r[blank_start]est[blank_end]
AND
[blank_start]Current[blank_end] history of [blank_start]URTI[blank_end]
AND
B[blank_start]arking[blank_end] [blank_start]cough[blank_end] OR [blank_start]recent[blank_end] history of [blank_start]barking[blank_end] cough- ASevere
- Bespiratory
- Cdistress
- DStridor
- Eat
- Fest
- GCurrent
- HURTI
- Iarking
- Jcough
- Krecent
- Lbarking
24Conditions for Epinephrine under the Croup Medical Directive:
AGE: [blank_start]<8[blank_end]
LOA: [blank_start]N/A[blank_end]
HR: [blank_start]<200[blank_end]/min
RR: [blank_start]N/A[blank_end]
SBP: N/A
Other: N/A- A<8
- B>8
- C≤8
- DN/A
- EN/A
- Funaltered
- Galtered
- H<200
- I60-159
- J≥50
- KNormocardic
- LN/A
- M<10/min
- Nabsent
- Obradypneic
25Number of contraindications listed under the Croup Medical Directive for Epinephrine:
- AOnly one
- B2
- C3
- D5
26You are giving epinephrine to a 6 month old under the croup medical directive. Her weight is 17.7lbs or approximately [blank_start]8[blank_end]kg. The correct dose is [blank_start]2.5[blank_end][blank_start]mg[blank_end] of 1:1,000 concentration epinephrine. You can give [blank_start]1[blank_end] dose and the dosing interval is [blank_start]N/A[blank_end]. The route you use is [blank_start]NEB[blank_end].
- A8
- B9
- C10
- D12
- E2.5
- F0.5
- G0.25
- H5.0
- Img
- Jg
- Kmillequivelents/cm
- LCC/kg
- M0.01
- N/kg
- O1
- Pthe second
- QN/A
- Rq5 mins
- S3-5 mins
- T10-15 mins
- UNEB
- VIM
- WMDI
- XIV
27You are giving epinephrine to a 3 month old under the croup medical directive. Her weight is 8.8lbs or approximately [blank_start]4[blank_end]kg. The correct dose is [blank_start]0.5[blank_end][blank_start]mg[blank_end] of 1:1,000 concentration epinephrine. You can give [blank_start]1[blank_end] dose(s) and the dosing interval is [blank_start]N/A[blank_end]. The route you use is [blank_start]NEB[blank_end].
- A4
- B3
- C5
- D6
- E0.5
- F5
- G0.01
- H2.5
- Img
- Jg
- K/kg
- L/min.
- M1
- N2
- Ounlimited
- PN/A
- Q1-3 mins
- R3-5 mins
- S20 mins
- TNEB
- UMDI
- VIM
- WNRM
28The largest single dose of epinephrine in the PCP medical directives v3.2 is in the [blank_start]croup[blank_end] directive. A Primary Care Paramedic can give [blank_start]5mg[blank_end] of 1:1000 epinephrine to a patient who meets the conditions and is ≥[blank_start]1[blank_end] year(s) old.
- Acroup
- B5mg
- C1
29Match the assessment findings with their point vales according to the Westley Croup Score chart on page 30.
Altered level of consciousness is worth [blank_start]5[blank_end] point(s).
Audible inspiratory stridor with a stethoscope is worth [blank_start]1[blank_end] point(s).
Severely Decreased Air Entry is worth [blank_start]2[blank_end] point(s).
Cyanosis with agitation is worth [blank_start]4[blank_end] point(s)
The highest score possible is [blank_start]17[blank_end] point(s)
The lowest score possible is [blank_start]0[blank_end] point(s)
Moderate croup is considered a score of [blank_start]4-7[blank_end] points
Severe croup is a score of [blank_start]>7[blank_end] points- A5
- B6
- C1
- D2
- E4
- F17
- G19
- H15
- I21
- J0
- K-5
- L-10
- M4-7
- N3-6
- O5-9
- P>7
- Q7-19
- R≥7
- S>8
30Croup is generally the result of a:
- Aviral infection.
- Bbacterial infection.
- Cpneumonia.
- Dgenetic enzyme deficiency.
- Eotherwise benign fungal spore.
31Croup is a(n) [blank_start]upper[blank_end] [blank_start]respiratory[blank_end] [blank_start]infection[blank_end].
- Aupper
- Blower
- Cvesicular
- Desophageal
- Erespiratory
- Fend-expiratory
- Galimentary
- Hglial cellular
- Iinfection
- Jrupture
- Kreflux
- Lforamen
32Croup tends to occur in children aged [blank_start]6[blank_end] months to [blank_start]3[blank_end] years and is most prevalent at the age of [blank_start]2[blank_end] years.
- A6
- B3
- C2
33Generally speaking, patients with [blank_start]moderate[blank_end] to [blank_start]severe[blank_end] croup should be considered for therapy as per the medical directive.
- Amoderate
- Bmild
- Cnew onset
- Dcompensatory
- Esevere
- Fepiglottital
34You are following the croup medical directive for a patient whose stridor is audible without a stethoscope, has no retraction, has somewhat decreased air entry, cyanosis only when agitated and a GCS of 13 (this child is normally GCS 15). According the Westley Croup score, what score does this patient receive?
- A12
- B11
- C10
- D17
- E14
35You are following the croup medical directive for a patient whose stridor is audible with a stethoscope, has severe retraction, has severely decreased air entry, no cyanosis and a GCS of 15. According the Westley Croup score, what score does this patient receive?
- A6
- B7
- C5
- D9
- E10
36Your croup patient has a Westley Croup Score of 7. According to ALS, they would be considered to have:
- Amoderate croup.
- Bsevere croup.
- Cmild croup.
- Dno indication to suspect croup.
37Indications for Continuous Positive Airway Pressure (CPAP) Medical Directive - Auxiliary:
S[blank_start]evere[blank_end] [blank_start]respiratory[blank_end] [blank_start]distress[blank_end]
AND
[blank_start]Signs[blank_end] and/or [blank_start]symptoms[blank_end] of [blank_start]acute[blank_end] [blank_start]pulmonary[blank_end] [blank_start]edema[blank_end] OR [blank_start]COPD[blank_end]- Aevere
- Brespiratory
- Cdistress
- DSigns
- Esymptoms
- Facute
- Gpulmonary
- Hedema
- ICOPD
38Conditions for Continuous Positive Airway Pressure (CPAP) Medical Directive - Auxiliary
AGE: ≥[blank_start]18[blank_end] years
LOA: [blank_start]N/A[blank_end]
HR: [blank_start]N/A[blank_end]
RR: [blank_start]Tachypnea[blank_end]
SBP: [blank_start]Normotension[blank_end]
Other: [blank_start]SpO2[blank_end] <[blank_start]90[blank_end]% or [blank_start]accessory muscle use[blank_end]- A18
- BN/A
- CN/A
- DTachypnea
- ENormotension
- F90
- Gaccessory muscle use
- HSpO2
39Contraindications for CPAP
Asthma [blank_start]exacerbation[blank_end]
Suspected [blank_start]pneumothorax[blank_end]
Unprotected or unstable [blank_start]airway[blank_end]
Major [blank_start]trauma or burns[blank_end] to the [blank_start]head or torso[blank_end]
[blank_start]Trache[blank_end]ostomy
Inability to [blank_start]sit upright[blank_end]
Unable to [blank_start]cooperate[blank_end]- Aexacerbation
- Bwithout prior Hx
- Cwithout relief from nebulized salbutamol
- Dpneumothorax
- Etension pneumothorax
- Fspontaneous hemothorax
- Gairway
- Hmandible
- Icervical spine
- Jtrauma or burns
- Kstroke
- Lextremity deformity
- Mfacial asymmetry
- Nhead or torso
- Oneck and chest
- Plung apices
- QTrache
- Rlaryng
- Sgastr
- Tpharyng
- Usit upright
- Vcommunicate verbally
- Wventilate
- Xposition airway
- Ycooperate
- Zopen mouth
- AAadminister salbutamol
- ABdiagnose cause
40Consider CPAP:
Initial setting [blank_start]5[blank_end] cm H2O or equivalent flow rate of device as per BH direction.
[blank_start]Titration[blank_end] [blank_start]increment[blank_end] [blank_start]2.5[blank_end] cm H2O or equivalent flow rate of device as per BH direction.
[blank_start]Titration[blank_end] [blank_start]interval[blank_end] [blank_start]5[blank_end] [blank_start]min[blank_end].
Max. [blank_start]setting[blank_end] [blank_start]15[blank_end] cm H2O or equivalent flow rate of device as per BH direction- A5
- B2.5
- C3
- D10
- E15
- FTitration
- GAmplitude
- HConcentration
- IAdjustment
- J2.5
- K3
- L5
- M10
- N0.5
- Oincrement
- Plevel
- Qperiod
- Rparameters
- STitration
- TTiming
- UCutoff
- VRest
- Winterval
- Xperiod
- Yzone
- Ztimeframe
- AA5
- AB30
- AC90
- AD15
- AEmin
- AFsecs
- AGhours
- AHbreaths
- AIsetting
- AJsuction
- AKresistance
- ALpower
- AM15
- AN30
- AO45
- AP5
41Under the treatment section of the Continuous Positive Airway Pressure Medical Directive:
Consider increasing FiO2 (if available):
Initial FiO2: [blank_start]50[blank_end]-[blank_start]100[blank_end]%
FiO2 increment (if available on device) SpO2 [blank_start]<92%[blank_end] despite treatment and/or [blank_start]10[blank_end] cm H2O pressure or equivalent flow rate of device as per BH direction.
Max FiO2: [blank_start]100%[blank_end]- A50
- B10
- C25
- D95
- E100
- F20
- G90
- H65
- I<92%
- J≥92%
- K>92%
- L≤92%
- M93%
- N10
- O2.5
- P8
- Q5
- R25
- S100%
- T25lpm
- UN/A
- V94-99%
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- Diploma Paramedic Quiz on Primary Care Paramedic Medical Directives Version 3.2 ALS, created by thecatspyjamaz on 24/02/2016.
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