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CRITICAL CARE/FLIGHT PARAMEDIC EXAM
Question 1: Babinski reflex
CORRECT ANSWER : Extension and spreading of toes when
bottom of foot is stroked. Sign of nervous system lesion
Question 2: Battle's sign
CORRECT ANSWER : Bruise behind ear, basilar skull fracture
Question 3: Beck's triad
CORRECT ANSWER : JVD, muffled heart tones, hypotension.
From cardiac tamponade
Question 4: Brudzinski sign
CORRECT ANSWER : Flexion of the neck results in flexion of
the hip. Meningitis
Question 5: Coopernail's sign
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CORRECT ANSWER : Ecchymosis on perineum, labia,
scrotum. Sign of pelvis fracture
Question 6: Cullen's sign
CORRECT ANSWER : Bruising around umbilicus. Sign of
pancreatitis or ectopic pregnancy
Question 7: Grey Turner's sign
CORRECT ANSWER : Discoloration of skin around flank. Sign
of pancreatitis
Question 8: Hamman's sign
CORRECT ANSWER : Crunching sound of heart with
asynchronous heart beat. Sign of mediastinal emphysema/tracheobronchial disruption
Question 9: Kehr's sign
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CORRECT ANSWER : Left shoulder pain associated with
splenic rupture
Question 10: Kernig's sign
CORRECT ANSWER : Pain to knee extension when hip is at 90
degrees. Sign of meningitis
Question 11: Levine's sign
CORRECT ANSWER : Pain with clutched fist over midline of
chest. Sign of cardiac chest pain
Question 12: McBurney's sign
CORRECT ANSWER : Tenderness 2/3 the distance between
umbilicus and ileum. Sign of appendicitis
Question 13: Murphy's sign
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CORRECT ANSWER: Pt unable to take deep breath on
inspiration with deep palpation beneath right coastal margins.Sign of gall bladder issues
Question 14: S2 "dub" heart tones
CORRECT ANSWER : Aortic and pulmonary valve closure
Question 15: S1 "lub" sound
CORRECT ANSWER: Bicuspid/tricuspid valve closure
Question 16: Stroke volume is affected by
CORRECT ANSWER : Preload, afterload, contractility
Question 17: S4 heart tone
CORRECT ANSWER : Indicative of stiff or noncompliant
ventricle, like with an old MI