1356 ch 10 quiz 3

In general, you should assess the blood pressure in all patients who are at least ____ year(s) of age.

3

You are transporting a critically injured patient to a trauma center located 30 minutes away from the scene. At a minimum, how many times should you reassess the patient's vital signs during transport?

6

During your assessment of a patient with closed head trauma, you note that he opens his eyes in response to pain, groans when you speak to him, and withdraws his shoulder when you pinch his earlobe. You should assign him a Glasgow Coma Scale score of:

8

Which of the following general statements about blood pressure measurement is correct?

A normal size cuff should take up two thirds the length from the armpit to the crease at the elbow.

You are dispatched to mile marker 539 for a vehicle that slid off the road and into the median. When you arrive at the scene, you note minimal damage to the vehicle. The patient, who is still inside his vehicle, appears to be unconscious. Which of the following statements regarding this situation is correct?

An underlying medical condition may have resulted in this incident.

Which of the following actions would you not perform during the scene size-up?

Assess a patient's breathing effort.

When assessing a patient's abdomen, which of the following techniques will provide you with the least amount of information?

Auscultation of bowel sounds

Which of the following questions would allow you to assess the "P" in the SAMPLE history?

Has this ever happened to you before?

Which of the following statements regarding the secondary assessment is correct?

If the patient is unstable, the secondary assessment should be performed en route.

Which of the following injuries or conditions would have the lowest treatment priority during the primary survey?

Impressive amount of dried blood in the hair but no active bleeding

Which of the following conditions may slow a person's capillary refill time?

Peripheral vasoconstriction

A 56-year-old female called EMS because of shortness of breath. During your assessment, she tells you that this began four days ago. Which of the following questions would be most appropriate to ask her regarding the duration of her chief complaint?

What prompted you to call EMS today?

When is it appropriate to palpate a trauma patient's pelvis?

When he or she does not report pelvic pain

A 39-year-old male complains of shortness of breath. He is conscious and alert, his airway is patent, and his respirations are rapid. You should:

administer supplemental oxygen.

A 49-year-old male collapsed and is now unresponsive. There is no evidence of trauma. Your primary survey reveals that he is pulseless and apneic. You should:

begin CPR and apply the AED as soon as it is available.

While assessing the abdomen of a 37-year-old female who experienced blunt abdominal trauma, you note the presence of bruising over the left flank area. This finding suggests:

blood in the retroperitoneal space.

Your scene size-up begins:

by preparing for a specific situation based on the dispatch information.

A 30-year-old male presents with signs of shock. He is conscious but anxious, and is in no obvious respiratory distress. After applying oxygen, you attach a pulse oximeter, which reads 78%. This low oxygen saturation reading is most likely the result of:

decreased perfusion.

A young male is found to be unconscious. When assessing his pupils, you note that they dilate when exposed to bright light. This clinical finding is most suggestive of:

depressed brain function.

In a responsive patient, capnography is used to:

determine the amount of carbon dioxide produced by aerobic metabolism.

A 23-year-old female called EMS because of a sudden onset of abdominal pain. During your assessment, you ask her to point to the area of her abdomen that is painful. She encircles a large area of her left lower quadrant with her finger. You would describe this patient's pain as being:

diffuse.

During your rapid trauma assessment (rapid body scan) of a man who sustained a gunshot wound to the chest, you note the presence of air under the skin. This clinical finding is referred to as subcutaneous:

emphysema.

Clues about the potential seriousness of your patient's injury or injuries are most reliably obtained by:

evaluating the mechanism of injury.

All of the following conditions would require immediate transport after the primary survey and treatment phase, except:

headache without mental status change.

When performing the primary survey of a patient, your goal is to:

identify and treat immediate life-threatening injuries or conditions.

A 50-year-old male has fallen from a significant height. He is conscious and alert, but is unable to feel or move both of his lower extremities. This is most likely the result of:

injury to the spinal cord.

A patient who remains flaccid without moving or making a sound with no indication of hearing you:

is considered unresponsive.

You are dispatched to a shopping mall for a female patient who is "sick." When you arrive, you find the patient, who appears confused, sitting on a bench in the middle of the mall. There is a small amount of blood in her hair. As you introduce yourself to the patient, you should direct your partner to:

manually stabilize her head in a neutral position.

When performing a rapid trauma assessment (rapid body scan), you will usually assess all of the following, except the:

mastoid process.

An electronic blood pressure cuff that measures readings using stepped deflation:

may be more accurate in patients who are moving because the pressure in the cuff is released in intervals at variable lengths, allowing the system to better detect oscillations.

When reassessing a patient during transport, you should:

monitor treatment interventions and modify them as necessary.

You are approximately 10 minutes away from the hospital with a 59-year-old female with a possible myocardial infarction when she suddenly loses consciousness. You should:

open her airway and assess her breathing status.

When a section of the ribs has been fractured, the injured section falls during inspiration and bulges during expiration. This is called:

paradoxical chest movement.

The general impression of your patient will allow you to obtain all of the following information except for the:

patient's gross mental status.

A 20-year-old male twisted his ankle while playing basketball. He is conscious and alert, is breathing adequately, and denies other trauma. After performing the primary assessment, you should:

perform a focused assessment.

A small truck slid off the road and struck a utility pole. The driver, a 40-year-old male, has only minor abrasions from the airbag. His 38-year-old wife was killed in the crash. After performing a primary survey of the driver, you should:

perform a rapid head-to-toe exam.

You are assessing the pupils of a patient who was struck in the back of the head. You note that his pupils differ in size by slightly less than 1 mm. The patient is conscious, alert, and oriented to person, place, time, and event. You should suspect:

physiologic anisocoria.

Eupneic breathing is:

quiet.

Following the primary survey, your actions prior to transport of a critically injured patient should include:

rapid head-to-toe assessment, spinal immobilization, vital signs.

When performing the rapid body scan on an unresponsive patient, you should follow the same approach as the:

rapid trauma assessment.

You are en route to a trauma center with a victim of a gunshot wound. You reassess his blood pressure and note that it has decreased by 10 mm Hg. After ensuring continued airway patency and adequate ventilation, you should:

reassess for any occult bleeding.

When performing your assessment of a 22-year-old male with hypoglycemia, you note that his mental status has improved and he is now verbally responsive. You should:

reassess his vital signs.

During transport of a 34-year-old male with a possible femur fracture, you perform a reassessment. This process begins with:

repeating the primary survey.

A patient who is in a tripod position is:

sitting and leaning forward on outstretched arms with the head and chin thrust slightly forward.

The nature of a patient's illness is most often determined by:

the patient's chief complaint.

The focused assessment of a responsive medical patient is guided by:

the patient's reason for calling EMS.

You are attempting to obtain medical history information from a 20-year-old female. However, she does not answer your questions, despite the fact that she is conscious and alert and speaks English. You should:

use close-ended questions and reassess the manner in which you are questioning her.

Compared to the patient's chief complaint, the primary problem is:

what is actually wrong with the patient.

During your secondary assessment of a 70-year-old male with congestive heart failure, you note the presence of 4+ pitting edema to his lower extremities. This means that:

you are able to make an indentation in the skin of greater than 1 inch.

When obtaining medical history information on a patient who has been serious injured, it is important to remember that:

you should gather as much information as possible without delaying transport.