Chapter 11 Quiz

When a patient presents with two seemingly unrelated complaints, it is MOST important for the paramedic to determine: Select one: A.when each of the complaints began. B.if the two complaints are related. C.which complaint has a higher priority. D.the patient's past medical history.

C.which complaint has a higher priority.

The paramedic should address a patient: Select one: A.as the patient wishes to be addressed. B.by using the patient's formal name. C.by the patient's first name whenever possible. D.in a manner that the paramedic deems most professional.

A.as the patient wishes to be addressed.

Poor skin turgor in an infant or child is MOST indicative of: Select one: A.dehydration. B.elastin deficiency. C.hypoxemia. D.shock.

A.dehydration.

The mnemonic "OPQRST" is a tool that: Select one: A.offers an easy-to-remember approach to analyzing a patient's chief complaint. B.allows the paramedic to reach a field diagnosis quickly and initiate treatment. C.is used commonly to rule out conditions that are immediately life threatening. D.is only effective when assessing a patient who is experiencing severe pain.

A.offers an easy-to-remember approach to analyzing a patient's chief complaint.

The skin becomes _________ when red blood cell perfusion to the capillary beds of the skin is poor. Select one: A.pale B.flushed C.mottled D.cyanotic

A.pale

The presence of rhonchi during auscultation of the lungs is commonly suggestive of: Select one: A.pneumonia. B.asthma. C.pneumothorax. D.toxic inhalation.

A.pneumonia.

When examining the anterior abdomen of a patient who complains of abdominal pain: Select one: A.routinely palpate the least painful area(s) first. B.it is often necessary to administer analgesia first. C.auscultate bowel sounds for at least 5 minutes. D.you should first percuss over the four quadrants.

A.routinely palpate the least painful area(s) first.

Diffuse pain caused by hollow organ obstruction and stretching of the smooth muscle wall is called __________ pain. Select one: A.visceral B.referred C.somatic D.radiating

A.visceral

Other than overall patient appearance, the patient's __________ is/are the MOST objective data for determining his or her status. Select one: A.vital signs B.medical history C.medications D.chief complaint

A.vital signs

What does pulse oximetry measure? Select one: A.The percentage of red blood cells in the blood B.The percentage of oxygen that reaches the cells C.The percentage of hemoglobin saturation D.The percentage of ratio of red blood cells to plasma

C.The percentage of hemoglobin saturation

The MOST reliable means of attempting to determine an unresponsive medical patient's problem is: Select one: A.information provided by the patient's family members. B.pulse oximetry, capnography, and serial vital signs. C.a thorough head-to-toe physical examination. D.cardiac monitoring and blood glucose assessment.

C.a thorough head-to-toe physical examination.

A patient having life-threatening internal bleeding will benefit MOST from Select one: A.two large-bore IV lines of normal saline. B.oxygen and thermal management. C.limited scene time and rapid transport. D.a comprehensive physical examination.

C.limited scene time and rapid transport.

The MOST clinically significant indicator(s) of ischemia in a limb is/are: Select one: A.parasthesias. B.pain and pallor. C.pulselessness. D.poikilothermia.

C.pulselessness.

A patient who does not respond to verbal or tactile stimuli is: Select one: A.disoriented. B.semiconscious. C.unresponsive. D.lethargic.

C.unresponsive.

Objective patient information: Select one: A.is perceived by the patient. B.is observed by the patient. C.cannot be quantified. D.is based on fact or observation.

D.is based on fact or observation.

When assessing any patient, the paramedic should remember that: Select one: A.it is extremely common for patients with a medical complaint to have an underlying injury. B.the patient's underlying medical problem can usually be identified by a rapid assessment. C.the past medical history is of even greater importance if the patient has a traumatic injury. D.some patients with a traumatic injury could also have an underlying medical component.

D.some patients with a traumatic injury could also have an underlying medical component.

The focused assessment of a responsive medical patient is guided by: Select one: A.the general impression. B.SAMPLE history findings. C.baseline vital sign readings. D.the chief complaint.

D.the chief complaint.

What type of pain has its origin in a particular location but is described by the patient as pain in a different location? Select one: A.Visceral pain B.Somatic pain C.Radiating pain D.Referred pain

D.Referred pain

Stimulation of the sympathetic nervous system causes: Select one: A.vasodilation. B.bradycardia. C.warm, moist skin. D.diaphoresis.

D.diaphoresis.

The Babinski sign, grasping, and sucking are: Select one: A.signs of nervous system dysfunction. B.voluntary motor responses. C.abnormal findings in infants. D.examples of primitive reflexes.

D.examples of primitive reflexes.

Which of the following is an example of a pertinent negative? Select one: A.An agitated patient tells you that he did not request your help. B.A patient with chest discomfort denies shortness of breath. C.A patient tells you that he has developed a plan for suicide. D.A family member states that the patient has hypertension.

B.A patient with chest discomfort denies shortness of breath.

__________ entails gently striking the surface of the body, typically where it overlies various body cavities. Select one: A.Palpation B.Percussion C.Inspection D.Auscultation

B.Percussion

Which of the following statements regarding the rapid full-body exam of a trauma patient is correct? Select one: A.The rapid exam is a detailed exam that should take between 1 and 2 minutes and should primarily focus on the patient's chief complaint. B.The rapid exam is the first assessment you will perform on a trauma patient and is designed to find and treat immediate threats to life. C.The rapid exam is used to identify injuries that must be managed before and during packaging and loading the patient for transport. D.Any trauma patient should receive a rapid head-to-toe exam, even if his or her injury is minor and the mechanism of injury is not significant.

B.The rapid exam is the first assessment you will perform on a trauma patient and is designed to find and treat immediate threats to life.

In contrast to dementia, delirium is: Select one: A.characteristic of Alzheimer disease. B.an acute change in mental status. C.more common in the elderly population. D.a gradual deterioration in cognitive function.

B.an acute change in mental status.

A patient with a blood pressure of 210/100 mm Hg would be expected to have a pulse that is: Select one: A.rapid. B.bounding. C.thready. D.irregular.

B.bounding.