MODULE 3 REVIEW
For stable patients do full body scan every
15 minutes
The Inhalation-exhalation ratio is
1:3 ratio.
During a 30 minute transport of a stable patient, you should reassess him/her at least ___ times.
2 times
For unstable patients do full body scan every
5 minutes
In the adult, bradycardia is defined as a pulse rate less that is ____ beats/min, and tachycardia is defined as a heart rate greater than ____ beats/min.
60, 100
The rapid exam of a patient that occurs following the primary assessment should take no longer than:
60-90 seconds
Which of the following scenarios does NOT involve the presence of any symptoms?
A 61-year-old female who is UNCONSCIOUS with facial cyanosis
What is stridor?
A harsh, high pitched respiratory sound heard during inspiration, caused by blockage and narrowing of the upper airway.
What is a pertinent negative?
A negative finding that requires no further care or intervention
A patient with high blood pressure would be expected to have skin that is:
A patient with high blood pressure would be expected to have skin that is:
What is Primary Assessment ?
A step within the patient assessment process that identifies and initiates treatment of immediate and potential life threats.
What is jaundice?
A yellowing of the skin and eyes
Which of the following conditions would be LEAST likely to cause an altered level of consciousness?
Acute anxiety
An elderly patient has fallen and hit her head. Your initial care should focus on
Airway, breathing, and circulation.
What are the two major life threats that takes priority over other assessments?
Arterial bleeding and chocking
Poor peripheral circulation will cause the skin to appear:
Ashen
When you shine a light into one pupil, the normal reaction of the other pupil should be to:
Become smaller
When responding to a 45-year-old man involved in a motorcycle accident who is unresponsive, where should you palpate for a pulse?
CAROTID PULSE
Which of the following devices would you use to measure a patient's ventilation, circulation, and metabolism?
Capnography
Once the scene is safe and controlled, you prepare to begin the primary assessment of the patient. Which of the following is TRUE regarding the primary assessment?
Critical conditions identified during the primary assessment must be treated immediately as found.
When approaching a 32-year-old male who is complaining of traumatic neck pain, you should:
Ensure that the patient can see you approaching him.
Which of the following findings indicates that your patient has a patent airway?
Forceful coughing
A 71-year-old female slipped on a rug and fell. She is conscious and alert and complains of severe pelvic pain. Her respirations are 22 breaths/min with adequate depth and her heart rate is 120 beats/min. Which of the following would NOT be appropriate for this patient?
Gentle palpation of the pelvis
You should suspect that a patient is experiencing respiratory failure if he or she:
Has bradycardia or diminished muscle tone
At what point in the patient assessment process do you investigate the chief complaint?
History taking
In patients with deeply pigmented skin, changes in color may be apparent only in certain areas, such as the:
Lips or oral mucosa
A decrease in blood pressure may indicate:
Loss of vascular tone
Normal skin color, temperature, and condition should be:
Normal skin color, temperature, and condition should be:
__________ is used for asking questions about pain.
OPQRST
The driver of a vehicle was ejected during a collision and sustained multiple injuries. Which of the following injuries requires immediate intervention?
Paradoxical chest movement
When performing a full-body scan on a supine patient, what part of the body is typically assessed last?
Posterior side
In responsive patients that are older that 1 year of age, you should palpate the pulse at the ________ artery.
Radial
Pain that moves from its point of origin to another body location is said to be:
Radiating
When palpating a patient's pulse, you note that there is a short interval between pulsations. This indicates that the pulse is:
Rapid
You respond to a home where a 25-year-old woman is lying in bed. She is semiconscious but opens her eyes when you speak to her, and is lethargic. How do you rate her on the AVPU scale?
Responsive to verbal stimuli
What is the first concern when entering a scene?
Scene safety
When treating a 6-year-old, you note a brassy crowing sound, especially when she breathes in. What is this?
Stridor
In an adult patient, a pulse rate that is greater than 100 beats/min is described as ________.
Tachycardia
Which of the following terms would be used to describe the patient's pulse rate of 140 beats/min?
Tachycardia
You are assessing a patient who fell off a ladder. He is conscious and alert and complaining of pain to his right side and shortness of breath. This is known as ________.
The CHIEF COMPLAIN
Which of the following statements regarding the mechanism of injury (MOI) is correct?
The MOI may allow you to predict the severity of a patient's injuries.
What is platinum 10 minutes
The goal for on-scene time when caring for a trauma or shock patient.
Reassessment is performed to determine all of the following, EXCEPT:
The reason why the patient called EMS.
What is the purpose of the primary assessment?
To identify and begin to treat immediate life threats
When assessing motor function in a conscious patient's lower extremities, you should expect the patient to:
Wiggle his or her fingers on command
What is apnea?
absence of breathing
Treatment and transport priorities at the scene of a mass-casualty incident should be determined after:
all the patients have been triaged.
What is tidal volume?
amount of air inhaled and exhaled during a normal breathing cycle.
You receive a call to a daycare center for an unresponsive 8-month-old infant. Upon arrival, you perform an assessment and determine that the infant is not breathing. Your next action should be to:
assess for a brachial pulse for 5 to 10 seconds.
An adult patient who is NOT experiencing difficulty breathing will:
be able to speak in complete sentences without unusual pauses.
During an EMS call, you should take standard precautions:
before exiting the ambulance and before actual patient contact.
Which of the following assessments would be the MOST useful in determining the possible cause of a patient's altered mental status?
blood glucose level
When performing a full-body scan on a trauma patient, you note the presence of Battle's sign. This is defined as:
bruising behind the ear
When palpating a patient's pulse, you note that it is grossly irregular. You should:
count the pulse rate for a full minute to obtain an accurate reading.
A patient's short-term memory is MOST likely intact if he or she correctly answers questions regarding:
date and event.
A 50-year-old male is found unconscious in his car. There were no witnesses to the event. When gathering medical history information for this patient, the EMT should:
determine if the patient has a medical alert bracelet or wallet card
When evaluating a patient with multiple complaints, the EMT's responsibility is to:
determine which complaint poses the greatest threat to the patient's life
A patient with profuse sweating is referred to as being:
diaphoretic
External bleeding from an extremity can usually be controlled by a combination of:
direct pressure and elevation
A blood pressure cuff that is too small for a patient's arm will give a:
falsely high systolic and diastolic reading.
The FIRST step in the primary assessment of the patient involves:
forming the general impression.
Which of the following is an example of a symptom?
headache
Hypertension
high blood pressure
After performing a primary assessment, a rapid scan of the body head to toe should be performed in order to:
identify less obvious injuries that require immediate transport
Upon arriving at the scene of a patient with difficulty breathing, you determine that the scene is safe. You enter the residence and find the patient sitting in a chair in obvious distress. Your first action should be to:
introduce yourself to the patient
A 40-year-old male presents with pain to the right upper quadrant of his abdomen. He is conscious and alert with stable vital signs. During your assessment, you note that his skin and sclera are jaundiced. You should suspect:
liver dysfunction
The goal of the full-body scan that is performed during the secondary assessment is to:
locate injuries not found in the primary assessment
hypotension
low blood pressure
As you assess the head of a patient with a suspected spinal injury, your partner should:
maintain stabilization of the head
The diastolic pressure represents the:
minimum amount of pressure that is always present in the arteries
The chief complaint is MOST accurately defined as the:
most serious thing the patient is concerned about.
What is vasconstriction?
narrowing of blood vessels
Forming a general impression includes:
obtaining the patient's chief complaint.
In infants and small children, skin color should be assessed on the:
palms and soles
A full-body scan should be performed on:
patients with a significant MOI and unresponsive medical patients.
The MOST effective way to determine whether your patient's problem is medical or traumatic in origin is to:
perform a careful and thorough assessment
During your assessment of a 6-month-old male with vomiting and diarrhea, you note that his capillary refill time is approx. 4 seconds. From this information, you should conclude that his:
peripheral circulation is decreased
A palpable pulse is created by:
pressure waves through the arteries caused by cardiac contraction.
2nd Step Patient Assessment
primary assessment
What is tachycardia?
rapid heart rate
If a patient develops difficulty breathing after your primary assessment, you should immediately:
reevaluate his/her airway status
When interviewing a patient, you can show him/her that you understand the situation by:
repeating statements back to him/her
A patient who does not respond to your questions but moves or cries out when his/her trapezius muscle is pinched, is said to be:
responsive to painful stimuli
Jugular venous distention suggests a problem with blood returning to the heart if the patient is:
sitting up at a 45 degree angle
What is bradycardia?
slow heart rate
You respond to the residence of a 62-year-old male who is unresponsive. Your primary assessment reveals that he is apneic and pulseless. You should:
start CPR and attach the AED as soon as possible.
When assessing a patient's abdomen, you will typically evaluate for all of the following, except:
subcutaneous emphysema
After performing a head tilt-chin lift maneuver to open the airway of an unresponsive patient, you should:
suction as needed and insert and airway adjunct
When you use the palpation method to obtain a BP, the measurement you obtain is the
systolic pressure
The pressure exerted against the walls of the artery when the left ventricle contracts is called the:
systolic pressure.
After the first 60 minutes of experiencing a significant injury:
the body's ability to compensate for shock decreases
The "Golden Period" begins when an injury occurs and ends when:
the patient receives definitive care from a surgeon (in a significant trauma situation)
When a patient's respirations are shallow:
tidal volume is markedly reduced
When assessing a 62-year-old female with crushing chest pain, you note that her pulse is rapid and irregular. In addition to administering oxygen, you should:
transport at once and consider requesting a paramedic unit
When choosing a blood pressure cuff;
two thirds the length from the armpit to the crease at the elbow.
When is it MOST appropriate to consider requesting additional ambulances at an accident scene?
when you determine that there are multiple patients
A patient with spontaneous respirations is breathing:
without assistance (normal breathing)
You arrive at the scene of an "unknown emergency" and find an elderly man sitting on a toilet making incomprehensible sounds when you ask him why EMS was called. This means that:
you will have to speak with the family to get the chief complaint.
When assessing scene safety, the FIRST priority is:
your personal safety.
