Session 8: Patient Assessment I: Trauma, Scene Size-up, Primary and Secondary Survey, Ongoing Assessment

A. liver dysfunction.

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: Select one: A. liver dysfunction. B. acute pancreatitis. C. renal insufficiency. D. gallbladder disease.

A. subcutaneous emphysema.

A crackling sound produced by air bubbles under the skin is called: Select one: A. subcutaneous emphysema. B. rhonchi. C. crepitus D. Korotkoff sounds.

C. pulse presence and quality, external bleeding, and skin condition.

During the primary assessment, circulation is evaluated by assessing: Select one: A. external bleeding, skin condition, and capillary refill. B. skin quality, blood pressure, and capillary refill. C. pulse presence and quality, external bleeding, and skin condition. D. blood pressure, pulse rate, and external bleeding.

A. palms and soles.

In infants and small children, skin color should be assessed on the: Select one: A. palms and soles. B. underside of the arms. C. forehead. D. chest and abdomen. Feedback

D. lips, sclera, or oral mucosa.

In patients with deeply pigmented skin, changes in color may be apparent only in certain areas, such as the: Select one: A. dorsum of the hand. B. back of the neck. C. forehead and face. D. lips, sclera, or oral mucosa.

D. pink, warm, and dry.

Normal skin color, temperature, and condition should be: Select one: A. pink, warm, and moist. B. flushed, cool, and dry. C. pale, cool, and moist. D. pink, warm, and dry.

C. radiating.

Pain that moves from its point of origin to another body location is said to be: Select one: A. referred. B. provoking. C. radiating. D. palliating.

B. alleviate the pain.

Palliating factors regarding a patient's pain involve those that: Select one: A. worsen the pain. B. alleviate the pain. C. initiate the pain. D. change the pain.

A. the reason why the patient called EMS.

Reassessment is performed to determine all of the following, EXCEPT: Select one: A. the reason why the patient called EMS. B. the nature of any newly identified problems. C. the patient's response to your treatment. D. whether or not the patient is deteriorating.

D. systolic pressure.

The pressure exerted against the walls of the artery when the left ventricle contracts is called the: Select one: A. pulse pressure. B. blood pressure. C. diastolic pressure. D. systolic pressure.

D. wiggle his or her toes on command.

When assessing motor function in a conscious patient's lower extremities, you should expect the patient to: Select one: A. note any changes in temperature. B. feel you touching the extremity. C. identify different types of stimuli. D. wiggle his or her toes on command.

B. cyanosis.

When assessing the skin of an unconscious patient, you note that it has a bluish tint to it. This finding is called: Select one: A. mottling. B. cyanosis. C. flushing. D. pallor.

B. brachial

When auscultating the blood pressure in a patient's upper extremity, you should place the diaphragm (head) of the stethoscope over the _________ artery. Select one: A. femoral B. brachial C. apical D. radial

D. determine which complaint poses the greatest threat to the patient's life.

When evaluating a patient with multiple complaints, the EMT's responsibility is to: Select one: A. assess each complaint based on the patient's perception of its seriousness. B. definitively rule out serious causes of each of the patient's complaints. C. direct his or her attention to the most obvious signs and symptoms. D. determine which complaint poses the greatest threat to the patient's life.

A. bruising behind the ear.

When performing a full-body scan on a trauma patient, you note the presence of Battle's sign. This is defined as: Select one: A. bruising behind the ear. B. swelling to the orbital area. C. fluid drainage from the nose. D. unequal pupils. Feedback

B. constricting.

When you inspect a patient's pupils with a penlight, the pupils should normally react to the light by: Select one: A. fluttering. B. constricting. C. dilating. D. enlarging.

D. systolic blood pressure.

When you use the palpation method to obtain a blood pressure, the measurement you obtain is the: Select one: A. diastolic blood pressure. B. cardiac output pressure. C. pulse pressure. D. systolic blood pressure.

D. rapidly assessing a patient's respiratory status

Which of the following actions would NOT be performed during the scene size-up? Select one: A. noting the position of a crashed motor vehicle B. notifying the dispatcher to send fire personnel C. asking a neighbor to secure the patient's dog D. rapidly assessing a patient's respiratory status

B. headache

Which of the following is an example of a symptom? Select one: A. tachycardia B. headache C. hypertension D. cyanosis

A. auscultating breath sounds with a stethoscope

Which of the following is the MOST effective method of assessing the quality of air movement in the lungs? Select one: A. auscultating breath sounds with a stethoscope B. applying a pulse oximeter and monitoring the SpO2 C. looking for the presence of accessory muscle use D. evaluating the patient's chest for cyanosis