Chapter 11 - Book Quiz

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

C

10. Your entire assessment of a patient should: Select one: A. not deviate at all from a strict format. B. only focus on his or her complaint. C. appear to be a seamless process. D. yield a definitive field diagnosis.

C

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

C

15. The general type of illness a patient is experiencing is called the: Select one: A. chief complaint. B. general impression. C. nature of illness. D. differential diagnosis.

C

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

C

18. Which assessment technique usually yields the MOST significant diagnostic information during the abdominal exam? Select one: A. Percussion B. Inspection C. Palpation D. Auscultation

C

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

C

11. An unresponsive patient who has been breathing slowly and shallowly for an extended period of time would MOST likely have ________ skin. Select one: A. mottled B. flushed C. pale D. cyanotic

D

12. At 3:00 a.m. you receive a call for a "man down." While en route to the scene, you ask the dispatcher to provide additional information, but the dispatcher advises you the caller was abrupt on the phone and then hung up. You should: Select one: A. advise the dispatcher to send a second paramedic crew to the scene. B. stage in a safe area until contact with the caller can be reestablished. C. assume the caller was panicked because the patient is critically ill. D. ask the dispatcher if law enforcement is en route to the scene.

D

16. 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. cardiac monitoring and blood glucose assessment. D. a thorough head-to-toe physical examination.

D

1. A patient with dysarthria has: Select one: A. slurred speech. B. painful joints. C. a flat affect. D. severe stuttering.

A

13. Gathering a patient's medical history and performing a secondary assessment should occur: Select one: A. after life threats have been identified and corrected in the primary assessment. B. after initial treatment has been rendered and you are en route to the hospital. C. shortly after making patient contact and determining his or her complaint. D. immediately after you form your visual general impression of the patient.

A

2. During a 20-minute transport of a critical patient, you should make a concerted effort to reassess the patient ___ times. Select one: A. four B. one C. two D. three

A

3. More often than not, the paramedic will form his or her general impression of a patient based on: Select one: A. the initial presentation and chief complaint. B. conditions found in the primary assessment. C. a rapid, systematic head-to-toe assessment. D. baseline vital signs and SAMPLE history.

A

5. On most runs, the two MOST important pieces of patient history information that you need to obtain initially are the: Select one: A. patient's name and family physician. B. patient's name and chief complaint. C. chief complaint and the patient's sex. D. chief complaint and patient's address.

B

19. You arrive at the scene of a motor vehicle crash in which a small passenger car struck a bridge pillar. The patient, a conscious young woman, is still seated in her car. The scene is safe and law enforcement is directing traffic. Upon initial contact with the patient, you should: Select one: A. open her airway with the jaw-thrust maneuver and assess respiratory quality. B. apply a rigid cervical collar and obtain an initial Glasgow Coma Scale score. C. assess her respiratory quality and then apply oxygen via nonrebreathing mask. D. have your partner manually stabilize her head as you assess her mental status.

D

20. Your patient says, "I can't catch my breath." In response, you state, "That's very helpful. Let me think about that for a moment." This dialogue is an example of: Select one: A. interpretation. B. clarification. C. facilitation. D. reflection.

D

6. Sonorous respirations are MOST likely caused by: Select one: A. secretions or blood in the airway. B. swelling of upper airway structures. C. severe inflammation of the epiglottis. D. an anatomic airway obstruction.

D

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

D

9. Which of the following hazards would you LEAST likely encounter at the scene of a motor vehicle crash? Select one: A. Hazardous materials B. Moving traffic C. Broken glass D. Unruly patient

D