EMR Chapters 23-25 Quick Quiz

Your patient is a 35 year old female in her third trimester of pregnancy. She complains of a headache and swollen feet, and says that her vision is "spotty." You recognize:

A life threatening situation requiring immediate transport

Most states have laws that require Emergency Medical Responders to report suspected cases of:

Abuse and neglect

Your patient is a 15 year old male complaining of anxiety and difficulty breathing. You would classify this patient as:

Adolescent

You have been called to the home of an older adult and discover that she is refusing care. She states that she just wants to be left alone. You observe that the patient lives alone, is wearing only undergarments, and has multiple open sores and bruises over her body. These are most likely the signs of:

Alzheimer's

The components of the pediatric assessment triangle include

Appearance, work of breathing, and circulation

You are caring for a pregnant woman who states she is 36 weeks pregnant. She slipped and fell down three stairs, and while she says she isn't in pain, she is concerned for her baby. You should:

Apply oxygen, take vital signs, and call for transport

You are caring for an 18 year old woman with a complaint of severe abdominal pain and vaginal bleeding. You should:

Apply oxygen, take vital signs, and call for transport

Age related changes in the musculoskeletal system can lead to changes in posture, range of motion, and:

Balance

An infant fell into a pool. She is now unresponsive and you are unable to palpate a brachial pulse. You should:

Begin chest compressions

You are caring for a child in respiratory distress. he has noisy breathing, and his mother reports that he has been sick for several days. You should FIRST:

Call for immediate transport

An 8 year old male has burned his hand after falling into a camp fire. His hand is red and blistered, and extremely painful. You should:

Cover the burned hand with dry, sterile dressings

A 3 year old has a distinct sounded cough and signs of respiratory distress. You suspect he may have:

Croup

The loss of mobility is a common complaint among older adults and can lead to other problems, such as:

Depression

A 6 month old child has circumferential burns to his hind. His mother states that he fell into a tub of hot water, and his father states that he accidentally spilled hot coffee on the child. You should:

Document what each parent says and report your suspicions of child abuse to the hospital

The aging process can cause a degeneration of the heart's electrical system, which can lead to:

Dysrhythmias

A mother reports that her 14 month old child was "shaking uncontrollably" for about 30 seconds. The child now presents unconscious and limp. The mother states that the child has been ill and had a high fever earlier today. You suspect:

Febrile seizures

The purpose of the Pediatric Assessment Triangle is to:

Form a general impression

All of the following are common medical emergencies for the pediatric patient EXCEPT:

Heart attacks

The inability to retain urine or feces is called:

Incontinence

All of the following are ways the respiratory system is affected by the aging process EXCEPT:

Increased strength of respiratory muscles

Children less than one year of age are referred to as:

Infants

During a breech delivery, the baby appears to be struck with only the buttocks and legs presenting. You should:

Insert a gloved hand into the birth canal to create an air passage for the baby

While examining a mother for crowning, you notice that the umbilical cord is protruding from the vaginal opening. You should:

Insert a gloved hand into the vaginal canal and lift the baby off the cord

Which of the following is NOT a common factor that would influence your assessment strategy for geriatric patients?

Limited speech capacity

Geriatric patients are often less able to defend against illness and may take much longer to recover when they do become ill. This often results in:

Multiple simultaneous illnesses

While caring for a geriatric patient, he shares with you that his caregiver frequently leaves him alone in his bedroom for days and refuses to respond to his calls for assistance. This may be considered:

Neglect

When performing the physical exam on a geriatric patient, remember that:

Older adults patients may become tired quickly

A woman late in pregnancy called 911 after feeling dizzy and "lightheaded." You should:

Position her on her left side

You are caring for a pregnant woman who is 34 weeks pregnant and is complaining of a headache and nausea. Her pulse is 140, strong and regular, and her blood pressure is 174/96. Her condition is most likely caused by:

Preeclampsia

An infant with an airway obstruction has become unresponsive. You should:

Provide chest compressions as quickly as possible

The most appropriate approach when assessing the school-age patient is to:

Remain at eye level, explain each step of the exam, and be truthful

The most common cause of cardiac arrest in a pediatric patient is:

Respiratory arrest

You have responded to a house where an infant was found unresponsive in her crib early this morning. The infant is cold, still, and has no pulse or breathing. There is no significant medical history. You suspect:

Sudden infant death syndrome

A woman in her third trimester of pregnancy complains of dizziness and nausea when laying on her back. You suspect:

Supine hypotensive syndrome

You are caring for a 92 year old patient who lives alone. She complains of worsening symptoms of her chronic illness. She hands you a bag of medications and states, "I have trouble reading all of these labels." This patient's presentation may be caused by:

Taking the wrong amount of medication

Your patient is in her 38th week of pregnancy and she is experiencing light, painless vaginal bleeding. She is very concerned for the baby. Which of the following would be an appropriate response?

This may be normal, however let's call for the ambulance so a doctor can examine you

You are assisting a woman in active labor. As the baby's head begins to deliver you should:

apply gentle pressure and support the head during delivery

You are caring for a women who is 39 weeks pregnant. She complains of regular, intense contractions and asks to use the bathroom before leaving for the hospital. You should:

check for crowning and prepare for immediate delivery

Immediately following delivery, a newborn appears limp and cyanotic. You should

dry, warm, and stimulate the baby

A woman in her third trimester of pregnancy believes she is about to deliver her baby. Your exam reveals crowing. You should:

get the OB kit, don BSI, and prepare to assist the mother

A typical field obstetrics kit contains all of the following EXCEPT:

infant size blood pressure cuff

You are caring for a 38 year old woman who states that she is 8 weeks pregnant. She is experiencing heavy vaginal bleeding and abdominal cramping. You suspect

miscarriage

You have just assisted in the uncomplicated delivery of a healthy newborn. You notice moderate vaginal bleeding from the mother. You should:

place a sanitary pad at the vaginal opening

The organ the serves as a filter between the mother and the developing fetus is called the:

placenta

The first stage of labor begins at the onset of contractions and ends:

when the baby enters the vaginal canal