Chapt 13 post

What is the highest numerical value assigned to the best motor response when computing the​ GCS?

6 points

The range of a normal respiratory rate for an adult patient is​ between:

8 and 24 per minute.

You are transporting a patient who was injured as he was jogging along a road and was struck by a car. The patient has a GCS score of 10 with a respiratory rate of​ 30/min and a blood pressure of 78 systolic. The heart rate is​ 124/min. What is the​ patient's total revised trauma​ score?

9

What would be considered a significant mechanism of injury for an​ infant?

A fall greater than 10 feet

For which of the following patients should the EMT initiate their assessment and management by determining the status of the circulatory​ system?

A patient suspected to be in cardiac arrest

Which of the following patients would receive a modified secondary assessment rather than a rapid secondary​ assessment?

A patient with a laceration to the finger

The mnemonic used to assess a​ patient's mental status​ is:

AVPU

The pulse oximeter is failing to read​ properly, and the patient is complaining of​ dyspnea, abdominal​ pain, and nausea and is becoming more and more anxious. What should the EMT​ do?

Administer​ high-concentration oxygen.

You are working with a new EMT and while on scene with an unresponsive medical​ patient, your partner asks you when he should obtain vitals. What would you tell​ him?

After the rapid secondary assessment

Why may the EMT have to change the general impression of the patient on the basis of information learned during the primary or secondary​ assessment?

An intoxicated patient may present as a medical patient but actually also have a traumatic injury.

Of the patients listed which would you consider to be most​ unstable?

An unconscious​ 29-year-old female who has very shallow breathing

If the EMT is preparing to assess the characteristics of the​ skin, what location is the LEAST reliable location to​ use?

At the base of the nail beds of the hands

Of the​ following, which would NOT be included in the assessment of vitals during a secondary​ assessment?

Blood glucose level​ (BGL) assessment

Which of the following is TRUE regarding crowing and​ stridor?

Both are commonly associated with swelling of the airway.

Which of the following BEST describes establishing manual​ in-line stabilization?

Bringing the​ patient's head into a neutral​ in-line position and holding it there.

You arrive on scene for a patient who is trapped in a car after an MVC. From the​ ambulance, you can see the male patient slumped over the steering wheel with blood coming from a large head laceration. There is also smoke billowing from under the hood. What should you do​ first?

Complete a full scene​ size-up.

As soon as the​ patient's airway is​ opened, which of the following is NOT part of what the EMT should consider doing​ NEXT?

Determine the need for spinal immobilization.

Which of the following is TRUE about the inspection of the abdomen in a patient who sustained blunt abdominal​ trauma?

Discoloration around the navel and in the flank area usually appears several hours after the injury.

Your patient was injured in a construction accident and is complaining of pain to the pelvic region. Upon​ inspection, you note gross deformities to the pelvis. How should you continue to assess the​ pelvis?

Do not palpate the pelvis.

Your patient is a​ 54-year-old male with a history of diabetes who is currently unresponsive. You have initiated​ high-flow oxygen and started transport. His initial vitals were pulse​ 68, respirations​ 14, and​ B/P 102/70, with a BGL of 425​ mg/dL. Given​ this, how often will you repeat the vital signs while​ transporting?

Every 5 minutes

Which of the following clinical findings is consistent with a patient who is struggling to​ breathe?

Excessive abdominal muscle use

Which of the following assessment findings would be considered a critical finding in an unresponsive medical​ patient?

Facial drooping

When assessing a patient using the major body systems​ approach, which body system is typically not included in the​ assessment?

Genitourinary

Which of the following components is NOT used during the evaluation of the Revised Trauma​ Score?

Heart rate

Which of the following circulation assessment findings best describes a hemorrhage that the EMT should manage​ immediately?

Heavy​ venous/arterial bleeding from the thigh due to a penetration injury

You are at the scene of a patient with a significant mechanism of injury. After you complete your primary​ assessment, you find that the patient responds to painful stimuli with decorticate posturing. You also note blood in the​ hypopharynx, unequal chest wall​ motion, and a penetration injury to the leg with moderate bleeding. According to these​ findings, what would be your transport​ decision?

High priority

You are assessing a​ 58-year-old male who was in a​ high-speed collision. He was not wearing his seatbelt and has a deep laceration on his forehead and neck pain. It is not clear whether there was a period of unconsciousness before your arrival on the scene. What is the​ patient's treatment​ priority, and which hospital should he be taken​ to?

High priority and trauma center 10 miles away

At what point would the EMT consider the administration of oxygen to a patient with abdominal​ pain?

If the pulse oximeter dropped below 94 percent

Which of the following statements is TRUE regarding the secondary assessment for an unresponsive medical​ patient?

It is very similar to the secondary assessment for a trauma patient with a significant mechanism of injury.

During your assessment of the extremities of a critical trauma​ patient, which of the following should be of greatest​ concern?

Major bleeding

An unresponsive medical patient requires airway management. Which of the following is TRUE regarding airway control of the unresponsive medical​ patient?

Manual airway maneuvers helps to prevent the tongue and epiglottis from blocking the airway of an unresponsive patient.

What is the order in which you should perform a secondary assessment for a stable trauma patient who is​ responsive?

Modified secondary​ assessment, vitals, history

When assessing the​ patient, paying attention to his​ mood, speech,​ posture, and motor activity would be MOST relevant to which body​ system?

Neurological

Which of the following is LEAST directly related to checking the effectiveness of interventions you have performed on a trauma​ patient?

Obtaining a blood pressure and a pulse rate

Forming a general impression of the patient includes which of the​ following?

Obtaining the chief complaint

While on scene with a trauma​ patient, your EMT partner asks you whether she should request ALS backup. The presence of what clinical finding would cause you to have your partner summon​ ALS?

Occluded airway Major bleeding

Which of the following is recognized as one of the four main components or phases of patient​ assessment?

Primary assessment

You are called to the scene for a female patient who was ejected from a car she was riding in when it collided with another car. The driver of the other vehicle was killed in the accident. Your patient is visibly​ shaken, but only has minor injuries visible. What will you do regarding protecting this​ patient's spine?

Provide spine motion restriction.

Which of the following BEST outlines the sequences for completing the reassessment phase by the EMT while en route to the​ hospital?

Repeat the primary​ assessment, reassess the​ vitals, repeat the secondary​ assessment, assess effectiveness of​ interventions, and note trends in the​ patient's condition.

What is the first phase of patient assessment that the EMT should do at each and every patient​ encounter?

Scene​ size-up

Which of the following assessment findings would be considered critical during the primary​ assessment?

Sonorous breath sounds

What does the EMT know about the modified medical assessment of a stable​ patient?

The EMT knows that it is directed by the​ patient's complaints.

If your trauma patient had an initial GCS score of​ 13, and now has a score of​ 10, what does this​ imply?

The patient is deteriorating.

Which of the following is NOT a reason to perform a reassessment of the​ patient?

Transport time to the hospital of less than 10 minutes

You are assessing a​ 35-year-old female patient who fell and struck her head while skiing. She is confused about the day of the​ week, and she does not remember​ falling, although a witness says that she collided with a tree. She was wearing a helmet at the​ time, according to bystanders. On the basis of what you know​ already, what is her​ priority?

Unstable

For infants and​ children, significant mechanisms of injury​ include:

a vehicle collision in which the patient was unrestrained.

A large puncture wound or laceration to the neck must be immediately sealed with an occlusive dressing to​ prevent:

an air embolus.

When you report to your partner that the patient is a​ 46-year-old conscious male patient with leg​ pain, you have determined​ the:

chief complaint.

You are conducting the primary assessment of a​ 52-year-old man who was in a car crash. When checking the​ airway, breathing, and​ circulation, you are looking​ for:

immediate threats to life.

When discussing the reassessment​ phase, the EMT would likely say that​ it:

is performed​ continuously, until arrival at the hospital.

An airway that is open can also be​ called:

patent

Your​ 64-year-old patient is complaining of chest pain radiating to his left jaw. What part of the OPQRST would this information apply​ to?

r

During your​ ride-along time as an EMT​ student, you are called for a female patient with a severe headache that occurred suddenly and now radiates into her neck and jaw. She said that this occurred after she fell backwards and struck her head on the ground about 2 hours ago. Learning that the pain started 2 hours ago would be what part of the OPQRST​ history?

t

Tracheal deviation found during the general impression or primary examination may indicate​ a/an:

tension pneumothorax.

Given the time constraints that EMTs often face as they assess and care for​ patients, the reassessment of the patient is usually​ completed:

while in the ambulance.

You are conducting a primary assessment on a patient who has suffered an emergency. Although the patient is not spontaneously​ conscious, you note that when you call his name loudly he will open his eyes and then respond. Given​ this, you determine that his mental status​ is:

​"V" for verbal.