Quiz #14 The Secondary Assessment

The patient's statement, "I feel like I just can't get enough air when I breathe" best relates to what letter of the SAMPLE mnemonic? A. S B. L C. M D. P

A. S

When assessing the circulation of a young child or infant, the EMT should remember to check: A. capillary refill. B. nuchal rigidity. C. chest movement. D. Babinski's reflex.

A. capillary refill.

Paradoxical motion is most commonly associated with: A. chest injury. B. abdominal injury. C. extremity injury. D. head injury.

A. chest injury.

Reassessment is a means of determining: A. mechanism of injury. B. trending. C. consent. D. liability.

A. mechanism of injury.

In which situation would the past medical history NOT lead to important prehospital treatment? A. A 16-year-old asthmatic with shortness of breath B. A 30-year-old postseizure patient with a history of epilepsy C. A 55-year-old male with substernal chest pain and a history of angina D. A 14-year-old boy stung by a bee, who is allergic to bee stings

B. A 30-year-old postseizure patient with a history of epilepsy

Which of the following would appear in the secondary assessment of a medical patient with no signs of trauma or significant mechanism of injury? A. Determine responsiveness. B. Assess history of present illness. C. Determine chief complaint D. Do a detailed examination of all extremities.

B. Assess history of present illness.

The assessment procedure usually performed on seriously injured or ill patients en route to the hospital is the: A. primary assessment. B. detailed physical exam. C. SAMPLE history. D. rapid trauma assessment.

B. detailed physical exam.

All of the following would be considered "significant" mechanisms EXCEPT: A. death of another occupant in a car. B. fall from a standing position, less than 6 feet. C. motor-vehicle collision with rollover. D. ejection of a passenger from motor vehicle.

B. fall from a standing position, less than 6 feet.

The only thing that should prevent an EMT from performing the reassessment of a patient is: A. police orders. B. life-saving interventions. C. delayed transport. D. initial vital signs that are normal.

B. life-saving interventions.

For the unresponsive medical patient, the EMTs would begin by: A. requesting ALS support. B. performing a rapid physical examination. C. obtaining a SAMPLE history from bystanders. D. immediately packaging the patient for transportation.

B. performing a rapid physical examination.

Crepitation refers to the: A. altering of mental status. B. sound or feel of broken bones rubbing. C. loss of vision. D. presence of uncontrolled shivering.

B. sound or feel of broken bones rubbing.

When performing the rapid trauma assessment, the EMT should examine the patient for wounds, tenderness, and: A. response. B. AVPU. C. deformities. D. severity.

C. deformities.

After the rapid trauma assessment, the more thorough assessment that an EMT performs is the: A. focused physical exam. B. primary survey. C. detailed physical exam. D. scene survey.

C. detailed physical exam

The EMT's findings during the reassessment are particularly important for the: A. dispatcher. B. insurance report. C. hospital staff. D. QI review.

C. hospital staff

The decision to do a rapid trauma assessment is based on: A. information obtained from the SAMPLE history. B. the number of patients. C. mechanism or injury. D. vitals being outside normal limits.

C. mechanism or injury.

On most runs by EMT crews, most of the history of the present illness for a child is usually gathered from the: A. family physician. B. child. C. parents. D. medical dispatcher.

C. parents.

Just how often to conduct the reassessment is determined by the: A. location of the injury. B. initial assessment. C. patient's condition. D. number of interventions performed.

C. patient's condition.

In trauma situations the "S" in SAMPLE history can stand for all of the following EXCEPT: A. story. B. symptoms C. spinal status. D. signs.

C. spinal status.

Begin the assessment of infant and child trauma patients at the: A. head. B. fingertips. C. toes. D. abdomen.

C. toes.

Flat neck veins in a patient who is lying flat indicate: A. head injury. B. neck injury. C. chest injury. D. blood loss.

D. blood loss.

Areas that an EMT will assess in the detailed physical examination that were not assessed during the rapid trauma assessment include the: A. head and neck. B. chest and abdomen. C. pelvis and posterior body. D. ears, eyes, nose, and mouth.

D. ears, eyes, nose, and mouth.

The recommended interval for conducting the reassessment for stable patients is: A. every 5 minutes. B. once during transport. C. determined by medical direction. D. every 15 minutes.

D. every 15 minutes.

The best way to calm a frightened trauma patient is through: A. administration of sedation. B. constant monitoring. C. avoidance of eye contact. D. explanation of procedures.

D. explanation of procedures.

In a rapid assessment of the body, the areas that an EMT would examine last is(are) the: A. head. B. abdomen. C. pelvis. D. extremities.

D. extremities.

The physical examination of the responsive medical patient is a: A. detailed head-to-toe exam. B. specialized exam that is focused on the ABCs. C. rapid physical examination. D. focused exam centered on the area of complaint.

D. focused exam centered on the area of complaint.

During the reassessment, attempt to look at a patient as if you had never seen him before when checking: A. blood pressure. B. pulse. C. pupils. D. interventions.

D. interventions.

Which of the following would you be LEAST likely to obtain with an unresponsive medical patient? A. chief complaint B. blood pressure C. condition of pupils D. pulse

D. pulse