Test 2 quizzes

Asymmetry of the face could indicate: A)Spinal cord injury B)Facial nerve palsy C)Severe hyperglycemia D)Oculomotor nerve injury

A

Sonorous respirations are likely caused by: A)An anatomic airway obstruction B)Severe inflammation of the epiglottis C)Secretions or blood in the airway D)Swelling of upper airway structures

A

An unresponsive patient who has been breathing slowly and shallowly for an extended period of time would likely have skin that is: A)Flushed B)Pale C)Cyanotic D)mottled

C

When assessing the head and face during the full-body exam, you should: A)Apply pressure to the eyes and elicit pain B)Remove any dentures if they are present C)Avoid palpating any cranial depressions D)Pack the ears if blood drainage is present

C

Which assessment technique usually yields the most significant diagnostic info during the abdominal exam? A)Auscultation B)Inspection C)Palpation D)Percussion

C

Which of the following situations is most challenging with regard to your critical thinking and decision-making skills? A)A rigid abdomen and signs of shock B)An elderly pt w prolonged asystole C)A driver who passed out and then struck a tree D)Isolated tibia/fibula fx from minor trauma

C

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, A)Apply a rigid cervical collar and obtain initial GCS score B)Asses her respiratory quality and then apply oxygen via nonrebreather C)Have your partner manually stabilize her head as you assess her mental status D)Open her airway with the jaw-thrust maneuver and assess respiratory quality

C

the care plan that you implement based on your working field dx of a pt is almost always defined by: A)Direct orders from the physician at the receiving medical facility B)A combo of you and your partner's knowledge and experience C)Your ems systems pt care protocols or standing orders D)Your previous experience w pts who had a similar condition

C

when a pt is a high priority and there's no time for a complete secondary assessment on scene, which of the following should you perform before you transport? A)Full neurologic exam B)Grip strength exam C)Rapid full-body exam D)Complete medical history

C

which of the following pts would be considered a priority pt requiring immediate transport? A)A 12 ypo pt w low grade fever and vomiting B)A 72 yo pt w a headache and normal pulse C)A 36 yo pt w difficulty breathing and hypoxia D)A 49 yo pt w low blood glucose and fatigue

C

you would most likely encounter bilateral dependent edema in a pt w: A)Arterial occlusion B)DM C)Heart failure D)Deep vein occlusion

C

Which of the following conditions would likely cause mottled skin? A)Liver dysfunction B)High fever C)Severe overhydration D)Decreased perfusion

D

once you determine that your pt is sick you must next: A)Contact online medical control B)Provide aggressive care C)Transport them immediately D)Quantify how sick the pt is

D

while treating a pt w chest pain, you administer fentanyl. Shortly after, you ask him if his pain has improved. This is an example of: A)Data interpretation B)Reflection on action C)Application of principle D)Reflection in action

D

An empathetic attitude A)Will put your patient at ease quickly B)Puts you in your patients shoes C)Is often offensive to the patient D)Allows you to feel sorry for the patient

B

Which of the following would provide the most objective data when determining a pts status? A)Medications B)Vitals C)Medical hx D)Chief complaint

B

for pts w serious conditions, you should obtain how many sets of serial vital signs during a 15 min transport? A)Four B)Three C)Two D)One

B

you gather a pts pmh and perform a secondary assessment A)After initial tx has been rendered and you are en route to the hospital B)After life threats have been ID'd and corrected in the primary assessment C)Immediately after you form a visual general impression of the pt D)Shortly after making pt contact and determining their complaint

B

a working dx is accurately defined as: A)Your interpretation of the pts vital sign values B)A reliable yet unofficial diagnosis of the pt C)What you feel is the cause of your pts problem D)A firm explanation for the pt's symptomatology

B c

after gathering info from the patient, scene, and any bystanders, you must next: A)Formulate a care plan based on the info B)Synthesize the info to form a thought process C)Determine the most likely cause of the pts problem D)Determine which info is valid and which may be invalid

D B

When examining the anterior abdomen of a patient who complains of abdominal pain: A)Routinely palpate the least painful area(s) first B)It is often necessary to administer analgesia first C)Auscultate bowel sounds for at least 5 mins D)You should first percuss over the four quadrants

A

Which of the following patients would be considered a priority patirent requiring immediate transport? A)36 yo pt w difficulty breathing and hypoxia B)49 yo pt w low BG and fatigue C)72 yo pt w headache and normal pulse D)12 yo pt w low-grade fever and vomiting

A

Which of the following scenarios is an example of independent decision making? A)Controlling severe bleeding from an open wound, establishing an IV to maintain perfusion, and contacting med control en route to hosp B)Contacting medical control and requesting permission to admin adenosine to a pt w a heart rate of 190 beats/min and a stable blood pressure C)Selecting the appropriate pt care algorithm from your protocol book when treating a middle-ages female pt w symptomatic bradycardia D)Definitively diagnosing a pt w cholecystitis who has a right upper quadrant abdominal pain and nausea that began shortly after eating a meal

A

in EMS, the process of concept formation involves: A)Gathering info about your pt B)Knowing which tx algorithm to use C)Interpreting a pts signs and symptoms D)Determining the validity of obtained data

A

what should you do after reading the pt when utilizing the 6 R's of clinical decision making? A)React B)Read the scene C)Revise the tx plan D)Reevaluate

A

More often than not, the paramedic will form a general impression of a patient based on : A)Conditions found in the primary assessment B)The initial presentation and chief complaint C)Baseline vitals and sample history D)A rapid, systematic head-to-toe assessment

B

The apparent absence of a palpable pulse in a responsive patient most likely indicates: A)Respiratory arrest B)Low cardiac output C)Severe bleeding D)Cardiac arrest

B

The general type of illness a patient is experiencing is called the: A)Differential dx B)Nature of illness C)General impression D)Chief complaint

B

Upon assessing a patient, you notice that they open theirr eyes spontaneously and follow commands. When speaking with the patient, you note that they are disoriented. What GCS score should you assign? A)12 B)14 C)10 D)15

B

When the patient presents with two seemingly unrelated complaints, it is most important for the paramedic to determine: A)The patients pmh B)Which complaint has a higher priority C)When each of the complains began D)Whether the two complaints are related

B