EMT session 16 quiz

What mnemonic is helpful for gathering additional information about a patient history of present illness and current system? A opqrst B avpu C sample D dcap-btls

A opqrst

A patient with profuse sweating is referred to as being: Group of answer choices A flushed. B plethoric. C diaphoretic. D edematous.

C diaphoretic.

How often do we reassess critical vs non critical patients

Critical every 5 minutes Non critical every 15 minutes

A 29-year-old male with a head injury opens his eyes when you speak to him, is confused as to the time and date, and is able to move all of his extremities on command. His Glasgow Coma Scale (GCS) score is: Group of answer choices A 10. B 12. C 13. D 14.

D 13

Cyanosis of the skin is caused by: Group of answer choices A increased blood oxygen. B peripheral vasodilation. C venous vasoconstriction. D decreased blood oxygen.

D decreased blood oxygen.

What is DCAP-BTLS?

DCPA-BTLS deformities, contusions, punctures, abrasions, burns, tenderness, lacerations, swelling

what is A/O?

Person Place Time Event

After performing a primary assessment, a rapid exam of the body should be performed to Select one: a. determine the need for spinal motion restriction precautions. b. identify less-obvious injuries that require immediate treatment. c. look specifically for signs and symptoms of inadequate perfusion. d. find and treat injuries or conditions that do not pose a threat to life.

b. identify less-obvious injuries that require immediate treatment.

what are the steps for rapid body exam?

1. DCAP-BTLS 2. asses neck 3. apply c collar if needed 4. asses the chest and listen to lung sounds both sides 5. asses the abdomen 6. asses the pelvis. if there is no pain, gently compress the pelvis downward and inward to look for tenderness and instability. 7. asses all four extremities. asses the pulse and motor and sensory function. 8. asses the patients back. if spinal immobilization is indicated, do so with minimal movement to the patients spine by log rolling the patient in one.

During a 30-minute transport of a stable patient, you should reassess him or her at least ________ times. Group of answer choices A 2 B 3 C 4 D 6

A 2

In the adult, bradycardia is defined as a pulse rate less than _______ beats/min, and tachycardia is defined as a heart rate greater than _______ beats/min. A 60, 100 B 50, 110 C 40, 120 D 30, 130

A 60, 100

What part of the patient assessment process focuses on obtaining additional information about the patient's chief complaint and any medical problems he or she may have? A History taking B General impression C Primary assessment D Secondary assessment

A History taking

Capnography is used to: A determine how much carbon dioxide is being exhaled. B assesses how much oxygen is bound to the hemoglobin. C trend a patient's blood pressure and assess for a shock. D assesses how much oxygen is reaching the body's tissues.

A determine how much carbon dioxide is being exhaled.

Normal skin color, temperature, and condition should be: A pink, warm, and dry. B pale, cool, and moist. C pink, warm, and moist. D flushed, cool, and dry.

A pink, warm, and dry.

In responsive patients who are older than 1 year of age, you should palpate the pulse at the ________ artery. A radial B carotid C brachial D femoral

A radial

When assessing a patient's abdomen, you will evaluate for all of the following, EXCEPT: A subcutaneous emphysema. B open wounds or eviscerations. C gross bleeding and tenderness. D rigidity and obvious bleeding.

A subcutaneous emphysema.

A properly sized blood pressure cuff should cover: Group of answer choices A two thirds the length from the armpit to the crease at the elbow. B one half the length between the armpit and the crease at the elbow. C one third the length from the armpit to the crease at the elbow. D the entire upper arm between the armpit and the crease at the elbow.

A two thirds the length from the armpit to the crease at the elbow.

When assessing motor function in a conscious patient's lower extremities, you should expect the patient to: A wiggle his or her toes on command. B feel you touching the extremity. C note any changes in temperature. D identify different types of stimuli.

A wiggle his or her toes on command.

An adult patient who is NOT experiencing difficulty breathing will: A. be able to speak in complete sentences without unusual pauses. B. assume a position that will facilitate effective and easy breathing. C. exhibit an indentation above the clavicles and in between the ribs. D. have a respiratory rate that is between 20 and 24 breaths/min

A. be able to speak in complete sentences without unusual pauses.

As you assess the head of a patient with a suspected spinal injury, your partner should: A. maintain stabilization of the head. B. look in the ears for gross bleeding. C. prepare the immobilization equipment. D. assess the rest of the body for bleeding

A. maintain stabilization of the head.

qualification

Are they sick or injured

What four things is AVPU looking for?

Awake and alert responsive to verbal stimuli responsive to pain unconscious

What is defined as an objective condition that you can observe or measure? A a syndrome B a sign C a symptom D evidence

B a sign

Which of the following is an example of a symptom? A cyanosis B headache C tachycardia D hypertension

B headache

If you cannot palpate a pulse on an unresponsive patient whose collapse was not witnessed, you should: A apply an AED at once. B immediately begin CPR. C palpate at another pulse site. D assess for adequate breathing.

B immediately begin CPR.

The diastolic blood pressure represents the: A average pressure against the arterial walls during a cardiac cycle. B minimum amount of pressure is always present in the arteries. C increased arterial pressure that occurs during ventricular contraction. D difference in pressure between ventricular contraction and relaxation.

B minimum amount of pressure that is always present in the arteries.

A 40-year-old male crashed his motorcycle into a tree. He is semiconscious, has snoring respirations, and has a laceration to the forearm with minimal bleeding. You should: Group of answer choices A apply a cervical collar and suction his airway. B open his airway with the jaw-thrust maneuver. C apply a pressure dressing to the patient's arm. D tilt the patient's head back and lift up on his chin.

B open his airway with the jaw-thrust maneuver.

The pressure exerted against the walls of the artery when the left ventricle contracts is called the: A blood pressure. B systolic pressure. C diastolic pressure. D pulse pressure.

B systolic pressure.

When a patient's respirations are shallow: A chest rise will be easily noticeable. B tidal volume is markedly reduced. C oxygenation occurs more efficiently. D carbon dioxide elimination is increased.

B tidal volume is markedly reduced.

For an adult, the normal resting pulse should be between: Group of answer choices A 50 and 60 beats/min. B 50 and 70 beats/min. C 60 and 100 beats/min. D 70 and 110 beats/min.

C 60 and 100 beats/min.

You are assessing a patient who fell off a ladder. He is conscious and alert and complaining of pain to his right side and shortness of breath. This is known as ________. A The mechanism of injury B The nature of illness C The chief complaint D A sign

C The chief complaint

A blood pressure cuff that is too small for a patient's arm will give a: Group of answer choices A falsely low systolic and diastolic reading. B falsely high systolic but low diastolic reading. C falsely high systolic and diastolic reading. D falsely low systolic but high diastolic reading.

C falsely high systolic and diastolic reading.

A 50-year-old male presents with altered mental status. His wife tells you that he had a "small stroke" three years ago but has otherwise been in good health. The patient is responsive but unable to follow commands. After administering oxygen if needed, you should: A repeat the primary assessment. B inquire about his family history. C prepare for immediate transport. D perform a head-to-toe assessment.

C prepare for immediate transport.

Upon arriving at the scene of a patient with difficulty breathing, you determine that the scene is safe. You enter the residence and find the patient sitting in a chair in respiratory distress. Your first action should be to: A ask the patient what's wrong. B obtain a set of baseline vital signs. C assess the patient's airway status. D introduce yourself to the patient.

D introduce yourself to the patient.

The goal of the systematic head-to-toe exam that is performed during the secondary assessment is to: A detect and treat all non-life-threatening injuries. B assess only the parts of the body that are injured. C definitively rule out significant internal injuries. D locate injuries not found in the primary assessment.

D locate injuries not found in the primary assessment.

Which of the following is not part of the sample history? A allergies B prescriptions C events preceding D medical insurance information

D medical insurance information

The systematic head-to-toe assessment should be performed on: A stable patients who are able to tell you exactly what happened. B all patients with traumatic injuries who will require EMS transport. C responsive medical patients and patients without a significant MOI. D patients with significant MOI and unresponsive medical patients.

D patients with significant MOI and unresponsive medical patients.

A patient who does not respond to your questions, but moves or cries out when his or her trapezius muscle is pinched, is said to be: Group of answer choices A conscious and alert. B completely unresponsive. C responsive to verbal stimuli. D responsive to painful stimuli.

D responsive to painful stimuli.

A crackling sound produced by air bubbles under the skin is called: Group of answer choices A crepitus B rhonchi. C Korotkoff sounds. D subcutaneous emphysema.

D subcutaneous emphysema.

Supplemental oxygen without assisted ventilation would MOST likely be administered to patients: A who are semiconscious with shallow respirations. B with rapid respirations and a reduced tidal volume. C who have accessory muscle use and slow breathing. D with difficulty breathing and adequate tidal volume.

D with difficulty breathing and adequate tidal volume.

After performing a head tilt-chin lift maneuver to open the airway of an unresponsive patient, you should: A. assess respiratory rate, depth, and regularity. B. provide positive-pressure ventilatory assistance. C. place him or her in the recovery position. D. suction as needed and insert an airway adjunct.

D. suction as needed and insert an airway adjunct.

GCS scoring

Eyes -4 Open spontaneously -3 Opens on verbal -2 Opens on pain -1 Unresponsive Speach -5 Speaks spontaneously, makes sense -4 Speaks spontaneously, but is confused -3 Speaks spontaneously, does NOT make sense -2 Makes only sounds -1 Unresponsive Motor -6 Obeys verbal commands to move +Moves due to stimuli -5 Localizes pain -4 Flexion/Withdrawal from pain -3 Decorticate posture -2 Decerebrate posture -1 Unresponsive

Quantification

How sick or injured

What do you get for vitals?

Pulse ox Pulse Blood pressure Respiratory rate CTC(color temp condition) of skin Pupils Lung sounds

what is the purpose of scene size up?

The purpose of scene size-up is to expeditiously ensure that there is a safe scene on which to provide care, and that the proper resources are summoned to the scene according to the number of patients and their specific care needs.

Tachycardia

fast heart rate

what is the primary assessment for?

primary assessment a rapid, initial examination of a patient to recognize and manage all immediate life-threatening conditions. and determine transportation

when should you request additional resources?

request additional resources if the number of patients exceeds the capability of the initial responding unit.

Bradycardia

slow heart rate