201-3 quiz
During the abdominal exam, areas that are known to be painful or tender should be examined:
Last
Which of the following best describes the technique for palpating the abdomen for large or deep masses?
one hand over another pushing down slowly
A car has struck a pedestrian at about 45 mph. While assessing the patient, you note bilateral tibia and fibula fractures. Which of the following best describes why the patient should be transported to a trauma center?
other serious injuries are likely
After a call you discuss the patient with the ED physician, comparing diagnoses and care plans. This is an example of:
reflecting
Which of the following best describes the development of the sensory portion of the nervous system in infants?
they can feel pain, but cannot isolate the sensation
What does the "U" in A-V-P-U stand for?
unresponsive
Which of the following questions is designed to find out about palliation?
what makes the pain feel better?
A critical patient's vital signs should be reassessed at least every ________ minutes.
5
Your patient does not respond to you when you call his name. What should you do next?
Apply a painful stimulus
Special emphasis should be placed on which of the following during your secondary assessment?
Areas suggested by the chief complaint
While performing a primary assessment on a trauma patient, who has fallen from a roof, you discover absent lung sounds on the right side. Which of the following actions should you take next?
Assess for signs of a tension pneumothorax
Your patient was in a motor vehicle collision, but was not discovered until 3 hours after the event. When you examine her, you discover bilateral discolored skin over the mastoid process. You should suspect
Basilar skull fracture
Rales, or crackles, would be most typically auscultated in patients with which of the following conditions?
Congestive heart failure
A light, popping, nonmusical sound heard upon auscultation of the lungs is best described as:
Crackles
You arrive at a location and begin to read the scene by:
observing the immediate surroundings
Which of the following would NOT be part of a paramedic's assessment?
Definitive Diagnosis
Which of the following may indicate either cardiac tamponade or tension pneumothorax?
Distended neck veins
You can test the oculomotor, trochlear, and abducens nerves by:
Evaluating the patients extraocular movements
Mottled, cyanotic, pale, or ashen skin color may indicate any of the following EXCEPT
Hypertensive crisis
Asking a patient, "What were you doing when this problem began?" represents what part of the OPQRST question format?
O
A practical template for exploring various aspects of a chief complaint is:
OPQRST-ASPN
Asking a patient, "Does it hurt more when you breathe deeply?" represents what part of the OPQRST question format?
P
Devices for maintaining airway patency in a five-year-old patient include all of the following EXCEPT a(n):
Pharyngotracheal lumen airway
At the scene of a multiple-vehicle collision, which of the following actions should you take first?
Quickly scan the scene to count patients
Which of the following is the best example of referred pain?
Right shoulder pain associated with cholecystitis
A tear in the tracheobronchial tree or a pneumothorax can be characterized by__________ in the neck.
Subcutaneous emphysema
You are assessing a 34-year-old female patient, who appears to be in hypovolemic shock. You would expect her pulse to be:
Tachycardic and weak
Trending vital signs is best accomplished by:
Taking multiple sets of vital signs
A paramedic should wear a properly fitted HEPA mask when evaluating a patient exhibiting signs and symptoms of:
Tuberculosis
Which of the following describes the Moro reflex in the infant?
When startled the infant throws his arms out wide, then grasps with the fingers and arms
Which of the following statements about physiological changes associated with aging is TRUE?
blood vessel walls thicken, reducing blood flow to end organs and causing blood pressure to rise
The condition of the nail bed caused by chronic hypoxia associated with cardiopulmonary diseases is called:
clubbing
Which of the following guidelines applies when interviewing an adolescent patient?
conduct the interview in private
A patient with skin described as "clammy" has ________ skin.
cool and moist
A complete neurologic exam includes assessment of mental status and speech, the motor and sensory systems, reflexes, and the:
cranial nerves
The crunching sound that is made when unlubricated skeletal parts rub against each other is called:
crepitus
Discoloration over the umbilicus, known as ________ sign, is a(n) ________ indicator of intra-abdominal bleeding.
cullen's,late
The sound of gurgling associated with breathing usually indicates:
fluid in the upper airway
When checking for skin turgor, you should:
gently pick up a fold of skin then release it.
If an abnormal finding is noted in the patient's respiratory rate or pattern during the chest examination, you should:
immediately ensure adequate ventilation
When assessing the chest, you should cover any open wounds you locate with a(n) ________ dressing.
occlusive
A condition marked by exaggerated lumbar concavity is called:
lordosis
Which of the following is a normal finding when examining a patient's neck?
movement of the thyroid gland during swallowing
When responding to calls involving two-vehicle collisions, you must always suspect:
multiple patients
Skin color is best evaluated by observing the:
nail beds an conjunctiva
pulse quality refers to
strength
Which of the following fluids helps the newborn infant's lungs remain open by reducing surface tension of the alveoli?
surfactant
A decrease in cognitive functioning over a five-year period prior to death is termed:
terminal drop
Which of the following best describes the pulse pressure?
the difference between systolic and diastolic blood pressure