Chapter 11
Pronator drift is seen when:
Answer: When the eyes are shut, you can observe one arm drifting downward toward their feet. This could be a sign of a stroke.
Sonorous respirations are likely caused by:
Answer: an anatomic airway obstruction
To the patient, your entire assessment should:
Answer: appear to be a seamless process
The paramedic should address a patient:
Answer: as the patient wishes to be addressed
Objective patient information:
Answer: is based on fact or observation
The apparent absence of a palpable pulse in a responsive patient most likely indicates:
Answer: low cardiac output
A Babinski reflex test may be used to check which of the following?
Answer: neurologic function
On most runs, the two most important pieces of patient history information that you need to obtain initially are the:
Answer: patient's name and chief complaint
When examining the anterior abdomen of a patient who complains of abdominal pain:
Answer: routinely palpate the least painful area(s) first.
A patient with dysarthria has:
Answer: slurred speech.
More often than not, the paramedic will form a general impression of a patient based on:
Answer: the initial presentation and chief complaint.
Orthostatic vital signs help determine ________.
Answer: volume depletion.
Identifying the chief complaint is part of the _____.
Answer: Primary Survey
When listening to a patient's lung sounds, which finding would be the most likely if they are having an AMI?
Answer: Rales or crackles at the bases indicate an AMI
How should you palpate a patient's abdomen?
Answer: Using the ulnar surface of your hand.
When a patient is a high priority and there is no time for a complete secondary assessment on scene, which of the following should you perform before you transport?
Answer: Rapid full-body scan
__________ are subjective information that the patient tells you.
Answer: Symptoms
Which of the following phrases is an example of using the communication technique of facilitation?
Answer: "Is there anything else you can think of?"
You are assessing a patient complaining of squeezing chest pain who has no history of cardiac problems. As part of your secondary assessment, you should obtain ________.
Answer: 12 - Lead ECG
Upon assessing a patient, you notice that they open their eyes spontaneously and follow commands. When speaking with the patient, you note that they are disoriented. What Glasgow Coma Scale score should you assign?
Answer: 14
When treating a patient with life-threatening injuries external bleeding, it is critical that the tourniquet be applied in how many seconds or less?
Answer: 30 seconds
Drug interactions are most likely to occur in patients who take how many drugs or more?
Answer: 5
In general, for adults, a resting pulse rate of less than which value would be considered bradycardia?
Answer: 60 beats/min
An adult patient breathing at 12 breath/min and 500 mL/breath would have a minute volume of:
Answer: 6000 mL.
You arrive on scene to find a 45-year-old man lying in the street. When you talk to him, he seems to realize you are there and opens his eyes, but he only grunts as you examine him, although he does respond appropriately to pain. What is this patient's Glasgow Coma Scale score?
Answer: 9
Which of the following patients would be considered a priority patient requiring immediate transport?
Answer: A 36-year-old patient with difficulty breathing and hypoxia
You are assessing a 60-year-old female who tells you that she called 9-1-1 because she was feeling "weird." Which of these communication techniques would be the most appropriate to use?
Answer: Clarification
Which of the following conditions would likely cause mottled skin?
Answer: Decreased prefusion
What should you suspect when you detect rhonchi?
Answer: Fluid in larger airways.
During a 20 - minute transport of a critical patient, you should make a concerted effort to reassess the patient how many times?
Answer: Four
Which of the following respiratory patterns would you expect to see in a patient with diabetic ketoacidosis?
Answer: Kussmaul breathing.
Which of the following best describes the practice of recall auscultation?
Answer: Listening to lung sounds within the stethoscope.
Which of the following hazards are you likely to encounter at the scene of a motor vehicle crash?
Answer: Moving traffic
What does the "O" in COASTMAP determine?
Answer: Orientation
Which of the following does the full-body exam incorporate that the rapid full-body scan does not?
Answer: Percussion
