Chapter 14 Quiz Flashcards
(33 cards)
Expert clinicians may use different approaches of thinking through problems, but which of the following will they have in common?
Select one:
A.
Knowledge that one strategy works for everyone
B.
Strong foundation of knowledge
C.
Dislike of ambiguity
D.
Organization of data in their head
B.
Strong foundation of knowledge
You and another EMT are discussing a call he previously ran. The EMT said the patient had classic chest pain symptoms and he treated it as a possible heart attack, but he later found out the patient just had indigestion and was discharged 2 hours later. The EMT was concerned that his patient assessment skills were not as good as they should be, and that the ED physician will no longer trust his judgment. How should you respond to his concerns?
Select one:
A.
Tell him that his misdiagnosis is a common EMT mistake caused by illusionary correlation.
B.
Tell him that his misdiagnosis is a result of anchoring.
C.
Tell him that his misdiagnosis is a result of confirmation bias.
D.
Tell him that his misdiagnosis is a result of limited information.
D.
Tell him that his misdiagnosis is a result of limited information.
Once you have reached a possible diagnosis for a patient, you should:
Select one:
A.
assume your diagnosis is wrong and start your assessment over from the beginning.
B.
continue to look for data that will help rule in or rule out other conditions.
C.
stop looking for other causes for the patient’s signs and symptoms.
D.
aggressively treat the patient for that condition only.
B.
continue to look for data that will help rule in or rule out other conditions.
When you begin interviewing your patient, he tells you that he has not felt well for several months, ever since he had his gallbladder removed. He goes on to tell you that he cannot get his wife to schedule a doctor’s appointment for him and when she remembers to call, the office is always closed. Which of the following is the best way to proceed?
Select one:
A.
Try to call his doctor to schedule an appointment.
B.
Ask him for a list of his medications.
C.
Ask him why he decided to call 911 today.
D.
Begin your assessment of his vital signs.
C.
Ask him why he decided to call 911 today.
What is the feeling of bone ends rubbing together called?
Select one:
A.
Rhonchi
B.
Edema
C.
Orthopnea
D.
Crepitation
D.
Crepitation
When assessing a patient’s pertinent past history, you should ask which of the following questions?
Select one:
A.
Could you describe what happened?
B.
Have you been having any medical problems?
C.
Have you ever had a reaction to a medication?
D.
Are you currently taking any medications?
B.
Have you been having any medical problems?
Your elderly patient reports having stomach cramps for several hours. He denies any trauma and he hasn’t eaten for several hours. Which of the following is most important to your assessment of this patient?
Select one:
A.
Asking him if he is able to walk
B.
Asking if he has been having regular bowel movements
C.
Finding out if he has any chest pain
D.
Determining if he has been taking his medications as prescribed
B.
Asking if he has been having regular bowel movements
Your patient is a 16-year-old female who is reporting abdominal pain and nausea. She says it came on when she woke up this morning. Her mother says that her daughter has been tired and cranky lately and has not been eating well for a couple of weeks. In fact, every time you ask a question, the patient’s mother answers. What should you do next?
Select one:
A.
Tell the mother to leave the room.
B.
Ignore the mother and continue to try to talk to the patient.
C.
Ask the mother to please be quiet.
D.
Have your partner interview the mother in the next room.
D.
Have your partner interview the mother in the next room.
Your patient is a 22-year-old college student complaining of abdominal pain. She is alert and oriented, although somewhat uncomfortable. Which of the following should be your first action?
Select one:
A.
Palpate the patient’s abdomen for tenderness and guarding.
B.
Take the patient’s roommate aside and ask about the patient’s medical history.
C.
Perform a physical examination.
D.
Ask the patient to describe the pain and find out if she has other complaints.
D.
Ask the patient to describe the pain and find out if she has other complaints.
Mrs. Butler is a 66-year-old woman who is complaining of chest pain. Which of the following questions would be best in helping you determine if the pain is radiating?
Select one:
A.
Are you experiencing any other symptoms?
B.
Are you having pain in your arm?
C.
Does anything make the pain better or worse?
D.
Are you having pain anywhere beside your chest?
D.
Are you having pain anywhere beside your chest?
While assessing the past medical history of a 68-year-old male patient involved in a fall from a 4-foot stepladder, you use the acronym SAMPLE. What does the A refer to?
Select one:
A.
Acute
B.
Auscultate
C.
Assessment
D.
Allergies
D.
Allergies
You have a patient who is unresponsive on the floor. What is the best way to rule in or rule out trauma as a cause of the patient’s unresponsiveness?
Select one:
A.
Perform a stroke scale on the patient.
B.
Check the patient’s blood glucose to rule out hypoglycemia.
C.
Look for bystanders and ask them if they witnessed the incident.
D.
Examine the patient for signs of trauma.
C.
Look for bystanders and ask them if they witnessed the incident.
You are on the scene in the bad part of town for an unresponsive 18-year-old type 1 diabetic patient. His mother states that he is very noncompliant with his diabetes management and often goes unresponsive due to low blood sugar. After performing the primary assessment, you believe that this is the most likely cause of his unresponsiveness. However, after taking a capillary glucose reading you are surprised to see that the patient’s sugar level is normal. How will you now determine the field diagnosis?
Select one:
A.
Recognize that the mother is probably trying to protect her son from jail. Tell her that it is critical that she tell you what drugs he actually took.
B.
Recognize that the mother was lying to you. The patient is not diabetic and you now must assume that everything she told you is wrong.
C.
You cannot make a correct diagnosis in the field because you cannot perform all the necessary tests with your limited scope of practice.
D.
Continue patient care by getting a complete SAMPLE history and perform a complete secondary assessment.
D.
Continue patient care by getting a complete SAMPLE history and perform a complete secondary assessment.
Which of the following techniques of physical examination must an EMT master?
Select one:
A.
Observation, palpation, and auscultation
B.
Percussion, inspection, and palpation
C.
Visualization, percussion, and auscultation
D.
Auscultation, observation, and percussion
A.
Observation, palpation, and auscultation
A list of potential diagnoses compiled early in the patient’s assessment is known as which of the following?
Select one:
A.
Differential diagnosis
B.
Assessment-based diagnosis
C.
Traditional diagnosis
D.
Emergency medical diagnosis
A.
Differential diagnosis
An EMT’s assessment differs from an assessment made in the emergency department in which way?
Select one:
A.
Time is available in the emergency department to make a diagnosis.
B.
An EMT’s focus is on life threats first.
C.
The emergency physician is concerned with scene safety.
D.
The EMT is working with limited resources.
D.
The EMT is working with limited resources.
Of the following, which would most likely give the best information regarding your patient’s mental status?
Select one:
A.
Patient’s ability to know person, place, time, and purpose
B.
List of allergies
C.
Last oral intake
D.
Pulse and respiratory rate
A.
Patient’s ability to know person, place, time, and purpose
When using the memory aid OPQRST, which of the following questions would help you find out about P?
Select one:
A.
Are you having any pain?
B.
Do you have any past medical history?
C.
What is your primary complaint?
D.
Does anything make the pain better or worse?
D.
Does anything make the pain better or worse?
The process by which an EMT forms a field diagnosis is known as:
Select one:
A.
diagnostic thinking.
B.
critical thinking.
C.
differential thinking.
D.
clinical thinking.
B.
critical thinking.
________ are signs or symptoms that suggest the possibility of a particular problem that is very serious.
Select one:
A.
Worst-case scenarios
B.
Differentials
C.
Red flags
D.
All of these
C.
Red flags
Your patient is a 15-year-old female complaining of shortness of breath. Which of the following is not appropriate during the focused exam?
Select one:
A.
Checking her pupils for reactivity to light
B.
Looking at the use of her accessory muscles
C.
Assessing her mental status
D.
Listening to her lung sounds
A.
Checking her pupils for reactivity to light
Which of the following describes skepticism about one thing causing another?
Select one:
A.
Confirmation bias
B.
Availability
C.
Illusory correlation
D.
Representativeness
C.
Illusory correlation
You are dispatched for a patient with chest pain. Your patient tells you that she has had shortness of breath and chest pain for about 20 minutes. Which of the following questions will give you the best information regarding your patient’s chest pain symptoms?
Select one:
A.
Describe how the pain feels.
B.
Is the pain in your chest a sharp pain?
C.
Do you have a history of chest pain?
D.
Have you taken your medications correctly?
A.
Describe how the pain feels.
When using the memory aid SAMPLE, which of the following would you do to determine L?
Select one:
A.
Ask, “When was the last time you took your medicine?”
B.
Ask, “When was the last time you had anything to eat or drink?”
C.
Listen to the patient’s lung sounds.
D.
Look at the patient’s pupils.
B.
Ask, “When was the last time you had anything to eat or drink?”
