Chapter 15 Quiz Flashcards
(38 cards)
When checking breath sounds in a trauma patient, what should the EMT assess for first?
Select one:
A.
Presence and equality
B.
Wheezing and stridor
C.
Edema and rhonchi
D.
Rate and oxygen saturation
A.
Presence and equality
You have performed a rapid trauma assessment on a patient with multiple long-bone injuries. Your next assessment step should be which of the following?
Select one:
A.
Obtain baseline vital signs and past medical history.
B.
Perform a detailed physical exam.
C.
Call the ALS unit to determine their ETA before deciding your next step.
D.
Transport the patient to the hospital and perform a detailed physical exam.
A.
Obtain baseline vital signs and past medical history.
You are assessing a 76-year-old male patient who has been involved in a fall from a standing position. You have completed the scene size-up and primary assessment. What should you do next?
Select one:
A.
Secondary assessment
B.
Focused history assessment
C.
Reassessment
D.
Ongoing assessment
A.
Secondary assessment
Which of the following is not a purpose of a rapid trauma assessment?
Select one:
A.
To focus care on specific injuries
B.
To provide a basis for care during transport
C.
To assess the extent of injuries
D.
To detect injuries that may become life threatening
A.
To focus care on specific injuries
Your patient is a 14-year-old male who was run over by a tractor and is now unresponsive. During the rapid assessment, you should look for clear drainage coming from the patient’s ________ indicating a serious injury.
Select one:
A.
eyes
B.
rectum
C.
mouth
D.
ears
D.
ears
Your patient is a 45-year-old female who complains of “twisting her ankle” when she slipped on a patch of ice. Which of the following is not appropriate?
Select one:
A.
Detailed physical exam
B.
Questioning about any other complaints or areas of pain
C.
Providing emotional support, if necessary
D.
Secondary assessment
A.
Detailed physical exam
When assessing a 14-year-old male patient that has been involved in a bicycle accident, you notice that he has a small amount of blood coming from his left forearm. This observation is known as which of the following?
Select one:
A.
Clue
B.
Indication
C.
Sign
D.
Symptom
C.
Sign
What is a surgical opening in the wall of the abdomen with a plastic bag in place to collect digestive waste?
Select one:
A.
Priapism
B.
Stoma
C.
Tracheostomy
D.
Colostomy
D.
Colostomy
Immediately following a rapid physical exam on an unresponsive medical patient, which of the following should you do next?
Select one:
A.
Perform a focused physical exam.
B.
Check the scene for medications.
C.
Obtain baseline vital signs.
D.
Find out who the patient’s doctor is.
C.
Obtain baseline vital signs.
The patient was a driver in a lateral impact motor vehicle collision. During the assessment of his chest, the EMT notes a segment of the chest wall moving in the opposite direction from the rest of the chest. Which of the following best describes this finding?
Select one:
A.
Tension pneumothorax
B.
Intercostal retractions
C.
Flutter segment
D.
Paradoxical motion
D.
Paradoxical motion
You are called for a patient who was discovered unconscious in his bed this morning. You immediately complete a primary assessment and determine that he is breathing and has a good pulse. What should you do next?
Select one:
A.
Ask the family what happened.
B.
Begin transport immediately.
C.
Complete a rapid physical exam.
D.
Try to locate all of his medications.
C.
Complete a rapid physical exam.
You are assessing a patient who has been involved in a motor vehicle crash. Which of the following questions would be the most important to ask him?
Select one:
A.
Why were you in such a hurry?
B.
How fast was the vehicle going?
C.
Have you been in a crash before?
D.
How much fuel is in your car?
B.
How fast was the vehicle going?
You respond to a motor vehicle collision and find a patient with an altered mental status and angulated left femur; the other driver is deceased. Your closest trauma center is 45 minutes away. Which of the following would you do next?
Select one:
A.
Request ALS personnel.
B.
Transport the patient to a local medical clinic for evaluation by a physician.
C.
Perform a detailed physical exam.
D.
Apply a traction splint.
A.
Request ALS personnel.
When a patient describes how he feels, he is telling you which of the following?
Select one:
A.
His syndrome
B.
His signs
C.
His diagnosis
D.
His symptoms
D.
His symptoms
You are assessing a 21-year-old female who was assaulted by an unknown person. She is complaining of abdominal pain. As you perform a rapid assessment of her abdomen, you should check for all of the following except:
Select one:
A.
contusions.
B.
bowel sounds.
C.
firmness.
D.
distention.
B.
bowel sounds.
Your patient has been hit in the arm with a baseball during practice. He is alert and oriented, complaining of pain to his left arm with obvious black discoloration of the skin. What type of assessment is called for in this situation?
Select one:
A.
Area exam
B.
Focused exam
C.
Detailed physical exam
D.
Rapid trauma exam
B.
Focused exam
Where might you find a patient’s medical alert identification jewelry?
Select one:
A.
Ankle bracelet
B.
Bracelet
C.
Necklace
D.
All of these
D.
All of these
You are called for a patient who is complaining of being weak and dizzy. He reports that he does not have enough money to pay for his medications so he has not gotten them refilled. Your service has an automatic blood pressure machine and you use it to measure the patient’s blood pressure while you count his respirations. The blood pressure machine reports a blood pressure of 280/140. What should you do next?
Select one:
A.
Begin transport immediately.
B.
Continue with vital sign assessment.
C.
Call immediately for ALS response.
D.
Take a manual blood pressure.
D.
Take a manual blood pressure.
Your patient was struck in the chest with a baseball bat during a bar fight. A crackling or crunching sensation that is felt when air escapes from its normal passageways and is trapped under the skin is called:
Select one:
A.
distention.
B.
tension pneumothorax.
C.
crepitation.
D.
subcutaneous emphysema.
D.
subcutaneous emphysema.
Which of the following is another term for trauma?
Select one:
A.
Medical problem
B.
Illness
C.
Injury
D.
Suffering
C.
Injury
The term priapism means ________ and may be found in injuries of the ________.
Select one:
A.
a painful muscle spasm; spine
B.
a persistent penile erection; spine
C.
unequal pupils; brain
D.
abnormal pulsation; abdomen
B.
a persistent penile erection; spine
In which of the following patients should you check for the possibility of spinal injury?
Select one:
A.
A responsive patient with no history of injury who is complaining of a headache and neck pain
B.
An unresponsive patient found in her bed with no obvious injury
C.
An unresponsive diabetic who appears to have fallen down
D.
All of these
C.
An unresponsive diabetic who appears to have fallen down
Which of the following situations is most likely to result in hidden or unsuspected injury?
Select one:
A.
A vehicle without air bags
B.
Collisions that occur at night
C.
Deformity of the interior compartment of the vehicle
D.
Seat belt use by the vehicle occupants
D.
Seat belt use by the vehicle occupants
You are performing a rapid trauma assessment on an unresponsive 30-year-old male. As you evaluate his head, which of the following should you check for?
Select one:
A.
Crepitation
B.
Whether the patient can follow your finger with his eyes
C.
Function of the cranial nerves
D.
Unequal facial muscles
A.
Crepitation
