Module 3

Question 1

Steps of patient assessment

Answer 1

Assessing the environment
Chief complaint
Life threatening problems
Medical history
Physical examination

Question 2

Exam techniques

Answer 2

Inspection
Palpation
Percussion
Auscultation

Question 3

Inspection

Answer 3

Looking at the patient
Either in general or at a specific area

Question 4

Palpation

Answer 4

Physical touching for the purpose of obtaining information
Tenderness deformity, crepitance, mass effect, pulse quality, and abnormal organ enlargement

Question 5

Percussion

Answer 5

Gently striking the surface of the body
Detects changes in the densities of the underlying structures

Question 6

Auscultation

Answer 6

Listening with stethoscope

Question 7

Vitals needed to be taken

Answer 7

Heart rate
Blood pressure
Respiratory rate
SPO2
Temperature
Blood glucose

Question 8

What is blood pressure

Answer 8

Measurement of the force exerted against the walls of the blood vessels

Question 9

Places to find pulse

Answer 9

Radial, brachial, femoral, carotid

Question 10

What does pulse oximetry measure

Answer 10

The percentage of hemoglobin saturation

Question 11

Signs of significant distress

Answer 11

Altered mental status
Anxiousness
Laboured breathing
Difficulty breathing
Diaphoresis
Obvious pain
Obvious deformity
Guarding or splinting of a painful area

Question 12

Alert and oriented X4 means

Answer 12

Alert to person, place, time, event

Question 13

9 abdominopelvic regions

Answer 13

Right hypochondrial region
Epigastric region
Left hypochondrial region
Right lumbar region
Umbilical region
Left lumbar region
Right iliac region
Hypogastric region
Left iliac region

Question 14

Guarding

Answer 14

Contraction of abdominal muscles
Referred to as abdominal rigidity

Question 15

5 Ps of acute arterial insufficiency

Answer 15

Pain
Pallor
Parasthesias/paresis
Poikilothermia
Pulselessness

Question 16

Cranial nerve - 1

Answer 16

Name - olfactory
Sensory
Function - smell

Question 17

Cranial nerve - 2

Answer 17

Name - optic
Sensory
Function - light perception and vision

Question 18

Cranial nerve - 3

Answer 18

Name - Oculomotor
Motor
Function - pupil constriction, eye movements

Question 19

Cranial nerve - 4

Answer 19

Name - trochlear
Motor
Function - eye movements

Question 20

Cranial nerve - 5

Answer 20

Name - trigeminal
Motor and sensory
Functions - motor:chewing
Sensory:face, sinuses, teeth

Question 21

Cranial nerves - 6

Answer 21

Name - abducens
Motor
Function - eye movements

Question 22

Cranial nerve - 7

Answer 22

Name - facial
Motor
Functions - facial movements

Question 23

Cranial nerves - 8

Answer 23

Name - Vestibulocochlear
Sensory
Functions - hearing, balance perception

Question 24

Cranial nerve - 9

Answer 24

Name - glossopharyngeal
Motor and sensory
Functions - motor:throat and swallowing, gland secretion
Sensory: tongue, throat, ear

Question 25

Cranial nerve - 10

Answer 25

Name - vagus Motor and sensory Functions - heart, lungs, palate, pharynx, larynx, trachea, bronchi, GI tract, external ear

Question 26

Cranial nerve - 11

Answer 26

Name - spinal accessory Motor Functions - shoulder and neck movements

Question 27

Cranial nerve - 12

Answer 27

Name - hypoglossal Motor Functions - tongue, throat, and neck movements

Question 28

Initial assessment includes

Answer 28

LOC ABC Deadly wet check Decision Delegate

Question 29

Glasgow coma scale - eye opening

Answer 29

Spontaneous - 4 To verbal - 3 To pain - 2 No response - 1

Question 30

Glasgow coma scale - best verbal response

Answer 30

Oriented conversation - 5 Confused - 4 Inappropriate words - 3 Sounds - 2 No response - 1

Question 31

Glasgow coma scale - motor response

Answer 31

Obeys commands - 6 Localizes pain - 5 Withdrawals from pain - 4 Flexion - 3 Extension - 2 No response - 1

Question 32

Minute volume

Answer 32

Amount of air actually moved into and out of the lungs each minute Resp rate X tidal volume

Question 33

Red skin colour possible cause

Answer 33

Fever Hypertension Superficial burns Allergic reactions Alcohol intake Carbon monoxide poisoning - late signs

Question 34

White(pallor) skin colour possible cause

Answer 34

Excessive blood loss Anaphylaxis Hypoglycemia Anxiety

Question 35

Blue (cyanosis) skin colour possible causes

Answer 35

Hypoxemia Oxygen desaturation

Question 36

Mottled skin colour possible cause

Answer 36

Cardiovascular dysfunction Disseminated intravascular coagulopathy

Question 37

Jaundice skin colour possible cause

Answer 37

Liver disease

Question 38

Skin condition possible cause - hot, dry

Answer 38

Excessive body heat

Question 39

Skin conditions possible cause - hot, wet

Answer 39

Reaction to increased internal or external temperature

Question 40

Skin condition possible cause - cool,dry

Answer 40

Exposure to cold

Question 41

Skin condition possible causes - cool, wet

Answer 41

Shock