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Flashcards in Patient Assessment Deck (59)
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1

A 50-year-old male is found unconscious in his car. There were no witnesses to the event. When gathering medical history information for this patient, the EMT should:
Choose one answer.
A. wait for family members to arrive before asking any questions. Incorrect
B. ask law enforcement officials if they are familiar with the patient. Incorrect
C. defer SAMPLE history questions until you arrive at the hospital. Incorrect
D. determine if the patient has a medical alert bracelet or wallet card. Correct
Correct

D. determine if the patient has a medical alert bracelet or wallet card.

2

Which of the following medical history questions would be of LEAST pertinence in an acute situation?
Choose one answer.
A. “Has this ever happened to you before?” Incorrect
B. “Are there medications that you cannot take?” Incorrect
C. “Does your mother have diabetes?” Correct
D. “Does the pain stay in your chest?” Incorrect

C. “Does your mother have diabetes

3

A full-body scan should be performed on:
Choose one answer.
A. stable patients who are able to tell you exactly what happened. Incorrect
B. patients with a significant MOI and unresponsive medical patients. Correct
C. all patients with traumatic injuries who will require EMS transport. Incorrect
D. responsive medical patients and patients without a significant MOI. Incorrect
Incorrect
Marks for this submission: 0/1.

B. patients with a significant MOI and unresponsive medical patients.

4

Upon arriving at a potentially unsafe scene, you should:
Choose one answer.
A. move the patient to safety. Incorrect
B. remove all bystanders. Incorrect
C. request another ambulance. Incorrect D. ensure that you are safe. Correct

D. ensure that you are safe.

5

When approaching a 32-year-old male who is complaining of traumatic neck pain, you should:
Choose one answer.
A. ensure that the patient can see you approaching him. Correct
B. approach him from behind and ask him not to move. Incorrect
C. assess his mental status by having him move his head. Incorrect
D. stand behind him and immediately stabilize his head. Incorrect
Correct
Marks for this submission: 1/1.

A. ensure that the patient can see you approaching him.

6

In infants and small children, skin color should be assessed on the:
Choose one answer.
A. palms and soles. Correct
B. underside of the arms. Incorrect
C. chest and abdomen. Incorrect
D. forehead. Incorrect
Incorrect
Marks for this submission: 0/1.

A. palms and soles.

7

Which of the following statements regarding stridor is MOST correct?
Choose one answer.
A. It is caused by incorrect airway positioning. Incorrect
B. It suggests the presence of fluid in the lungs. Incorrect
C. It is a whistling sound heard in the lower airway. Incorrect
D. It is a high-pitched, crowing upper airway sound. Correct
Incorrect
Marks for this submission: 0/1.

D. It is a high-pitched, crowing upper airway sound.

8

An elderly patient has fallen and hit her head. You assess her level of consciousness as unresponsive using the AVPU scale. Your initial care should focus on:
Choose one answer.
A. providing immediate transport. Incorrect
B. gathering medical history data. Incorrect
C. airway, breathing, and circulation. Correct
D. obtaining baseline vital signs. Incorrect
Incorrect
Marks for this submission: 0/1.

C. airway, breathing, and circulation.

9

The pulse oximeter is an assessment tool used to evaluate the:
Choose one answer.
A. saturation level of venous blood. Incorrect
B. amount of exhaled carbon dioxide. Incorrect
C. effectiveness of oxygenation. Correct
D. percentage of red blood cells. Incorrect
Incorrect
Marks for this submission: 0/1.

C. effectiveness of oxygenation. Correct

10

A crackling sound produced by air bubbles under the skin is called:
Choose one answer.
A. crepitus Incorrect
B. subcutaneous emphysema. Correct
C. Korotkoff sounds. Incorrect
D. rhonchi. Incorrect
Incorrect
Marks for this submission: 0/1.

B. subcutaneous emphysema

11

When you shine a light into one pupil, the normal reaction of the other pupil should be to:
Choose one answer.
A. dilate. Incorrect
B. not react. Incorrect
C. become smaller. Correct
D. become larger. Incorrect
Incorrect
Marks for this submission: 0/1.

C. become smaller.

12

A 50-year-old male presents with an altered mental status. His wife tells you that he had a “small stroke” 3 years ago but has otherwise been in good health. The patient is responsive but unable to follow commands. After administering oxygen, you should:
Choose one answer.
A. perform a head-to-toe assessment. Incorrect
B. inquire about his family history. Incorrect
C. repeat the primary assessment. Incorrect
D. prepare for immediate transport. Correct
Incorrect
Marks for this submission: 0/1.

D. prepare for immediate transport.

13

During the primary assessment, circulation is evaluated by assessing:
Choose one answer.
A. pulse quality, external bleeding, and skin condition. Correct
B. skin quality, blood pressure, and capillary refill. Incorrect
C. external bleeding, skin condition, and capillary refill. Incorrect
D. blood pressure, pulse rate, and external bleeding. Incorrect
Incorrect
Marks for this submission: 0/1.

A. pulse quality, external bleeding, and skin condition.

14

For an adult, the normal resting pulse should be between:
Choose one answer.
A. 50 and 60 beats/min. Incorrect
B. 70 and 110 beats/min. Incorrect
C. 50 and 70 beats/min. Incorrect
D. 60 and 100 beats/min. Correct
Incorrect
Marks for this submission: 0/1.

D. 60 and 100 beats/min.

15

Reassessment is performed to determine all of the following, EXCEPT:
Choose one answer.
A. whether or not the patient is deteriorating. Incorrect
B. the patient's response to your treatment. Incorrect
C. the nature of any newly identified problems. Incorrect
D. the reason why the patient called EMS. Correct
Incorrect
Marks for this submission: 0/1.

D. the reason why the patient called EMS.

16

Which of the following is the MOST accurate guide to palpating a pulse?
Choose one answer.
A. Avoid compressing the artery against a bone or solid structure. Incorrect
B. Apply firm pressure to the artery with your ring and little fingers. Incorrect
C. Use your thumb to increase the surface area that you are palpating. Incorrect
D. Place the tips of your index and long fingers over the pulse point. Correct
Incorrect
Marks for this submission: 0/1.

D. Place the tips of your index and long fingers over the pulse point.

17

In responsive patients that are older than 1 year of age, you should palpate the pulse at the ________ artery.
Choose one answer.
A. femoral Incorrect
B. brachial Incorrect
C. carotid Incorrect
D. radial Correct
Incorrect
Marks for this submission: 0/1.

D. radial

18

Which of the following is the MOST effective method of assessing the quality of air movement in the lungs?
Choose one answer.
A. looking for the presence of accessory muscle use Incorrect
B. auscultating breath sounds with a stethoscope Correct
C. evaluating the patient's chest for cyanosis Incorrect
D. applying a pulse oximeter and monitoring the SaO2 Incorrect
Incorrect
Marks for this submission: 0/1.

B. auscultating breath sounds with a stethoscope

19

End-tidal carbon dioxide (ETCO2) is defined as the:
Choose one answer.
A. amount of CO2 that a person breathes in during a single inhalation. Incorrect
B. maximum amount of CO2 that remains in the lungs at all times. Incorrect
C. maximal concentration of CO2 at the end of an exhaled breath. Correct
D. total amount of CO2 that remains in the lungs between breaths. Incorrect
Incorrect
Marks for this submission: 0/1.

C. maximal concentration of CO2 at the end of an exhaled breath.

20

Which of the following actions would NOT be performed during the scene size-up?
Choose one answer.
A. asking a neighbor to secure the patient's dog Incorrect
B. rapidly assessing a patient's respiratory status Correct
C. notifying the dispatcher to send fire personnel Incorrect
D. noting the position of a crashed motor vehicle Incorrect
Incorrect
Marks for this submission: 0/1.

B. rapidly assessing a patient's respiratory status

21

Which of the following statements regarding the mechanism of injury (MOI) is correct?
Choose one answer.
A. A nonsignificant MOI rules out the possibility of serious trauma. Incorrect
B. The exact location of a patient's injuries can be determined by the MOI. Incorrect
C. The MOI may allow you to predict the severity of a patient's injuries. Correct
D. A significant MOI always results in patient death or permanent disability. Incorrect
Incorrect
Marks for this submission: 0/1.

C. The MOI may allow you to predict the severity of a patient's injuries.

22

A patient with spontaneous respirations is breathing:
Choose one answer.
A. with shallow depth. Incorrect
B. at a normal rate. Incorrect
C. without assistance. Correct
D. without difficulty. Incorrect
Incorrect
Marks for this submission: 0/1.

C. without assistance.

23

When performing a full-body scan on a trauma patient, you note the presence of Battle's sign. This is defined as:
Choose one answer.
A. bruising behind the ear. Correct
B. fluid drainage from the nose. Incorrect
C. swelling to the orbital area. Incorrect
D. unequal pupils. Incorrect
Incorrect
Marks for this submission: 0/1.

A. bruising behind the ear.

24

You are dispatched to the county jail for an inmate who is “sick.” When you arrive, you find the patient, a 33-year-old male, unresponsive. His airway is patent and his respirations are rapid and shallow. Your initial action should be to:
Choose one answer.
A. apply a pulse oximeter. Incorrect
B. request a paramedic unit. Incorrect
C. assess his blood pressure. Incorrect
D. provide assisted ventilation. Correct
Incorrect
Marks for this submission: 0/1.

D. provide assisted ventilation.

25

Normal respiratory rates should not exceed _______ breaths per minute in children and _______ breaths per minute in infants.
Choose one answer.
A. 18, 28 Incorrect
B. 30, 50 Correct
C. 20, 30 Incorrect
D. 24, 45 Incorrect
Incorrect
Marks for this submission: 0/1.

B. 30, 50

26

When assessing a 62-year-old female with crushing chest pain, you note that her pulse is rapid and irregular. In addition to administering oxygen, you should:
Choose one answer.
A. apply a cardiac monitor and observe her cardiac rhythm. Incorrect
B. document your findings and perform a detailed assessment. Incorrect
C. transport at once and consider requesting a paramedic unit. Correct
D. conclude that the irregular pulse is normal based on her age. Incorrect
Incorrect
Marks for this submission: 0/1.

C. transport at once and consider requesting a paramedic unit.

27

External bleeding from an extremity can usually be controlled by a combination of:
Choose one answer.
A. elevation and pressure point control. Incorrect
B. direct pressure and a tourniquet. Incorrect
C. direct pressure and elevation. Correct
D. elevation and chemical ice packs. Incorrect
Incorrect
Marks for this submission: 0/1.

C. direct pressure and elevation.

28

The “Golden Period” begins when an injury occurs and ends when:
Choose one answer.
A. the patient is admitted to the ICU. Incorrect
B. you arrive at the emergency department. Incorrect
C. the patient receives definitive care. Correct
D. you depart the scene for the hospital. Incorrect
Incorrect
Marks for this submission: 0/1.

C. the patient receives definitive care

29

A 40-year-old male crashed his motorcycle into a tree. He is semiconscious, has snoring respirations, and has a laceration to the forearm with minimal bleeding. You should:
Choose one answer.
A. open his airway with the jaw-thrust maneuver. Correct
B. tilt the patient's head back and lift up on his chin. Incorrect
C. apply a cervical collar and suction his airway. Incorrect
D. apply a pressure dressing to the patient's arm. Incorrect
Incorrect
Marks for this submission: 0/1.

A. open his airway with the jaw-thrust maneuver.

30

The goal of the primary assessment is to:
Choose one answer.
A. identify patients that require transport to a trauma center. Incorrect
B. determine if the patient's problem is medical or trauma. Incorrect
C. identify and rapidly treat all life-threatening conditions. Correct
D. determine the need to perform a head-to-toe assessment. Incorrect
Incorrect
Marks for this submission: 0/1.

C. identify and rapidly treat all life-threatening conditions.