Ch8 EMT Patient Assessment Quiz

yecogofo's version from 2015-10-25 16:13


Question Answer
When performing a detailed physical exam on a trauma patient, you note the presence of Battle's sign. This is defined as:bruising behind the ear.
An unstable patient should be reassessed every:5 minutes.
When assessing a patient's abdomen, you will typically evaluate for all of the following, EXCEPT
a) subcutaneous emphysema
b) open wounds or eviscerations
c) gross bleeding and tenderness
d) rigidity and obvious bleeding
The chief complaint is MOST accurately defined as the:most serious thing the patient is concerned about.
When is it MOST appropriate to consider requesting additional ambulances at an accident scene?When you determine there are multiple patients
Following the initial assessment, how should you proceed with your assessment of a stable patient who has not experienced a significant mechanism of injury?Focused physical exam
The ongoing assessment is performed to determine all of the following, EXCEPT:
a) the reason why the patient called EMS
b) whether or not the patient is deteriorating
c) the nature of any newly identified problems
d) the patient's response to your treatment
The focused history and physical exam of a stable trauma patient consists of:a focused trauma exam, vital signs, and history
You should quickly obtain a SAMPLE history from a conscious trauma patient with severe injuries because:he or she may become unresponsive and will be unable to provide the information.
A rapid physical exam should be performed on:patients with a significant MOI and unresponsive medical patients.
The MOST effective way to gain a patient's trust when he or she is communicating with you is to:maintain eye contact and actively listen
After the first 60 minutes of experiencing a significant injury:the body's ability to compensate for shock decreases
When performing an ongoing assessment, you should first:repeat the initial assessment.
On which of the following patients should you perform a rapid trauma assessment?:
a) A 51-year-old restrained female who struck a utility pole while traveling approximately 20 MPH
b) A 34-year-old female who fell approximately 10 feet from a ladder and landed on her left side
c) A 29-year-old male involved in a motor-vehicle crash in which the driver of the same car was killed
d) A 40-year-old male who amputated his index and middle fingers while working with a table saw
The heart rate for an adult at rest typically ranges between:60 and 80 beats/min.
You are transporting a 49-year-old male with chest pain and an extensive cardiac history when he suddenly loses consciousness. You should:perform a head-tilt chin-lift
As you assess the head of an unconscious trauma patient, your partner should:maintain stabilization of the head.
What accurately describes paradoxical movement of the chest wall?Only one section of the chest rises on inspiration while another area falls
When evaluating a patient with multiple complaints, the EMT-B's responsibility is to:determine which complaint poses the greatest threat to the patient's life.
Which of the following findings indicates that your patient has a patent airway?:
a) Audible breathing
b) Forceful coughing
c) Unresponsiveness
d) Inspiratory stridor
During a 30-minute transport of a stable patient, you should perform an ongoing assessment ___ times.2
During the initial assessment, circulation is evaluated by assessing:pulse quality, external bleeding, and skin condition.
When you pinch the neck muscles of a patient who is responsive to painful stimuli only, you should expect him or her to:try to push your hand away.
Which of the following represents the MOST appropriate sequence of assessment for an unresponsive medical patient?Rapid physical exam, vital signs, history
The "Golden Hour" begins when an injury occurs and ends when:the patient receives definitive care.
Which of the following actions would you be LEAST likely to perform during the detailed physical exam?
a) Requesting ALS backup
b) Modifications in treatment
c) Full spinal immobilization
d) Head-to-toe assessment
Which of the following conditions would be LEAST likely to cause an altered mental status?
a) Hypoglycemia
b) Acute anxiety
c) Hypoxemia
d) Acute stroke
A patient who does not respond to your questions, but moves or cries out when his or her hand is pinched, is said to be:responsive to painful stimuli
Which of the following abnormal breath sounds would be LEAST suggestive of fluid in the lungs?
a) Crackles
b) Rales
c) Rhonchi
d) Stridor
The focused history and physical exam of a medical patient complaining of dizziness should include assessments of:orientation, vital signs, and signs of head trauma
While en route to the scene of a shooting, the dispatcher advises you that the caller states that the perpetrator has fled the scene. You should:confirm this information with law enforcement personnel at the scene
You respond to a call for a female pedestrian that has been struck by a car. As your partner maintains manual stabilization of her head, you perform an initial assessment. She is unconscious, has ineffective breathing, and bloody secretions in her mouth. You should:immediately suction her oropharynx
Which of the following would be the MOST significant observation when approaching a patient and forming a general impression?
a) Major bleeding
b) Smell of alcohol
c) Obvious pain
d) Clammy skin
After performing an initial assessment and treating any immediate life threats, you should next:decide if immediate transport is indicated
Diminished perfusion manifests with skin that is:pale
You respond to the residence of a 62-year-old male who is unresponsive. Your initial assessment reveals that he is pulseless and apneic. You should:start CPR and attach the AED as soon as possible
What is the MOST effective method of assessing the quality of air movement in the lungs?Auscultating breath sounds with a stethoscope
Observations made when forming a general impression of a patient would include all of the following, EXCEPT
a) level of distress
b) pulse strength
c) race and gender
d) appearance
You respond to the scene of a motor-vehicle collision. Upon arrival, you find a young female sitting on the curb. Other than a small abrasion to her forehead, she does not appear to be seriously injured. As you are performing your initial assessment on the patient, a police officer advises you that her husband, the driver of the vehicle, was killed in the accident. What is your MOST appropriate next action?Complete the initial assessment and perform a rapid trauma assessment.
When auscultating the blood pressure in a patient's upper extremity, you should place the diaphragm (head) of the stethoscope over the _________ artery.brachial
Treatment and transport priorities at the scene of a mass-casualty incident should be determined after:all the patients have been triaged
Which of the following statements regarding the focused history and physical exam is correct?
a) It should be performed en route to the hospital
b) It will help you determine whether an initial assessment should be performed
c) It will allow you to identify specific problems based on the patient's chief complaint
d) It should only be performed on critical patients
When performing a rapid physical exam on a supine patient, what part of the body is typically assessed last?Posterior
A 39-year-old male sustained a stab wound to the groin during an altercation at a bar. As you approach the patient, you note that he is conscious, screaming in pain, and is attempting to control the bleeding, which is bright red and spurting from his groin area. You should:Apply direct pressure to the wound
Upon arriving at a potentially unsafe scene, you should:ensure that you are safe
External bleeding from and extremity can usually be controlled by a combination of:Direct pressure and elevation
Jugular venous distention should be considered significant if the patient is:Sitting up at a 45° angle
A 71-year-old female slipped on a rug and fell. She is conscious and alert and complains of pelvic pain. Her respirations are 22 breaths/min with adequate depth and her heart rate is 110 beats/min. Which of the following would NOT be appropriate for this patient?
a) Gentle palpation of the pelvis
b) A focused physical exam
c) Treating her for possible shock
d) 100% supplemental oxygen
The goal of a rapid physical exam is to:locate injuries not found in the initial assessment
Which of the following situations or conditions warrants immediate transport?
a) Decreased ability to move an extremity
b) Mild pain in the upper abdominal quadrants
c) Responsive and able to follow commands
d) Chest pain with a systolic BP of 80 mm Hg
Which of the following patients does NOT have an altered mental status?
a) A patient who overdosed and moans when he is touched
b) A head-injured patient who is slow to answer questions
c) A patient with an acute allergic reaction and dizziness
d) A diabetic who opens his eyes when you ask questions
In what position should you place an uninjured patient with difficulty breathing?Fowler's position
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:prepare for immediate transport.
What maneuver should be used to open the airway of an unresponsive patient with suspected trauma?Jaw-thrust maneuver
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:open his airway with the jaw-thrust maneuver.
Supplemental oxygen via nonrebreathing mask should be administered to patients:with difficulty breathing and adequate tidal volume
In order to facilitate the emergency department physician's diagnosis of a patient's illness, you should:document the patient's complaint in his or her own words.
During your assessment of a patient with a possible upper extremity fracture, you note a grinding feeling in the bones when the patient moves. This finding is MOST appropriately called:Crepitus
When a patient's respirations are shallow:Tidal volume is markedly reduced
The presence of subcutaneous emphysema could indicate all of the following conditions, EXCEPT
a) myocardial rupture
b) pneumothorax
c) laryngeal fracture
d) crushed trachea
Where should you evaluate skin color in patients with deeply pigmented skin?Oral mucosa
A patient's short-term memory is MOST likely intact if he or she correctly answers questions regarding:date and event
Which of the following statements regarding the mechanism of injury (MOI) is correct?:
a) The MOI may allow you to predict the severity of a patient's injuries
b) A nonsignificant MOI rules out the possibility of serious trauma
c) The exact location of a patient's injuries can be determined by the MOI
d) A significant MOI always results in patient death or permanent disability
When approaching a 32-year-old male who is complaining of traumatic neck pain, you should:ensure that the patient can see you approaching him
When assessing motor function in a conscious patient's lower extremities, you should expect the patient to:wiggle his or her toes on command
You have completed your initial assessment and treatment of a 33-year-old male with abdominal pain. As you are performing a focused history and physical exam, your partner should:obtain a set of baseline vital signs
You should gently palpate a patient's pelvis using the “O-P-Q-R-S-T” mnemonic only if:the patient does not complain of pelvic pain
Which of the following activities would NOT be performed during the scene size-up?:
a) Asking a neighbor to secure the patient's dog
b) Notifying the dispatcher to send fire personnel
c) Rapidly assessing a patient's respiratory status
d) Noting the position of a crashed motor vehicle
Which of the following signs of respiratory distress is seen MOST commonly in pediatric patients?
a) Pursed-lip breathing
b) Accessory muscle use
c) Nasal flaring
d) Rapid respirations
If a pulse cannot be palpated at the radial artery, you should:assess the carotid pulse.
After performing a head-tilt chin-lift to open the airway of an unconscious patient, you should:suction as needed and insert an airway adjunct
The MOST effective way to determine whether your patient's problem is medical or traumatic in origin is to:perform a careful and thorough assessment.