1- Field Assessment

Question 1

Patient Assessment in order

Answer 1

• Scene size-up
• Primary assessment
• History taking
• Secondary assessment (Med or Trauma)
• Reassessment

Question 2

Scene Size-up steps (5)

Answer 2

• Ensure scene safety
• Determine MOI/NOI
• BSI
• Number of patients
• Consider additional resources

Question 3

Primary Assessment (7)

Answer 3

• Form general impression
• Assess LOC
• Assess airway
• Assess breathing
• Assess circulation
• Perform rapid exam
• Determine priority of patient care

Question 4

History Taking steps (2)

Answer 4

• Investigate Chief complaint

- SAMPLE history

Question 5

Secondary Assessment Steps (Trauma and Medical) (5)

Answer 5

• Assess vital signs
• Use appropriate monitoring devices
• Systematically assess the patient
• Full body exam or focused assessment
• Assess heart and lung sounds

Question 6

Reassessment steps (6)

Answer 6

• Repeat primary assessment
• Reassess vitals
• Reassess Chief complaint
• Recheck interventions
• Identify and treat changes in patient condition
• Reassess patient
  
  • Unstable: Every 5min
  • Stable: Every 15min

Question 7

Number of lobes in the Right Lung and the name of the dividers

Answer 7

• 3 lobes
• Separated by Horizontal fissure on the top
• Separated by Oblique fissure on the bottom

Question 8

Number of lobes in the Left Lung

Answer 8

-2 (LU, LL)

Question 9

Number of normal lung sounds and describe them

Answer 9

• Bronchial- Anterior only, over trachea, high pitched and loud
• Bronchiovesicular- Anterior and posterior, 1st and 2nd intercostal, between scapula on posterior
• Vesicular- Anterior and posterior, throughout lung field, low pitch, longer on inspiration

Question 10

Abnormal breaths (Continuous vs Discontinuous)

Answer 10

• Continuous- Lasting more that .2 seconds with a full respiration
• Discontinuous- Lasting less than .2 seconds with full respiration

Question 11

Types of continuous abnormal breath sounds (3)

Answer 11

• High pitched polyphonic wheeze
• Low pitched monophonic wheeze
• Stridor

Question 12

Types of discontinuous lung sounds (3)

Answer 12

• Coarse crackles (Rales)
• Fine crackles
• Pleural friction rub

Question 13

Describe High pitched polyphonic wheeze

Answer 13

-Mainly expiration, high pitched musical instrument sound with different sounds to it

Question 14

Describe Low pitched monophonic wheeze

Answer 14

-Mainly expiration, low pitch whistle, 1 sound quality

Question 15

Describe Stridor

Answer 15

-Heard on inspiration, indicator of an obstructed airway, high pitched whistle/gasp, harsh quality

Question 16

Describe Coarse crackles (Rales)

Answer 16

-Mainly inspiration, low pitched, wet sound

Question 17

Describe Fine crackles

Answer 17

-Heard on inspiration, high pitched crackling fire sound, doesn’t clear

Question 18

Describe Pleural friction rub

Answer 18

-Heard on inspiration and expiration, low pitch harsh grating sound, still heard with no breathing indicates heart problem

Question 19

Names of normal sounds during heart auscultation

Answer 19

• S1

- S2

Question 20

Describe S1

Answer 20

• Systole
• “Lub”
• Asynchronous AV closing
• Tricuspid and Mitral valves closing

Question 21

Describe S2

Answer 21

• Diastole
• “Dub”
• Asynchronous SL closing
• Aortic and Pulmonic valves closing

Question 22

Types of Murmurs (2)

Answer 22

• Systole

- Diastole

Question 23

Types of Systolic murmurs (3)

Answer 23

• Aortic and Pulmonic stenosis
• Mitral and Tricuspid regurgitation
• Mitral valve prolapse

Question 24

Types of Diastolic murmurs (2)

Answer 24

• Atrial and Pulmonic regurgitation

- Mitral and Tricuspid stenosis