118 Exam #1 Flashcards
Your febrile patient complains of body aches and vomiting, but denies diarrhea. In this case, diarrhea is a…
Pertinent Negative
(p. 537)
Your first priority on any incident is…
Responder Safety (p.505)
During your initial assessment, your unconscious medical patient has snoring respirations with a normal respiratory rate. You should…
Perform a head-tilt chin-lift maneuver (p. 512)
Your unconscious cyanotic patient has labored breathing at 46… times per minute. You should
insert a NPA and use a BVM to ventilate (p512-513)
Oxygen saturation should be maintained at a minimum of…
94% (p.547)
Your patient opens his eyes when you talk to him. He unintelligibly mumbles and he withdraws from painful stimuli. His GCS is…
9
(p. 516)
Your 28-year-old female patient describes the incident appropriately and accurately tells you the day of the week and their name. You are able to…
determine if the patient is oriented to person, place, time, event
(p.552)
Arterial pulses are a physical expression of…
Left ventricular contraction
A bruit indicates _______________ blood flow and is MOST clinically relevant in the _______________ arteries.
Turbulent; carotid
(p.569)
S1, the first heart sound, represents…
closure of the mitral and tricuspid valves
(p.568)
Distention of the jugular veins indicates…
increased venous pressure
A difference in pulse quality from one lower extremity to the other…
suggests a potentially serious vascular disruption
A patient is generally considered to have orthostatic vital signs (a positive tilt test) when…
the heart rate increases by 20 beats/min while the systolic BP decreases up to 20 and the diastolic BP increases > 10 from a supine to a standing position.
(p.571)
You are conducting a rapid exam and notice that your trauma patient is not breathing. You should…
begin BVM ventilations with supplemental oxygen
(p.512-513)
In the acronym SAMPLE, the ‘A’ stands for
allergies
In the acronym OPQRST, what does the ‘P’ stand for?
Provocation
During the secondary assessment, the correct examination order of the chest is…
Inspect, palpate, auscultate, then percuss
(p. 564)
A good question to ask during the history of present illness, for a patient who is experiencing difficulty breathing, is…
what makes your breathing better or worse?
Your 32-year-old patient is sitting on the couch leaning forward. She is struggling to catch her breath and is breathing rapidly. Your initial priority is to…
evaluate her airway
The grating sound, or the crunchy palpated sensation, caused by movement of broken bone ends against each other is called…
Crepitus
To evaluate the anterior chest for equal expansion during inspiration…
place your thumbs against the costal margin and the xiphoid process; with your thumbs touching the chest wall, watch the distance between your thumbs as the patient breathes.
Your 17-year-old male patient has a stab wound to the right upper quadrant of his abdomen. Evaluation of your patient shows a decreased level of consciousness with vital signs of BP 90/60, P 128, and R 22. Your best course of action would be to…
load the patient in the transport unit and continue treatment while transporting to the closest appropriate facility.
You are called to the scene of an office complex where a 36-year-old male window-washer has fallen approximately two stories, landing on a concrete walkway. He clearly has an angulated fracture of his femur. Cervical spine stabilization should be performed…
simultaneously with evaluation of the patient’s airway.
Your conscious 38-year-old patient is unable to speak or cough. Her coworker says, “We were eating lunch when she suddenly grasped her throat and could not speak.” You should…
perform the Heimlich maneuver, delivering up to five subdiaphragmatic abdominal thrusts.
