20 Secondary Assessment Flashcards
1
Q
The secondary assessment consists of physical examination techniques, measurement of vital signs, an assessment of body systems, and what other element? A. Skillful use of examination equipment B. Assessment of the airway and breathing C. Need to rapid transportation D. Level of consciousness
A
A
2
Q
What exam technique can alert the paramedic to the patient’s mental status? A. Inspection C. Percussion B. Palpation D. Auscultation
A
A
3
Q
What exam technique is considered a form of invasion and should be initiated with respect? A. Inspection C. Percussion B. Palpation D. Auscultation
A
B
4
Q
What exam technique is used to evaluate for the presence of air or fluid in body tissues? A. Inspection C. Percussion B. Palpation D. Auscultation
A
C
5
Q
The examination techniques commonly used in physical examinations are inspections, palpation, auscultation, and what other technique? A. Percussion C. Gait analysis B. Temperature D. Grip strength
A
A
6
Q
What exam technique is used to assess body sounds made by the movement of various fluids or gases in the patient’s organs or tissues? A. Inspection C. Percussion B. Palpation D. Auscultation
A
D
7
Q
What piece of exam equipment is used to examine deep structures of the external and middle ear? A. Stethoscope C. Otoscope B. Ophthalmoscope D. Pen light
A
C
8
Q
What should the width of a blood pressure cuff be? A. 1/3 to 1/2 the circumference of the limb B. ½ to ¾ the circumference of the limb C. ¾ the circumference of the limb D. ¼ to ½ the circumference of the limb
A
A
9
Q
During what part of the examination process should paramedics evaluate the patient’s height and build? A. Initial assessment C. Physical examination B. General survey D. Reassessment
A
B
10
Q
What is a method for a paramedic to assess the patient’s short-term memory? A. Have the patient state your name. C. Have the patient state his or her name. B. Ask for the time of year. D. Ask where the patient was born.
A
A
11
Q
During what aspect of patient care should vital signs be obtained? A. General survey C. Scene size-up B. Initial assessment D. After secondary survey
A
A
12
Q
For what age group is an axillary temperature reading most effective? A. Children less than 6 years C. Puberty B. Children from 6-12 years D. Adults
A
A
13
Q
What method of temperature measurement is considered most reliable and accurate? A. Rectal C. Tympanic B. Axillary D. Oral
A
A
14
Q
What is an early indication of the patient’s mental status? A. Behavior and appearance C. Bilateral pupil response B. Skin color, temperature, and moisture D. Blood pressure and pulse
A
A
15
Q
What is a key finding in the assessment of a patient in a coma? A. Bilateral pupil constriction C. Rapid eye movement B. Unequal pupil size D. No spontaneous eye movement
A
D
16
Q
What should the paramedic base the general patient survey from? A. Present illness and chief complaint C. Patient medical history B. Baseline vital signs D. Prescribed medication use
A
A
17
Q
Of what is “tenting” of the skin indicative? A. Fluid retention C. Burns B. Dehydration D. Sepsis
A
B
18
Q
Of what could enlarged gums be a sign? A. Sepsis C. Pregnancy B. Dehydration D. Fluid overload
A
C
19
Q
During percussion of the chest, paramedics note hyperresonance. Of what is that indicative? A. Asthma C. Hyperinflation B. Fluid presence D. Healthy lung
A
A
20
Q
What is the most common cause of a heart murmur? A. Enlarged heart C. Myocardial infarction B. Valvular defect D. Dysrhythmias
A
B
21
Q
What term best describes lung sounds that are continuous, low-pitched, and rumbling sounds usually heard on expiration? A. Pleural friction rub C. Rhonchi B. Wheezes D. Crackles
A
C
22
Q
What term best describes a sound that is low-pitched, dry, rubbing, or grating? A. Pleural friction rub C. Rhonchi B. Wheezes D. Crackles
A
A
23
Q
When assessing heart tones, how should the patient be positioned? A. Lying supine C. Semi-Fowler’s position B. Sitting up and leaning slightly forward D. Standing straight up
A
B
24
Q
How should the patient be positioned when assessing the abdomen? A. Standing C. Supine B. Sitting upright D. Left lateral
A
C
25
Q
How should a paramedic assess for coordination?
A.
Have patient perform rapid alternating movements.
B.
Have patient walk a straight line.
C.
Request patient to follow pen light with eyes.
D.
Assess for equal grip strength.
A
A
26
Q
What component of the physical assessment should the paramedic consider the most important? A. Mental status C. Skin B. Blood pressure D. Pulse rate
A
A
27
Q
Paramedics have discovered that a patient has aphasia. What would the paramedic be assessing to discover such an abnormal finding? A. Thought and perception C. Blood pressure and pulse rate B. Speech and language D. Posture, gait, and motor activity
A
B
28
Q
What is one component of the reassessment process? A. Assess vital signs. C. Provide any initial treatment. B. Obtain medical history. D. Ask for allergies.
A
A
29
Q
What steps can a paramedic take to reduce the amount of anxiety when assessing a child?
A.
Assess LOC, airway, breathing, and circulation from across the room.
B.
Remove the child from his or her parents.
C.
Talk to the child in a loud but friendly voice.
D.
Just ignore the child and gather information from the guardian.
A
A
30
Q
What assessment technique should the paramedic use when assessing an older adult? A. Encourage patient to ambulate freely. C. Remain close to the patient. B. Obtain information from family. D. Speak loudly and clearly.
A
C
