20 Secondary Assessment

Question 1

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

Answer 1

A

Question 2

What exam technique can alert the paramedic to the patient’s mental status?
A.
Inspection
C.
Percussion
B.
Palpation
D.
Auscultation

Answer 2

A

Question 3

What exam technique is considered a form of invasion and should be initiated with respect?
A.
Inspection
C.
Percussion
B.
Palpation
D.
Auscultation

Answer 3

B

Question 4

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

Answer 4

C

Question 5

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

Answer 5

A

Question 6

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

Answer 6

D

Question 7

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

Answer 7

C

Question 8

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

Answer 8

A

Question 9

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

Answer 9

B

Question 10

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.

Answer 10

A

Question 11

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

Answer 11

A

Question 12

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

Answer 12

A

Question 13

What method of temperature measurement is considered most reliable and accurate?
A.
Rectal
C.
Tympanic
B.
Axillary
D.
Oral

Answer 13

A

Question 14

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

Answer 14

A

Question 15

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

Answer 15

D

Question 16

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

Answer 16

A

Question 17

Of what is “tenting” of the skin indicative?
A.
Fluid retention
C.
Burns
B.
Dehydration
D.
Sepsis

Answer 17

B

Question 18

Of what could enlarged gums be a sign?
A.
Sepsis
C.
Pregnancy
B.
Dehydration
D.
Fluid overload

Answer 18

C

Question 19

During percussion of the chest, paramedics note hyperresonance. Of what is that indicative?
A.
Asthma
C.
Hyperinflation
B.
Fluid presence
D.
Healthy lung

Answer 19

A

Question 20

What is the most common cause of a heart murmur?
A.
Enlarged heart
C.
Myocardial infarction
B.
Valvular defect
D.
Dysrhythmias

Answer 20

B

Question 21

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

Answer 21

C

Question 22

What term best describes a sound that is low-pitched, dry, rubbing, or grating?
A.
Pleural friction rub
C.
Rhonchi
B.
Wheezes
D.
Crackles

Answer 22

A

Question 23

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

Answer 23

B

Question 24

How should the patient be positioned when assessing the abdomen?
A.
Standing
C.
Supine
B.
Sitting upright
D.
Left lateral

Answer 24

C

Question 25

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.

Answer 25

A

Question 26

What component of the physical assessment should the paramedic consider the most important?
A.
Mental status
C.
Skin
B.
Blood pressure
D.
Pulse rate

Answer 26

A

Question 27

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

Answer 27

B

Question 28

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.

Answer 28

A

Question 29

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.

Answer 29

A

Question 30

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.

Answer 30

C