Assessment formative exam Flashcards
Section 3 - Chapters 11 to 17 (OCT 2023) (101 cards)
Which of the following findings is generally NOT used to assess an adult’s circulation?
A. Evaluation for bleeding
B. Patient’s distal pulse rate
C. Patient’s skin color, temperature, and condition
D. Patient’s capillary refill time
D. Patient’s capillary refill time
At which of the following points should you begin your scene size-up?
A. When the patient or family member opens the door to the residence
B. As you approach the scene in the ambulance
C. When you arrive at the scene, but before exiting the ambulance
D. After exiting the ambulance, but before making patient contact
B. As you approach the scene in the ambulance
If a patient complains of abdominal pain localized to a specific area of the abdomen, which of the following techniques should be used to assess the abdomen?
A. palpate the area at the beginning and end of the exam
B. Palpate the painful area first
C. Do not palpate the painful area
D. Palpate the painful area last
D. Palpate the painful area last
When checking breath sounds in a trauma patient, what should the EMT assess for first?
A. Edema and rhonchi
B. Wheezing and stridor
C. Rate and oxygen saturation
D. Presence and equality
D. Presence and equality
Which of the following is NOT a purpose of a rapid trauma assessment?
A. To focus care on specific injuries
B. To provide basis for care during transport
C. To assess the extent of injuries
D. To detect injuries that may become life threatening
A. To focus care on specific injuries
Slight movement of the chest during respiration is usually indicative of which of the following?
A. Shallow breathing
B. Noisy breathing
C. Normal breathing
D. Labored breathing
A. Shallow breathing
In the assessment of a responsive medical patient, which of the following will provide you with the most important information?
A. Patient’s medical history
B. Focused physical exam
C. Detailed physical exam
D. Baseline vital signs
A. Patient’s medical history
What is the first thing the EMT does during the primary assessment?
A. Determines transport priority
B. Opens the airway
C. Assesses mental status
D. Forms a general impression
D. Forms a general impression
Expert clinicians may use different approaches of thinking through problems, but which of the following will they have in common?
A. Strong foundation of knowledge
B. Knowledge that one strategy works for everyone
C. Dislike of ambiguity
D. Organization of data in their head
A. Strong foundation of knowledge
Where might you find a patient’s medical alert identification jewelry?
A. Ankle bracelet
B. Bracelet
C. Necklace
D. All of the above
D. All of the above
Why is it important that your radio report to the receiving facility be concise?
A. The emergency department needs to know quickly and accurately the patient’s condition
B. You want to make sure the doctor approves your medical order request
C. You want to appear professional
D. You do not want the bore the nurse receiving your report
A. The emergency department needs to know quickly and accurately the patient’s condition
When pupils are dilated, they are:
A. Elliptical or elongated in shape
B. Smaller then normal
C. Larger then normal
D. Irregularly shaped
C. Larger then normal
For which of the following patient’s would capillary refill be a reliable sign of circulatory status?
A. 3-year-old child with a fever and cough
B. 92-year-old man complaining of weakness on his right side
C. 24-year-old homeless man who has spent the night outside in the rain
D. 50-year-old woman complaining of chest pain
A. 3-year-old with a fever and a cough
Where should the EMT assess for injury when caring for a patient who had a 10-foot fall and landed square on his feet?
A. Patient’s ankles
B. Patient’s pelvis
C. Patient’s femur
D. All of the above
D. All of the above
At what point is the scene size up complete?
A. When the number of patient’s has been determined
B. When crashed vehicles have been stabilized
C. Upon stabilization of the C spine
D. At the end of the call
D. At the end of the call
When considering the potential for injury from a fall, which of the following is the least important?
A. Patient’s weight
B. Whether the patient struck anything with his body on the way down
C. Height of the fall
D. type of surface onto which the patient fell
A. Patient’s weight
You suspect that a 6-year0old with multiple bruises and a broken wrist was abused. The stepmother states that the patient fell down the stairs. The patient is crying and sheepishly nods in agreement with the stepmother’s statements. How should you document this situation in the patient report?
A. Document only the actual exam findings. Do not document anything that was said.
B. Document who you suspect caused the injuries in the narrative so that law enforcement has a record of the incident
C. Document what was said as well as your opinion that the child was too afraid to tell the truth
D. Document any pertinent information that was said by the stepmother and child exactly in quotations
D. Document any pertinent information that was said by the stepmother and child exactly in quotation
You respond to a 30-month-old patient who has passed out. Is the patient’s blood pressure important to your treatment? why?
A. No, blood pressure is difficult to obtain in children younger than age 3 and has little impact on the patient’s field management
B. No, blood pressure taken on children younger than age 3 can cause damage to the tissues of the arm and could lead to hypertension later in life.
C. Yes, blood pressure must be taken on everyone because without it we cannot provide adequate field management
D. Yes, blood pressure should be taken on children because it is the only way we can understand the patient’s condition
A. No, blood pressure is difficult to obtain in children younger than age 3 and had little impact on the patients field management
When assessing a patient who has been stabbed, which of the following information should the EMT gain first?
A. Make and model of the knife
B. Angle at which the knife entered the patient
C. Owner of the knife
D. Size and type of the knife
D. Size and type of the knife
You are unable to find a radial pulse on a patient from a motor vehicle crash. You should:
A. Begin chest compressions
B. Listen for heart sounds
C. Attempt to find the carotid pulse
D. Apply the pulse oximeter
C. Attempt to find the carotid pulse
The term priapism means _______ and may be found in injuries of the ________.
A. Unequal pupils; brain
B. A persistent penile erection; spine
C. A painful muscle spasm; spine
D. abnormal pulsation; abdomen
B. A persistent penile erection; spine
A patient with a pulse rate of 120 beats per minute is considered which of the following?
A. Tachycardic
B. Dyscardic
C. Normocardic
D. Bradycardic
A. Dyscardic
You are on the scene in the bad part of town for an unresponsive 18-year-old type-1 diabetic patient. His mother states that he is very noncompliant with his diabetes management and often goes unresponsive due to low blood sugar. After performing the primary assessment, you believe that this is the most likely cause of his unresponsiveness. however, after taking a capillary glucose reading you are surprised to see that the patient’s sugar level is normal. How will you now determine the field diagnosis?
A. Continue patient care by getting a complete SAMPLE history and perform a complete secondary assessment.
B. Recognize that the mother was lying to you. The patient is not diabetic and you now must assume everything she told you is wrong.
C. Recognize that the mother is probably trying to protect her son from jail. Tell her that it is critical that she tell you what drug he actually took
D. You cannot make a correct diagnosis in the field because you cannot perform all the necessary tests with your limited scope of practice.
A. Continue patient care by getting a complete SAMPLE history and perform a complete secondary assessment
Where might you find a patient’s medical alert identification jewelry?
A. Bracelet
B. Necklace
C. Ankle bracelet
D. All of the above
D. All of the above