Assessment Structure

Question 1

PA) order of assessments

Answer 1

Question 2

PA) type of PT

Answer 2

Question 3

PTA) assessments

Answer 3

Question 4

PTA) Primary

Answer 4

Question 5

PTA) History

Answer 5

Question 6

PTA) Secondary

Answer 6

Question 7

PTA) 5 points of call

Answer 7

Question 8

PA) PT types

Answer 8

Question 9

PA) questions

Answer 9

Question 10

PA) A-assessment mental

Answer 10

Question 11

PA) A-assessment mental

Answer 11

Question 12

SAMPLE) P

Answer 12

Question 13

SAMPLE) E

Answer 13

Question 13

SAMPLE) M

Answer 13

Question 14

SAMPLE) A

Answer 14

Question 15

SAMPLE) S

Answer 15

Question 16

What is 2nd assessment?
Consists of 3 elements:

Answer 16

= Process which quantifiable/objective info is obtained
from a PT for his/her overall state of health.
= 1. Detailed head-toe exam, 2. complete set of vital signs, 3. History/narrative SAMPLE/ OPQRRST/DCAPBLSTIC

Question 17

General assessment

Answer 17

intuitive evaluation of your patient. It is also known as your “view from the door.”

Question 18

1st assess/ A check for:

Answer 18

= AMS, confusion, apprehension, or agitation

Shortness of breath while speaking

=Retractions (supraclavicular/sternal, intercostal)
= Asymmetric chest m-nt
= Accessory M. use (neck, abdominal)
=Cyanosis
=Audible sounds
=Abnormally rapid, slow, or shallow breathing
= Nasal flaring

Question 19

Pri/ assess/ C- initial exam:

Furthermore exam pulse:

Furthermore exam CTC:

Skin CTC:

Answer 19

= pulse, skin, & any hemorrhaging
= pulse: rate, regularity, strength, pattern, quality,
= pink, warm, dry

Question 20

2nd assess/ order:

Answer 20

1. Visual, 2. Palpation, 3. Percussion, 4. Auscultation

Question 21

~SBP site numbers: -Carotid:
Femoral:
Radial:

Answer 21

= 80
= 70
= 60

Question 22

Shock 5 catagories:

Answer 22

= Hypovolemic, Cardiogenic, Distributive, Obstructive, Respiratory/ metabolic,

Question 23

Compensated Shock:

Decompensating Shock:

Answer 23

= HR: Elevated or normal BP: Norm or slightly decreased, RR: Increased, Skin: Not warm, pale, possibly sweaty
= HR: lowering, BP: Lowering, RR: none or irregular, Skin: Cool, pale, clammy, or cyanotic

Question 24

TO DOs in A of ABCs
Note:

Answer 24

MENTAL STATUS, Visual inspection & move airways IN, insert airway IN
= Nares, Teeth, Anatomical mouth structures, Cricothyroid

Question 25

TO DOs in B of ABCs:

Note:

Answer 25

Visual chest rise/fall & symmetry, Give oxy IN, Note smells, Listen for breathing, Auscultate lungs, Intubate IN
= Rate, Pattern, quality, active or passive, lung sounds

Question 26

TO DOs in C of ABCs:
Note:

Answer 26

= Visual truck & peripheral, Fix LT hemorrhage IN, CTC
= Skin condition/color abnorm/s, Temp, PR: rate rhythm regularity strength equality, peripheral edema

Question 27

What is always your number one priority on any call:
When is scene safety assessed:
When would you use NOI versus MOI?
Do you have a legal obligation to enter a unsafe scene:

Answer 27

= yourself
= when you first get the call
= After you make your GI of the PT
= NO

Question 28

Assessed during PT assessment?
Something wrong in primary assessment, what are you to do?
Type of hemorrhage cause interruption of ABCs:

Answer 28

= 1. SS/sizeing, M/NOI, 2. PT assess, 3. LOC, 4A, 5B, 6C
= Stay & Play

= squirting/arterial

Question 29

Assessed during “A” phase of primary assessment?
Assessed during “B” phase of primary assessment?
Assessed during “C” phase of primary assessment?

Answer 29

= Airways all possible & best airways
= Breathing; quality, rate, rhythm, symmetry,
= Circulation; CTC, quality, rate, rhythm, regularity, strength

Question 30

How do you use the AVPU scale?
GCS- E points:
M points:

S Points:

Answer 30

= Alert, Verbal, Pain, Unresponsive
= 4 Alert, 3 Verbal, 2 Pain, 1 Unresponsive
= 5 Oriented, 4 Confused, 3 inappropriate words, 2 sounds, 1 no audiation
= 6 Obeys comands, 5 localizes to pain, 4 withdraws w/ pain, 3 flextion, 2 extension, 1 no response

Question 31

How long to conduct a primary assessment?

Answer 31

= 60secs

Question 32

SAMPLE history:

OPQRST-ASPN:

AEIOU-TIPS:

DCAP-BLS-TIC:

Answer 32

= Sign/Symptoms, Allergies, Meds, Past med/ Hx, Last oral intake, Events leading up
= Onset, Provocation/Palliation, Quality, Radiating, Severity, Timing - Associated Sign/Symptoms & Pertinent Negatives
= Alcohol, Epilepsy, Insulin (hypo/hyperglycemia), Overdose, Uremia (kidney failure), Trauma, Infection, Psychosis, Stroke
= Deformities, Contusions, Abrasions, Punctures/Penetrations, Burns, Lacerations, Swelling, Tenderness, Instability, Crepitus

Question 33

Goal of the secondary assessment?

4 techniques when assessing PT in 2nd assessment?

Answer 33

=more through exam objective & measurable (quantifiable) info is taken from PT’s health condition: vitals, SAMPLE, ect
= 1st. Visual, 2nd. Palpation, 3rd. Percussion, 4th. Auscultation

Question 34

3 phases when assessing PT’s chest- Phase 1:

Phase 2:

Phase 3:

Answer 34

= Inspection: shape, symmetry, & abnormal m-nts or signs.
Palpation: Feel for tenderness, vibrations, & abnormalities.
Percussion: Tap to assess the underlying lung tissue & identify areas of abnormal density

Question 35

adventitious lung sounds:

Answer 35

= crackles/rales, wheezes, rhonchi, stridor, & pleural rubs

Question 36

shock index:
quick & easy way to assess shock index:

Answer 36

= ratio of HR-SBP. #s over 0.9 suggest impending hypotension.
= if HR>SBP, shock index must be over 1 & should anticipate peri-intubation hypotension.

Question 37

In what interpersonal zone do you conduct the majority of a patient assessment?

Answer 37

Personal zone

Question 38

Echoing a patient’s message back to him in your own words is a technique known as:

Answer 38

Relaxion

Question 39

Asking questions to refine a patient’s initially vague answer is called:

Answer 39

Clarification

Question 40

Active listening involves

Answer 40

empathy, reflection, clarification

Question 41

When arriving on the scene of an emergency, determining if your patient is a medical or trauma patient is most likely performed:

Answer 41

As you approach the PT and make your GI

Question 42

CAGE alcoholic questionnaire: C:
A:
G:
E

Answer 42

=Cut down- drinking “Have you ever felt need to cut down on drinking?”
=Annoyed- by criticism “Annoyed by people criticizing your drinking?”
=Guilty feelings- “Have you ever felt guilty about drinking?”
=Eye-opener- “You ever felt needing a drink 1st in the morning (eye-opener) to steady your nerves or to get rid of a hangover?

Question 43

When arriving at a door, you should

Answer 43

Stand off to the side of the door when you knock

Question 44

2nd assessment=

Consists of:

Answer 44

=more through examination→ objective & measurable (quantifiable) info is taken→ vitals, SAMPLE,

= head-toe exam & completing vitals signs
Not every PT has everything in 2nd assess/

Question 45

1st exercise for assessing PT’s concentration:

2nd exercise for assessing PT’s concentration:

3rd exercise for assessing PT’s concentration:

Answer 45

= Digital Span PT repeat a series of numbers back to you. (Norm/= repeat at least 5 numbers forward & backward)
= Serial Sevens= PT start @ 100 & subtract 7 each time(Norm/= complete once in 90 Secs w/ <4 errors.)
= Spelling Backwards: PT spell a common five-letter word backward