Ch. 10 Flashcards
A 29-year-old-man with a head injury opens his eyes when you speak to him, is confused as to the time and date, and is able to move all of his extremities on command, His Glasgow Coma Scale (GCS) score is:
-10
-13
-12
-14
13
A blood pressure cuff that is too small for a patient’s arm will give a:
-falsely high systolic and diastolic reading
-falsely low systolic and diastolic reading
-falsely high systolic but low diastolic reading
-falsely low systolic but high diastolic reading
falsely high systolic and diastolic reading
A patient’s short-term memory is MOST likely intact if they correctly answer questions regarding:
- event and person
-person and place - day and event
- time and place
day and event
A properly sized blood pressure cuff should cover:
- the entire upper arm between the armpit and the crease at the elbow
- one third the length from the armpit to the crease at the elbow
- one half the length between the armpit and the crease at the elbow
- two thirds the length from the armpit to the crease at the elbow
two thirds the length from the armpit to the crease at the elbow
After performing a primary assessment, a rapid exam of the body should be performed to:
- determine the need for spinal motion restriction precautions
- look specifically for signs and symptoms of inadequate perfusion
- identify less-obvious injuries that require immediate treatment
- find and treat injuries or conditions that do not pose a threat to life
identify less-obvious injuries that require immediate treatment
As you assess the head of a patient with a suspected spinal injury, your partner should:
- prepare the immobilization equipment
- look in the ears for gross bleeding
- assess the rest of the body for bleeding
- maintain stabilization of the head
maintain stabilization of the head
Capnography is used to:
- assess how much oxygen is bound to hemoglobin
- determine how much carbon dioxide is being exhaled
- assess how much oxygen is reaching the body’s tissues
- trend a patient’s blood pressure and assess for shock
determine how much carbon dioxide is being exhaled
Cyanosis of the skin is caused by:
- peripheral vasodialtion
- increased blood oxygen
- venous vasoconstriction
- decreased blood oxygen
decreased blood oxygen
In responsive patients who are older than 1 year of age, you should palpate the pulse at the ______ artery.
- femoral
- radial
- brachial
- carotid
radial
In the adult, bradycardia is define as a pulse rate less than ______ beats/min, and tachycardia is defines as a heart rate greater than ______ beats/min.
- 50, 110
- 30, 130
- 60, 100
- 40, 120
60,100
During the scene size- up, you should routinely determine all of the following, EXCEPT:
-Mechanism of injury or nature of illness
-The ratio of pediatric patients to adult patients
-Whether or not additional resources are needed
-If there are any hazards that will jeopardize safety
The ratio of pediatric patients to adult patients
You arrive at the scene of an “injured person.” As you exit the ambulance, you see a man laying on the front porch of his house. He appears to have been shot in the head and is lying in a pool of blood. You should:
-Immediately assess the patient
-Proceed to the patient with caution
-Quickly asses the scene for a gun
-Retreat to a safe place and wait for law enforcement to arrive.
Retreat to a safe place and wait for law enforcement to arrive
Findings such as inadequate breathing or an altered level of consciousness should be identified in the :
-Primary assessment
-Focused assessment
-Secondary assessment
-Reassessment
Primary assessment
Which of the following would you NOT detect while determining your initial general impression of a patient?
-Cyanosis
-Gurgling respirations
-Severe bleeding
-Rapid heart rate
Rapid heart rate
Your primary assessment of an elderly women who fell reveals an altered level of consciousness and a large hematoma to her forehead. After protecting her spine and administering oxygen, you should:
-Reassess your interventions
-Perform a rapid exam
-Transport the patient immediately
-Perform a focused assessment of her head
Perform a rapid exam
A semiconscious patient pushes your hand away when you pinch his earlobe. You should describe his level of consciousness as:
-Alert
-Unresponsive
-Responsive to painful stimuli
-Responsive to verbal stimuli
Responsive to painful stimuli
Assessment of an unconscious patient’s breathing begins by:
-Inserting an oral airway
-Manually positioning the head
-Assessing respiratory rate and depth
-Clearing the mouth with suction as needed
Manually positioning the head
Your 12-year-old patient can speak only two or three word without pausing to take a breath. He has a serious breathing problem known as:
-Nasal flaring
-Two- or three-word dyspnea
-Labored breathing
-Shallow respiration
Two- or three-word dyspnea
How should you determine the pulse in an unresponsive 8-year-old patient?
-Palpate the radial pulse at the wrist
-Palpate the brachial pulse inside the upper arm
-Palpate the radial pulse with your thumb
-Palpate the carotid pulse in the neck
Palpate the carotid pulse in the neck
When assessing your patient’s pain, he says it started in his chest but has spread to his legs. This is an example of what part of the OPQRST mnemonic?
-Onset
-Quality
-Region/radiation
-Severity
Region/radiation
