Ch. 15 Flashcards
The means by which energy, often mechanical forces, is transmitted to the body, producing the potential for trauma would be defined as the:
A) field impression.
B) mechanism of injury.
C) rapid trauma exam.
D) secondary assessment.
B) mechanism of injury.
Page Ref: 346
Objective: 15.2 Use information from the scene size-up and initial approach to the patient to formulate a general impression of the nature and seriousness of the patient’s condition.
During which essential component of patient assessment does the AEMT determine the safety of the scene and formulate a general impression of the nature of the situation?
A) Primary assessment
B) Reassessment
C) Secondary assessment
D) Scene size-up
D) Scene size-up
Page Ref: 345
Objective: 15.2 Use information from the scene size-up and initial approach to the patient to formulate a general impression of the nature and seriousness of the patient’s condition.
The energy of moving objects which can produce blunt or penetrating injuries is called:
A) kinetic energy.
B) chemical energy.
C) potential energy.
D) electrical energy.
A) kinetic energy.
Page Ref: 346
Objective: 15.1 Define key terms introduced in this chapter.
Impact with an object that has high surface area and relatively low velocity (speed) will result in:
A) penetrating trauma injury.
B) kinetic energy injury.
C) blunt force injury.
D) potential energy injury.
C) blunt force injury.
Page Ref: 346
Objective: 15.1 Define key terms introduced in this chapter.
________ occurs when an object impacting the body has a small surface area.
A) Penetrating trauma
B) Kinetic energy
C) Blunt trauma
D) Potential energy
A) Penetrating trauma
Page Ref: 346
Objective: 15.1 Define key terms introduced in this chapter.
Which of the following mechanism of injuries does NOT warrant spinal motion restriction?
A) Hanging patient
B) Lightning injuries
C) Unresponsive trauma patient
D) Burn injuries
D) Burn injuries
Page Ref: 346
Objective: 15.3 Use the primary assessment findings to identify immediate threats to life.
During which essential component of patient assessment does the AEMT identify and manage any immediate threats to the patient’s life and establish priorities for treatment and transport?
A) Primary assessment
B) Reassessment
C) Secondary assessment
D) Scene size-up
A) Primary assessment
Page Ref: 348-349
Objective: 15.3 Use the primary assessment findings to identify immediate threats to life.
Which of the following is NOT part of the scene size-up phase of the patient assessment?
A) Mechanism of injury
B) Patient vital signs
C) Nature of illness
D) General impression
B) Patient vital signs
Page Ref: 345-348
Objective: 15.2 Use information from the scene size-up and initial approach to the patient to formulate a general impression of the nature and seriousness of the patient’s condition.
Which of the following mnemonics represent the components of the primary assessment for all patients?
A) SAMPLE
B) OPQRST
C) ABCD
D) AVPU
C) ABCD
Page Ref: 349
Objective: 15.3 Use the primary assessment findings to identify immediate threats to life.
10) A patient who appears to be unresponsive and not breathing or breathing ineffectively should be assessed using which mnemonic memory aid?
A) ABC
B) CBA
C) ACB
D) CAB
D) CAB
Page Ref: 349, 353
Objective: 15.7 Determine whether a patient has adequate circulation.
Which of the following essential minimum equipment is NOT required for performance of the primary assessment?
A) Tourniquet
B) Pulse oximeter
C) Oxygen cylinder
D) Bandage shears
B) Pulse oximeter
Page Ref: 349
Objective: 15.8 Integrate the use of manual airway maneuvers, simple airway adjuncts, bag-valve-mask ventilations, supplemental oxygen, CPR, defibrillation, and bleeding control into the primary assessment.
A yellowing of the skin, indicating severe liver disease would be called:
A) cyanosis.
B) pallor.
C) jaundice.
D) flushed.
C) jaundice.
Page Ref: 349
Objective: 15.1 Define key terms introduced in this chapter.
The mnemonic used to determine the patient’s BEST response to stimuli would be:
A) SAMPLE.
B) OPQRST.
C) ABCD.
D) AVPU.
D) AVPU.
Page Ref: 350
Objective: 15.4 Accurately assess a patient’s level of responsiveness using the AVPU approach.
Which of the following methods of eliciting a painful response from a patient is NOT an approved stimuli method?
A) Intraorbital pressure
B) trapezius pinch
C) Supraorbital pressure
D) Sternal rub
A) Intraorbital pressure
Page Ref: 351
Objective: 15.4 Accurately assess a patient’s level of responsiveness using the AVPU approach.
Higher mental abilities, such as memory, reasoning, and problem solving would be referred to as:
A) behavioral functions.
B) mental status.
C) cognitive functions.
D) psychomotor functions.
C) cognitive functions.
Page Ref: 352
Objective: 15.4 Accurately assess a patient’s level of responsiveness using the AVPU approach.
Devices inserted through the nose or mouth into the pharynx to maintain passage for airflow would be referred to as:
A) bag-mask device.
B) airway adjuncts.
C) nonrebreather device.
D) capnography adjuncts.
B) airway adjuncts.
Page Ref: 349
Objective: 15.8 Integrate the use of manual airway maneuvers, simple airway adjuncts, bag-valve-mask ventilations, supplemental oxygen, CPR, defibrillation, and bleeding control into the primary assessment.
Which airway sound is indicative of partial airway obstruction and is relieved by manually positioning the head and jaw to move the tongue?
A) Snoring
B) Stridor
C) Wheezing
D) Gurgling
A) Snoring
Page Ref: 354
Objective: 15.5 Determine whether a patient’s airway is patent.
Which airway sound is indicative of a partial airway obstruction from a foreign body or swelling of the airway?
A) Snoring
B) Stridor
C) Wheezing
D) Gurgling
B) Stridor
Page Ref: 354-355
Objective: 15.5 Determine whether a patient’s airway is patent.
Which airway sound is indicative of fluid in the upper airway?
A) Snoring
B) Stridor
C) Wheezing
D) Gurgling
D) Gurgling
Page Ref: 355
Objective: 15.5 Determine whether a patient’s airway is patent.
The inability to maintain adequate ventilation and oxygenation is defined as:
A) respiratory failure.
B) respiratory arrest.
C) respiratory distress.
D) agonal respirations.
A) respiratory failure.
Page Ref: 355
Objective: 15.1 Define key terms introduced in this chapter.
Which of the following is NOT an accessory muscle of breathing?
A) Neck muscles
B) Diaphragm muscle
C) Intercostal muscles
D) Abdominal muscles
B) Diaphragm muscle
Page Ref: 356
Objective: 15.6 Differentiate between adequate and inadequate breathing.
The amount of air (in mL) in a normal (unforced) exhalation following a normal inspiration would be referred to as:
A) minute volume.
B) alveolar volume.
C) tidal volume.
D) residual volume.
C) tidal volume.
Page Ref: 356
Objective: 15.1 Define key terms introduced in this chapter.
The average healthy adult has a strong radial pulse at regular rate of ________ times per minute.
A) 80 to 120
B) 40 to 70
C) 50 to 110
D) 60 to 100
D) 60 to 100
Page Ref: 356
Objective: 15.7 Determine whether a patient has adequate circulation.
Poor perfusion will present with paleness which is also known as:
A) cyanosis.
B) pallor.
C) flushed.
D) jaundice.
B) pallor.
Page Ref: 356
Objective: 15.7 Determine whether a patient has adequate circulation.
The CORRECT sequence to control significant external bleeding is:
A) direct pressure then tourniquet.
B) tourniquet then splinting.
C) direct pressure then elevation.
D) tourniquet then direct pressure.
A) direct pressure then tourniquet.
Page Ref: 356-357
Objective: 15.7 Determine whether a patient has adequate circulation; 15.8 Integrate the use of manual airway maneuvers, simple airway adjuncts, bag-valve-mask ventilations, supplemental oxygen, CPR, defibrillation, and bleeding control into the primary assessment.
Which of the following is NOT a sign of presumptive death?
A) Decapitation
B) Rigor mortis
C) Witnessed arrest
D) Dependent lividity
C) Witnessed arrest
Page Ref: 358
Objective: 15.9 Use the primary assessment findings to reevaluate the general impression and determine the priority for patient transport; 15.10 Use primary assessment findings to make a decision about the next step in the assessment and management of the patient.
Which of the following is NOT a high priority finding in the primary assessment?
A) Suspected internal bleeding
B) Respiratory arrest
C) Compromised airway
D) Adequate breathing
D) Adequate breathing
Page Ref: 358
Objective: 15.9 Use the primary assessment findings to reevaluate the general impression and determine the priority for patient transport; 15.10 Use primary assessment findings to make a decision about the next step in the assessment and management of the patient.
No part of the scene size-up or primary assessment can be overlooked, but the way the steps play out depends on the situation. You must balance concern for the patient’s BEST interest along with which of the following?
A) Prescribed approach
B) Common sense
C) Flexibility
D) All of the above are required.
D) All of the above are required.
Page Ref: 359-362
Objective: 15.11 Describe the processes of gaining and maintaining control of the scene, teamwork, and reducing the patient’s anxiety in preparation for obtaining the history and assessing the patient.
What serves as a baseline from which to track improvement or deterioration in the patient’s condition?
A) The initial findings
B) The latest findings
C) The field impression
D) The general impression
A) The initial findings
Page Ref: 362
Objective: 15.10 Use primary assessment findings to make a decision about the next step in the assessment and management of the patient; 15.11 Describe the processes of gaining and maintaining control of the scene, teamwork, and reducing the patient’s anxiety in preparation for obtaining the history and assessing the patient.
An AEMT’s verbal communication and documentation of ________ and ________ findings provide information that hospital staff otherwise might NOT have.
A) mechanism of injury; general impression
B) scene size-up; primary assessment
C) nature of illness; general impression
D) scene size-up; reassessment
B) scene size-up; primary assessment
Page Ref: 362
Objective: 15.11 Describe the processes of gaining and maintaining control of the scene, teamwork, and reducing the patient’s anxiety in preparation for obtaining the history and assessing the patient.
Immediately after arriving at an unconscious patient’s side the AEMT MUST:
A) identify a detailed understanding of events leading up to the EMS call.
B) identify threats to life, and treat those first.
C) identify patient’s medical history so as to understand the physical exam findings.
D) identify all injuries before beginning treatment.
B) identify threats to life, and treat those first.
Page Ref: 345-352
Objective: 15.3 Use the primary assessment findings to identify immediate threats to life.
Basic components of a scene size-up consist of determining all the following EXCEPT:
A) possible violent threats.
B) mechanism of injury or illness.
C) initial vital signs.
D) location of patient(s).
C) initial vital signs.
Page Ref: 345-350
Objective: 15.2 Use information from the scene size-up and initial approach to the patient to formulate a general impression of the nature and seriousness of the patient’s condition.
If the cause of a patient’s unresponsiveness is not immediately correctable, you must not delay:
A) inserting an appropriate airway.
B) performing ventilation.
C) transporting the patient.
D) all of the above
D) all of the above
Page Ref: 352
Objective: 15.9 Use the primary assessment findings to reevaluate the general impression and determine the priority for patient transport.
