Ch. 19 Flashcards
Rebound tenderness is pain felt when pressure from palpation is:
A) released from the area.
B) increased gradually.
C) increased sharply.
D) sustained.
A) released from the area.
Page Ref: 497
Objective: 19.1 Define key terms introduced in this chapter.
Symptoms that are absent but would be pertinent to the chief compliant if present are known as:
A) pertinent negatives.
B) irrelevant evaluation.
C) associated symptoms.
D) pertinent positives.
A) pertinent negatives.
Page Ref: 484
Objective: 19.1 Define key terms introduced in this chapter; 19.14 Integrate history taking into the patient assessment process.
A sign or symptom that causes a patient or bystander to request medical help is known as the:
A) primary problem.
B) present illness.
C) chief complaint.
D) associated symptom.
C) chief complaint.
Page Ref: 483
Objective: 19.2 Determine a patient’s chief complaint.
You have arrived by the side of a cyanotic patient who is responsive only to painful stimuli and exhibiting stridorous respirations. Which of the following is the MOST accurate description of this patient’s chief complaint?
A) Cyanotic
B) Responsive only to painful stimuli
C) Unresponsive
D) Stridorous respirations
D) Stridorous respirations
Page Ref: 487-488
Objective: 19.2 Determine a patient’s chief complaint; 19.15 Integrate findings of the scene size-up, primary and secondary assessments, and patient history to formulate an overall impression of the patient’s condition and make transport decisions.
You are treating a 22-year-old woman who complains of suddenly feeling “woozy” at her workplace. Asking the patient, “Are you being treated by a physician for anything?” represents what part of the SAMPLE question format?
A) A
B) M
C) S
D) P
D) P
Page Ref: 483-484
Objective: 19.3 Given a scenario, efficiently elicit an adequate patient history using both closed and open-ended questions, as well as active listening techniques; 19.4 Use the mnemonics SAMPLE and OPQRST to ensure that a complete prehospital patient history has been obtained.
You are treating a 19-year-old man who is complaining of intense abdominal pain around his umbilicus. Asking the patient, “What was the last thing you have eaten?” represents what part of the SAMPLE question format?
A) L
B) P
C) A
D) M
A) L
Page Ref: 483-484
Objective: 19.3 Given a scenario, efficiently elicit an adequate patient history using both closed and open-ended questions, as well as active listening techniques; 19.4 Use the mnemonics SAMPLE and OPQRST to ensure that a complete prehospital patient history has been obtained.
A patient is sitting down and breathing heavily. He is heavily perspiring and complains of faintness and exhaustion. Asking this patient, “What brought this on?” represents what part of the SAMPLE question format?
A) E
B) L
C) M
D) P
A) E
Page Ref: 483-484
Objective: 19.3 Given a scenario, efficiently elicit an adequate patient history using both closed and open-ended questions, as well as active listening techniques; 19.4 Use the mnemonics SAMPLE and OPQRST to ensure that a complete prehospital patient history has been obtained.
A patient complains of a heavy feeling in his chest that caused him to need to sit down. Asking this patient, “What were you doing when this problem began?” represents what part of the OPQRST question format?
A) P
B) Q
C) O
D) R
C) O
Page Ref: 484-486
Objective: 19.3 Given a scenario, efficiently elicit an adequate patient history using both closed and open-ended questions, as well as active listening techniques; 19.4 Use the mnemonics SAMPLE and OPQRST to ensure that a complete prehospital patient history has been obtained; 19.14 Integrate history taking into the patient assessment process.
A patient complains of pain in her right side in the right upper quadrant of her abdomen. Asking this patient, “Does it hurt more, less, or the same when you breathe deeply?” represents what part of the OPQRST question format?
A) Q
B) O
C) R
D) P
D) P
Page Ref: 484-486
Objective: 19.3 Given a scenario, efficiently elicit an adequate patient history using both closed and open-ended questions, as well as active listening techniques; 19.4 Use the mnemonics SAMPLE and OPQRST to ensure that a complete prehospital patient history has been obtained; 19.14 Integrate history taking into the patient assessment process.
A patient complains of pain without specifying a region. If this patient answers the question “Where does it hurt?” with the statement, “I feel the pain most in my lower back, but it seems to extend down to my groin,” this represents what part of the OPQRST question format?
A) P
B) Q
C) O
D) R
D) R
Page Ref: 484-486
Objective: 19.3 Given a scenario, efficiently elicit an adequate patient history using both closed and open-ended questions, as well as active listening techniques; 19.4 Use the mnemonics SAMPLE and OPQRST to ensure that a complete prehospital patient history has been obtained; 19.14 Integrate history taking into the patient assessment process.
Asking a patient, “Can you rate your pain on a 1 to 10 scale?” represents what part of the OPQRST question format?
A) S
B) T
C) R
D) Q
A) S
Page Ref: 484-486
Objective: 19.3 Given a scenario, efficiently elicit an adequate patient history using both closed and open-ended questions, as well as active listening techniques; 19.4 Use the mnemonics SAMPLE and OPQRST to ensure that a complete prehospital patient history has been obtained; 19.14 Integrate history taking into the patient assessment process.
When obtaining a medical history using the SAMPLE mnemonic, which one of the following statements would be obtained when asking about the “P” component?
A) “The pain is rated at 8/10.”
B) “The pulse is 116 beats per minute.”
C) “The patient is allergic to shellfish.”
D) “There is a history of pancreatitis.”
D) “There is a history of pancreatitis.”
Page Ref: 483-484
Objective: 19.3 Given a scenario, efficiently elicit an adequate patient history using both closed and open-ended questions, as well as active listening techniques; 19.8 Given a variety of patient scenarios, differentiate between normal and abnormal findings in the secondary assessment.
A mnemonic for remembering the steps for determining the history of the present illness, exclusive of past medical history, is:
A) SAMPLE.
B) HEENT.
C) ABCDE.
D) OPQRST.
D) OPQRST.
Page Ref: 484
Objective: 19.4 Use the mnemonics SAMPLE and OPQRST to ensure that a complete prehospital patient history has been obtained.
Which of the following descriptions would be obtained when asking about the “A” component of the SAMPLE history?
A) Airway open
B) Allergy to penicillin
C) Abdomen soft
D) History of asthma
B) Allergy to penicillin
Page Ref: 483
Objective: 19.4 Use the mnemonics SAMPLE and OPQRST to ensure that a complete prehospital patient history has been obtained.
When using the SAMPLE mnemonic, which of the following statements made by the patient would be categorized under the letter “M”?
A) “I have never had a surgical procedure.”
B) “I take Zocor, but I am not sure why.”
C) “My doctor’s name is Dr. Hansen.”
D) “I was diagnosed and treated for breast cancer.”
B) “I take Zocor, but I am not sure why.”
Page Ref: 483-484
Objective: 19.4 Use the mnemonics SAMPLE and OPQRST to ensure that a complete prehospital patient history has been obtained; 19.14 Integrate history taking into the patient assessment process.
