CHAP 13

Question 1

OPQRST

Answer 1

Onset
Provokes
Quality
Radiation
Severity
Time

Question 2

SAMPLE

Answer 2

Symptoms
Allergies
Medication/supplements
Pertinent past history
Last oral intake
Events leading to the illness

Question 3

Vital signs

Answer 3

Respirations
Pulse
Skin color, temp, condition (cap refill for infants)
Pupils
Blood Pressure
Oxygen Saturation

Question 4

Assessment of Responsive Medical Patient

Answer 4

1. Gather history of present illness (OPQRST)
2. Gather past medical history (SAMPLE)
3. Conduct a physical exam (focusing on the area of complaint)
4. Obtain baseline vitals

Question 5

Assessment of Unresponsive Medical Patient

Answer 5

1. Conduct a rapid physical exam:Head, Neck, Chest, Abdomen, Pelvis, Extremities, Posterior.
2. Obtain Baseline vitals
3. Gather the history of the present illness (OPQRST) by bystanders or family
4. Gather (SAMPLE) from bystanders or family.

Question 6

When interviewing a patient with a specific chief complaint and a known history, the EMT may need to:

Answer 6

ask additional questions pertinent to the complaint

Question 7

When conducting a physical exam of an unconscious adult patient with a suspected medical problem, you remember there was a “Vial of Life” sticker on the front door. This is important because it may:

Answer 7

reveal that additional medical identification is in the refrigerator

Question 8

List the components of a focused history and physical exam for an unresponsive medical patient:

Answer 8

1. Rapid physical exam
2. baseline vitals
3. Past medical history
4. Interventions and transport

Question 9

List the 7 areas you assess in the medical patient during your rapid physical exam:

Answer 9

Head
Neck
Chest
Abdominal
Pelvis
Extremities
Posterior

Question 10

CDM Trauma

Your patient was found ejected from a vehicle in a rollover collision:

Answer 10

rapid trauma assessment due to MOI

Question 11

Your patient tripped and believes he broke his wrist, He complains of no other injuries.

Answer 11

focused exam

Question 12

Your patient only complains of minor neck pain after frontal impact accident in which there was considerable damage and airbag deployment

Answer 12

rapid trauma assessment because of MOI

Question 13

Your patient fell about 6 ft from a tree and believes he broke his ankle. Bystanders tell you he briefly lost consciousness.

Answer 13

rapid trauma assessment He lost consciousness

Question 14

A 16 year old female is surrounded by her family. She abdominal pain that you suspect may be from pregnancy, but you have not yet asked her if she might be pregnant.

Answer 14

Ask the question privately when the parents aren’t around

Question 15

A 32-year old male with diabetes has not eaten lately, according to his family. He is sometime combative, sometimes quite. When you ask him questions, he gives you a vacant stare and says nothing.

Answer 15

Gain info from the family

Question 16

A 22 year old male college student, his roommate tells you he’s acting strange the last few weeks. The patient is sitting on his bed, knees to chest, saying nothing make sense.

Answer 16

Get on the patients level and attempt to establish a rapport and ask questions that are easy to answer