Chapter 19: Secondary Assessment and Reassessment

Question 1

Inspection

Answer 1

Visual assessment of the patient and the surroundings

Question 2

Palpation

Answer 2

Technique in which paramedic uses hands and fingers to gather information by touch

Question 3

Percussion

Answer 3

Used to evaluate the presence of air or fluid in body tissues

Question 4

Auscultation

Answer 4

Use of a stethoscope to assess body sounds made by the movement of fluids or gases in the patient’s organs or tissues

Question 5

Tympany

Answer 5

(loudest) percussion tone. Example; gastric bubble

Question 6

Resonance

Answer 6

Healthy lungs

Question 6

Hyperresonance

Answer 6

Air filled lungs (ex. COPD, pneumothorax)

Question 7

Dullness

Answer 7

Liver

Question 8

Flat (the quietest)

Answer 8

Muscle

Question 9

Components of a comprehensive physical examination

Answer 9

Mental status, general survey, vital signs, skin, Head, eyes, ears, nose, throat, chest, abdomen, posterior body, extremities, and neurologic examination

Question 10

How to assess mental status

Answer 10

Patient should be able to speak clearly, respond to you, follow directions, etc. Do not be vague in describing a patient’s mental status, AVPU (alert and oriented, reactive to verbal stimuli, responsive to painful stimuli, Unresponsive to verbal or painful stimuli)

Question 11

Define ataxia

Answer 11

Uncoordinated movement

Question 12

Hygiene

Answer 12

How a patient is dressed, groomed, breath, and any body odors.

Question 13

Define aphasia

Answer 13

Loss of the ability to understand or express speech

Question 14

Define Dysphonia

Answer 14

Abnormal speaking voice

Question 15

Define Dysarthria

Answer 15

Poorly articulated speech

Question 16

Define pallor and some possible causes

Answer 16

Decrease in color (shock, dehydration, fright)

Question 17

Define cyanosis and some possible causes

Answer 17

Blue color appearance (cardiorespiratory insufficiency, cold environment)

Question 18

Define Jaundice and some possible causes

Answer 18

Liver disease, RBC destruction, babies within the first weeks of life

Question 19

Possible causes of red coloration of skin

Answer 19

Fever, inflammation, carbon monoxide poisoning, heat (sunburn)