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EMT222 > EMT222 > Flashcards

EMT222 Flashcards

1
Q

Multiple MVA - when to call for more resources? (Book answer)

A

En route to the call

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2
Q

Spinal immob when?

A

During scene size up

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3
Q

First action during scene size up? (Book answer)

A

Scene safety

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4
Q

Purpose of scene size up

A

Determine add’l resources needed

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5
Q

When does scene size up begin?

A

Once the call is received

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6
Q

What to do first when evaluating pt inside car?

A

Turn off engine

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7
Q

Using posture and positive actions or words to encourage the pt to say more is called ___.

A

Facilitation

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8
Q

Repeating or “echoing” what the pt tells you is called ___.

A

Reflection

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9
Q

Asking questions to better grasp vague statements is ___.

A

Clarification

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10
Q

Asking about feelings and showing empathy is called ___.

A

Empathy

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11
Q

Making an inference from pt’s response is ___.

A

Interpretation

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12
Q

OPQRST stands for..?

A 
Onset
Provokes
Quality
Region/Radiates
Severity
Time
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13
Q

SAMPLE stands for…?

A 
Signs/symptoms
Allergies
Medications
Past medical history
Last oral intake
Events preceding
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14
Q

Menstrual hx for females aged…

A

12 to 55

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15
Q

Using answers to think about associated problems and body system changes related to chief complaint is called ___.

A

Clinical reasoning

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16
Q

After chief complaint, next step

A

Stabilizing life-threatening conditions

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17
Q

What established recommendations for PPE for bloodborne pathogens?

A

OSHA act of 1991

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18
Q

Purpose of primary survey?

A

Recognize and manage all immediately life-threatening conditions

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19
Q

Process of assessing for life threatening conditions? (4)

A

Level of consciousness, airway, breathing, circulation

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20
Q

Unstable patients should be packaged for transport within ___ time.

A

10 min.

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21
Q

Disability is what? Includes what? (4) Occurs when?

A 
Brief neuro evaluation.
Includes: 1. Level of consciousness, CAO
2. Pupils
3. Speech
4. Motor function
Occurs: after primary survey.
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22
Q

Overall process?

A

Scene size up, primary assessment, secondary assessment

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23
Q

Primary assessment includes? (5)

A 
Primary survey---
LoC, 
ABC's, 
disability/neuro; 
ID priority transport
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24
Q

Secondary assessment includes? (4)

A

Physical exam
Vitals
Assessment of body systems
Use of exam equipment

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25
Q

Exam techniques (4)

A

Inspection
Palpation
Auscultation
Percussion

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26
Q

Which exam technique is invasive?

A

Palpation

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27
Q

Which exam technique is used to evaluate presence of air or fluid in body tissues?

A

Percussion

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28
Q

Instrument to inspect structures of eye?

A

Ophthalmoscope

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29
Q

Instrument to inspect ears?

A

Otoscope

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30
Q

BP cuff should be what width for adults? Children?

A

Adults: 1/3 to 1/2 circumference
Children: should cover 2/3 of limb

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31
Q

Decreased LoC usually produced by anesthetics or analgesics is ___?

A

Obtundation

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32
Q

State of lethargy and unresponsiveness is ___?

A

Stupor

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33
Q

State of profound unconsciousness is __?

A

Coma

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34
Q

Uncoordinated movement is?

A

Ataxia

35
Q

Loss of speech is?

A

Aphasia

36
Q

Abnormal speaking voice is?

A

Dysphonia

37
Q

Poorly articulated speech is?

A

Dysarthria

38
Q

Impaired mental judgment with dependence on others is?

A

Frailty

39
Q

Weakness or lack of strength?

A

Feeble

40
Q

Strong and healthy is?

A

Robust

41
Q

Full of energy is?

A

Vigorous

42
Q

Oral temp for what age?

A

6+

43
Q

Axillary temp commonly used for?

A

Children less than 6

44
Q

Temp reading that is most accurate?

A

Rectal

45
Q

What is unequal pupils called?

A

Anisocoria

46
Q

What does PERRL stand for?

A

Pupils are Equal, Round, React to Light

47
Q

Term that relates to elasticity of skin?

A

Turgor

48
Q

Involuntary jerking movements of the eyes are called?

A

Nystagmus

49
Q

Deviation of the eyes to opposite sides is called?

A

Disconjugate

50
Q

Bloody nasal discharge called?

A

Epistaxis

51
Q

Enlarged gums indicates what?

A

***Pregnancy, leukemia, puberty, some medications

52
Q

Subcutaneous emphysema presents as what?

A

Bubbling or crackling sensations under soft tissues of neck

53
Q

S&S of pigeon chest?

A

Prominent sternal protrusion

Tendency of the patient to defecate on cars

54
Q

Percussion of chest: resonance, hyperresonance, and dullness/flatness mean what?

A

Resonance: healthy lungs
Hyperresonance: overinflation of the lungs (can indicate disease, pneumo, or asthma)
Flatness/dullness: presence of fluid or congestion

55
Q

Vesicular breath sounds also called? Result from what?

A

Harsh or diminished

Result from vigorous exercise

56
Q

Bronchovesicular breath sounds also called?

A

Louder and harsher than vesicular

57
Q

Bronchial breath sounds heard where? Sound like what?

A

Heard only over the trachea

Are highest in pitch

58
Q

Crackles: how they sound, when heard, and what they indicate

A

High-pitched
Occur during end of inspiration
Can indicate PE and pneumonia

59
Q

Wheezes: how they sound, when heard, and what they indicate

A

High-pitched, musical noises
Occur louder during expiration
Can indicate asthma, CHF

60
Q

Rhonchi: how they sound, when heard, and what they indicate

A

Low-pitched, rumbling sounds
Heard on expiration
Occur on conditions that increase secretions (pneumonia, drug overdose)

61
Q

Stridor: how it sounds, when heard, and what it indicates

A

High-pitched, crowing sound
Heard on inspiration
Indicates upper airway obstruction

62
Q

How does pleural friction rub sound? What does it indicate?

A

Low-pitched, dry rubbing or grating sound

Caused by inflamed pleura as they slide on one another (pleurisy, viral infection, tuberculosis, PE)

63
Q

What is apical impulse?

A

Visible and palpable force (heart)

64
Q

Heart tones: how to listen for S1 and S2

A

S1: listen and ask pt to hold breath in expiration
S2: listen and ask pt to hold breath in inspiration

65
Q

How to tell pericardial friction rub from pleural friction rub?

A

Pericardial will still be audible when pt holds breath

66
Q

Discoloration found in the flank called?

A

Grey Turner’s sign

“Let’s do some Turners!”

67
Q

Discoloration around the umbilicus called?

A

Cullen’s sign

68
Q

Assessing bowels—which first: auscultation or palpation?

A

Auscultation (palpation can disturb bowel sounds)

69
Q

Tympany is what? Indicates what?

A

Major sound heard during abdominal percussion

Can indicate air in stomach or intestines

70
Q

Discoloration of genitals is called what? Indicates what?

A

Coopernail’s sign

May indicate peritoneal bleeding

71
Q

Pronator drift test also called?

A

Arm drift

72
Q

Best way to assess pt coordination?

A

Have pt perform rapid alternating movements

73
Q

Pt position for assessing abdomen?

A

Supine

74
Q

Most common cause of a heart murmur?

A

Valvular defect

75
Q

CHART stands for…?

A 
Chief complaint
History
Assessment
Rx (treatment)
Transport
76
Q

SOAP stands for…?

A

Subjective data
Objective data
Assessment data
Plan of patient management

77
Q

Resp. rates - Newborn, 1 year, 3 years, 5-7 years, 10-15 years, Adult

A 
Newborn 40-60
1 year 30-40
5-7 yrs 20-25
10-15 yrs 15-20
Adult 12-24
78
Q

Primary injury prevention

A

Prevents problems before they occur

79
Q

Secondary injury prevention

A

Detects issues already there and promotes early intervention

80
Q

Tertiary injury prevention

A

Correct an issue and prevents further deterioration

81
Q

Shifting focus used when?

A

To ask about a sensitive topic in an indirect way

82
Q

Which communication technique is employed when the medic must help the patient identify irrational behavior, particularly if the patient is “acting out”?

A

Distraction

83
Q

Concept formation integrates the information found in which assessment piece?

A

General impression

84
Q

Approach in data processing that considers all aspects before proceeding?

A

Divergent

EMT222 (1 decks)

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