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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
Exam techniques (4)
Inspection Palpation Auscultation Percussion
26
Which exam technique is invasive?
Palpation
27
Which exam technique is used to evaluate presence of air or fluid in body tissues?
Percussion
28
Instrument to inspect structures of eye?
Ophthalmoscope
29
Instrument to inspect ears?
Otoscope
30
BP cuff should be what width for adults? Children?
Adults: 1/3 to 1/2 circumference Children: should cover 2/3 of limb
31
Decreased LoC usually produced by anesthetics or analgesics is ___?
Obtundation
32
State of lethargy and unresponsiveness is ___?
Stupor
33
State of profound unconsciousness is __?
Coma
34
Uncoordinated movement is?
Ataxia
35
Loss of speech is?
Aphasia
36
Abnormal speaking voice is?
Dysphonia
37
Poorly articulated speech is?
Dysarthria
38
Impaired mental judgment with dependence on others is?
Frailty
39
Weakness or lack of strength?
Feeble
40
Strong and healthy is?
Robust
41
Full of energy is?
Vigorous
42
Oral temp for what age?
6+
43
Axillary temp commonly used for?
Children less than 6
44
Temp reading that is most accurate?
Rectal
45
What is unequal pupils called?
Anisocoria
46
What does PERRL stand for?
Pupils are Equal, Round, React to Light
47
Term that relates to elasticity of skin?
Turgor
48
Involuntary jerking movements of the eyes are called?
Nystagmus
49
Deviation of the eyes to opposite sides is called?
Disconjugate
50
Bloody nasal discharge called?
Epistaxis
51
Enlarged gums indicates what?
***Pregnancy, leukemia, puberty, some medications
52
Subcutaneous emphysema presents as what?
Bubbling or crackling sensations under soft tissues of neck
53
S&S of pigeon chest?
Prominent sternal protrusion | Tendency of the patient to defecate on cars
54
Percussion of chest: resonance, hyperresonance, and dullness/flatness mean what?
Resonance: healthy lungs Hyperresonance: overinflation of the lungs (can indicate disease, pneumo, or asthma) Flatness/dullness: presence of fluid or congestion
55
Vesicular breath sounds also called? Result from what?
Harsh or diminished | Result from vigorous exercise
56
Bronchovesicular breath sounds also called?
Louder and harsher than vesicular
57
Bronchial breath sounds heard where? Sound like what?
Heard only over the trachea | Are highest in pitch
58
Crackles: how they sound, when heard, and what they indicate
High-pitched Occur during end of inspiration Can indicate PE and pneumonia
59
Wheezes: how they sound, when heard, and what they indicate
High-pitched, musical noises Occur louder during expiration Can indicate asthma, CHF
60
Rhonchi: how they sound, when heard, and what they indicate
Low-pitched, rumbling sounds Heard on expiration Occur on conditions that increase secretions (pneumonia, drug overdose)
61
Stridor: how it sounds, when heard, and what it indicates
High-pitched, crowing sound Heard on inspiration Indicates upper airway obstruction
62
How does pleural friction rub sound? What does it indicate?
Low-pitched, dry rubbing or grating sound | Caused by inflamed pleura as they slide on one another (pleurisy, viral infection, tuberculosis, PE)
63
What is apical impulse?
Visible and palpable force (heart)
64
Heart tones: how to listen for S1 and S2
S1: listen and ask pt to hold breath in expiration S2: listen and ask pt to hold breath in inspiration
65
How to tell pericardial friction rub from pleural friction rub?
Pericardial will still be audible when pt holds breath
66
Discoloration found in the flank called?
Grey Turner's sign | "Let's do some Turners!"
67
Discoloration around the umbilicus called?
Cullen's sign
68
Assessing bowels---which first: auscultation or palpation?
Auscultation (palpation can disturb bowel sounds)
69
Tympany is what? Indicates what?
Major sound heard during abdominal percussion | Can indicate air in stomach or intestines
70
Discoloration of genitals is called what? Indicates what?
Coopernail's sign | May indicate peritoneal bleeding
71
Pronator drift test also called?
Arm drift
72
Best way to assess pt coordination?
Have pt perform rapid alternating movements
73
Pt position for assessing abdomen?
Supine
74
Most common cause of a heart murmur?
Valvular defect
75
CHART stands for...?
``` Chief complaint History Assessment Rx (treatment) Transport ```
76
SOAP stands for...?
Subjective data Objective data Assessment data Plan of patient management
77
Resp. rates - Newborn, 1 year, 3 years, 5-7 years, 10-15 years, Adult
``` Newborn 40-60 1 year 30-40 5-7 yrs 20-25 10-15 yrs 15-20 Adult 12-24 ```
78
Primary injury prevention
Prevents problems before they occur
79
Secondary injury prevention
Detects issues already there and promotes early intervention
80
Tertiary injury prevention
Correct an issue and prevents further deterioration
81
Shifting focus used when?
To ask about a sensitive topic in an indirect way
82
Which communication technique is employed when the medic must help the patient identify irrational behavior, particularly if the patient is "acting out"?
Distraction
83
Concept formation integrates the information found in which assessment piece?
General impression
84
Approach in data processing that considers all aspects before proceeding?
Divergent

EMT222 (1 decks)

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