Final Test Flashcards
Heart sounds are characterized by fine vibrations or tremors, which may indicate blood flow obstruction.
Thrills
The spleen can be palpated in what quadrant?
Upper left quadrant
How long does it take to perform bowel sound assessment for each quadrant?
5 minutes
Is the liver larger in men or women?
Men
What conditions cause priapism?
Leukemia
Sickle-cell disease
Spinal injury
During examination of the lower extremities, the patient should be in what position?
Seated
Only palpable landmark in the cervical spine
Spinous process of C7
12 Cranial nerves can be categorized as sensory, somatomotor, proprioceptive, and ____.
Parasympathetic
To perform the pronator drift test, what should the patient do?
Stand with arms forward and eyes closed.
What reflex is elicited by gently stroking the inner thigh proximal to distal?
Cremasteric
What does deformity and point tenderness of the pelvis indicate?
Fracture
Secondary skin lesion that is concave, involves loss of the epidermis and dermis, and varies in size.
Ulcer
Axillary site can be used for temperature in what age?
6 years old
What is the anterior chamber of the eye is assessed for?
Blood or pus
What do you palpate for tenderness or discoloration in an ear examination?
Mastoids
What does bubbling or crackling sensations that occur in the soft tissues indicate?
Subcutaneous emphysema
What is the best position for auscultating lungs?
Sitting upright
What is indicated when bronchial breath sounds are heard in the peripheral lung field?
Fluid is present
High-pitched, discontinuous sound that is usually heard during the end of inspiration.
Crackle
High-pitched musical notes that are usually louder during inspiration. Caused by high-velocity air traveling through narrowed airways.
Wheezing
Continuous low-pitched, rumbling sounds usually heard during expiration. Heard over the trachea and bronchi.
Rhonchi
Inspiratory, crowing-type sound that can be heard without a stethoscope; indicates significant narrowing or obstruction of the larynx or trachea.
Stridor
What heart sound is caused by the closing of the mitral and tricuspid valve?
Lub
What heart sound is caused by the closing of the aortic and pulmonic valves?
Dub
What do you assess to detect CO toxicity?
ETCO2
AVPU stands for…
Alert
Verbal
Pain
Unresponsive
Poorly articulated speech
Dysarthria
What can cause red skin color?
CO poisoning
What are fine, irregular, red lines produced by capillary dilation?
Telangiectasia
Elevated, firm, circumscribed area greater than 1 cm.
Plaque
Elevated, firm, circumscribed lesion; deeper in the dermis than a papule; 1-2 cm in diameter.
Nodule
What condition is telangiectasia seen in?
Rosacea
Irregularly shaped, elevated, progressively enlarging scar that grows beyond the boundaries of a wound.
Keloid
What starts a treatment plan?
Obtaining patient consent
What approach in the primary survey recognizes the need for immediate intervention for patients who have life-threatening illness or injury?
Resuscitative approach
What skill by the paramedic is an ability that develops with experience?
Multitasking
The ability to quickly focus thinking to get the desired results depending on the situation.
Critical thinking
What is an outcome or conclusion based on critical thinking and clinical decision making?
Clinical judgment
What is the first step in the clinical thinking process?
Concept formation
What does the quality of data interpretation rely on?
Patient’s willingness
How should the patient handoff process be conducted?
In person
What is the first step in treating cardiac arrest patients according to AHA?
Chest compressions
Minimum acceptable O2 level without O2 supplement.
94%
What organ produces the quietest percussion tone?
Muscle
What is the most important and common factor in dealing with a patient that refuses to talk?
Taking time
What may help a paramedic obtain needed information from a patient who stops talking?
Persistence
What can encourage patients to end a refusal to talk?
Approval of cooperation
What should a paramedic use to comfort a distressed elderly patient?
Gentle touch
What is a situation in which the history and physical examination match a recognized pattern of injury or illness?
Pattern recognition
What is the paramedic’s field impression of the patient’s condition based on?
Analytic thinking
What can cause a paramedic to overlook important information?
A biased or judgmental attitude
Who provides scene cover on a call?
Law enforcement
What year did the airline industry introduce crew resource management?
1979
First stage of the crew resource management circle of success.
Establish a leader
PACE acronym
Probe
Alert
Challenge
Emergency
Who is MOST immediately helped by feedback in therapeutic communication?
Sender
What percentage of US residents speak a language other than English?
20 %
What does a patient become after being a receiver?
Decoder
Listening LADDER
Look Ask Do not interrupt Do not change subject Empathize Respond
What follows message transmission in therapeutic communication?
Receiver
