General

Question 1

OPQRST stands for ____

Answer 1

onset, provocation, quality, radiation, severity, time (prior similar)

Question 2

HTN is BP over _____

Answer 2

120/80

Question 3

SAMPLE stands for

Answer 3

Signs and symptoms (anything else?), allergies, medication, PMH, last PO, events leading to injury

Question 4

Vital check includes ______ (5 things)

Answer 4

BP, eyes, respirations, PERRLA, skin

Question 5

Arrival to scene: first 5 questions to ask

Answer 5

1. BSI/PPE?
2. Is scene safe?
3. What is the NOI / MOI?
4. How many patients do I have?
5. Do I need add. resources?

Question 6

L.I.S.A. stands for _____ and is the _____ step upon arrival to scene

Answer 6

Identify any LIFE threats
General IMPRESSION (age, sex, position)
SPINAL precautions (have someone hold head stabilization)
Establish AVPU

2nd step (after 5 basic q’s)

Question 7

AVPU stands for

Answer 7

Alert
Verbal (responsive to verbal stimuli)
Pain (responsive to painful stimuli)
Unresponsive

Question 8

AIRWAYS acronym?

Answer 8

O - open with head-tilt-chin lift or jaw thrust
S - suction as necessary
M - maintain with OPA or NPA

Question 9

BREATHING: 4 components

Answer 9

LOOK - for chest rise and fall (equal and regular?)
LISTEN - for lung sounds (mid-clavicle and mid-axillary)
FEEL - expose and palpate chest
O2 - give NRB 15 lpm or BVM 15 lpm

Question 10

CIRCULATION acronym?

Answer 10

V - VOIDS - check under c-spine, l-spine for blood, ask about hematuria/hematochezia/hematemesis
C - check CAROTID pulse if unconscious
R - check RADIAL pulses of both wrists (equal? regular? strong?)
S - SKIN color, temperature, condition

Question 11

8 components of primary exam

Answer 11

1. first questions (BSI/PPE? scene safe? NOI? # pt? back-up?)
2. LISA (life threats? impression? spinal stabilization? avpu?)
3. Airways (OSM)
4. Breathing (Look, listen, feel, 02)
5. Circulation (VCRS, voids, carotid, radial, skin)
6. Treat for SHOCK (blankets, 02, position)
7. HIGH or LOW priority? update responding EMS unit
8. RE-ASSESS every 5-15min

Question 12

6 steps of Secondary Exam (MEDICAL)

Answer 12

1. VITALS (bp, eyes, respirations, PERRLA/PULE, skin)
2. HISTORY (SAMPLE: signs and symptoms, allergies, medications, PMH, last PO, events preceding)
   OPQRSTI: onset, provocation, quality, radiation, severity, time, interventions)
3. Assess body system
4. State general impression
5. Interventions - assist or admin meds prn
6. Re-assess in 5-15min

Question 13

6 steps of Secondary Exam (TRAUMA)

Answer 13

1. HISTORY (SAMPLE: signs and symptoms, allergies, medications, PMH, last PO, events preceding)
2. Trauma exam (DCAP-BTLS)
3. Vital signs
4. Manage secondary wounds
5. Interventions
6. RE-ASSESS every 5-15min

Question 14

Trauma exam, neck: check for __, ___, and ___

Answer 14

JVD, trachea deviation, c-spine

Question 15

DCAP-BTLS stands for:

Answer 15

Deformities
Contusions
Abrasions
Punctures
Burns
Tenderness
Lacerations
Swelling

Question 16

Trauma exam, extremities: always check PMS, or ___ ____ ___

Answer 16

pulse, motor, sensory

Question 17

Abd: check for ___ and ___

Answer 17

distension and rigidity