HS II Midterm Flashcards
What is the first step to responding to any emergency situation?
assess the emergency situation and ensure the scene is safe for you to proceed.
which type of burn should you flush with cool water?
first degree
which of the following is true of shock?
patients with shock usually have a rapid, weak pulse
what of the following is true? of pulse and bp
all above is true:
systolic pressure is the pressure in walls of arteries when left ventricle contracts
diastolic pressure is the constant pressure in walls of arteries when left ventricle contracts
the radial pulse is measured in the underside of pts wrist
what of the following is false (of temp)?
hyperthermia or fever is a body temp below 101F to 104F
which of the following is false? of bp
pulse pressure is the difference between diastolic and systolic pressure
which of the following is false? of pulse
apical pulse is measured by palpation at the apex of the heart
you are about to transport an elderly patient with a urinary catheter. which of the following must you keep in mind?
the collection bag must be kept lower than the pt
what is the most prominent symptom of renal calculus?
pain in kidney area
which of the following is true of ectopic pregnancies?
all of the above
most injected poisonings are a result of what?
drug use
coma, pinpoint pupils, and respiratory depression are referred to as what?
opiate triad
why is carbon monoxide especially dangerous?
it is colorless, odorless, and kills quickly
what might affect airway patency in a pt who drank a caustic solution?
burns in throat and mouth
which of the following is a significant sign that the patient may have mixed alcohol with other drugs?
lowered vital signs
what should be your first priority when dealing with an inhalation poisoning?
calling trained personnel to secure the scene
how does activated charcoal help in some cases of poisoning?
it binds to the poison and prevents it from being absorbed by the body
what is the priority when dealing with an absorption poisoning?
decontamination
you are responding to a patient with an absorption poisoning. what should you do after brushing off solid material and removing contaminated clothing?
flush the area with large amounts of clean water
which of the following is a substance used to counteract the effects of a poison?
antidote
treatment of the poisoned pt often focuses on what?
managing related symptoms
what is the term for a severe allergic reaction that occurs during the first exposure to the allergen?
anaphylactoid reaction
what is the first step towards controlling Type 2 diabetes?
monitoring diet and exercise
which of the following is true of oral glucose?
it can be a choking hazard for patients that cannot swallow
chronic bronchitis and emphysema are examples of what type of disease?
chronic obstructive pulmonary disease
which of the following describes a pt with apnea?
no breathing at all
a pt experiencing a severe, life-threatening asthma attack will likely need which of the following interventions?
positive pressure ventilations
which of the following is a common symptom of heart failure?
all of the above:
jugular vein distention, edema, tachycardia
what is the medical term for heart attack?
acute myocardial infarction
if the cardiac pt is not hypotensive, the pt is usually transported in what position?
sitting up on the stretcher
how should a pt with abdominal pain who is not in shock be positioned on the stretcher?
position of comfort
when can heart attacks occur?
all of the above:
when a pt is at rest, when a pt is under emotional stress, when a pt is under physical stress
pain from apendicitis is felt in which abdominal quadrant?
right lower quadrant
responsive stroke pts should be placed in what position for transport
supine with the head of the stretcher raised
which of the following is priority when a pt has an altered mental status?
handling threats to the pts airway, breathing, or circulaiton
which of the folllowing indicates stroke when using the Cincinnati Stroke Scale?
asymmetrical movements
which of the following conditions can have the same symptoms as stroke?
all of the above:
hypoglycemia, seizure, trauma
which of the follow describes a transient ischemic attack (TIA)?
a minor stroke in which symptoms resolve soon after onset
what is another term for syncope?
fainting
a hypoglycemic pt may display what symptoms?
all of the above:
bizarre behavior, shaking or tremors, sweating, rapid pulse
what causes type 1 diabetes?
the pancrease does not produce any insulin
what type of diabetes is typically diagnosed during childhood?
type 1
which of the following is important when using a pulse oximeter on a respiratory pt?
get a baseline measurement b4 administering oxygen
what is another term for shortness of breath?
dyspnea
what is the most effective method of preventing transmission of infection diseases?
hand-washing
which type of mask should be used if the pt has tuberculosis?
n-95 particulate mask
what is the purpose of universal precautions?
a list of guidelines that will help prevent the transmission of disease
what is a pathogen?
a microorganism that causes infection and disease
is what situations should alcohol-based cleaners be used instead of washing hands w soap and water?
when soap and water are not available, but wash with soap and water as soon as possible
which abbreviation refers to both eyes?
OU
what is the primary role of a medical assistant during an EENT exam?
to assist the physician in any way that is needed
what is the term for a defect in near vision?
hyperopia
which of the following is true of testing hearing with an audiometer?
the pt should not face the medical assistant during the test
which item would be used to test for color deficiencies?
ishihara plates
which item would be used to test a pts far vision?
snellen chart
which tool would be most appropriate for testing a pts ability to hear different sound frequencies?
audiometer
when being tested for far vision on a snellen chart, julia can read to line 50 w both eyes while standing 20 ft away. what is julia’s far vision for both eyes?
20/50
during a far vision test, how far should the pt stand from the snellen chart?
20 ft
which of the following is true at documenting complete physical exams?
documentation should include a synopsis of the phsyical
what is the primary purpose of a peds growth chart?
to provide a visual assessment of the child’s growth pattern
which pulse points should be checked in infants and small children?
apical with a stethoscope or femoral or brachial
when using the thin prep pap method what should be done with the cervical brush after specimen in collected?
it should be stirred into a bottle of preservative
which information should be gathered form pts prior to a GYN exam?
all of the above:
method of contraception, regularity and duration of menstrual cycles, date of last menstrual period
which of the following tasks may be required of a medical assistant during a pap test?
prepare the specimen with a direct smear of liquid based method
where should a tongue depressor be placed after it is used?
in a biohazard waste container
which of the following is true about a near vision test w a jaegar chart?
a pt should hold the chart abt 14 inches from eyes
what is the name of the position in which a pt lays face-up with feet elevated in stirrups?
lithotomy
which examination technique involves listening to internal body sounds with a stethoscope?
ascultation
the trendelenburg position increases circulation to the
brain and heart
which of the following is used to open the vagina during a gynecological exam?
vaginal speculum
in which direction does the pt lay while in supine position?
face up
why should the physician be consulted before placing an elderly pt in prone position?
limited ROM in their necks can make it uncomfortable
which two tools would be most helpful when examining the throat?
laryngeal mirror and tongue depressor
which of the following is an example of an objective finding?
the pt has a fever of 99.8 degrees F
Which of the following is an example of a subjective finding?
the pt says he is constantly fatigued
in relation to medical records, what does the acronym soap stand for?
subjective, objective, assessment, plan
which of the following is a lighted tool used to examine the ears?
otoscope
in which position is the head of the bed elevated?
fowlers
why is appropriate draping so important during physical exams?
draping helps to preserve a pts dignity
what is blood pressure?
the force of blood against the artery walls
which term is used to describe high blood pressure?
hypertension
which of the following factors can affect blood pressure?
all of the above:
patient positioning, volume of blood in arteries, force of heartbeat, elasticity of arteries
which of the following respiration rates is normal for a 6 yo girl?
20
your adult pts bp reading is 175 mmHg systolic and 99 mm Hg diastllic. What should you do next?
quickly but calmly report the reading to your supervisor
which of the following is true of respirations?
respiration should be counted while your fingers are still in the position used to measure pulse
your pt is having difficulty breathing and has a respiration rate of 5 bpm. which of the following describes ur pt?
bradypnea
what does a pulmonary function test measure?
breathing and lung function
which of the following respiration rates is considered normal for an adult male?
18
which example is the correct way to record apical pulse?
AP 68 strong and regular
a pulse rate of fewer than 60 bpm is described as which of the following?
bradycardia
mr.dennis states that he has an arrhythmia. what do you now know abt the pt?
the pt may have an abnormal pulse rhythm
which of the items increases a pts pulse rate?
fever
where is radial pulse measured?
on the underside of the pts wrist
which range is the average pulse rate for infants?
100-160
where is the carotid pulse site?
on the side of the pts neck
which of the following is a definition of pulse?
the pressure of blood pushing against an artery as the heart beats
which of the following rectal temps indicates hyperthermia?
105F
which of the following shows a temp measurement documented correctly?
2/15/XX, 1600, 101.2, Gloria Jackson, MA.
what does temperature meausre?
the balance btw heat produced and heat lost
in addition to height and weight, taking infant body measurements includes which of the following?
head circumference
