Patient Assesment

Question 1

What is included in the primary assessment?

Answer 1

General impression
Mental status assessment
Airway, breathing, circulation

Question 2

What is criteria for rapid transport?

Answer 2

Poor general impression

Unresponsive or altered mental status

Absent or in adequate breathing

pulseless

Severe pain, allergic reaction, poisoning, or overdose

Uncontrolled hemorrhage or severe blood loss

Severe chest pain with systolic under 100

Question 3

What is included in the secondary exam?

Answer 3

Physical exam
Baseline vitals
History

Question 4

CSF (cerebral spinal fluid)

Answer 4

Clear fluid that surrounds and cushions brain and spine

Question 5

When assessing a trauma patient, you find cerebral spinal fluid and blood. What is this an indicator of and how is it best treated?

Answer 5

This is an indicator of a school fracture. Treat with loose dressing. Do not pad or stop bleeding or fluid

Question 6

A patient has a fruity or order on their breath, this is an indicator of what?

Answer 6

A diabetic patient, but even more specifically an indicator of ketoacidosis

Question 7

When physically examining a patient you fine signs of JVD. What medical emergencies might you watch for?

Answer 7

Tension pneumothorax
Pericardial Tamponade
Congestive heart failure

In a patient with JVD, watch brea thing status

Question 8

When performing a physical exam on a trauma patient, you notice paradoxical movement in the chest. What is this an indicator of? And how should you best treat it?

Answer 8

This is an indicator of a flail segment, and injury in the ribs. Chest moves in with inspiration and out with expiration.

The EMT should apply light pressure to the segment

Question 9

If email has flipped over her bike and now has swelling and distention In her abdomen. What do you suspect and how should the EMT treat?

Answer 9

This is an indicator of internal bleeding. Rapid transport

Question 10

What is the indicator of an aortic dissection?

Answer 10

Pulsating mass in abdomen

Question 11

Visceral pain

Answer 11

Described as a doll aching pain, not a pinpoint pain

Indicator of pain from internal organs

Question 12

Parietal pain

Answer 12

Described as specific pain, pinpoint

A specific organ is being affected

Question 13

Referred pain

Answer 13

Generally described as pain that is coming from two separate places

Indicator of damaged connected nerves, or sign of a domino a cardiac issues

Question 14

Rebound pain

Answer 14

Area of pain feels better when pressure is applied

Question 15

What three mechanisms are responsible for abdominal pain?

Answer 15

Mechanical forces, for example internal bleeding

Inflammation, infection

Ischemia, organ tissue hypoxia

Question 16

Patient has severe pain in the upper right quadrant, What are your differentials?

Answer 16

Ulcers, gastroenteritis, cholecytitis

Question 17

Patient has severe pain in the upper left quadrant, what are your differentials?

Answer 17

Pancreatitis, ulcers, gastroenteritis

Question 18

Your patient has pain in the lower right and left quadrant, what are you differentials?

Answer 18

Gastroenteritis, intentional obstruction

Question 19

What is pancreatitis?

Answer 19

It’s the inflammation of the pancreas, can be onset by gallstones, infections, and alcohol