Patient Assessment

Question 1

Initial assessment

Answer 1

airway and c-spine, breathing, circulation, bleeding, AVPU

Question 2

Wheezing

Answer 2

narrowing of the small airways due to edema

Question 3

Causes of wheezing

Answer 3

asthma, allergic rx/anaphylaxis, emphysema, aspiration, bronchitis

Question 4

Causes of rales and crackles

Answer 4

CHF, PE, L heart failure (fluid in small airways)

Question 5

Causes of rhonchi

Answer 5

pneumonia, chronic bronchitis

Question 6

Cheyne-Stokes respirations

Answer 6

rapid breathing with periods of deep and shallow breaths.

Question 7

Kussmaul’s respirations

Answer 7

deep labored breathing associated with DKA

Question 8

Biot’s respirations

Answer 8

breathing pattern that goes from shallow to deep to shallow to apneic

Question 9

Dilated pupils causes

Answer 9

cerebral hypoxia, cocaine, epi, amphetamines

Question 10

Pinpoint pupils causes

Answer 10

opiods, narcotics, organophosphate

Question 11

Unequal pupil causes

Answer 11

brain injury, herniation, bleeding

Question 12

Optic nerve for eyesight and pupil size

Answer 12

cranial nerve II and III

Question 13

JVD causes

Answer 13

best seen in semi-fowlers. Tension pneumo, cardiac tamponade, R heart failure, traumatic asphyxia

Question 14

Flat neck vein causes

Answer 14

hemothorax, dehydrated (hypovolemia)

Question 15

When listening to chest you should

Answer 15

listen anterior and posterior

Question 16

Organs in RLQ

Answer 16

appendix, ovaries, bowel

Question 17

Organs in RUQ

Answer 17

Ascending colon, gall bladder, liver, part of stomach, pancreas

Question 18

Organs in LLQ

Answer 18

descending colon, bowel, ovaries

Question 19

Organs in LUQ

Answer 19

transverse colon, spleen, stomach, colon

Question 20

Cullens sign

Answer 20

ecchymosis around umbilicus, bleeding in abd cavity

Question 21

Kehr’s sign

Answer 21

referred pain to shoulder due to blood under diaphragm (ectopic or spleen)

Question 22

Murphy’s sign

Answer 22

RUQ pain due to gall bladder

Question 23

Grey Turner’s sign

Answer 23

ecchymosis in flank (my be bleeding from kidneys)

Question 24

Glasgow eyes

Answer 24

4 - opens 3 - to voice

2 - to pain 1 - none

Question 25

Glasgow verbal

Answer 25

5 - oriented 4 - confused
3 - inappropriate 2 - incomplete
1 - none

Question 26

Glasgow Motor

Answer 26

6 - obeys 5 - localizes
4 - withdraws 3 - flexion
2 - extension 1 - none

Question 27

normal pulse rate in child (6-12) & newborn

Answer 27

65-110 & 140-160

Question 28

Normal resp in child(6-12) & newborn

Answer 28

18-30 & 40-60

Question 29

Transmission range decreases with

Answer 29

mountains, high buildings, antenna in horizontal position

Question 30

muliplex system

Answer 30

2 split frequencies talk, listen, and send EKG

Question 31

Medical record must be

Answer 31

complete, legible, and accurate

Question 32

Addendum

Answer 32

when u need to add additional info to report/record