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Paramedic Class > Patient Assessment > Flashcards

Patient Assessment Flashcards

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0
Q

What is aphasia?

A

Impairment of language that affects the production or understanding of speech and ability to read or write

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1
Q

What four things should a patient be alert and oriented to?

A

Person
Place
Time
Event

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2
Q

Battle sign can be seen where? And what causes it?

A

Over the mastoid process

Indicative of a skull fracture

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3
Q

What is Beck Triad?

A

Narrowed pulse pressure
Muffled heart tones
JVD
Associated with cardiac tamponade, usually from penetrating chest trauma

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4
Q

Where is bruit heard? What does it sound like?

A

A whooshing sound in the carotid artery

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5
Q

DCAP-BTLS?

A 
Deformities
Contusion
Abrasion
Penetration
Burns
Tenderness
Lacerations
Swelling
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6
Q

What is the difference between dementia and delirium?

A

Dementia: slow onset of progressive disorientation and loss of cognitive function
Delirium: rapid change in mental status

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7
Q

What are dermatomes?

A

Distinct areas of skin that correspond to specific spinal or cranial nerve levels where sensory nerves enter the central nervous system

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8
Q

What is diaphoresis?

A

Excessive sweating

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9
Q

What is the term for double vision?

A

Diplopia

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10
Q

What does JVD indicate?

A

Decreased venous return to the heart

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11
Q

What is kyphosis?

A

Outward curve of the thoracic spine

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12
Q

What is lordosis?

A

Exaggerated inward curve of the lumbar spine.

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13
Q

What is murmur? And what does it indicate?

A

An abnormal whoosh sound over the heart indicating turbulent blood flow over cardiac valve.

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14
Q

What is paresthesias?

A

Tingling feeling or sensory change

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15
Q

What is the term for the ability to perceive the position and movement of ones body or limbs?

A

Proprioception

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16
Q

What does pulse oximetry measure?

A

Oxygen saturation of hemoglobin in the capillary beds

17
Q

What is a humming vibration palates through the chest wall?

A

Thrill

18
Q

What do you call normal lung sounds?

A

Vesicular lung sounds

19
Q

How do you test for disability in cranial nerve I?

A

Check smell

20
Q

How do you test for disability in cranial nerve II?

A

Check visual acuity

21
Q

How do you test for disability in cranial nerve III?

A

Chen pupil size, shape, symmetry, response to light, eye movements

22
Q

How do you test for disability in cranial nerve IV?

A

Check eye movements

23
Q

How do you test for disability in cranial nerve V?

A

Check jaw clench, touch both sides of face at forehead, cheeks, and jaw

24
Q

How do you test for disability in cranial nerve VI?

A

Check eye movements

25
Q

How do you test for disability in cranial nerve VII?

A

Check facial symmetry; look for abnormal movements; raise eyebrows, grin broadly, frown, shut eyes tightly, puff out cheeks; note any asymmetry

26
Q

How do you test for disability in cranial nerve VIII?

A

Check hearing and balance

27
Q

How do you test for disability in cranial nerve IX and X?

A

Check swallowing; perform general physical exam

28
Q

How do you test for disability in cranial nerve XI?

A

Check shoulder shrug; turn head from left to right and back

29
Q

How do you test for disability in cranial nerve XII?

A

Check swallowing; turn head from left to right and back

30
Q

What is scoliosis?

A

Sideways curvature of the spine

31
Q

Which side of the chest has more lobes of lungs?

A

Right side

32
Q

What does clubbing look like?

A

The angle between the nail and the nail base exceeds or approaches 180 degrees

33
Q

What is clubbing a sign of?

A

Chronic respiratory disease

34
Q

What is psoriasis? And what is it a sign of?

A

Pitting, discoloration, and subungual thickening of the nail

It’s a sign of auto immune disease.

35
Q

What are terry nails? And what are they a sign of?

A

Transverse white bands that cover the nail except the distal tip.
Sign of cirrhosis.

36
Q

What three physical signs does the Glasgow coma scale check?

A

Eye opening
Verbal response
Motor response

37
Q

What are the Glasgow coma scores for motor response?

A 
Follows commands - 6
Localizes pain - 5
Withdraws to pain - 4
Decorticate flexion - 3
Decerebrate extension - 2
No response - 1
38
Q

What are the Glasgow coma scores for verbal response?

A 
Oriented and converses - 5
Disoriented conversation - 4
Speaking but nonsensical - 3
Moans or makes unintelligible sounds - 2
No response - 1
39
Q

What are the Glasgow coma scores for eye opening?

A

Spontaneous - 4
To verbal command - 3
To pain - 2
No response - 1

Paramedic Class (12 decks)

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