Test 3 Flashcards

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1
Q

A car was struck​ broadside, injuring the driver. You would expect that during the​ collision, the​ driver’s:

A

head stayed in place while the body was pushed laterally

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2
Q

Which of the following findings at a motor vehicle crash would indicate that there may be more than one patient​ involved?

A

You find a​ woman’s purse in the​ car, and a man was driving

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3
Q

A patient with an open but endangered airway​ is:

A

a patient lying faceup.

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4
Q

34-year-old male is unconscious in bed. Which of the following should be done​ first?

A

Assess circulation

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5
Q

A​ 37-year-old female complains of dyspnea. You note that she has a patent airway but severe respiratory distress. She has tight wheezes and diminished air movement. She is cyanotic and confused. You should​ first:

A

initiate positive pressure ventilations.

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6
Q

The pressure exerted against the walls of the arteries when the left ventricle contracts is​ called:

A

systolic pressure

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7
Q

You are reaching for the pediatric BP cuff when you notice that your​ 9-year-old patient is becoming cyanotic. What should you​ do?

A

Repeat the primary assessment

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8
Q

Which of the following pulses is assessed in obtaining a blood pressure by​ palpation?

A

Radial

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9
Q

4-year-old male complains of abdominal pain after falling down a set of stairs. He is agitated but shows no obvious signs of trauma. You wish to assess capillary refill time to help rule out shock. His refill should occur in less than how many​ seconds?

A

2 sec

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10
Q

You are concerned that a​ 4-year-old female is dehydrated and in shock. Which of the following best represents how you would determine a normal blood pressure for this​ patient?

A

90+​(2×age in​ years

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11
Q

Arterial pressure exerted by the blood when the left ventricle contracts is​ detected:

A

as the first sound heard when the BP cuff is slowly released.

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12
Q

Obtain a blood pressure for every patient who is more​ than:

A

3 yrs old

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13
Q

In a spontaneously breathing​ patient, capnography is usually performed by​ using:

A

a special nasal cannula.

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14
Q

In​ adults, direct assessment of the circulatory status of the body can be performed by measuring the blood pressure and​ the:

A

Pulse

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15
Q

patient’s family member tells you that the patient has​ diabetes, and the​ patient’s symptoms are likely due to hypoglycemia. You decide you need to measure the​ patient’s blood glucose level. You​ should

A

use the second drop of blood from the​ patient’s finger.

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16
Q

You are called to a college​ party, where you find an unresponsive​ 19-year-old female. There is much evidence of alcohol consumption at the party. Which of the following behaviors are you demonstrating if you rapidly conclude that the patient is​ intoxicated?

A

Anchoring

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17
Q

Which of the following questions is appropriate to ask in obtaining pertinent past history in a SAMPLE​ history?

A

Do you have any other medical​ problems?”

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18
Q

A​ 40-year-old male has cut his finger in an industrial accident. You perform the scene​ size-up, conduct a primary​ assessment, and determine his chief complaint. You should​ next:

A

perform a​ focused, on-scene examination.

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19
Q

For the physical examination of a responsive medical​ patient, you would focus​ on:

A

examining body systems related to the chief complaint.

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20
Q

Which of the following should you consider when deciding whether ALS personnel should be​ requested?

A

Would​ ALS-level care benefit the​ patient?

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21
Q

When questioning bystanders about an unresponsive​ patient’s medications, what is a permissible word to​ use?

A

Medicines

22
Q

An​ 81-year-old female is complaining of chest pain. After asking her to describe the current problem and history of the present​ illness, you should​ next

A

ask the patient about her past medical history.

23
Q

While en route to the​ hospital, your​ 67-year-old male patient with chest pain breaks out in a sweat and becomes very pale. He clutches his chest. You should​ next:

A

reassess.

24
Q

You have taken several sets of vital signs for a​ patient, whose respiratory rate has changed from 24 with shallow breaths to 20 with full​ breaths, and whose skin has remained pale and dry. You would consider this​ patient’s condition to​ be

A

returning to normal.

25
Q

Generally, the sixth and last part of a primary assessment​ is:

A

determining the priority of the patient for treatment and transport.

26
Q

When you report to your partner that the patient is a​ 46-year-old male trauma patient with leg​ pain, you have provided​ the

A

General impression

27
Q

An​ 18-year-old male has been involved in an altercation with another person. During the​ fight, he was stabbed in the thigh. As you​ approach, you note the patient to be awake with minor bleeding from a laceration on his leg. You should​ first:

A

Asses airway

28
Q

Which of the following is done immediately after scene​ size-up, regardless of whether a trauma patient has a significant mechanism of​ injury?

A

Primary

29
Q

The basic components of a secondary assessment​ are:

A

physical​ examination, patient​ history, and vital signs.

30
Q

When should you obtain a set of baseline vital signs on an unresponsive pediatric medical​ patient?

A

After the rapid physical examination

31
Q

Blunt -force trauma

A

injury from a blow that does not penetrate the skin or other body tissues.

32
Q

Nature of illness

A

What is medically wrong with the patient

33
Q

Scene size up

A

Scene size-up is the first part of the patient assessment process.

34
Q

When there are no apparent hazards on the scene of an accident, how far away should the ambulance be parked?

A

50 feet

35
Q

Down-and-under and up-and-over injury patterns -

A

common in head-on collisions.

36
Q

Which of the following is the area around the wreckage of a vehicle collision or other potentially unsafe incident, within which special safety precautions must be taken?

A

Danger Zone

37
Q

Mechanism of Injury

A

a force or forces that may have caused injury.

38
Q

Penetrating Trauma

A

an object that passes through the skin or other body tissue

39
Q
A
40
Q

Bystanders

A

must be kept clear of traffic, a collision, and patients

41
Q

Nature of the call -

A

identifying the mechanism of injury or the nature of the patient’s illness.

42
Q

Rear-end collisions

A

are common causes of neck and head injuries.

43
Q

Head-on collisions

A

have a great potential for injury to all parts of the body

44
Q

A-B-Cs

A

airway, breathing, and circulation.

45
Q

general impression

A

impression of the patient’s condition that is formed on first approaching the patient, based on the
patient’s environment, chief complaint, and appearance

46
Q

primary assessment

A

the first element in a patient assessment; steps taken for the purpose of discovering and dealing with
any life-threatening problems.

47
Q

respiratory rate -

A

the number of breaths taken in one minute.

48
Q

radial pulse

A

the pulse felt at the wrist.

49
Q

Differential diagnosis

A

a list of potential diagnoses compiled early in the assessment of the patient.

50
Q

jugular vein distention (JVD)

A

bulging of the neck vein

51
Q

distention

A

a condition of being stretched, inflated, or larger than normal