Test 3 Flashcards
A car was struck broadside, injuring the driver. You would expect that during the collision, the driver’s:
head stayed in place while the body was pushed laterally
Which of the following findings at a motor vehicle crash would indicate that there may be more than one patient involved?
You find a woman’s purse in the car, and a man was driving
A patient with an open but endangered airway is:
a patient lying faceup.
34-year-old male is unconscious in bed. Which of the following should be done first?
Assess circulation
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:
initiate positive pressure ventilations.
The pressure exerted against the walls of the arteries when the left ventricle contracts is called:
systolic pressure
You are reaching for the pediatric BP cuff when you notice that your 9-year-old patient is becoming cyanotic. What should you do?
Repeat the primary assessment
Which of the following pulses is assessed in obtaining a blood pressure by palpation?
Radial
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?
2 sec
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?
90+(2×age in years
Arterial pressure exerted by the blood when the left ventricle contracts is detected:
as the first sound heard when the BP cuff is slowly released.
Obtain a blood pressure for every patient who is more than:
3 yrs old
In a spontaneously breathing patient, capnography is usually performed by using:
a special nasal cannula.
In adults, direct assessment of the circulatory status of the body can be performed by measuring the blood pressure and the:
Pulse
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
use the second drop of blood from the patient’s finger.
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?
Anchoring
Which of the following questions is appropriate to ask in obtaining pertinent past history in a SAMPLE history?
Do you have any other medical problems?”
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:
perform a focused, on-scene examination.
For the physical examination of a responsive medical patient, you would focus on:
examining body systems related to the chief complaint.
Which of the following should you consider when deciding whether ALS personnel should be requested?
Would ALS-level care benefit the patient?
When questioning bystanders about an unresponsive patient’s medications, what is a permissible word to use?
Medicines
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
ask the patient about her past medical history.
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:
reassess.
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
returning to normal.
Generally, the sixth and last part of a primary assessment is:
determining the priority of the patient for treatment and transport.
When you report to your partner that the patient is a 46-year-old male trauma patient with leg pain, you have provided the
General impression
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:
Asses airway
Which of the following is done immediately after scene size-up, regardless of whether a trauma patient has a significant mechanism of injury?
Primary
The basic components of a secondary assessment are:
physical examination, patient history, and vital signs.
When should you obtain a set of baseline vital signs on an unresponsive pediatric medical patient?
After the rapid physical examination
Blunt -force trauma
injury from a blow that does not penetrate the skin or other body tissues.
Nature of illness
What is medically wrong with the patient
Scene size up
Scene size-up is the first part of the patient assessment process.
When there are no apparent hazards on the scene of an accident, how far away should the ambulance be parked?
50 feet
Down-and-under and up-and-over injury patterns -
common in head-on collisions.
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?
Danger Zone
Mechanism of Injury
a force or forces that may have caused injury.
Penetrating Trauma
an object that passes through the skin or other body tissue
Bystanders
must be kept clear of traffic, a collision, and patients
Nature of the call -
identifying the mechanism of injury or the nature of the patient’s illness.
Rear-end collisions
are common causes of neck and head injuries.
Head-on collisions
have a great potential for injury to all parts of the body
A-B-Cs
airway, breathing, and circulation.
general impression
impression of the patient’s condition that is formed on first approaching the patient, based on the
patient’s environment, chief complaint, and appearance
primary assessment
the first element in a patient assessment; steps taken for the purpose of discovering and dealing with
any life-threatening problems.
respiratory rate -
the number of breaths taken in one minute.
radial pulse
the pulse felt at the wrist.
Differential diagnosis
a list of potential diagnoses compiled early in the assessment of the patient.
jugular vein distention (JVD)
bulging of the neck vein
distention
a condition of being stretched, inflated, or larger than normal
