Shared Flashcard Set

Details

Asessment
HACC CCEMTP 2010
25
Medical
Not Applicable
10/09/2010

Additional Medical Flashcards

 


 

Cards

Term
While performing an abdominal assessment, you palpate deeply against the abdomen and then quickly release the pressure. As you release the pressure, you are observing for pain reported on the opposite side. When using this technique, what physical finding is documented?
Definition
rebound tenderness
Term
"Mortality" refers to:
Definition
the number of patient deaths due to an injury or illness.
Term
What are the parts of the  cardiovascular assessment?
Definition
ECG tracing, hepatojugular reflex, nail beds, and peripheral pulses
Term
What is an assessment technique that is an acceptable method to assess for suspected volume depletion in a bedridden patient?
Definition
performing passive leg raises
Term
What information is associated with assessment prior to scene transport?
Definition
care provided before the CCTP arrival
Term
Components of a hospital transfer sheet include:
Definition

medications,

allergies,

radiologic films,

baseline vital signs.

Term
Late findings consistent with increasing intracranial pressure (ICP) are:
Definition
elevated blood pressure and bradycardia.
Term
What is an indicator of labored work of breathing?
Definition
intercostal retractions
Term
During an abdominal assessment, you palpate deeply into the right upper quadrant. The patient immediately responds with severe pain during the palpation. The patient actually catches her breath for a moment. This is a positive _______ sign.
Definition
Murphy's
Term
You are caring for a patient who has sustained a significant head injury. During a routine neurologic assessment, you pay close attention to the patient's GCS. During the examination, you note that the previous GCS score was 13 and now it is 9. Based on this finding, you might suspect which of the following?
Definition
The intracranial pressure is increasing.
Term
Routine respiratory assessment mandates that the lungs should be auscultated in which areas?
Definition
anterior, posterior, and midaxillary
Term
Factors to be considered when packaging a patient on scene for transport include:
Definition

local practice protocols, temperature,

location of the patient.

Term
As a general rule, all pulses should be checked simultaneously side to side. Comparing one side to the other assists in identifying differences. The one pulse area that should NOT be checked simultaneously side to side is the _______ pulse.
Definition
carotid
Term

Intercostal retractions and nasal flaring may indicate increased work of breathing.

 

True  or False

Definition
True
Term
During the neurologic assessment, special attention is paid to those findings that may be early indicators of a serious problem. In the patient with significant head trauma and who is at risk for brain herniation, which cranial nerve would be the most important to assess?
Definition
III
Term
The CCTP's primary concern regarding the musculoskeletal system is:
Definition
to maintain stability of the joints and assessment for neurovascular compromise.
Term
During the cardiovascular assessment, auscultation is used to note the presence of cardiac murmurs. Which of the following findings would be cause for concern?
A) a systolic murmur from the aortic valve
B) a diastolic murmur from the pulmonic valve
C) a systolic murmur in a patient with a fever of 103°F (39.5°C)
D) a mitral regurgitation murmur in a 20-year-old female
Definition
B) a diastolic murmur from the pulmonic valve
Term
While performing the cardiovascular assessment, you simultaneously palpitate the radial pulses. As you monitor the pulse rate, you note that it decreases significantly during the patient's expiratory phase. What is the cause?
Definition
left ventricular failure
Term
What sign is most consistent with a pathology of upper gastrointestinal bleeding?
Definition
dark, melanotic stool
Term

A diastolic murmur may be a normal finding in an elderly patient.

 

True or FALSE

Definition
True
Term
What is the correct order of events when packaging a patient for transport?
Definition

Transfer infusions from facility pumps to the transport unit pumps.

 

Transfer the patient to the transport unit stretcher.

 

Secure all equipment to the transport unit stretcher.

 

Ensure that family members have directions to the receiving facility.

 

Term
The physical finding of resonance is found during what physical assessment skill?
Definition
percussion
Term

Crackles is air passing over fluid in small airways.

 

True or False

Definition
True
Term

Percussion over normal lung fields will produce hyperresonance.

 

True or False

Definition
False
Term
You are caring for a 50-year-old male who has presented with an acute onset of chest pain. After completing the assessment, you consider that this patient may be experiencing an acute myocardial infarction, an aortic dissection, a pneumothorax, or a pulmonary embolism. The list of these for disease states is called a:
Definition
differential diagnosis.
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