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Chapter 8 Questions
Emergency Care and Transportation of the Sick and Injured
152
Other
Undergraduate 1
02/20/2014

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Cards

Term

The scene size-up consists of all of the following EXCEPT:

 

A. Determining the mechanism of injury.

B. requesting additional resources

C. determining level of responsiveness

D. personal protective equipment (PPE)

Definition
C. personal protective equipment (PPE)
Term

Your primary safety concern is for:

 

A. yourself

B. your partner

C. your patient

D. the bystanders

Definition
A. yourself
Term

With ___________, the force of the injury occurs over a broad area, and the skin is usually not broken.

 

A. motor vehicle collisions

B. blunt trauma

C. penetrating trauma

D. gun shot wounds

Definition
B. blunt trauma
Term

With _______, the force of injury occurs at a small point of contact between the skin and the object piercing the skin.

 

A. motor vehicle collisions

B. blunt trauma 

C. penetrating trauma

D. falls

Definition
C. penetrating trauma
Term

______ is the measure of the amount of air that is moved into and out of the lungs in one breath.

 

A. Residual Volume

B. Tidal Volume

C. Vital Capacity

D. Minute Volume

Definition
B. Tidal Volume
Term

The physical examination consists of all the following EXCEPT:

 

A. puncture

B. inspection

C. palpation

D. ausculation

Definition
A. puncture
Term

When determining the initial general impression, you should note all of the following EXCEPT:

 

A. the patient's age

B. the level od distess

C. the events leading up to the incident

D. the patient's sex

Definition
C. the events leading up to the incident
Term

When considering the need for additional resources, which of the following is NOT a question you should ask?

 

A. How many patients are there?

B. Is it raining?

C. Who contacted EMS?

D. Does the scene pose a threat to you or your patient's safety?

Definition
B. is it raining?
Term

The primary assessment includes evaluation of all of the following EXCEPT:

 

A. mental status

B. pupils

C. airway

D. circulation

Definition
B. pupils
Term

The best indicator of brain function is the patient's:

 

A. pulse rate

B. papillary response

C. mental status

D. resiratory rate and depth

Definition
C. mental status
Term

What does the "P" on the AVPU scale represent?

 

A. responsive to palpation

B. responsive to pain

C. Responsive to provocation

D. responsive to palliation

Definition
B. responsive to pain
Term

A normal respiratory rate for an adult is typically:

 

A. 5 to 10 breaths per minute

B. 12 to 20 breaths per minute

C. 15 to 30 breaths per minute

D. 20 to 30 breaths per minute

Definition
B. 12 to 20 breaths per minute
Term

For children younger than 1 year old, you should palpate the ______ artery when assessing the pulse.

 

A. carotid

B. radial

C. femoral

D. brachial

Definition
D. brachial
Term

The automated external defibrillator (AED) should be used on pediatric medical patients who are at least ____ year(s) old and who have been assessed to be unresponsive, apneic, and pulseless.

 

A. 1

B. 8

C. 9

D. 10

Definition
A. 1
Term

When there are low levels of oxygen in the blood, the lips and mucous membrance appear blue or gray. This  condition is called:

 

A. cyanosis

B. pallor

C. jaundice

D. ashen

Definition
A. cyanosis
Term

Your first consideration when assessing a pulse is to determine:

 

A. how fast the rate is

B. the quality

C. if one is present

D. if the rhythm is regular

Definition
C. if one is present
Term

To obtain the pulse rate in most patients, you should count the number of pulses felt in a _______ period and then multiply by two.

 

A. 15-second

B. 20-second

C. 25-second

D.30-second

Definition
D. 30-second
Term

In deeply pigmented skin, you should look for changes in color in areas of the skin that less pigment, including:

 

A. the sclera

B. the conjuntiva

C. the mucous membranes of the mouth

D. all of the above

Definition
D. all of the above
Term

All of the following are condtions not related to the body's circulation that may slow capillary refill EXCEPT:

 

A. local circulatory compromise

B. hypothermia

C. age

D. abdominal pain

Definition
D. abdominal pain
Term

Which of the following is NOT considered a method for controlling external bleeding?

 

A. Direct pressure

B. Tourniquet

C. Cold Water

D. Elevation

Definition
C. Cold Water
Term

The _________ is/are the most serious thing that the patient is concerned about; the reason why they called

9-1-1

 

A. chief complaint

B. pertinent negatives

C. severity

D. past medical history

Definition
A. cheif complaint
Term

The four items used to assess the orientation of a patient's mental status include all of the following EXCEPT:

 

A. person

B. place

C. history

D. events

Definition
C. history
Term

An integral part of the rapid scan is evaluation using the mnemonic:

 

A. AVPU

B. DCAP-BTLS

C. OPQRST

D. SAMPLE

Definition
B. DCAP-BTLS
Term

In the absence of light, the pupils will:

 

A. constrict

B. stay fised

C. dilate

D. become unequal

Definition
C. dilate
Term

_________ cause the pupils to constrict to a pinpoint.

 

A. Opiates

B. Antidepressants

C. Antihypertensive medication

D. Diabetic medication

Definition
A. Opiates
Term

When assessing breathing, you should obtain all of the following EXCEPT:

 

A. respiratory rate

B. depth of breathing

C. quality/character of breathing

D. breath odor

Definition
D. breath odor
Term

Which of the following statements regarding assessment of the airway is TRUE?

 

A. the body will not be supplied the neccessary oxygen if the airway is not managed

B. you should use the head tilt-chin lift maneuver to open the airway in trauma patients

C. the tongue is generally not a cause of airway obstruction

D. a conscious patient who cannot speak or cry is most likely hyperventilating

Definition
A. the body will not be supplied the neccessary oxygen if the airway is not managed
Term

Which of the following is NOT considered a type of breath sound?

 

A. Rhonchi

B. Vibration

C. Wheeze

D. Stridor

Definition
B. Vibration
Term

The MOST important thing to consider in patients with multiple injuries in various stages of healing is that:

 

A. this patient is rather clumsy

B. the patient could have an underlying cancer

C. the patient might be a victim of abuse

D. the patient probably has a high tolerance for pain

Definition
C. the patient might be a victim of abuse
Term

Which of the following question should you ask yourself when dealing with a patient who is not answering your question?

 

A. Is the patient hungry?

B. Is there a language problem?

C. is the patient tired?

D. is the patient angry with me?

Definition
B. Is there a language problem?
Term

________ is an assessment tool used to evaluate the effectiveness of oxygenation?

 

A. Capnography

B. Capnometry

C. Pulse oximetry

D. Blood Glucose

Definition
C. Pulse oximetry
Term

The pressure felt along the wall of the artery when the ventricles of the heart conract is referred to as the:

 

A. asystolic pressure

B. diastolic pressure

C. idiopathic pressure

D. systolic pressure

Definition
D. systolic pressure
Term

A blood pressure cuff that's too large for the patient:

 

A. may result in a falsely low reading

B. may result in a falsely high reading

C. will not affect the reading

D. should be used in patients with arm pain

Definition
A. may result in a falsely low reading
Term

When examining the abdomen, you should palpate for all of the following EXCEPT:

 

A. guarding

B. crepitation

C. tenderness

D. rigidity

Definition
B. crepitation
Term

Crackling sounds produced by air bubbles under the skin are known as:

 

A. subcutaneous ecchymosis

B. subcutaneous emphysema

C. subcutaneous erythema

D. subcutaneous emboli

Definition
B. subcutaneous emphysema
Term

Unstable patients should be reassessed every ________ minutes.

 

A. 5

B. 10

C. 15

D. 20

Definition
A. 5
Term

In the __________ position, the patient sits leaning forward on outsteched arms with the head and chin thrust slightly foward.

 

A. Fowler's

B. tripod

C. sniffing

D. lithotomy

Definition
B. tripod
Term

In an unresponsive adult patient, the primary location to assess the pulse is the __________ artery.

 

A. carotid

B. femoral

C. radial

D. brachial

Definition
A. carotid
Term

Liver disease or dysfunction may cause _________, resulting in the patient's skin and sclera turning yellow.

 

A. cyanosis

B. jaundice

C. diaphoresis

D. lack of perfusion

Definition
B. jaundice
Term

When obtaining a blood pressure by palpation in the arm, you should place your fingertips on the _________ artery.

 

A. caritod

B. brachial

C. radial

D. posterior tibial

Definition
C. radial
Term

The first set of vital signs that you obtain is called the:

 

A. original vital signs

B. basline vital signs

C. actual vital signs

D. real vital signs

Definition
B. baselin vital signs
Term

Which of the following is NOT considered a sign?

 

A. Dizziness

B. Marked deformities

C. External bleeding

D. Wounds

Definition
A. Dizziness
Term

When blood pressure drops, the body compensates to maintain perfusion to the vital organs by:

 

A. decreasing the pulse rate

B. dilating the arteries

C. decreasing the respiratory rate

D. decreasing the blood flow to the skin and extremeties

 

 

Definition
D. decreaing the blood flow to the skin and extremeties
Term

When assessing and treating a patiend who is visually impaired, it is important that you do all of the following EXCEPT:

 

A. speak loudly into the patient's ear, because he or she can't see you

B. announce yourself when entering the residence

C. put items that were moved back into their previous position.

D. explain to the patient what is happening

Definition
A. speak loudly into the patient's ear, becuase he or she can't see you
Term

Which of the following statements is FALSE regarding the assessment of patients with language barrier?

 

A. You should find an interpreter

B. determine whether the patient understands you

C. Questioning should be lengthy and complex

D. be aware of the language diversity in your community

Definition
C. Questioning should be lengthy and complex
Term

True or False

 

Responsiveness is evaluated with the mnemonic DCAP-BTLS

Definition
False
Term

True or False

 

Reassessment is not neccessary for stable patients

Definition
False
Term

True or False

 

An assessment of the patient's musculoskeletal system typically is done because of chief complaint associated with some type of trauma

Definition
True
Term

True or False

 

The apparent absence of a palpable pulse in an unresponsive patient is not a cause for concern

Definition
False
Term

True or False

 

A patient with a poor general impression is considered a priority patient

Definition
True
Term

True or False

 

When assessing the head, you should assess the patient's ears and nose for fluid

Definition
True
Term

True or False

 

Paradoxical motion of the chest wall is commonly associated with upper respiratory infections

Definition
False
Term

True or False

 

The abdomen is broken into six areas for assessment

Definition
False
Term

True or False

 

In the reassessment process, you should reevaluate everything that has been done to this point in the patient situation

Definition
True
Term

True or False

 

Law enforcement personnel may be needed at scenes to control traffic or interevene in domestic violence situations

Definition
True
Term

True or False

 

 Determining the mental status and the level of consciousness of a patient take a great deal of time while on scene

Definition
False
Term

True or False

 

Depressed brain function can result from trauma or stroke

Definition
True
Term

True or False

 

PEARRL is used to describe skin color

Definition
False
Term

True or False

 

You should consider providing positive-pressure ventilation in a conscious patient who has a respiratory rate of 14 breaths per minute

Definition
False
Term

True or False

 

When documenting vital signs, you should note whether the patient's respirations are regular or irregular

Definition
True
Term

True or False

 

Patients with difficulty breathing, severe chest pain, and signs of poor perfusion should be transported immediately

Definition
True
Term

True or False

 

You should aim to assess, stablize, and begin transport of trauma patients within 20 minutes.

Definition
False
Term

True or False

 

Correct identification of high-priority patients is an essential aspect of the primary assessment and helps to improve patient outcome

Definition
True
Term

True or False

 

You should not interrupt patients when speaking, and you should be empathetic to their situation

Definition
True
Term

True or False

 

Being openly judgemental of patients who may have a chemical dependency is acceptable as long as you remain professional

Definition
False
Term

True or False

 

Scenes involving domestic violence can be extremely dangerous for EMS personnel

Definition
True
Term

True or False

 

You should consider all female of childbearing age who are reporting lower abdominal pain to be pregnant unless ruled out by history or other information

Definition
True
Term

True or False

 

Once you have allowed a talkative patient a chance to express himself or herself, you should allow the patient to continue talking about whatever he or she wants.

Definition
True
Term

True or False

 

It is rather unusual for a patient, family member, or friend to vent hostility toward EMS

Definition
False
Term

True or False

 

Information gathered from an intoxicated patient may be unreliable

Definition
True
Term

True or False

 

Your presence may make a crying patient feel more secure

Definition
True
Term

True or False

 

Depression is not a common reason for patients to call for EMS

Definition
False
Term
When assessing a patient, you should inspect the pelvis for symmetry and any obvious signs of injury, bleeding and deformity
Definition
True
Term

True or False

 

Pulse and motor and sensory functions are typically assessed when examining a patient's extremities

Definition
True
Term

A 29-year-old male with a head injury opens his eyes when you speak to him, is confused as to the time and date, and is able to move all of his extremities on command. His Glasgow Coma Scale (GCS) score is:


A. 10

B. 12

C. 14

D. 13

Definition
D. 13
Term

What maneuver should be used to open the airway of an unresponsive patient with suspected trauma?


A. head tilt-neck lift

B. head tilt-chin lift

C. tongue-jaw lift

D. jaw-thrust maneuver

Definition
D. jaw-thrust maneuver
Term

Pain that moves from its point of origin to another body location is said to be:

 

A. palliating

B. radiating

C. referred

D. provoking

Definition
B. radiating
Term

Upon arriving at a potentially unsafe scene, you should:

 

A. ensure that you are safe

B. move the patient to safety

C. request another ambulance

D. remove all bystanders

Definition
A. ensure that you are safe
Term

For an adult, the normal resting pulse should be between

 

A. 50 and 70 beats/min

B. 60 and 100 beats/min

C. 70 to 110 beats/min

D. 50 and 60 beats/min

Definition
B. 60 to 100 beats/min
Term

The normal respiratory rate for an adult should range from:

 

A. 24 to 28 breaths per minute

B. 10 to 15 breaths per minute

C. 18 to 24 breaths per minute

D. 12 to 20 breaths per minute

Definition
D. 12 to 20 breaths per minute
Term

You respond to a call for a female pedestrian who has been struck by a car. As your partner maintains manual stabilization of her head, you perform a primary assessment. She is unconscious, has ineffective breathing, and has bloody secretions in her mouth. You should: 

 

A. assess the rate and quality of her pulse

B. immediately suction her oropharynx

C. assist her breathing with a bag-mask device

D. quickly insert an oropharyngeal airway

Definition
B. immediately suction her oropharynx
Term

When you inspect a patient's pupils with a penlight, the pupils normally react to light by:

 

A. dilating

B fluttering

C. enlarging

D. constricting

Definition
D. constricting
Term

A patient with profuse sweating is referred to as being:

 

A. diaphoretic

B. plethoric

C. flushed

D. edematous

Definition
A. diaphoretic
Term

Normal respiratory rates should not exceed ________ breaths per minute in children and _______ breaths per minute in infants.

 

A. 30,50

B. 24,45

C. 20,30

D. 18,28

Definition
A. 30,50
Term

Fill-in-the-blank

 

A(n) _______ is an objective condition that you can observe about the patient.

Definition
Sign
Term

Fill-in-the-blank

 

________ ________ are protective measures for dealing with blood and bodily fluids.

Definition
Standard precaution
Term

Fill-in-the-blank

 

When there are multiple patients, you should use the __________ _________ _______ to help organize the triage, logistics, and treatment of patients.

Definition
Incedent command system
Term

Fill-in-the-blank

 

_______ _________ ________ should be requested for patients with severe injuries or complex medical problems.

Definition
advance life support (ALS)
Term

Fill-in-the-blank

 

Indentifying and initiating treatment of immediate potentially life-threatening conditions is the goal of the ________ ________

Definition
primary assessment
Term

Fill-in-the-blank

 

You should think of the ________ _______ as a visual assessment, gathering information as you approach the patient.

Definition
general impression
Term

Fill-in-the-blank

 

________ is the circulation of blood within an organor tissue.

Definition
Perfusion
Term

Fill-in-the-blank

 

__________ tests the mental status of the patient by checking memory and thinking ability.

Definition
Orientation
Term

Fill-in-the-blank

 

When light is shined into the eyes, the pupils should __________.

Definition
constrict
Term

Fill-in-the-blank

 

A brassy, crowing sound that is prominent on inspiration, suggesting a mildly occluded airway, is referred to as _________

Definition
Stridor
Term

Fill-in-the-blank

 

If there is a potential for trauma, use the modified ________________ to open the air way

Definition
jaw-thrust maneuver
Term

Fill-in-the-blank

 

During __________ the chest muscles relax and air is released out of the lungs.

Definition
exhalation
Term

Fill-in-the-blank

 

If a patient seems to develop difficulty breathing after your primary assessment, you should immediately reevaluate the ____________.

 

Definition
airway
Term

Fill-in-the-blank

 

If you hear fluid in the airway during your assessment, you should immediately _________ the airway to prevent aspiration.

Definition
suction
Term

Fill-in-the-blank

 

A patient who coughs up thick, yellowish or greenish sputum most likely has a(n) _________ _________.

Definition
respiratory infection
Term

Fill-in-the-blank

 

__________ __________ and see-saw breathing in a pediatric patient indicate inadequate breathing.

Definition
nasal flaring
Term

Fill-in-the-blank

 

If you cannot palpate a pulse in an unresponsive patient, you should begin _______.

Definition
Cardiopulmonary Resuscitation (CPR)
Term

Fill-in-the-blank

 

________ is a heart rate greater than 100 beats per minute.

Definition
tachycardia
Term

Fill-in-the-blank

 

___________ is a heart rate less than 100 beats per minute.

Definition
Bradycardia
Term

Fill-in-the-blank

 

The ________ is the delicate membrane lining the eyelids, and it covers the exposed surface of the eye.

Definition
conjunctiva
Term

Fill-in-the-blank

 

Skin that is cool, clammy, and pale in your primary assessment typically indicates ___________.

Definition
hypoperfusion
Term

Fill-in-the-blank

 

When the skin is bathed in sweat, it is described as _________.

Definition
diaphoretic
Term

Fill-in-the-blank

 

A capillary refill time should be less than ___ second(s)

Definition
2
Term

Fill-in-the-blank

 

________ patency is always your number one priority.

Definition
Airway
Term

Fill-in-the-blank

 

A rapid scan to identify immediate threats should take ___ to ___ second(s).

Definition
60;90
Term

Fill-in-the-blank

 

The _______ _______ refers to the time from the injury to definitive care.

Definition
Golden Period
Term

Fill-in-the-blank

 

The goal of the primary assessment is the identify and treat _______ ______.

Definition
life threats
Term

Fill-in-the-blank

 

______ ______ provides details about the patient's chief complaint and an account of the patient's signs and symptoms.

Definition
History taking
Term

Fill-in-the-blank

 

You should use __________ questions when taking a history on a patient.

Definition
open-minded
Term

Fill-in-the-blank

 

_________ is a mnemonic used to gather past medical history on a patient.

Definition
SAMPLE
Term

Fill-in-the-blank

 

________ _______ are negative findings that warrant no care or intervention.

Definition
Pertinent negatives
Term

Fill-in-the-blank

 

One of the most common causes of patient confusion is ___________.

Definition
hypoxia
Term

Fill-in-the-blank

 

_______ describes the process of touching or feeling the patient for abnormalities.

Definition
palpation
Term

Fill-in-the-blank

 

_________ is a noninvasive method that can quickly and efficiently provide information on a patient's ventilatory status, circulation and metabolism.

Definition
capnography
Term

Fill-in-the-blank

 

_________ __________ is the residual pressure that remains in the arteries during the relaxation phase of the heart.

Definition
Dialostic pressure
Term

Fill-in-the-blank

 

A(n) ________ assessment should be performed any time you are confronted with a patient who has a change in mental status, a possible head injury, or syncope.

Definition
neurologic
Term
The process of establishing treatment and transport priorities
Definition
Triage
Term
A bluish gray skincolor associated with reduced oxygen levels
Definition
cyanosis
Term
air under the skin
Definition
Subcutaneous emphysema
Term
a heart rate greater than 100 beats/min
Definition
tachycardia
Term
lining in the eyelid
Definition
conjunctiva
Term
subjective finding that the patient feels
Definition
symptom
Term
secondary muscles of respirations
Definition
Accessory muscles
Term
indication of air movement in the lungs
Definition
breath sounds
Term
the reason the patient called for help
Definition
chief complaint
Term
profuse sweating
Definition
diaphoretic
Term
yellow skin color due to liver disease or dysfunction
Definition
jaundice
Term
the mental status of a patient
Definition
orientation
Term
the six pain question
Definition
OPQRST
Term
examine by touch
Definition
palpate
Term
the way in which a patient responds to external stimuli
Definition
responsiveness
Term
movements in which the skin pulls in around the ribs during inspiration.
Definition
retractions
Term
white of the eyes
Definition
sclera
Term
damage to tissues as the result to exposure to cold
Definition
frostbite
Term
a crackling sound
Definition
crepitus
Term
motion of a segment of the chest wall that is opposite the normal movement during breathing
Definition
paradoxical motion
Term
What does the pain feel like?
Definition
Quality
Term
How long have you had the pain?
Definition
Timing
Term

Are you taking any medications?

 

Definition
medications
Term
Did you eat this morning?
Definition
last oral intake
Term
Does anything make the pain feel better or worse?
Definition
Provocation/Palliation
Term
On a scale of 1 to 10, how do you rate your pain?
Definition
severity
Term
What were you doing before this happened?
Definition
events leading up to illness
Term
What type of reaction do you have when you take medication?
Definition
Allergies
Term
Does the pain move anywhere?
Definition
Region/radiation
Term
When did the problem begin?
Definition
Onset
Term
Does your chest hurt?
Definition
Signs and Symptoms
Term
Have you ever been ill?
Definition
Past medical history
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