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- A 29-year-old woman is in active labor. During your visual exam, you see a limb protruding from her vagina. Upon noting this, it is most important to: contact online medical control. prepare for immediate transport. position the patient on her side. start an IV line of normal saline.
- A bruit is most significant in which location? Femoral artery Carotid artery Brachial artery Jugular vein
- Adventitious breath sounds include: rales or crackles. whispered pectoriloquy.
egophony. vesicular sounds.
- After performing your primary assessment of a patient, your next action should be to: transport the patient to the closest medical treatment facility. move the patient to the ambulance as expeditiously as possible. perform a secondary assessment to narrow your differential diagnosis. decide what care is needed at the scene versus en route to the hospital.
- A multisystem trauma patient opens his eyes in response to pain, moans when you ask him his name, and withdraws from painful stimuli. From this information, you should: assign him a Glasgow Coma Scale score of 10. assume that he has an intracerebral hemorrhage. ventilate him with a bag-mask device at 24 breaths/min. conclude that he has severe neurologic dysfunction.
- A patient in shock due to internal bleeding will benefit most from: oxygen and thermal management. limited scene time and rapid transport. a comprehensive physical examination. two large-bore IV lines of normal saline. 10.A patient is generally considered to have orthostatic vital signs when: the systolic blood pressure increases, and the diastolic blood pressure decreases when going from a lying to a sitting position. the heart rate increases by 20 beats/min or more when going from a supine to a standing position. the respiratory rate becomes fast, and the depth becomes shallow when they suddenly stand up. they experience chest pain and a rapid, irregular heart rate when going from a seated to a standing position. 11.A patient's pulse is a physical expression of: pressure in the vena cavae. left ventricular contraction. the diastolic blood pressure.
right ventricular contraction. 12.A patient who complains of double vision has: ptosis. anisocoria. diplopia. hyperopia. 13.A patient who does not respond to verbal or tactile stimuli is: lethargic. semiconscious. disoriented. unresponsive. 14.A patient with a blood pressure of 210/100 mm Hg would be expected to have a pulse that is: irregular. bounding.
left ventricular ejection fraction and afterload. cardiac output and peripheral vascular resistance. right atrial preload and ventricular stroke volume. 18.Clenching of the jaw muscles, as with chewing, is a function of which nerve? Abducens Trigeminal Hypoglossal Trochlear 19.Cognitive function can be defined as: one's state of awareness. the ability to use reasoning. functional use of the extremities. general level of consciousness. 20.Diffuse pain caused by hollow organ obstruction and stretching of the smooth muscle wall is considered to be which type of pain?
Somatic Referred Radiating Visceral 21.Distention of the jugular veins indicates: a state of hypovolemia. left-sided heart failure. decreased venous pressure. increased venous capacitance. 22.Documentation of your physical examination should be: subjective in all regards. factual and nonjudgmental. representative of your perceptions. reviewed by the EMS administrator.
26.If a patient is able to shrug their shoulders and turn their head from left to right, which nerve is likely intact? Trigeminal Abducens Vestibulocochlear Spinal accessory 27.If your patient becomes seductive or makes sexual advances toward you, you should: continue providing care as usual. ensure that a witness is present at all times. ask your partner to assume care of the patient. threaten the patient with a sexual harassment lawsuit. 28.In contrast to dementia, delirium is: an acute change in mental status. characteristic of Alzheimer disease.
more common in the elderly population. a gradual deterioration in cognitive function. 29.In prehospital care, the priorities of evaluation and treatment are based on: the degree of threat to the patient's life. your overall experience as a paramedic. the receiving physician's online orders. standard treatment guidelines and algorithms. 30.It is most important to identify the age and sex of your patient because: age and sex can change how your patient presents. the differential diagnosis is modified for older patients. this is required information for the patient care report. the patient should be assessed by a medic of the same sex. 31.It would most likely be necessary to ask a patient a direct question if: they are elderly and have more than one medical complaint. they are not providing usable facts about the situation.
becomes a permanent part of the patient's medical record and may be subjected to legal issues. reflects your subjective findings and forms the basis for your working field diagnosis of the patient. facilitates the paramedic's definitive diagnosis of the patient, leading to the most appropriate care. ensures an accurate historical accounting of the patient's problems prior to entering the hospital. 35.Pulse oximetry measures the percentage of: hemoglobin saturation. red blood cells in the blood. white blood cells in the blood. percentage of oxygen that reaches the cells. 36.Structural integrity of the pelvis should be assessed by: carefully rocking the pelvis back and forth. gently pushing in and down on the iliac crests. applying firm upward pressure to the pelvic wings. placing the patient on their side to elicit pain.
37.Swollen lymph nodes in the anterior neck usually indicate: malignancy. an infection. viral replication. an allergic state. 38.Sympathetic nervous system hyperactivity causes: diaphoresis. bradycardia. vasodilation. warm, moist skin. 39.The Babinski sign, grasping, and sucking are: voluntary motor responses. abnormal findings in infants. examples of primitive reflexes.
offers an easy-to-remember approach to analyzing a patient's chief complaint. 43.The presence of rales during auscultation of the chest can indicate: heart failure. bronchospasm. cholecystitis. dehydration. 44.The presence of rhonchi during auscultation of the lungs is suggestive of: asthma. pneumonia. pneumothorax. toxic inhalation. 45.The residual pressure in the circulatory system while the left ventricle is relaxing is called the: pulse pressure. diastolic pressure.
systolic pressure. mean arterial pressure. 46.When caring for an unresponsive, critical trauma patient, a complete secondary assessment: will probably not be performed in its entirety. must be performed after the primary assessment. should be performed before you begin transport. will enable you to immediately detect life threats. 47.Where can paramedics check for pallor if a patient's natural skin tone is especially dark or light? sclera posterior patella nail beds tongue 48.Given the number of possible diagnoses in any situation and the limited physical and technical resources of the field, you will likely:
Chapter 15 &16 Quiz
1. After inserting an oropharyngeal airway in an unresponsive woman,
the patient begins to gag. You should:
spray an anesthetic medication into her mouth.
suction her oropharynx for up to 15 seconds.
turn the patient on her side in case she vomits.
remove the airway and have suction ready.
2. After inserting the ET tube between the vocal cords, you should:
attach an ETCO 2 detector to the tube.
inflate the distal cuff with 5 to 10 mL of air.
attach the bag-mask device and ventilate.
secure the tube with a commercial device
3. After opening an unresponsive patient's airway, you determine that his
respirations are rapid, irregular, and shallow. You should:
suction his mouth for 15 seconds.
apply a nonrebreathing mask.
intubate him at once.
begin positive-pressure ventilations.
4. After placing an ET tube, you suspect that the filter line from the
capnography adaptor is occluded by blood or other secretions. What
should you do in this situation?
Use suctioning to remove the blood or other secretions.
Remove half the amount of air from the distal cuff.
Slowly retract the tube while simultaneously listening for breath sounds over
the left side of the chest.
Replace the in-line ETCO 2 detector
5. After properly positioning the head for intubation, you should open the
patient's mouth and insert the laryngoscope blade:
in the midline of the mouth and gently lift upward on the tongue.
in the midline of the mouth and gently sweep the tongue to the left.
into the right side of the mouth and sweep the tongue to the left.
into the left side of the mouth and move the blade to the midline.
6. After tracheobronchial suctioning is complete, you should:
