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EMT FISDAP READINESS EXAM 3
- which type of collision is most serious when the occupant is not restrained because it has the potential for multiple injuries ANS roll-over
- injury caused by an object that passes though the skin or other body tissues ANS penetrating trauma
- injury caused by a blow that does not penetrate the skin or other body tissues ANS blunt force trauma
- a force or forces that may have caused injury ANS mechanism of injury
- the area around the wreckage of a vehicle collision or other incident with which special safety precautions should be taken ANS danger zone
- awareness that they may be injuries ANS index of suspicion
- what is medically wrong with the patient ANS nature of the illness
- steps taken in approaching the scene of a emergency call checking scene safety; taking PPE; noting MOI/NOI; determining number of patients; and deciding what if any additional resources to call for ANS scene size up
- the scene size up is the first part of the patient assessment process. it begins as you approach the scene, surveying it to determine ANS whether there are any threat to your own safety
- is the most accurate statement about scene size up ANS it contin- ues throughout the call 11.if you arrive at a MVC scene where police, fire vehicles, and other ambu- lances are already present you should ANS conduct your own scene size up
- is not an appropriate action when you near the scene of a traffic collision ANS attempt to park your vehicle downhill
19.certain injuries are common to particular situations. injuries to bones and joints are usually associated with ANS falls and vehicle collision
20.some idea of potential forces involved in MOI assists the EMT in ANS predicting various injury patterens 21.the physical forces and energy that impinge on the patient are influenced by the laws of physics. one of those laws the law of inertia states that ANS a body in motion will remain in motion unless acted upon by an outside force 22.impression of the patients condition that is formed on first approaching the patient, based on the patients environment cheif complaint and appear- ance ANS general impression 23.level of responsiveness ANS mental status 24.airway breathing circulation ANS ABCs 25.in emergency medicine the reason EMS was called usually in the patients own words ANS cheif complaint
- the first element in a patients assessment ANS steps taken for the purpose of discovering and dealing with any life- threatening problems. the six parts are forming a general impression, assessing mental status,
33.you are treating a patient who was involved in a head on collision. she was the unrestrained driver who took the up and over pathway. to which part of her body was she most likely to have sustained injuries ANS skull 34.which is not likely to be considered a MOI for a patient who was an unrestrained patient who was in a head on crash and followed the up and over pathway ANS brake pedal
- you are on the scene of a car crash. your patient has stable vital signs and is complaining of knee, leg, and hip pain. he also states that he was in the front
passenger seat of the vehicle and owns up to not wearing his seat belt. what type of collision did he most likely experience? ANS head on and down and under 36.you are walking around a vehicle that was involved in a collision. which is not a MOI ANS flat rear tire 37.you have just arrived at the scene of a severe fall involving an adult male patient. according to the CDC a severe fall is considered ANS over 20 ft
- you are evaluating a patient who sustained a penetrating injury. in a injury the injury is usually limited to the penetrated area ANS low-ve- locity 39.the pressure wave around a bullet's track through the body is called ANS cavi- tation 40.you are evaluating a patient who sustained an injury caused by a blow that hit the body but didn't penetrate the skin. this injury is called ANS blunt force trauma 41.what situation would it be necessary for you and your partner to call for additional assistance ANS your patient is a 350 lb male who fell down the stairs and has a broken arm 42.you are in the living room of a private home treating a patient for nausea, headache, and general body weakness when your eyes begin to tear. three other family members have the same symptoms. you should immediately ANS - evacuate all people from the building
51.t bone pattern ANS pushed laterally 52.roll over pattern ANS all type of injury patterns 53.rotational impact ANS all injury patterns 54.when you are determining NOI information can be obtained from ANS patient; family members and bystanders; the scene1 55.one way to determine the LOC for a 22 year old male is to ANS squeeze the trapezius muscle between neck and shoulder 56.you are assessing a 25 year old male cyclist who was racing and fell of his bike landing on his right shoulder. first you determine his mental status using AVPU. what does the A stand for ANS alert 57.you have determine that your patient is a V as far a mental status. what does the V stand for in AVPU ANS verbal 58.one major difference between the primary assessment of a responsive trauma patient and the primary assessment of an unresponsive trauma patient is ANS the unresponsive patient is a higher priority for immediate transport 59.you are assessing a 35 year old female patient who was involved in a seri- ous car crash. she is not alert and her breathing is less that 8 per minute and shallow. as the EMT in charge you should ANS provide positive pressure ventilations with 100% o 60.during your primary assessment of a 35 year old patient who is alert and has a breathing rate of more than 24 with signs of respiratory distress, you should provider her with ANS
high concentration o2 via NRB 61.in the primary assessment of a 53 year old male patient, the circulation assessment does not include evaluation of ANS blood pressure 62.you are evaluating a 22 year old male patient. if his skin is warm dry and a normal color, it would indicate ANS good circulation 63.your 38 year old male patient has no life-threating external hemorrhage but his skin is cool pale and moist. this could indicate ANS poor circulation 64.to evaluate skin color in a dark skinned patient the EMT should also ANS eval- uate the tissues of the lips or nail beds
- when assessing the circulation during the primary assessment the EMT should check for and control severe bleeding. this is important to do because- ANS a patient can bleed to death in minutes
- when a life threat is observed in the primary assessment the EMT should- ANS treat it immediately 67.on completion of your primary assessment you decide that your patient is a high priority. high priority conditions include ANS poor general impression; unresponsiveness, and shock
condition but is not considered a vital sign is ANS mental status 80.why is it essential that vital signs be recorded as they are obtained ANS to prevent forgetting them and note the time they were taken 81.you are assessing a 24 year old female that was involved in a MVC. you take her pulse and the rate exceeds 100 BPM. this is called ANS tachycardia 82.on the basis of the pulse alone a sign that something may be seriously wrong with a patient could be ANS rate below 48 BPM; rate above 126 BPM; a rate above 150 BPM 83.another serious indicator found in the pulse is ANS irregular pulse 84.assessing the quality of the pulse includes determining the ANS rhythm and force
- a 50 year old male patient who sustained serious trauma from an ATV crash is describes as having a thread pulse. the patient is most likely to have a pulse ANS weak 86.the normal pulse rate for a school age child is ANS 70 to 110 87.when assessing the pulse rate of a typical adult who is not in distress you would likely obtain a rate of ANS 60 to 100 88.the pulse at the thumb side of the wrist is referred to as the pulse ANS radial
89.when assessing the carotid pulse the EMT should ANS be aware that excessive pressure can slow the heart 90.the number of breaths a patient takes in one minute is called the ANS respiratory rate 91.the respiratory rate is classified as ANS normal, slow, or rapid
- the EMT is treating a patient with a sustained respiratory rate above or below BPM high concentration o2 must be admin- istered ANS 20; 12 93.shallow breathing occurs when ANS there is only slight movement of the chest or abdomen
- many resting people breathe more with their than with their muscles ANS diaphragm; pelvic 95.signs of labored breathing does not include ANS delayed capillary refill 96.a noisy harsh sound when the patient is breathing in is called ANS crowing 97.when the quality of a patients respirations is abnormal because something is blocking the flow of air, this is referred to as breathing ANS la- bored 98.you are treating a 28 year old male patient who was unconscious in an alley. during your primary assessment you hear an airway sound that usually indicates the need for
- it is bright sunny day and you are treating a 17 year old woman who fell off her road bike. she is lying supine on the sidewalk. when you assess her pupils you should ANS cover the patients eye for a few moment then cover on eye at a time
- the pupils will not be uneven during ANS shock
- fright blood loss drugs and treatment with eye drops may cause the patients pupils to become ANS dilated
- when the left ventricle of the heart relaxes and refills, the pressure in the arteries is called the ANS diastolic pressure
- the pulse ox should be used routinely with ANS patients who complain of respi- ratory problems
- the pulse ox is helpful because it ANS encourages you to be more aggressive with oxygen therapy
- you are treating a firefighter in the rehab sector at a house fire. your partner reminds you that the pulse ox produces high readings in patients with ANS carbon monoxide poisoning
- chronic smokers may have a pulse ox reading that is ANS higher that the actual blood oxygen content
- in a healthy person one would expect the oximeter reading that is ANS 95-
- to determine a patients skin temperature the EMT should ANS feel the patients skin with the back of the hand
- normal blood sugar reading ANS 60-
- the systolic blood pressure is ANS created when the heart
contracts
- you are treating a patient who was assaulted and the bar where the fight occurred is still noisy. in a situation like this it make sense to take the patients BP by and revealing only the pressure ANS palpation; systolic
- serious hypotension in an adult patient is normally defined as a systolic below mmHg ANS 90
- in assessing a patient who has an altered mental status it is not uncom- mon for the EMT to use ANS glucose meter, BP cuff and stethoscope, pulse oximeter
- 5 vital signs ANS BP, P, R, SAO2, skin
- causes of high BP ANS medical conditions, exertion, fright, excitement
- causes of low BP ANS athlete, blood loss, shock
- cause of cool clammy skin ANS shock, anxiety
- causes of cold moist skin ANS body losing heat
- causes of cold dry skin ANS exposure to cold
- causes of hot dry skin ANS high fever, heat exposure
- causes of hot moist skin ANS high fever, heat exposure
- when a patient tells you that he called because he cut his wrist with a razor, this is called the ANS chief complaint
- the history of the present illness and PMH includes not interviewing bystanders to ask about each ANS how the patient could have prevented the illness from occurring
- the three techniques of physical examination that an EMT must master include inspection, auscultation and ANS palpation
- the P in the DCAP BTLS stands for ANS punctures/penetrations
- an alternative to using DCAP BTLS is ANS wounds, tenderness, and deformities
- why should you wait until the scene size up and primary assessment are completed before beginning the secondary assessment ANS you must be sure that the scene if safe with the resources needed; be sure the patient has no immediate life threats; you could fail practical skills if you do not follow the sequence
- 3 basic components of patient secondary assessment ANS patient history, vital signs, and ANS physical exam
- in the secondary assessment you will be checking the patient for pain and tenderness. the difference between pain and tenderness is ANS tenderness may not hurt unless the area is palpated whereas pain is evident without palpation
- when is it appropriate to apply a c collar ANS if the injury exerts great force on the upper body
- y ou are treating a baseball player who was hit in the face with a fastball. you remember from your EMT training that any blow above the may damage the cervical spine ANS clavicles
- if a c collar is the wrong size it may ANS make breathing more difficult or obstruct the airway
- this is not a key element that you must ask in taking every patient history regardless of the type of medical or traumatic complaint ANS does the patient walk down this street often
- when assessing and interviewing a patient we ask about and look for signs and symptoms. what is a sign ANS an abject finding that you can see hear or feel when examining the patient
- in conducting your body system exam of a patient with a respiratory complaint, which of the following questions would appropriate to ask in the secondary assessment ANS does the patient have a productive cough
- you are treating a patient who is in the front seat of an automobile involved in a collision. you observe a spiderweb crack in the windshield and the facial laceration of the patient. most likely the patient ANS did not wear a seat belt or three point harness
- the mental status assessment is key to the physical
