Paramedic Quiz Chapters 14-16

50 Questions | Total Attempts: 824

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Paramedic Quizzes & Trivia

Based off chapter 14,15,16 of Nancy Carolines Emergency Care in the streetsPatient assessment, Critical thinking, Communications/documents


Questions and Answers
  • 1. 
    Which of the following hazards would you least likely encounter at the scene of a motor vehicle crash
    • A. 

      Unruly patient

    • B. 

      Moving traffic

    • C. 

      Broken glass

    • D. 

      Hazardous materials

  • 2. 
    The general type of illness a patient is experiencing is called the
    • A. 

      Chief complaint

    • B. 

      Nature of illness

    • C. 

      General impression

    • D. 

      Differential diagnosis

  • 3. 
    Whether your patients problem is medical or traumatic in origin, you must
    • A. 

      Always begin transport within 10 minuts

    • B. 

      Contact medical control as soon as possible

    • C. 

      Qualify and quantify the patients condition

    • D. 

      Perform a detailed physical examination

  • 4. 
    After performing your initial assessment of a patient, your next action should be to
    • A. 

      Transport the patient to the closest medical treatment facility

    • B. 

      Move the patient to the ambulance as expeditiously as possible

    • C. 

      Perform a detailed assessment to narrow your differential diagnosis

    • D. 

      Decide what care is needed at the scene versus en route to the hospital

  • 5. 
    Which of the following terms is most descriptive of an abnormal mental status
    • A. 

      Lethargic

    • B. 

      Confused

    • C. 

      Obtuned

    • D. 

      Semiconscious

  • 6. 
    Sonorous respirations are most likely caused by
    • A. 

      An anatomic airway obstruction

    • B. 

      Secretions or blood in the airway

    • C. 

      Swelling of upper airway structures

    • D. 

      Severe inflammation of the epiglottis

  • 7. 
    If manual positioning of a patients head is required to keep his or her airway upon, you should
    • A. 

      Intubate the trachea

    • B. 

      Insert an airway adjunct

    • C. 

      Suction the oropharynx

    • D. 

      Ventilate with a bag-mask device

  • 8. 
    A patient with a blood pressure of 210/100 mm Hg would be expected to have a pulse that is
    • A. 

      Slow

    • B. 

      Bounding

    • C. 

      Thready

    • D. 

      Rapid

  • 9. 
    An unresponsive patient who has been breathing slowly and shallowly for an extended period of time would most likely have _________skin
    • A. 

      Cyanotic

    • B. 

      Flushed

    • C. 

      Mottled

    • D. 

      Pale

  • 10. 
    The body's reaction to increased internal or external temperature would most likely cause the skin to become
    • A. 

      Warm and dry

    • B. 

      Hot and dry

    • C. 

      Pale and hot

    • D. 

      Hot and moist

  • 11. 
    Which of the following clinical presentations warrants immediate transport
    • A. 

      Two days of vomiting, heart rate of 110 beats/min, warm dry skin

    • B. 

      38 weeks gestation, crowning, history of htn, tachycardia

    • C. 

      250 mL external blood loss, systolic BP of 130 mm Hg, moderate pain

    • D. 

      Chest discomfort, heart rate of 104 beats/min, systolic BP of 90 mmHg

  • 12. 
    The history of present illness is most accurately described as 
    • A. 

      An elaboration of the chief complaint

    • B. 

      A clinically significant physical finding

    • C. 

      The patients most significant problem

    • D. 

      The reason why the patient called 911

  • 13. 
    Lung fields with areas of consolidation are most suggestive of
    • A. 

      Heart failure

    • B. 

      Pneumonia

    • C. 

      Pneumothorax

    • D. 

      Toxic inhalation

  • 14. 
    Diffuse pain caused by hollow organ obstruction and stretching of the smooth muscle wall is called _______ pain
    • A. 

      Somatic

    • B. 

      Referred

    • C. 

      Radiating

    • D. 

      Visceral

  • 15. 
    A patient is generally considered to ave orthostatic vital signs ( a positive tilt test) when
    • A. 

      The systolic BP increases and the diastolic BP decreases when going from a lying to a sitting position

    • B. 

      The heart rate increases by 20 beats/min or more when going from a supine to a standing position

    • C. 

      The respiratory rate becomes fast and the depth becomes shallow when he or she suddenly stands up

    • D. 

      He or she experiences chest pain and a rapid, irregular heart rate when going from a seated to a standing position

  • 16. 
    Serial vital signs 
    • A. 

      Are of no value unless they are repeated every 5 minutes

    • B. 

      Provide difinitive information about the patients problem

    • C. 

      Provide comparative data regarding the patients condition

    • D. 

      Establish a baseline to which further vital signs are compared

  • 17. 
    Which of the following significant mechanisms of injury is unique to the infant and child
    • A. 

      Vehicle-pedestrian collision

    • B. 

      Penetrating injury to the head

    • C. 

      Ejection from a cars backseat

    • D. 

      Fall from greater than 10 feet

  • 18. 
    An unresponsive trauma patient
    • A. 

      May be acutely hypoglycemic

    • B. 

      Mandates air-medical transport

    • C. 

      Often requires a cricothyrotomy

    • D. 

      Should be placed on his or her side

  • 19. 
    When performing a rapid trauma assessment on a critically injured patient, it is most important to remember that
    • A. 

      Painful injuries should be treated as soon as you discover them

    • B. 

      Open fractures should be splinted immediately upon discovery

    • C. 

      Grossly obvious injuries are often not the most life threatening

    • D. 

      Most traumatic injuries are complicated by a medical condition

  • 20. 
    Upon completing your rapid assessment of an unresponsive trauma patients head and neck you should next
    • A. 

      Logroll the patient on a long backboard

    • B. 

      Assess the integrity of the 12 cranial nerves

    • C. 

      Ventilate the patient at 12-20 breaths/min

    • D. 

      Apply a properly sized rigid cervical collar

  • 21. 
    Which of the following tasks should you assign to anothe provider as you perform a rapid trauma assessment while your partner maintains cspine control and manages the patients airway
    • A. 

      Baseline vital signs

    • B. 

      12 lead ECG acquisition

    • C. 

      Capillary bleeding control

    • D. 

      Full spinal motion restriction

  • 22. 
    When assessing the head and face during the detailed physical exam, you should
    • A. 

      Apply pressure to the eyes to elicit pain

    • B. 

      Remove any dentures if they are present

    • C. 

      Avoid palpating any cranial depression

    • D. 

      Pack the eyes if blood drainage is present

  • 23. 
    During the detailed physical exam of a trauma patient with a significant cardiac history, you should
    • A. 

      Restrict intravenous fluids, even if the patient is hypotensive

    • B. 

      Position the patient supine and carefully monitor breath sounds

    • C. 

      Give nitroglycerin if the systolic BP is greater than 100 mmHg

    • D. 

      Obtain a 12 lead ECG and look for signs of cardiac compromise

  • 24. 
    Vascular compromise in a lower extremity is characterized by
    • A. 

      Unilateral pulse deficit and pallor

    • B. 

      Bilaterally diminished pedal pulses

    • C. 

      Warm, flushed skin to the extremity

    • D. 

      Inability to feel or move the extremity

  • 25. 
    The care plan that you implement based on your working field diagnosis of a patient is almost always
    • A. 

      Your ems systems patient care protocols or standing orders

    • B. 

      Your previous experience with patients who had a similar condition

    • C. 

      Direct orders from the physician at the receiving medical facility

    • D. 

      A combination of your and your partners knowledge and experience

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