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