AAOS EMT Eleventh Edition Chapter 9 Patient Assessment| 99 questions with verified correct answers

Which of the following scenarios does NOT involve the presence of any symptoms? Select one: A. A 44-year-old male with abdominal pain and severe dizziness B. A 61-year-old female who is unconscious with facial cyanosis C. A 55-year-old male with a severe headache and 2 days of nausea D. A 49-year-old female with blurred vision and ringing in the ears A 61-year-old female who is unconscious with facial cyanosis Which of the following actions would NOT be performed during the scene size-up? Select one: A. Asking a neighbor to secure the patient's dog B. Notifying the dispatcher to send fire personnel C. Rapidly assessing a patient's respiratory status D. Noting the position of a crashed motor vehicle Rapidly assessing a patient's respiratory status You are assessing a 72-year-old man with abdominal pain. The patient is sitting in a chair; he is conscious, alert, and calm. As you are talking to the patient, your partner discreetly directs your attention to a handgun, which is located on a nearby table. You should: Select one: A. position yourself in between the patient and the gun and ask your partner to request law enforcement assistance. B. direct your partner to move the gun to a safe area and then advise the patient that his weapon has been secured. C. document the presence of the weapon, including its specific location, and continue your assessment of the patient. D. immediately cease all patient care, carefully back out of the residence, and request law enforcement assistance. position yourself in between the patient and the gun and ask your partner to request law enforcement assistance. Which of the following statements regarding the mechanism of injury (MOI) is correct? Select one: A. A significant MOI always results in patient death or permanent disability. B. The exact location of a patient's injuries can be determined by the MOI. C. The MOI may allow you to predict the severity of a patient's injuries. D. A nonsignificant MOI rules out the possibility of serious trauma. The MOI may allow you to predict the severity of a patient's injuries. During an EMS call, you should take standard precautions: Select one: A. before exiting the ambulance and before actual patient contact. B. before you load the patient into the ambulance. C. after it has been determined that the patient is bleeding. D. immediately after completion of your primary assessment. before exiting the ambulance and before actual patient contact. Treatment and transport priorities at the scene of a mass-casualty incident should be determined after: Select one: A. all the patients have been triaged. B. a physician arrives at the scene. C. area hospitals have been notified. D. the number of patients is known. all the patients have been triaged. When approaching a 32-year-old male who is complaining of traumatic neck pain, you should: Select one: A. ensure that the patient can see you approaching him. B. stand behind him and immediately stabilize his head. C. assess his mental status by having him move his head. D. approach him from behind and ask him not to move. ensure that the patient can see you approaching him. Which of the following conditions would be LEAST likely to cause an altered level of consciousness? Select one: A. Inadequate perfusion B. Acute anxiety C. Drug overdose D. Poisoning Acute anxiety An elderly patient has fallen and hit her head. Your initial care should focus on: Select one: A. obtaining baseline vital signs. B. providing immediate transport. C. gathering medical history data. D. airway, breathing, and circulation. airway, breathing, and circulation. An injured patient is assigned a total score of 9 on the GCS. He is assigned a score of 2 for eye opening, a score of 3 for verbal response, and a score of 4 for motor response. Which of the following clinical findings is consistent with his GCS score? Select one: A. Opens eyes in response to pain, uses inappropriate words, withdraws from pain B. Opens eyes in response to voice, makes incomprehensible sounds, localizes pain C. Opens eyes spontaneously, is confused when spoken to, exhibits abnormal flexion D. Eyes remain closed, makes incomprehensible sounds, exhibits abnormal extension Opens eyes in response to pain, uses inappropriate words, withdraws from pain When you shine a light into one pupil, the normal reaction of the other pupil should be to: Select one: A. become larger. B. dilate. C. not react. D. become smaller. become smaller. What maneuver should be used to open the airway of an unresponsive patient with suspected trauma? Select one: A. Tongue-jaw lift B. Head tilt-neck lift C. Head tilt-chin lift D. Jaw-thrust maneuver Jaw-thrust maneuver You should suspect that a patient is experiencing respiratory failure if he or she: Select one: A. has an increased heart rate and retractions. B. is anxious, tachycardic, and leaning forward. C. is restless and is working hard to breathe. D. has bradycardia and diminished muscle tone. has bradycardia and diminished muscle tone. A palpable pulse is created by: Select one: A. pressure waves through the arteries caused by cardiac contraction. B. the pressure that is caused when venous blood returns to the heart. C. the pressure of circulating blood against the walls of the arteries. D. electrical conduction in the heart producing ventricular contraction. pressure waves through the arteries caused by cardiac contraction. In patients with deeply pigmented skin, changes in color may be apparent only in certain areas, such as the: Select one: A. lips or oral mucosa. B. forehead and face. C. back of the neck. D. dorsum of the hand. lips or oral mucosa. A 39-year-old male sustained a stab wound to the groin during an altercation at a bar. As you approach the patient, you note that he is conscious. He is screaming in pain and is attempting to control the bleeding, which is bright red and spurting from his groin area. You should: Select one: A. elevate his legs and keep him warm. B. apply direct pressure to the wound. C. administer 100% supplemental oxygen. D. ensure that his airway is patent. apply direct pressure to the wound. The rapid exam of a patient that occurs following the primary assessment should take no longer than: Select one: A. 120 to 180 seconds. B. 90 to 120 seconds. C. 60 to 90 seconds. D. 30 seconds. 60 to 90 seconds. The chief complaint is MOST accurately defined as the: Select one: A. most serious thing the patient is concerned about. B. most life-threatening condition that you discover. C. gross physical signs that you detect on assessment. D. condition that exacerbates an underlying problem. most serious thing the patient is concerned about. Which of the following statements regarding the mechanism of injury (MOI) is correct? Select one: A. A significant MOI always results in patient death or permanent disability. B. The exact location of a patient's injuries can be determined by the MOI. C. The MOI may allow you to predict the severity of a patient's injuries. D. A nonsignificant MOI rules out the possibility of serious trauma. The secondary assessment should focus on a certain area or region of the body as determined by the chief complaint. Reassessment is performed to determine all of the following, EXCEPT: Select one: A. whether or not the patient is deteriorating. B. the patient's response to your treatment. C. the reason why the patient called EMS. D. the nature of any newly identified problems. the reason why the patient called EMS. Upon arriving at a potentially unsafe scene, you should: A) remove all bystanders. B) request another ambulance. C) move the patient to safety. D) ensure that you are safe. ensure that you are safe. A patient who does not respond to your questions, but moves or cries out when his or her trapezius muscle is pinched, is said to be: A) conscious and alert. B) completely unresponsive. C) responsive to verbal stimuli. D) responsive to painful stimuli. responsive to painful stimuli. A patient's short-term memory is MOST likely intact if he or she correctly answers questions regarding: date and event. 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) 13. D) 14. 13. When you inspect a patient's pupils with a penlight, the pupils should normally react to the light by:When you inspect a patient's pupils with a penlight, the pupils should normally react to the light by: A) constricting. B) enlarging. C) dilating. D) fluttering. constricting. Which of the following statements regarding stridor is correct? A) It is a whistling sound heard in the lower airway. B) It is caused by incorrect airway positioning. C) It is a high-pitched, crowing upper airway sound. D) It suggests the presence of fluid in the lungs. It is a high-pitched, crowing upper airway sound. Which of the following findings indicates that your patient has a patent airway? Forceful coughing A 40-year-old male crashed his motorcycle into a tree. He is semiconscious, has snoring respirations, and has a laceration to the forearm with minimal bleeding. You should: A) apply a cervical collar and suction his airway. B) open his airway with the jaw-thrust maneuver. C) apply a pressure dressing to the patient's arm. D) tilt the patient's head back and lift up on his chin. open his airway with the jaw-thrust maneuver. After performing a head tilt-chin lift maneuver to open the airway of an unresponsive patient who has a pulse, you should: A) place him or her in the recovery position. B) provide positive-pressure ventilatory assistance. C) assess respiratory rate, depth, and regularity. D) suction as needed and insert an airway adjunct. suction as needed and insert an airway adjunct. A patient with spontaneous respirations is breathing: A. at a normal rate. B. with shallow depth. C. without difficulty. D. without assistance without assistance.