Exam Questions and CORRECT Answers
Medical Assessment - CORRECT ANSWER - 1. Scene Size up (PENMAN)
p - personal, partner, patient
e - environmental hazzards
n - number of pateints
m - mechanism of injury/ nature of illness
a - additional resources
n - need for spinal immobilization
2. General Impression
a) AVPU
b) A & O x4
c) Chief complaint
3. Primary assessment
a) ABC's + D
A - Airway
- patent and open
B- Breathing
- Rate, Rhythm and quality --> normal, regular, unlabored
- lung sounds --> clear, equal and bilatteral
C-circulation
- skin signs --> temp, moisture, color
- cap refil
,- pulse --> rate, rhythm and quality
D- decsion to transport
- load and go or stay and play
3. Secondary Assessment
a)SAMPLE
- signs and symptoms
- allergies
"Do you have any allergies?", "Have you come in contact with? How severe?"
- medications
"are you taking any medications either medicinal or recreational?"
- past medical history
"Do you have any relveant medical history?"
- Last oral intake
- events leading up
b) OPQRST
Onset - "did it come on fast or gradually?"
Provacation- "is there anything that makes it better or worse?"
Quality-"can you describe the pain?"
Radiation-"where does it hurt?" (Look and touch)
Scale-"how bad is the pain?"
Time - "when did it start?"
,c) PRBELLSSSG
P - pulse
R - respiration rate
B - blood pressure
E - eyes
L - lung sounds
L - LOC
S - skin signs
S - saturation oxygen
S - sugar blood
G - glasgow coma scale
4) Treatment
5) Reassement
Trauma Assessment - CORRECT ANSWER - 1) Scene size up
a) PENMAN
2) General Impression
a) LOC AVPU
b) cheif complaint
3) Primary assessment
ABC's + D
, b) head to toe
head:
- feel for skull fracture, look for CSF
- eyes
neck:
- cervical spine step off
- JVD and tracheal deviation
shoulders:
-push together and down
chest:
-expose, palpate
- ausculate lung sounds
- look for unequal rise and fall
abdomen:
-expose and palpate all four quadrants clockwise
pelvis:
-push together and down
back:
- check for final step off
Arms: