Exam Questions &
Answers
ASSSFLOPVD - ANSWERSApparent state of health
Skin color (cyanotic, pale, yellow)
Signs of distress (respiratory, pain, emotional..)
Sexual development
Facial expression
Level of consciousness
Odors (urine, fecal matter, odors on breath)
Posture, motor, gait
Vital statistics (Height, weight, age, race, gender)
Dress, grooming, hygiene
When the general impression begins and ends - ANSWERSBegins upon arrival at the scene,
before Pt contact is made
Initial assessment - ANSWERSfind it fix it, reactionary phase
Initial assessment order of priority - ANSWERSABCs
LOC
Chief complaints
Identify Pt priority
, 4 general techniques of assessment - ANSWERSinspection, palpation, auscultation, percusion
S/S respiratory distress - ANSWERSInadequate rate, rhythm and quality
Nasal flaring (predominantly in pediatrics)
Accessory muscle usage
Tripod position
cyanosis
Vesicular - ANSWERSModerate in pitch and intensity, typically heard over the major bronchi.
Bronchial/Tracheal - ANSWERSHighest in pitch and intensity, heard over the trachea.
Bronchovesicular - ANSWERSLow pitched, low-intensity sounds heard over healthy lung tissue
Wheezes - ANSWERSMusical, whistling sound heard on inspiration and/or expiration resulting
from constriction or obstruction of the pharynx, trachea or bronchi. Commonly associated with
asthma.
Crackles - ANSWERSwhen fluid accumulated in the smaller airway passages, air passing through
the fluid creates a moist sound heard on inspiration. Commonly associated with pulmonary
edema.
Rhonchi - ANSWERSSecondary to inflammation and mucous or fluid in the larger airway
passages, descriptive of airway congestion heard on inspiration. Commonly associated with
bronchitis or pneumonia.
Stridor - ANSWERSHigh pitched, piercing sound most often heard during inspiration. It is the
result of and obstruction high in the respiratory tree. Associated with croup (pediatric)