EXAM
2026_2027 UPDATES
Questions And Answers
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,What does the J stand for at the end of the secondary survery? just keep evaluating - vipp
What does VIPP stand for? vital signs, injuries/interventions, primary survey, pain
During the head-to-toe, where would you find Grey-Turner's flank
sign?
During the head-to-toe, where would you find Cullen's sign? umbilicus
What is sometimes deferred at the end of the head-to-toe? inspecting posterior
Antibiotics, consults, head CT, imaging, law enforcement, AFTER head-to-toe, BEFORE J (VIPP)
mandatory reporting, psychosocial support, social services,
splinting, tetanus, and wound care are all interventions that you
do AFTER and before WHAT?
What three items are obtained during the pertinent history Medical records, prehospital report, SAMPLE
assessment?
What are examples of nonpharmacologic measures? (must Distraction, family presence, padding bony prominences, repositioning, splinting, verbal
identify at least one during testing) reassurance
For whom is capnography highly recommended? all patients
, In step M of "Get Adjuncts", what else might be indicated EKG
besides cardiac monitor?
In Step 16 of "Exposure and Environment", you must name at blankets, room temp increase, warmed fluids, warming lights
least one of these interventions:
At what point PRIOR TO the head-to-toe is the patient In Step 15 of "Exposure and Environment"
inspected for obvious injuries?
In Step 13 of "Disability", what is assessed if pt is altered? glucose
To assess circulation, you must do these two main tasks: 1. inspect AND palpate skin color, temp, moisture and 2. palpate a pulse
What do you do when alterations are identified in any of the intervene as appropriate and reassess
steps in the primary survery?
What three assessments must be done if the patient is 1. attach CO2 detector and assess for evidence of exhaled CO2; 2. observe for rise and fall
intubated? of the chest w/ assisted ventilations; 3. auscultate over epigastrium for gurgling AND lungs
for bilateral breath sounds
Four of these must be identified to assess breathing Breath sounds, depth/pattern/rate, spontaneous breathing, subcutaneous emphysema,
effectiveness: increased work of breathing, symmetrical chest rise and fall, tracheal deviation/JVD, open
wounds/deformities, skin color
What can be applied in step 12 of "Circulation and Control of cardiac monitor
Hemorrhage" for which credit is given in the LMNOP section?