emr national registry exam practice study
guide with correct solutions
OPQRST - Answer✔️✔️-onset, provocation, quality, radiation, severity, time
(describing symptoms)
SAMPLE history - Answer✔️✔️-signs and symptoms, allergies, medications, past
medical history, last oral intake, events leading up to injury
5 decisions of scene size up - Answer✔️✔️-scene safety, standard precautions,
mechanism of injury, number of patients, resource determination
head to toe exam - Answer✔️✔️-head to toe and then extremities, backwards for
infant/child
glasgow coma scale - Answer✔️✔️-tests alertness, eye opening (up to 4 points),
verbal response (up to 5 points), motor response (up to 6 points) TOTAL 15
POINTS, 3-8 is coma
4 types of shock - Answer✔️✔️-cardiogenic shock, distributive shock, hypovolemic
shock, obstructive shock
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cardiogenic shock - Answer✔️✔️-heart isn't pumping blood efficiently
distributive shock - Answer✔️✔️-vascular tone problem, blood isn't allocated
properly
hypovolemic shock - Answer✔️✔️-extreme blood loss, too little volume
obstructive shock - Answer✔️✔️-obstruction in his chest, vena cava partially
collapsed, less blood is pumped by the heart
compensated shock - Answer✔️✔️-increased heart rate, pale and cool skin, increased
respiratory rate, altered mental status
decompensated shock - Answer✔️✔️-body can't make up for lack of oxygen,
profoundly altered mental status
arterial bleeding - Answer✔️✔️-with oxygen, bright red, rapid loss
venous bleeding - Answer✔️✔️-dark red blood, flows steadily, less pressure than
arterial bleeding
most important thing when patient is in shock - Answer✔️✔️-PRESERVE BODY
HEAT
perfusion - Answer✔️✔️-consistent delivery of adequate oxygen to the cells