PT ASSESSMENT 101-125 Flashcards Preview

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Flashcards in PT ASSESSMENT 101-125 Deck (25)
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1

Documentation of your physical examination should be:
Choose one answer.
A. subjective in all regards.
B. factual and nonjudgmental.
C. representative of your perceptions.
D. reviewed by the EMS administrator.

B

2

Structural integrity of the pelvis should be assessed by:
Choose one answer.
A. carefully rocking the pelvis back and forth.
B. gently pushing in and down on the iliac crests.
C. applying firm upward pressure to the pelvic wings.
D. placing the patient on his or her side to elicit pain.

B

3

Examination of the head is MOST important when assessing a patient who:
Choose one answer.
A. is unresponsive.
B. complains of nausea.
C. has shortness of breath.
D. presents with hemiparesis.

A

4

A patient who is overly talkative during your assessment:
Choose one answer.
A. should be interrupted immediately.
B. will not give a reliable medical history.
C. may have abused methamphetamines.
D. is usually an inherently antisocial person.

C

5

An appropriately sized blood pressure cuff should:
Choose one answer.
A. completely encompass the entire upper arm.
B. cover at least one third of the patient's upper arm.
C. be one half to two thirds the size of the upper arm.
D. cover at least two thirds of the patient's upper arm.

C

6

Assessment of the female genitalia:
Choose one answer.
A. is not performed by the paramedic.
B. is only necessary in pregnant patients.
C. should be limited to inspection only.
D. is a routine part of the physical exam.

C

7

Which of the following significant mechanisms of injury is unique to the infant and child?
Choose one answer.
A. Vehicle-pedestrian collision
B. Penetrating injury to the head
C. Ejection from a car's back seat
D. Fall from greater than 10 ft

D

8

Which of the following mechanisms of injury would be the LEAST likely to cause life-threatening injuries?
Choose one answer.
A. Ejection from an all-terrain vehicle
B. Motorcycle crash without a helmet
C. Penetrating injury to the chest or abdomen
D. Restrained occupant in a vehicle rollover

D

9

An inward curve of the lumbar spine just above the buttocks is called:
Choose one answer.
A. scoliosis.
B. lordosis.
C. kyphosis.
D. sclerosis.

B

10

At its worst, kyphosis can become a source of:
Choose one answer.
A. extremity paralysis.
B. complete immobility.
C. pathologic fractures.
D. restrictive lung disease.

D

11

The mnemonic “OPQRST” is a tool that:
Choose one answer.
A. is only effective when assessing a patient who is experiencing severe pain.
B. allows the paramedic to reach a field diagnosis quickly and initiate treatment.
C. is used commonly to rule out conditions that are immediately life threatening.
D. offers an easy-to-remember approach to analyzing a patient's chief complaint.

D

12

A patient in shock due to internal bleeding will benefit MOST from:
Choose one answer.
A. oxygen and thermal management.
B. limited scene time and rapid transport.
C. a comprehensive physical examination.
D. two large-bore IV lines of normal saline.

B

13

The optic nerve is a _______ nerve, and controls _______.
Choose one answer.
A. sensory, light perception and vision
B. sensory, hearing and balance perception
C. motor, eye movements and pupil dilation
D. motor, pupil constriction and eye movement

A

14

You arrive at the scene of a motor vehicle crash in which a small passenger car struck a bridge pillar. The patient, a conscious young woman, is still seated in her car. The scene is safe and law enforcement is directing traffic. Upon initial contact with the patient, you should:
Choose one answer.
A. have your partner manually stabilize her head as you assess her mental status.
B. assess her respiratory quality and then apply oxygen via nonrebreathing mask.
C. apply a rigid cervical collar and obtain an initial Glasgow Coma Scale score.
D. open her airway with the jaw-thrust maneuver and assess respiratory quality.

A

15

A bruit indicates _________ blood flow and is MOST significant in the _________ arteries.
Choose one answer.
A. turbulent, femoral
B. laminar, carotid
C. laminar, brachial
D. turbulent, carotid

D

16

The fourth heart sound (S4):
Choose one answer.
A. is normal in 25% of the population.
B. occurs immediately before the S2 sound.
C. indicates increased pressure in the atria.
D. represents increased left ventricular stretching.

C

17

The fourth heart sound (S4):
Choose one answer.
A. is normal in 25% of the population.
B. occurs immediately before the S2 sound.
C. indicates increased pressure in the atria.
D. represents increased left ventricular stretching.

C

18

Tidal volume is MOST effectively assessed by:
Choose one answer.
A. auscultating breath sounds.
B. noting the patient's respiratory rate.
C. looking for accessory muscle use.
D. observing for rise and fall of the chest.

D

19

Which of the following statements regarding ascites is correct?
Choose one answer.
A. Ascites is a collection of fluid within the peritoneal cavity.
B. Percussion of the abdomen will often yield hyperresonance.
C. The most common cause of ascites is an acute splenic injury.
D. The abdomen of a patient with ascites has a sunken appearance.

A

20

In contrast to dementia, delirium is:
Choose one answer.
A. an acute change in mental status.
B. characteristic of Alzheimer's disease.
C. more common in the elderly population.
D. a gradual deterioration in cognitive function.

A

21

Which of the following reassessment findings is MOST significant in a patient with penetrating chest trauma?
Choose one answer.
A. Loud heart tones to auscultation
B. Blood pressure of 90/76 mm Hg
C. Symmetrical chest rise and fall
D. Heart rate of 78 beats per minute

B

22

If your patient becomes seductive or makes sexual advances toward you, you should advise the patient that your relationship with him or her is strictly professional and then:
Choose one answer.
A. continue providing care as usual.
B. ensure that a witness is present at all times.
C. ask your partner to assume care of the patient.
D. threaten the patient with a sexual harassment lawsuit.

B

23

For a responsive patient with a medical problem, you will MOST likely form your working diagnosis based on information gathered during the:
Choose one answer.
A. primary assessment.
B. general impression.
C. history-taking process.
D. detailed physical exam.

C

24

A pathologic fracture occurs when:
Choose one answer.
A. normal forces are applied to abnormal bone structures.
B. abnormal forces are applied to abnormal bone structures.
C. normal forces are applied to normal bone structures.
D. abnormal forces are applied to normal bone structures.

A

25

An opaque black area against the red reflex of the eye is indicative of:
Choose one answer.
A. retinitis.
B. conjunctivitis.
C. cataracts.
D. macular degeneration.

C