Deck 18: Medical Overview

Question 1

A head-to-toe examination of an unresponsive or altered mental status patient is called a

A) focused physical exam.
B) rapid medical assessment.
C) SAMPLE history.
D) primary survey.

Answer 1

rapid medical assessment.

Question 2

What's the proper secondary survey for a responsive patient?

A) Rapid medical assessment, vital signs, SAMPLE history.
B) Focused physical exam, OPQRST, vital signs, SAMPLE history.
C) SAMPLE history, rapid medical assessment, vital signs.
D) SAMPLE history, OPQRST, Focused physical exam, vital signs.

Answer 2

SAMPLE history, OPQRST, Focused physical exam, vital signs.

Question 3

OPQRST is used to assess

A) vital signs.
B) medical history.
C) mental status.
D) pain and discomfort.

Answer 3

pain and discomfort.

Question 4

What are some possible medical conditions for chest discomfort?

A) Stroke, seizure, meningitis
B) Kidney stone, back strain, aortic aneurysm
C) Dehydration, low blood sugar, abnormal heart rhythm
D) Heart attack, respiratory infection, anxiety disorder

Question 5

What does the acronym HPI stand for?

A) History of professional inspection
B) History of previous illness
C) History of proper inspection
D) History of present illness

Question 6

What does the acronym DCAP-BTLS stand for?

A) Deformities, compression, abrasions, pressure and penetrations, burns, tenderness, lacerations, swelling
B) Deformities, contusions, abnormalities, punctures and pressure, blood, tenderness, lacerations, swelling
C) Deformities, compression, abnormalities, punctures or penetrations, blood, tenderness, lacerations, swelling
D) Deformities, contusions, abrasions, punctures or penetrations, burns, tenderness, lacerations, swelling

Question 7

What is the correct order for the proper procedure for treating an unresponsive patient?

A) Scene size-up, primary survey, vital signs, focused medical assessment
B) Scene size-up, primary survey, vital signs, rapid medical assessment
C) Scene size-up, primary survey, focused medical assessment, vital signs
D) Scene size-up, primary survey, rapid medical assessment, vital signs

Question 8

You notice a diabetic bracelet on your patient who fell and has an open fracture 4 inches above her right ankle. You should

A) treat the musculoskeletal injury and notify the hospital of possible diabetic complications.
B) consider the diabetes to be as important as the musculoskeletal injury.
C) immediately begin taking a SAMPLE history with emphasis on diabetic history.
D) begin a focused physical assessment looking for diabetes related complications.

Question 9

When the patient is unresponsive, a medical history might be BEST obtained from

A) the patient's written journal.
B) a nearby medical device.
C) the patient's family.
D) a bottle of prescription medications.

Question 10

In OPQRST, what does the "S" stand for?

A) Sickness
B) Stiffness
C) Speed
D) Severity

Question 11

When checking vital signs in a child under the age of 6, you should also check

A) glucose levels.
B) capillary refill.
C) venous return.
D) functional status.

Question 12

Your patient has difficulty breathing and appears anxious. He has experienced pain for 2 days. He says he has a history of heart problems, no allergies, and takes a few medications. You suspect that he is having complications with congestive heart failure. Which of these facts is considered your general impression?

A) Your suspicion of congestive heart failure.
B) Your awareness of his anxious state.
C) His experience of pain for 2 days.
D) His history of heart problems and no allergies.

Question 13

You notice another responder took poor notes on patient care. You know he evaluated respiratory rate, blood pressure, and pulse rate, and you have the numbers 137/100, 94, and 30. Which of these numbers is the pulse rate?

A) 100
B) 94
C) 137
D) 25

Question 14

When assessing the abdomen on an unresponsive patient, you should

A) palpate using only your finger tips.
B) watch the patient's chest while you palpate.
C) watch the patient's face while you palpate.
D) palpate using the back of your hand.

Question 15

A patient explains that he "just doesn't feel right in the head," slurs his speech a lot, and stares blankly ahead. As part of a focused medical assessment, you should check his

A) head, neck, and chest.
B) head, neck, chest, and upper extremities.
C) head and neck.
D) head, neck, chest, abdomen, back, and extremities.

Question 16

What is the most important factor to determine when performing a physical exam?

A) The presence of musculoskeletal injuries
B) The type of injury
C) The patient's level of responsiveness
D) The number of people injured

Question 17

A patient is responsive and uninjured but feels "very sick." You should first perform a

A) physical examination and take a medical history.
B) rapid medical assessment and take vital signs.
C) focused physical exam and then take vital signs.
D) medical history and begin the physical exam.

Question 18

What does OPQRST stand for?

A) Overall/onset, Palliation, Quality/quantity, Region, Severity, Time.
B) Onset, Provocation/purpose/position, Quality, Radial/Radiation, Severity, Time.
C) Onset, Provocation/palliation/position, Quality, Region/radiation, Severity, Time.
D) Overall, Position, Quantity, Radial/regional/radiation, Suspicion, Tenderness.

Question 19

Why is it important to get a thorough medical history?

A) The admitting hospital must record an accurate history of the patient over time.
B) Having the patient report their medical history establishes a rapport between the patient and caregiver.
C) To understand if other family members might be at risk of injury or disease.
D) It is the primary component of patient assessment and proper patient care.

Question 20

What are possible medical conditions related to back pain?

A) Abnormal heart rhythm, anxiety, subarachnoid hemorrhage
B) Dehydration, abnormal heart rhythm, viral infection
C) Stroke, seizure, meningitis
D) Kidney stones, muscle strain, aortic aneurysm

Question 21

What's the proper procedure for an unresponsive medical patient?

A) Primary survey, scene size-up, focused physical exam.
B) Scene size-up, primary survey, focused physical exam.
C) Scene size-up, primary survey, rapid medical assessment.
D) Primary survey, scene size-up, rapid medical assessment.

Question 22

What does DCAP-BTLS stand for?

A) Deformities, compression, abnormalities, punctures or penetrations, blood, tenderness, lacerations, swelling.
B) Deformities, contusions, abnormalities, punctures and pressure, blood, tenderness, lacerations, swelling.
C) Deformities, compression, abrasions, pressure and penetrations, burns, tenderness, lacerations, swelling.
D) Deformities, contusions, abrasions, punctures or penetrations, burns, tenderness, lacerations, swelling.

Question 23

You are called to care for a youth that collapsed during a track meet, and the coach says the student has a history of asthma. In this situation, why is it important to avoid "tunnel vision?"

A) There might be hazards for other students still participating in the track meet.
B) The coach might be misinformed about the student's medical history.
C) The student might be injured from falling in addition to their asthma problems.
D) The student might be lying about their history with asthma.

Question 24

In a standard head examination, which of the following findings is significant?

A) Facial hair
B) A hearing aid
C) A tattoo
D) An earring

Question 25

When palpating the abdomen, you should watch

A) the patient's face.
B) the patient's legs.
C) the patient's arms.
D) the patient's chest.

Question 26

In a responsive patient, vital signs are taken

A) after a focused exam.
B) before a primary exam.
C) after a primary exam.
D) before a medical history.

Question 27

Your male patient is unresponsive. His wife and a neighbor are on scene. The wife is crying. How should you obtain his medical history?

A) Interview the patient's neighbor.
B) Call the patient's primary care physician.
C) Interview the patient's wife.
D) Read the patient's daily journal.