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Chapter 12

Multiple Choice

Multiple Choice

This activity contains 25 questions.

	The component of the patient assessment process in which immediate life threats should be identified and corrected is the:   scene survey. initial assessment. focused history and physical exam. detailed physical exam. ongoing assessment.

	Which of the following is NOT a component of the scene size-up?   taking body substance isolation precautions locating all patients analyzing the mechanism of injury/nature of the illness determining the priority for transport identifying scene hazards

	The personal protective equipment you should wear when planning to intubate a patient includes:   latex or vinyl gloves and a gown. protective eyewear, a gown, and a face mask. protective eyewear and a gown. latex or vinyl gloves, protective eyewear, and a face mask. latex or vinyl gloves.

	All of the following circumstances noted during scene size-up should lead you to expect more than one patient EXCEPT:   carbon monoxide poisoning in an apartment building. child seat and a diaper bag in a car crash. injury incurred during a tackle in a football game. twin spider webs in the windshield of a crashed car. hazardous spill in a high school chemistry lab.

	Two important functions that must begin immediately in the mass casualty situation are:   rescue and triage. fire fighting and rescue. triage and incident command. incident command and extrication. incident command and scene isolation.

	The initial assessment includes all of the following steps EXCEPT:   forming a general patient impression. gathering a focused patient history. assessing breathing. assessing airway. assessing circulation.

	The general patient impression is based upon all of the following EXCEPT:   patient gender and age. mechanism of injury. chief complaint. oxygen saturation. your instincts.

	During the initial assessment, you should stabilize the cervical spine:   immediately, if suggested by the MOI. after the airway is established. just before you attempt artificial ventilation. after the circulation check. as the last step of the initial assessment.

	A patient who awakens to a loud shout is classified as which of the following under the AVPU system?   A V P U cannot determine with the information at hand

	A patient who does not respond to a painful stimuli is classified as which of the following under the AVPU system?   A V P U cannot determine with the information at hand

	The presence of a carotid pulse suggests that the systolic blood pressure is at least:   60 mmHg. 70 mmHg. 80 mmHg. 100 mmHg. 120 mmHg.

	The focused history and physical exam is conducted differently for the four major categories of patients. Which of the following is NOT one of those categories?   trauma patient with an isolated injury trauma patient with altered LOC/significant MOI pediatric patient with altered consciousness responsive medical patient unresponsive medical patient

	Which of the following is NOT a mechanism of injury that calls for rapid transport to the trauma center?   fall from greater than 20 feet moderate vehicle deformity death of another vehicle occupant penetration of trunk or head motorcycle crash

	Assume your patient has a spinal injury if you find:   a significant mechanism of injury. an injury above the shoulders. complaints of numbness. pain along the spinal column. all of the above

	The "C" of DCAP-BTLS stands for:   cuts. cutaneous injury. circulatory deficit. contusions. carotid bruits.

	Fracture and manipulation of the clavicle are likely to lead to:   subclavian artery injury. subclavian vein injury. hemothorax. pneumothorax. all of the above

	The "P" of the SAMPLE history stands for:   past medical history. palpated deformities. precipitating factors. pulse deficits. papillary responses.

	The field diagnosis for a medical patient is most frequently determined from:   the physical assessment. the patient's story. the SAMPLE history. the vital signs. none of the above

	Which of the following is a part of the patient history?   chief complaint history of the present illness past medical history current health status all of the above

	A patient statement that "he has substernal and left arm pain" would fall under what element of the OPQRST-ASPN mnemonic for investigation of the chief complaint?   O P R S PN

	Which of the following is NOT likely to cause jugular vein distention?   cardiac tamponade tension pneumothorax right heart failure hemothorax all of the above may cause distention

	If you hear diffuse expiratory wheezing while auscultating a patient's chest, you should suspect:   congestive heart failure. pulmonary edema. asthma. pulmonary embolism. all of the above

	The ECG allows you to determine all of the following EXCEPT:   cardiac rate. cardiac rhythm. cardiac output. sequencing of the cardiac events. all of the above can be determined by the ECG.

	Which of the following patients is likely to receive the most comprehensive assessment?   the trauma patient with a significant mechanism of injury the trauma patient with an isolated injury the unresponsive medical patient the responsive medical patient any unconscious patient

	You would normally expect to perform the detailed physical assessment on the serious trauma or medical patient:   early in on-scene assessment and care. en route to the hospital. late in on-scene assessment and care. on-scene for medical patients only. never.

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