Quiz 1.3

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Ritameeker
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216106
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Quiz 1.3
Updated:
2013-04-27 16:29:28
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Patient assessment Scene size up Therapeutic communication History taking
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Quiz 1.3 - Patient assessment, Scene size up, Therapeutic communication, History taking
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  1. An elderly male is complaining of shortness of breath.  You discover pitting edema that is 1/2 to 1 inch deep.  This is _____ pitting edema.

    A. +2
    B. +1
    C. +3
    D. +4
    C. +3
    (this multiple choice question has been scrambled)
  2. A 23-year-old female is complaining of lower abdominal and genital pain.  Upon examination you find a white, curdlike vaginal discharge.  This is most typical of:

    A. Gardnerella
    B. Gonorrhea
    C. Candidiasis
    D. Herpes simplex
    C. Candidiasis
    (this multiple choice question has been scrambled)
  3. A scalp condition marked by mild flaking of skin is known as:

    A. Hirsutism
    B. Seborrheic dermatitis
    C. Psoriasis
    D. Dandruff
    D. Dandruff
    (this multiple choice question has been scrambled)
  4. You are en route to a hospital with a patient who appears stable following a motor vehicle collision.  To detect changes in the patient's condition, you should do which of the following during transport?

    A. detailed physical exam
    B. neurological assessment
    C. repeat the primary assessment
    D. rapid trauma assessment
    C. repeat the primary assessment
    (this multiple choice question has been scrambled)
  5. Which of the following best describes the correct positioning of a patient for an abdominal exam?

    A. semi-fowlers position
    B. lateral recumbent
    C. supine with the head flat and legs extended
    D. supine with the head and knees supported by pillows
    D. supine with the head and knees supported by pillows
    (this multiple choice question has been scrambled)
  6. You are assessing a 28-year-old male with multiple gunshots to his abdomen.  You should expect his skin to be:

    A. hot and moist
    B. cold and dry
    C. cool and moist
    D. warm and dry
    C. cool and moist
    (this multiple choice question has been scrambled)
  7. At the scene of a multiple-vehicle collision, which of the following actions should you take first?

    A. quickly scan the scene to count patients
    B. wait for additional resources to arrive
    C. treat the most seriously injured patient
    D. go directly to the first patient you see
    A. quickly scan the scene to count patients
    (this multiple choice question has been scrambled)
  8. Steps in assessing circulation during a primary assessment include all of the following EXCEPT:

    A. checking for a radial pulse
    B. checking for skin signs
    C. controlling major bleeding
    D. determining the blood pressure
    D. determining the blood pressure
    (this multiple choice question has been scrambled)
  9. Which of the following statements regarding stridor is true?

    A. stridor is seldom of clinical significance
    B. stridor originates in the lower airways
    C. the presence of stridor requires immediate intubation
    D. the correct treatment of stridor depends upon the underlying problem
    D. the correct treatment of stridor depends upon the underlying problem
    (this multiple choice question has been scrambled)
  10. Which of the following questions is designed to find out about palliation?

    A. "What were you doing when this pain began?"
    B. "What does the pain feel like?"
    C. How long have you been having this pain?"
    D. "What makes the pain feel better?"
    D. "What makes the pain feel better?"
    (this multiple choice question has been scrambled)
  11. Mottled, cyanotic, pale, or ashen skin color may indicate any of the following EXCEPT:

    A. Loss of spinal cord function
    B. Impaired blood flow to an extremity
    C. Hypertensive crisis
    D. Significant blood loss
    C. Hypertensive crisis
    (this multiple choice question has been scrambled)
  12. "Public distance" refers to a space of how many feet between people?

    A. 3 - 6
    B. 2 - 3
    C. 4 - 12
    D. 12 or more
    D. 12 or more
    (this multiple choice question has been scrambled)
  13. A patient who appears to be intoxicated has fallen and is complaining of pain to his right arm.  He is loud and using profane language.  Which one of the following should be your initial approach to the patient?

    A. "If you do not quiet down, I will call the police, and they will arrest you."
    B. "I cannot help you if you keep yelling like that!"
    C. "Let me put an ice pack on your wrist.  It will help it feel better."
    D. "Stop yelling, or I will have to strap you to the stretcher."
    C. "Let me put an ice pack on your wrist.  It will help it feel better."
    (this multiple choice question has been scrambled)
  14. Your patient remains unresponsive after a painful stimulus is applied.  The family reports that the patient was found unconscious in bed after complaining of a "terrible headache".  Which of the following represents the correct sequence of actions in this situation?

    1 Obtain a brief history from the family
    2 Conduct a rapid secondary assessment
    3 Perform a detailed exam
    4 Determine vital signs
    5 Perform a primary assessment

    A. 5, 2, 1, 4
    B. 5, 1, 3, 4
    C. 5, 2, 3, 1
    D. 5, 1, 2, 4
    A. 5, 2, 1, 4
    (this multiple choice question has been scrambled)
  15. After determining that a patient does not respond to verbal stimuli, your next action would be to:

    A. apply manual cervical spine stabilization
    B. pinch one of his fingernails
    C. insert an oropharyngeal airway
    D. place him in the recover position
    B. pinch one of his fingernails
    (this multiple choice question has been scrambled)
  16. You would like to test a patient's visual acuity, but a visual acuity card or wall chart is not available.  You can still test for visual acuity by:

    A. covering one eye and testing for light accomodation
    B. checking the pupils
    C. having the patient count your raised fingers
    D. asking the patient to indicate the furthest object he can see
    C. having the patient count your raised fingers
    (this multiple choice question has been scrambled)
  17. Which of the following findings is NOT a sign of peritoneal irritation?

    A. abdominal pain upon light palpation
    B. DeLorenzo's sign
    C. abdominal pain when the patient coughs
    D. rebound tenderness
    B. DeLorenzo's sign
    (this multiple choice question has been scrambled)
  18. An important aspect of the reassessment is to monitor and evaluate all of the following EXCEPT the:

    A. effectiveness of interventions
    B. vital signs
    C. transport priority
    D. accumulation of charges for care
    D. accumulation of charges for care
    (this multiple choice question has been scrambled)
  19. When checking for skin turgor, you should:

    A. use the back of your hand to determine temperature
    B. palpate the skin for flaking
    C. gently pick up a fold of skin, then release it
    D. press the nail beds, then release
    C. gently pick up a fold of skin, then release it
    (this multiple choice question has been scrambled)
  20. Which of the following statements regarding patient communication is true?

    A. cultural differences make no difference in professional communication
    B. avoid using interpreters
    C. use medical terminology to keep things on a professional level
    D. use language appropriate to the patient's level of understanding
    D. use language appropriate to the patient's level of understanding
    (this multiple choice question has been scrambled)
  21. Pain or tenderness on palpation of the tragus could suggest:

    A. Cerumen impaction
    B. Mastoiditis
    C. Perforated tympanic membrane
    D. Meniere's disease
    B. Mastoiditis
    (this multiple choice question has been scrambled)
  22. Which of the following is included in examination of the mouth?

    A. palpating the uvula
    B. looking under the tongue
    C. visualizing the larynx
    D. removing dentures
    B. looking under the tongue
    (this multiple choice question has been scrambled)
  23. A 45-year-old patient presents with abdominal pain in the right lower quadrant.  Upon auscultation of bowel sounds, you hear high-pitched gurgles and clicks lasting around 10 seconds.  This patient may have:

    A. paralytic ileus
    B. borborygmi
    C. normal sounds
    D. hyperperistalsis
    C. normal sounds
    (this multiple choice question has been scrambled)
  24. You are speaking with a patient who responds to you questions with clear speech but completely inappropriately.  This might indicate a condition known as:

    A. Dysarthria
    B. Dysphonia
    C. Expressive aphasia
    D. Receptive aphasia
    D. Receptive aphasia
    (this multiple choice question has been scrambled)
  25. Which of the following is NOT part of the medical history?

    A. type of health care insurance
    B. current symptoms
    C. past injuries
    D. current medications
    A. type of health care insurance
    (this multiple choice question has been scrambled)

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