16-20 Deck

Question 1

Who would be most helpful when communicating with a German patient who does not speak English?

Answer 1

Family members.

Question 2

A differential diagnosis finds its base in a(n):

Answer 2

Working hypothesis.

Question 3

Why is it important to ask patients about medications they took on a specific day?

Answer 3

To offer clues to the chief complaint.

Question 4

Repeating details back to a patient when obtaining his or her medical history is called:

Answer 4

Reflection.

Question 5

A 70-year-old woman with a history of angina needs emergency help. What will provide the most information to paramedics about her condition?

Answer 5

Patient history.

Question 6

If you ask a patient with a fracture femur “Describe your level of pain on a scale of 1-10,) what are you inquiring about?

Answer 6

Severity.

Question 7

Orthopnea indicates that the chief concern is related to the:

Answer 7

Cardiovascular system

Question 8

The paramedic should carefully assess the chest when a patient complains of:

Answer 8

Hemoptysis.

Question 9

Surgery may be delayed if a patient reports an intake of food less than how many hours before emergency department admission?

Answer 9

6 to 8

Question 10

If you have to “read between the lines” while working on a patient history, what technique are you using?

Answer 10

Interpretation.

Question 11

If a condition poses a threat to bystanders, what should be done?

Answer 11

The bystanders should be moved to a safer area.

Question 12

An example of an environmental hazard that may affect scene safety is:

Answer 12

Icy conditions.

Question 13

If a patient is armed and there is a possible safety issue, what should the paramedic do?

Answer 13

Retreat until law enforcement secures the weapon.

Question 14

What statement is accurate regarding violence at the emergency scene?

Answer 14

Agencies should have a protocol for EMS crews to signal a dangerous situation without using plain language.

Question 15

What action should be included when determining the nature of the illness?

Answer 15

Observing the patient’s surroundings.

Question 16

In the Spanish study of the relationship between nasal flaring and acidosis in patients with severe dyspnea, what percentage of participants showed nasal flaring?

Answer 16

22%

Question 17

What is the most important question to be answered when evaluating an emergency scene?

Answer 17

Is the scene safe for personnel to enter?

Question 18

Which types of patients have a patent airway established during the primary survey?

Answer 18

All patients.

Question 19

What statement is true of the primary assessment?

Answer 19

Is establishes the priorities of care.

Question 20

What physical examination finding can be evaluated through palpation?

Answer 20

Crepitus.

Question 21

What is accurate regarding physical examination of older adults?

Answer 21

The paramedic should not patronize older patients by being presumptuous.

Question 22

Bubbling or crackling sensations that occur during palpation of the soft tissues of the neck indicate the presence of:

Answer 22

Subcutaneous emphysema.

Question 23

During auscultation of the heart, the “dub” sound is caused by:

Answer 23

Closure of the pulmonic valves.

Question 24

An irregular-shaped, elevated, progressively enlarging scar that grows beyond the boundaries of a wound is called a:

Answer 24

Keloid.

Question 25

Turgor refers to:

Answer 25

The elasticity of the skin.

Question 26

For adults older than 59 years, blood pressure typically exceeds which value before treatment is started?

Answer 26

150/90 mm Hg

Question 27

The spleen can be palpated in the:

Answer 27

Left upper quadrant.

Question 28

In what year did the airline industry introduce crew resource management?

Answer 28

1979

Question 29

What is an example of a distracting injury?

Answer 29

Dislocated shoulder.

Question 30

What statement regarding the effective assessment is accurate?

Answer 30

Some field situations may limit the thoroughness of the examination.

Question 31

What describes multitasking as it relates to the paramedic?

Answer 31

It is an ability that develops with experience.

Question 32

What describes pattern recognition in EMS assessment?

Answer 32

A situation in which the history and physical examination match a recognized pattern of illness.

Question 33

What is considered specialty equipment for managing patient care based on the nature of the call?

Answer 33

A mass-casualty kit.

Question 34

The ability to quickly focus thinking to get the desired results depending on the situation is known as:

Answer 34

Critical thinking.

Question 35

What is included in the evaluation component of critical thinking?

Answer 35

Revision of field impression.

Question 36

How does a treatment start?

Answer 36

By calming and reassuring the patient.

Question 37

When approaching a patient initially, the paramedic should maintain:

Answer 37

Eye contact.

Question 38

Which response to stress is abnormal?

Answer 38

Unmoving hands

Question 39

Which question might be inappropriate for some cultures?

Answer 39

Why do you wear this color of clothing?

Question 40

To develop good rapport with a patient, the paramedic should:

Answer 40

Demonstrate compassion.

Question 41

A service animal helping a blind patient:

Answer 41

Must be tethered if possible in most cases.

Question 42

When communicating with a patient, the paramedic should generally avoid asking:

Answer 42

Leading questions.

Question 43

Empathy differs from sympathy in that:

Answer 43

Empathy moves from self to perspective of another.

Question 44

What may help a paramedic obtain needed information from a patient who stops talking?

Answer 44

Persistence.

Question 45

It is estimated that about how many US residents speak a language other than English?

Answer 45

67.3 million

Question 46

To develop good rapport with a patient, the paramedic should:

Answer 46

Demonstrate compassion.

Question 47

At the scene of a car crash, who would most likely be listed as the source of the referral?

Answer 47

The dispatcher

Question 48

The paramedic should suspect a hematologic condition in a patient who presents with:

Answer 48

Anemia

Question 49

What is part of a patient's social history?

Answer 49

Financial situation

Question 50

A consideration of the body systems assessment that is unique to a male patient is:

Answer 50

Priapism.

Question 51

Is the chief complaint the same as the chief concern?

Answer 51

No. The chief complaint is what the patient reports as the worst symptom, whereas the chief concern is what the EMS provider finds to be most threatening to the life of the patient.

Question 52

What triage categories would indicate that a patient is presently stable?

Answer 52

Nonemergent.

Question 53

A 45-year-old man complains of being cold. He tells you that he take levothyroxine. What should you suspect?

Answer 53

Endocrine problems

Question 54

A 5-year-old girl reports that "things are all smeary." You should build a hypothesis based on a problem with the:

Answer 54

Eyes.

Question 55

To help determine if an allergic reaction is occurring, what can you ask a patient?

Answer 55

Time of last oral intake.

Question 56

From 2010 to 2014, the National Institute for Occupational Safety and Health and the National Highway Traffic Safety Administration conducted a follow-up survey on EMS workers seen in emergency departments, finding that the percentage of injuries that happened on call was:

Answer 56

83%

Question 57

What safety precautions should be taken when entering a roadway to provide care?

Answer 57

Other emergency vehicles should be parked to shield the ambulance from oncoming traffic.

Question 58

The minimum acceptable level of oxygen saturation without supplementation is:

Answer 58

90%

Question 59

What is a component of the primary assessment?

Answer 59

Determine the priority of patient care and transport.

Question 60

What is a component of the scene size-up?

Answer 60

Take standard precautions.

Question 61

What statement about the pupils is accurate?

Answer 61

Unequal pupils may be a normal finding.

Question 62

A secondary skin lesion that is concave, involves loss of the epidermis and dermis, and varies in size is called a(n):

Answer 62

Ulcer.

Question 63

What best describes bronchial breath sounds?

Answer 63

When auscultated in the peripheral lung field, fluid is present.

Question 64

What is included in the ear examination?

Answer 64

Palpation of the mastoids.

Question 65

When can bulging of an infant's anterior fontanel occur?

Answer 65

When there is increased intracranial pressure.

Question 66

A linear crack or break from epidermis to dermis is called a(n):

Answer 66

Fissure.

Question 67

Heart sounds characterized by find vibrations or tremors, which may indicated blood flow obstruction, are known as:

Answer 67

Thrills

Question 68

The first step in the critical-thinking process is:

Answer 68

Concept formation.

Question 69

In the PACE acronym, the A stands for:

Answer 69

Alert.

Question 70

One of the nine recommendations of the Canadian Patient Safety in EMS Summit was to support the concept that:

Answer 70

Paramedics are capable of decision making and judgment.

Question 71

The paramedic's field impression of the patient's condition is based on:

Answer 71

Analytic thinking.

Question 72

What should you do immediately after reading the scene when utilizing the "Six Rs of clinical decision making"?

Answer 72

React

Question 73

During the Canadian Patient Safety in EMS Summit, what percentage of participants ranked clinical judgment and decision making as highly important to patient safety?

Answer 73

95%

Question 74

In EMS, having the right stuff means:

Answer 74

Bringing the right equipment to the patient.

Question 75

A working diagnosis is accurately defined as:

Answer 75

What you feel is the cause of your patient's problem.