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Exam 7: Patient Assessment in the Field

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Question 1

Multiple Choice

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Trending vital signs is best accomplished by:

A) estimating any values that are missing on the prehospital care record.
B) comparing the prehospital vital signs to the patient's normal vital signs.
C) having each set of vital signs verified by a second EMS provider.
D) taking multiple sets of vital signs.

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Question 2

Multiple Choice

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A patient is complaining of abdominal pain, nausea, and vomiting. Which of the following will provide you with the most immediately useful information?

A) Checking for discoloration of the tongue
B) Asking about any unusual taste in the mouth
C) Asking about the presence of coffee-grounds emesis
D) Finding out about any unusual stress in the patient's life

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Question 3

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Which of the following is the sequence of steps when assessing a major trauma patient? 1) Secondary assessment 2) Primary assessment 3) Reconsider mechanism of injury 4) History 5) Vital signs 6) Detailed physical exam

The ability to critically evaluate a patient's condition and formulate a treatment plan rests on all of the following EXCEPT:

A critical patient's vital signs should be reassessed at least every ________ minutes.

The first step in critical thinking is to:

Changing or stopping interventions that are NOT working is an example of:

During your focused physical exam of a patient with a suspected myocardial infarction, you should examine:

Which of the following choices is the correct sequence of steps in critical thinking/decision making? 1) Interpreting the data 2) Evaluating results 3) Reflecting on the incident 4) Forming a concept 5) Applying the principles

Paramedics treat patients with the same techniques as other clinicians, EXCEPT that they:

Rebound tenderness in the abdomen is a sign of potential:

You are evaluating a patient who was a restrained driver of a motor vehicle that crashed into the median barrier at 40 mph. He is awake, alert, and oriented, complaining of neck and back pain. There is a bruise across his upper abdomen in the shape of the seat belt. Based on this information, you should assume he is a ________ trauma patient, and transport him to ________.

Components of a scene size-up include all of the following EXCEPT:

Using knowledge and experience to diagnose patients and plan their treatment is called clinical:

After considering the information you have collected, you determine the most likely cause of your patient's condition. This step in the critical decision-making process is called:

One of the best ways to minimize patient anxiety during a physical exam is to:

Which of the following best describes why a focused history is important in responsive medical patients?

After a call you discuss the patient with the ED physician, comparing diagnoses and care plans. This is an example of:

Which of the following characteristics is most similar between the prehospital setting and other medical care environments?

With your field diagnosis in mind, you develop a treatment plan for your patient. This part of the critical decision-making process is called: