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106 Cards in this Set
- Front
- Back
- 3rd side (hint)
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chief complaint
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the reason the ambulance was called
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differential field diagnosis
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the list of possible causes for your patient's symptoms
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open ended questions?
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questions that allow your pt to answer in detail in there own words
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closed ended questions?
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questions that elicit a one- or two- word answer
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If you _______ to your pt, they will tell you what is wrong
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LISTEN
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Active Listening
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The process of responding to your pt's statements with words or gestures that demonstrate your understanding
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ACTIVE LISTENING SKILLS
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Faciliation
Reflection Clarification Empathy Confrontation Interpretation |
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ELEMENTS OF THE PATIENT TAKING HISTORY
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PRELIMINARY DATA
CHIEF COMPLAINT PRESENT ILLNESS/INJURY PAST HISTORY CURRENT HEALTH STATUS REVIEW OF SYSTEMS |
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PRIMARY PROBLEM
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THE UNDERLYING CAUSE FOR YOUR PT'S SYMPTOMS
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OPQRST
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ONSET
PROVOCATION QUALITY RADIATION SEVERITY TIME |
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OPQRST - ASPN
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ONSET, PROVOCATION, QUALITY, RADIATION, SEVERITY, TIME, ASSOCIATED SYMPTOMS, PERTINENT NEGATIVES
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TENDERNESS
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PAIN THAT IS ELICITED THROUGH PALPATION
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REFERRED PAIN
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PAIN THAT IS FELT AT A LOCATION AWAY FROM IT'S SOURCE
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CAGE QUESTIONNAIRE
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CUT DOWN?
ANNOYED? GUILTY? EYE-OPENER? |
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REVIEW OF SYSTEMS
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A LIST OF QUESTIONS CATEGORIZED BY BODY SYSTEM
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HEENT
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HEAD, EYES, EARS, NOSE, AND THROAT
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TINNITUS
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THE SENSATION OF RINGING IN THE EARS
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HEMOPTYSIS
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COUGHING UP BLOOD
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OTHOPNEA
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DIFFICULTY BREATHING WHILE LYING SUPINE
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PAROXYSMAL NOCTURNAL ORTHOPNEA
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SUDDEN ONSET OF SHORTNESS OF BREATH AT NIGHT
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HEMATEMESIS
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VOMITING BLOOD
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POLYURIA
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EXCESSIVE URINATION
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NOCTURIA
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EXCESSIVE URINATION AT NIGHT
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HEMATURIA
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URINATING BLOOD
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DYSMENORRHEA
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DIFFICULT OR PAINFUL MENSTRATION
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G
P A L |
GRAVIDA -X's pregnate
PARA - # LIVE BIRTHS ABORTIONS - # ABORTIONS & MISCARRIAGES LIVING - # LIVING CHILDREN |
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INTERMITTENT CLAUDICATION
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INTEMITTENT CALF PAIN WHILE WALKING THAT SUBSIDES WITH REST
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DEPRESSION
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A MOOD DISORDER CHARACTERIZED BY HOPELESSNESS AND MALAISE
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DEMENTIA
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A DETERIORATION OF MENTAL STATUS THAT IS USUALLY ASSOCIATED WITH STRUCTURAL NEUROLOGIC DISEASE
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DELIRIUM
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AN ACUTE ALTERATION IN MENTAL FUNCTIONING THAT IS OFTEN REVERSIBLE
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SAMPLE HX
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SIGNS/SYMPTOMS
ALLERGIES MEDICATIONS PAST PERTINENT MEDICAL Hx LAST ORAL INTAKE EVENTS LEADING UP TO ILLNESS OR INJURY |
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PALPABLE CAROTID PULSE,
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60 B/P
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PALPABLE RADIAL/PEDAL PULSE
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80 B/P
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PALPABLE FEMORAL PULSE
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70 B/P
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PERRL
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PUPILS
EQUAL ROUND REACTIVE LIGHT |
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PERLA
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PUPILS
EQUAL ROUND TO LIGHT ACCOMIDATION |
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MAGIC 7?
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WHEN A PT IS ON 7 OR MORE MEDS....THE MEDICATIONS ARE REACTING WITH EACH OTHER
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WHAT IS THE MOST IMPORTANT FORM OF NON VERBAL COMMUNICATION?
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EYE CONTACT
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PAIN SCALE
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1 - 10
1 BEING MILD AND 10 BEING THE WORST PAIN IMAGINABLE |
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DESCRIPTIONS OF PAIN
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CRUSHING
SPASMING SHOOTING TEARING |
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2 WAYS TO LEARN MATERIAL OR A TRADE?
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BEING TAUGHT BY SOMEONE ELSE
OR FIGURING OUT HOW TO DO IT YOUR SELF |
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WHAT IS THE # 1 PRIORITY OF THE PARAMEDIC?
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PERSONAL SAFTEY
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DESCRIBE STABLE ANGINA
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THE PAIN LETS UP ONCE YOU SIT DOWN
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DESCRIBE UNSTABLE ANGINA
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NO RELIEF OF THE CHEST PAIN WITH REST
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WHAT IS A PERTINENT NEGATIVE?
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A PIECE OF INFORMATION THAT LETS OTHERS KNOW THAT YOU DID YOUR JOB
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WHAT IS PLERISY
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INFLAMMATION OF THE LINING OF THE LUNGS
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WHAT IS THE DOSE OF ATROPINE FOR PEA?
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1mg/kg
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WHAT DO YOU ASK ABOUT THE PAIN DURING A CARDIAC EVENT?
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QUALITY, TIME, SEVERITY, DOES IT RADIATE ANYWHERE?
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INDICATIONS OF AN MI EVENT ON AN EKG
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ELEVATED S T SEGMENT
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ASK DURING ASSESSMENT OF MEDICAL CALLS WHEN GATHERING PAST MEDICAL Hx
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ARE YOU DIABETIC?, DO YOU HAVE ANY CARDIAC HISTORY?, DO YOU HAVE ANYTHING WRONG WITH YOUR LUNGS OR KIDNEYS?
ANY KIND OF PREEXISTING MEDICAL CONDITION CAN AGGRAVATE A NEW INJURY OR ILLNESS. |
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ALWAYS ASK YOUR PT ABOUT - - - - - - - - - WHEN TAKING A SAMPLE HISTORY
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ALLERGIES
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ALWAYS ASK BEFORE ADMINISTERING ANY TYPE OF MEDICATION, IM, IV, SC
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ARE YOU ALLERGIC TO ANYTHING
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HEMATACHEZIA
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RECTAL BLEEDING
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BLACK BLOOD IS ?
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OLD BLOOD
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WHAT DOES LMP MEAN?
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LAST MENSTRAL PERIOD
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WHAT IS GOUT?
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A BUILD UP OF URIC ACID CRYSTALS IN THE JOINTS, TYPICALLY THE GREAT TOE
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WHAT KIND OF INFO DO WE NEED TO GATHER DURING OUR SAMPLE Hx?
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NEED TO GET ENOUGH INFORMATION TO TREAT THE PATIENT AND FIX ANY IMMEDIATE THREATS TO LIFE AND WOUNDS
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NAME 2 TYPES OF PALPITATIONS?
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HEART PALPITATIONS
TOUCH |
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WHAT ARE THE 4 PHYSICAL EXAM TECHNIQUES?
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INSPECTION
PALPATION PERCUSSION AUSCULTATION |
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WHAT IS FEELING?
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USING YOUR SENSE OF TOUCH TO GATHER INFORMATION
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WHAT DOES CREPITUS SOUND LIKE?
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RUBBING YOU HAIR TOGETHER BY YOUR EAR....FEELS LIKE BONES CRUNCHING TOGETHER
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WHAT WAS THE FIRST STETHESCOPE MADE OUT OF?
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WOOD
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WHAT IS TACTILE FREMITUS?
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FEELING THE THORACIC CAVITY FOR VIBRATIONS
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WHAT THREE STRUCTURES MAKE UP THE UPPER AIRWAY?
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NASAL CAVITY
PHARYNX LARYNX |
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BITTER ALMOND BREATH IS AN INDICATOR OF WHAT KIND OF POISONING?
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CYANIDE
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DOES THE SA NODE DRIVE THE HEART?
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THE SA NODE DRIVES THE HEART AND IS RESPONSIBLE FOR AUTOMATICITY
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WHAT ARE YOU LOOKING FOR WHEN YOU CHECK PULSE?
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STENGTH
REGULAR OR IRREGULAR ANYTHING IRREGULAR GETS THE SPECIAL PRIZE- - CARDIAC MONITOR WEAK, STRONG, OR BOUNDING WEAK, THREADY PULSE |
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WHAT MAKES THE SYSTOLIC BLOOD PRESSURE?
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WHEN THE LEFT VENTRICLE CONTRACTS
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NORMAL RESPIRATIONS FOR AN ADULT
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12 TO 20 PER MINUTE
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HEMOGLOBIN BINDS WITH WHAT 2 SUBSTANCES TO GIVE YOU A PULSE OX READING?
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OXYGEN
CO2 CAN ATTACH 200 TIMES FASTER TO THE HEMOGLOBIN |
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WHAT IS THE LARGEST ORGAN OF THE HUMAN BODY?
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THE SKIN
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HOW MANY LAYERS OF SKIN DOES THE BODY HAVE?
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SEVEN
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THREE MAIN LAYERS OF SKIN....
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EPIDERMIS
DERMIS SUBCUTANEOUS LAYER |
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WHAT IS THE EPIDERMIS?
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THE FIRST LAYER OF SKIN....
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WHAT IS THE DERMIS?
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THE SECOND LAYER OF THE SKIN...IT CONTAINS NERVES, HAIR FOLICLES, SWEAT GLANDS,
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WHAT IS THE SUBCUTANEOUS LAYER?
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THE THIRD LAYER OF THE SKIN...IT CONTAINS ADIPSOSE TISSUE, OIL GLANDS
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WHEN CHECKING THE SKIN, WHAT ARE YOU LOOKING FOR?
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WARM, PINK, AND DRY
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WHAT IS THE TECHNICAL TERM FOR CHICKEN SKIN?
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ERECTOR PILI
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WORKBOOK QUESTIONS.
1.) IN THE MAJORITY OF MEDICAL ASES, THE BASIS OF THE PARAMEDIC'S FIELD DIAGNOSIS IS THE : |
A) CHIEF COMPLAINT
B) INDEX OF SUSPICION C) MECHANISM OF INJURY D) PT HISTORY E) VITAL SIGNS (ANSWER IS D) |
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2.) ALWAYS ACCEPT INFORMATION FROM PREVIOUS CAREGIVERS GRATEFULLY, BU BRIEFLY RECONFIRM IT WITH THE PT.
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A) TRUE
B) FALSE |
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3.) ELEMENTS OF YOR PATIENT QUESTIONING THAT WILL HELP YOU EASTABLISH A TRUSTING AND PROFESSIONAL RELATIONSHIP WITH THE PT INCLUDE ALL OF THE FOLLOWING EXCEPT;
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A) USING MEDICAL TERMINOLOGY EXTENSIVELY
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A) USING MEDICAL TERMINOLOGLY EXTENSIVELY
B) MAKING EYE CONTACT C) POSITIONING YOUR SELF AT THE PT''S EYE LEVEL D) PRESENTING A NEAT AND CLEAN APPEARANCE E) FOCUSING YOUR ATTENTION ON THE PT |
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THE LIST OF POSSIBLE CAUSES FOR A PT'S SYMPTOMS IS THE
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C) DIFFERENTIAL FIELD DIAGNOSIS
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A) INDEX OF SUSPICION
B) MECHANISM OF INJURY C) DIFFERENTIAL FIELD DIAGNOSIS D) CAGE QUESTIONAIRE E) NATURE OF ILLNESS |
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IT IS APPROPRIATE, IF NOT NECESSARY, T TAKE NOTES WHILE INTERVIEWING THE PT BECAUSE IT IS NEARLY IMPOSSIBLE TO REMEMBER EVERYTHING IMPORTANT THE PT TELLS YOU.
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A) TRUE
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A) TRUE
B) FALSE |
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WHICH OF THE FOLLOWING IS AN EXAMPLE OF AN OPEN-ENDED QUESTION?
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E) HAVE YOU HAD PAIN LIKE THIS BEFORE?
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A) DOES YOUR SHEST PAIN INCREASE WITH BREATHING
B) DO YOU TAKE DIURETICS C) WHAT DOES YOUR PAIN FEEL LIKE? D) DOES THE PAIN RADIATE YTO YOUR SHOULDER? E) HAVE YOU HAD PAIN LIKE THIS BEFORE? |
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7) WHICH OF THE FOLLOWING QUESTIONS IS AN EXAMPLE OF A CLOSED-ENDED QUESTION?
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C) IS YOUR PAIN STABBING IN NATURE?
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A) WAHT DOES YOUR PAIN FEEL LIKE?
B) WHAT WERE YOU DOING WHEN THE PAIN STARTED? C) IS YOUR PAIN STABBING IN NATURE D) WHY DID YOU CALL US TODAY? E) WHERE DO YOU HURT? |
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8) ALWAYS USE A PT'S FIRST NAME DURING THE INTERVIEW TO ESTABLISH A CLOSER, MORE TRUSTING RELATIONSHIP.
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B) FALSE
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A) TRUE
B) FALSE |
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IT IS BEST TO FORM A PREARRANGED LIST OF SPECIFIC QUESTIONS TO ENSURE YOU COVER ALL BASES WHILE INTERVIEWING YORU PT.
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A) TRUE
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A) TRUE
B) FALSE |
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1O) THE PROCESS OF PRESENTING THE PT WITH AN OBSERVATION THAT HE IS HIDING OR MASKING THE TRUTH IS CALLED:
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B) CONFRONTATION
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A) EMPATHY
B) CONFRONTATION C) NATURE OF THE ILLNESS D) CLARIFICATION E) FACILITATION |
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THE REASON THAT THE PT OR ANOTHER PERSON SUMMONS EMERGENCY MEDICAL SERVICES IS TERMED THE
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B) CHIEF COMPLAINT
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A) PRIMARY PROBLEM
B) CHIEF COMPLAINT C) NATURE OF ILLNESS D) MECHANSM OF INJURY E) NONE OF THE ABOVE |
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12) THE UNDERLYING CUASE OF THE PATIENT'S PAIN, DISCOMFORT, OR DYSFUNCTION IS CALLED THE
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A) PRIMARY PROBLEM
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A) PRIMARY PROBLEM
B) CHIEF COMPLAINT C) NATURE OF ILLNESS D) MECHANISM OF INJURY E) NONE OF THE ABOVE |
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13) ANY ACTIVITY THAT ALLEVIATES A PT'S SYMPTOMS WOULD FIT UNDER WHICH ELEMENT OF OPQRST-ASPN MNEMONIC FOR THE HISTORY OF THE CURRENT ILLNESS?
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B) P
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A) O
B) P C) Q D) R E) S |
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14) WHICH OF THE FOLLOWING IS AN IMPORTANT PART OF THE PAST MEDICAL HISTORY?
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C) SURGERIES OR HOSPITALIZATIONS
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A) RADIATION OF THE PAIN
B) LAST ORAL INTAKE C) SURGERIES OR HOSPITALIZATIONS D) QUALITY OF THE PAIN E) ALL OF THE ABOVE |
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15) A RECENTLY PRESCRIBED MEDICATION MAY ACCOUNT FRMEDICAL PROBLEMS BECAUSE OF WHICH OF THE FOLLOWING?
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E) ALL OF THE ABOVE
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A) OVERMEDICATION
B) UNDERMEDICATION C) ALLERGIC REACTION D) UNTOWARD REACTION E) ALL OF THE ABOVE |
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16) ALLLERGIES SHOULD BE EXPECTED FOR ALL OF THE FOLLOWING EXCEPT:
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C) GLUCOSE
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A) THE "CAINE" FAMILY
B) TETANUS TOXOID C) GLUCOSE D) NARCOTICS E) BOTH A & B |
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17) A PT WHO HAS SMOKED 21 PKS OF CIGARETTES A WEEK FOR 10 YEARS HAS A PACK HISTORY OF
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D) 30 PK/YEARS
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A) 21 PACK/YEARS
B) 70 PACK/YEARS C) 7 PACK/YEARS D) 30 PACK/YEARS E) 10 PACK/YEAR |
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18) WHICH OF THE FOLLOWING IS NOT A SYSTEM EXAMINED DURING THE REVIEW OF SYSTEMS?
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B) LYMPHATIC SYSTEMS
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A) SKIN
B) LYMPHATIC SYSTEM C) MUSCULOSKELETAL SYSTEM D) HEMATOLOGC SYSTEM E) ENDOCRINE SYSTEM |
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WHICH OF THE FOLLOWING WOULD YOU ATEMPT WITH A PT WHO SUDDENLY GOES SILENT?
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A) STAY CALM AND OBSERVE FOR NONVERBAL CLUES
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A) STAY CALM AND OBSERVE FOR NONVERBAL CLUES
B) ARRANGE FOR AIR MEDICAL TRANSPORT C) TERMINATE THE INTEVIEW PROMPTLY IMMEDIATELY D) ATTEMPT TO WALK THE PATIENT BACK AND FORTH A FEW TIMES E) RAPIDLY PROVIDE ORAL GLUCOSE |
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20) CRYING IS A FORM OF VENTING EMOIONAL STRESS; BE PATIENT AND PROVIDE A PT WHO IS CRYING WITH SUPPORTIVE REMARKS
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A) TRUE
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A) TRUE
B) FALSE |
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WHAT IS EMPATHY?
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SHOWING YOU UNDERSTAND OR FEEL FOR THE PATIENT
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WHAT ISCONFRONTATION?
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CHALLENGING A PATIENT'S STATEMENTS
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WHAT IS REFLECTION?
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REPEATING THE PATIENT'S WORDS
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WHAT IS FACILITATION?
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USING "GO ON" OR "I'M LISTENING"
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WHAT IS CLARIFICATION?
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ASKING QUESTIONS ABOUT THE PT'S STATEMENTS
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WHAT IS HYPERRESONANCE?
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HIGH PITCHED LUNG SOUNDS
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WHAT IS HYPORESONANCE?
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LOW PITCHED LUNG SOUNDS - VERY BAD SIGN
MEANS THAT BLOOD OR FLUID IS ACCUMULATING WHRE IT IS NOT SUPPOSED TO BE. |
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APPARENT SIGNS OF RESPIRATORY DISTRESS
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NASAL FLARING
GRUNTING SEE SAW BREATHING CYANOSIS TRIPOD POSITION ACESSORY MUSCLE USE GASPING FOR AIR |
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