Patient Assessment

Front 1

Otoscope assess

Back 1

Ear

Front 2

BP is measured in what?

Back 2

mm of mercury

Front 3

Papilledema is what?

Caused from what?

Back 3

Blurring of the optic disc

ICP

Front 4

A normal thermometer takes temperature as low as what?

Back 4

95 F

35 C

Front 5

4 Examination techniques

Back 5

Inspection

Auscultation

Percussion

Palpation

Front 6

Inspection includes

Back 6

Visual observation

Pt position

Sick not sick

Front 7

Percussion produces what sounds?

Back 7

Tympany

resonance

Front 8

Induration:

Back 8

Is a feeling of firmness in the subQ tissue

Front 9

Fluctuance:

Back 9

Wavelike motion felt between two fingertips

Front 10

RLQ tenderness is associated with what?

Back 10

Appendicitis

Front 11

RUQ tenderness is associated with what?

Back 11

Gallstones or cholecystitis

Front 12

Palpate the injured site first or last?

Back 12

Last

Front 13

Vital signs include what six vitals?

Back 13

HR

RR

BP

Temp

Skin

Mental status

Front 14

Two complete sets of vitals is a?

Back 14

Starting Point

Front 15

What can you see with three complete sets of vitals?

Back 15

Trends

Front 16

Normal temp?

Back 16

98.6

Front 17

Assess a pulse where in a newborn?

Back 17

Umbilical cord

Front 18

Infants assess pulse where?

Back 18

Brachial or Femoral

Front 19

Where do you assess a pulse in an unresponsive pt over 1 years old?

Back 19

Carotid

Front 20

Normal tidal volume? ml/kg

Back 20

5-7 ml/kg

Front 21

Korotkoff sounds

Back 21

Blood moving quickly through arterial system, rubbing against the wall

Front 22

What is the first organ to shunt away blood?

Back 22

Skin

Front 23

Mental status changes could result from blood not prefusing what?

Back 23

Brain

Front 24

Pulse Pressure:

Back 24

Difference in numbers from systolic to diastolic

Front 25

Narrowing pulse pressure can show signs of?

Back 25

Heart is not functioning properly

Front 26

Widening of Pulse pressure can show signs of?

Back 26

ICP

Front 27

Mild hypertension exists if systolic is?

Back 27

140-160

Front 28

Severe hypertensive exist if systolic or diastolic is?

Back 28

Systolic over 160

Diastolic over 90

Front 29

Hypothermia temp?

Back 29

Under 95

Front 30

Temperatures measured in axillae are how far off of oral temp?

Back 30

1 degree colder

Front 31

Mental status assessment includes what?

Back 31

AO x4

AVPU

Front 32

Average core temp

Back 32

97.5-100.2

Front 33

Purpose of primary survey?

Back 33

Find and treat life threats

Front 34

Life cannot be sustained without O2 for how long?

Back 34

6 minutes

Front 35

General Impression Acronym

Back 35

ABC - ABCDE - transport

appearance (sick not sick); Breathing; Circulation

Airway, breathing, circ., Disabled, exposure

Front 36

Appearance Refers to?

Back 36

Mental Status

Body position

Front 37

Breathing refers to?

Back 37

Work of breathing

Front 38

Circulation refers to?

Back 38

Perfusion (cardiac output)

Front 39

Airway also includes?

Back 39

C-spine

Front 40

Airway life threats include?

Back 40

Obstruction

Tongue obstruction

Aspiration

Front 41

Breathing life threats include?

Back 41

Open pneumo

Tension pneumo

Flail chest

Inadequate Minute volume

Chest rise and fall

Front 42

Breathing assessment should take no longer than?

Back 42

10 seconds

Front 43

Circulatory life threats include?

Back 43

Pain swelling (internal bleeding)

Weak central pulse (decomp shock)

Dec. skin perfusion (also shock)

Slower than 2 sec cap refill in children under 6

Front 44

Treatment for shock

Back 44

IV

O2

Monitor

Pt warm

(fluid resus if hypovelemic)

Airway if needed

Front 45

Nervous system assessment

Back 45

GCS!!

PMS in extremities

Level of consciousness

Front 46

Possible causes of loss of consciousness remembered by what acronym?

Back 46

STOPEATS

Front 47

STOPEATS

Back 47

Sugar

Temperature

Oxygen

icP

Electricity

Alcohol/Toxins

Salts

Front 48

SIx immediate life threats should be evaluated during primary survey

Back 48

1) Uncontrolled airway

2) Inadequate Breathing

3) Pulselessness

4) Hemorrhage

5) Dec LOC

6) Potential Spine Injury

Front 49

Secondary survey has Three parts

Back 49

Physical Exam

Vitals

SAMPLE history

Front 50

During the sec survey treatment plan should be developed and treatment of non life threatening problems after sec survey T OR F?

Back 50

T

Front 51

During a BP Inflate cuff and go down at what rate?

Back 51

2mmgh/sec

Front 52

antegrade amnesia?

Back 52

Information that the patient cannot remember after the event occured

ICP

Front 53

Retrograde amnesia?

Back 53

long term information (pt address) they cannot remember

Concussion

Front 54

Cyanosis

Back 54

Blueness when the blood is deoxygenated

Front 55

Lesions

Back 55

Any disruptions in the skin

Front 56

Battles sign

Back 56

Bruising behind the ears

Front 57

Raccoon eyes

Back 57

Bruising around the orbits of the eyes

Front 58

Cushings syndrome

Back 58

Rounded appearance to the face (steroid use)

Moon face

Front 59

Nephrotic syndrome?

Back 59

Bug-eyed

Hyperthyroidism

Front 60

Eyes emergency

Back 60

Flush out any debris

Front 61

Pupils

Back 61

Test in all patients

Pupil should constrict

Opposite pupil should constrict simultaneously

Front 62

Nystagmus

Back 62

Eye condition where the eye moves side to side or downward

Found in pt with overdose or alcohol use

Front 63

Tracheal deviation toward injured lung is a late sign for?

Back 63

Simple Pneumothorax

Front 64

Tracheal deviation away from injured lung is a late sign for?

Back 64

Tension Pneumothorax

Front 65

JVD

Back 65

Late sign of severe hypertension or venous overload

Front 66

Bruits

Back 66

Sound made by blood passing over built up plaque

Front 67

Evaluation of the chest

Back 67

Expose

Signs of accessory use

Equal chest rise and fall

Swelling redness

Auscaltate lungs

Front 68

Flail chest:

Causes?

Back 68

Unequal chest rise and fall

Caused by multiple broken ribsw

Front 69

Another name for crackles

Back 69

Rales

Front 70

Crackles/Rales:

Causes of it?

Back 70

High pitched crackling

Do not clear with cough

CHF

COPD

Pneumonia

Front 71

Rhonchi:

Causes of it?

Back 71

Loud, low, sounds (snoring)

Clear with coughing

Build up of mucus

Asthma

URI

Front 72

Wheezes

Causes?

Back 72

High pitched whistle

Asthma

Chronic bronchitis

Anaphylaxis

Front 73

Friction rub:

Back 73

Sand paper

Pleurisy

Pneumonia

Front 74

99 trick

Back 74

Have pt say 99 if it is high pitched in lobe you are assessing that lobe is obstructed

Front 75

Chest pain has no...?

Back 75

Tenderness upon palpation

Front 76

Does cardiac chest pain change with breaths?

Back 76

NO

Suspect muscular chest wall pain

Front 77

Peripheral Edema show?

Back 77

Right ventricular failure

hypothyroidism

liver failure

Front 78

Pulmonary edema shows?

Back 78

Left ventricular Failure

Front 79

Abdomen Evaluation

Back 79

Ask about any recent abdomen pain

Visualize for bruising/bleeding

Palpate

Front 80

Ecchymosis

Back 80

Bruising that may suggest internal bleeding

Front 81

Grey-Turners sign

Back 81

Bruising of the flanks

(pancreatitis)

AAA

Front 82

Cullens sign

Back 82

yellow-blue bruising of umbilical region

Pancreatitis

Ectopic pregnancy

Front 83

What should you always check for on a trauma pt in male specific scenarios?

Back 83

Priapism

Front 84

Pelvis Evaluation

Back 84

Instability and deformity

bruising & redness

Compression & Flexion

Anticipate internal bleeding in pt w/ hip fracture

Front 85

Instability in pelvis may indicate?

Back 85

Pelvic fracture

Front 86

What is a sign for hip dislocations

Back 86

shortening of the leg

inward or outward rotation of the leg

Front 87

Evaluating injured extremity how should you compare it?

Back 87

With the other arm or leg

Front 88

A kneecap will most likely dislocate which way?

Back 88

Laterally

Often reduced by straightening leg

Front 89

Common causes of dec. CSM?

Back 89

Crush Injuries and skeletal injuries with deformity.

Front 90

Infants and children often do what when introduced to EMS?

Back 90

Often Cower

Front 91

What kind of exam should you perform on a child to gain trust?

Back 91

Toe-Head exam

Front 92

What pulse should you try to assess in infants?

Back 92

Brachial

Front 93

Rule of thumb for PED vitals:

Back 93

The younger the child the faster RR and HR

Lower the BP

Front 94

In infants what is your indication for perfusion instead of BP?

Back 94

HR

Mental Status

Awake

Front 95

Bradycardia In a young child is a Big sign for what?

Back 95

Respiratory Failure?

Front 96

How do older patients compensate?

Back 96

Not well

Short compensation time.

Front 97

Atherosclerosis

Back 97

Plaque built up within the arterial walls

Front 98

Elderly patients may have a lack of sensing pain (broken ankle) T OR F?

Back 98

True

Front 99

Elderly patients bones are becoming more what?

Back 99

Britle

Bone density decreases

Increase chance of broken bones

Front 100

3 important objectives in a prehospital care report?

Back 100

Thorough

Accurate

Consistant

Front 101

Falsifying documentation of performing an assessment you did NOT perform is illegal. T OR F?

Back 101

True!

Front 102

Stable patients have trending vital signs taken how often?

Back 102

15 minutes

Front 103

Unstable patients have trending vitals taken how often?

Back 103

5 minutes