EMT Primary Assessment - Chapter 12

Which of the following is the purpose of the primary assessment?

To detect and treat immediately life-threatening problems

You are at the scene where a 19-year-old female college student has been drinking large quantities of alcohol throughout the evening. On your arrival, the patient is lying on her back, has vomited, and has slow, wet sounding respirations. Which of the fol

Open the patient's airway using a head-tilt, chin-lift maneuver.

What BEST defines the immediate sense of the patient's degree of distress, formulated from the patient's immediate environment, appearance, and chief complaint?

General impression

Which of the following describes the chief complaint?

The reason why the patient summoned EMS

Which of the following techniques is used when formulating the general impression?
Detecting odors
Listening for unusual sounds
Looking for visual clues
All of the above

All of the above

Which of the following is NOT part of the general impression?

The patient's past medical history

Which of the following BEST describes an EMS provider's "sixth sense"?

Clinical judgment

Which of the following is the most reliable means of determining whether a patient has any immediately life threatening conditions?

A systematic approach to assessment

A patient whose mental status can be described as "verbal" is able to:

Respond to speaking or shouting by opening the eyes.

Which of the following is NOT true regarding a patient who has a mental status of less than "awake"?

He is in a state of rapid eye movement sleep.

Which of the following is a good indication of an open airway?
The patient is crying loudly.
The patient is speaking clearly.
The patient is alert.
All of the above

All of the above

Which of the following is NOT performed during the "Airway" phase of the assessment?

Obtaining the respiratory rate

Which of the following is NOT assessed during the "Breathing" phase of the primary assessment?

Obtaining a pulse oximetry reading

Which of the following conditions does NOT require intervention in the "Breathing" phase of the primary assessment?

There is not enough information to answer this question.

You have arrived on the scene at a high school football field where a 17-year-old male is lying on the ground. He is unresponsive and cyanotic, and he is making obvious respiratory effort without moving adequate amounts of air. Which of the following shou

Open the patient's airway using a manual maneuver.

In the primary assessment, which of the following is NOT an acceptable method of assessing the patient's circulatory status?

Taking a blood pressure reading

Which of the following indicates a possible circulatory problem?
Weak, thready pulse that is normal in rate
A slow pulse
A rapid pulse
All of the above

All of the above

Which of the following is true concerning the primary assessment?

The primary assessment begins by just observing the patient as you enter the room.

For which of the following patients would capillary refill be a reliable sign of circulatory status?

A 3-year-old child with a fever and cough

What is a normal capillary refill time in a pediatric patient?

2 seconds

Which of the following is the correct manner for checking for responsiveness in an apparently unresponsive patient?

Flicking the soles of the feet

Which of the following is the proper position for maintaining the airway in a child with a decreased level of consciousness?

Placing the head and neck in a neutral position; using a folded towel under the shoulders if necessary

Which of the following is completed first during the primary assessment?

Forming a general impression

Your patient is a 72-year-old female who has "twisted her ankle" coming down some steps. She is alert and complaining of pain in her right ankle, but she jokes about her "clumsiness." Which of the following should you do next?

Ask if the patient has pain anywhere besides her ankle.

Which of the following differences should be expected when assessing a pediatric patient, as compared to the adult patient?

The normal respiratory rate is faster.

During the primary assessment of a responsive adult patient, where should the pulse be checked?

At the radial artery

During the primary assessment of an unresponsive infant, which pulse should be palpated?

Brachial

Your patient is a 33-year-old man who has been ejected from his vehicle during a high-speed collision. During your general assessment it is discovered that he is not moving, does not appear to have adequate respiration, and has suffered a large amount of

Open the airway.

Your patient is a 42-year-old woman who fell a couple of feet from a ladder and is complaining of pain in her ankle. Which of the following are you unable to determine from the information given?

Transport priority

The mnemonic AVPU is used to evaluate which of the following?

The patient's level of responsiveness

In EMS, what does mental status refer to?

The patient's level of awareness of his surroundings

In EMS, which of the following BEST describes the term intervention?

Taking steps to correct a problem

Which of the following is an appropriate method for an EMT to use when attempting to gauge a 6-month-old infant's mental status?

Flick the heel of the infant.

Which of the following refers to the steps taken to assess and treat any life-threatening problems?
Initial assessment
Primary assessment
Primary survey
All of the above

All of the above

Which of the following represents the correct order of assessment for the EMT during the primary assessment from start to end?

General impression, mental status, airway, breathing, circulation, patient priority

Which of the following findings is NOT used to assess an adult's circulation?

The patient's capillary refill time

Which of the following patients is a high priority for transport?

An adult male with difficulty breathing

What is the BEST technique to use when assessing an infant's mental status?

Talk to him.

Which of the following questions will most likely illicit your patient's chief complaint?

What made you call 911 this evening?

You enter a room to find a 16-year-old female sitting upright in a chair with her back straight and her arms supporting her. She is having a hard time talking to you. You should suspect:

Respiratory distress.

You find a middle-aged unresponsive man lying prone on the ground near a ladder. You should:

Manually immobilize his head.

You find a teenage male lying supine in his bedroom. You hear gurgling sounds from the patient's mouth and see vomit with pill fragments on the floor. You should:

Suction the airway.

Your patient is a middle-aged man who appears to be in distress and is clutching his chest. These observations lead you to suspect which type of problem?

Cardiac

Your partner is assessing a 55-year-old man who was found sitting on the tailgate of his truck after being involved in a motor vehicle collision. In order to provide for stabilization of the patient's cervical spine, you should:

Stand behind the patient in the truck bed.

Your patient is a 42-year-old woman who appears to be of Middle Eastern descent. Your partner, John Clark, is attempting to interview her, but she appears very uncomfortable. In order to ease this patient's discomfort, you should:

Call for a female EMT to perform the physical exam.

You are approaching a 16-year-old male with bright red spurting blood coming from his leg. He is screaming, and he begs you to help him. You should:

Control the bleeding.

You are approaching a young adult male lying supine on the ground with snoring respirations. You should:

Open his airway with a jaw-thrust maneuver.

You are approaching a young adult male lying supine on the ground with his eyes closed. You should:

Ask him if he is okay.