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Law enforcement has brought you an 18 month old girl who is possibly the victim of child abuse.
The child has a pulse of about 106 and her mouth and lips are dry. Her skin is pink and her
respirations are at about 30 per minute. Blood pressure is 90/60. This child likely has: correct
answers Mild dehydration
This child likely has mild dehydration. Cool or mottled skin with poor turgor would lead you to
moderate or severe, but this child has pink skin. Also, the pulse is fine, and with moderate and
severe you will likely see tachycardia.
The root word enter- means: correct answers Intestine
Apnea is defined as? correct answers The absence of breathing
. During secondary assessment, an overview of the chest should include all of the following
except correct answers Muscle Hypertrophy
The secondary assessment of the chest should include: Expose appropriately; chest shape and
symmetry; respiratory effort; and surface findings or inspection. Muscle hypertrophy isn't a
noteworthy finding during the secondary exam of the chest.
When a laceration is healing, and the initiation of the clotting process has begun, the important
binding agent that holds everything together is called..? correct answers Fibrin
The "glue" that holds a clot together is called fibrin
The pediatric assessment triangle is composed of three elements: correct answers Circulation,
Appearance, Work of Breathing
Airway, ventilation and oxygenation management considerations in submersion incidents include
all of the following except: correct answers Stop resuscitation efforts if the patient doesn't
respond
Airway, ventilation, and oxygenation management considerations in submersion incidents
include: suction and maintain open airway, ventilate with bag-mask if impaired ventilation or
respiratory arrest, and administer oxygen by non-rebreather mask if breathing is adequate. Full
resuscitation efforts should be continued no matter how long the patient has been submerged.
You and your partner Grimes are called to the scene of a stabbing. There are two patients
reported. A woman with a stab wound to the URQ and a man with a stab wound to the LRQ. The
woman with the wound in the URQ is having problems breathing, has a pulse of 103,
respirations of 35, and they are shallow. The patient with the stab wound to the LRQ is
complaining of severe abdominal pain and has a pulse of 48 and a respiration rate of 24. Which
patient is most likely to have a low blood pressure? Why? correct answers The man, because of
,the nature and location of the injury, he may be losing blood internally. His pulse is too slow as
well
The man with the pulse of 48 and a knife wound to the lower right quadrant suggests internal
bleeding which would lower the blood pressure.
All of the following are considered stimulants except: correct answers Chloroquine
Stimulants produce an excited state and include: Amphetamine, methamphetamine, phentermine
hydrochloride, ecstasy, eve, cocaine, PCP, and methaqualone.
All of the following can have a profound effect on normal ventilation except: correct answers
Vasoconstriction
All of the following can have a profound effect on normal ventilation: Interruption of nervous
control, structural damage to the thorax, bronchoconstriction, and disruption of airway patency.
Vasoconstriction doesn't profoundly influence ventilation and is an incorrect answer.
18. Hair follicles are found in which layer of the skin tissue? correct answers Dermis
With regard to blood pressure, which of the following statements is true? correct answers Blood
pressure has a direct affect on the perfusion of the body's tissues
Blood pressure has a direct affect on the body's tissues, as without proper pressure the perfusion /
oxygenation of the tissues is inadequate. Blood pressure is measured from the pressure in the
arteries not the right ventricle. It is equal to cardiac output, TIMES peripheral vascular
resistance. Blood pressure, although an important sign, is not taken during the initial assessment.
You arrive on scene to find 4 patients. Which is the one you would treat and transport as a
priority?
a.)A 64 year old woman complaining of chest pain with a BP of 120/70 and a pain severity rating
of 5
b.) 24 year old male with a broken collar bone and a broken wrist
c.) 9 year old who is conscious, with respirations of 26 per minute, and a systolic BP of 68
mmHg
d.) An 18 year old with a systolic BP of 100 mmHg correct answers 9 year old who is conscious,
with respirations of 26 per minute, and a systolic BP of 68 mmHg
The key to this answer is knowing that a child with a blood pressure lower than 70 mm Hg
systolic is considered critical.
Solid organs of the body include? correct answers Kidneys and spleen
, A woman has fallen 20 ft. from a ski lift. You are the first medical unit on scene. She is
conscious and breathing normally. C-spine is in place, you package her on a backboard with high
flow O2 and begin transport. The patient is looking around the ambulance and begins using
inappropriate words to describe things she is seeing. You have given her several requests to
wiggle her toes but she does not respond. This woman has a GCS of what? correct answers 8
Using inappropriate words gets her 3 points, spontaneous eye movement gets her 4, and no
motor response on request gets her 1 point, for a total of 8 points.
The pulmonary veins carry blood from the________________ to the _____________________.
correct answers Lungs / heart
They carry oxygen rich blood from the lungs to the left atrium of the heart for redistribution to
the body.
Pulmonary veins return blood to the ___________ correct answers Left atrium
The pulmonary vein returns blood to the left atrium from there it goes to the left ventricle.
Shock that results from fluid loss is called? correct answers Hypovolemic
You are assessing a 6 month old infant girl and become concerned when you discover her
respiratory rate. Which of the following rates would give you this concern? correct answers 60
breaths/min
Infants have more lung tissue, but do not have significantly developed musculature in their lungs.
Therefore, continued rapid respirations over 50 breaths/min become difficult to sustain and place
the infant in danger of respiratory failure.
Pertinent negatives are often used when documenting patient conditions on a PCR. Which of the
following is a pertinent negative for a patient experiencing an MI? correct answers Patient denies
chest pain
A pertinent negative is a symptom or condition you would expect to see under certain
circumstances, but is not present with a particular patient.
Which of the following choices would you include in a detailed physical exam? correct answers
Auscultating the lungs
Auscultation is the physical listening for sounds of the heart and lungs.
A drop in blood pressure is a ________________. correct answers Late sign of shock
A drop in BP comes late in shock and means that things are getting worse.
