Quiz 1.3

An elderly male is complaining of shortness of breath.  You discover pitting edema that is 1/2 to 1 inch deep.  This is _____ pitting edema.

A. +2
B. +1
C. +4
D. +3

A 23-year-old female is complaining of lower abdominal and genital pain.  Upon examination you find a white, curdlike vaginal discharge.  This is most typical of:

A. Herpes simplex
B. Gonorrhea
C. Candidiasis
D. Gardnerella

A scalp condition marked by mild flaking of skin is known as:

A. Dandruff
B. Hirsutism
C. Seborrheic dermatitis
D. Psoriasis

You are en route to a hospital with a patient who appears stable following a motor vehicle collision.  To detect changes in the patient's condition, you should do which of the following during transport?

A. detailed physical exam
B. repeat the primary assessment
C. rapid trauma assessment
D. neurological assessment

Which of the following best describes the correct positioning of a patient for an abdominal exam?

A. supine with the head flat and legs extended
B. semi-fowlers position
C. lateral recumbent
D. supine with the head and knees supported by pillows

You are assessing a 28-year-old male with multiple gunshots to his abdomen.  You should expect his skin to be:

A. cool and moist
B. warm and dry
C. cold and dry
D. hot and moist

At the scene of a multiple-vehicle collision, which of the following actions should you take first?

A. go directly to the first patient you see
B. quickly scan the scene to count patients
C. wait for additional resources to arrive
D. treat the most seriously injured patient

Steps in assessing circulation during a primary assessment include all of the following EXCEPT:

A. checking for skin signs
B. controlling major bleeding
C. determining the blood pressure
D. checking for a radial pulse

Which of the following statements regarding stridor is true?

A. the presence of stridor requires immediate intubation
B. the correct treatment of stridor depends upon the underlying problem
C. stridor originates in the lower airways
D. stridor is seldom of clinical significance

Which of the following questions is designed to find out about palliation?

A. "What makes the pain feel better?"
B. "What were you doing when this pain began?"
C. "What does the pain feel like?"
D. How long have you been having this pain?"

Mottled, cyanotic, pale, or ashen skin color may indicate any of the following EXCEPT:

A. Hypertensive crisis
B. Impaired blood flow to an extremity
C. Loss of spinal cord function
D. Significant blood loss

"Public distance" refers to a space of how many feet between people?

A. 3 - 6
B. 4 - 12
C. 12 or more
D. 2 - 3

A patient who appears to be intoxicated has fallen and is complaining of pain to his right arm.  He is loud and using profane language.  Which one of the following should be your initial approach to the patient?

A. "Let me put an ice pack on your wrist.  It will help it feel better."
B. "Stop yelling, or I will have to strap you to the stretcher."
C. "I cannot help you if you keep yelling like that!"
D. "If you do not quiet down, I will call the police, and they will arrest you."

Your patient remains unresponsive after a painful stimulus is applied.  The family reports that the patient was found unconscious in bed after complaining of a "terrible headache".  Which of the following represents the correct sequence of actions in this situation?

1 Obtain a brief history from the family
2 Conduct a rapid secondary assessment
3 Perform a detailed exam
4 Determine vital signs
5 Perform a primary assessment

A. 5, 2, 3, 1
B. 5, 1, 3, 4
C. 5, 1, 2, 4
D. 5, 2, 1, 4

After determining that a patient does not respond to verbal stimuli, your next action would be to:

A. pinch one of his fingernails
B. apply manual cervical spine stabilization
C. insert an oropharyngeal airway
D. place him in the recover position

You would like to test a patient's visual acuity, but a visual acuity card or wall chart is not available.  You can still test for visual acuity by:

A. checking the pupils
B. asking the patient to indicate the furthest object he can see
C. having the patient count your raised fingers
D. covering one eye and testing for light accomodation

Which of the following findings is NOT a sign of peritoneal irritation?

A. rebound tenderness
B. abdominal pain when the patient coughs
C. DeLorenzo's sign
D. abdominal pain upon light palpation

An important aspect of the reassessment is to monitor and evaluate all of the following EXCEPT the:

A. effectiveness of interventions
B. accumulation of charges for care
C. vital signs
D. transport priority

When checking for skin turgor, you should:

A. palpate the skin for flaking
B. press the nail beds, then release
C. use the back of your hand to determine temperature
D. gently pick up a fold of skin, then release it

Which of the following statements regarding patient communication is true?

A. use medical terminology to keep things on a professional level
B. cultural differences make no difference in professional communication
C. avoid using interpreters
D. use language appropriate to the patient's level of understanding

Pain or tenderness on palpation of the tragus could suggest:

A. Mastoiditis
B. Meniere's disease
C. Cerumen impaction
D. Perforated tympanic membrane

Which of the following is included in examination of the mouth?

A. visualizing the larynx
B. removing dentures
C. looking under the tongue
D. palpating the uvula

A 45-year-old patient presents with abdominal pain in the right lower quadrant.  Upon auscultation of bowel sounds, you hear high-pitched gurgles and clicks lasting around 10 seconds.  This patient may have:

A. hyperperistalsis
B. normal sounds
C. paralytic ileus
D. borborygmi

You are speaking with a patient who responds to you questions with clear speech but completely inappropriately.  This might indicate a condition known as:

A. Receptive aphasia
B. Dysarthria
C. Dysphonia
D. Expressive aphasia

Which of the following is NOT part of the medical history?

A. type of health care insurance
B. past injuries
C. current medications
D. current symptoms