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Mod 3

Multiple Choice
Identify the choice that best completes the statement or answers the question.
 

 1. 
You arrive on scene to find a 29-year-old male who was in a motor vehicle accident. He was not wearing any type of restraint. He complains of shortness of breath. Which of the following should be the initial step in his care?
a.
 Assess the abdomen by palpation.
b.
 Assess the abdomen by inspection.
c.
 Assess the chest by inspection.
d.
 Assess the chest by auscultation.
 

 2. 
You are on scene with a 56-year-old female who was assaulted. You are filling out the appropriate documentation on the chart. Which of the following should be considered in this situation with regard to documentation?
a.
 This report may become a legal document, and it should be legible.
b.
 This incident should not be reported to the police.
c.
 Details such as spelling are not important.
d.
 The report can include any type of abbreviations.
 

 3. 
Which of the following best describes the importance of the verbal report after EMTs arrive at the hospital?
a.
 It allows the patient to feel comfortable with the transfer of care.
b.
 The hospital staff requires this information.
c.
 It helps clarify information that may not be in the written report.
d.
 It is not necessary.
 

 4. 
Which of the following is considered a factor in the scene size-up?
a.
 Mechanism of injury
b.
 Medications
c.
 Patient history
d.
 Physical
 

 5. 
Which of the following is the best description of the nature of illness?
a.
 Past medical history
b.
 Allergies
c.
 Medications
d.
 Chief complaint
 

 6. 
What does the P in DCAPBTLS stand for?
a.
 Pain
b.
 Provocation
c.
 Puncture or penetrating wounds
d.
 Past medical history
 

 7. 
What does the letter P stand for in OPQRST in the history of the present illness?
a.
 Past medical history
b.
 Past meal
c.
 Provocation
d.
 Pain
 

 8. 
You arrive on scene, where you find an 81-year-old female who complains of chest pain. You establish that she has a patent airway. Which of the following is the next step in her care?
a.
 Assess breathing.
b.
 Assess the pulse.
c.
 Assess for signs of circulation.
d.
 Assess for risk factors for a heart condition.
 

 9. 
A rapid trauma assessment should be performed on patients with injuries to which of the following body structures?
a.
 Arms
b.
 Legs
c.
 Hands
d.
 Head
 

 10. 
You arrive on scene and find a patient whose skin is mottled and bluish. Which of the following may be the cause of this condition?
a.
 This is a normal finding.
b.
 Hyperthermia
c.
 Hypertension
d.
 Shock
 

 11. 
Which of the following best describes the letter A in the DCAPBTLS assessment?
a.
 Alert
b.
 Average
c.
 Abrasions
d.
 Apneic
 

 12. 
Which of the following acronyms is used to discuss pupillary findings?
a.
 ABC
b.
 PERRL
c.
 OPQRST
d.
 SAMPLE
 

 13. 
You are on scene with a 24-year-old male who was in a motor vehicle accident. He refuses treatment. Which of the following is the next most important step?
a.
 Document the refusal on the run report.
b.
 Explain the risks and benefits of treatment.
c.
 Make sure the patient is competent to refuse treatment.
d.
 Contact medical control.
 

 14. 
You arrive on scene at a motor vehicle accident. Which of the following is the first thing you should do?
a.
 Determine the need for mutual aid.
b.
 Determine the number of patients.
c.
 Contact the police for backup.
d.
 Evaluate scene safety.
 

 15. 
You are on scene with a 45-year-old male who is deaf. An interpreter who understands sign language is present. Which of the following will help facilitate this interaction?
a.
 Look directly at the interpreter.
b.
 Speak in medical terms.
c.
 Make eye contact with the patient.
d.
 Think out loud; this helps the interpreter.
 

 16. 
You arrive on scene at a multiple vehicle collision that appears to involve approximately five patients. Which of the following is your initial step after scene safety?
a.
 Transport patients.
b.
 Prioritize patients according to your initial assessment.
c.
 Contact dispatch.
d.
 Begin to provide care to the closest patient.
 

 17. 
You are writing a report. You have made an error and would like to correct it. Which of the following is an important consideration?
a.
 Always use pencil so that the report may be erased.
b.
 A single line through each of the incorrect words is appropriate.
c.
 Cross out the incorrect word numerous times.
d.
 Use a white-out solution to eliminate the mistake.
 

 18. 
Which of the following is an appropriate procedure in radio communication with the receiving facility?
a.
 Provide all information in one complete report.
b.
 Identify yourself and wait for confirmation that the staff is ready for your transmission.
c.
 Provide only brief information.
d.
 Special communication procedures are necessary only when contacting medical control.
 

 19. 
You arrive on scene to find a patient who has a chemical splash to his eyes. He keeps his eyes almost shut while you try to talk with him. Which of the following would help communication with this patient?
a.
 Position a light to the side of the patient.
b.
 Make good eye contact.
c.
 Remain at the same level as the patient.
d.
 Address him by his name.
 

 20. 
You arrive on scene to a fall from greater than 10 feet. Which of the following would you expect from this mechanism?
a.
 Eye injuries
b.
 Extremity fractures
c.
 Skin abrasions
d.
 Lacerations
 

 21. 
You arrive on scene, where you find a 44-year-old female complaining of severe chest pain. Which of the following is an abnormal finding?
a.
 Warm, dry skin
b.
 Cool, diaphoretic skin
c.
 Pulse rate of 98
d.
 Strong, regular pulse
 

 22. 
You arrive on scene to find a patient who has significant facial trauma after being hit with a baseball. Which of the following would be a sign that the skull has been fractured?
a.
 Bruising behind the ears
b.
 Epistaxis (bloody nose)
c.
 Contusion (bruising)
d.
 Pain
 

 23. 
You arrive on scene to a gunshot victim. Which of the following should be your first action?
a.
 Airway
b.
 Breathing
c.
 Circulation
d.
 Contact police
 

 24. 
You are on scene at a multiple vehicle accident. Which of the following is the best rationale for determining the number of patients?
a.
 It is required on the run report.
b.
 It will help determine the amount of help required.
c.
 It must be reported to the police.
d.
 It may be important in court.
 

 25. 
You arrive on scene to find a 77-year-old female who fell and is complaining only of pain in her right hip She fell from her chair while trying to get up. Which of the following is the next most appropriate step?
a.
 Complete the history before transfer.
b.
 Complete the physical examination before transfer.
c.
 Perform a focused trauma assessment.
d.
 Perform a detailed evaluation of her mental status.
 

 26. 
You are on scene with a 24-year-old male who was hit in a motor vehicle accident. You believe he was intoxicated. Which of the following is the best documentation of this?
a.
 State that the patient is intoxicated.
b.
 State that the patient is acting abnormally.
c.
 State that the patient is having difficulty with speech.
d.
 State that the patient appears drunk.
 

 27. 
You arrive on scene to find a 32-year-old male who was involved in a head-on collision. You determine that he is responsive to pain only, but he has a patent airway. Which of the following should you do next?
a.
 Move the patient to a backboard.
b.
 Place a cervical collar on the patient to stabilize head and neck.
c.
 Assess the distal pulses.
d.
 Check for femur deformity.
 

 28. 
You arrive on scene to find a patient with an open chest wound. Which of the following is the next most appropriate action?
a.
 Place a sterile gauze over the wound.
b.
 Place an occlusive dressing over the wound and secure it on three sides.
c.
 Explore the wound.
d.
 Place nothing over the wound.
 

 29. 
Which of the following is a component of the detailed physical examination?
a.
 DCAPBTLS
b.
 SAMPLE
c.
 OPQRST
d.
 AVPU
 

 30. 
Which of the following is an essential component of the verbal report?
a.
 Description of the patient’s condition
b.
 Diagnosis
c.
 Family doctor’s name
d.
 Location of patient pickup
 

 31. 
You are completing your run report on a motor vehicle accident. You provide this report to the hospital. Which of the following is important for continuity of care?
a.
 Information on other patients
b.
 Scene times
c.
 Care rendered at the scene
d.
 Administrative information
 

 32. 
You are on scene with an unresponsive patient. He is diaphoretic and has a weak, thready pulse. Which of the following actions will be most helpful in your assessment?
a.
 Look through the man’s wallet for prescription information.
b.
 Look through his house for medications.
c.
 Contact dispatch for information.
d.
 Obtain the history of the present illness from family members.
 

 33. 
You arrive on scene to find a 21-year-old female victim of a sexual assault. Which of the following might help facilitate effective communication?
a.
 Finding a private setting
b.
 Using multiple interviewers
c.
 Asking closed questions
d.
 Standing close to the victim
 

 34. 
You arrive on scene to find a 23-year-old female with chest pain. She has no previous history of chest pain or cardiac problems. After your initial assessment, which of the following is the next most appropriate action?
a.
 Complete the report.
b.
 Assess the history of the present illness.
c.
 Contact dispatch.
d.
 Contact her family physician.
 

 35. 
You are on scene with a 14-year-old female with abdominal pain. Which of the following techniques would be the most helpful as you ask her questions?
a.
 Interrupt her to speed up the process.
b.
 Ask open-ended questions.
c.
 Ask brief, closed questions.
d.
 Start with direct questions.
 

 36. 
You arrive on scene and find a 23-year-old male was in a bar fight. He has a chest wound that appears to have been caused by a knife. Which of the following is the most appropriate action?
a.
 Continue your rapid trauma assessment.
b.
 Stabilize the wound with an appropriate dressing.
c.
 Begin a detailed history.
d.
 Examine the extremities for distal pulses.
 

 37. 
Which of the following is an effective component of communication?
a.
 Interruption
b.
 Domination of a conversation
c.
 Feedback
d.
 Interference
 

 38. 
Which of the following best describes the detailed physical examination?
a.
 An assessment of the chief complaint
b.
 An exam from head to toe
c.
 A part of the rapid assessment
d.
 An exam performed on every patient
 

 39. 
Which of the following is an accurate description of the purpose of a rapid trauma assessment?
a.
 A detailed evaluation of the body to assess for injuries
b.
 A quick, efficient evaluation of the body to assess for severe injuries
c.
 An examination that begins at the abdomen and moves outward
d.
 The use of strong and detailed history skills
 

 40. 
You arrive on scene, where you find a victim of a possible overdose. Dispatch reported a 21-year-old unconscious female. Which of the following is your initial action?
a.
 Contact dispatch.
b.
 Assess scene safety.
c.
 Perform the initial assessment.
d.
 Obtain a history of the present illness.
 

 41. 
You are on scene with a 57-year-old male who has a severe headache. During your interaction with him, you tell him that everything will be OK. This describes which of the following communication pitfalls?
a.
 Avoidance
b.
 Use of medical terms
c.
 False reassurance
d.
 Dominating the conversation
 

 42. 
On arrival at the hospital, you provide information to the physician in the emergency department. This is an example of which of the following?
a.
 Continuity of care
b.
 Continuous quality improvement
c.
 Patient confidentiality
d.
 Patient data
 

 43. 
You arrive on scene at a motor vehicle accident. Which of the following should be a component of your general impression?
a.
 Mechanism of injury
b.
 History
c.
 Physical examination
d.
 Assessment for orientation
 

 44. 
Which of the following is part of the ongoing assessment?
a.
 Reassess the SAMPLE history.
b.
 Reassess the chief complaint.
c.
 Reassess the initial impression.
d.
 Reassess vital signs.
 

 45. 
You arrive on scene and find a man who is lying on the ground after an altercation. The man’s eyes are closed. Which of the following is the first thing you should do?
a.
 Assess for a pulse.
b.
 Assess for traumatic injuries to the abdomen.
c.
 Assess for breathing.
d.
 Attempt to rouse the patient.
 

 46. 
You arrive on scene and find a 23-year-old female who may have overdosed on heroin. You assess her mental status and find her unresponsive. Your general assessment reveals no obvious signs of trauma. Which of the following should be your next course of action?
a.
 Ventilate the patient.
b.
 Assess for a pulse.
c.
 Perform a head tilt chin lift maneuver.
d.
 Perform a rapid trauma assessment.
 

 47. 
You arrive on scene to find a 22-month-old male who fell. He has a patent airway and a respiratory rate of 24, nonlabored. Which of the following is the next most important step in his care?
a.
 Assess the pulse.
b.
 Administer positive pressure oxygen.
c.
 Assist ventilation with a bag-valve-mask.
d.
 Provide supplemental oxygen.
 

 48. 
Which of the following is the difference between the detailed physical examination performed on a trauma patient and that performed on a medical patient?
a.
 They are always identical.
b.
 The trauma physical exam may reveal an unknown injury.
c.
 The trauma physical exam should focus only on the chief complaint.
d.
 The medical physical exam should be completely head to toe.
 

 49. 
An adult patient has a respiratory rate of 8, and the respirations are labored and deep. He also has a decreased level of consciousness. Which of the following best describes his breathing?
a.
 Adequate breathing
b.
 Sufficient breathing
c.
 Requires assistance with a BVM with 100% oxygen
d.
 Requires a nonrebreather mask with 100% oxygen
 

 50. 
You are on scene with a 47-year-old male who fell from a ladder while fixing his roof. Which of the following should be your first action?
a.
 Provide C-spine stabilization.
b.
 Reassess the vital signs.
c.
 Perform a detailed physical examination.
d.
 Obtain the history of the present illness.
 



 
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