WorksheetsMedical Knowledge Assessment
Total questions: 89
Worksheet time: 50mins
Below which SpO percentage requires the practitioner to administer oxygen in a non-COPD patient
96
98
94
99
You are performing a primary survey on an unresponsive trauma patient involved in an RTA. When evaluating her chest you note unilateral chest rise, you should
administer entonox for pain relief
note injury and continue to check circulation
inspect, palpate and auscultate the chest
Count the breathing rate for 60 seconds
Normal capillary refill results in the blood returning within _______ seconds
One
Five
Four
Which piece of equipment from the list below is required when taking a patient's blood pressure by auscultation technique
A stethoscope
A tourniquet
A cardiac monitor
A pulse oximeter
A reading of less than 85% when using a pulse oximeter means that the patient is suffering from which of the following
Severe hypothermia
Severe hypoxemia
Mild hyperthermia
Mild hypoxemia
A sphygmomanometer is used in the measurement of
Blood glucose levels
Blood pressure
Pupil size
Temperature
Normal resting heart rate expected for a newborn infant is
60 - 100
75 - 130
90 - 180
70 - 110
When inflating a blood pressure cuff to measure blood pressure by palpation, it should be inflated ______ mmHg above where the last pulse was felt
20
30
15
10
The normal breathing rate for an adult at rest is
28 - 30 breaths per minute
12-20 breaths per minute
8-10 breaths per minute
4 - 6 breaths per minute
An assessment tool that measures oxygen in the haemoglobin in the capillary bed's is called _____
The Normal pulse rate in an adult at rest is approximately between _____________ per minute
100 - 160
60 - 100
40 - 60
70 - 130
The difference between your systolic and diastolic blood pressure should be approximately 40 mmHg. This is called your ________
Pulse Pressure
Pulse Rate
Blood Pressure
Blood Volume
When assessing circulation in an unresponsive patient, the pulse should be palpated in the ______
Carotid
Femoral
Posterior tibial
Dorsalis pedis
The first set of vital signs that you obtain is known as the
baseline
main
trending
primary
The primary survey should be completed in less than ___ seconds
60
30
10
90
Pulse oximeters are used to measure
The patient's distal pulse
The percentage of haemoglobin that is oxygen saturated
The percentage of oxygen in the patient's finger
pulse rate only
Your transport decision should be made after which component of patient assessment
vital signs assessment
Primary survey
ongoing assessment
Secondary survey
The maximum on scene time for life threatening trauma should be
As soon as the primary survey is complete
less than 20 minutes
less than 10 minutes
less than 3 minutes
When conducting a primary survey on a patient with obvious significant external bleeding which of the following is the priority?
Assess airway
Control catastrophic bleeding
Assess responsiveness
C spine control
When managing a trauma patient with mechanism of injury suggestive of spinal injury you should
apply a cervical collar immediately
apply C-spine control only if there are obvious neurological symptoms
perform manual C-spine control
wait until CSMs are assessed before decided whether c-spine immobilisation is needed
The systematic head to toe examination looking for non life threatening injuries in a patient is part of a
primary survey
scene assessment
secondary survey
ongoing survey
You are assessing a patient who has an altered level of consciousness. On approach you find the patient who has their eyes closed responds to your voice by opening their eyes but doesn't speak. What is the patient's level on the AVPU score
V
A
U
P
While assessing a patient's level of consciousness, the patient only responds to a pinch of the earlobe. They are considered to be ___ on the AVPU scale
V
A
P
U
The skin pigment of a jaundiced patient may appear
yellow
blue
White
red
A patient who does not respond to any stimulus is considered to be _______________ on the AVPU scale
unstable
unable to respond
unconscious
unresponsive
For a patient to be considered alert on the AVPU scale they should be
alert and oriented
able to walk in a straight line
sitting up with their eyes open
Option 4
Capillary refill is the most reliable indicator of cardiovascular status in which patient group
pregnancy
geriatrics
children
adults
The elements of AVPU are
Alert, verbal, prone, unresponsive
Alert, verbal, pain, unconscious
Alert, verbal, pain, unresponsive
Alone, voice, pain, unresponsive
The contraction of the abdominal muscles to palpation is a sign of
Cramps in the abdominal muscles
Muscular strain
An irritation of the abdominal cavity lining
diarrhoea
The normal range of blood glucose in an adult patient is
2 - 6 mmol/L
4 - 5 mmol/L
4 - 20 mmol/L
4 - 10 mmol/L
The "Q" in the OPQRST mnemonic best relates to which of the questions below
When did the problem begin and what caused it
What is the pain like; is it sharp, dull, crushing
Does anything make it better or worse
On a scale of 1 to 10, how would you rate your pain
The sections of the spinal cord that are most susceptible to injury are the cervical and
Lumbar
Sacrum
Thoracic
Coccyx
The three major parts of the brain are the:
midbrain, cerebellum, and spinal cord
brain stem, midbrain, and spinal cord
cerebrum, cerebellum, and brain stem
cerebellum, medulla, and occiput
The blood vessels that return blood from the head are the
Inferior vena cava
Carotid arteries
Jugular veins
Pulmonary veins
The kneecap (patella) is an example of a
Sesamoid bone
Flat bone
Long bone
Short bone
The lower chambers of the heart, which are responsible for the main pumping action of the myocardium, are referred to as ________
Ventricles
Tricuspids
Atria
Septum
Which of the following structures is part of the respiratory system?
hepatic artery
hyoid bone
oesophagus
Larynx
The human skeleton is made up of
310 bones
206 bones
106 bones
385 bones
Distal CSM's means
CSM's at the fracture site
CSM's before the fracture
CSM's near the fracture
CSM's past the fracture
Bones are classified according to their shape: long, short, flat and irregular. An example of an irregular shaped bone is
Sternum
Clavicle
Vertebrae
Femur
The shoulder girdle consists of?
Phalanges and humerus
Scapulae and the metacarpals
Clavicles and the phalanges
Clavicles and the scapulae
An example of the hinged joint can be found at the
Shoulder
Knee
Sacroiliac
Hip
Bands of tough, flexible connective tissue which join the articular surfaces of bones are called
Ligaments
Tendons
Muscles (aka noelus maximus)
Cartilage
The heart is located in
The dorsal cavity slightly to the right
The thoracic cavity slightly to the right
The thoracic cavity slightly to the left
The abdominal cavity in the retroperitoneal region
An example of a solid abdominal organ is
Spleen
Stomach
Small intestine
Bladder
The ______ in your brain is regarded as the control centre for respiration
The bone distal to the scapula and proximal to the radius and ulna is the
Sternum
Clavicle
Carpals
Humerus
Which layer forms the outer part of the heart?
Myocardium
Pericardium
Endocardium
Sub endocardium
Electrical impulses that are produced in the spinal cord are transmitted along the ___ nerve to the muscle and cause it to contract
Motor
Phrenic
Sensory
Vagal
g conditions inside and outside of the body is the
Peripheral nerves
brain
spinal cord
Sensory nerves
From the outside layer to the inner, what is the correct sequence of layers of the meninges?
Dura mater, Pia mater, Arachnoid
Pia mater, Dura mater, Arachnoid mater
Dura mater, Arachnoid mater, Pia mater
Pia mater, Arachnoid mater, Dura mater
The right side of the heart
Circulates blood from the head to the lungs
Circulates blood from the heart to the head
Circulates blood from the heart to the lungs
Circulates blood from the heart to the aorta
The cardio vascular system consists of
Brain, heart, arteries, veins, blood
The heart, lungs, arteries, veins, capillaries
The heart, liver, arteries, veins, capillaries
Brain, lungs, heart, blood, arteries
The largest artery in the body is the
aorta
carotid artery
hepatic artery
femoral artery
The organs commonly found in the right upper quadrant of the abdomen are
Stomach, spleen, large intestine, pancreas
Liver, spleen, descending colon, small intestine
Liver, stomach, kidney bladder
Liver, gallbladder, duodenum, small portion of pancreas
The heart is composed of four chambers. They include two atria and two ventricles. The chamber that pumps oxygenated blood into the aorta is the ______ which ejects approximately ___ ml's of blood per contraction
left atria - 120
Right atria - 70
Right ventricle - 120
Left ventricle - 70
The spine consists of 33 bones, which breaks down into 5 groups. Identify the groups
7 cervical; 12 lumbar; 5 thoracic; 4 sacrum; 5 coccyx
7 cervical; 12 thoracic; 5 lumbar; 6 sacrum; 3 coccyx
7 cervical; 12 thoracic; 5 lumbar;5 sacrum; 4 coccyx
5 cervical; 12 lumbar; 7 thoracic, 5 sacrum; 4 coccyx
Identify the three types of muscular tissue
Voluntary, striated, cardiac
Skeletal, smooth, cardiac
Cardiac, smooth, involuntary
Striated, voluntary, skeletal
The amount of air that passes into and out of the lungs in one breath is called
vital capacity
minute volume
Tidal volume
inspiratory reserve volume
The central nervous system (CNS) is comprised of
brain and spinal cord
spinal cord and pia mater
spinal cord and dura mater
brain and 12 cranial nerves
Where is the Dorsalis Pedis pulse point found?
Behind the ankle
in the groin
at the knee
On top of the foot
There are a number of factors that provide us with a stimulus to breath, one of them being _______ which are situated in the walls of the Aorta and the Carotid
chemoreceptors
Baroreceptors
neurotransmitters
Stretch receptors
Skeletal muscle has four characteristics, excitability, contractility, extensibility and _______
Elasticity
Elongation
Automaticity
Osseo integration
How many spinal vertebrae are there?
30
31
33
12
The amount of blood ejected from the left ventricle into the aorta for each contraction is called
Stroke volume
Cardiac pre-load
Cardiac output
Systolic pump pressure
Which of the following groups of organs all lie within the abdominal cavity
Pancreas, vena cava and lungs
Gall bladder, liver and pancreas
Kidneys, spleen and heart
Oesophagus, aorta and lungs
External respiration is the process of carbon dioxide being exchanged for oxygen in your lungs. This takes place in the _________ of the lungs
Pleural Cavity
Bronchi
Alveoli
Trachea
Pathology is the study of
Diplopia
disease
Diets
Dermatomes
When you arrive on scene, you find an adult patient in cardiac arrest. You should mobilise how many additional responders?
5 - 6
3 - 4
1 - 2
none
What is the fifth link in the chain of survival?
Advanced life support and post arrest care
Early defibrillation
Early access
Early CPR
Prolonged use of _______ in COPD patients may lead to the reduction in ventilation stimulus
Salbutamol
Oxygen
Methoxyflurane
Entonox
The term "anoxia" refers to
Over saturation of oxygen in the body tissue
Complete lack of oxygen in the body tissue
Complete lack of carbon dioxide in the body tissue
Over saturation of carbon dioxide in the body tissue
When you open an infant's airway you should
Tilt the head forward fully
maintain the head in a neutral inline position
use a jaw thrust
Tilt the head back fully
A cerebrovascular accident often referred to as a stroke, can be caused in two ways. One by a ruptured blood vessel within the brain that accounts for 25% of CVA's and the other is a/an ___________ within the brain that accounts for the remaining 75%
Bleed
Aneurysm
Thrombosis
Haemorrhagic
A noticeable blue/grey colouring to the tongue, lips, and nail beds is a sign that the tissues are not being sufficiently oxygenated. This is called
symbiosis
jaundice
cyanosis
pallor
You are attempting to resuscitate a patient in cardiac arrest using a bag-valve-mask and reservoir to provide positive pressure ventilations. With a reservoir bag fitted the BVM will deliverer what oxygen percentage?
50 to 75
75 to 85
90 to 100
70 to 80
When inserting a supraglottic airway the EMT has only ____ attempts of placing the airway
3
1
5
2
A patient has collapsed suddenly and has an altered LOC. His airway should be opened by using
jaw thrust
Head-tilt, chin-lift
an OPA
the recovery position
What percentage of oxygen is contained in expired air?
20
0.4
16
79
A simple face mask at the proper setting on the flow regulator (6 - 10 litres per minute) can deliver a maximum oxygen concentration of
80%
35%
60%
44%
The indications for the use of aspirin are
Bronchospasm or Cardiac chest pain
Cardiac chest pain or suspected Myocardial infarction
Apnoea or Cardiac chest pain
Myocardial Ischemia, in a patient less than 16 years of age
Scenario: A 50 year old female patient has chronic bronchitis. The initial assessment finds her breathing at 6 times per minute with an altered mental status; her skin is cool and clammy to touch. Your next action should be to
administer oxygen by nasal cannula at the rate of 15 litres per minute
Assist respirations with artificial ventilations and supplemental oxygen
Administer oxygen by non-rebreather mask at 15 litres per minute
Place the patient in the up-right position to ease breathing
An obstructive airway disease, characterised by a loss of elasticity to the alveoli and the terminal bronchiole is called
Emphysema
Asthma
Bronchitis
Pneumonia
What is the most common cause of cardiac arrest in children
seizures
Electric shock from appliances
Heart Disease
respiratory arrest
The oxygen adjunct of choice for a patient who has been involved in a trauma event and is breathing normally is
BVM, 02 and reservoir bag
Nasal cannula
Non rebreather facemask
Venturi mask
On arrival at the scene of an accident you find a patient with gurgling sounds coming from her throat and inadequate breathing (6 per min). How do you proceed to protect the airway and support breathing?
Open airway, suction, insert OPA, use BVM with O at 100%
Deal with severe bleeding first
Open airway, suction, insert OPA, use simple face mask
Open airway, suction and apply a non rebreather facemask
What does ROSC stand for?
Return of Stimulated Contractions
Return Of Standard Circulation
Return of systemic circulation
Return of Spontaneous Circulation
In a condition known as hypoxic drive the patients breathing mechanism is triggered by the low amount of
Oxygen in the blood
Carbon dioxide in inspired air
Carbon dioxide in the blood
Oxygen in inspired air
Exchange of gases takes place in the lungs due to the process of
Diffusion
Absorption
Inspiration
Osmosis
