WorksheetsChapter 15 Introduction to Medical
Total questions: 17
Worksheet time: 9mins
In contrast to the assessment of a trauma patient, assessment of a medical patient:
almost exclusively focuses on physical signs that indicate the patient is experiencing a problem.
is focused on the nature of illness, the patient’s chief complaint, and his or her symptoms.
requires a thorough head-to-toe exam that involves a detailed assessment of all body systems.
is not as complex for the EMT because most patients typically present with classic symptoms.
Which of the following conditions is NOT categorized as a psychiatric condition?
Depression
Schizophrenia
Substance abuse
Alzheimer’s disease
When forming your general impression of a patient with a medical complaint, it is important to remember that:
the majority of medical patients you encounter are also injured.
it is during the general impression that assessment of the ABCs occurs.
most serious medical conditions do not present with obvious symptoms.
the conditions of many medical patients may not appear serious at first.
Upon initial contact with a patient who appears to be unconscious, you should:
assess breathing depth and determine the respiratory rate.
squeeze the trapezius muscle to see if the patient responds.
attempt to elicit a verbal response by talking to the patient.
direct your partner to apply oxygen via nonrebreathing mask.
Which of the following will MOST reliably allow you to determine the nature of a patient’s illness?
Trending the patient’s vital signs over time
Asking questions related to the chief complaint
Refraining from asking open-ended questions
Focusing solely on how the call is dispatched
A 58-year-old man complains of chest discomfort and nausea. He is conscious and alert; his blood pressure is 140/90 mm Hg, his pulse is 104 beats/min, and his respirations are 16 breaths/min. Your partner has applied supplemental oxygen. Prior to assisting the patient with one of his prescribed nitroglycerin tablets, you ask him if he takes medication to treat erectile dysfunction (ED), and he tells you that he does. You should:
avoid giving him nitroglycerin and transport him at once.
ask him what he takes, how much, and when he last took it.
recall that erectile ED drugs can cause significant hypertension.
administer his nitroglycerin and then reassess his blood pressure.
When performing a secondary assessment on a conscious patient with nontraumatic abdominal pain and stable vital signs, you should:
focus on his or her chief complaint.
examine the patient from head to toe.
prepare the patient for transport first.
only palpate tender areas of the abdomen.
It is especially important to assess pulse, sensation, and movement in all extremities as well as pupillary reactions in patients with a suspected _________ problem.
cardiac
endocrine
respiratory
neurologic
Reassessment of a patient with a medical complaint should begin by:
reassessing the nature of illness.
taking another set of vital signs.
repeating the primary assessment.
reviewing all treatment performed.
The primary prehospital treatment for most medical emergencies:
typically does not require the EMT to contact medical control.
focuses on definitive care because a diagnosis can usually be made.
addresses the patient’s symptoms more than the actual disease process.
involves transport only until treatment can be performed at the hospital.
Which of the following medications would the EMT be LEAST likely to administer to a patient with a medical complaint?
Aspirin
Oral glucose
Albuterol via inhaler
Ibuprofen
In which of the following situations would it be MOST appropriate to utilize an air medical transportation service?
29-year-old woman who is 18 weeks pregnant, has light vaginal bleeding, and has stable vital signs
43-year-old man experiencing a heart attack, and the closest appropriate hospital is 15 minutes away
50-year-old conscious woman with severe nausea and vomiting, fever, and chills of 3 days’ duration
61-year-old man with signs and symptoms of a stroke and your ground transport time is 50 minutes
Which of the following conditions often requires transport to a hospital with specialized capabilities that may not be available at the closest hospital?
Seizures and infection
Cardiac arrest and shock
Stroke and heart attack
Diabetes and migraines
An infectious disease is MOST accurately defined as:
any disease that enters the body via the bloodstream and renders the immune system nonfunctional.
the invasion of the human body by a bacterium that cannot be destroyed by antibiotics or other drugs.
a disease that can be spread from one person or species to another through a number of mechanisms.
a medical condition caused by the growth and spread of small, harmful organisms within the body.
Which of the following statements regarding the human immunodeficiency virus (HIV) is correct?
HIV is far more contagious than hepatitis B and is easily transmitted in the health care setting.
The risk of HIV infection is high, even if an infected person’s blood comes in contact with your intact skin.
The risk of HIV infection is greatest when deposited on a mucous membrane or directly into the bloodstream.
Most patients who are infected with HIV experience chronic symptoms that vary in duration and severity.
Hepatitis B is more virulent than hepatitis C, which means that it:
is less resistant to treatment.
is a more contagious type of disease.
has a greater ability to produce disease.
leads to chronic infection after exposure.
In contrast to viral hepatitis, toxin-induced hepatitis:
is not a communicable disease.
typically does not cause yellow skin.
is a far more transmittable disease.
can be prevented with a vaccination.
