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WorksheetsChapter 15
Total questions: 33
Worksheet time: 17mins
When should the EMS secondary assessment typically be initiated during patient care?
Immediately upon arrival at the scene
Only if the patient requests more testing
After scene size-up and primary assessment
Only after transporting to the hospital
Match each patient category to its defining characteristic.
Medical patient
Has one or more medical diseases or conditions
Trauma patient
Suffers from one or more physical injuries
Unknown patient
Has a problem of indeterminate nature
Which component of the secondary assessment primarily uses inspection, palpation, and listening to identify injuries and abnormalities?
Reassessment during ongoing care
Vital signs by monitoring devices
Patient history through interview questions
Physical examination by sensory techniques
Match each term with its best description.
History of present illness (HPI)
Current complaint details from patient
Past medical history (PMH)
Previous diagnoses and medications
Sign
Objective finding observable by provider
Symptom
Subjective experience reported by patient
An awake medical patient with no immediate life threats should be approached in what sequence to optimize information gathering?
Obtain history first, then focused physical exam, then baseline vital signs
Perform rapid physical exam, then transport, then obtain vitals later
Take vital signs first, then complete head-to-toe exam, then history
Begin reassessment immediately, then history when time allows
Match each history element in SAMPLE with its focus.
Signs and symptoms
Patient-reported and observed problems
Allergies
Substances causing reactions
Medications
Drugs currently taken or recent doses
Pertinent past history
Relevant diseases or prior events
You are assessing a responsive patient with chest discomfort. Plan the first three prioritized steps of the secondary assessment.
Take vital signs, apply oxygen, perform physical exam
Elicit OPQRST, obtain SAMPLE, focus exam on cardiovascular
Ask yes/no questions, check blood glucose, inspect abdomen
Transport rapidly, call medical control, reassess airway
Measure temperature, start IV, perform full head-to-toe
Which sequence best describes the assessment order for an unresponsive medical patient?
History then focused exam then vitals then transport
Scene size-up then SAMPLE then OPQRST then transport
Rapid exam then vitals then history then interventions
Vitals then full history then focused exam then transport
Match each specific complaint with the most critical physical exam focus.
Shortness of breath
Lung sounds, wheezing, work of breathing
Chest pain or discomfort
Blood pressure, pulse, jugular distention
Mental status changes
FAST assessment for stroke indicators
Abdominal pain
Inspect and palpate all quadrants
During the rapid physical exam of an unresponsive patient, which regions must be assessed to complete a head-to-toe survey?
Neck and pelvis only
Head, chest, abdomen only
Head, neck, chest, abdomen, extremities, posterior
Extremities and posterior only
You encounter an adult with altered mental status and diabetes history. Which additional check is most appropriate during the physical exam?
Pulse oximetry for oxygen saturation
Pedal edema inspection
Blood glucose monitoring for hypoglycemia
Jugular venous distention evaluation
In the primary assessment of an unresponsive medical patient, which action should occur first when establishing priorities? Refer to the diagram showing gloved hands managing airway equipment.
Begin transport while notifying the hospital
Open airway, provide suction, and apply adjuncts
Obtain history and perform body systems exam
Check pulse and assess skin signs for shock
Match each assessment step with its correct timing or focus, using the visual guide details.
Reassessment
Every 5 minutes if unstable; 15 minutes if stable
Secondary assessment—responsive
History first; targeted body systems exams
Transport
Timing, priority, destination based on condition
During a rapid physical exam of an unresponsive patient, which finding at the neck most directly suggests compromised venous return and possible increased intrathoracic pressure?
Jugular vein distention
Subcutaneous emphysema palpation
Carotid bruit on auscultation
Midline trachea alignment
You discover a bracelet with a Star of Life emblem and engraved condition while assessing a patient. What is the best next action to integrate this information into care?
Document it after transport completes
Remove it to prevent tourniquet effect
Alert receiving staff and relate the condition
Ignore it unless the patient is conscious
During the secondary assessment of a responsive medical patient, which sequence best reflects the correct order of actions?
Take baseline vitals, interview bystanders, then perform full exam
Obtain history, examine affected body parts, then baseline vitals
Interview family first, then perform exam, then take vitals
Perform head-to-toe exam, then take baseline vitals, then history
You arrive to find an unresponsive medical patient. What is the most appropriate initial focus of the secondary assessment?
Transport immediately without any assessment
Extensive bystander interviews before exam
Rapid physical exam and baseline vital signs
Detailed head-to-toe exam with neuro testing
Match each step to the patient priority category during secondary assessment.
Determine chief complaint and history of present illness
Low-priority minor injury
Continue spinal precautions if indicated
More seriously injured
Perform rapid trauma assessment
More seriously injured
Obtain a past medical history
Low-priority minor injury
A bicyclist with an isolated wrist pain after a low-speed fall is alert and has normal vital signs. Which focused exam sequence best applies?
Request advanced life support before any exam
Perform head-to-toe rapid assessment immediately
Immobilize full spine, then defer extremity exam
Inspect wrist, palpate structures, assess neurovascular status
In the primary assessment of a trauma patient, which sequence best focuses on immediate life threats?
Circulation, breathing, airway, massive hemorrhage
Breathing, airway, circulation, massive hemorrhage
Massive hemorrhage, airway, breathing, circulation
Airway, circulation, massive hemorrhage, breathing
Match each trauma care action to its most appropriate phase shown in the visual guide.
Provide c-spine stabilization as indicated
Size up the scene
Rapid head-to-toe exam for multiple injuries
On-scene examination for serious injuries
Notify the receiving hospital
Communication phase
Detailed reassessment while transporting
En route care
Which set best represents DCAP-BTLS when assessing trauma injuries during palpation and exposure?
Dislocations, cuts, abrasions, pressure, bruises, tears, lesions, soreness
Deformities, compressions, abrasions, perforations, blisters, tension, lesions, shock
Deformities, contusions, abrasions, punctures, burns, tenderness, lacerations, swelling
Distortions, contusions, abrasions, punctures, burns, tingling, lesions, stiffness
During auscultation in trauma assessment, what is the primary purpose of listening over both sides of the chest?
Identify heart murmurs and arrhythmias
Compare for decreased or absent breath sounds
Assess carotid bruits suggesting stenosis
Detect bowel sounds indicating obstruction
Match each examination technique to its main action in secondary assessment.
Observation
Visual symmetry, color, shape, movement
Palpation
Feeling for tenderness, texture, temperature
Auscultation
Listening with stethoscope for breath sounds
Which step ensures a cervical collar does not hyperextend the neck during sizing?
Align the occiput in neutral alignment
Position the chin piece below the mandible
Preload posterior panel before application
Measure collar so chin piece stays level
Sequence the steps for applying an adjustable cervical collar to a seated patient.
Stabilize head and neck from rear
First step
Angle collar properly for placement
Second step
Position the collar around neck
Third step
Begin securing the collar straps
Fourth step
For a supine patient, which action must continue throughout collar application to prevent worsening spinal injury?
Compress the collar for tighter fit
Rotate the head to align midline
Maintain manual stabilization throughout
Perform head tilt–chin lift continuously
During rapid trauma assessment of the head and face, what additional finding beyond wounds, tenderness, and deformities warrants urgent concern?
Presence of nasal hair abrasion only
No drainage from ears or nose
Crepitation of facial bones on palpation
Equal and reactive pupils throughout
Match each body region step with the corresponding specific check in rapid trauma assessment.
Ears
Drainage of blood or clear fluid
Neck
Jugular vein distention and crepitation
Chest
Auscultate breath sounds and parity
A child falls from a height just over 10 feet. Which statement best reflects field triage significance compared with adults?
Lower threshold due to smaller size
Not significant unless ejection occurs
Higher threshold because bones are flexible
Same threshold height as adult falls
Calling 911 is which part of the 'Chain of Survival"?
Step 1
Step 2
Step 3
Step 4
Step 5
Where do you administer an epipen?
Between the knee and foot.
Between the hip and knee.
Between the elbow and the hand.
Between the shoulder and the elbow.
The three "C"s for a medical emergency are....
Care, Call and Check
Control, Call and Care
Check, Call and Care
Call, Care and Check
