EMT Chapter 9 Pre-quiz
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Questions and Answers

The goal of the systematic head-to-toe exam that is performed during the secondary assessment is to:

  • Locate injuries not found in the primary assessment. (correct)
  • Definitively rule out significant internal injuries.
  • Assess only the parts of the body that are injured.
  • Detect and treat all non-life-threatening injuries.
  • The systematic head-to-toe assessment should be performed on:

  • Patients with a significant MOI and unresponsive medical patients. (correct)
  • Responsive medical patients and patients without a significant MOI.
  • Stable patients who are able to tell you exactly what happened.
  • All patients with traumatic injuries who will require EMS transport.
  • Upon arriving at the scene of a patient with difficulty breathing, you determine that the scene is safe. Your first action should be to:

  • Ask the patient what's wrong.
  • Assess the patient's airway status.
  • Introduce yourself to the patient. (correct)
  • Obtain a set of baseline vital signs.
  • When a patient's respirations are shallow:

    <p>Tidal volume is markedly reduced.</p> Signup and view all the answers

    When assessing a patient's abdomen, you will evaluate for all of the following, EXCEPT:

    <p>Subcutaneous emphysema.</p> Signup and view all the answers

    When assessing the skin of an unresponsive patient, you note that it has a bluish tint to it. This finding is called:

    <p>Cyanosis.</p> Signup and view all the answers

    When interviewing a patient, you can show him or her that you understand the situation by:

    <p>Repeating statements back to him or her.</p> Signup and view all the answers

    When palpating a patient's pulse, you note that there is a short interval between pulsations. This indicates that the pulse is:

    <p>Rapid.</p> Signup and view all the answers

    When performing a rapid exam on a supine patient, what part of the body is typically assessed last?

    <p>Posterior</p> Signup and view all the answers

    When using the pulse oximeter as part of your assessment of a patient, it is important to remember that:

    <p>Any situation that causes vasoconstriction or loss of red blood cells, such as anemia or bleeding, may result in an inaccurate or misleading value.</p> Signup and view all the answers

    You are dispatched to the county jail for an inmate who is 'sick.' When you arrive, you find the patient, a 33-year-old male, unresponsive. His airway is patent and his respirations are rapid and shallow. Your initial action should be to:

    <p>Provide assisted ventilation.</p> Signup and view all the answers

    You respond to the residence of a 62-year-old male who is unresponsive. Your primary assessment reveals that he is apneic and pulseless. You should:

    <p>Start CPR and attach the AED as soon as possible.</p> Signup and view all the answers

    Study Notes

    Systematic Head-to-Toe Exam

    • The primary goal of a head-to-toe exam is to locate injuries not found during primary assessment.
    • This assessment is crucial for patients with significant mechanism of injury (MOI) and unresponsive medical patients.

    Initial Patient Interaction

    • Introducing yourself to the patient in respiratory distress is the first action to establish communication and assess the situation.

    Respiratory Assessment

    • Shallow respirations result in markedly reduced tidal volume, which signifies inadequate ventilation.

    Abdominal Assessment

    • Key factors assessed in the abdomen include open wounds, gross bleeding, tenderness, and rigidity, but subcutaneous emphysema is not typically assessed.

    Skin Color Indicators

    • A bluish tint to the skin is termed cyanosis, indicating inadequate oxygenation.

    Effective Patient Interviewing

    • Understanding the patient involves repeating their statements, showing empathy, and confirming comprehension of their condition.

    Pulse Assessment

    • A short interval between pulsations during pulse palpation indicates a rapid pulse.

    Body Assessment Order

    • In a rapid examination of a supine patient, the posterior body is typically assessed last to ensure thorough evaluation.

    Pulse Oximeter Limitations

    • Pulse oximetry may give inaccurate readings in situations involving vasoconstriction or blood loss, like anemia or profuse bleeding.

    Emergency Response Actions

    • In a case of an unresponsive patient with rapid, shallow respirations, immediate assisted ventilation is crucial.
    • In cases of apneic and pulseless patients, start CPR and attach the AED without delay to increase survival chances.

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    Description

    Test your knowledge on the systematic head-to-toe exam from EMT Chapter 9. This quiz focuses on understanding the goals and procedures necessary during the secondary assessment in emergency situations. Perfect for reinforcing vital concepts in emergency medical training.

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