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Components of a scene size-up include all of the following EXCEPT:


A) patient's chief complaint.
B) number of patients.
C) mechanism of injury.
D) dangers to bystanders.

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Your patient is a 75-year-old man who is alert and responds to your questions. Which of the following is the best source of information about this patient?


A) Family or friends
B) The medical record
C) The patient
D) The physician

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When you are taking a history, which of the following should typically drive the evolution of the questions asked of a patient after the first question?


A) Patient's medical history
B) Information from the patient's family
C) Patient's list of medications
D) Patient's chief complaint

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All of the following characteristics indicate a normal appearance to oral mucosa EXCEPT:


A) smooth.
B) patches of white.
C) pink.
D) moist.

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The QRS complex represents:


A) ventricular depolarization.
B) atrial repolarization.
C) atrial depolarization.
D) ventricular repolarization.

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Areas in the patient's current health status include all of the following EXCEPT:


A) home situation.
B) previous illnesses.
C) sleep patterns.
D) environmental hazards.

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Artifacts such as muscle tremors can make assessment of cardiac rhythm difficult because:


A) an artifact can obscure the underlying rhythm.
B) an artifact can cause the pacer to fire prematurely.
C) the pacemaker may confuse the artifact with an electrical impulse and not fire.
D) the QRS complexes may be obscured by the pacer spikes.

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All of the following are signs of inadequate breathing in an infant EXCEPT:


A) cyanosis.
B) use of accessory muscles.
C) altered mental status.
D) a respiratory rate of 32 breaths per minute.

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Which of the following pieces of information should you record as preliminary data?


A) The chief complaint
B) Elements of the past history
C) Aspects of the present illness
D) The patient's age

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Which of the following is included in examination of the mouth?


A) Palpating the uvula
B) Removing dentures
C) Visualizing the larynx
D) Looking under the tongue

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The presence of inverted T waves on an ECG indicates:


A) myocardial infarction.
B) myocardial necrosis.
C) myocardial ischemia.
D) myocardial instability.

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For trauma patients you will use an abbreviated version of the past history known as:


A) CAGE.
B) HEENT.
C) OPQRST-ASPN.
D) SAMPLE.

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To test an extremity for pain sensation, you should:


A) use a sharp object, and have the patient tell you if he feels a sharp or dull sensation.
B) firmly pinch a fold of skin over the most sensitive part of the extremity.
C) stroke the extremity in a distal-to-proximal direction.
D) briskly tap the tendon of the elbow or knee.

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Asking a patient, "Does it hurt more when you breathe deeply?" represents what part of the OPQRST question format?


A) Q
B) O
C) R
D) P

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Devices for maintaining airway patency in a five-year-old patient include all of the following EXCEPT a(n) :


A) endotracheal tube.
B) oropharyngeal airway.
C) suction unit.
D) pharyngotracheal lumen airway.

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You are working in the ED, caring for a 55-year-old female patient with a long history of COPD. She is more short of breath today than usual, and states that she has an increased cough. She has a tympanic temperature of 99.8°F. You have drawn arterial blood gases with the patient on room air; when the report comes back, it shows that the patient has a PaO2 of 92 mmHg. Which of the following is most likely?


A) You have inadvertently drawn a venous sample.
B) The patient is critically hypoxic and requires assisted ventilation.
C) This is the typical value for this patient.
D) The lab performed the test incorrectly.

Correct Answer

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When in a situation requiring an interpreter, it is important to:


A) focus only on the current problem, not the medical history.
B) look at the interpreter, not the patient.
C) ask only one question at a time.
D) only use family members to interpret.

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One sign of gonorrhea in males is a(n) :


A) profuse, yellow discharge.
B) white, curdlike discharge.
C) scant, clear discharge.
D) external pustule.

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Evaluation of the pelvis in the rapid trauma assessment includes pressing on the symphysis pubis in which direction?


A) Inferiorly
B) Posteriorly
C) Laterally
D) Medially

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Which of the following is an example of a closed question?


A) "What is your medical history?"
B) "Do you have any medical history?"
C) "What were you doing when the pain began?"
D) "How would you describe your discomfort?"

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