الاختبارت exam 2

Prince Sultan Bin Abdul Aziz College for EMS (PSCEMS)

King Saud University

EMS 319- Patient Assessment

Name of the Student…………………………………………………………ID No:…………………………

Division………………..

________________________________________________________________________

1. Hyperresonance is detected by using the technique of:

a.	Inspection
b.	Palpation
c.	Percussion
d.	Auscultation

2. A paramedic places the middle finger against a patient’s chest wall and strikes this finger with the middle finger of the other hand. The paramedic is assessing for:

a.	Air or fluid in the tissues
b.	Tumors or other masses
c.	Hypotension
d.	Equal chest rise

3. The loudest tone heard when performing percussion (such as when a patient might have a gastric bubble) is:

a.	Tympany
b.	Hyperresonance
c.	Resonance
d.	Flat

4. Which of the following would most likely be a cause of cyanosis?

a.	Dehydration
b.	Fever
c.	Cardiorespiratory insufficiency
d.	CO poisoning

You are called to assess a 4-year-old child with a 2-day history of nausea and vomiting. The mother asks you to evaluate the child’s temperature, but he will not cooperate with your assessment.

5. What is the best way to evaluate the child’s temperature in the Temperature Measurement scenario?

a.	Oral
b.	Axillary
c.	Tympanic
d.	Rectal

6. As you are evaluating an older patient, you notice that when you pinch the skin on the back of his arm, the skin “tents.” You suspect:

a.	Anaphylaxis
b.	Dehydration
c.	Inflammation
d.	Fever

7. As you evaluate an elderly patient, you notice clubbing of his fingernails, which is most likely due to:

a.	Chronic respiratory disease
b.	Fungal infections
c.	Cirrhosis
d.	Minor injuries to the nail beds

8. When a patient's chest is percussed, the sound usually heard over healthy lungs is called:

a.	Hyperresonance
b.	Hyporesonance
c.	Resonance
d.	Dullness or flatness

9. As you percuss a patient’s chest, you hear hyperresonance. You suspect:

a.	Fluid in the lungs
b.	Pulmonary congestion
c.	Pneumothorax
d.	Emphysema

10. Crackles, also known as rales, are abnormal breath sounds often caused by pneumonia in its early stages or by:

a.	Pulmonary edema
b.	Asthma
c.	Bronchitis
d.	Pneumothorax

11. The best location to auscultate heart sounds is the:

a.	Front of the chest over the base of the heart
b.	Front of the chest over the apex of the heart
c.	Back of the chest under the scapula
d.	Axillary line adjacent to the nipple line

12. The Cullen sign would be found while:

a.	Inspecting the abdomen
b.	Auscultating the chest wall
c.	Percussing the abdomen
d.	Percussing the chest wall

13. Palpation of the spleen should be performed on the patient's:

a.	Upper right quadrant
b.	Lower right quadrant
c.	Upper left quadrant
d.	Lower left quadrant

14. After a traumatic injury, a patient is no longer able to smell, indicating injury to which cranial nerve?

a.	Cranial nerve I
b.	Cranial nerve II
c.	Cranial nerve III
d.	Cranial nerve IV

15. A paramedic asks a patient to stand with feet together and arms at her sides, then close her eyes. The patient loses her balance. This is a:

a.	Positive Cullen sign
b.	Positive Romberg sign
c.	Negative Stance sign
d.	Negative Korotkoff sign

16. The pronator drift test is used to evaluate:

a.	Best motor response
b.	Sensation
c.	Muscle strength
d.	Stance and balance

17. The term "pigeon chest" refers to:

a.	A flail segment
b.	An indentation of the lower sternum
c.	A prominent sternal protrusion
d.	Paradoxical movement

18. Examination of the head and neck involves:

a.	Percussion, inspection, auscultation
b.	Inspection, palpation, percussion
c.	Auscultation, percussion, palpation
d.	Inspection, palpation, auscultation

19. The chief complaint is best derived from:

a.	The scene size-up
b.	The patient, either verbally or nonverbally
c.	Medical records
d.	The initial radio dispatch

20. One component of a patient's past medical history would include:

a.	Onset of symptoms
b.	Quality of pain
c.	Surgeries or hospitalization
d.	Time of day

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