JIBC Paramedic Patient Assessment 5

Question 1

A patient with a known peanut allergy develops stridor, urticaria, and hypotension after eating. Which assessment finding BEST confirms anaphylaxis over a simple allergic reaction?

Accepted Answer

Two or more organ systems are involved, including cardiovascular compromise

Answer

Anaphylaxis is characterized by involvement of two or more organ systems (skin, respiratory, cardiovascular, GI) following allergen exposure.

Question 2

During assessment of an unconscious patient, the paramedic applies a sternal rub and the patient withdraws all four extremities. What GCS motor score does this represent?

Accepted Answer

4 – Withdrawal

Answer

Withdrawal from painful stimulus — moving away from the source without localizing — scores a 4 on the GCS motor scale.

Question 3

Which of the following BEST describes the purpose of the focused history and physical exam in a medical patient?

Accepted Answer

To direct assessment toward the chief complaint and relevant body systems

Answer

The focused exam targets the chief complaint and associated systems, making assessment efficient and clinically relevant for medical patients.

Question 4

A 72-year-old male is confused, febrile, and tachycardic with a suspected urinary tract infection. Which condition should the paramedic consider that makes this presentation potentially life-threatening?

Accepted Answer

Sepsis

Answer

Infection plus systemic signs of organ dysfunction (altered mental status, tachycardia, fever) meet criteria for sepsis, which carries significant mortality if untreated.

Question 5

When assessing pain using a numeric pain rating scale, what instruction should the paramedic give the patient?

Accepted Answer

Rate your pain on a scale of 0 to 10, where 0 is no pain and 10 is the worst pain imaginable

Answer

The standard 0–10 NRS anchors 0 as no pain and 10 as the worst imaginable pain, providing consistent and reproducible measurements.

JIBC - Justice Institute of British Columbia Practice Test

JIBC - Justice Institute of British Columbia Practice Test

JIBC Paramedic Patient Assessment 5