Name: ______SPM 100 Skills Lab 7 Pre-test: Emergency Assessment
(Updated: 4-9-10)
Equipment: Stethoscope
Case 1:
65 y/o Female
C/O – Chest pain x 15 mins. & SOB
Vital Signs: Hr – 116, B/P – 86/58
RR- 36
Temp: 98.6o F
Hx: smoker 2 pk/day, all adult life
Eats Beef and drinks coffee x 2 cups/day
1. After reviewing Mrs. Elliot’s case study, list 5 possible Differential Diagnosis.
1. ______
2. ______
3. ______
4. ______
5. ______
2. * What triage level is appropriate for Mrs. Elloit at this time?
a. triage level 1 – emergent
b. triage level 2 – urgent
c. triage level 3 – non –urgent
Case 2:
45 y/o Male
C/O – Agitation
Vital Signs: HR – 82, B/P – 145/82
RR- 38
Temp: 98.6o F
Hx: Mental Disorder
3. After reviewing Mr. B’s case study, list 5 possible Differential Diagnosis.
1. ______
2. ______
3. ______
4. ______
5. ______
4. * What triage level is appropriate for Mr. B at this time?
a. triage level 1 – emergent
b. triage level 2 – urgent
c. triage level 3 – non –urgent
5. A 6y/o immunocompromised patient with a productive cough presents to the Pediatric Emergency Room. Which one of the following diseases does not require the healthcare provider to initiate the airborne pathogen risk management policy?
a. tuberculosis
b. measles
c. varicella
d. chickenpox
e. hepatitis C
6. * What triage level is appropriate for the above patient at this time?
a. triage level 1 – emergent
b. triage level 2 – urgent
c. triage level 3 – non –urgent
Case 3:
3 y/o Female
C/O – “ Cold” like symptoms & use of accessory muscles for breathing
Vital Signs: Hr – 92, B/P – 90/60
RR- 43
Temp: 98.8o F
Hx: None
7. After reviewing Cindy’s case study, list 5 possible Differential Diagnosis.
1. ______
2. ______
3. ______
4. ______
5. ______
8. * What triage level is appropriate for Cindy at this time?
a. triage level 1 – emergent
b. triage level 2 – urgent
c. triage level 3 – non –urgent
9. A 67-year-old male presents to the ED with C/O lightheadedness times 2 hours. After applying the cardiac monitor to the patient, monitor displays a rhythm that has uniform p-waves followed by QRS complex. The ventricular rate is 42. What rhythm strip is displayed?
a. sinus brady
b. atrial flutter
c. asystole
d. third degree block
e. ventricular fibrillation
*Triage Levels:
Level 1 Emergent: immediate medical attention; life or limb threatening condition; highest priority.
Level 2 Urgent: prompt but not immediate care; can delay up to 2 hours will not compromise life or limb.
Level 3 Non-urgent: minor, sable illness or injury; safely wait more than 2 hours without an increased risk of morbidity or mortality.
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