Focused Testlet 32

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Scenario:

You are assisting in the medical treatment tent at a local youth soccer tournament. This is the first tournament of the spring season. One of the coaches escorts a 10-year-old player to the tent. The athlete appears to be having difficulty catching his breath.

Question 1

BOOKMARK
You have decided to obtain a medical history for this athlete. What questions should you ask this athlete?

Select all of the questions that are appropriate.

Prompt

Response

"What seems to be the problem?"

"I'm having trouble breathing."

"How long has this been going on?"

"It started while I was warming up and then it just kept getting worse."

"Did you eat this morning?"

"Yes. I had a bagel in the car."

"Has this ever happened to you before?"

"Yes. I had problems last year."

"Have you even seen a doctor for this?"

"Yes, last year. He gave me medicine"

"Did you take any medicine today?"

"No. I didn't take anything."

"Has your breathing become better or worse since you started having trouble today?"

"Kind of worse."

"Do you have any chest pain?"

"It hurts to breathe."

"Do you have any allergies?"

"I don't know; maybe."

"Does anybody in your family have trouble breathing?"

"I don't think so."

"Were you scheduled to start in this morning’s game?"

"I don't know. Does that matter?"

Scenario:

You are assisting in the medical treatment tent at a local youth soccer tournament. This is the first tournament of the spring season. One of the coaches escorts a 10-year-old player to the tent. The athlete appears to be having difficulty catching his breath.

Question 2

BOOKMARK
Listen to the audio clip provided. What is this athlete's respiration rate?
00 : 00
00:15

8 breaths/min

12 breaths/min

16 breaths/min

32 breaths/min

Scenario:

You are assisting in the medical treatment tent at a local youth soccer tournament. This is the first tournament of the spring season. One of the coaches escorts a 10-year-old player to the tent. The athlete appears to be having difficulty catching his breath.

Question 3

BOOKMARK
You have determined that the respiration rate for this athlete is 32 breaths/min. How would you classify this breathing pattern?

Normal breathing

Bradypnea

Tachypnea

Hypopnea

Hyperpnea

Scenario:

You are assisting in the medical treatment tent at a local youth soccer tournament. This is the first tournament of the spring season. One of the coaches escorts a 10-year-old player to the tent. The athlete appears to be having difficulty catching his breath.

Question 4

BOOKMARK
You decide to determine this athlete’s pulmonary function using a peak flow meter. What actions should you take when using the peak flow meter?

Select all of the questions that are appropriate.

Prompt

Response

Ask athlete to stand or sit up straight

The athlete sits up as requested

Place athlete in a 45° recumbent position

The athlete has difficulty breathing in this position

Ask athlete to place the mouthpiece onto the peak flow meter

The athlete complies

Have athlete take in a deep breath and blow out one half of his air

The athlete begins coughing and cannot complete this task

Ask athlete to place the mouthpiece in his mouth and seal his lips tightly around it

The athlete complies

Ask athlete to exhale as hard and as fast as he can at one time

The athlete complies

Ask athlete to inhale and exhale as hard and as fast as he can three times

The athlete becomes light-headed

Assess forced expiratory volume

The athlete blew out 260 mL

Scenario:

You are assisting in the medical treatment tent at a local youth soccer tournament. This is the first tournament of the spring season. One of the coaches escorts a 10-year-old player to the tent. The athlete appears to be having difficulty catching his breath.

Question 5

BOOKMARK
You have determined the athlete’s peak flow to be 260. How would you classify this clinical finding?

Normal, within 90% of normal max

Normal, within 80% of normal max

Abnormal, between 60% and 70% of normal max

Abnormal, below 60% of normal max

Alarming, less than 25% of normal max

STUDENT NAME:

DATE COMPLETED:

TIME TRACKED:

Question Number

Your Score

Possible Score

Answer Key

1

0

9

View Answer Key

2

0

1

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3

0

1

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4

0

5

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5

0

1

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Total Points

0

17

Percentage

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