Basic and Clinical Sciences (BCSE) Practice Exam

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What does a secondary survey primarily consist of?

  1. Vital signs monitoring

  2. Head to toe examination and AMPLE history

  3. Radiological imaging

  4. Medication administration

The correct answer is: Head to toe examination and AMPLE history

The primary focus of a secondary survey in a clinical context is to perform a thorough assessment of the patient to identify any injuries or conditions that were not immediately apparent during the initial evaluation. This comprehensive examination typically includes a head-to-toe assessment, which helps identify any hidden injuries or issues that might require immediate attention. Additionally, gathering a detailed history using the AMPLE acronym (Allergies, Medications, Past medical history, Last oral intake, and Events leading to the present injury/illness) is crucial in understanding the patient's baseline health, potential complications, and any pre-existing conditions that might affect treatment outcomes. This systematic approach ensures that medical professionals do not overlook important information that could guide further management and intervention for the patient. While monitoring vital signs, conducting radiological imaging, and administering medications are all important aspects of patient care, they are either part of initial management or specific interventions rather than the core purpose of the secondary survey. The secondary survey's intent is to establish a comprehensive understanding of the patient’s overall condition and needs, making the thorough examination and detailed history the correct focus.