New York State Basic Emergency Medical Technician (EMT-B) Practice Exam

When checking the lower extremities of a conscious patient for paralysis, what should the EMS provider do first?

1. Ask the patient to wiggle their toes

2. Touch the patient's feet and legs and ask if he/she can feel the touch

3. Assess for bilateral movement in the legs

4. Check for edema in the lower extremities

The correct answer is: Touch the patient's feet and legs and ask if he/she can feel the touch

The first step in checking the lower extremities of a conscious patient for paralysis is to assess sensation by touching the patient's feet and legs and asking if they can feel the touch. This is crucial because evaluating sensation can help determine if there are nerve function issues that could indicate paralysis or other neurological conditions. Assessing sensation before movement is essential, as the ability to feel is a significant indicator of neurological function. If a patient cannot sense touch, it can lead to further evaluation and management of possible underlying issues. After establishing the patient's sensory response, other assessments, such as checking for movement or edema, can be performed to get a fuller picture of the patient's condition. This methodical approach enhances the accuracy of your assessment and allows for timely interventions if needed.