Emergency Medical Services (EMS)
Exam Materials
Course Introduction
Emergency Medical Services (EMS) is a comprehensive course that introduces students to the fundamental principles and practices of pre-hospital emergency care. The course covers the structure and function of EMS systems, legal and ethical considerations, patient assessment, and the management of medical and trauma emergencies. Students will learn about the roles and responsibilities of EMS professionals, the use of emergency equipment, communication with other healthcare providers, and strategies for ensuring patient and responder safety. Through a combination of theoretical learning and practical simulations, students gain the skills necessary to respond effectively to a variety of medical emergencies in diverse community settings.
Recommended Textbook
Prehospital Emergency Care 10th Edition by Joseph
J. Mistovich
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48 Chapters
2835 Verified Questions
2835 Flashcards
Source URL: https://quizplus.com/study-set/2143 Page 2
Chapter 1: Emergency Medical Care Systems, Research, and
Public Health
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42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/42685
Sample Questions
Q1) Which statement made by an EMT indicates understanding of the underlying benefit of using evidence-based medicine?
A) Formulates emergency care guidelines that have been reviewed by the legal community
B) Improves patient care while simultaneously reducing the costs associated with EMS
C) Provides for legal representation in the quality improvement process
D) Allows the use of research and evidence in determining what care is effective
Answer: D
Q2) Which one of the following statements shows that the EMT has a good understanding of her role and responsibility related to being an EMT?
A) "The patient's needs come before anyone else's needs."
B) "On a scene of an emergency, my responsibility is to get to the patient no matter what."
C) "My safety comes first and then the patient's safety."
D) "As an EMT, I recognize that the public's safety comes before the safety of me or my partner."
Answer: C
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Chapter 2: Workforce Safety and Wellness of the Emt
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56 Verified Questions
56 Flashcards
Source URL: https://quizplus.com/quiz/42686
Sample Questions
Q1) Which one of the following actions taken by an EMT illustrates the best effort toward well-being in the field of EMS?
A) Taking a body-building class
B) Avoiding all alcohol and fatty foods
C) Creating a healthy balance between work and family life
D) Establishing a relationship with a mental health professional
Answer: C
Q2) You have been called to transport a patient from one medical facility to another. The patient has vancomycin-resistant enterococci (VRE), but does not have any open wounds and is medically stable. Which one of the following is most appropriate?
A) Place a surgical mask on the patient.
B) Place a surgical mask on the patient and yourself.
C) Use an N-95 respirator or HEPA mask.
D) Use the appropriate personal protective equipment (PPE).
Answer: D
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4
Chapter 3: Medical, Legal, and Ethical Issues
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60 Verified Questions
60 Flashcards
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Sample Questions
Q1) You have been called to transfer a trauma patient from a rural hospital emergency department to the emergency department of a large urban medical center. Which one of the following will best decrease your chance of becoming involved in an EMTALA violation?
A) Obtaining a copy of the patient's insurance and billing information
B) Taking vital signs every 5 minutes during transport
C) Determining the exact location to which the patient is to be transported
D) Assessing the patient for stability prior to transfer
Answer: D
Q2) A patient with a terminal disease is unresponsive, not breathing, and without a pulse. The family states that the patient has a Do Not Resuscitate (DNR) order signed by her medical doctor, but they cannot find it. The EMT should:
A) wait for family to locate the DNR.
B) pronounce the patient deceased.
C) have the family sign a refusal of care form.
D) start cardiopulmonary resuscitation.
Answer: D
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Page 5
Chapter 4: Documentation
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44 Verified Questions
44 Flashcards
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Sample Questions
Q1) A patient states that he has had a headache located in his forehead for three days. The EMT should recognize and document this piece of information as a(n):
A) subjective finding.
B) pertinent negative.
C) objective symptom.
D) provoking factor.
Q2) A patient care report reads: "c/o fall with (R) hip pain; FROM to (R) low. ext." Based on this, you should recognize which one of the following?
A) Right hip appears broken.
B) Right hip is dislocated, but not fractured.
C) Right leg can be moved normally.
D) Right leg is not broken, but cannot be moved freely.
Q3) A prehospital care report reads: "GSW to torso (LLQ)." Based on this, you should recognize that the patient sustained a(n):
A) gunshot to the left chest.
B) injury to the left torso.
C) bullet injury to the left chest.
D) injury to the lower abdomen.
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6
Chapter 5: Communication
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42 Verified Questions
42 Flashcards
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Sample Questions
Q1) Which one of the following is an open-ended question?
A) "Can you describe the pain to me?"
B) "What time did the pain begin?"
C) "Did you get sweaty when the pain started?"
D) "Who is your primary care physician?"
Q2) When relying on a cell for medical communications, the EMT realizes that:
A) he can relay his diagnosis of the patient's problem to the emergency department.
B) he should use the same format of communication as used for radio transmissions.
C) he is free to relay personal and confidential information not allowed over the radio.
D) he can talk more casually and not as structured as when using the radio.
Q3) Which of the following is a function of providing the physician or nurse with an oral report when transferring care to the hospital emergency department (ED)?
A) To summarize patient assessment and treatment information
B) To provide an opportunity for the ED staff to critique the care provided
C) To inform them of whether or not they need to see the patient immediately
D) To provide input on additional medical care to be given in the ED
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Chapter 6: Lifting and Moving Patients
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37 Verified Questions
37 Flashcards
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Sample Questions
Q1) Which one of the following instructions would you give to a new EMT who is preparing to use a squat lift to raise a patient secured to a stretcher?
A) "Make sure to place your weaker leg slightly back."
B) "Try not to use a power grip when performing the squat lift."
C) "Support yourself with your stronger leg and push up with your weaker one."
D) "Make sure that you push yourself up with your stronger leg."
Q2) Which one of the following positions would be most appropriate for an alert and oriented patient complaining of shortness of breath?
A) Prone
B) Position of comfort
C) Supine with feet elevated
D) Side lying
Q3) Which of the following would be considered an appropriate position for transport?
A) An alert 67-year-old female with nausea in a sitting position
B) A critically injured 18-month-old in a car seat
C) A hypotensive 48-year-old male in a position of comfort
D) A 23-year-old pregnant woman in a supine position
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Page 8
Chapter 7: Anatomy, Physiology, and Medical Terminology
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86 Verified Questions
86 Flashcards
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Sample Questions
Q1) A paramedic tells you that a patient with a probable spinal injury still retains his plantar reflexes. As a knowledgeable EMT, you should understand that the patient has reflex activity in what part of the body?
A) Hands
B) Feet
C) Arms
D) Fingers
Q2) Which portion of the heart is in failure when it can no longer effectively pump blood into the lungs?
A) Left atrium
B) Left ventricle
C) Right ventricle
D) Pulmonary vein
Q3) A patellar fracture affects which part of the body?
A) Tibia
B) Hip
C) Elbow
D) Knee
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9
Chapter 8: Pathophysiology
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74 Verified Questions
74 Flashcards
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Sample Questions
Q1) Which of the following statements would be true of a patient who relies on the hypoxic drive to breathe?
A) The primary gas affecting the respiratory rate is carbon dioxide.
B) The peripheral chemoreceptors have become less sensitive to oxygen.
C) The respiratory rate is set according to the level of O in the body.
D) The central chemoreceptors are the primary influence on the respiratory rate.
Q2) Under normal circumstances, carbon dioxide is excreted from the body through the: A) kidneys.
B) urinary tract.
C) lungs.
D) sweat ducts.
Q3) The EMT would most likely see a narrowed pulse pressure in a patient who: A) is bleeding internally.
B) has a fever.
C) suffers from diabetes.
D) has an irregular heartbeat.
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Chapter 9: Life Span Development
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34 Verified Questions
34 Flashcards
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Sample Questions
Q1) You are assessing a 4-year-old with a fever and cough. The child is very calm and receptive to your presence. Which of the following actions would be most appropriate?
A) Ask the mother to leave until the assessment is complete.
B) Take the child to the ambulance for assessment.
C) Have the mother remain with him for the assessment.
D) Refrain from touching the patient until in the ambulance.
Q2) You have been asked to speak to a local EMT class about caring for the patient over the age of 60 years. When presenting your material, what point would you emphasize?
A) All persons over the age of 60 have chronic health problems.
B) The majority of persons in this age group enjoy independent living.
C) Most persons over the age of 70 are in assisted living facilities and/or nursing homes.
D) Most persons over the age of 60 now reside with the grown children.
Q3) Puberty is best described as:
A) maturation of the sexual organs.
B) a milestone developmental stage in school-aged children.
C) a two- to three-year growth spurt in adolescents.
D) a developmental stage that occurs earlier in males than in females.
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Chapter 10: Airway Management, Artificial Ventilation, and Oxygenation
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120 Verified Questions
120 Flashcards
Source URL: https://quizplus.com/quiz/42694
Sample Questions
Q1) You are artificially ventilating an adult male patient who is in respiratory arrest with a bag-valve mask. Which one of the following shows that you are ventilating this patient properly?
A) Adequate chest rise and fall
B) Ability to fully deflate the self-inflating bag
C) Clear and equal breath sounds
D) Ventilation rate of 20 breaths per minute
Q2) Which one of the following setups on the bag-valve mask (BVM) will enable the EMT to deliver the highest concentration of oxygen to the patient?
A) BVM with room-air oxygen being used by two EMTs
B) BVM attached to oxygen at 15 lpm
C) BVM with oxygen reservoir attached, receiving oxygen at 15 lpm
D) BVM with oxygen reservoir attached
Q3) A paramedic has asked you to place the patient on a nonrebreather mask at 15 liters per minute. To administer oxygen at this flow rate, you should:
A) attach a high-pressure regulator to the oxygen cylinder.
B) adjust the tank pressure to 15 pounds per square inch (psi).
C) slowly decrease the tank pressure valve until 15 psi is achieved.
D) select 15 on the oxygen therapy regulator.
Page 12
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Chapter 11: Baseline Vital Signs, Monitoring Devices, and History Taking
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123 Verified Questions
123 Flashcards
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Sample Questions
Q1) Which one of the following descriptions would be obtained when asking about the "A" component of the SAMPLE history?
A) Abdomen soft
B) History of asthma
C) Allergy to penicillin
D) Airway open
Q2) A patient has advanced liver disease from years of exposure to toxic chemicals in his place of employment. Which one of the following skin colors would the EMT expect?
A) Bluish-gray
B) Pale and cyanotic
C) Pinkish and flushed
D) Yellow-orange
Q3) The EMT is correctly palpating a central pulse when he palpates which of the following?
A) Radial pulse
B) Femoral pulse
C) Brachial pulse
D) Posterior tibial pulse
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Chapter 12: Scene Size-Up
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/42696
Sample Questions
Q1) Dispatch has sent you to a residence for a female with a possible broken arm. On scene you find her seated in a chair holding her left arm. Her arm appears deformed and she has blood and bruises on her face. She tells you that an intruder, who she believes lives in her neighborhood, broke into her home and robbed her. Prior to fleeing, he beat her, leaving her as you find her. With this information, you would immediately:
A) leave the patient and scene and wait in the ambulance until the police arrive.
B) determine the identity of the intruder and contact and direct the police to his location.
C) assess the patient, provide basic care, and contact law enforcement.
D) recognize a crime scene and not touch the patient to avoid altering any evidence.
Q2) To best determine the type and extent of injuries sustained by a patient who has fallen, the EMT should consider which of the following pieces of information?
A) The reason that the patient fell
B) Distance fallen and type of surface landed on
C) The patient's past medical history
D) Vital signs obtained during the assessment
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Page 14
Chapter 13: Patient Assessment
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104 Verified Questions
104 Flashcards
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Sample Questions
Q1) You have been called for an adult patient who suffered a seizure. He is sitting on the floor, and looks at you as you enter the room. When questioned, he cannot remember the date or where he is. The patient's mental status can best be described as:
A) alert but confused.
B) lethargic and agitated.
C) altered.
D) verbally disoriented.
Q2) When performing the primary assessment of a conscious adult, you typically palpate which pulse first?
A) Carotid
B) Femoral
C) Radial
D) Brachial
Q3) Which one of the following capillary refill times is considered normal for a 5-year-old child?
A) 3 seconds
B) 2 seconds
C) 6 seconds
D) 4 seconds
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Page 15
Chapter 14: Pharmacology Medication and Administration
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38 Verified Questions
38 Flashcards
Source URL: https://quizplus.com/quiz/42698
Sample Questions
Q1) As an EMT, you may assist the patient in taking which of the following prescribed medications?
A) Inhalers used for difficulty breathing
B) Medications for high blood pressure
C) Drugs for heart-rhythm disorders
D) Seizure-control medications
Q2) You are by the side of an alert and oriented 56-year-old male patient complaining of generalized weakness and a pounding headache. His pulse is 104, respirations 18, and blood pressure 218/110 mmHg. He has a history of high blood pressure for which he takes lisinopril. He states that he has not taken the lisinopril for two weeks and hands you a container with the medication inside. You would:
A) assist the patient in taking the lisinopril.
B) ensure that it is the patient's medication and then administer it.
C) contact medical direction to request an order for the lisinopril.
D) continue treatment and transport to the hospital.
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Chapter 15: Shock and Resuscitation
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89 Verified Questions
89 Flashcards
Source URL: https://quizplus.com/quiz/42699
Sample Questions
Q1) The EMT understands that when paramedics administer IV fluids as treatment for hemorrhagic shock, the fluids will:
A) stabilize the shock by restoring needed electrolytes.
B) enable the lungs to better oxygenate the blood.
C) do nothing to get more oxygen to the cells.
D) reverse the shock by increasing the blood pressure.
Q2) The AED should never be applied to a patient who is not in cardiac arrest because some patients in:
A) ventricular tachycardia may have a pulse.
B) ventricular fibrillation may be conscious and alert.
C) ventricular fibrillation may have a pulse.
D) asystole may still have a pulse.
Q3) The EMT realizes that the best means of preventing failure of the AED is to:
A) always make sure that the AED is kept clean and free of damage.
B) check the AED and its supplies at the beginning of each shift.
C) check the electrodes monthly and replace when expired.
D) obtain a second set of batteries when the original set is no longer functional.
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Page 17
Chapter 16: Respiratory Emergencies
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85 Verified Questions
85 Flashcards
Source URL: https://quizplus.com/quiz/42700
Sample Questions
Q1) You have been called to an industrial warehouse for a young adult male who was exposed to an unknown chemical gas. The patient was immediately removed from the environment and presents to you with a patent airway, burning to the throat with inspiration, and complaint of shortness of breath. His vital signs are: pulse 120, respirations 28, blood pressure 164/60, and SpO of 90%. In addition, you note bilateral wheezing to the lungs. What should be your first action in caring for this patient?
A) Apply in-line manual spinal stabilization.
B) Administer high-concentration oxygen.
C) Identify the chemical to which he was exposed.
D) Administer a saline mist through a small-volume nebulizer.
Q2) After you administer a medication through a metered-dose inhaler (MDI), it is important that the patient:
A) immediately inhale deeply.
B) pant for 10 seconds.
C) exhale as forcefully as possible.
D) hold her breath for several seconds.
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18
Chapter 17: Cardiovascular Emergencies
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106 Verified Questions
106 Flashcards
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Sample Questions
Q1) To save additional heart muscle from dying when a patient suffers an acute myocardial infarction (heart attack), what treatment must occur?
A) Increasing the heart rate
B) Lowering of the blood pressure
C) Relieving the obstruction in the coronary arteries
D) Opening blood flow between the atria and ventricles
Q2) You are assessing a patient in heart failure. Which of the following signs or symptoms seemingly indicates that the left ventricle is the cause of the heart failure?
A) Crackles in the bases of both lungs
B) SpO of 95% with no supplemental oxygen
C) Difficulty breathing when in an upright position
D) Heart rate of 62 beats per minute
Q3) After blood has entered the right ventricle, it is next moved into the:
A) left ventricle.
B) pulmonary artery.
C) left atrium.
D) aorta.
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Chapter 18: Altered Mental Status, Stroke, and Headache
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63 Verified Questions
63 Flashcards
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Sample Questions
Q1) Bystanders state that a 72-year-old woman complained of chest pain and dizziness just before she fell down a flight of stairs. She is alert but confused and states that she feels nauseated and may vomit. How should the EMT position this patient for transport?
A) Left lateral recumbent position on a long spine board
B) Supine with her head turned to one side
C) Fully immobilized to a long spine board
D) Semi-Fowler's with a cervical collar in place
Q2) A male patient suddenly found himself unable to talk and with profound weakness to his right arm and leg. Currently he is responsive to verbal stimuli and has the following vital signs: pulse 88, respirations 14 and adequate, and blood pressure 210/80. When transporting this patient to the hospital, what position should you place him?
A) Immobilized to a long board
B) Left lateral recumbent
C) Prone with head elevated
D) Supine with feet elevated
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20
Chapter 19: Seizures and Syncope
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57 Verified Questions
57 Flashcards
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Sample Questions
Q1) When treating a patient who has had a seizure, the most important aspect of providing care is to:
A) ensure that the patient does not bite his or her tongue.
B) identify the type and duration of seizure, as well as a history of seizures.
C) provide high-concentration oxygen to ensure adequate oxygenation of the brain.
D) assess for and manage any life-threatening condition found.
Q2) You have been called to a public bus station for a behavioral emergency. On scene you find a disheveled male in his forties sitting up against a wall. He is confused and incontinent. Bystanders state that he suddenly began to stumble around, shouting obscenities, and then fell to the ground spitting and shaking. From this description, the EMT should be suspicious of what condition?
A) Generalized seizure
B) Alcohol intoxication
C) Absence seizure
D) Syncopal episode
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Chapter 20: Acute Diabetic Emergencies
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64 Verified Questions
64 Flashcards
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Sample Questions
Q1) You have been called for an adult male who is hypoglycemic and responsive to painful stimuli. The family has oral glucose and wants you to administer it. However, at this time, your medical director has not authorized its use and there are no protocols regarding its use. Given the patient's condition and the family's request, which one of the following actions should you take?
A) Contact medical direction for permission to administer the glucose.
B) Instruct the family to administer the oral glucose.
C) Transport the patient to the emergency department.
D) Carefully administer the oral glucose at the family's request.
Q2) When administering oral glucose to a diabetic patient, the EMT must take precautions to prevent what adverse effect?
A) High blood-glucose levels
B) Airway obstruction
C) Low blood-glucose levels
D) Increased blood pressure
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Chapter 21: Anaphylactic Reactions
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Sample Questions
Q1) You have been called to a kindergarten class for a 5-year-old boy who is allergic to peanuts. He ate some in the form of a birthday treat brought to school by a classmate who is celebrating a birthday. From the door of the classroom, you note the patient to have swollen lips and hives to his face and arms. As you begin the primary assessment, which one of the following should you do first?
A) Contact the patient's parents for permission to treat him.
B) Inspect the inside of his mouth.
C) Determine how many peanuts he ingested.
D) Check breath sounds for wheezing and assess the vital signs.
Q2) You are called to an out-patient surgery center for a patient who developed an allergic reaction while receiving an intravenous (IV) antibiotic. The EMT would document the route of exposure as:
A) injection.
B) contact.
C) ingestion.
D) topical.
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Chapter 22: Toxicologic Emergencies
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Sample Questions
Q1) A female patient in her forties has overdosed and is lying at the bottom of some stairs. As you arrive, her husband informs you that she is addicted to pain medications and was chewing a fentanyl (narcotic pain reliever) patch this evening. He states that she was having difficulty standing up and fell down the stairs. He is so frustrated with her that he immediately leaves the scene. The patient has snoring respiration and is incontinent of urine. You first step in caring for this patient would be to:
A) check her pupils for signs of a narcotic overdose.
B) open the airway with a head-tilt, chin-lift.
C) apply supplemental oxygen.
D) take manual in-line spinal stabilization.
Q2) When performing a "talk down," which of the following statements would appropriately be included?
A) "Can you tell me how many rats there are and the color of them?"
B) "Do you see what happens when you take these drugs?"
C) "Please ignore the rats and tell me exactly what you took."
D) "You are seeing rats because of the drug; this will not last forever."
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Chapter 23: Abdominal, Hematologic, Gynecologic,
Genitourinary, and Renal Emergencies
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Sample Questions
Q1) A female, who has been sexually assaulted, has called 911 for assistance. She states that she does not know the assailant and then showered immediately after. The police have not yet been notified. Which of the following statements would be appropriate in the care of this patient?
A) "Where are the clothes that you were wearing?"
B) "Why did you feel the need to shower?"
C) "Do you think that you can identify the person who assaulted you?"
D) "Its unfortunate that you showered; it will be harder to get evidence now."
Q2) You have completed the initial assessment on a 62-year-old male complaining of the sudden onset of epigastric pain. His airway is patent, his breathing is fast but adequate, and his radial pulse is weak and thready. His pulse rate is 124 beats per minute and his skin is cool and moist to the touch. Your next action would be to:
A) obtain a blood pressure in both arms.
B) perform a secondary assessment.
C) place the patient on the stretcher and move him to the ambulance.
D) apply supplemental oxygen.
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Chapter 24: Environmental Emergencies
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85 Flashcards
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Sample Questions
Q1) After ensuring that there are no life-threatening conditions to the airway, breathing, and circulation, the priority in caring for the hypothermic patient is:
A) providing passive rewarming.
B) assessing for complications.
C) preventing additional heat loss.
D) starting active rewarming measures.
Q2) You have been called to a hunting camp for a patient with a severe localized cold injury to his hand and fingers. The patient is suffering no life-threatening conditions and you elect to rewarm the affected areas. Which one of the following would be appropriate for this patient?
A) Immerse the hand and fingers in water no hotter than 120°F.
B) Place the hand lower than the heart after rewarming is complete.
C) Do not stir the water while the hand is submerged to decrease risk for injury.
D) Thaw and rewarm the tissue as quickly as possible.
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Chapter 25: Submersion Incidents: Drowning and Diving Emergencies
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Sample Questions
Q1) The EMT shows she understands the concept of the mammalian diving reflex by stating:
A) "It is a protective mechanism that occurs when the spinal column is compressed as would occur in a diving accident."
B) "It occurs in warm water and serves to increase blood flow to the vital organs."
C) "It may provide benefit to the patient by diverting oxygen-rich blood to the brain and heart."
D) "It occurs in cold water and increases the activity of the vital organs, thus protecting them."
Q2) Which patient has the best chance for an optimal outcome after drowning?
A) 34-year-old female submerged for 9 minutes in 39°F water
B) 47-year-old male submerged for 8 minutes in a heated swimming pool
C) 22-year-old female submerged for 10 minutes in a whirlpool with 90°F water
D) 17-year-old female submerged for 10 to 12 minutes in warm salt water
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Chapter 26: Behavioral Emergencies
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Sample Questions
Q1) Your partner is assessing a patient who has a history of antisocial disorder and who just got into a heated verbal exchange with his neighbor. He threatened to kill his neighbor and 911 was called. As you observe the patient, which of the following is the strongest indication that the patient may be ready to have a violent outburst?
A) Avoiding eye contact
B) Clenching of both fists
C) Refusal to answer questions
D) Increased sighing
Q2) You are assessing and treating a young girl who superficially cut her wrists in a self-stated suicide attempt. Bleeding was not significant and has clotted. While transporting the patient, which one of the following statements is most appropriate?
A) "Can you tell me why you tried something like this?"
B) "This really has upset your parents. How does that make you feel?"
C) "These cuts are not significant. You didn't really want to do this, did you?"
D) "I am going to clean these cuts with some water and then wrap them."
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28
Chapter 27: Trauma Overview: the Trauma Patient and the
Trauma System
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Sample Questions
Q1) What piece of information would you provide to a group of young teenage drivers to decrease their chance of suffering a "whiplash" type injury if involved in a motor vehicle collision?
A) Ensure that the head rest is properly positioned.
B) Position the car's seats in a full upright position.
C) Make sure the car has side door air bags.
D) Properly wear seat belts with a headrest in the down position.
Q2) Two cars have collided head on. One car was traveling 55 mph and the other 35 mph. The total speed of impact would be:
A) 20 mph.
B) 35 mph.
C) 55 mph.
D) 90 mph.
Q3) Which of the following injuries is most serious, warranting immediate and rapid transport to the hospital?
A) Instability and crepitus to the left lateral chest wall
B) Deformity to the right ankle with pain rated as a 10/10
C) Open fracture to the left lower leg
D) Large, deep laceration to the arm with bone visible
Page 29
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Chapter 28: Bleeding and Soft Tissue Trauma
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74 Verified Questions
74 Flashcards
Source URL: https://quizplus.com/quiz/42712
Sample Questions
Q1) When performing the primary assessment, which of the following signs or symptoms best suggests that the patient is in shock?
A) Skin that is cool and diaphoretic
B) Radial pulse of 72 beats per minute
C) Bloody shirt from external bleeding
D) Pain at the site of injury
Q2) A pregnant 31-year-old has been shot in the neck. Currently, she is responsive to verbal stimuli, with an open airway and rapid, but adequate respirations. Her radial pulse is weak and fast. Vital signs are as follows: pulse 152, respirations 22, blood pressure 92/76, and SpO at 100% on high-concentration oxygen. When caring for this patient, what other intervention will most benefit this patient?
A) Application of the pneumatic anti-shock garment (PASG)
B) Wait on scene for an ALS paramedic with an ETA of 10 minutes
C) Immobilization and immediate transport
D) Cover with a blanket and transport in a semi-Fowler's position
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Chapter 29: Burns
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45 Verified Questions
45 Flashcards
Source URL: https://quizplus.com/quiz/42713
Sample Questions
Q1) A student in a science lab has had an unknown chemical splashed into her eye. After assessing the airway, breathing, and circulation, the EMT would immediately:
A) examine the pupils and structures of the eye for damage.
B) identify the chemical and whether or not a neutralizing solution can be used.
C) flush the eye with copious amounts of tap water.
D) cover both eyes with sterile dressing and provide rapid transport to the hospital.
Q2) A patient was trapped in a burning apartment before being rescued by firefighters. As you approach him, you note that his legs and arms are burned. He is screaming in pain and coughing, but no longer actively burning. Given this information, what intervention would you perform first?
A) Perform a secondary assessment to determine if non-burn injuries are present.
B) Estimate the percentage of the patient's body that has been burned.
C) Determine if the patient has suffered partial- or deep partial-thickness burns.
D) Decide whether to administer oxygen with a nonrebreather face mask or with a bag-valve mask.
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Chapter 30: Musculoskeletal Trauma and Nontraumatic
Fractures
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45 Verified Questions
45 Flashcards
Source URL: https://quizplus.com/quiz/42714
Sample Questions
Q1) A patient with diagnosed osteoporosis is more likely to sustain which of the following injuries?
A) Strain
B) Joint sprain
C) Nontraumatic dislocation
D) Fracture
Q2) An alert and oriented 22-year-old male has fallen off a tractor and is complaining of pain to his right leg. As you quickly scan the patient, you note deformity to the tibia-fibula area of the lower extremity. After conducting the primary assessment and manually stabilizing the leg, what action should the EMT take?
A) Apply the traction splint.
B) Transfer the patient to the stretcher.
C) Check for a pedal pulse.
D) Splint the leg in the position found.
Q3) What statement regarding voluntary muscles is true?
A) Voluntary muscles are primarily located on the torso.
B) Voluntary muscles comprise less mass in the body than involuntary muscles.
C) Voluntary muscles produce movement by extending.
D) Voluntary muscles connect to the bones of the skeletal system.
Page 32
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Chapter 31: Head Trauma
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57 Verified Questions
57 Flashcards
Source URL: https://quizplus.com/quiz/42715
Sample Questions
Q1) Your patient is a 40-year-old male who fell 20 feet from a ledge while hiking. The park ranger is maintaining manual in-line spinal stabilization. The patient is combative and confused, but the airway is open and breathing is adequate. The patient has a radial pulse of 112, blood pressure of 96/76, and SpO 91%. Which one of the following should you do first?
A) Check the patient's blood glucose level.
B) Immobilize the patient to a long board.
C) Begin administering supplemental oxygen.
D) Perform a jaw-thrust maneuver.
Q2) A trauma surgeon informs you that the patient you transported to the emergency department earlier was diagnosed with an epidural hematoma. The patient was taken into surgery and the hematoma was removed. Right now the patient is in critical condition. Based on this information, the EMT should recognize that the patient suffered from:
A) blood from a ruptured vein that collected between the dura mater and brain tissue.
B) cerebrospinal fluid that accumulated in a pocket on top of the brain tissue.
C) blood from a ruptured artery that formed a hematoma within a section of brain tissue.
D) a pocket of arterial blood that collected between the skull and dura mater.
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Chapter 32: Spinal Column and Spinal Cord Trauma
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59 Verified Questions
59 Flashcards
Source URL: https://quizplus.com/quiz/42716
Sample Questions
Q1) While performing the primary assessment on a patient with an isolated spinal cord injury, you note that he is in severe respiratory distress and struggling to breathe. Where should you suspect the spinal cord injury has occurred?
A) Diaphragm
B) Cervical spine
C) Thoracic spine
D) Lumbar spine
Q2) The EMT is properly assessing for a spinal cord injury when she:
A) asks the patient if he has pain anywhere along his spinal column.
B) palpates the entire spinal column for tenderness.
C) asks the patient to spread his fingers apart on both hands.
D) checks for distal pulses in all four extremities.
Q3) When performing the secondary assessment, what sign is most suggestive of a spinal cord injury?
A) Pain in the right leg
B) Headache and nausea
C) Bruising on the back
D) Persistent penile erection
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Chapter 33: Eye, Face, and Neck Trauma
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/42717
Sample Questions
Q1) A female patient struck her face on the steering wheel in a head-on motor vehicle collision and has deformity and crepitus to the bridge of her nose. Further assessment reveals bleeding deep within the nasal passages. The patient has been fully immobilized to a long board. To best address the hemorrhage in the nasopharynx, the EMT would:
A) suction blood from the airway as needed.
B) transport fully immobilized with her feet elevated.
C) apply ice packs to the bridge of the nose to control hemorrhage.
D) carefully pack the nasal passages with rolls of sterile gauze.
Q2) A 21-year-old-female has been struck in the left eye by a softball. Which finding is most concerning for an eye injury?
A) Edema to the upper eyelid
B) Unusual sensitivity to light
C) Bruising and swelling to the orbit
D) Vision disturbance that resolves by blinking
Q3) The function of the ocular lens is to:
A) focus light onto the retina.
B) allow light into the eye.
C) protect the sclera.
D) manufacture vitreous humor.
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Page 35
Chapter 34: Chest Trauma
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42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/42718
Sample Questions
Q1) The EMT's primary and first concern with any open injury to the chest is:
A) controlling internal bleeding.
B) evaluating for crepitus.
C) stopping air entry.
D) checking for intercostal muscle damage.
Q2) An adult female is found unresponsive after being shot in the chest. Which statement made by your partner is of most concern?
A) "I see an entry wound but cannot find the exit anywhere."
B) "Her SpO has gone from 90% to 93%."
C) "I do not think her jugular veins are distended."
D) "She is getting more difficult to ventilate."
Q3) A 39-year-old male has a single stab wound to the anterior chest. When notifying the emergency department, you inform them that the patient is suffering from a/an:
A) flail chest.
B) evisceration.
C) laceration.
D) open chest injury.
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Chapter 35: Abdominal and Genitourinary Trauma
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/42719
Sample Questions
Q1) A female patient who suffered a straddle injury while trying to balance on top of a chain link fence continues to bleed from the vaginal area despite your initial attempt to control the hemorrhage. At this time, you would:
A) apply an ice pack wrapped in a towel to the genital area.
B) gently put sterile gauze dressings into the opening of the vaginal canal.
C) place another dressing over the first and maintain direct pressure.
D) clean the area with sterile saline and reapply direct pressure.
Q2) You have arrived on the scene of an assault involving a knife. Assessment of the unresponsive 21-year-old male reveals him to have sustained multiple lacerations to the arms and abdomen, with a section of his intestine protruding through a large laceration in the area around the umbilicus. He has lost a significant amount of blood. His airway is open and he is breathing poorly at a rate of 28 breaths per minute. His radial pulse is weak, and his skin is cool and pale. Which one of the following should the EMT do first?
A) Cover the intestine with saline-soaked gauze.
B) Immobilize to a long board.
C) Start positive pressure ventilation.
D) Check the blood pressure.
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Chapter 36: Multisystem Trauma and Trauma in Special Patient Populations
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47 Verified Questions
47 Flashcards
Source URL: https://quizplus.com/quiz/42720
Sample Questions
Q1) The EMT would recognize which patient as suffering from multisystem trauma?
A) A pregnant female with a single gunshot wound to the head
B) A 43-year-old male with extremity trauma and shock from an MVC
C) A 66-year-old female with a deformed arm after having a syncopal episode
D) A 23-year-old female with a fractured clavicle sustained in a soccer game
Q2) When treating an injured geriatric patient, it is very important to:
A) always use high-concentration oxygen.
B) work to achieve an oxygen saturation of at least 94%.
C) place the patient in a sitting position to promote adequate breathing.
D) avoid use of a nonrebreather and high-concentration oxygen unless apneic.
Q3) An 85-year-old male with a history of an irregular heartbeat, diabetes, renal failure, and stroke fell getting out of bed, striking his head on the nightstand. He is alert and oriented and denies complaint. Vital signs are all within normal limits. There is a minor abrasion on his forehead, but he denies any associated pain or headache. Which of the following should be your priority?
A) Asking him if he ate breakfast and checking his blood sugar
B) Inquiring whether he is up to date on his tetanus immunization
C) Determining if he takes blood thinners for the irregular heartbeat
D) Asking family members if he has developed dementia yet
Page 38
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Chapter 37: Obstetrics and Care of the Newborn
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91 Verified Questions
91 Flashcards
Source URL: https://quizplus.com/quiz/42721
Sample Questions
Q1) You are assessing a female patient who informs you that she has been pregnant four times before but only delivered once. Which one of the following shows how you should document that information on the prehospital care report?
A) Para IV; Gravida I
B) Gravida III; Para I
C) Para III; Gravida I
D) Gravida IV; Para I
Q2) The EMT would use the sterile scissors found in the OB kit to cut which of the following?
A) Towels to create a sterile field
B) Umbilical cord
C) Patient's clothing
D) Amniotic sac (if not ruptured)
Q3) If the placenta attaches over the cervix, the patient and baby would be at risk for what condition?
A) Placenta previa
B) Placental abruption
C) Ectopic pregnancy
D) Uterine tear
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Chapter 38: Pediatrics
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100 Verified Questions
100 Flashcards
Source URL: https://quizplus.com/quiz/42722
Sample Questions
Q1) On scene, a 6-year-old male who is short of breath will not allow EMRs to place a nonrebreather face mask on his face. Assessment indicates moderate respiratory distress with the following vital signs: pulse 124, respirations 24, blood pressure 98/56, and SpO 93%. At this time, you:
A) use a nasal cannula with 2 liters oxygen.
B) hold the nonrebreather mask to his face.
C) start positive pressure ventilation.
D) place a nasal airway and nasal cannula with 6 liters oxygen.
Q2) Assessment of an alert and oriented 9-year-old child with a history of asthma reveals him to be breathing 20 times a minute with adequate chest rise and fall. You also note that he exhibits nasal flaring and has slight retractions of the intercostal muscles. His heart rate is 100 beats per minute and his blood pressure is 102/64 mmHg. On room air, he has a pulse oximeter reading of 98%. The EMT would recognize:
A) compensated respiratory distress.
B) late respiratory failure.
C) hypoxic respiratory failure.
D) decompensated respiratory failure.
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Page 40
Chapter 39: Geriatrics
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58 Verified Questions
58 Flashcards
Source URL: https://quizplus.com/quiz/42723
Sample Questions
Q1) You have been called for an unknown medical emergency. On scene you are presented with an 84-year-old patient who is confused and does not obey commands. The best means of determining the patient's normal mental status would be to:
A) examine the patient's pupils.
B) question family members.
C) look at the patient's medications.
D) check the patient's vital signs.
Q2) A patient with advanced dementia cannot provide an accurate medical history. In this situation, the EMT's best course of action would be to:
A) transport the patient to a hospital he has been to previously.
B) have the patient sign a release-of-medical-information form.
C) determine medical conditions based on assessment findings.
D) ask family members about the patient's past medical history.
Q3) Ageism would occur when the EMT:
A) asks all geriatric males if they remember World War II.
B) asks family members for medical information when the patient is confused.
C) does not attempt to assess combative elderly patients with dementia.
D) disregards an advance directive when a geriatric patient requests you to do so.
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Chapter 40: Patients With Special Challenges
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66 Verified Questions
66 Flashcards
Source URL: https://quizplus.com/quiz/42724
Sample Questions
Q1) Hospice care indicates that a patient is:
A) terminally ill and foregoing any additional care.
B) terminally ill and receiving measures to increase comfort.
C) terminally ill and but receiving care to reverse the disease process.
D) terminally ill but without a Do Not Resuscitate order.
Q2) You are by the side of a 2-month-old baby who was born prematurely and is on an apnea monitor. While in your care, the apnea alarm emits a loud alarm. Quick assessment of the baby reveals no respiratory activity. Your immediate action would be to:
A) Place the baby on the cot and transport.
B) Start positive pressure ventilation.
C) Administer high-concentration oxygen.
D) Check the apnea monitor.
Q3) When assessing a 65-year-old male patient, you note a tube-like device inserted into the lower portion of his trachea. You recognize that the device has most likely been placed to:
A) to permit the exchange of O and CO .
B) to allow the patient to be fed a liquid diet.
C) to allow the patient to talk.
D) to allow easy suctioning of the lower airway.
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Chapter 41: The Combat Veteran
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/42725
Sample Questions
Q1) The wife of a military veteran with PTSD states that her husband became a type II diabetic 10 years after returning from combat. She states that there is no history of this in either side of the family and he is not overweight nor has any other risk factors for the disease. Consequently, she believes the diabetes is resultant from his experience in the military. Your response would be:
A) "The diabetes is most likely a result of undiagnosed traumatic brain injury, not the PTSD."
B) "It is not uncommon for combat veterans to unexplainably develop such conditions like this."
C) "I think we have to suspect that he sustained an injury to his pancreas at some point."
D) "Not that it cannot happen, but era veterans, not combat veterans, typically develop diabetes."
Q2) When approaching a combat veteran who is highly agitated, the EMT must remember that:
A) combat veterans are more dangerous than civilians because of their training.
B) determination of the event leading to the PTSD is essential.
C) combat veterans are more likely to assault caregivers and medical providers.
D) reassurance with a firm, calm voice may be necessary.
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Page 43
Chapter 42: Ambulance Operations and Air Medical Response
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/42726
Sample Questions
Q1) You have been dispatched for a 2-year-old female who is not breathing. When responding, you realize that your primary goal is to:
A) mentally prepare for what might be required on scene.
B) arrive at the scene safely with no mishaps.
C) review the protocol for pediatric cardiac arrest.
D) get to the scene as quickly as possible.
Q2) The use of high-visibility vests when operating on a roadway is a requirement of the:
A) federal government.
B) state EMS department.
C) medical director.
D) state department of highways.
Q3) In terms of high-visibility vests, which of the following is true?
A) They help other rescuers identify EMTs as medical personnel.
B) They provide protection against blood and other body fluids at a trauma scene.
C) They make EMS personnel more visible to passing motorists.
D) They provide protection against bent metal and broken glass at an accident scene.
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Chapter 43: Gaining Access and Patient Extrication
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/42727
Sample Questions
Q1) You are on the scene of a car that hit a tree head on. The patient has a laceration to his forehead and a deformity to his left forearm. The car is a hybrid that runs on traditional as well as hydrogen gas. There is moderate front-end damage to the vehicle, but the air bags did not deploy. The patient was wearing a seat belt. What instruction is most appropriate in this situation?
A) "Place a flare near the oil spill so that no one slips."
B) "I need to have the battery cables disconnected."
C) "Let's deactivate the air bags by turning the engine off."
D) "We will need to puncture the hydrogen tank to prevent an explosion."
Q2) On the scene of a motor vehicle collision, which one of the following EMTs is engaged in simple extrication of the patient?
A) The EMT removing the patient from the car
B) The EMT entering the car to open the patient's airway
C) The EMT stabilizing the car to prevent it from moving
D) The EMT monitoring the scene for safety hazards
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Chapter 44: Hazardous Materials
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/42728
Sample Questions
Q1) You have been trained to the level of OSHA "First Responder Awareness." Regarding this level of training, which of the following activities are you qualified to perform?
A) Stop and patch a leak in a broken valve emitting an unknown gas.
B) Recognize a potential hazardous materials emergency and call for the appropriate resources.
C) Provide detailed instructions on how to contain a spill of an unknown liquid.
D) Direct the operations at a hazardous materials emergency until the chemical is identified.
Q2) On the National Fire Protection Association hazardous materials classification placard, the blue diamond represents:
A) reactivity.
B) health hazard.
C) specific hazard.
D) fire hazard.
Q3) When working in the "warm" zone, the EMT must remember that:
A) contamination is no longer a threat.
B) water used does not have to be contained.
C) protective gear must be worn.
D) patient care is not performed.
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Page 46
Chapter 45: Multiple-Casualty Incidents and Incident Management
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/42729
Sample Questions
Q1) On the scene of a multiple-casualty incident, you note that another EMT has become overwhelmed and emotionally incapacitated after unsuccessfully trying to save a child's life. You should:
A) monitor the EMT for improper care.
B) remove the EMT from the scene.
C) instruct the EMT to go home.
D) assess the EMT for a head injury.
Q2) A bleacher at a college has collapsed, and you are the first EMS unit to arrive on the scene. As you enter the gym, several patients are walking around with various injuries. What instruction is most appropriate for these ambulatory patients?
A) "Go outside and wait by the red fire truck in the parking lot and stay there."
B) "Sit down here so that I can do a quick assessment on you."
C) "Put this yellow tag on your wrist and go outside to the red fire truck in the parking lot."
D) "Leave this gym and wait outside. I will be out in a few minutes after I check others who cannot walk."
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Page 47
Chapter 46: Ems Response to Terrorism Involving Weapons
of Mass Destruction
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/42730
Sample Questions
Q1) Which item best describes use of a weapon of mass destruction?
A) Death of 25 following an explosion in a chemical plant caused by faulty wiring
B) Death of 57 following nighttime tornadoes that struck a suburban area
C) Death of 49 people in a crowded mall following intentional dispersal of an unknown bacteria
D) Accidental release of radioactive gas from a nuclear power plant that has impacted thousands of people
Q2) Beta radiation represents the greatest threat to a person's well-being when the:
A) person is within 30 feet of the source.
B) person ingests it by eating contaminated food.
C) radiation occurs in liquid form.
D) source is heated to greater than 100°F.
Q3) A patient who has been exposed to an encephalitis-like agent most likely will complain of:
A) fever and confusion.
B) shortness of breath.
C) blindness and nausea.
D) pain and paralysis.
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Chapter 47: ALS-Assist Skills
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45 Verified Questions
45 Flashcards
Source URL: https://quizplus.com/quiz/42731
Sample Questions
Q1) While assisting a paramedic to start an IV on a critical patient, he asks you to set up the IV bag with a "mini drip" administration set. Which one of the following administration sets should you use?
A) 10 drop/mL set
B) 15 drop/mL set
C) 20 drop/mL set
D) 60 drop/mL set
Q2) What is the function of the flow regulator?
A) Increases or decreases the flow rate of IV fluid
B) Attaches the IV tubing to the IV catheter
C) Increases or decreases the drop size of the IV fluid infusing
D) Connects the IV bag to the patient
Q3) Which of the following intravenous catheter sizes is best when you must quickly infuse a large amount of fluid on a trauma patient?
A) 14 gauge
B) 16 gauge
C) 20 gauge
D) 22 gauge
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Chapter 48: Advanced Airway Management
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49 Verified Questions
49 Flashcards
Source URL: https://quizplus.com/quiz/42732
Sample Questions
Q1) You are ventilating an intubated patient who suffered multisystem trauma. While the paramedic with whom you are working is starting an IV, you both glance at the capnometer device and see that the numeric display is dropping quickly. If there has been no change in ventilatory rate or depth, what could be another cause for this end-tidal carbon dioxide change?
A) There is a drop in blood flow to the lungs from the heart.
B) Patient's blood pressure is rising.
C) Patient's lungs are receiving too much oxygen.
D) The body's metabolic activity is finally starting to improve.
Q2) The major difference between the use of the straight and curved laryngoscope blades is the that the straight blade:
A) is used to directly lift the epiglottis.
B) is used to illuminate the airway.
C) is placed in the vallecula.
D) will not induce the gag reflex.
Q3) An endotracheal tube is properly placed when the distal end lies in the:
A) esophagus.
B) bronchus.
C) trachea.
D) lungs.
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