Prehospital Assessment and Care Exam
Bank
Course Introduction
Prehospital Assessment and Care is a comprehensive course designed to equip students with the knowledge and practical skills necessary to perform initial evaluations and deliver critical interventions in emergency settings prior to hospital arrival. The course covers patient assessment techniques, airway management, trauma and medical emergency response, use of emergency medical equipment, and principles of triage and transport. Through lectures, simulations, and hands-on experiences, students learn to rapidly assess patient conditions, make informed decisions under pressure, and effectively collaborate with other first responders, laying the foundation for high-quality emergency medical services in the field.
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) You work in a community that has an "enhanced" 911 system. Which one of the following is true about that system?
A) The location of the 911 call is displayed to the call taker.
B) The EMS system uses EMTs, Advanced EMTs, and paramedics.
C) The fire department responds simultaneously with EMS.
D) The total response time for EMS rarely exceeds 9 minutes.
Answer: A
Q2) A 14-year-old boy has fallen through a plate glass window and is bleeding heavily from a laceration to his arm. His panicked mother has called 911 for help. Since the 911 operators are also Emergency Medical Dispatchers, which one of the following will they be able to provide?
A) Simultaneous notification of the hospital
B) Whether the EMS response is covered by medical insurance
C) Instructions on how to control bleeding
D) The names of the EMTs who are responding
Answer: C
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Chapter 2: Workforce Safety and Wellness of the Emt
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56 Verified Questions
56 Flashcards
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Sample Questions
Q1) A patient with terminal lung cancer has called EMS for shortness of breath. At the request of your paramedic partner, you are getting the patient's blood pressure. While inflating and then deflating the blood pressure cuff, the patient angrily shouts, "That thing is too tight what are you trying to do, send me to the funeral home a couple of weeks early!" Your best reply would be:
A) "I have to get your blood pressure. The paramedic needs it."
B) "Why are you so mad at me? I am just trying to help you."
C) "I know that this is tight. I am just about done now."
D) "Do not yell at me. There is no need for yelling and I do not appreciate it."
Answer: C
Q2) You would be concerned about cumulative stress when an EMS provider informs you that he:
A) is physically tired and would like one week of unpaid leave to recuperate.
B) drinks a small amount of alcohol every night to help him sleep.
C) is taking prescribed antidepressants to treat mild depression.
D) is bothered by a call he had yesterday and does not feel like talking.
Answer: B
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Page 4
Chapter 3: Medical, Legal, and Ethical Issues
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60 Verified Questions
60 Flashcards
Source URL: https://quizplus.com/quiz/42687
Sample Questions
Q1) The EMT realizes which of the following is true regarding medical tattoos?
A) Cannot legally be honored at this time
B) Appears as a red cross in a white or gray circle
C) May look similar to other tattooed body art
D) Is located on the right wrist of the patient
Answer: C
Q2) A 22-year-old female has been assaulted and taken to the emergency department. With regards to the release of confidential medical information, which one of the following may receive information related to her injuries without her consent?
A) State police
B) Patient's mother
C) Patient's boyfriend
D) Crisis counselor
Answer: A
Q3) For negligence to be proven, which of the following must be present?
A) Duty to act, injury, proximate cause
B) Duty to act, breach of duty, battery
C) Assault, breach of duty, damage
D) Harm to the patient, false imprisonment, duty to act
Answer: A
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Chapter 4: Documentation
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44 Verified Questions
44 Flashcards
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Sample Questions
Q1) You are involved in a lawsuit over a stabbing that occurred six months ago. Since you work in a busy EMS system and some time has passed, your recollection of the incident in spotty. In this situation, your best means of remembering what occurred would be to:
A) review the prehospital care report.
B) meet and discuss the incident with other witnesses.
C) confer with your partner at the time.
D) obtain and review the police report.
Q2) An alert and oriented male patient with chest discomfort refuses treatment and transport to the hospital. He is angry with his family for calling 911 and refuses to sign the refusal form despite several requests. Which one of the following is your next best action?
A) Contact the police to place the patient into protective custody.
B) Have a family member sign as a witness to the father's refusal.
C) Call dispatch on a recorded telephone line and notify them of the situation prior to departing the scene.
D) Carefully restrain the patient and place him on the stretcher for transport.
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6
Chapter 5: Communication
42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/42689
Sample Questions
Q1) Your ambulance was dispatched for a patient complaining of shortness of breath at 1512. You arrived on scene at 1523 and left at 1538. You arrived at the hospital with the patient at 1557 and were back in service at 1622. Which one of the following is true?
A) Your scene time was 15 minutes.
B) You arrived on the scene at 5:23 p.m.
C) The call took place in the morning.
D) The time spent at the hospital was 16 minutes and 22 seconds.
Q2) 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?"
Q3) A 42-year-old female is complaining of shortness of breath. Which of the following questions would best assist you in getting additional information about the patient's chief complaint?
A) "You appear to be short of breath. Are you also having chest pain?"
B) "Why did you wait 2 hours to call for an ambulance?"
C) "Did you get diaphoretic when the shortness of breath started?"
D) "Have you ever had a myocardial infarction before?"
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Page 7
Chapter 6: Lifting and Moving Patients
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37 Verified Questions
37 Flashcards
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Sample Questions
Q1) Which observation demonstrates that the EMTs and EMRs are correctly using the stair chair?
A) The wheels of the stair chair touch each and every step.
B) The stair chair slides down the stairs while tilted forward.
C) The patient is carried down the stairs feet first.
D) The stair chair is carried down the stairs with the chair tilted forward.
Q2) You are trying to convince the equipment committee to purchase a hydraulic power stretcher. When discussing advantages over a more traditional stretcher, what would you emphasize?
A) It is considered much safer for transporting a child car seat.
B) It is much lighter, more durable, and easier to maneuver.
C) It will be easier to lift and lower when it is loaded with a patient.
D) It enables one EMT to safely move the stretcher, freeing another for patient care.
Q3) The EMT recognizes that an advantage of using the wheeled stretcher is that it:
A) rolls smoothly over rough terrain.
B) can be safely moved by one EMT.
C) cannot become unbalanced.
D) can be adjusted to different positions.
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Chapter 7: Anatomy, Physiology, and Medical Terminology
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86 Verified Questions
86 Flashcards
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Sample Questions
Q1) A patient is complaining of extreme dizziness and headache. Which one of the following conditions is most likely to be responsible for this complaint?
A) Occlusion of the carotid arteries
B) Clot in the abdominal aorta
C) Rupture of the radial vein
D) Occlusion of the popliteal vein
Q2) A patient has severe swelling of the leaf-shaped flap that helps to prevent food from entering the lower respiratory system. Knowing that the suffix "itis" refers to inflammation, which one of the following conditions is the patient suffering from?
A) Epiglottitis
B) Tracheitis
C) Pharyngitis
D) Bronchitis
Q3) A patient suffering an orbital fracture is most likely to complain of:
A) pain around the ear.
B) difficulty swallowing.
C) pain when moving his lower jaw.
D) pain around the eye.
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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 one of the following best describes the concept of afterload?
A) Pressure that the left ventricle must pump blood against
B) Ability of the heart to adequately contract and pump blood
C) Amount of blood that a person has in the arteries at any one given moment
D) Amount of blood returned to the lungs for oxygenation
Q2) For the patient with a narrowed pulse pressure, which one of the following is occurring?
A) The heart rate is decreasing.
B) The veins and arteries are dilating.
C) The blood vessels are constricting.
D) The blood is being pumped more slowly.
Q3) Which one of the following would result from increasing a patient's preload?
A) Increased cardiac output
B) Increased oxygen delivery into the lungs
C) Decreased blood pressure
D) Decreased myocardial contraction
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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) A 7-year-old has fallen and exhibits deformity of his left wrist. He will not cooperate with you as you attempt a closer examination of the wrist. Which of the following statements would be appropriate given the patient's age and behavior?
A) "This will not hurt you at all. Please let me see your wrist."
B) "I know that you are scared, but I need to see your hand."
C) "The doctor is going to get upset with me if you do not let me see what is wrong."
D) "You can trust me. If I can see your wrist, I will get you kid's stickers at the hospital."
Q2) 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.
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Chapter 10: Airway Management, Artificial Ventilation, and Oxygenation
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120 Verified Questions
120 Flashcards
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Sample Questions
Q1) The EMT shows that he is correctly using the flow-restricted, oxygen-powered ventilation device when he:
A) stops ventilating as soon as the patient's chest begins to rise.
B) administers each ventilation over a 2- to 3-second period.
C) ventilates the patient at a rate of 20 breaths per minute.
D) increases pressure if the air enters the stomach instead of the lungs.
Q2) Which one of the following patients should benefit from the head-tilt, chin-lift manual airway maneuver?
A) 39-year-old male who just had a seizure and has snoring respirations
B) 45-year-old female who is alert and vomiting blood
C) 67-year-old female who fell down a flight of stairs and is unresponsive
D) 85-year-old female who hit her head on a tree limb and is now responsive to painful stimuli
Q3) Which one of the following actions indicates that the EMT is correctly using a nonrebreather face mask on an adult patient?
A) He ensures that the reservoir fully collapses with each breath.
B) He instructs the patient to take deeper breaths when the mask is on.
C) He sets the oxygen flow rate to between 6 and 16 liters per minute.
D) He fully inflates the reservoir prior to placing it on the patient.
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) A mother has called 911 because her 2-year-old daughter is fussy and not eating. When assessing the toddler, which one of the following is the best indication of her perfusion status?
A) Heart rate
B) Skin color and temperature
C) Palpated blood pressure
D) Auscultation of breath sounds
Q2) Which one of the following is an example of an open-ended question?
A) "Why did you call 911?"
B) "Does your chest hurt?"
C) "Are you dizzy?"
D) "Did you take your medications today?"
Q3) An EMT is correctly assessing a patient's radial pulse when he:
A) uses the palm of his hand to feel the pulse on the upper arm.
B) simultaneously checks for a heart rate on both sides of the neck.
C) uses his thumb to feel for the pulse on the patient's lower arm.
D) uses his fingertips to feel for a pulse at the patient's wrist.
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Page 13
Chapter 12: Scene Size-Up
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) 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
Q2) It has been reported that two people have been shot in an alleyway. As you pull onto the scene, you see a police officer standing over a person with blood on his shirt and pants. In this situation, your first priority is?
A) Assessing the patient's airway for patency
B) Determining the number of patients on scene
C) Considering the need for additional resources
D) Overall safety of the scene
Q3) When would an EMT enter the scene of a crime to provide care to the patient?
A) When an additional crew arrives on scene
B) When all hazards have been addressed
C) When the police return their guns to their holsters
D) When the dispatcher informs the crew to enter
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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 a 6-month-old male with a high fever who has seized. Currently, he is not seizing and appears to be sleeping. When performing the primary assessment on this patient, which of the following is appropriate?
A) Evaluate the pulse before examining the breathing.
B) Check for the presence of a pulse in the brachial artery.
C) Move the baby to the ambulance before performing the primary assessment.
D) Obtain a blood pressure when checking the patient's circulation status.
Q2) A 20-year-old female patient is found unresponsive. The first step of the secondary assessment for her is to:
A) obtain vital signs.
B) conduct a rapid medical assessment.
C) gather a SAMPLE history from the family.
D) contact medical direction for advisement.
Q3) The EMT would recognize which one of the following patients as breathing at a normal rate?
A) 8-year-old male breathing 26 times per minute
B) 44-year-old male breathing 6 times per minute
C) 6-month-old infant breathing 52 times per minute
D) 22-year-old female breathing 26 times per minute
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Page 15
Chapter 14: Pharmacology Medication and Administration
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38 Verified Questions
38 Flashcards
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Sample Questions
Q1) Of the following, which one best illustrates how the EMT should document the administration of a medication?
A) 325 mg of aspirin administered orally at 1325
B) 0.4 of nitroglycerin administered sublingually at 0800
C) Medical direction (Dr. Cole) ordered albuterol at 1245. Given as ordered.
D) Assisted patient with administration of medication via metered-dose inhaler
Q2) You have administered Xopenex to a patient, using a small-volume nebulizer. You then notify medical direction that you have administered the drug. This is an example of which type of medical control?
A) On-line
B) Direct
C) Off-line
D) Retrospective
Q3) What selection illustrates a generic drug name?
A) Albuterol
B) Advil
C) Aspirin
D) Acetylsalicylic acid
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Chapter 15: Shock and Resuscitation
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89 Verified Questions
89 Flashcards
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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 EMT would recognize which of the following as the most probable case of cardiogenic shock?
A) Myocardial infarction
B) Severe vomiting and diarrhea
C) Gastrointestinal bleed
D) Systemic infection
Q3) When should the EMT transport the cardiac arrest patient?
A) After three "No Shock Advised" messages are received
B) Immediately upon determining that the patient is in cardiac arrest
C) After one shock has been delivered and the patient remains in cardiac arrest
D) Before delivering the first shock when a "Shock Advised" message is received
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Chapter 16: Respiratory Emergencies
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85 Verified Questions
85 Flashcards
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Sample Questions
Q1) You are transporting a 4-year-old female who you found sitting in a chair with labored respirations, inspiratory stridor, and drooling. Which one of the following signs would warrant immediate reassessment?
A) The stridor disappears.
B) The drooling continues.
C) The SpO drops from 96% to 95%.
D) The patient remains dyspneic.
Q2) Which of the following respiratory sounds would make you suspicious of an upper airway problem?
A) Wheezing
B) Crackles
C) Rhonchi
D) Stridor
Q3) The patient with emphysema has a hard time breathing because of:
A) CO retention.
B) air trapping.
C) low CO levels.
D) stridorous obstruction.
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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 administer aspirin in the prehospital setting, which of the following must be satisfied?
A) Approval from medical direction
B) Patient prescription for aspirin
C) Age of less than 65 years
D) Systolic blood pressure greater than 100 mmHg
Q2) A 44-year-old male is experiencing chest pain. He has a history of angina and is prescribed nitroglycerin, which he has not taken yet. He is also taking another medication. Which of the following contraindicates the administration of nitroglycerin?
A) Coumadin
B) Levitra
C) Methadone
D) Albuterol
Q3) Which of the following patient statements should cause the EMT to suspect an abdominal aortic aneurysm?
A) "I have belly pain that I also feel in my back."
B) "My heart is beating so hard, you can feel it on my chest."
C) "The pain is sharp and spreads to both arms."
D) "I seem to be vomiting up some blood."
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Page 19
Chapter 18: Altered Mental Status, Stroke, and Headache
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63 Verified Questions
63 Flashcards
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Sample Questions
Q1) An elderly male patient with a history of COPD, hypertension, and diabetes presents as lethargic and confused. His airway is patent, and breathing adequate. His skin is hot and radial pulse strong, regular, and bounding. Vital signs are: pulse 112, respirations 20, blood pressure 108/64, SpO 94%, and temperature 102.8 F. Also noted is swelling to his right lower leg. Given these assessment findings, the EMT should suspect what condition as responsible for the patient's altered presentation?
A) Infection
B) Peripheral edema
C) Hypoxia
D) Tachycardia
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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Chapter 19: Seizures and Syncope
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57 Verified Questions
57 Flashcards
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Sample Questions
Q1) As you approach a female patient, she appears unresponsive with her arms and legs jerking violently. On the prehospital care report, you would document that the patient was found in what phase of a generalized seizure?
A) Tonic
B) Absence
C) Syncopal
D) Clonic
Q2) A postictal patient is awake but has trouble answering your questions correctly. Given this presentation, the EMT would recognize that:
A) the airway is open.
B) another seizure is coming.
C) the patient has a seizure history.
D) high-concentration oxygen is indicated.
Q3) As a general rule, a postictal patient should be placed on the stretcher and transported in what position?
A) Supine
B) Semi-Fowler's
C) Lateral recumbent
D) Prone
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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 determine a patient's blood glucose level to be 289 mg/dL. You document this result on the prehospital care report as:
A) normal.
B) hyperglycemic.
C) depressed.
D) hypoglycemic.
Q2) The EMT should suspect that a patient is diabetic when which one of the following medications is found on the scene?
A) Nitrostat
B) Metformin
C) Ecotrin
D) Lexapro
Q3) A diabetic patient is alert but confused. You have decided to administer oral glucose. Which one of the following describes how to administer the glucose properly?
A) Squeeze the glucose under the patient's tongue.
B) Place the glucose between the patient's cheek and gum.
C) Use a tongue depressor to place the glucose on the back of the tongue.
D) Have the patient slowly swallow the glucose.
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Chapter 21: Anaphylactic Reactions
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53 Flashcards
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Sample Questions
Q1) A patient suffers an allergic reaction after taking penicillin. In this case, the penicillin would be recognized as a/an:
A) IgE immunoglobulin.
B) antigen.
C) mast cell.
D) antibody.
Q2) When administering epinephrine to an infant or child, the EMT would place the injector at what site?
A) Outer buttock
B) Hip muscle
C) Upper arm
D) Lateral thigh
Q3) A patient has just taken her first dose of Zocor for her high cholesterol. Within minutes, she begins to develop hives, shortness of breath, and low blood pressure. In this case, the EMT would recognize a/an:
A) sensitized immune response.
B) anaphylaxis.
C) hypersensitivity reaction.
D) anaphylactoid reaction.
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Page 23
Chapter 22: Toxicologic Emergencies
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Sample Questions
Q1) While he is changing the battery on a truck, acid from the battery splashed into a 66-year-old male's right eye. He complains of burning pain to his right eye and he is having a hard time keeping it open. He is alert and oriented and has no problems with his airway, breathing, or circulation. Your next action would be to:
A) cover both eyes and provide immediate and rapid transport.
B) rinse the eye with a mixture of sterile water and activated charcoal.
C) place a cold pack to the eye and immediately transport to the hospital.
D) irrigate the eye with tap water for a minimum of 20 minutes.
Q2) You are transporting a patient who wants help to rid herself of an addiction to pain medications. She says she has not taken any pain medications since yesterday, and needs help. Which of the following would you recognize as a sign of withdrawal?
A) Her mental status decreases.
B) Her body temperature falls.
C) She starts to become agitated.
D) She begins to cry uncontrollably.
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24
Chapter 23: Abdominal,
Hematologic, Gynecologic,
Genitourinary, and Renal Emergencies
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116 Verified Questions
116 Flashcards
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Sample Questions
Q1) An EMR tells you that a patient has pain just above the umbilicus. You would document this as pain in the:
A) right lower quadrant.
B) hypogastric area.
C) left upper quadrant.
D) epigastric area.
Q2) You are treating a male patient with a sickle cell crisis. Vital signs are: pulse 124, respiration 22, blood pressure 156/92, and SpO 93%. What instruction would you provide to other EMTs in the care of this patient?
A) "Let's place the patient on a nasal cannula with 4 lpm of oxygen."
B) "I need someone to administer aspirin so we can thin his blood and get it moving."
C) "The best thing we can do is just to transport to the emergency department."
D) "Remember that using a blood pressure cuff can cause significant bruising."
Q3) If a patient has a retroperitoneal infection, what organ could be involved?
A) Bladder
B) Kidney
C) Gallbladder
D) Small intestine
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Chapter 24: Environmental Emergencies
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85 Flashcards
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Sample Questions
Q1) When cooling a patient with possible heat stroke, which one of the following would be of most concern to the EMT?
A) Blood pressure increasing to 102/78 mmHg
B) The heart rate going from 140 beats to 120 beats per minute
C) Observing your partner apply a sheet soaked in tepid water to the patient
D) Determining that the patient is shivering after having cold packs applied to the neck
Q2) After successfully rewarming a foot and frozen toes, the EMT should:
A) cover the foot and toes with dry, sterile dressings.
B) gently massage the foot and toes.
C) ambulate the patient to ensure return of adequate motor function.
D) place the foot below the level of the heart to enhance circulation.
Q3) In what situation will the means of sweating to cool the body be less effective?
A) Relative humidity of 98%
B) Outdoor temperature of 92 F
C) Internal temperature of 102 F
D) Indoor humidity of 68%
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Chapter 25: Submersion Incidents: Drowning and Diving Emergencies
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Sample Questions
Q1) A 24-year-old intoxicated female patient was pulled from a pool by hotel personnel. The primary assessment reveals her airway to be open and her breathing adequate. Her radial pulse is strong but fast and she is persistently coughing. Vital signs are pulse 144, respirations 24, blood pressure 166/100; and SpO2 93%. Which one of the following would be considered appropriate in the care of this patient?
A) Abdominal thrusts to remove water from the lungs
B) Supplemental oxygen through a nasal cannula
C) Deep oral suctioning to remove water from the airway
D) Precautionary application of the automated external defibrillator
Q2) You are by the side of a male patient who was deep sea diving earlier in the day. The 32-year-old informs you that he thinks he pulled a muscle in his shoulder, which has been hurting more as the day goes on. When questioned, he admits to having a headache and blurred vision. You are suspicious of decompression sickness. Which one of the following statements made by the patient would be most significant given the situation?
A) "I spent some time in a pocket of warm water."
B) "I ate seafood the night before."
C) "I saw a shark and came up as fast as I could."
D) "I took Tylenol before the dive for a headache."
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Chapter 26: Behavioral Emergencies
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49 Verified Questions
49 Flashcards
Source URL: https://quizplus.com/quiz/42710
Sample Questions
Q1) You are responding to a patient with a behavioral problem. While en route, dispatch contacts you and states that there is a mental-health delegate at the scene and you will be transporting the patient to the local psych hospital for treatment of her bipolar disorder. On scene which one of the following patient behaviors should help confirm that the patient is suffering from bipolar disorder?
A) Belief that family members are out to get her
B) Panicked, anxious, and nervous behavior
C) Threats of violence toward the EMTs
D) Happy, excessively cheerful, and elated behavior
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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Chapter 27: Trauma Overview: the Trauma Patient and the Trauma System
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/42711
Sample Questions
Q1) If a car, driven by an unrestrained male, strikes a utility pole at 35 mph, which of the following is true?
A) The patient struck the steering wheel at a combined speed of 70 mph.
B) The internal organs struck the inside of the body at 35 mph.
C) The utility pole absorbed half of the kinetic energy, making the body collision 17.5 mph.
D) The energy transferred to the body is increased by a factor of 2.
Q2) You are hosting a discussion on injury prevention when a participant asks you if you believe that helmets for motorcyclists will truly make a difference. You would respond by saying:
A) "Motorcycle helmets decrease the risk of death when involved in a collision."
B) "Helmets have been shown to prevent motorcycle accidents."
C) "Wearing a helmet decreases the chance of being ejected from a motorcycle."
D) "A motorcycle helmet decreases the chance of permanent spinal injury."
Q3) A "whiplash" type neck injury is most often observed with what type of collision?
A) Frontal impacts
B) Ejection
C) Rear-end impact
D) Rollover
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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 managing a patient with a soft-tissue injury, it is essential that the EMT perform which of the following?
A) Thoroughly disinfect dirty lacerations.
B) Control bleeding using sterile dressings only.
C) Use the appropriate personal protective equipment.
D) Cover hematomas with occlusive dressings.
Q2) Which one of the following patients would the EMT recognize as suffering from an evisceration injury?
A) Female with a large flap of skin that has been torn loose from her scalp
B) Male patient with a knife impaled in this right upper abdomen
C) Male patient with a loop of intestine protruding from an open surgical wound
D) Female shot in the chest with "bubbling" coming from the wound as the patient breathes
Q3) 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
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Page 30
Chapter 29: Burns
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45 Verified Questions
45 Flashcards
Source URL: https://quizplus.com/quiz/42713
Sample Questions
Q1) A 44-year-old electrician has been shocked and responds to verbal stimuli with garbled speech. His airway is open and he is breathing poorly at a rate of 8 times per minute. His pulse is slow and irregular. What action would the EMT perform next?
A) Attach but do not turn on the automated external defibrillator.
B) Insert an oral airway and apply 15 lpm oxygen with a nonrebreather mask.
C) Obtain the patient's pulse, blood pressure, and pulse oximetry reading.
D) Ventilate with a bag-valve mask at 12 breaths per minute.
Q2) An awake but confused patient with a diabetic history spilled a pot of hot water on himself while cooking. He has a partial-thickness burn on his right anterior leg. Following an unremarkable primary assessment, which action is your highest priority?
A) Determine the percentage of body surface area burned.
B) Check the patient's blood glucose level.
C) Assess for signs of infection at the burn site.
D) Apply sterile dressings to the burn.
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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) 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.
Q2) While on standby at a semi-professional baseball game, you are summoned onto the field for a player complaining of severe leg pain after colliding with the catcher of the opposing team. The primary assessment shows no threats to the airway, breathing, or circulation. The secondary assessment reveals a severely deformed knee that is swollen and ecchymotic. The leg is pale and cool, and the patient cannot move his leg when asked to do so. In addition, you cannot palpate a pedal pulse. Which one of the following is your priority at this time?
A) Apply cold packs to the knee and transport immediately.
B) Apply a traction splint and enough traction until a pulse returns.
C) Check the patient's radial or carotid pulse.
D) Attempt to straighten the leg until a pulse returns.
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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) A 41-year-old male patient has been struck in the head with a metal pipe. As you approach the patient, you note that he is combative and has blood on the left side of his face and head and on his shirt. His breathing appears to be labored and he is incontinent of urine. Which one of the following would you perform immediately?
A) Check his pupils for equality and reactivity.
B) Apply oxygen at 15 lpm via nonrebreather mask.
C) Take manual in-line spinal stabilization.
D) Expose the chest to look for possible bleeding.
Q2) As brain herniation occurs, the body responds by:
A) increasing blood pressure to perfuse the brain.
B) increasing the heart rate to circulate oxygen-rich blood faster.
C) decreasing blood pressure to decrease pressure within the skull.
D) discharging cerebrospinal fluid to decrease pressure within the skull.
Q3) The cerebellum is described as an area of the brain that:
A) is responsible for most conscious and sensory functions.
B) consists of two hemispheres each containing five distinct lobes.
C) controls reflexes and assists in maintaining body posture.
D) controls the body functions most essential and vital to life.
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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) A patient is lying under a tree after being involved in a motor vehicle collision. She states that immediately after the crash, she felt okay, but now her legs are numb and tingling. She also has lower back discomfort. What question is it most important for the EMT to ask first?
A) "Do you think that you had a seizure?"
B) "Are you allergic to any medications?"
C) "How did you get out of the car?"
D) "Do you have a history of back problems?"
Q2) Which one of the following instructions from one EMT to another shows the correct application of a cervical spine immobilization collar?
A) "Carefully flex his head forward a little so I can pass the collar underneath his neck."
B) "Let's log roll the patient to one side so I can apply the cervical spine immobilization collar."
C) "Keep his head in neutral position while I apply the cervical spine immobilization collar."
D) "I need you to extend the patient's chin backward a little so I can fit the collar under his chin."
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Page 34
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) You suspect that a patient has a fracture of the left orbit. What statement made by the patient would reinforce this suspicion?
A) "The light is hurting my eyes."
B) "I am seeing two of everything."
C) "Everything looks yellow."
D) "My eye feels like it is burning."
Q2) A baseball player was struck in the side of the face by a baseball. Assessment findings include swelling and numbness to the left side of the face and left eyelid, as well as crepitus in the same area. Assessment of the eye reveals no obvious injury. The patient denies any problem with his eyesight, but is having difficulty visually tracking your finger upward. Which of the following would be appropriate care for this injury?
A) Cold packs to the face and eyelid
B) Gentle pressure over the face and eye
C) Gentle cleansing of the eye with sterile water
D) Warm packs to the area of swelling
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Chapter 34: Chest Trauma
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42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/42718
Sample Questions
Q1) An Emergency Medical Responder asks you to explain a pneumothorax. You would explain that a pneumothorax occurs when:
A) the lung becomes overinflated with air and collapses.
B) air accumulates around the lung, causing a portion of it to collapse.
C) the trachea becomes obstructed, causing the lungs to collapse.
D) air enters the lung and alveoli from a traumatic opening in the chest wall.
Q2) What mechanism of injury produces the conditions for traumatic asphyxia?
A) Fall 20 feet from scaffolding onto a concrete sidewalk
B) Person strangled but not killed in an attempted rape
C) Penetrating chest trauma with a high-powered firearm
D) Person pinned between a truck and wall of a building
Q3) You are transporting a 19-year-old male with a gunshot wound to the chest. On scene you covered the wound with an appropriate dressing. Now, as you reassess the patient, you note that the patient is tachypneic and complaining of difficulty breathing. Breath sounds on the side of the injury are diminished. Your immediate action would be to:
A) tape the dressing on the fourth side.
B) lift the dressing from the wound for several seconds.
C) provide positive pressure ventilation with high-concentration oxygen.
D) cover the wound with another dressing.
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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) The EMT has fundamental understanding of abdominal trauma when he states:
A) "Evisceation injuries can be recognized by dark-colored bruising over the top of the injury site."
B) "Blunt trauma tends to be more lethal than penetrating trauma because of the large number of organs affected."
C) "Injury to the solid organs like the bladder tend to be more lethal than injury to of hollow organs."
D) "Injury to the hollow organs tends to be worse than the solid organs because of the increased potential for blood loss."
Q2) A patient has referred pain to her left shoulder. Which of the following should the EMT suspect?
A) Hemorrhage from the spleen
B) Rupture of the small intestine
C) Damage to the gallbladder
D) Trauma to the right kidney
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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) An 83-year-old female has fallen down the basement stairs. Once at her side, she tells you that her left hip hurts and rates it 10/10. Since the patient is downstairs, you recognize the need for assistance in extricating from the residence. As you start the primary assessment, you note a dog at the top of the stairs growling. At this time, what is your primary concern?
A) Airway
B) Pain
C) Need for additional help
D) Dog
Q2) When assessing and treating a traumatically injured female in her third trimester of pregnancy, the EMT must remember that:
A) immobilization to a long spine board increases her risk for vomiting.
B) the maternal heart rate naturally decreases as the due date approaches.
C) care for the baby will come from caring for the mother.
D) an increase in blood volume makes her naturally resistant to shock.
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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) A patient is 7 cm dilated and complaining of painful contractions. What stage of labor should the EMT identify?
A) First stage
B) Expulsion
C) Third stage
D) Uterine
Q2) Which of the following statements best indicates that the patient is in the second stage of labor?
A) "The contractions are beginning to hurt now."
B) "I think that my water just broke."
C) "I feel like I have to move my bowels."
D) "It feels good not to have to push anymore."
Q3) You have completed the assessment of a 32-year-old patient who is starting her seventh month of pregnancy. Which one of the following assessment findings should the EMT be most concerned about?
A) Several painless contractions
B) Increased desire to eat
C) Increased weight over the past month
D) Intermittent vaginal bleeding
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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) You are by the side of a 2-year-old whose mother states he has had a cough for the past three days. His airway is patent and respirations labored. Intercostal retractions are accompanied by stridorous respirations. His skin is warm to hot and vital signs are as follows: pulse 152, respirations 28, SpO 97%, and temperature 100.3°F. Breath sounds are clear and equal. Based on this presentation, you would suspect and treat the patient for: A) asthma.
B) bronchiolitis.
C) foreign body airway obstruction.
D) croup.
Q2) Which of the following would be the most appropriate instructions to give to another EMT concerning the ventilation of an unresponsive and apneic 3-year-old boy?
A) "Let's ventilate him at a rate of 24 breaths a minute."
B) "Make sure to give each ventilation over 2 seconds."
C) "Deliver one breath every 3 seconds."
D) "Do not administer cricoid pressure since it is contraindicated."
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Chapter 39: Geriatrics
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58 Verified Questions
58 Flashcards
Source URL: https://quizplus.com/quiz/42723
Sample Questions
Q1) To best communicate with a geriatric patient with diminished eyesight, the EMT should:
A) write questions in large print on paper.
B) increase both the pitch and volume of his voice.
C) stand in front of the patient and talk normally.
D) obtain needed information from family members.
Q2) The EMT would recognize potential elder neglect when the patient makes what statement?
A) "They are rough with me when I wet myself."
B) "They do not give me my high blood pressure medications."
C) "They are spending my money on illegal drugs."
D) "They wake me up every 3 hours at night to see if I am incontinent."
Q3) In reviewing prehospital care reports, you note that over 75 percent of the patients from a nursing home suffer from hypertension. As a knowledgeable EMT, you would recognize that:
A) hypertension is common among the elderly.
B) the patients are not taking blood pressure medications.
C) an infectious disease is spreading through the nursing home.
D) all of the patients must have the same physician.
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Page 41
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) Poor position of an obese patient on the stretcher would most likely result in:
A) hypotension.
B) skin breakdown.
C) respiratory distress.
D) back pain.
Q2) A patient with quadriplegia most likely suffered an injury to his:
A) brain.
B) thoracic spine.
C) arms and legs.
D) cervical spine.
Q3) A 77-year-old male who is blind and has a guide dog called 911 for chest pain. On scene you note no immediate life threats and now must move him to the stretcher, located in another room. Which one of the following is most appropriate, given his impairment of sight?
A) Guide and direct him by taking his arm.
B) Allow the guide dog to guide him to the stretcher.
C) Carry him to the stretcher.
D) Assist him to the stretcher with one EMT at either side of him.
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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) In post-traumatic stress disorder (PTSD), the EMT would recognize that a patient is reliving an event when he states:
A) "I do not like the smell of diesel fuel because of the airplane crash."
B) "I feel so guilty that there was nothing I could do to save them."
C) "I notice that my heart rate will sometimes increase for no reason."
D) "I cannot sleep well because of nightmares that I am back in the desert."
Q2) As an EMT, you realize that post-traumatic stress disorder (PTSD) occurs when:
A) the brain is emotionally injured by an external force.
B) the returning veteran perceives a lack of respect by society or the government.
C) an individual is exposed to an abnormal or dangerous condition.
D) an individual is overwhelmed with daily living when returning from the military.
Q3) The four essential features of post-traumatic stress disorder include:
A) chronic confusion.
B) unexplained attraction to war memorabilia.
C) feelings of anger.
D) migration to crowds for security.
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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) While cleaning the ambulance following an emergency call, you find a syringe and a needle that were used by the paramedic to give a patient an injection. Which one of the following is the proper way to dispose of used syringes and needles?
A) Re-cap the needle, and dispose of it in the garbage.
B) Remove the needle from the syringe, and dispose of it in the trash.
C) Bend the needle, and then dispose of it in a special garbage bag at the hospital.
D) Place the syringe and needle in a special puncture resistant container.
Q2) As an instructor for safe ambulance operations, which of the following statements should you make to new EMTs about responding with lights and sirens through curves in the road?
A) "At night, turn your high beams off prior to entering the curve."
B) "It is best to start braking after entering the curve."
C) "To be safe, maintain a steady speed through the entire curve."
D) "It is easier to control the ambulance when you accelerate just before entering the curve."
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Page 44
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) At the scene of a motor vehicle collision, a driver is entrapped in his car after striking the back of a truck at a high rate of speed. Which action would be performed first when providing stabilization of the car?
A) Setting the parking brake
B) Disconnecting the battery
C) Shutting off the engine
D) Placing the transmission in "park"
Q2) You are on scene of a serious motor vehicle collision. As the officer in charge, which one of the following instructions for other rescuers is most appropriate?
A) "Let's make sure to put cones around the cars."
B) "We need to route passing traffic no more than 20 feet around the scene."
C) "Park the ambulance downhill to make movement of the patient easier."
D) "Let's stop all traffic and reroute it to alternative roadways."
Q3) Which one of the following situations represents simple access to a patient?
A) Unlocking a car door by breaking the window using a screwdriver
B) Forcing entry into a house
C) Climbing stairs to gain access to a patient on a porch
D) Extrication of a patient from a car after removing one door
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45
Chapter 44: Hazardous Materials
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/42728
Sample Questions
Q1) A worker has been exposed to beta rays given off by a radioactive material. Which one of the following should you do first?
A) Decontaminate the patient.
B) Quickly assess for any radiation burns.
C) Assess his level of consciousness and ABCs.
D) Determine the exact material he was exposed to.
Q2) You are working the scene of a collision involving a tractor trailer that is hauling an unknown chemical. After it has been determined that no material has been spilled, the rescue chief asks you to get the truck's shipping papers. Where would these most likely be located?
A) Shipping vault on the trailer
B) Cab of the truck
C) Rear compartment on the tanker
D) Electrical box between the tractor and trailer
Q3) The EMT would best describe a hazardous material as:
A) any material capable of injuring >50 people.
B) any material that poses a threat to life.
C) any material that is explosive in nature.
D) any material that can contaminate the environment.
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Page 46
Chapter 45: Multiple-Casualty Incidents and Incident Management
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29 Verified Questions
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Source URL: https://quizplus.com/quiz/42729
Sample Questions
Q1) While responding to an MCI drill involving an explosion, you pass a dozen ambulances sitting in a parking lot three blocks away from the incident. You should recognize this area as the:
A) transport unit.
B) staging unit.
C) treatment unit.
D) triage area.
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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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) Why would iodine tablets be a benefit to administer to the general public following a nuclear bomb detonation?
A) Iodine boosts the immune system.
B) Iodine protects against all types of cancer.
C) Iodine decreases the risk for thyroid cancer.
D) Iodine helps eliminate radiation from the body.
Q2) A patient has an injury to his arm caused by an unknown vesicant. After assessing the airway, breathing, and circulation, you should:
A) brush the powder from the skin.
B) apply a wet sterile dressing to the arm.
C) flush the injured area with water.
D) transport the patient to the hospital immediately.
Q3) In a terrorist attack involving the use of biological toxins, which of the following is true?
A) The toxins are not nearly as dangerous as the organisms that produce them.
B) The toxins are living organisms and can easily multiply in the human body.
C) Biological toxins will typically kill a person within minutes of exposure.
D) Biological toxins cannot be passed from one person to another.
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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) You are preparing to obtain an ECG tracing while using a 4-lead cardiac monitor. Where would you place the red "RL" lead?
A) Right thorax, under the clavicle
B) Lower left chest wall, anterior axillary line
C) Left thorax, under the clavicle
D) Lower right chest wall, anterior axillary line
Q2) If the EMT fails to protect the sterility of the spike on the IV administration tubing while preparing equipment for starting an IV, what negative outcome may occur?
A) Clogging of the catheter
B) Infection in the patient
C) Too slow IV flow rate
D) Occlusion of the drip chamber
Q3) A hypotensive patient in septic shock requires are large amount of fluid to be administered as quickly as possible. What IV catheter would be best?
A) 14 gauge
B) 16 gauge
C) 18 gauge
D) 20 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) The EMT understands that capnometry informs the care provider of:
A) Level of oxygen in the lungs.
B) Amount of CO being exhaled.
C) Measure of O being delivered to the cells.
D) The adequacy of oxygen diffusion into the bloodstream.
Q2) You are ventilating a patient in cardiac arrest and you see a sudden rise in the capnometry measurement. Your statement to the crew providing care would be:
A) "Please reassess the tube for proper placement."
B) "Please increase the rate of ventilations to 20."
C) "Stop CPR and check for a carotid pulse."
D) "Can you let the paramedic know we need something to sedate the patient?"
Q3) When using the curved laryngoscope blade, the tip of the blade should be placed in the:
A) trachea.
B) esophagus.
C) vallecula.
D) carina.
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