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EMD EXAM QUESTIONS WITH CORRECTLY SOLVED ANSWERS, Exams of Medicine

Virginia State University (VSU)Medicine

EMD EXAM QUESTIONS WITH CORRECTLY SOLVED ANSWERS

Typology: Exams

2024/2025

Available from 02/22/2025

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EMD EXAM QUESTIONS WITH CORRECTLY SOLVED

ANSWERS

1. The Academy does not consider aspirin to be a blood thinner in

response to Key Question 5 on Protocol 21: "Does s/he have a bleeding

disorder or is s/he on blood thinners?"

A.) True

B.) False: A.) True

2. Both ECHO- and DELTA-level Determinant Codes imply potentially

critical, time-sensitive situations.

A.) True

B.) False: A.) True

3. ECHO Determinant Codes were created to encourage agencies to send:

A.) The most cost-efficient response

B.) All available responders

C.) The absolute closest response of any trained crew

D.) Their most highly trained paramedic: C.) The absolute closest response

of any trained crew

4. ECHO codes only exist on Chief Complaint Protocols without DELTA codes.

A.) True

B.) False: B.) False

5. As a general rule, ECHO Codes are included on Chief Complaint

Protocols that involve significant scene safety risks.

A.) True

B.) False: B.) False

6. You will sometimes have enough information after hearing the caller's

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EMD EXAM QUESTIONS WITH CORRECTLY SOLVED

ANSWERS

The Academy does not consider aspirin to be a blood thinner in response to Key Question 5 on Protocol 21: "Does s/he have a bleeding disorder or is s/he on blood thinners?" A.) True B.) False: A.) True
Both ECHO- and DELTA-level Determinant Codes imply potentially critical, time-sensitive situations. A.) True B.) False: A.) True
ECHO Determinant Codes were created to encourage agencies to send: A.) The most cost-efficient response B.) All available responders C.) The absolute closest response of any trained crew D.) Their most highly trained paramedic: C.) The absolute closest response of any trained crew
ECHO codes only exist on Chief Complaint Protocols without DELTA codes. A.) True B.) False: B.) False
As a general rule, ECHO Codes are included on Chief Complaint Protocols that involve significant scene safety risks. A.) True B.) False: B.) False
You will sometimes have enough information after hearing the caller's

2 / 113 response to, "Okay, tell me exactly what happened," to immediately initiate an ECHO response for the patient. A.) True B.) False: A.) True

Which of the following complaints represents a situation that, without ob- taining any further information, could be properly categorized by an EMD into one of the MPDS Chief Complaint Protocols? A.) "He's just laying on the couch looking miserable. I think he's dying. Come quick! B.) "Something's wrong with my Mom. She needs an ambulance right away." C.) "My baby just swallowed a marble and it's stuck in her throat. She can't breathe at all!" D.) "He's been acting really sick since yesterday, and now he's getting even worse.": C.) "My baby just swallowed a marble and it's stuck in her throat. She can't breathe at all!"
Immediately after initiating an ECHO response, you should: A.) Provide applicable Case Entry Post-Dispatch instructions. B.) Provide applicable Post-Dispatch Instructions from the corresponding Chief Complaint Protocol. C.) Return to the questioning sequence.: A.) Provide applicable Case Entry Post-Dispatch instructions.
It is clearly a waste of time to ask additional Case Entry Questions and Chief Complaint Key Questions after initiating a 7-ECHO-1 response and providing PDI-a and PDI-f for person on fire. A.) True B.) False: B.) False
The ECHO send point under Case Entry Question 3 for 9-E-1, "Obviously NOT BREATHING and Unconscious (non-traumatic)," applies

4 / 113 B.) Instruct the caller to immediately get the child out of the water. C.) Instruct the caller not to go in the water unless it's safe to do so.: C.) Instruct the caller not to go in the water unless it's safe to do so.

5 / 113

You have just initiated a 9-E-5 response in suffocation case where the patient may still have something covering her face or in her mouth that is interfering with her ability to breathe. After providing Case Entry PDI-a, you should immediately tell the caller: A.) "Remove anything covering the face or in the mouth, then tell me if she's breathing." B.) "Loosen anything around the neck, then tell me if she's breathing." C.) "Turn her on her side and check to see if there is anything in her mouth then tell me if she's breathing." D.) "Cut her down immediately, loosen the noose, then tell me if she's breath- ing.": A.) "Remove anything covering the face or in the mouth, then tell me if she's breathing."
In response to, "Okay, tell me exactly what happened," the caller reports that her dad's pants are on fire. What should you do next? A.) Continue with the Case Entry interrogation. B.) Instruct the caller to, "Tell him to stop running, drop to the ground, cover his face, and roll around. If water is available, douse him with it immediately until the fire is completely out." C.) Initiate a 7-ECHO-1 response. D.) Instruct the caller to immediately, "Get away and call us from somewhere safe.": C.) Initiate a 7-ECHO-1 response.
After an ECHO response, completing all Case Entry and Chief Complaint Key Questions, when directed, ensures that the proper knowledge regarding safety issues and the appropriate warnings and/or advice are immediately and always passed on to the responders and potential scene helpers. A.) True B.) False: A.) True
If you are using the MPDS cardset, and the correct Chief Complaint

7 / 113 Respiratory Arrest, then: A.) you always know it should be coded as 9-ECHO-1, since there is only one ECHO code on Protocol 9. B.) you can refer to the list on the Case Entry Additional Information Protocol to help you determine the correct Determinant Code. C.) you should not initiate a response until you have completed the Key Questions on Protocol 9.: B.) you can refer to the list on the Case Entry Additional Information Protocol to help you determine the correct Determinant Code.

When you discover during Case Entry that a patient is in full arrest from anaphylactic shock after having been stung by a wasp and is not breathing, you should code the case as: A) 2-E- 1 B.) 2-E- 2 C.) 6-E- 1 D.) 6-E- 2 E.) 9-E-1: A) 2-E- 1
After initiating a 7-E-1 (Person On Fire) response, providing Case Entry PDIs, and completing the Case Entry interrogation, you should link to Protocol 7 and ask all of the applicable Key Questions. A.) True B.) False: A.) True
It is important to use the AGONAL BREATHING Detector whenever a 2nd party caller is unsure about whether the patient is breathing. A.) True B.) False: B.) False
An EMD should consider sudden cardiac arrests to be "workable."

8 / 113 A.) True B.) False: A.) True

Letting the chest come all the way up between each compression: A.) Makes each compression less effective. B.) Allows the heart to refill with blood that can be circulated out into the body again with the next compression. C.) Makes doing compressions less exhausting for the rescuer. D.) Is considered an unnecessary interruption in compressions and should be avoided.: B.) Allows the heart to refill with blood that can be circulated out into the body again with the next compression.
Once applied to the patient and turned on, an AED will administer a shock to the patient, even if her/his heart is beating normally. A.) True B.) False: B.) False
As the EMD, it's your job to diagnose reported heart problems. A.) True B.) False: B.) False
The term "arrhythmia" refers to: A.) An abnormally fast heart rate. B.) An abnormally slow heart rate. C.) Any electrical heart rhythm abnormality. D.) The absence of a measurable heart rate.: C.) Any electrical heart rhythm abnormality.
Some patients with Premature Atrial Contractions (PACs) have the sensa- tion that their heart has momentarily stopped beating.

10 / 113 C.) The gradual loss of the heart's pumping ability and efficiency. D.) When the heart's AV node pauses or sends electrical impulses at a slower than normal rate: C.) The gradual loss of the heart's pumping ability and efficiency.

Select the Best Chief Complaint Protocol: "My wife isn't feeling that good & she thinks it may be a problem with her heart. She says she feels a heavy pressure in her chest like it is being crushed. And there is also a sharp pain in her shoulder. And she feels like she might throw up." A.) (6) Breathing Problems B.) (10) Chest Pain/Chest Discomfort (Non-Traumatic) C.) (19) Heart Problems/A.I.C.D D.) (26) Sick Person: B.) (10) Chest Pain/Chest Discomfort (Non-Traumatic)
Select the Best Chief Chief Complaint Protocol: "I'm having a rapid heart beat. My pulse is probably a 100 plus. My blood pressure is probably really high. I need some Nitro tablets. I normally carry them on me. I just left in a hurry & they weren't in my pocket." A.) (6) Breathing Problems B.) (10) Chest Pain/Chest Discomfort (Non-Traumatic) C.) (19) Heart Problems/A.I.C.D D.) (26) Sick Person: C.) (19) Heart Problems/A.I.C.D
Select the Best Chief Complaint Protocol: "My brother and I got in a fight. He punched me right in the chest. It happened about 15 minutes ago & my chest is still hurting. I'm worried it may have injured my heart." A.) (4) Assault/Sexual Assault

11 / 113 B.) (19) Heart Problems/A.I.C.D C.) (10) Chest Pain/Chest Discomfort (Non-Traumatic) D.) (30) Traumatic Injuries: A.) (4) Assault/Sexual Assault

Select the Best Chief Complaint Protocol: My husband have one of those little shock boxes in his heart & he just felt it go off. He seems okay right now but I am really worried because there must be something worse going on with his heart." A.) (10) Chest Pain/Chest Discomfort (Non-Traumatic) B.) (15) Electrocution/Lightning C.) (19) Heart Problems/A.I.C.D. D.) (26) Sick Person: C.) (19) Heart Problems/A.I.C.D.
Select the Best Chief Complaint Protocol: "I have been having AFIB this morning. And it has gotten out of control. I was trying to get to the hospital but my heart is racing." A.) (10) Chest Pain/Chest Discomfort (Non-Traumatic) B.) (19) Heart Problems/A.I.C.D. C.) (26) Sick Person D.) (31) Unconscious/Fainting (Near): B.) (19) Heart Problems/A.I.C.D.
The caller's "diagnosis" may have nothing to do with the actual reason the patient needs help now. A.) True B.) False: A.) True
In the dispatch environment, a patient who is years old or older with chest pain or chest discomfort, is considered a heart attack patient until proven otherwise.

13 / 113

C.) 19-C- 6

D.) 19-A-1: B.) 19-D- 4

The caller is a 48-year-old woman complaining of heart palpitations. She's alert and breathing normally, and is not clammy. In response to, "Do you have a history of heart problems?", she explains that she has had high blood pressure for about 10 years. She took her normal daily medications 6 hours ago. She does not have chest pain or discomfort, but during the pulse check, she counts 35 beats in 15 seconds. A.) 19-C- 3 B.) 19-C- 4 C.) 19-C- 6 D.) 19-A-1: C.) 19-C- 6
The caller reports that his 78-year-old wife's A.I.C.D. just went off. She is alert and is breathing a little faster than normal, but doesn't have difficulty speaking between breaths. She is a little pale, but is not clammy or having cold sweats. She is not currently experiencing chest pain or chest discomfort. She took her regular daily medication a few hours ago, including an aspirin and warfarin. The pulse indicates that the patient's heart rate is 80 bpm. A.) 19-D- 2 B.) 19-D- 5 C.) 19-C- 1 D.) 19-C-2: C.) 19-C- 1
When chest pain or discomfort is "discovered" during Protocol 19's Key Questioning, you should shunt to Protocol 10: Chest Pain/Chest Discomfort. A.) True B.) False: B.) False

14 / 113

A 35-year-old man reports that he has been experiencing heart palpitations for the past two hours. He is alert, breathing normally and is not clammy or

16 / 113 chest pain or discomfort. The pulse check indicates that her heart rate is 45 bpm.

17 / 113

A.) 19-C- 3

B.) 19-C- 6

C.) 19-A- 1

D.) 19-A-2: B.) 19-C- 6

Which of the following should you do if the caller asks whether the alert patient should take her "heart medication?" A.) Tell the caller to use her best judgment. B.) Tell the caller to give the medications now. C.) Tell the caller to remind the patient to do what her doctor has instructed for these situations. D.) Tell the caller not to let the patient have anything to eat or drink because it might make her sick or cause problems for the doctor.: C.) Tell the caller to remind the patient to do what her doctor has instructed for these situations.
The caller's 65-year-old father feels like his heart is "beating out of his chest." He is not responding appropriately, and is having difficulty speaking between breaths. When you ask the caller if the patient is having chest pain, the caller says yes, and then asks if she should give him another one of his "heart pills." After dispatching responders, and doing the pulse check, which PDIs should you provide to the caller? A.) PDI-a B.) PDI-a and PDI-b C.) PDI-a and PDI-c D.) PDI-a, PDI-b, and PDI-c: B.) PDI-a and PDI-b
A man reports that his 14-year-old son who had a heart transplant is having palpitations. During Key Questioning you discover that the patient is

19 / 113 A.) Protocol X- 1 B.) Protocol C- 1 C.) Protocol Yc- 1 D.) Protocol Z: A.) Protocol X- 1

The Aspirin Diagnostic & Instruction Tool should only be utilized for pa- tients who are alert, 16-years-old or older, and have reported stroke symp- toms. A.) True B.) False: B.) False
Which of the following technologies involve linking a calling party's phone number to an address stored in a database and then transmitting the caller's phone number and location to the 9-1-1 center? A.) Telegraphing B.) Courier Messaging C.) Enhanced 9-1- 1 D.) Triage: C.) Enhanced 9-1- 1
ProQA's Cursor Priority feature allows local medical control to specify which Determinant Codes become the default, suggested code when two or more codes might apply. A.) True B.) False: A.) True
Local Media Control must authorize the EMD's evaluation and administra- tion of aspirin in patients presenting with chest pain or heart attack symp- toms. A.) True

20 / 113 B.) False: A.) True

According to Rule 1 on the Aspirin Diagnostic Tool, Aspirin-containing medications should not be administered to patient who are not alert or under age 20. A.) True B.) False: B.) False
On the Emerging Infectious Disease Surveillance Tool, the symptoms dis- played in red indicate: A.) Diseases related to the blood. B.) A scene safety hazard. C.) A severe respiratory infection. D.) Ebola-essential symptoms to ask.: D.) Ebola-essential symptoms to ask.
Which one of the following is best defined as unusual, dying, breathing efforts exhibited by someone entering cardiac arrest? A.) Effective breathing B.) Agonal breathing C.) Stroke D.) Ventilations: B.) Agonal breathing
The AGONAL BREATHING Diagnostic should be used when the caller is unsure whether the patient is breathing. A.) True B.) False: B.) False
The Aspirin Diagnostic is designed to be used after: A.) Key Questions have been asked.

EMD EXAM QUESTIONS WITH CORRECTLY SOLVED ANSWERS, Exams of Medicine

Related documents

Partial preview of the text

Download EMD EXAM QUESTIONS WITH CORRECTLY SOLVED ANSWERS and more Exams Medicine in PDF only on Docsity!

EMD EXAM QUESTIONS WITH CORRECTLY SOLVED

ANSWERS

C.) 19-C- 6

D.) 19-A-1: B.) 19-D- 4

A.) 19-C- 3

B.) 19-C- 6

C.) 19-A- 1

D.) 19-A-2: B.) 19-C- 6