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EMD CERTIFICATION EXAM 2024 TEST
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The caller reports that his 18-year-old son has just tried to kill himself by taking an OVERDOSE of several prescription medications. The caller further reports that the patient is violent and does not want help. After completing caller interrogation, dispatching the appropriate response, and providing PDIs, which DLS Link is most appropriate? A.) X- 1 B.) X- 8 C.) C- 1 D.) N,A,B,C- 1 - CORRECT ANSWER>>B.) X- 8 The caller reports that his 36-year-old friend has OVERDOSED on heroin and is currently unconscious and not breathing. After completing caller interrogation, dispatching the appropriate response, and providing PDIs, which DLS Link is most appropriate? A.) X- 1 B.) X- 8 C.) C- 1
D.) N, A, B, C- 1 - CORRECT ANSWER>>C.) C- 1
The caller reports that her 22-year-old daughter has just OVERDOSED again on fentanyl. She is conscious and breathing but is "out of it". She is not violent. Because this has happened before, the caller had purchased naloxone but she is not sure how to use it and has requested help. Which DLS Link is most appropriate? A.) X- 1 B.) X- 8 C.) C- 1 D.) QR- 1 - CORRECT ANSWER>>D.) QR- 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 - CORRECT ANSWER>>A.) True Both ECHO- and DELTA-level Determinant Codes imply potentially critical, time- sensitive situations. A.) True B.) False - CORRECT ANSWER>>A.) True ECHO Determinant Codes were created to encourage agencies to send:
Which of the following complaints represents a situation that, without obtaining 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." - CORRECT ANSWER>>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. - CORRECT ANSWER>>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 - CORRECT ANSWER>>B.) False The ECHO send point under Case Entry Question 3 for 9-E-1, "Obviously NOT BREATHING and Unconscious (non-traumatic)," applies only to: A.) non-traumatic situations when a caller reports that a patient is OBVIOUSLY dead. B.) traumatic-injury situations in which a patient is in desperate need of SPECIALIZED rescue equipment. C.) non-traumatic MEDICAL arrest situations where the caller spontaneously provides information indicating that the patient is not breathing and is also unconscious. - CORRECT ANSWER>>C.) non-traumatic MEDICAL arrest situations where the caller spontaneously provides information indicating that the patient is not breathing and is also unconscious. An INEFFECTIVE BREATHING situation, when volunteered during Case Entry, always warrants an ECHO-level response. A.) True B.) False - CORRECT ANSWER>>B.) False For cases where a patient is currently hanging by the neck, and it is not an OBVIOUS DEATH situation, you should first initiate a 9-E-3 response, provide Case Entry PDI-a, then: A.) ask if the patient is changing color and if s/he is still warn to try to determine if the patient is still alive.
D.) "Cut her down immediately, loosen the noose, then tell me if she's breathing." - CORRECT ANSWER>>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." - CORRECT ANSWER>>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 - CORRECT ANSWER>>A.) True If you are using the MPDS cardset, and the correct Chief Complaint Protocol for the ECHO-level case you're handling is Protocol 9: Cardiac or 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. - CORRECT ANSWER>>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 - CORRECT ANSWER>>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 - CORRECT ANSWER>>A.) True
B.) False - CORRECT ANSWER>>B.) False As the EMD, it's your job to diagnose reported heart problems. A.) True B.) False - CORRECT ANSWER>>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. - CORRECT ANSWER>>C.) Any electrical heart rhythm abnormality. Some patients with Premature Atrial Contractions (PACs) have the sensation that their heart has momentarily stopped beating. A.) True B.) False - CORRECT ANSWER>>A.) True Ventricular tachycardia is an arrhythmia characterized by: A.) A very rapid heart rate. B.) A very slow heart beat.
C.) An uncoordinated and ineffective heart beat. D.) No measurable heart beat. - CORRECT ANSWER>>A.) A very rapid heart rate.. Which of the following is designed to restore a normal heart rhythm when a patient is experiencing ventricular fibrillation? A.) A defibrillation device B.) CPR C.) Anti-arrhythmia drugs such a lidocaine or amiodarone D.) Cardiac ablation - CORRECT ANSWER>>A.) A defibrillation device An A.I.C.D is a defibrillation device which is: A.) Surgically implanted into the patient's chest. B.) An external defibrillator designed for use by people with little or no medical training. C.) Specifically designed for use on patients under the age of 1. D.) Worn on the patient's wrist. - CORRECT ANSWER>>A.) Surgically implanted into the patient's chest. Congestive heart failure is: A.) When a loss of blood supply to part of the heart muscle results in the death of, or damage to, that tissue.
B.) (10) Chest Pain/Chest Discomfort (Non-Traumatic) C.) (19) Heart Problems/A.I.C.D D.) (26) Sick Person - CORRECT ANSWER>>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 B.) (19) Heart Problems/A.I.C.D C.) (10) Chest Pain/Chest Discomfort (Non-Traumatic) D.) (30) Traumatic Injuries - CORRECT ANSWER>>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 - CORRECT ANSWER>>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) - CORRECT ANSWER>>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 - CORRECT ANSWER>>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. A.) 30 B.) 35 C.) 40
B.) 19-D- 4
C.) 19-C- 6
D.) 19-A- 1 - CORRECT ANSWER>>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 - CORRECT ANSWER>>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 - CORRECT ANSWER>>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 - CORRECT ANSWER>>B.) False 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 having cold sweats. He has no history of heart problems, but in response to Key Question 5, he reports that he does have some chest discomfort. In response to Key Question 7, he admits that he smoked "weed" (marijuana) about 5 hours ago. His heart rate is 136 beats per minute. A.) 19-C- 3 B.) 19-C- 5 C.) 19-C- 6 D.) 19-A- 2 - CORRECT ANSWER>>A.) 19-C- 3 Ventricular fibrillation is an arrhytmia characterized by: A.) A very rapid heart rate. B.) A very slow heart beat.
D.) 19-A- 2 - CORRECT ANSWER>>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. - CORRECT ANSWER>>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 - CORRECT ANSWER>>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 alert and breathing normally and seems stable. After dispatching responders and providing PDIs, you should go to: A.) Protocol X- 1 B.) Protocol C- 1 C.) Protocol Yc- 1 D.) Protocol Z - CORRECT ANSWER>>A.) Protocol X- 1 The Aspirin Diagnostic & Instruction Tool should only be utilized for patients who are alert, 16-years-old or older, and have reported stroke symptoms. A.) True B.) False - CORRECT ANSWER>>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 - CORRECT ANSWER>>C.) Enhanced 9- 1 - 1
