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EMD CERTIFICATION EXAM 2024 TEST BANK | ALL
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Select the Best Chief Complaint Protocol: "I gargled Windex. I didn't swallow it. But it says 'If swallowed, drink water & call a physician.' It looked just like my Listerine." A.) (2) Allergies (Reactions)/Envenomations (Stings, Bites) B.) (8) Carbon Monoxide/Inhalation/HAZMAT/CBRN C.) (23) OVERDOSE/POISONING (Ingestion) D.) (26) Sick Person (Specific Diagnosis) C.) (23) OVERDOSE/POISONING (Ingestion) Select the Best Chief Complaint Protocol: "My boyfriend took some cocaine about an hour ago. Now he is throwing up & he says his chest hurts. He is all out of breath & he looks terrible." A.) (1) Abdominal Pain/Problems B.) (10) Chest Pain (Non-Traumatic) C.) (23) OVERDOSE/POISONING (Ingestion) D.) (26) Sick Person (Specific Diagnosis) B.) (10) Chest Pain (Non-Traumatic) Select the Best Chief Complaint Protocol: "Well I was cleaning my bathroom with bleach & ammonia. And now my eyes are watering like crazy. my throat hurts. And now I have a burning feeling in my lungs. I think it's the fumes." A.) (8) Carbon Monoxide/Inhalation/HAZMAT B.) (16) Eye Problems/Injuries
C.) (23) OVERDOSE/POISONING (Ingestion) D.) (26) Sick Person (Specific Diagnosis) A.) (8) Carbon Monoxide/Inhalation/HAZMAT Select the Best Chief Complaint Protocol: "I have taken an overdose that I regret." A.) (2) Allergies (Reactions)/Envenomations (Stings, Bites) B.) (23) OVERDOSE/POISONING (Ingestion) C.) (25) Psychiatric/Abnormal Behavior/Suicide Attempt D.) (26) Sick Person (Specific Diagnosis) B.) (23) OVERDOSE/POISONING (Ingestion) Select the Best Chief Complaint Protocol: "I ate a hot dog from a street side vendor today. I knew I shouldn't have. I think I have a bad case of food poisoning. I keep throwing up and have a bad case of diarrhea." A.) (2) Allergies (Reactions)/Envenomations (Stings, Bites) B.) (23) OVERDOSE/POISONING (Ingestion) C.) (26) Sick Person (Specific Diagnosis) D.) (32) Unknown Problem (Person Down) C.) (26) Sick Person (Specific Diagnosis) Select the Best Chief Complaint Protocol: "My 8 month old son might have swallowed decon mouse killings pellets. I don't know if heswallowed it. He has it in his hand."
A.) (2) Allergies (Reactions)/Envenomations (Stings, Bites) B.) (23) OVERDOSE/POISONING (Ingestion) C.) (26) Sick Person (Specific Diagnosis)
B.) Methamphetamine C.) Heroin D.) Ketamine A.) Cocaine The caller reports that his 4-year-old daughter just ate 7 or 8 bubblegum-flavored Jr. Tylenol. She is completely without any symptoms at this time. What is the best Determinant Code for this case? A.) 23-D-2A B.) 23-C-7I C.) 23-B-1I D.) 23-O-1A D.) 23-O-1A The caller reports that her 5-year-old son drank some Drano drain opener because he wanted to see what it tasted like. The boy is alert and breathing normally, but is crying with pain. The caller reports that he is not changing color. What is the best Determinant Code for this case? A.) 23-D-1I B.) 23-C-6A C.) 23-B-1I D.) 23-O-1A B.) 23-C-6A The caller reports that he found his 14-year-old son huffing. The boy is now unconscious and barely breathing. The caller said he does not believe his son intended to hurt himself. What is the best Determinant Code for this case? A.) 23-D-1A B.) 23-D-1A C.) 23-C-2A
D.) 23-C-7A
B.) 23-D-1A
The caller reports that her 23-year-old roommate just swallowed 15-20 antidepressant pills in an attempt to kill herself. The patient is currently alert and breathing normally. The caller reportsthat the patient has locked herself in the bathroom and is violently refusing help. The roommate does not have a weapon of any kind. What is the best Determinant Code for this case? A.) 23-D-1V B.) 23-C-3V C.) 23-B-1V D.) 23-O-1V B.) 23-C-3V The caller reports that his 63-year-old father got his medications confused and took too much of his heart medicine. His father is conscious and breathing normally, but seems a little "out of it". The caller reports that his father is not changing color. What is the best Determinant Code for this case? A.) 23-D-1I B.) 23-C-1A C.) 23-B-1I D.) 23-O-1A B.) 23-C-1A 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- B.) X- C.) C-
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 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 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." 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 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 providesinformation indicating that the patient is not breathing and is also unconscious.
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.) "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, whendirected, 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 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. B.) you can refer to the list on the Case Entry Additional Information Protocol to help youdetermine 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-
B.) 2-E-
C.) 6-E-
D.) 6-E-
E.) 9-E-
A) 2-E-
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." 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.
C.) An uncoordinated and ineffective heart beat. D.) No measurable heart beat. A.) A very rapid heart rate.. Which of the following is designed to restore a normal heart rhythm when a patient isexperiencing ventricular fibrillation?
A.) A defibrillation device B.) CPR C.) Anti-arrhythmia drugs such a lidocaine or amiodarone D.) Cardiac ablation 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. 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.) The sudden and complete loss of heart function. 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 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 probablyreally 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 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:
D.) 45
B.) 35
The caller has reported that her heart is beating really fast. In response to Key Question 2, the caller says she is breathing normally. Which of the following should you ask next? A.) Key Question 2: "Are you breathing normally?" B.) Key Question 2a: "Do you have difficulty speaking between breaths?" C.) Key Question 3: "Are you changing color?" D.) Key Question 4: "Are you clammy or having cold sweats?" D.) Key Question 4: "Are you clammy or having cold sweats?" Which one of the following color changes is NOT of clinical significance? A.) Gray B.) Blue C.) Purple D.) Red D.) Red A woman reports that her 19-year old boyfriend's heart is "racing." He is alert and breathing normally. He is having cold sweats, but is not changing color. He has a history of heart problems, but has no chest pain or discomfort. He hasn't taken any medicine in the past 12 hours. His pulse is 130 beats per minute. A.) 19-D- B.) 19-D- C.) 19-C- D.) 19-A- B.) 19-D- 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- B.) 19-C- C.) 19-C- D.) 19-A- C.) 19-C- 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 littlepale, 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- B.) 19-D- C.) 19-C- D.) 19-C- C.) 19-C- 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 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-
D.) 19-A-
B.) 19-C-
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 hersick 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 alert and breathing normally and seems stable. After dispatching responders and providing PDIs, you should go to: A.) Protocol X- B.) Protocol C- C.) Protocol Yc- D.) Protocol Z
A.) Protocol X- 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 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- D.) Triage C.) Enhanced 9-1- 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 administration of aspirin in patients presenting with chest pain or heart attack symptoms. A.) True 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
