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EMS 1021 Course Exam When using your portable radio, you must push the "press to talk" button and wait one second before speaking. This is essential to effective communication because your EMS system uses: A) Repeaters B) Digital equipment C) Cellular telephone links D) Portable transmitter/receiver - Answer B) Repeaters Why should the EMT provide the physician or nurse with an oral report when transferring care to the hospital emergency department? A) To provide input on additional medical care to be given in the ED B) To provide an opportunity for the ED staff to critique the care provided C) To summarize patient assessment and treatment information D) To inform them of whether they need to see the patient immediately - Answer C) To summarize patient assessment and treatment information Which statement is most appropriate to start with when transferring a patient to the emergency department and giving the oral report? A) "This is Mr. Hedger. He has the state insurance plan." B) "Mr. Hedger has high BP and appears to be having a heart attack." C) "Please refer to the recording of my radio report for specific information about Mr. Hedger and his chest pain." D) "Mr. Hedger called us today because he was having chest pain." - Answer D) "Mr. Hedger called us today because he was having chest pain." What is an effective way to improve communication with patients from most cultures? A) Use medical terminology B) Maintain eye contact C) Have the patient look up at you D) Speak clearly and loudly - Answer B) Maintain eye contact
You have been called for a 23 year old male who is completely deaf. To best communicate with this patient you should: A) Write questions on a notepad B) Have the emergency department get the needed information C) Use gestures when asking questions D) Stand in front of the patient and speak loudly - Answer A) Write questions on a notepad You are treating a 2-year-old girl who fell off her bike. She is scared, continues to cry, and will not answer any of your questions. What would be a good strategy to help find out where the girl hurts? A) Use an adult-like stern voice and tell the girl she needs to answer the questions B) Have the girl's mother ask your questions for you C) Tell the patient she will be okay if she tells you what hurts D) Promise the girl a reward like ice cream if she answers the questions - Answer B) Have the girl's mother ask your questions for you What role does the Federal Communications Commission (FCC) play in EMS? A) The FCC determines the essential information that EMT's must relay yo a receiving hospital about the patient care B) The FCC establishes and enforces regulations related to the use of radio operations C) The FCC approves maintenance and repair contracts for communication equipment used by EMS systems D) The FCC regulates only the radio communication systems that are used by police, fire, and EMS - Answer B) The FCC establishes and enforces regulations related to the use of radio operations Medical direction has advised you to place a patient who is obese and extremely short of breath in a supine position. Knowing that doing so may cause the patient to become even more short of breath, your best action would be to: A) Explain your concern to the physician and ask for clarification
C) Amount of alcohol consumed by the patient D) Possible need for additional personnel - Answer D) Possible need for additional personnel It has been reported that two people have been shot in an alleyway. As you pull up to the scene, you see a police officer standing over a person with blood on his shirt and pants. In this situation, what is your first priority? A) Determining the number of patients on scene B) Assessing the patient's airway for patency C) Considering the need for additional resources D) Determining the overall safety of the scene - Answer D) Determining the overall safety of the scene You have been dispatched for an 89 year old female patient who fell in her kitchen and was found by family members several hours later. Should something go awry on scene, which of these serves to give you the most safety and security? A) Notifying dispatch that you are at the residence B) Backing the ambulance into the driveway for rapid egress C) Ensuring that lights are in throughout the residence D) Carrying a portable radio with you into the house - Answer D) Carrying a portable radio with you into the house An intoxicated patient is complaining of a severe headache and a large bruise to the left side of his face after accidentally being struck with a baseball bat during a family picnic softball game. In this situation, being struck with the baseball bat is called the: A) Differential diagnosis B) Mechanism of injury C) Chief complaint D) Nature of illness - Answer B) Mechanism of injury If a scene becomes unsafe after you have entered, you should first: A) Call for assistance on radio
B) Remove yourself from the scene C) Notify the EMS supervisor D) Attempt to neutralize the threat - Answer B) Remove yourself from the scene When assessing a sick of injured patient, which of these indicates the appropriate order in which this assessment should occur? A) Scene size up, history, secondary assessment, primary assessment B) Primary assessment, reassessment, secondary assessment C) Scene size up, primary assessment, secondary assessment D) Scene size up, secondary assessment, primary assessment - Answer C) Scene size up, primary assessment, secondary assessment You arrive at the scene of a fall, where a 42 year old woman fell backward off a stepladder while cleaning her kitchen windows. She is seated on the floor and complains of pain to her ankle. She tells you, "If I had just gone to work today instead of using vacation time, this would've never happened!" Based on information thus far, what can you conclude? A) The patient is alert with an open airway B) She does not have any other injuries C) Her pulse rate is within normal limits D) She does not require rapid transport - Answer A) The patient is alert with an open airway You have been dispatched to an apartment for an elderly male complaining of shortness of breath. When do you start the process of forming a general impression about this patient? A) After completing the primary assessment B) As soon as you obtain his chief complaint C) As you and your partner approach him D) Following the completion of vital signs - Answer C) As you and your partner approach him The EMT shows she understands the importance and reason for forming a general impression when she states:
You have just determined that a 93 year old female patient found in bed is unresponsive, but still has a carotid pulse. Your next action would be to: A) Check for a radial pulse B) Immediate transport C) Determine the past medical history D) Open the airway manually - Answer D) Open the airway manually When assessing an adult trauma patient's circulation status during the primary assessment, the EMT's assessment should include: A) Radial and/or carotid pulse, skin characteristics, and presence of external bleeding B) Pulse rate, blood pressure, capillary refill, and skin condition C) Carotid pulse, capillary refill, blood pressure, and skin color D) Skin color, pulse rate, blood pressure, and skin temperature - Answer A) Radial and/or carotid pulse, skin characteristics, and presence of external bleeding An intoxicated 19 year old female has fallen through a large plate glass window. As you approach, you note her to be sitting up and holding her hand over a large laceration on her opposite arm that is still spurting bright red blood. In this situation you would immediately: A) Assess the airway for patency and breathing for adequacy B) Apply direct pressure to the laceration C) Determine the presence and rate of the carotid pulse D) Provide high concentration oxygen and treat for shock - Answer B) Apply direct pressure to the laceration A patient has called 911 for abdominal pain and generalized weakness. On arrival, you note that the patient's skin is a yellow-orange color. Which disease revealed to you during the history would best correlate to this patient's skin? A) Diabetes B) Stroke C) Lung cancer
D) Liver disease - Answer D) Liver disease Which of these patients is considered the lowest priority for a rapid secondary exam and immediate transport? A) A 55 year old woman with difficulty breathing B) A 72 year old man complaining of leg pain for a week C) A 7 year old boy who has had severe abdominal pain for 4 hours D) A 32 year old woman who is unresponsive - Answer B) A 72 year old man complaining of leg pain for a week You have completed the primary assessment on a patient who was thrown from a motorcycle and landed on his head and back on the nearby sidewalk. After initiating spine motion restriction and finding no life threats during the primary assessment, which action should you take first when starting a secondary assessment? A) Conduct a physical exam B) Determine the patient's SAMPLE history C) Obtain baseline vital signs D) Load the patient into the ambulance - Answer B) Conduct a physical exam When teaching a group of emergency medical responders about the mechanism of injury, which point should you stress? A) The mechanism of injury os the sole criterion on which an EMT decides whether immediate transport is required B) The more significant the mechanism of injury, the greater the chance the patient has been injured C) The mechanism of injury can be used to dictate the order in which the primary assessment is conducted D) The mechanism of injury is no longer considered in the assessment because research has shown this information causes many patients to be over-treated - Answer B) The more significant the mechanism of injury, the greater the chance the patient has been injured You are performing a secondary assessment on an unrestrained adult passenger who has involved in a motor vehicle collision in which the car rolled end over end several times at a high rate of speed. The patient is
A) The patient is intoxicated and will not cooperate with oxygen therapy B) The patient will not cooperate with oxygen therapy C) The patient continually removes the oxygen mask despite continued reapplication D) The patient appears to be in a drunk like state and will not cooperate with care provided by EMS - Answer C) The patient continually removes the oxygen mask despite continued reapplication When completing a paper-based prehospital care report, you accidentally write that a laceration was on the left side of a patient's face when it was actually on the right side of the face. Correcting this mistake would include which step? A) Carefully use white out to cover the term "left" but nothing else in the narrative B) Color over the term "left" with black ink and write the word "right" next to it C) Draw a single line through the term "left" and write the word "right" next to it D) Start the entire prehospital care report over from the beginning - Answer C) Draw a single line through the term "left" and write the word "right" next to it Which statement shows an accurate understanding of the legal aspects of the prehospital care report (PCR)? A) "A copy of the PCR should be forwarded to the police anytime law enforcement is involved with the call." B) "A PCR can be used in a lawsuit only if that lawsuit is filled within 6 months." C) "The PCR is considered a legal document only when it describes a crime or act of violence." D) "The PCR may be subpoenaed even if the lawsuit centers on alleged negligence that occurred in the emergency department." - Answer D) "The PCR may be subpoenaed even if the lawsuit centers on alleged negligence that occurred in the emergency department."
Your partner states that he is the "world's worst speller," and has great difficulty using medical terms. How would you respond to this statement? A) "Use everyday language if you are unsure of how to apply or spell a medical term." B) "Do not document information that requires medical terms you are unsure of." C) "Consider abbreviating medical terms that you are unsure how to spell." D) "Ask the emergency department physician or nurse how to spell the words of which you are unsure." - Answer A) "Use everyday language if you are unsure of how to apply or spell a medical term." Immediately after giving a prehospital care report to the nurse in the emergency department, dispatch informs you that there are no more ambulances available and you must immediately leave the hospital to cover another portion of the county. Since your service uses a computerized documentation system and there is no time to complete your report, your best course of action should be to: A) Complete an abbreviated transfer of care report B) Give a verbal report to the ED physician C) Repeat your assessment findings and treatment to the nurse D) Leave and return to complete the report at soon as possible - Answer A) Complete an abbreviated transfer of care report A patient states that he has suffered from chronic neck pain ever since an accident. Further, he states that he is filing a lawsuit against the EMTs since they failed to put a cervical collar on him at the time; in his eyes, this is the reason he has daily neck and back pain. The EMT can remember the incident well and remembers putting a collar on the patient. As such, his best defense would be: A) Presentation of the emergency department chart in court B) Testimony from the supervisor stating that the EMTs always place a cervical collar C) Presentation of the standard of care showing that a cervical collar is indicated
C) Drinks a small amount of alcohol every night to help her sleep D) Is bothered by a call she has yesterday and doesn't not feel like talking - Answer C) Drinks a small amount of alcohol every night to help her sleep A tornado ripped through a small town, killing 5 people and seriously injuring 21, including several young children. At a defusing session, which action is the most appropriate? A) Have a mental health professional available to talk with the rescuers B) Allow the rescuers to vent their emotions C) Provide information on stress reduction techniques D) Evaluate and critique the rescue effort - Answer B) Allow the rescuers to vent their emotions EMS providers must report which of these suspected events to law enforcement? A) Refusal of EMS services B) Physical and mental abuse C) Alcohol abuse and child abuse D) Drug addiction and drug related crimes - Answer B) Physical and mental abuse A male EMT was discussing a patient's medical condition with a female EMT from a different service. The woman then repeated this information to others, which eventually made its way back to the patient. Regarding issues of confidentiality, which of the statements would be true? A) The male EMT could be charged with slander B) The male EMT violated the HIPAA law C) The female EMT committed an EMTALA violation D Both EMS violated EMTALA regulations - Answer B) The male EMT violated the HIPAA law Following radiation therapy for breast cancer, a female patient has a low white blood cell count. Which condition does this factor place her at risk to acquire? A) Bleeding
B) Infection C) Hypoxia D) Low blood pressure - Answer B) Infection A patient has experienced a stroke that has permanently injured his brainstem. Which sign or symptom might the EMT expect to find as a result of this condition? A) Abnormal respirations B) Muscle spasms C) Blindness D) Confusion - Answer A) Abnormal respirations A patient with an orbital fracture is most likely to complain of: A) Difficulty swallowing B) Pain around the eye C) Pain around the ear D) Pain when moving lower jaw - Answer B) Pain around the eye A patient with a calcaneal fracture has a broken: A) Foot B) Heel C) Thigh D) Knee - Answer B) Heel A patient with high blood pressure takes a medication to slow his heart rate, thereby lowering his blood pressure. The EMT would recognize this action as impacting: A) Cardiac output B) Systemic vascular resistance C) Preload D) Afterload - Answer A) Cardiac output
You are transporting a 3 week old male patient who has a fever and cough to the hospital. When making you radio report, you would advise the emergency department that you are bringing in a(n): A) Toddler B) Neonate C) Infant D) Baby - Answer C) Infant Which oxygen administration systems will provide the patient with the greatest amount of oxygen? A) Venturi face mask set to deliver 40% oxygen B) Nonrebreather face mask at 15 liters per minute of oxygen C) Nasal cannula at 15 liters per minute of oxygen D) Simple face mask at 12 liters per minute of oxygen - Answer B) Nonrebreather face mask at 15 liters per minute of oxygen You are artificially ventilating an adult male patient who is in respiratory arrest with a bag valve mask. Which finding would demonstrate that you are ventilating this patient properly? A) Ability to fully deflate the self inflating bag B) Adequate chest rise and fall C) Clear and equal breath sounds D) Ventilation rate of 20 breaths per minute - Answer B) Adequate chest rise and fall You and two other EMTs are preparing to move a patient down several flights of stairs using a stair chair. After assigning one rescuer to hold the chair at the head and another to hold the chair at the foot facing the patient, you should: A) Direct movement from behind the EMT at the head B) Assist the EMT at the patient's head C) Assist the EMT at the patient's feet
D) "Spot" by standing behind the EMT at the feet - Answer D) "Spot" by standing behind the EMT at the feet Your coworkers would like to purchase a scoop (orthopedic) stretcher with some grant money. Before the purchase can be authorized, you have been asked to inform the purchasing committee of how this piece of equipment with benefit the service as well as enhance patient care. Your response would be: A) "The scoop stretcher does not require straps to secure the patient." B) "The scoop stretcher is good for moving patients from confined areas." C) "The scoop stretcher is considers the best device for patients with a possible spinal injury." D) "The scoop stretcher is much more comfortable than a wheeled stretcher."
- Answer B) "The scoop stretcher is good for moving patients from confined areas."
