Incident Command
Who is the initial Incident Commander of an EMS incident?
A First Police Officer to arrive on the scene.
B First Fire Lieutenant on the scene.
C Chief of the department when he gets there.
D First Senior EMS provider on the scene
D First Senior EMS provider on the scene
Your patient has a laceration to the face which aerosolizes blood each time the patient exhales. What items of personal protective equipment would you choose for this situation?
A Gloves, goggles, mask and gown
B Gloves only
C Mask and gown only
D Goggles and gown only
A Gloves, goggles, mask and gown
A 54 year old man refuses your care and treatment despite his wife's pleas. He refuses to sign a refusal of care form. Now he is telling you to leave his house immediately. Incorrect/
Inappropriate?
A Leave the scene, documenting in your reports his refusal of care.
B Leave the scene after asking his wife to sign the refusal form as a witness.
C Call police to the scene for possible intervention.
D Contact medical direction for permission to cease care without a signed refusal of care form.
B Leave the scene after asking his wife to sign the refusal form as a witness.
A driver is sitting with her legs trapped between the dash and the floor. The roof is collapsed between the B and C posts. To free the patient, you should use Incorrect/
Inappropriate?
A cribbing, air chisel, and hydraulic cutter.
B airbags, K12 rescue saw, and chain.
C wedges, high-lift jack, and come-along tool.
D step chocks, reciprocating saw, and halligan bar.
C* wedges, high-lift jack, and come-along tool.
What are established interventions that can be performed without calling medical direction?
A Standing orders
B Advanced directives
C Protocols
D Scope of practice
A Standing orders
What is limiting the number of people or resources you are supervising known as? Incorrect/
Inappropriate?
A Command and control
B Unity of command
C Unified command
D Span of control
D Span of Control
Besides checking patient care equipment, you need to check the entire ambulance unit, including
A fuel, lights, fluid levels and tires.
B floors, gloves, maps and radios.
C tires, fluids, cot and radios.
D lights and sirens.
A fuel, lights, fluid levels and tires.
You can treat an unconscious patient under what type of consent? Incorrect/
Inappropriate?
A Informed consent
B Special consent
C Expressed consent
D Implied consent
D Implied consent
You arrive on the scene of a three car MVA. You can see major damage and debris scattered in the roadway. Your paramedic partner begins triage. What should be your next action? Incorrect/
Inappropriate?
A Begin triage yourself to help your partner.
B Put the first patient you see in the back of your ambulance and leave.
C Call your supervisor to handle the scene.
D Contact your dispatch and request more ambulances.
D* Contact your dispatch and request more ambulances.
You are treating a patient with severe chest pain. According to your written protocols you should establish an IV before giving nitroglycerin. One of your system's emergency room physician and medical director is on scene and is directing you to give the nitroglycerin immediately. You should
A* ask the physician to write the order on your chart and follow his direction.
B refuse the order and explain that you must follow protocol.
C consult a radio control physician and put the two doctors on the phone to confirm that protocol can be deviated.
D follow his order only if he agrees to ride with the patient into the hospital.
A* ask the physician to write the order on your chart and follow his direction.
At a mass gathering several hundred people suddenly began to experience severe salivation, lacrimation, urination, and vomiting. What should you do? Incorrect/
Inappropriate?
A Set up a command post and ensure scene safety.
B Alert the Center for Disease Control.
C Contact the Department of Homeland Security.
D Evacuate all of the patients from the premises.
A Set up a command post and ensure scene safety.
You respond to a call when you see a stopped school bus with its red lights flashing. What should you do?
A Stop and proceed only after the flashing lights are off.
B Slow down and be alert for any children who may be crossing.
C Call dispatch and request the response of another ambulance.
D Select an alternate route that is both safe and quick.
A Stop and proceed only after the flashing lights are off.
What are written instructions expressing an individual's health care wishes in the event that they are incapacitated?
A Advance directives
B Medical practice directives
C Health care affidavits
D Health care surrogates
A* Advance directives
For which of the following patients should you call air rescue? Incorrect/
Inappropriate?
A A 68 year old female with a history of dementia and a Glasgow Coma Scale of 12.
B A 26 year old male with a coup contrecoup head injury and dilated pupils.
C A 3 year old toddler with an index finger amputation.
D A 43 year old male with a 7 inch rod that has penetrated through his left leg.
B A 26 year old male with a coup contrecoup head injury and dilated pupils.
What contains detailed information about all potentially hazardous substances found in a workplace? Incorrect/
Inappropriate?
A Placards
B NFPA labels
C MSDS
D UN number signs
C MSDS
During the management of a critical incident, who determines the strategies for the incident? Incorrect/
Inappropriate?
A Safety Officer
B Planning Chief
C Deputy Incident Commander
D Operations Chief
B Planning Chief
Which process is LEAST used by EMS to ensure that equipment is clean?
A Sterilization
B Disinfection
C Inspection
D Decontamination
A Sterilization
When you arrive on the scene of a patient who has recently deceased, the family is divided about whether you should start resuscitation. There is a valid DNR. You should Incorrect/
Inappropriate?
A Exit the scene until the family comes to a decision.
B Set up your equipment slowly to give them time to decide.
C Request a police mediator to help the family decide.
D If in doubt, begin resuscitation.
D If in doubt, begin resuscitation.
When gaining access to the driver in a vehicular collision, what is the access of choice?
A Door
B Roof
C Windshield
D Side window
A* Door
A patient with AIDS vomited blood during transport. How should you disinfect your ambulance?
A Place the ambulance out of service until a full OSHA cleaning can be completed.
B* Using universal precautions, spray a bleach-based cleaning solution and carefully wipe down the stretcher.
C Replace the mattress and throw out the sheets.
D Soak the mattress pad for 20 minutes in disinfectant, then let the mattress stand for 6 hours before use.
B* Using universal precautions, spray a bleach-based cleaning solution and carefully wipe down the stretcher.
You arrive at motor vehicle collision involving two cars and four patients. There is no entrapment and the scene is safe. Which command system should be utilized? Incorrect/
Inappropriate?
A START command
B Unified command
C Singular command
D NIMS command
C Singular command
You are at the scene of a shooting. Police have the room secured but are unsure of where the shooter is. They request that you see if the patient is dead. What should you do? Incorrect/
Inappropriate?
A Explain that you are not qualified to determine the death of a patient.
B Enter the scene carefully and begin the patient assessment.
C Ask your partner to scan for danger while you examine the patient.
D Immediately go to the patient, and determine if he is alive.
C* Ask your partner to scan for danger while you examine the patient.
An 27 year old male suffered a partial amputation of his foot in a farming accident. Bleeding is controlled. He is alert and oriented but refuses treatment. He speaks directly with online medical control but still refuses treatment and transportation. What should you do?
A Call law enforcement for an assisted transport.
B Carefully obtain and document the patient's refusal.
C Call social services and report suspicions of neglect.
D Assume implied consent and transport the patient.
B * Carefully obtain and document the patient's refusal.
What is the safest and most effective landing pattern for a helicopter? Incorrect/
Inappropriate?
A At a slight angle like that of a jet
B Straight up and down in a vertical motion
C Nose of the helicopter pointing down with a slow descent
D Nose of the helicopter pointing up with a tail wind
A* At a slight angle like that of a jet
What level should EMS Professionals responding to high risk low incident rescues be trained? Incorrect/
Inappropriate?
A Awareness
B Operations
C Technical
D Specialist
A* Awareness