Intro to EMS
Which of the following refers to a program or process for evaluating and improving the effectiveness of an EMS system? A) Quality improvement B) System effectiveness management C) Process Improvement Plan (PIP) D) Total quality system
A) Quality improvement
An EMT should consider wearing protective eyewear when caring for which of these patients? A) A patient with a difficult-to-visualize scalp laceration B) A trauma patient who is covered in dirt, rocks, and other foreign debris C) A patient who is actively coughing D) A patient who was sprayed with mace by police during arrest
C) A patient who is actively coughing
Where should you position the weight of the object being lifted? A) As far from the body as possible B) An arm's length away from the body C) To one side or the other D) As close to the body as possible
D) As close to the body as possible
Which type of consent must be used by the EMT when seeking to treat a mentally competent adult? A) Unconditional consent B) Expressed consent C) Conscious consent D) Implied consent
B) Expressed consent
Which of the following descriptions best defines the term pathogen? A) An immunity developed after an exposure B) A study of the origins of infection and disease C) A medication with a harmful effect D) An organism that causes infection and disease
D) An organism that causes infection and disease
Which of the following agencies is responsible for establishing EMS system assessment programs? A) Department of Health and Human Services (HHS) B) National Transportation Safety Board (NTSB) C) National Highway Traffic Safety Administration (NHTSA) D) United States Health Services Agency (HSA)
C) National Highway Traffic Safety Administration (NHTSA)
You are called to an assault on a homeless male. Dried blood from the trauma is visible around the patient's mouth and nose. During assessment, you note the patient has a productive cough. The patient says, "Don't worry, I'm not contagious. I've had this cough for a year." Describe the best approach regarding respiratory isolation. A) Isolate the patient with a nonrebreather mask. B) Mask yourself and the patient. C) Mask yourself only. D) Use gloves for PPE, as that's all that's needed.
B) Mask yourself and the patient.
How far apart should your hands be when using a power grip? A) 24 inches B) 10 inches C) 6 inches D) 15 inches
B) 10 inches
Your patient is a 40-year-old known diabetic who was found unconscious at work by a coworker. What type of consent allows you to treat this patient? A) Consent for treatment of minor emergencies B) Consent for mentally incompetent adults C) Expressed consent D) Implied consent
D) Implied consent
Who assumes the ultimate responsibility for patient care rendered by the EMT? A) EMS supervisor B) EMT C) Director of quality assurance D) Medical Director
D) Medical Director
What best defines the evaluation of the patient's condition in order to provide emergency care? A) Patient access B) Patient assessment C) Medical intervention D) Patient advocacy
B) Patient assessment
The CDC recommends using an alcohol-based hand sanitizer in all except which of the following situation(s)? A) The patient has a bloodborne communicable disease. B) The patient has a respiratory illness. C) The provider is not vaccinated against hepatitis B. D) The provider's hands come into contact with fecal matter.
D) The provider's hands come into contact with fecal matter.
You have responded to a nursing home and find an elderly patient in his bed in cardiac arrest. Which type of move would you perform to get the patient to a hard surface so you can perform chest compressions? A) Nonurgent move B) Clothing drag C) Urgent move D) Emergency move
D) Emergency move
Your patient is a 45-year-old man who is suffering from chest pain. Upon arrival, the patient is pale, sweaty, and seems short of breath. The patient is angry with his daughter for calling 911 and refuses transport. He says that he had some spicy sausage for breakfast and has indigestion. Which of the following is an appropriate means of getting the patient the care he needs? A) Try to find out why the patient does not want to go to the hospital. B) Ask the patient's daughter for the number of another family member you can call to convince him to consent to care. C) Inform the patient that if he does not agree to treatment, you will have to take him against his will because he has a potentially life-threatening problem. D) Tell the patient that his chest pain is most likely caused by his diet, have him take an antacid and go to bed.
A) Try to find out why the patient does not want to go to the hospital.
Which one of these groups is at greatest risk of contracting and transmitting tuberculosis? A) Current and former smokers B) Immunosuppressed patients C) Uranium mine workers D) Healthcare practitioners
B) Immunosuppressed patients
The National Registry of Emergency Medical Technicians (NREMT) was founded to establish which of the following? A) An education curriculum for EMT courses B) Quality oversight of emergency medical services practices C) National standards for emergency medical services personnel D) Quality improvement and quality assurance programs for emergency medical services
C) National standards for emergency medical services personnel
Which of the following parts of the nervous system is responsible for the fight-or-flight response experienced in response to a stressor? A) Parasympathetic nervous system B) Central nervous system C) Peripheral nervous system D) Sympathetic nervous system
D) Sympathetic nervous system
Urgent moves are required when: A) an emergency move is not possible. B) rapid transport is necessary. C) life threats exist but there is time for precautions for spinal injuries. D) there are no life threats and conditions are stable.
C) life threats exist but there is time for precautions for spinal injuries.
) In which of the following situations is it legal to share information about treatment you provided to a patient? A) The triage nurse at the emergency department asks about the care you provided to the patient. B) The patient gives verbal consent to release information to a friend. C) The patient's lawyer requests the information over the phone. D) You are asked by a coworker who knows the patient.
A) The triage nurse at the emergency department asks about the care you provided to the patient.
What is the contraindication for the use of a scoop or orthopedic stretcher? A) Internal injuries B) Hip fracture C) Pelvic injury D) Spinal injury
D) Spinal injury
Which of the following is a role of the EMT in the quality improvement process? A) Taking responsibility for the actions of one's partner B) Writing complete patient care reports C) Critiquing performance of one's partner D) Assuring personal safety
B) Writing complete patient care reports
Which of the following behaviors would be considered a common sign of stress rather than an acute psychological problem? A) Failure to use PPE appropriately on a regular basis B) Irritability with friends, family, and coworkers C) Flashbacks, nightmares, and feelings of detachment D) Increased speeding and reckless driving
B) Irritability with friends, family, and coworkers
You and your partner arrive on the scene of a 400-pound patient lying in bed. He complains of nausea and vomiting for the past 3 days. When he tries to sit up, he gets very dizzy and has a syncopal episode. Realizing that he cannot assist you in getting on the stretcher, you decide to do which of the following? A) Use the patient's sheets to slide him over to the stretcher. B) Place the patient on a backboard to provide better gripping points to move the patient. C) Use the power lift technique to carefully and safely lift the patient to the stretcher. D) Call for additional manpower to move the patient.
D) Call for additional manpower to move the patient.
You respond to a bus accident with multiple patients. As you arrive at the scene, you are approached by a local politician who states that his wife has been involved. He tells you that if you will take care of her first, he will ensure that you get the promotion you are up for. This becomes what type of decision for you as an EMT? A) Legal B) Financial C) Medical D) Ethical
D) Ethical
Two EMTs respond to the scene of a syncopal episode. They evaluate a 50-year-old male patient who passed out and cut his upper lip. The EMTs examine the patient and his vital signs are normal. The EMTs talk the patient out of an expensive ambulance ride and suggest he will save money by driving himself to the urgent care clinic for stitches for his lip rather than waiting all night in the emergency department as a nonemergency patient. The patient signs the EMS refusal form. The patient decides to see his own doctor the next morning but dies at his house from sudden cardiac arrest an hour later. Which of the following statements is true? A) The EMTs are not negligent because the patient signed the refusal form. B) The EMTs are negligent because the patient died. C) The EMTs are negligent because there was proximate causation. D) The EMTs are not negligent because the EMTs have no control over the patient's medical condition.
C) The EMTs are negligent because there was proximate causation.