EMT Q3 - C4 & C5
Quality improvement relates primarily to: A. state-by-state regulations. B. scope of practice. C. the limits of the EMT job. D. standard of care.
. standard of care.
Your patient is a 10-year-old boy who suffered a possible fractured arm while rollerblading at a friend's house. Which of the following is the best way to obtain consent for treatment? A. Call the patient's mother at work. B. Get consent from the patient's 15-year-old sister, who is at the scene. C. Allow the patient to consent as an emancipated minor. D. Act on implied consent.
A. Call the patient's mother at work.
While documenting a call, you add a false statement that was made about a local doctor. This could constitute which of the following? A. Libel B. Degradation of character C. Slander D. HIPAA violation
A. Libel
Which of the following describes the Fowler position? A. Sitting upright with the legs straight B. Lying on the stomach C. Lying flat on the back D. Lying on the side
A. Sitting upright with the legs straight
An off-duty EMT is driving down the road when she sees a major vehicle accident. There are no Emergency Medical Responders on the scene yet. There are only Good Samaritans. The EMT is late for a doctor's appointment, so she decides that she will not stop and help. The driver of the vehicle dies before help arrives. One of the Good Samaritans notices her EMT license plates and writes them down as she passes by. The Good Samaritan is angry that the EMT did not stop and help and tries to get the EMT fired for not helping. Which of the following statements is true? A. The EMT is not negligent because she did not have a duty to act. B. The EMT is not negligent because she had a doctor's appointment. C. The EMT is negligent for not stopping and helping. D. The EMT is negligent because the patient died.
A. The EMT is not negligent because she did not have a duty to act.
The imaginary horizontal and vertical lines going through the navel create the: A. abdominal quadrants. B. superior segments. C. thoracic regions. D. inferior segments.
A. abdominal quadrants.
A patient is suing an EMT for failing to administer oxygen for a heart attack. The patient is alleging that the EMT was negligent. This case would be considered a: A. civil case. B. criminal case. C. mediation case. D. adjudication case.
A. civil case.
A patient appears to be in the midst of a psychotic episode and is unable to make a rational decision about consenting to emergency care. The EMT may care for the patient on the basis of: A. implied consent. B. expressed consent. C. involuntary transportation. D. informed consent.
A. implied consent.
You respond to the scene of an automobile accident where a patient has an obvious fractured femur. You ask your partner to get the traction splint from the ambulance. Your partner returns and tells you there is no traction splint in the ambulance. You could be guilty of: A. negligence. B. abandonment. C. acting outside of your scope of practice. D. a threat to safety.
A. negligence.
The medical term that is used to refer to the sole of the foot is: A. plantar. B. inferior. C. solar. D. distal.
A. plantar.
Another term for the lateral recumbent position is: A. recovery. B. Fowler's. C. supine. D. prone.
A. recovery.
The midline divides the body into the: A. right plane and the left plane. B. superior plane and the inferior plane. C. distal plane and the proximal plane. D. posterior plane and the inferior plane.
A. right plane and the left plane.
When a patient is lying on the back, this is referred to as: A. supine. B. Fowler's. C. recumbent. D. semi-Fowler.
A. supine.
Which of the following best describes the anatomic position? A. Standing, facing forward, with arms at the side, palms forward B. Standing, facing forward, with arms raised above the head C. Supine with arms crossed over the chest and knees slightly bent D. Standing in profile with the hands on the hips
A. Standing, facing forward, with arms at the side, palms forward
What is the distinction between anatomy and physiology? A. Anatomy is the study of body structure, and physiology is the study of body function. B. The terms are synonymous. C. Anatomy is the study of body components and systems, and physiology is the study of injuries and disease processes. D. Anatomy is the study of physical body structures, whereas physiology is the study of emotions and behavior.
Anatomy is the study of body structure, and physiology is the study of body function.
Which of the following is likely to be inscribed on a medical identification device worn as a bracelet? A. Hospital preference B. Allergies C. Emergency contact D. Date of birth
B. Allergies
Which of the following situations best illustrates the act of abandonment by the EMT? A. The EMT resuscitates a patient who has a DNR order signed by his physician. B. An EMT transports a patient to the emergency department, leaves the patient in the waiting room, but does not advise the ED staff. C. An EMT who is off duty sees a motor vehicle collision with probable injuries but does not stop to help. D. An EMT begins care of a patient, then turns the patient over to a paramedic.
B. An EMT transports a patient to the emergency department, leaves the patient in the waiting room, but does not advise the ED staff.
If the EMT is in doubt as to whether a patient in cardiac arrest should be resuscitated, which of the following is the best decision? A. Have the patient's family put their wishes in writing. B. Begin resuscitative measures. C. Withhold resuscitative measures. D. Consult with the patient's physician.
B. Begin resuscitative measures.
Sharing information about a patient's medical history with your neighbor after you hear a call on a radio scanner would constitute which of the following? A. Violation of patient privacy B. Breach of confidentiality C. Slander D. Libel
B. Breach of confidentiality
Why does the EMT's scope of practice vary from state to state? A. National standards B. Local legislation C. EMT preference D. Company insurance
B. Local legislation
Which of the following is the EMT's primary responsibility at a secured crime scene? A. Taking notes that may be needed during court testimony B. Providing patient care C. Preserving evidence D. Identifying any potential suspects encountered at the scene
B. Providing patient care
Which of the following could be a source of information to let the EMT know that a patient is an organ donor? A. A piece of notepaper stating that fact B. The patient's driver's license C. The statement of a bystander who is the patient's neighbor D. The on-line physician
B. The patient's driver's license
Which of the following is MOST clearly a HIPAA violation? A. You provide certain health information on the billing copy of the patient care report. B. You provide a personal injury attorney with a copy of a patient care report. C. You provide a copy of the patient care report to a paramedic who is assuming care of your patient at the scene. D. Your agency receives a subpoena authorizing the release of a copy of a patient care report to a plaintiff's attorney.
B. You provide a personal injury attorney with a copy of a patient care report.
A patient who called 911 is now refusing transport. You should: A. make sure that there is an immediate family member on scene who can sign as a witness to the refusal. B. assess the patient, advise the patient of the risks of refusal, and clearly document everything in the patient care report. C. make sure there is a law enforcement officer to act as a witness on the scene of every patient refusal. D. direct the patient to contact the patient's primary care physician for instructions on whether or not to go to the hospital.
B. assess the patient, advise the patient of the risks of refusal, and clearly document everything in the patient care report.
The inside of a person's thigh is also known as its ________ aspect. A. lateral B. medial C. inferior D. axillary
B. medial
During your EMT class, you will be studying the effects of how the brain (a neurological structure) contributes to normal lung inflation (a pulmonary structure). The study of how these body structures and systems function and relate to one another is known as: A. anatomy. B. physiology. C. pathophysiology. D. anatomical regions.
B. physiology.
Understanding how the function of one body system affects another body system describes the study of: A. physics. B. physiology. C. chemistry. D. anatomy.
B. physiology.
When you arrived on scene, you found your patient lying on her stomach. You would report and document that the patient was found: A. supine. B. prone. C. recumbent. D. lateral.
B. prone.
You are at the dinner table with your crew and mention to everyone that a coworker on the opposite shift is moving up the administration chain quickly, probably because she's sleeping with the company CEO. This comment could be considered: A. a HIPAA violation. B. slander. C. libel. D. res ipsa loquitur.
B. slander.
The actions that an EMT is legally allowed to perform while caring for an injured or ill patient are known as: A. the standard of care. B. the scope of practice. C. the standard of practice. D. medical direction.
B. the scope of practice.
EMS is called to a cardiac arrest. The family states that the patient does NOT want resuscitative efforts to be made. To withhold resuscitation, which of the following valid documents would the EMS crew need to have supplied to them? A. Living will B. Patient refusal checklist C. DNR order D. Standard of care
C. DNR order
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. Financial B. Legal C. Ethical D. Medical
C. Ethical
You are on the scene with a 72-year-old male patient with chest pain. The patient is complaining of shortness of breath but also refuses to go to the hospital, even after multiple attempts urging him to go. Which of the following should you do next? A. Inform the patient that he is having a "heart attack" and must be taken to the hospital for evaluation. B. Contact medical direction for orders to restrain the patient. C. Fully inform the patient about his situation and the implications of refusing care. D. Stay with the patient until he loses consciousness.
C. Fully inform the patient about his situation and the implications of refusing care.
Which of the following has specific requirements for storing, accessing, and sharing patient information? A. HIAPA B. DNR C. HIPAA D. POLST
C. HIPAA
Which of the following information may be important to law enforcement officers investigating a crime scene? A. What route you took when responding to the scene B. Your opinion of what happened before you arrived on scene C. How you gained access to the scene D. Your experience as an EMT
C. How you gained access to the scene
What is the primary reason for an EMT to use specific and proper medical terminology? A. People may think that an EMT is not intelligent or professional unless she uses medical terms. B. It will make patients and family members trust in the EMT's abilities more. C. Medical communication needs to be exact and consistent. D. EMS providers can't bill for services unless the correct terminology is used in all documentation.
C. Medical communication needs to be exact and consistent.
The person who is legally designated to make healthcare decisions for the patient if the patient is unable to do so is called: A. the executor of the estate. B. the attorney of record. C. a healthcare proxy. D. a patient advocate.
C. a healthcare proxy.
You are on the scene with a patient who is complaining of chest pain, and you have administered medication. Your partner brings in the stretcher, and the patient tells you that she does not want to be transported to the ED. You should: A. tell the patient that she can refuse transport, but because you gave her a medication, she has to see a doctor within 24 hours. B. explain to the patient that she cannot refuse because you have already begun treatment. C. contact medical direction for a consult. D. leave after telling the patient that it's not appropriate to abuse the EMS system.
C. contact medical direction for a consult.
The wrist is ________ to the elbow. A. inferior B. medial C. distal D. dorsal
C. distal
When an EMT takes the time to ask permission from a conscious adult to do an assessment and procedures, this is respecting the legal principle of: A. implied consent. B. proximate causation. C. expressed consent. D. in loco parentis.
C. expressed consent.
An acronym is fine to use with other EMTs if it: A. uses the same letters as a common abbreviation that means something different. B. is relatively obscure except for specialists in a particular area. C. is common and widely used. D. means different things in different contexts.
C. is common and widely used.
The medical term that is used to refer to the palm of the hand is: A. superior. B. distal. C. palmar. D. plantar.
C. palmar.
You are off duty and on your way to the grocery store when you witness a car accident in front of the store entrance. You stop to render assistance and identify yourself as an EMT to the occupants of the vehicles. The patient in the first car denies the need for assistance, but the second driver is complaining of neck pain. She tells you that she thinks she will be okay but would like to get checked out. You are in a hurry, as you have an appointment and want to get your shopping done first. You should: A. assure the patient that EMS is on the way, and go shopping. B. leave the patient, because she has only minor injuries. C. stay with the patient until someone with an equal or higher care level of training or certification assumes care. D. leave the patient, because she is conscious and alert.
C. stay with the patient until someone with an equal or higher care level of training or certification assumes care.
The term lateral is best defined as: A. toward the middle of. B. to the back of. C. to the side. D. under the arms.
C. to the side.
Which of the following best describes the location of the midaxillary line? A. A line drawn horizontally from one armpit to the other across the front of the body B. A line drawn diagonally from the outer end of the clavicle to the navel C. A line drawn vertically from the xiphoid process to the pubic bone D. A line from the center of the armpit extending vertically down the side of the chest
D. A line from the center of the armpit extending vertically down the side of the chest
Which of the following describes the midline of the body? A. An imaginary line dividing the body into a top and bottom portion B. An imaginary line dividing the body into a front and a back portion C. The intersection of two imaginary lines crossing at the umbilicus D. An imaginary line dividing the body into equal right and left halves
D. An imaginary line dividing the body into equal right and left halves
The EMT's obligation to provide care to a patient either as a formal or ethical responsibility is known as which of the following? A. Legal responsibility B. Standard of care C. Scope of practice D. Duty to act
D. Duty to act
A patient with bilateral femur fractures would have which of the following? A. A femur fracture occurring with little or no trauma B. Two fractures in the same femur C. A femur fracture in which the bone ends have punctured the muscle and skin of the thigh D. Fractures of both femurs
D. Fractures of both femurs
You respond to a middle school for a 12-year-old male patient who has been hit by a car. You get consent to treat the patient from the school principal. What concept allows the principal to speak for the parents? A. Informed consent B. Res ipsa loquitur C. Healthcare proxy D. In loco parentis
D. In loco parentis
When discussing left and right in terms of anatomic locations, what do they refer to? A. Whoever is speaking about the anatomic location determines left and right orientation. B. Anatomic left and right refer to the provider's left and right orientation when facing a patient in the anatomic position. C. What left and right refer to anatomically is dependent on the patient's positioning when care is provided. D. Left and right from the patient's perspective.
D. Left and right from the patient's perspective.
You respond to the report of an unconscious female patient. You can acquire important medical information about the patient through which of the following? A. On-call Medical Director B. Medical history identifier C. Driver's license D. Medical identification device
D. Medical identification device
Which of the following refers to the care that would be expected to be provided by an EMT with similar training when caring for a patient in a similar situation? A. Professional standards B. Protocols and standing orders C. Scope of practice D. Standard of care
D. Standard of care
Which word has a prefix that means rapid? A. Superficial B. Dyspnea C. Bradycardia D. Tachypnea
D. Tachypnea
Which of the following statements is true concerning protection by Good Samaritan laws? A. An EMT cannot be sued for negligence if the state in which he works has a Good Samaritan law. B. An EMT is expected to act as a lay person when providing emergency care off duty. C. A Good Samaritan law allows an EMT to exceed the scope of practice, if necessary, when providing emergency care off duty. D. The purpose of Good Samaritan laws is to protect people who are trying to help in an emergency.
D. The purpose of Good Samaritan laws is to protect people who are trying to help in an emergency.
In which of the following situations is it legal to share information about treatment you provided to a patient? A. The patient gives verbal consent to release information to a friend. B. You are asked by a coworker who knows the patient. C. The patient's lawyer requests the information over the phone. D. The triage nurse at the emergency department asks about the care you provided to the patient.
D. The triage nurse at the emergency department asks about the care you provided to the patient.
Which of the following incidents might the EMT be legally required to report to law enforcement? A. Your patient is a 12-year-old male who fell from his bicycle, breaking his left arm, and tells you his parents are at work. B. You suspect the wife of the patient you are treating for chest pain has been smoking marijuana. C. Your patient is an 18-year-old college student who has been consuming large amounts of alcohol at a fraternity party. D. Your patient has facial and head injuries and states that her husband beat her with a telephone receiver.
D. Your patient has facial and head injuries and states that her husband beat her with a telephone receiver.
An EMT who turns the care of a multisystem trauma patient over to a doctor of dermatology has likely: A. acted on an assumption of implied consent. B. violated patient confidentiality laws. C. legally and appropriately transferred care. D. abandoned the patient.
D. abandoned the patient.
Leaving a patient after initiating care and before the patient has been transferred to someone with equal or greater medical training is known as: A. in loco parentis. B. res ipsa loquitur. C. negligence. D. abandonment.
D. abandonment.
With regard to medical terminology, a prefix is: A. the combination of any two or more whole words. B. a modifier that indicates if a term is singular or plural. C. the foundation of a word or term. D. added to the beginnings of roots or words to modify or qualify their meaning.
D. added to the beginnings of roots or words to modify or qualify their meaning.
You are on the scene of a cardiac arrest. You have already begun resuscitation when family members arrive and present you with a valid DNR order. You should: A. have your partner contact the communications center to send law enforcement to the scene, as this is now a legal issue and the officer will make the decision. B. complete two more rounds of CPR and then check for a pulse. If there is no pulse, you should stop resuscitation. C. notify the family that once CPR has been initiated, you are required to transport the patient. D. follow your local protocols and contact medical direction if unsure how to proceed.
D. follow your local protocols and contact medical direction if unsure how to proceed.
If the word part cardi appears in a word, then it relates to the: A. nose. B. mouth. C. lungs. D. heart.
D. heart.
You are at the scene of a patient with obvious signs of traumatic death. You are required by law in your state to report violent deaths. Your duty as an EMT is to notify: A. medical direction. B. your EMS chief. C. the district attorney's office. D. law enforcement.
D. law enforcement.
The term anterior refers to: A. the back. B. the side. C. the middle. D. the front.
D. the front.
You should use common terminology instead of medical terms or acronyms when communicating with: A. the patient. B. nurses. C. fellow EMTs. D. physicians.
the patient.
