Chapter 1 Quiz Questions

All of the following are examples of illness or injury programs, EXCEPT: -one-rescuer CPR -diabetes screening -alcohol awareness -car seat installation

One-rescuer CPR

Communication with a physician via two-way radio or wireless telephone is an example of: -indirect medical control -online medical control -off-line medical control -standard operating protocol

Online medical control

The difference between online (direct) and off-line (indirect) medical direction is that: -online medical direction uses standing orders -online orders are given by the on-duty physician, usually over the radio or phone -off-line medical direction does not need protocols -off-line orders are given by the on-duty physician, usually over the radio or phone

Online orders are given by the on-duty physician, usually over the radio or phone

You are at the scene of a shooting. The patient, who is being cared for by paramedics, is unconscious and has severe uncontrollable bleeding from his injury. As an EMR, your MOST important function is to: -keep bystanders away from the patient -report your observations to law enforcement personnel -factually document the care that you provided -help the paramedics prepare for rapid transport

Help the paramedics prepare for rapid transport

Which of the following is NOT a level of care typically found during the EMS response phase? -EMT -AEMT -Physician -Paramedic

Physician

A 33-year-old woman has a possible broken left ankle. She is in significant pain but is conscious and otherwise stable. This patient: -may deteriorate and requires prompt transportation -does not require transport to the hospital -requires transport but without lights and siren -should be rapidly transported to the closest hospital

Requires transport but without lights and siren

Common functions of the EMS medical director include all of the following, EXCEPT: -establishing medical policies and procedures -responding to the scene of an emergency -providing direction during an EMR's initial training -ensuring that quality patient care is provided

Responding to the scene of an emergency

Components of the quality improvement process, as identified by the Institute of Medicine, include all of the following, EXCEPT: -teamwork -timeliness -safety -efficiency

Teamwork

Which of the following statements regarding an EMR's attitude and conduct is NOT correct? -as an EMR, you will be judged by your attitude and conduct -information regarding the patient not be shared with your family -maintaining a neat and professional appearance provides reassurance -a stern tone of voice will ensure that you gain your patient's confidence

A stern tone of voice will ensure that you gain your patient's confidence

Which of the following interventions would the EMR MOST likely perform at the scene of a cardiac arrest? -cardiopulmonary resuscitation (CPR) and defibrillation -insertion of an endotracheal tube -initiation of an intravenous line -administration of certain medications

Cardiopulmonary resuscitation (CPR) and defibrillation

Arrange the following events in the order in which they occur in an emergency: A. EMS response B. hospital care C. dispatch D. reporting E. first response

DCEAB

Problems that occur in the prehospital phase of the emergency medical services (EMS) operation are MOST often related to: -delayed response times to the scene by emergency medical technicians (EMTs) -a lack of control and coordination of resources and personnel -EMRs functioning above their skill level -failure of the dispatcher to obtain adequate information

A lack of control and coordination of resources and personnel

A basic life support (BLS) ambulance is MOST accurately defined as: -any transport vehicle staffed by EMTs with additional training -an emergency response vehicle equipped with a defibrillator -any transport vehicle that is staffed by at least two EMTs -a properly equipped vehicle that is staffed by EMT personnel

A properly equipped vehicle that is staffed by EMT personnel

What level of EMS provider is able to perform limited ALS skills? -paramedic -advanced EMT(AEMT) -EMR -EMT

Advanced EMT (AEMT)

National levels of EMS training include all of the following EXCEPT: -AEMT -advanced first aid -EMR -paramedic

Advanced first aid

You are the first medically trained person to arrive at the scene of a motor vehicle crash. The patient is conscious and is bleeding heavily from the head. He is still in the vehicle, which has power lines draped across the hood. You should: -carefully remove the patient from the vehicle without touching any metal -advise the patient to remain still and immediately contact the power company -ask the patient to crawl out of the vehicle carefully without touching metal -put on rubber gloves and carefully move the power lines away from the car

Advise the patient to remain and immediately contact the power company

To provide the best possible care for the patient: -the medical director must be notified during every emergency -a paramedic must be present at each and every emergency -all EMS personnel must function effectively as a team -the patient must receive rapid transport to the closest hospital

All EMS personnel must function effectively as a team

The major emphasis of the EMR curriculum deals with _________ of the ill or injured patient in the prehospital setting. -techniques of advanced airway care -assessment and care -advanced life support -interpretation of EKG's

Assessment and care

When EMTs or paramedics arrive at the scene of an emergency, the EMR should: -accompany the patient to the receiving medical facility -assume that his or her assistance will no longer be required -assist the EMTs in continuing the care that he or she initiated -obtain a signature from the EMT who is assuming patient care

Assist the EMTs in continuing the care that he or she initiated

Fire fighters and law enforcement personnel are likely to be the EMRs in most emergencies because: -they are typically paid and are on call 24 hours a day -most communities do not have EMTs or paramedics -they are trained in all aspects of an emergency call -of their location or speed in responding to the call

Because of their location or speed in responding to the call

What is the best way to gain the confidence of both your patient and bystanders? -by demonstrating professional behavior and using a courteous and caring tone of voice -by keeping your certification up to date -by speaking louder on scene of a call -by wearing more pins on your uniform

By demonstrating professional behavior and using a courteous and caring tone of voice

Enhanced 9-1-1 centers have the capability to: -provide ALS instructions to the caller -automatically dispatch aeromedical support when a call is received -function as medical control in the absence of a licensed physician -determine the physical location of the caller via the computer

Determine the physical location of the caller via the computer

The US Department of Transportation's responsibility is to: -credential the EMR through a system of testing -develop the national education standards for the EMR -determine each EMR's scope of practice -maintain a registry of all certified EMRs in the country

Develop the national education standards for the EMR

A patient requires rapid transport to the hospital when: -he or she requires care that can be provided only by a physician at the hospital -traffic is extremely heavy and the patient's condition requires treatment by a physician -the patient's condition may deteriorate if he or she is not transported fairly quickly -EMS personnel are unable to give the patient adequate life-saving care in the field

EMS personnel are unable to give the patient adequate life-saving care in the field

Skills commonly performed by the EMR include all of the following, EXCEPT: -splinting fractures -bleeding control -treating shock -intravenous therapy

Intravenous therapy

The civilian EMS system tends to follow trends seen in which area of medicine? -hospital medicine -veterinary medicine -military medicine -private physician medicine

Military medicine

A crucial piece of equipment that the EMR should have available includes a: -bag-mask device - portable hydraulic jack -mouth-to-mask resuscitation device -mechanical suction device

Mouth-to-mask resuscitation device

What is the key feature of an enhanced 9-1-1 call center? -they can handle a higher call volume than normal dispatch centers -the caller's phone number and location appear on the computer screen -the calls automatically get dispatched by computer -the dispatchers are better trained than normal call centers

The caller's phone number and location appear on the computer screen

Which of the following MOST accurately describes an emergency medical responder (EMR)? -an individual who provides initial advanced life support (ALS) -the first medically trained person to arrive at the scene -a fire fighter or police officer who assists the paramedics -an individual who responds to the scene in an ambulance

The first medically trained person to arrive at the scene

EMRs are a critical component of an EMS system because they are: -responsible for reporting such emergencies -the first medically trained personnel to arrive on the scene -trained in traffic control -able to provide both basic and advance life support

The first medically trained personnel to arrive on the scene

The EMS system can be considered a component of public health because: -EMS provides transportation directly to an emergency department -the services it provides are available to all people in a community -its primary role is to provide illness and injury prevention programs -the health department mandated that EMS responders carry certain equipment

The services it provides are available to all people in a community

A cardiac arrest patient's MOST crucial contact with the EMS system occurs when: -medical control is made aware of the situation -paramedics arrive and administer advanced care -the receiving hospital is made aware of the situation -trained EMRs arrive at the patient's side

Trained EMRs arrive at the patient's side

Roles and responsibilities of the EMR include all of the following, EXCEPT: -ensuring the safety of self and others -transporting the patient to the hospital -adequately assessing every patient -prompt and safe response to the scene

Transporting the patient to the hospital

The EMR must possess the ability to: -avoid improvisation whenever possible -sustain a patient's life for several hours -function at the same level as a paramedic -treat patients using limited equipment

Treat patients using limited equipment

When documenting the events of an emergency call, the EMR should include the: -treatment provided by the paramedics -treatment provided before EMS arrival -patient's presumptive diagnosis -names of all personnel at the scene

Treatment provided before EMS arrival

The overall leader of the EMS system is the physician. True/False?

True