EMR Final Exam

To comply with the standard of care, what two criteria must the EMR meet

1)you must treat the patient to the best of your ability 2) You must provide care that a reasonable,prudent person with similar training would provide under similar circumstances

What is a true statement regarding a base station transmission done by dispatchers

A base station used by dispatchers to send and receive messages and form all parts of service area

A basic life support (BLS) ambulance/ unit is MOST accurately defined as

A properly equipped vehicle and the EMT staff make up a basic life support unit

What level of EMS provider is able to perform limited ALS skills

Advanced AEMT

Where is the chest located in regard to the topographic anatomy?

Anterior

Upon arriving at the scene of a major motor vehicle crash, you determined that there are multiple patients. You should

Ask for backup

What is lateral

Away from the midline of the body

Prior to attempting extraction, it is MOST important that you

Conduct an overview of the scene, stabilize, control any hazards and stabilize vehicle, gain access to patient(s)

As part of your ethical responsibilities, you are expected to

Conform to accepted professional standard of conduct

Which condition would MOST likely produce the greatest amount of stress for the EMR

Death and dying

What can be considered normal parts of the grieving process

Denial("Not me!"), Anger("Why me?"), Bargaining("Okay, but..."), Depression ("Heavy-hearted"), and Acceptance

What is proximal

Describing structures that are closer to the trunk

What is distal

Describing structures that are nearer to the free end of an extremity; any location that is farther from the midline than the point of reference named

A fracture of a femur in a location furthest away from the hip

Diestel

Where is the wrist located in relation to the elbow

Diestel

What is the MOST effective way to avoid allowing an angry patient or family member to interfere with your patient care duties

Do not become defensive

In general, you should never change or alter a patient care report, unless

Draw one line through ONLY if needed to change error

Which concept is the FIRST and MOST important when providing patient care

Duty to act/ do not do harm and provide care in good faith

A 40-year-old woman has an injury to the midshaft hummers following a motor vehicle crash. What major joint is immediately distal to her injury

Elbow

When a person swallows food or liquid, it does not enter the trachea because the

Esophagus prevents food or water from doing so

When you encounter a patient with a significant illness, it is important to remember that he or she may be

Experiencing stage of grief of death

A patient who verbally or nonverbally let's you know that he or she is willing to accept treatment is giving you

Expressed consent (if 17 help even if they say no,21 If say no don't help unless danger to themselves and others, must answer person, place, time, event

A patient is in the anatomic position when he or she is

Front of the body with thumbs out

The "anterior" refers to the:

Front side of patient

Regardless of the technique you use for moving patients, you should

Give the patient a brief explanation what you're doing and think quickly

Common signs or symptoms of stress include

Guilt, loss of appetite, irritability, anxiety, isolation, feelings of hopelessness, alcohol or drug misuse or abuse, inability to concentrate, change in normal disposition, insomnia/ nightmares, indecisiveness, loss of interest loss of interest in work, isolation, physical symptoms

Minimal protective equipment that the emergency medical responder(EMR) should use during extraction includes

Helmet with face shield and googles should be worn

An emergency medical responder (EMR) has a legal duty to act

If you're employed by a agency that has dispatched to the scene of an accident or illness

Identifying potential exit routes at an emergency scene MOST important because

In case a hazard becomes life threatening to you or your patient

When dispatched to an emergency call, you should not respond until

Know where you're going

Problems that occur in the prehospital phase of the emergency medical service (EMS) operation are MOST often related to:

Lack of coordination between resources and personal

Ways in which the emergency medical responder(EMR) can prevent and reduce unnecessary stress

Learn to recognize the signs and symptoms of stress, adjust your lifestyle to include stress-reducing activities, learn what services and resources are available to help you

What is medial

Middle

During your assessment of a 21-year-old man who fell from a roof, you note the presence of bruising on the medial aspect of the anterior trunk. What part of the body is this describing?

Midline

Which of the following statements regarding the scene size-up is correct

Minimal value getting dispatched to a scene not part of size-up

A ______________ transmits data messages through a radio system and reduces the amount of time the radio frequency is tied up to send or receive a message

Mobile data terminal

When transmitting information from the patient's side to the responding ambulance, the emergency medical responder (EMR) would MOST likely use what type of radio

Mobile radio(in fire truck)/Portable 1&2 (in hand)

A citizen who encounters a motor vehicle crash

Not requiring by law to stop and give emergency care to victims because it may not be safe

As an EMR, your two primary extraction goals include

Obtain safe accesses to patients and ensure patients stabilization

What is not important for you as an EMR to know about sending and receiving data systems

Only know how to use it ( not how it works)

A person could survive for several days to weeks without the following, EXCEPT

Oxygen

What condition may make it difficult to deal with stress

PTSD, very young/old, critical patients, death, unusual danger,violence, unusual sights, smells or sounds, or mass casualties

A device that receives a weak radio signal, amplifies that signal, and then rebroadcasts it is called a(n)

Pager/repeater amplifies

Which of the following is NOT a component of the scene size-up

Patient illness

The patient assessment sequence consists of all of the following components , EXCEPT

Patient medical history/family medical history

Which statement regarding the acceptance stage of the grieving process is considered most applicable

Patient understanding that death and dying cannot be changed and

You are a voulnteer EMR and have placed your name on the schedule to respond for a 12-hour shift. With 10 minutes left in your shift, you are dispatched for a patient with a possible fractured leg. You should:

Proceed to scene at once(because failure to provide proper care because of a wrongful act could result in legal action being taken against your public safety agency or against you as an individual care provider called a tort by the legal community)

Fire units are often a crucial part of the EMS system because they

Provide fire protection and specialized rescue, and parent extraction

The function of the right atrium is to

Receive blood from the veins

A pager is MOST accurately defined as a

Receiver

The purpose of a communications system is to do what type of activity

Relay information when it is impossible to do it face to face. Best form of communication is face to face

The scope of care under which the EMR functions is specified by the

Santa Clara County Medical Director

You are the first medically trained person to arrive at the scene of a car crash. There is one patient, who is still in his badly damaged car. The patient appears to be unconscious and is bleeding heavily from the mouth. After ensuring that the scene is safe, your priority should be to

Stabilize the scene of any hazards

When EMTs or paramedics arrive at the scene of an emergency, the EMR should

Stay and help the EMTs or Paramedics until released

Advanced life support (ALS) provides often use ___________ to transmit electrocardiograms and other patient data to online medical control

Telementary EKG

What is Inferior

That portion of the body or body part that lies nearer the feet than the head

What statement MOST accurately describes an Emergency Medical Responder(EMR)?

The first medically trained person to arrive on the scene of an emergency

Enhanced 9-1-1 centers have the capability to determine

The location of landline telephones as soon as the telephone in the 9-1-1 center is answered

A cardiac arrest patient's MOST crucial contact with the EMS system occurs when

The trained EMR arrives

Fire fighters and law enforcement personnel are likely to be the EMRs in most emergencies because:

Their location or speed in responding

What interventions would the EMR MOST likely perform at the scene of a cardiac arrest

They would use CPR

What is superior

Toward the head; lying higher to the body

You are the first medically trained person to arrive at the scene of an ill person. You find the patient, a 350- pound man , sitting in a small bathroom. The patient tells you that he is extremely weak and is unable to walk. You should

Wait for more medically trained personnel to arrive

A chronically ill patient who is experiencing denial often cannot believe

What is happening to them, serving as protection for the person experiencing the situation, and serve protection for caregiver(normal)

While functioning at the scene of a patient in cardiac arrest, you do not initiate cardiopulmonary resuscitation(CPR) because the patient is elderly and you think that he is probably dead. Paramedics arrive and determine that the patient had only been in cardiac arrest for 6 minutes. Which of the following statements regarding this scenario is correct

You may be held liable for failure to provide care

Under normal conditions, when the cell of the body receive blood, they

absorbing oxygen and carbon dioxide

Before attempting to move any patient, you should

assure your safety and know your limits

The location of a lateral body part is

away from the midline of the body

With regard to lifting and moving, good body mechanics includes

back straight and lift with legs

To see his grandson graduate from high school, a man with a terminal illness promises to keep all of his doctor's appointments and take all of his medications exactly as prescribed this is an example of

bargaining

The MOST sensitive cells in the human body in the

brain cells because they can't rejuvenate

The dome-shaped muscle between the chest and abdomen is called the

diaphragm

Scene hazards that are NOT visible to emergency responders include

electrical, biologic hazards, hazardous materials, and poisonous gases

A pulse is generated when the

heart contracts

''Adam's apple" and "voicebox" are other terms used to describe the

larynx

Where is the nose located in relation to the eyes

lateral

Blood is pumped through the entire body after it

lungs

Which of the following is not a component of the circulatory system

lungs

Upon arriving at the scene of an overturned tanker truck, you see green liquid leaking from the vehicle. The driver, who is still in the truck, appears to be unconscious and is bleeding heavily from the head. After requesting the appropriate personnel, you should

make every effort to ensure bystanders, rescuers, and patients are not exposed to it unnecessarily. Identify potential exit routes if event becomes life threatening and wear PPE.

When you arrive at an emergency scene you should

make sure it is safe and won't block traffic

The oropharynx is also known as the

mouth

Air normally enters the body through the

nose(nasial) and mouth(oral pharynx)

In addition to ensuring your own safety, the MOST important guideline to follow when moving a patient is to

overview the scene

A snoring sound is heard when an unconscious patient is breathing is the MOST often the result of

partial blockage of airway

If you suspect that a patient has suffered a head or spine injury, you should

preform C-Spine

The main purpose of the respiratory system

provide oxygen and more carbon dioxide from red blood cells

The left ventricle is the most muscular chamber of the heart because it must

pump blood to the body

Compared to veins, arteries

pump oxygen

You and your partner are the first to arrive at the scene of a man who fell approximately 20'(6 m) from a second-story balcony. The patient is found lying on his side. He is conscious and alert with adequate breathing. A paramedic unit is approximately 5 minutes away. You should

put in recovery position, say calm, visually assessment of entire accident, number of patients, severity of injuries, and see how much you need and what kind of help

Which of the following chambers of the heart pumps deoxygenated blood to the lungs

right ventricle

The MOST important consideration during the extraction process is

safety of all rescuers and patients

As you approach an emergency scene, your priority should be to

secure the area to determine extent of incident

The recovery position is MOST appropriately used for patients are

suffering from trauma

With assessment-based care, treatment rendered to the patient is based on

symptoms

When moving a patient who typically gives the command to begin the move

the person at the head

Plasma is

white blood cells

The emergency medical responder(EMR) should never enter an enclosed space unless

you have received proper training and are equipped with self contained breathing apparatus(SCBA)

Oxygen passes from the blood cells into the cells of body tissues at the

capillary level

On the human body, proximal means

close to

Achieving the cooperation and mutual understanding that is needed for a safe, smooth extraction effort requires

cooperation with law enforcement, fire department, EMS personnel