exam 400 104 quest
A disposable oxygen humidifier should be considered for ambulance services that often transport patients on runs longer than:
1 hour
You should be able to life the head of the stretcher upward to at least a __________ angle.
60-degree
The JumpSTART triage system is intended to be used for children younger than _____ years or who appear to weigh less than _____.
8, 100 lb
Which of the following is probably not a mass-casualty incident?
A motor vehicle crash with two critically injured patients and two ambulances
According to the START triage system, what should you do if a patient is found to have a respiratory rate of 24 breaths/min?
Assess for bilateral radial pulses
Which of the following is not a role of the AEMT at the scene of a hazmat incident?
Decontamination
According to the START triage system, what should you do if you encounter an unresponsive patient who is not breathing?
Open the airway and reassess breathing status.
Which of the following is a typical function of the rescue team?
Providing safe entry and access to patients
Which type of command is used when one person is in charge, even if multiple agencies respond?
Single
Which of the following statements regarding the unified command system is correct?
Under the unified command system, plans are drawn up in advance by all cooperating agencies that assume a shared responsibility for decision making.
Which of the following chemicals requires identification with a placard, regardless of how many pounds the shipment weighs?
Water-reactive solids
When a rehabilitation area is established at the scene of a mass-casualty incident, it should:
be in a location that prevents visualization of the scene itself.
Following proper decontamination, a 30-year-old male is brought to you. He is semiconscious and has rapid, shallow respirations. A quick visual assessment reveals no obvious bleeding. You should:
begin some form of positive-pressure ventilation.
The __________ is the transfer of weight to different points on the chassis.
chassis set
If a technical rescue team is required at the scene, but is not present when you arrive, you should: *
check with the incident commander to ensure that the team is en route.
A(n) _________ is one that is contained and in which all causalities are accounted for.
closed incident
Changing direction or speed requires a continuous rolling contact between the surface of the tires and the surface of the road. Two factors involved in this contact are the footprint and the:
coefficient of friction
A carboy is a container that would most likely be used to store and transport:
corrosives
A 49-year-old man has been removed from his overturned tanker, which was carrying a hazardous material. The tank ruptured and he was exposed to the material. When rescue personnel bring him to the decontamination area, they note that he is unconscious and has slow, shallow breathing. They should:
cut away all of the patient's clothing and do a rapid rinse to remove as much of the contaminating matter as they can.
When responding to or functioning at a tactical situation, you should:
depart the scene only after the incident commander has verified that it is safe.
During a motor vehicle collision involving multiple patients, the IC would most likely:
designate a safety officer, but retain other command functions.
A 19-year-old female has just been extricated from her severely damaged car. She is on a long backboard and has been moved to a place of safety. As your partner maintains manual stabilization of her head, you perform a rapid assessment. The patient is unconscious, has slow and shallow respirations, and has bilaterally closed femur deformities. You should:
direct your partner to begin ventilatory assistance
Which of the following medications would most likely require special protocols in order to be carried on the ambulance?
duo dote
The purpose of the incident command system (ICS) is to:
ensure responder and public safety, achieve incident management goals, and ensure the effective use of resources.
The term used when individual units or different organizations make independent and often inefficient decisions regarding an incident is called:
freelancing
According to the JumpSTART triage system, if a pediatric patient is not breathing, you should:
immediately check for a pulse.
A hiker was injured when he fell approximately 20 feet from a cliff. When you arrive at the scene, a member of the technical rescue group escorts you to the patient, who is positioned on a steep incline. The most appropriate method of immobilizing and moving the patient to the ambulance is to:
immobilize his spine with a long backboard and place him in a basket stretcher.
The scene size-up at a motor vehicle crash or other incident: *
is an ongoing process until the incident is terminated.
Aggressive ambulance driving may have a negative effect on other motorists because:
it may not allow for their reaction time to respond to your vehicle.
In order to accomplish the goal of primary triage, it is important to:
keep the triage assessment brief and the patient categories basic.
Maintaining a cushion of safety when operating an ambulance means:
keeping a safe distance between your ambulance and the vehicles in front of you and remaining aware of vehicles potentially hiding in your mirror's blind spots.
A(n) ___________ refers to any situation with more than one patient, but which will not overwhelm available resources.
multiple-casualty incident
As a triage supervisor, you:
must not begin treatment until all patients have been triaged.
At a very large incident, the ________ section is responsible for managing the tactical operations usually handled by the IC on routine EMS calls.
operations
Tactical operations are handled by the:
operations section
When you arrive at the scene where there is a potential for hazardous materials exposure:
park your unit uphill of the scene
in order to evaluate hazards present at the scene and determine the number of patients, you should:
perform a 360° walk-around of the scene.
Excessive speed _________ the driver's reaction time and __________ the time and distance needed to stop the ambulance.
reduces, increases
The ___________ establishes an area that provides protection for responders from the elements and the situation.
rehabilitation supervisor
If an incident increases in scope and complexity, the IC should consider:
relinquishing command to someone with more experience.
You are en route to an emergency call when you approach a slow-moving vehicle on a two-way road. You can see oncoming traffic in the other lane. The driver has his windows up and does not realize that you are behind him. You should:
remain at a safe distance until it is safe to pass.
You have a critically injured patient in the back of your ambulance, ready to be transported. There are other injured patients at the scene, and it will be approximately 10 minutes before other ambulances will arrive. Law enforcement personnel are at the scene. You should:
remain at the scene until at least one other ambulance arrives.
The medical mnemonic DUMBELS is used to describe the symptoms of nerve agent exposure. The "S" refers to:
salivation sweating seizures
When victims involved in a mass-casualty incident are moved to the treatment area:
secondary triage is performed and the appropriate treatment is rendered.
According to the JumpSTART triage system, infants or children not developed enough to walk or follow commands, including children with special needs
should be taken to the treatment area for immediate secondary triage.
The ________ area is where incoming ambulances meet and await further instructions at the scene of a mass-casualty incident.
staging
A(n) _________ should be assigned when MCIs or scenes require response by numerous emergency vehicles or agencies.
staging supervisor
As you and your team are removing an unconscious patient from her wrecked car, you note that she has closed deformities to both of her legs and a deformity to her left humerus. You should:
support the injured extremities and continue removal.
You are triaging patients at the scene of a multiple vehicle crash when you encounter a young male who is unresponsive and is not breathing. After you open his airway, he begins to breathe at a rapid rate. According to the START triage system, you should:
tag him as immediate (red), place him in the recovery position, and move to the next patient.
The reference used as a base for your initial actions at a hazardous materials (hazmat) incident is: *
the Emergency Response Guidebook
Command functions under the ICS include all of the following, except:
triage officer
Being exposed to a radiation source does not make a patient contaminated or radioactive.
true
When you arrive at the site of a technical rescue, you should identify the staging location to which the technical rescue team will bring the patient.
true
You are dispatched to a residence for a patient with chest pain; however, you are unfamiliar with the address and cannot find the location in your map book. A nearby police officer radios you and tells you that he knows how to get to the scene. You should:
turn off your lights and carefully follow the police officer to the scene.
The most appropriate location to park your ambulance at a hazardous materials (hazmat) incident is: *
upwind at least 100 feet from the incident.
Your unit and a fire department vehicle are responding to the scene of a patient in cardiac arrest. As you approach an intersection that is highly congested, you should:
use a different siren tone than the fire department vehicle.
After the check-in process is complete, you should report to:
your supervisor
The type __________ ambulance is a standard van with a forward-control integral cab body.
||
Interoperability, an important feature of the NIMS, refers to the ability of:
agencies of different types or from different jurisdictions to communicate with each other.
When a helicopter must land on a grade (uneven ground), you should:
approach the aircraft from the downhill side.
According to the JumpSTART triage system, if a pediatric patient has a respiratory rate of 40 breaths/min, you should:
assess for a distal pulse
While triaging patients at the scene of a building collapse, you encounter a young child who is conscious, alert, and breathing; has bilateral radial pulses; and has a severely angulated leg, which is not bleeding. According to the JumpSTART triage system, you should:
assign him a delayed (yellow) category and continue triaging the other patients.
Minimum staffing in the patient compartment of a basic life support (BLS) ambulance includes:
at least 1 EMT
Which of the following questions is of least pertinence when the AEMT is determining whether or not to declare a mass-casualty incident and activate the ICS?
How many paramedics are able to respond to the scene and provide advanced care?
For every emergency request, the dispatcher should routinely gather and record all of the following information, except the:
PT PMH
Which of the following statements regarding hazardous materials is correct?
Some substances are not hazardous by themselves, but become toxic when mixed with another chemical.
Which of the following statements regarding the rapid extrication technique is correct?
The rapid extrication technique is indicated if the scene is unsafe and the patient is not entrapped in his or her vehicle.
Who is ultimately in charge of counting and prioritizing patients at an MCI?
Triage supervisor
Common activities that occur while you and your partner are en route to the scene of an emergency call include all of the following, except:
apprising the medical director of the nature of the call.
The "D" in the mnemonic IDME stands for:
delayed
Features of the modern ambulance include all of the following EXCEPT:
self-contained breathing apparatus
Trench collapses usually involve large areas of falling dirt that weigh approximately _______ per cubic foot. *
100 lb
The ambulance should carry both portable and mounted suctioning units that must be powerful enough to provide an airflow of ___________ L/min at the end of the tube.
30
Portable and mounted suction units must be powerful enough to generate a vacuum of at least ____ mm Hg when the tubing is clamped.
300
Suction units must be powerful enough to provide an airflow of 30 L/min at the end of the tube and a vacuum of ________ when the tube is clamped.
300 mm Hg
To ensure that you have enough reaction time and stopping distance from the vehicle in front of you, you should drive about _________ behind a vehicle traveling at an average speed.
4 seconds
Soman is twice as persistent as sarin and ___________ as lethal.
5 times
A portable oxygen cylinder should have a capacity of a minimum of ____ of oxygen.
500 L
