119 Test 2 - Ch 5-7

When a patient repeatedly apologizes to you because he or she is incontinent, you should say:

"You don't have to apologize; that's what we're here for."

When a patient thanks you, your MOST appropriate response should be:

"You're welcome."

Which of the following words would be the MOST difficult to hear over the radio?

"yes"

Many _________ believe that touching the head may put their soul in jeopardy.

Asian

Which of the following statements regarding the use of cellular telephones and landline telephones is MOST correct?

Cellular and landline telephones overcome problems caused by overcrowded EMS radio frequencies.

Statements such as, "Please say more," or, "Please feel welcome to tell me about that," are examples of:

Facilitation

When transmitting data over the radio, you should NOT disclose the patient's:

HIV status

If a patient provides an inappropriate response to a paramedic's question, it should be assumed that the patient:

Has impaired cerebral function

A backup communication system is especially critical when dealing with:

Mass-casualty incidents

Which of the following statements regarding 12-lead ECG telemetry is correct?

Most newer systems use facsimile technology to allow transmission of 12-lead ECGs.

When functioning at a noisy scene, communication will be MOST effective if you

Move the patient to the ambulance as soon as you can

The combination of two or more signals, which allows the paramedic to talk and transmit an ECG simultaneously on one frequency, is called a:

Multiplex system

When transmitting your radio report to the hospital, you should:

Not be sitting right next to the patient.

automatic crash notification (ACN)

On-board computer systems in motor vehicles that automatically send telemetry data to a monitoring service in the event of a crash, which then relays the data to emergency responders; also called advanced automatic crash notification

Radio transmission distances from a mobile transceiver are reduced:

Over mountainous areas

A _____________ receives a weak signal and retransmits it at a higher power on another frequency.

Repeater

When communicating medical information via radio, you should be:

Simple, brief, and direct

Which of the following details is of LEAST importance for the EMD to obtain from the caller?

The patient's last known oral intake

It is important to remember that if a patient is not personally sensitive to modesty because of an impaired mental state:

The patients family likely will be

Which of the following statements regarding ten-codes is correct?

They should be avoided during a mass-casualty situation.

When touching a patient as a form of reassurance, the paramedic should:

Touch the patient in a neutral part of his or her body

Biotelemetry

Transmission of physiologic data, such as an ECG, from the patient to a distant point of reception (commonly referred to in EMS as "telemetry").

If a patient is unable to tell you who he or she is, where he or she is, and what day of the week it is:

You should suspect decreased blood flow to the brain

Notification of EMS usually occurs when:

a bystander notifies the dispatcher via telephone

closed-ended question

a question that is specific and focused, requiring either a yes or no answer, or an answer chosen from specific options

base station

a radio at a fixed location (such as a hospital or dispatch center) consisting of a transmitter, receiver, and antenna

Which of the following questions would be appropriate to ask a patient who has no medical training? a) "Do you have any breathing or heart problems?" b) "Have you ever experienced a syncopal episode?" c) "Do you have any endocrine-related illnesses?" d) "Have you ever had an acute myocardial infarction?"

a) "Do you have any breathing or heart problems?"

Which of the following would be a proper way of documenting a drug dosage? a) 5 mg b) 25.0 mg c) 2.0 mg d) 0.10 mg

a) 5 mg

What color does the root word poli/o describe? a) Gray b) Blue c) Green d) Yellow

a) Gray

Which of the following would be the MOST significant complication associated with incorrect use of medical terminology? a) Ineffective treatment could be rendered. b) The patient could lose trust in the paramedic. c) The paramedic could be held legally accountable. d) The medical director could be sued.

a) Ineffective treatment could be rendered

What is the medical term for a woman who has been pregnant eight times? a) Octigravida b) Quintipara c) Primigravida d) Nullipara

a) Octigravida

Which of the following incident times is NOT commonly documented on the patient care report? a) Time of primary assessment b) Time of departure from the scene c) Time of arrival at the hospital d) Time of medication administration

a) Time of primary assessment

What term pertains to the sole of the foot or palm of the hand? a) Volar b) Plantar c) Gluteal d) Perineal

a) Volar

Cardiomegaly is a term used to describe: a) an enlarged heart. b) a weakened heart. c) malposition of the heart. d) surgical repair of the heart.

a) an enlarged heart

Costohondritis is inflammation of the: a) cartilage part of the ribs. b) sternocleidomastoid muscles. c) tendons of the quadriceps. d) inner lining of the chest.

a) cartilage part of the ribs

Most EMS agencies require a double signature system any time a: a) controlled substance is checked, used, discarded, or replaced. b) medication that alters a patient's physiology is given. c) patient is given more than one dose of any medication. d) patient's condition warrants diversion to a closer hospital.

a) controlled substance is checked, used, discarded, or replaced

Which of the following data would a state EMS office be the LEAST likely to require an EMS agency to report? a) Patient gender b) Patient outcome c) Types of calls d) Call volume

a) patient gender

Compared to the frontal region of the skull, the occiput is: a) posterior. b) inferior. c) exterior. d) anterior.

a) posterior

If a patient avoids answering a specific question, you should: a) redirect him or her to the question to elicit a response. b) document that the patient did not answer the question. c) conclude that the patient is trying to hide something. d) avoid repeating the question as this may upset the patient.

a) redirect him or her to the question to elicit a response

A patient states, "I can't catch my breath," and the paramedic responds, "you say you can't catch your breath, ma'am?" This is an example of: a) reflection. b) facilitation. c) confrontation. d) interpretation.

a) reflection

An accurate and legible patient care report: a) should be complete to the point where anyone who reads it understands exactly what transpired on the call. b) provides immunity to the paramedic if the patient decides to pursue legal action against the paramedic. c) is a relatively reliable predictor of the quality of care that the paramedic provided to the patient during the call. d) is not possible on every call, especially if there is more than one patient or the patient is critically ill or injured.

a) should be complete to the point where anyone who reads it understands exactly what transpired on the call.

Prior to submitting a patient care report to the receiving hospital, it is MOST important for: a) the paramedic who authored the report to review it carefully. b) your partner to review the report to ensure accuracy. c) the EMS medical director to review the report briefly. d) the quality assurance team to review the report for accuracy.

a) the paramedic who authored the report to review it carefully

When touching a patient as a form of reassurance, the paramedic should: a) touch the patient on a neutral part of his or her body. b) remember that most patients take offense to being touched. c) not touch the patient if he or she leans toward the paramedic. d) touch the patient in the center of the chest or on the thigh.

a) touch the patient on a neutral part of his or her body

Components of a thorough patient refusal document include: a) willingness of EMS to return to the scene if the patient changes his or her mind. b) assurance by the paramedic that the patient's ability to pay is of no concern. c) documentation of a complete assessment, even if the patient refused assessment. d) notification of the patient's physician to apprise him or her of the situation.

a) willingness of EMS to return to the scene if the patient changes his or her mind

If a patient asks for your advice regarding a treatment decision that his or her physician made, you should:

advise the patient to consult with his or her physician.

If the wife of a critically ill man asks you if her husband is going to die, the MOST appropriate response should be: a) "It is possible, and you should prepare yourself for the worst." b) "He is very sick, but we are doing everything we can to help him." c) "That question is best answered by the physician at the hospital." d) "The situation appears grim, but you should not lose all hope."

b) "He is very sick, but we are doing everything we can to help him"

Which of the following statements contains objective and subjective information? a) "The patient's pulse was rapid and weak and he was diaphoretic." b) "The patient appeared confused and stated that he had a headache." c) "The patient's behavior was consistent with alcohol intoxication." d) "The patient's wife stated that he began feeling ill a few hours ago."

b) "The patient appeared confused and stated that he had a headache"

Which of the following patient data is NOT typically communicated during your radio report to the hospital: a) underlying medical conditions b) the patient's ethnicity c) brief, pertinent history d) ECG findings

b) The patient's ethnicity

Using the International Radiotelephony Phonic Alphabet, how should you spell Dr. "Wilson"? a) WILLIAM-INDIA-LINCOLN-SIERRA-OCEAN-NOVEMBER b) WHISKEY-INDIA-LIMA-SIERRA-OSCAR-NOVEMBER c) WILLIAM-IDA-LINCOLN-SAM-OCEAN-NANCY d) WHISKEY-IDA-LIMA-SAM-OSCAR-NANCY

b) WHISKEY-INDIA-LIMA-SIERRA-OSCAR-NOVEMBER

The MOST significant problem associated with making up your own medical abbreviations and documenting them on the patient care report is: a) insurance denial. b) an error in patient care. c) confusion at the hospital. d) a potential lawsuit.

b) an error in patient care

Data collected from the state EMS office for the purpose of research would likely NOT include: a) call volume per month. b) average cost per call. c) patient outcomes. d) the nature of all calls.

b) average cost per call

The prefix melan- means: a) large. b) black. c) cancer. d) stool.

b) black

Mobile transceivers: a) do not require an externally-mounted antenna. b) can have a line of sight range of up to 15 miles. c) have transmission output power of less than 5 watts. d) are hand-carried devices used for on-scene operations.

b) can have a line of sight range of up to 15 miles

When a competent adult patient refuses medical care, it is MOST important for the paramedic to: a) perform a detailed physical exam before allowing the patient to refuse. b) ensure that the patient is well informed about the situation at hand. c) contact medical control and request permission to obtain the refusal. d) obtain a signed refusal from the patient as well as a witness signature.

b) ensure that the patient is well informed about the situation at hand

What position is generally a position of comfort for patients who do not require spinal immobilization? a) Prone b) Semi-Fowler c) Lateral recumbent d) Supine

b) semi-fowler

Which of the following is a significant benefit of electronic documentation? a) The ease with which it can be applied during mass-casualty incidents b) The ability of the data to be shared between health care facilities c) The elimination of the need to complete a narrative section d) The use of drop-down boxes, which minimizes the possibility for errors

b) the ability of the data to be shared between health care facilities

The accuracy of your patient care report depends on all of the following factors, EXCEPT: a) the thoroughness of the narrative section. b) the severity of the patient's condition. c) including all pertinent event times. d) documenting any extenuating circumstances.

b) the severity of the patients condition

Stereotyping an elderly, very young, or hostile patient during your attempt to communicate with him or her: a) is proper under certain circumstances. b) works against effective communication. c) is an effective means of communicating. d) yields relatively accurate information.

b) works against effective communication

A patient has a gunshot wound just below the right nipple. How should you describe the injury location? a) Posteromedial b) Inferolateral c) Anterolateral d) Inferomedial

c) Anterolateral

Which of the following is MOST indicative of a patient who is about to attack you? a) Disorganized speech b) Large physical body size c) Clenched facial muscles d) Uncontrolled crying

c) Clenched facial muscles

The combining form encephala/o refers to the: a) tongue. b) head. c) brain. d) face.

c) brain

Which of the following constitutes minimum data that must be included on every patient care report? a) Scene size-up, detailed assessment, blood glucose reading, vital signs, and patient's age b) Chief complaint, vital signs, assessment, tentative field diagnosis, and patient's ethnic background c) Chief complaint, level of consciousness, vital signs, assessment, and patient's age and gender d) Level of consciousness, field impression, vital signs, assessment, and patient's name and address

c) chief complaint, level of consciousness, vital signs, assessment, and patient's age and gender

If a parent insists on monitoring your conversation with his or her adolescent son or daughter, you should: a) refuse the parent's prerogative and move the patient to the ambulance to continue your conversation. b) suspect that the adolescent has been physically or emotionally abused and confront the parent. c) communicate the situation to the emergency department physician and document it accurately. d) explain to the adolescent that he or she is a minor and that you cannot converse without parental presence.

c) communicate the situation to the emergency department physician and document it accurately

At minimum, sending the 12-lead ECG of a patient with chest pain to the emergency department physician via telemetry would: a) allow the physician to choose the appropriate fibrinolytic. b) decrease the likelihood of prehospital cardiac arrest. c) decrease the time from diagnosis to treatment. d) enable the paramedic to begin treatment in the field.

c) decrease the time from diagnosis to treatment

When attempting to interview a potentially violent patient, you should: a) avoid eye contact with the patient, as this may agitate him or her. b) set "ground rules" regarding what you expect from him or her. c) ensure that you are positioned between the patient and the door. d) use closed-ended questions to obtain his or her medical history.

c) ensure that you are positioned between the patient and the door

Movement of the distal point of an extremity toward the trunk is called: a) supination. b) pronation. c) flexion. d) extension.

c) flexion

Compared to lower frequency bands, higher frequency bands: a) are not regulated by the FCC. b) have a longer transmission range. c) generally have less interference. d) are not effective for public safety use.

c) generally have less interference

Ilium and ileum are examples of: a) antonyms. b) eponyms. c) homonyms. d) synonyms.

c) homonyms

For purposes of refusing medical care, a patient's mental status may be considered impaired if he or she: a) makes a derogatory comment. b) is notably frightened. c) makes nonsensical statements. d) is not sure of the exact time.

c) makes nonsensical statements

In which of the following situations would the documentation on a patient care report MOST likely be limited? a) Physical abuse b) Injury to a paramedic c) Mass-casualty incident d) Cardiac arrest

c) mass-casualty incident

A poorly written patient care report: a) generally results in a lawsuit, even if the patient outcome was favorable. b) often indicates that the paramedic was too busy providing patient care. c) may raise questions by others as to the paramedic's quality of patient care. d) is unavoidable during a mass-casualty incident and is generally acceptable.

c) may rise questions by others as to the paramedic's quality of patient care

When asking a patient to supinate his or her hand, you would expect him or her to: a) place the hand palm down. b) turn the hand on its side. c) place the hand palm up. d) bend the hand at the wrist.

c) place the hand palm up

If the paramedic is unable to defuse a hostile patient's anger, the paramedic should: a) restrain the patient and transport at once. b) obtain a signed refusal and depart the scene. c) request law enforcement personnel at the scene. d) administer Valium or Haldol for sedation.

c) request law enforcement personnel at the scene

All of the following are subjective findings, EXCEPT: a) a feeling of impending doom b) acute and severe nausea c) visible blood in the ear canal d) a persistent dull headache

c) visible blood in the ear canal

If a parent insists on monitoring your conversation with his or her adolescent son or daughter, you should:

communicate the situation to the emergency department physician and document it accurately.

Which of the following statements includes a pertinent negative? a) "The possible smell of ETOH was noted on the patient." b) "The patient rates his pain as an 8 on a scale of 0 to 10." c) "The rapid head-to-toe exam revealed abrasions to the chest." d) "The patient complains of nausea but denies vomiting."

d) "The patient complains of nausea but denies vomiting"

Which of the following statements is LEAST descriptive when documenting the events of a cardiac arrest call on your patient care report? a) "Inserted 18-gauge IV in right forearm." b) "Intubated with a 7.5-mm ET tube." c) "Gave 1 mg of epinephrine at 1002." d) "Followed ACLS protocols."

d) "followed ACLS protocols"

Which of the following is a drawback of using the ten-code system when communicating by radio? a) They do not convey accurate information. b) They are difficult to hear over the radio. c) They disclose too much information. d) The codes' meanings vary by jurisdiction.

d) The codes' meanings vary by jurisdiction

Which of the following directional terms describes the front surface of the body? a) Inferior b) Dorsal c) Superior d) Ventral

d) Ventral

Which of the following is a subjective finding? a) Blood pressure of 110/60 mm Hg b) Pale, cool, clammy skin c) Obvious respiratory distress d) A complaint of chest pressure

d) a complaint of chest pressure

The abbreviation "amp" refers to: a) single dose. b) bolus dose. c) infusion dose. d) ampule.

d) ampule

A patient experiencing a stroke involving the left cerebral hemisphere has contralateral hemiplegia. This means that the patient: a) cannot move either upper extremity. b) cannot move any of his extremities. c) cannot move his left side. d) cannot move his right side.

d) cannot move his right side

The National Emergency Medical Services Information System (NEMSIS): a) defines the minimum data that must be collected on each call. b) is a nationwide billing system that any EMS provider can use. c) defines the scope of practice for all levels of EMS provider. d) collects relevant data from each state and uses it for research.

d) collects relevant data from each state and uses it for research

During the course of your interview, your patient begins making sexual innuendos to you. You should: a) ask a paramedic of the opposite sex to interview the patient. b) stop the interview until the patient's behavior is less aggressive. c) defer further questioning and simply transport the patient. d) ensure that another paramedic or EMT is present at all times.

d) ensure that another paramedic or EMT is present at all times

Statements such as, "Please say more," or, "Please feel welcome to tell me about that," are examples of: a) sympathy. b) clarification. c) reflection. d) facilitation.

d) facilitation

If the paramedic is unable to complete his or her patient care report before departing the emergency department, he or she should: a) advise the receiving provider that he or she will return to the emergency department with the completed patient care report within 24 hours. b) leave, at a minimum, the patient's name and age, but recognize that the physician will perform his or her own exam. c) obtain the emergency department fax number and transmit the completed patient care report within 12 hours after delivering the patient. d) leave an abbreviated form with pertinent data with the receiving provider and complete the patient care report as soon as possible.

d) leave an abbreviated form with pertinent data with the receiving provider and complete the patient care report as soon as possible

Additions or notations added to a completed patient care report by someone other than the original author: a) are not legal and may result in criminal action against the original author. b) must be initialed by the original author or the patient care report will be deemed null and void. c) are generally acceptable, provided the additions are made by a paramedic. d) may raise questions about the confidentiality practices of the EMS agency.

d) may raise questions about the confidentiality practices of the EMS agency

The topographic term used to describe the location of body parts that are closer to the midline is: a) midaxillary. b) midclavicular. c) lateral. d) medial.

d) medial

If a patient mentions something in passing or avoids answering a specific question, you should: a) assume that he or she is intentionally hiding something. b) defer the question and continue with your interview. c) ask the patient why he or she did not provide an answer. d) politely redirect his or her attention to that question.

d) politely redirect his or her attention to that questions

In order to ensure that all recorded times associated with an incident are accurate, the paramedic should: a) frequently glance at his or her watch. b) document the time that each event occurs. c) get a copy of the dispatch log after the call. d) radio the dispatcher after an event occurs.

d) radio the dispatcher after an event occurs

A patient is placed in the Fowler position. In this position, the body is: a) supine with the legs elevated between 6 and 12 inches. b) on its side with the head lowered below 30 degrees. c) on its side with the head elevated at 15 to 20 degrees. d) sitting straight up with the knees bent or straight.

d) sitting straight up with the knees bent or straight

Automatic crash notification (ACN) systems can provide all of the following information about a car crash, EXCEPT: a) whether or not seatbelts were in use at the time of the crash b) the geographic location of the crash c) the principle direction of force at the impact point d) the speed of the other vehicle at the time of the crash

d) the speed of the other vehicle at the time of the crash

If you make an error when completing a written patient care report, you should: a) leave the error, but write the correct information in parentheses next to it. b) not alter the original patient care report and write the correct information on an addendum. c) circle the error, initial it, and write the correct information next to it. d) use different colored ink when drawing a single line through the error.

d) use different colored ink when drawing a single line through the error

At minimum, sending the 12-lead ECG of a patient with chest pain to the emergency department physician via telemetry would:

decrease the time from diagnosis to treatment

When the paramedic encounters a patient who has difficulty communicating, he or she should:

enlist the help of a family member or primary caregiver.

During the course of your interview, your patient begins making sexual innuendos to you. You should:

ensure that another paramedic or EMT is present at all times

Maintaining eye contact with a patient enables the paramedic to:

evaluate the patient's neurologic status.

When a panicked person calls 9-1-1 for help:

he or she needs immediate confirmation of having reached the right number.

The term "frequency," as it applies to radio communications, is MOST accurately defined as:

how frequently a radio wave recurs in a given time

When relaying medical information to a physician in person, you should:

include information that you did not provide during your radio report.

Touching a conscious elderly patient in a nursing home without his or her permission:

is nonverbally communicating, "You are not important enough or mentally competent enough to be asked for permission."

The use of ten-codes over the radio:

is not recommended by the National Incident Management System (NIMS).

Before you begin to transmit over the radio, you should check the volume and then:

listen to make sure that the channel is clear of traffic.

If you want reliable answers to personal questions, you should:

manage the scene so you can ask such questions quietly and privately.

Under the instructions of a good EMD, a layperson should be able to:

perform chest compressions.

If a patient avoids answering a specific question, you should:

redirect him or her to the question to elicit a response.

If a patient provides a confusing or disorganized response to your question, you should:

rephrase the patient's comments with simpler terms and ask if he or she agrees with your synopsis.

If the paramedic is unable to defuse a hostile patient's anger, the paramedic should:

request law enforcement assistance if needed.

Biotelemetry is MOST accurately defined as:

the capability of measuring vital signs and ECG tracings and transmitting them to a distant terminal.

A base station decoder within the emergency department:

translates a telemetry signal into an oscilloscope tracing.

When communicating with a patient whose cultural background differs from the paramedic's, it is MOST important for the paramedic to:

treat the patient with the utmost respect at all times