EMC Chapter 1

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

A

All of the following are examples of illness or injury programs, EXCEPT: (A) one-rescuer CPR. (B)diabetes screenings. (C)alcohol awareness. (D)car seat installation.

A

Fire units are often a crucial part of the EMS system because they: (A)specialized rescue such as patient extrication. (B) provide protection and control of the scene. (C)are better trained than EMTs to assist paramedics. (D) always arrive at the scene before EMTs or paramedics.

A

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

A

When documenting the events of an emergency call, the EMR should include the: (A) treatment provided before EMS arrival. (B)patient's presumptive diagnosis. (C) treatment provided by the paramedics. (D) names of all personnel at the scene.

A

Which of the following statements regarding an EMR's attitude and conduct is NOT correct? (A) A stern tone of voice will ensure that you gain your patient's confidence. (B) As an EMR, you will be judged by your attitude and conduct. (C)Maintaining a neat and professional appearance provides reassurance. (D)Information regarding the patient should not be shared with your family.

A

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

B

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

C

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: (A) factually document the care that you provided. (B)keep bystanders away from the patient. (C)help the paramedics prepare for rapid transport. (D) report your observations to law enforcement personnel.

C

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

D

Roles and responsibilities of the EMR include all of the following, EXCEPT: (A) ensuring the safety of self and others. (D) adequately assessing every patient. (C) transporting the patient to the hospital. (D) prompt and safe response to the scene.

C

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

B

Components of the quality improvement process, as identified by the Institute of Medicine, include all of the following, EXCEPT: (A) timeliness. (B)teamwork. (C)efficiency. (D)safety.

B

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

B

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

B

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

B

Which of the following is NOT a criterion used by the National Highway Traffic Safety Administration (NHTSA) to evaluate an EMS system? (A)regulation and policy (B)resource management (C)billing and collections (D)education of the public

B

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

C

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

C

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

D

Upon arriving at the scene of a multiple-patient incident, the EMR's primary responsibility is to: (A) quickly gain access to all patients and begin immediate treatment. (B) advise the dispatcher that additional resources will be needed. (C) protect bystanders from any hazards that may exist at the scene. (D) assess the environment to detect possible threats to his or her safety.

D

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

D

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

D

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: (A)put on rubber gloves and carefully move the power lines away from the car. (B)ask the patient to crawl out of the vehicle carefully without touching metal. (C)carefully remove the patient from the vehicle without touching any metal. (D)advise the patient to remain still and immediately contact the power company.

D