medic test 1 study guide

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

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

An effective injury prevention program should focus on all of the following data, EXCEPT: A) common injury locations. B) current EMS call volumes. C) typical injury mechanisms. D) the mean age of the patient.

.B) current EMS call volumes

The accuracy of your patient care report depends on all of the following factors, EXCEPT:

The severity of the patients condition

Which of the following incident times is NOT commonly documented on the patient care report?

Time of primary assessment

at the scene of an incident involving multiple patients, an obviously depressed bystander needs?

To be brought back to reality and removed from the scene.

Common signs of PTSD include all of the following, EXCEPT:A) recurring mental flashbacks of the incident.B) a change in appetite following a serious incident.C) feelings of guilt that you performed inadequately.D) difficulty getting an incident out of your thoughts.

c

the best way for a paramedic to sustain energy is to

carry numerous small snacks that can be eaten slowly.

Costohondritis is inflammation of the:

cartilage part of the ribs.

Burnout is a consequence of?

chronic, unrelieved stress

as a part of your personal health assessment, you should

consider hereditary factors that can impact your health.

ignoring ones circadian rhythms can cause you to experience

consistent difficulties with sleep, higher thought functions, physical coordination, and even social functions

a patient who subconsciously converts his or her anxiety into a bodily dysfunction is experiencing

conversion hysteria

an imaginary plane that divides the body into ventral and dorsal portions is called the

coronal plane.

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.

During a crisis, the paramedic is able to focus and function, but afterwards, he or she may be left with nervous, excited energy that continues to build. This is indicative of:

delayed stress

a patient has requested to be transported to a specific hospital, however, the hospital does not have the proper resources to meet the patient's needs, you should?

determine if there is a more appropriate medical facility within a reasonable distance

Common actions performed by the dispatcher after receiving an emergency call include all of the following, EXCEPT?

determining if an ambulance should be dispatched.

Which of the following directional terms describes the front surface of the body?

ventral

family members who are depressed following the loss of a loved one?

typically do not want to be cheered up.

examples of providing false reassurances

"I'm sure that you will be fine, but let us take you to the hospital just to be on the safe side."

how to figure out ypll

65 minus death age

early warning signs of stress

A) Heart palpitations C) Chest pain or tightness D) Difficult or rapid breathing

common signs of ptsd include

A) recurring mental flashbacks of the incident.B) a change in appetite following a serious incidentD) difficulty getting an incident out of your thoughts.

The first EMT textbook, Emergency Care and Transportation of the Sick and Injured, was published in 1971 by the?

American Academy of Orthopaedic Surgeons (AAOS)

critical incident definition

An incident that overwhelms the ability of an EMS worker or system to cope with the experience, either at the scene or later

what is the recommended exercise routine for most adults

At least 30 minutes a day of moderate to vigorous exercise

Data collected from the state EMS office for the purpose of research would likely NOT include:

Average cost per call

symptoms of impending burnout

B) Chronic fatigue and irritabilityC) Decreased ability to concentrateD) Frequent stomach upset or colds

cellular telephones are more advantageous than regular two way radios because cellular telephones

B) incorporate GPS technology to help rescuers find the patient.

3. 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) radio the dispatcher after an event occurs .C) document the time that each event occurs .D) get a copy of the dispatch log after the call.

B) radio the dispatcher after an event occurs.

Which of the following constitutes minimum data that must be included on every patient care report?

Chief complaint, level of consciousness, vital signs, assessment, and patient's age and gender

Most EMS agencies require a double signature system any time a:

Controlled substance is checked, used, discarded, or replaced.

Which of the following prefixes are synonymous? A. Nephr/o; pneum/o B. Mamm/o; pulmon/o C. Coron/o; mast/o D. Angi/o; vas/o

D. Angi/o; vas/o

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

Date of birth HIV status

in which order do most people progress through the stages of grieving

Denial, anger, bargaining, depression, acceptance

when attempting to interview a potentially violent patient, you should

Ensure that you are positioned between the patient and the door.

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

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

upon arriving at the scene of a motorcycle crash, you are approached by an EMR. what is the most important information the EMR should provide to you?

Initial scene and patient assessment findings and any basic care that was provided to the patient

For purposes of refusing medical care, a patient's mental status may be considered impaired if he or she:

Makes nonsensical statements.

In which of the following situations would the documentation on a patient care report MOST likely be limited?

Mass-casualty incident

A poorly written patient care report:

May raise questions by others as to the paramedic's quality of patient care.

which of the following is NOT a reason why EMS providers are in the ideal position to serve as advocates for injury prevention

Most EMS systems require their personnel to participate actively in injury prevention programs

In 2016, the leading cause of death by unintentional injury was:

Poisoning

mobile transceivers

Radio transmission distances from a mobile transceiver are reduced: mountains

A return to an earlier age level of behavior or emotional adjustment during a crisis situation is called:

Regression

Which of the following is NOT a typical function of the EMS medical director

Responding to an emergency scene with the paramedics

which of the following habits will increase your exposure to injury from lifting your maximum weight

Routinely lowering the ambulance stretcher all the way to the ground

a vertical plane that is parallel to the median plane and divides the body into unequal left and right parts is called the

Sagittal plane.

An accurate and legible patient care report:

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

what is a drawback of using the ten-code system when communicating by radio

The codes' meanings vary by jurisdiction.

Which of the following results in the MOST years of potential life lost?

Traumatic injury

If you make an error when completing a written patient care report, you should:

Use different colored ink when drawing a single line through the error.

All of the following are subjective findings, EXCEPT:

Visible blood in the ear canal

burnout is most accurately defined as

accurately defined as the exhaustion of physical or emotional strength.

Being empathetic toward a patient means that you:

acknowledge the patient's feelings.

compated to an emt, an aemt is trained in

advanced pathophysiology , establishing iv access administering iv fluids performing blood glucose monitoring administering several medications performing some advanced airway management

you should know your target heart rate and

attempt to achieve it every time you exercise.

When managing stress, it is important to

avoid taking sleeping aids after a stressful event.

the combining form encephala/o refers to the

brain

a woman having a possible heart attack redirects her anger away from her condition and towards the paramedic, this is called

displacement

Typical function of the EMS director

educate and train personal participate in the recommendation or selection of new personal participate in the recommendation or selection of equipment develop clinical protocols or guidelines in collaboration with other EMS personnel who are considered experts develop and assist in a quality improvement program provide input on patient care interface between EMS systems and other health care agencies serve as an EMS advocate to the community serve as the medical conscience of the ems system

You are dispatched to a residence at 3:00 AM for a 39 year old man with signs of a common cold. when caring for this patient, you should?

educate the patient and tactfully discuss why a cold is not an emergency

general guidelines for preventing burnout

engaging in social activities with people not involved in EMS.

ignoring ones cicadian rhythms may result in except

enhanced social functioning

during your 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.

Common actions performed by the dispatcher after receiving an emergency call

enters information relays it to the appropriate resources may be trained as an emergency medical dispatcher

to prepare for or handle stress, you should

exercise vigorously and regularly during the 12 hours preceding your shift. get enough natural rest identify people and activities that make you laugh or feel good

When a patient minimizes his or her symptoms by stating, "I'm fine," the paramedic should

find a reliable informant among the patient's family or friends.

burnout prevention

get rest eat balanced diet exercise regularly do not abuse body give yourself me time learn to relax take time for hobbies engage in social activities with people not involved stay in touch with feelings manage stress debrief after tough calls

what color does the root word poli/o describe

grey

paramedics who do not experience burnout are those who

have learned to value and respect themselves.

common triggers of distress

having children loss of loved one excessive responsibility at work

What instructions or guidance would an emergency medical dispatcher MOST likely provide to a caller?

how to control bleeding and perform cpr

the most effective way to deal with stress is to

identify the stress triggers and take action to minimize their effects

When asking a patient to supinate his or her hand, you would expect him or her to:

place the hand palm up

chronic stress

places the body in a continuous, unrelieved state of alert.

All of the following are common triggers of distress, EXCEPT

planning a vacation

the diaphragm resides within the

infrathoracic region.

progressive relaxation is a technique of anxiety relief that

involves tightening and relaxing specific muscle groups.

what is primary prevention

is a name given to actions that stop injuries or illnesses before they begin

biotelemetry is most accurately defined as

is the capability of measuring vital life signs and transmitting them to a distant terminal

if you are approached by a coworker who has noticed a negative change in your behavior, you should

keep an open mind regarding what the coworker has noticed.

what is secondary prevention

measures take place after the patient has sustained an injury or developed an illness, in which case the goal is to prevent the problem from getting worse

components of well being that is essential for a healthy life

mental, physical, emotional

Regardless of a paramedic's circadian rhythms, he or she should?

not overlook the need for rest

consequences of poor nutrition include

obesity diabetes heart disease variety of medical conditions

an endogenous chemical is one that

occurs inside the body.

The statement, " the bicycle safety program will increase the rate of helmet use by children younger than 18 years of age from 30% to 50% within the next 18 months," is an example of a(n)

outcome objective

sitting in a chair next to a patient when conducting your interview promotes

trust

which of the following is NOT an example of a passive injury prevention intervention

providing public education on the use of AEDs

When a patient calls EMS for an apparent non-life-threatening condition, the paramedic should

recall that what he or she considers to be a non-emergency may be very emergent to the patient.

EMR should be able to do what on scene

recognize the seriousness of a patient's condition administer appropriate basic care relay information to the paramedic

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

redirect him or her to the question to elicit a response

the first thing you should do if you think you are beginning to experience symptoms of burnout is

reexamine your beliefs and your ways of responding to stress

a patient states, "I cant catch my breath," and the paramedic responds, "You say you cant catch your breath, ma'am, this is an example of

reflection

Any time you need to move a patient who cannot or should not walk, it is MOST important to consider:

request more help

examples of injury prevention

secondary prevention, primary prevention

being empathetic means

show your patients, their families, and other health care professionals that you identify and understand their feelings. its okay to show emotions to some extent

Which of the following is the MOST common cause of injuries that occur at school?

sports related incidents

All of the following are examples of injury prevention, EXCEPT

teaching rescue breathing and CPR to a group of citizens.

a patients response to an emergency is determined by

the patient's personal methods of adapting to stress

One of the MOST visible ways in which EMS professionals have interacted with public health agencies is through:

the provision of immunizations

islamic and hindu cultures avoid

touching with the left hand.

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.