EMT Chapter Tests
A clot cannot form without which of the following blood components? A. Platelets B. White blood cells C. Corpuscles D. Plasma
A
A family member who keeps pleading with a deceased loved one to "wake up" is experiencing which reaction to death and dying? A. Denial B. Anger C. Rejection D. Projection
A
A legal document allowing the health care provider to withhold resuscitation from a chronically or terminally ill patient is the known as: A. an advance directive. B. a health care proxy. C. a standard of care. D. a termination of resuscitation
A
A patient is injured but refuses to be transported by ambulance. He is competent to make decisions, and you have exhausted all avenues to convince him to be transported, so you have him sign a refusal of treatment form. This form is intended to release you from: A. liability for not providing care. B. the responsibility to stay on the scene. C. properly informing the patient of the consequences of refusing care. D. the need to provide any care for this patient at any time
A
According to Dr. Hans Selye, the third stage of the "Stress Triad" is known as the ________ stage. A. exhaustion B. alarm C. cumulative D. resistance
A
Failure of the liver would result in which of the following? A. Inability to detoxify harmful substances in the bloodstream B. Inability to filter out old and damaged blood cells C. Inability to secrete insulin D. None of the above
A
In a kindergarten, the teachers can give consent for EMT care of their students. Which form of consent applies here? A. In loco parentis B. Expressed consent C. Parental consent D. Informed consent
A
Laws that have been developed by states to minimize the risk of individuals being held liable for providing emergency care to victims of illness or injury are called: A. Good Samaritan laws. B. advance directives. C. immunity proclamations. D. protocols
A
Post-traumatic stress disorder may be described as a(n): A. delayed stress reaction. B. severe stress reaction. C. cumulative stress reaction. D. acute stress reaction
A
The CDC recommends using an alcohol-based hand sanitizer in all except which of the following situation(s)? A. The provider's hands come into contact with fecal matter. B. The provider is not vaccinated against hepatitis B. C. The patient has a respiratory illness. D. The patient has a bloodborne communicable disease
A
The Health Insurance Portability and Accountability Act (HIPAA): A. allows you to discuss patient-specific information only with individuals with whom it is medically necessary to do so. B. requires you to obtain the patient's signature acknowledging receipt of your agency's privacy policy before you perform any patient interventions. C. allows you to provide specific patient information to the media without additional patient consent. D. allows you to discuss specific patient information with other personnel at the station.
A
The bone most commonly fractured with a "broken hip" is the: A. femur. B. tibia. C. ilium. D. fibula.
A
The lower jaw bone is also known as the: A. mandible. B. maxillae. C. orbit. D. manubrium.
A
The pulse palpated on the top of the foot is called the ________ pulse. A. dorsalis pedis B. phalanx proximalis C. tibialis posterior D. suprametatarsal
A
The tuberculin skin test (TST), formerly known as the purified protein derivative (PPD) test, is used to: A. detect a person's exposure to tuberculosis. B. determine if a person has infected others with TB. C. inoculate healthcare workers against TB infections. D. prevent tuberculosis from spreading following an exposure.
A
What are the two most easily injured portions of the spine? A. Cervical and lumbar B. Lumbar and sacral C. Cervical and thoracic D. Sacral and coccygeal
A
What is the largest bone of the lower leg? A. Tibia B. Patella C. Fibula D. Femur
A
What mode of transmission most accurately describes the route of spreading hepatitis A? A. Fecal-oral B. Bloodborne C. Respiratory droplet D. Unprotected sex
A
What system is a group of organs and glands designed for the specific purpose of reproduction? A. Reproduction system B. Lymphatic system C. Renal system D. Respiratory system
A
What would be the primary reason for an EMT to change gloves between contact with different patients? A. To prevent spreading infection to the next patient B. To minimize the amount of time the EMT's hands are spent in gloves C. To ensure soiled gloves are changed as soon as possible D. To protect the EMT from becoming infected
A
Wheeling a non-emergency patient into the hospital emergency department, placing him in a bed, and leaving without transferring care directly to ED staff constitutes: A. abandonment. B. acceptable actions if you have an emergency call to respond to. C. acceptable actions if someone sees you do them. D. acceptable actions if the ED is very busy
A
Which of the following descriptions BEST defines the term pathogen? A. An organism that causes infection and disease B. A study of the origins of infection and disease C. An immunity developed after an exposure D. A medication with a harmful effect
A
Which of the following is NOT part of the lower extremity? A. Carpals B. Patella C. Femur D. Pelvis
A
Which of the following is true regarding proper hand cleaning? A. If the EMT's hands are visibly dirty, an alcohol-based hand cleaner is not sufficient. B. Soap and water should be used following any patient contact if the EMT does not wear gloves. C. Following patient contact, the EMT should soak his hands in warm soapy water for at least 30 seconds and then shake them vigorously. D. In cases where soap and water and alcohol-based hand cleaners are not immediately available, bleach wipes should be used.
A
Which of the following makes up more than half of the volume of blood in the body? A. Plasma B. Platelets C. Red blood cells D. White corpuscles
A
Which of the following organs functions as a reservoir for blood that can be used in case of blood loss? A. Spleen B. Liver C. Heart D. Thyroid gland
A
Which of the following structures do NOT form part of the thorax? A. Ischium B. 8th through 19th vertebrae C. Sternum D. Ribs
A
Which of the following structures receives deoxygenated blood from the body via the vena cavae? A. Right atrium B. Left atrium C. Right ventricle D. Left ventricle
A
Which of the following terms refers to a positive form of stress that helps people work when under pressure and respond effectively? A. Eustress B. Prostress C. Unstress D. Distress
A
Which of the following would MOST likely be considered evidence at a crime scene? A. Blood spatter B. Time of day C. Mouthwash D. Mail coupons
A
Which of the following would MOST likely be considered evidence at a crime scene? A. The position in which the patient is found B. The homeowner's pet C. The refrigerator icemaker D. Clean napkins in a drawer
A
Which organ secretes insulin after a person eats a large meal? A. Pancreas B. Spleen C. Liver D. Gallbladder
A
You are dispatched to a female with altered mental status. Once inside the home, you find a female who appears to have been beaten unconscious. A man, who smells of alcohol, says that she is his wife and that he does not know what happened: "I just found her this way!" The husband is behaving suspiciously, appears paranoid, and is pacing erratically around the room. What would be the safest course of action? A. Leave the house and call for law enforcement. B. Continue to question the man and begin treating the patient. C. Have your partner call for help while you stay with the patient. D. Evacuate the patient and begin treatment.
A
You are dispatched to a "man down" with no further information. As your unit arrives on-scene, you see a crowd of bystanders looking at a man lying in an alleyway. The bystanders begin screaming to you, "Help him, he's been shot! He's bleeding real bad!" What would be the best course of action? A. Dispatch law enforcement and wait until the scene is secure. B. Move bystanders aside since the patient will die without treatment. C. Tell law enforcement investigators to meet your unit at the ER. D. Load and go, because you're already on-scene.
A
You are transporting a victim from a motor vehicle collision, and the patient's condition is deteriorating rapidly. From your experience, you do not think this patient will survive transport. You noticed on the patient's driver's license that the patient is an organ donor. You can help to facilitate the patient's wishes by: A. notifying medical direction of the patient's organ donor status. B. transporting the patient to facility other than the trauma center to which you are going. C. withholding CPR until the patient's donor status is confirmed. D. trying to contact a family member of the patient to discuss the patient's wishes so that you can alert the hospital when you arrive.
A
You have just worked a cardiac arrest call on a 48-year-old father of three. Despite your best efforts, the patient died in the emergency department. As you are getting your ambulance in service, the patient's wife rushes out of the emergency department. She finds you and begins screaming at you that her husband's death is your fault. She blames you for not getting on the scene fast enough, taking too long at the house, and not shocking her husband back to life like she has seen on television. What response should you have to her anger? A. Listen empathetically to all of her complaints and let her know she can contact you for any additional assistance. B. Correct her misconceptions and remind her that television shows are fiction, so she will not sue you in the future. C. Recognize that she is in the denial stage of grief and interrupt her hysterical behavior pattern by getting her attention and helping her calm down. D. Reassure her that you did everything you could and that everything will be okay.
A
You have not breached a patient's confidentiality if: A. you only share information specific to that patient when medically necessary. B. you share information specific to that patient with family and friends. C. you share a funny item from a patient's medical history with a colleague. D. you talk about that patient's medical issues when off duty only with your spouse
A
You proceed to treat a patient who has consented to care, but you have NOT explained the risks and benefits of what you are going to do. This is MOST likely a violation of: A. informed consent. B. scope of practice. C. implied consent. D. in loco parentis
A
A(n) ________ is a situation that may lead to an acute stress reaction. A. injury of a coworker B. abuse of alcohol C. routine call D. ongoing night shift
A
You are on the scene with a patient who is complaining of chest pain, and you have administered medication. Your partner brings in the stretcher, and the patient tells you that she does not want to be transported to the ED. You should: A. contact medical direction for a consult. B. tell the patient that she can refuse transport, but because you gave her a medication, she has to see a doctor within 24 hours. C. explain to the patient that she cannot refuse because you have already begun treatment. D. leave after telling the patient that it's not appropriate to abuse the EMS system
A Medical direction needs to be in the loop on this refusal, as you have administered a medication. Medical direction can assist the EMS crew in convincing the patient that she needs to go to the ED for further care. If the patient still refuses, consulting with medical direction is another layer of protection for the EMS crew.
Good Samaritan laws were enacted to: A. protect individuals who try to help people in emergencies. B. keep patients from suing ambulance companies for the actions of their employees. C. protect patients from poor health care delivered by health professionals. D. protect EMS services from lawsuits
A Good Samaritan laws are intended to protect individuals who try to help people during an emergency. Every state has its own version of a Good Samaritan law.
Which of the following would MOST likely be considered evidence at a crime scene? A. Footprints B. A child's toy C. A paper towel roll D. Movies on DVD
A The condition of the scene, information provided by the patient, fingerprints and footprints, and microscopic findings are all considered evidence.
Which of the following is a component of patient advocacy? A. Building rapport with the patient during transport to the hospital B. Immobilizing the neck of a patient with a possible spinal injury C. Granting patient wishes and not reporting spousal abuse to the authorities D. Providing oxygen to a patient that is short of breath
A. Building rapport with the patient during transport to the hospital
An EMT attends a demonstration of a new technique for providing rapid extrication that supplements the EMT's original training, without replacing that original training. This is an example of what kind of training? A. Continuing education B. EMT training program C. Recertification D. Distance education
A. Continuing education
What is the meaning of the acronym "CPAP"? A. Continuous positive airway pressure B. Circulatory perfusion assistance power C. Combined pulmonary action potential D. Conductive paired alveolar perfusion
A. Continuous positive airway pressure The acronym "CPAP" stands for "continuous positive airway pressure."
Which of the following is a personality trait required of EMTs? A. Control of personal habits B. Able to give and receive oral instructions C. Ability to lift and carry 125 pounds D. Awareness of problems with color vision
A. Control of personal habits
What is the minimum level of certification required of ambulance personnel responsible for direct patient care? A. Emergency Medical Technician B. Advanced EMT C. Paramedic D. Emergency Medical Responder
A. Emergency Medical Technician
What is the MOST important reason EMTs should have a good grasp on the proper use of medical terminology? A. It allows clear communication with other health care providers. B. The profession requires it. C. It is necessary to use in order to speak to physicians. D. It shows the patient that EMTs are well educated.
A. It allows clear communication with other health care providers. Medicine, like other specialty areas such as electronics and physics, has a language unique to the profession that allows for clear and concise communication between two people.
What is the advantage of using medical terminology in the prehospital setting? A. It allows effective communication among the team. B. It makes easy, understandable shortcuts for documenting a run. C. It promotes better patient care and ambulance billing. D. It allows the EMT to describe a problem to a patient clearly.
A. It allows effective communication among the team. The advantage of using medical terminology in the prehospital setting is that it facilitates effective communication among team members and other healthcare providers.
Which of these is the LEAST common setting that an EMT may work in? A. Nursing home B. Rural/wilderness settings C. Fire departments D. Ambulance services
A. Nursing home
The word part "brady-" is considered what part of a medical term? A. Prefix B. Phrase C. Suffix D. Root
A. Prefix The word part "brady-" is a prefix, in the medical term "bradycardia." It means slower than normal.
Which of the following refers to a program or process for evaluating and improving the effectiveness of an EMS system? A. Quality improvement B. System effectiveness management C. Total quality system D. Process Improvement Plan (PIP)
A. Quality improvement
Which of the following is a best practice for an EMT? A. Resist the urge to use complex medical terminology when a simple term will do. B. Always use medical terminology around patients you are treating. C. Explain medical procedures to a patient using acronyms. D. Know your anatomy and use its jargon when talking to family.
A. Resist the urge to use complex medical terminology when a simple term will do. Patients and the general public often do not understand medical terminology, abbreviations, or jargon.
The application of oxygen for a patient who is short of breath without having to contact the physician in the emergency department is an example of which of the following? A. Standing orders B. Standards of care C. On-line medical direction D. Breach of duty
A. Standing orders
Which of the following statements BEST uses the term "distal"? A. The ankle is distal to the hip. B. The elbow is distal to the wrist. C. The nose is distal to the ear. D. The shoulder is distal to the elbow.
A. The ankle is distal to the hip. "Distal" is the term that is used to describe something that is farther away than something else from the torso. For example, the wrist is distal to the elbow (farther away than the elbow from the torso).
Which of the following is a role of the EMT in the quality improvement process? A. Writing complete patient care reports B. Taking responsibility for the actions of one's partner C. Critiquing the performance of one's partner D. Assuring personal safety
A. Writing complete patient care reports
The imaginary horizontal and vertical lines going through the navel create the: A. abdominal quadrants. B. thoracic regions. C. superior segments. D. inferior segments.
A. abdominal quadrants. When the navel is divided by imaginary horizontal and vertical lines, this creates the four abdominal quadrants.
Farther away from the midline is known as: A. lateral B. distal C. medial D. proximal
A. lateral "Lateral" means away from the midline. "Medial" means toward the midline. "Proximal" means closer to the torso. "Distal" means away from the torso.
When a patient is found lying on his or her stomach, face down, this is referred to as: A. prone. B. lateral. C. supine. D. recovery.
A. prone. Lying face down on the stomach is the prone position.
An emergency medical responder: A. provides immediate care. B. transfers patients to the care of hospital staff. C. receives transported patients at the emergency department. D. transports patients to hospitals.
A. provides immediate care.
A written authorization for an EMS provider to perform a particular skill in a specific situation is a(n): A. standing order. B. direct medical order. C. standard of care. D. on-line protocol.
A. standing order
"Cardio" refers to: A. the heart. B. the blood vessels. C. the muscular system. D. the nervous system.
A. the heart. The word part "cardio" refers to the heart.
The part of a medical term that means "one who specializes in" is: A. "-ist." B. "-ology." C. "-neur." D. "-all."
A. "-ist." The word part "-ist," as in "cardiologist," is used to mean one who specializes in the heart. A cardiologist specializes in conditions related to the heart.
During which of these situations would the EMT be least likely to experience a body substance exposure? A. Childbirth B. Splinting a sprained ankle C. Bandaging a laceration D. Glucometry
B
For the last few days, your regular EMT partner has been having trouble sleeping, has been on edge, and has trouble concentrating on his job during EMS calls. Luckily, your call volume has been low with no serious calls since the infant cardiac arrest you both worked last month. You ask him if anything is bothering him and he states he is fine in every way. He states that he has been going to the bars lately to relax and invites you to come along for some drinks after work. Choose the best answer for this situation. A. Your partner is suffering from acute stress reaction and you should recommend to him that he seek professional counseling. B. Your partner is suffering from a delayed stress reaction and you should recommend that he seek professional counseling. C. Your partner is suffering from a cumulative stress reaction. This is a natural response and he should be fine in a few days. D. Your partner is suffering from post-traumatic stress disorder and you should go to the bar with him to provide moral support and talk with him.
B
Since EMS personnel are often exposed to both acute and chronic stressors, ________ management may be helpful to cope with on-the-job experiences. A. stress prevention B. critical incident stress C. crisis intervention D. chronic stress
B
The concept of res ipsa loquitur would be MOST relevant to a situation involving: A. EMTs providing care to an unconscious patient. B. harm to a patient in the care of EMTs. C. EMTs explaining the consequences of refusing care to a patient. D. EMTs remaining with a patient who had refused care.
B
The term burnout is also known as a(n) ________ stress reaction. A. delayed B. cumulative C. acute D. post-traumatic
B
The "fight-or-flight" response is activated by the: A. endocrine system. B. sympathetic nervous system. C. renal system. D. parasympathetic nervous system.
B
What are some signs and symptoms that a coworker may be experiencing delayed stress reaction (PTSD)? A. Headaches, stomach ailments, and a chronic cough B. Flashbacks, nightmares, and feelings of detachment C. Excessive sleeping, loss of appetite, and distractibility D. Suspicion of friends, family, coworkers, or patients
B
What are the minimum Standard Precautions an EMT should take when transporting a patient infected with Middle East Respiratory Syndrome (MERS)? A. Gloves and N-95 mask B. Gloves, N-95 mask, goggles, and gown C. Gloves, N-95 mask, and goggles D. Gloves
B
What are the small bones that make up the wrist called? A. Tarsals B. Carpals C. Metatarsals D. Metacarpals
B
What causes the "seesaw" breathing pattern of young children? A. The cricoid cartilage and trachea are both more flexible than in adults, making breathing more difficult. B. They rely more on the diaphragm during breathing difficulty. C. The size of their tongues in proportion to their mouths. D. The pronounced inward curvature at the bottom of the ribcage.
B
What is NOT one of the primary organs for the female reproductive system? A. Uterus B. Urethra C. Vagina D. Ovaries
B
What is a set of regulations and ethical considerations that define the extent and limits of the EMT's job? A. Standard of care B. Scope of practice C. Res ipsa loquitur D. Tort
B
What is another name for the eye socket? A. Odontoid process B. Orbit C. Zygomatic arch D. Parietal bone
B
What is another name for the shoulder blade? A. Patella B. Scapula C. Clavicle D. Pharynx
B
What is the long bone of the upper portion of the arm? A. Scapula B. Humerus C. Ulna D. Radius
B
What is the name of the federal act that mandates a procedure by which emergency healthcare providers can find out if they have been exposed to potentially life-threatening diseases while on the job? A. Occupational Exposure to Bloodborne Pathogens Act B. Ryan White CARE Act C. EMS Personnel Health Protection Act of 1991 D. Communicable Disease Notification Act
B
What type of blood vessels surround the alveoli? A. Veins B. Capillaries C. Arterioles D. Arteries
B
Which of the following are the components of the nervous system? A. Spinal cord and motor nerves B. Brain, spinal cord, and nerves C. Brain and autonomic nerves D. Spinal cord and sensory nerves
B
Which of the following behaviors would be considered a common sign of stress rather than an acute psychological problem? A. Increased speeding and reckless driving B. Irritability with friends, family, coworkers, or patients C. Failure to use PPE appropriately on a regular basis D. Flashbacks, nightmares, and feelings of detachment
B
Which of the following is a physiologic effect of the "Stress Triad" as described by the physician Hans Selye? A. Hypertrophy of the lymph nodes B. Bleeding gastric ulcers C. Atrophy of the adrenal glands D. Amnesia for stressful events
B
Which of the following is an accurate statement regarding tuberculosis (TB)? A. TB is not spread through surface contamination. B. A tuberculin skin test can detect TB exposure. C. The TB pathogen only affects lung tissue. D. The incubation period of TB is from 1 to 7 days.
B
Which of the following pathogens can live in dried blood for days and should be a major concern for EMS providers even while cleaning contaminated equipment? A. AIDS B. Hepatitis B C. Tuberculosis D. Hepatitis A
B
Which of the following respiratory processes requires the active use of muscles? A. Exhalation B. Inhalation C. Gas exchange D. Bifurcation
B
Which of the following types of blood vessels allow the exchange of substances directly between the blood and the cells of the body? A. Alveoli B. Capillaries C. Veins D. Arterioles
B
Which of the following would MOST likely be considered evidence at a crime scene? A. Medical care by an EMT B. Fingerprints C. Patient advocacy D. Family pictures
B
Which organ is the principal organ of the renal system? A. Bladder B. Kidney C. Ureter D. Urethra
B
Which three "Rs" are essential for the EMT to practice when reacting to danger? A. Ricochet, recover, re-entry B. Retreat, radio, reevaluate C. Realize, react, reassess D. Remember, respect, respond
B
You are called to an assault on a homeless male. Dried blood from the trauma is visible around the patient's mouth and nose. During assessment, you note the patient has a productive cough. The patient says, "Don't worry, I'm not contagious. I've had this cough for a year." Describe the best approach regarding respiratory isolation. A. Use gloves for PPE, as that's all that's needed. B. Mask yourself and the patient. C. Isolate the patient with a nonrebreather mask. D. Mask yourself only.
B
You are caring for a 47-year-old male patient with classical chest pain suggestive of a myocardial infarction. Based on your understanding of the cardiovascular system, you know he could be suffering from damage, narrowing, or blockage of what arteries? A. Femoral arteries B. Coronary arteries C. Brachial arteries D. Pulmonary arteries
B
You are dispatched to the staging area of a terrorist-related chemical exposure. The incident commander asks you to stand by while hazmat personnel bring patients to the cold zone. As an EMT on-board an ambulance, what statement BEST describes your role? A. Triage patients to be decontaminated. B. Transport decontaminated patients. C. Coordinate hazmat response. D. Transport patients to be decontaminated.
B
You are first on the scene of a vehicle collision where a vehicle has gone off a bridge and is partially submerged. You are told that a person is still trapped in the vehicle. Your partner starts to take off his shoes and prepares to go in to save the victim. You stop your partner and tell him it is too dangerous. He tells you he is prepared to die to save a life. What is the best response to him? A. His family will not receive any benefits if he is not trained in rescue and dies while attempting a rescue. B. He is not only putting his life at risk, but also placing the lives of the professional rescuers unnecessarily at risk. C. He will force additional fire units to come to his aid unnecessarily and waste taxpayer money. D. The patient's family may sue him if he is not successful in rescuing him.
B
You are on the scene of a motor vehicle collision where a patient's car struck a utility pole. Witnesses reported to you that the patient was unconscious after the impact. However, the patient is now conscious, alert and oriented, and refusing care and transport. You should: A. leave after having the patient sign the refusal form. B. inform the patient of your concern and try to persuade her to go to the ED and receive treatment. C. have the law enforcement officer place the patient under arrest, as she is obviously in danger. D. use informed consent and tell the patient that since she was unconscious, she is not allowed to refuse.
B
Ethical considerations: A. are less important than following regulations. B. relate primarily to making patient care and well-being a priority. C. fall outside scope of practice. D. are the sole consideration of scope of practice.
B Falling within your scope of practice are certain ethical responsibilities. The primary ethical consideration is to make patient care and well-being a priority, even if this requires some personal sacrifice.
You are on the scene of a cardiac arrest. You have begun resuscitation as family members arrive and present you with a valid DNR order. You should: A. notify the family that once CPR has been initiated, you are required to transport the patient. B. follow your local protocols and contact medical direction if unsure how to proceed. C. have your partner contact the communications center to send law enforcement to the scene, as this is now a legal issue and the officer will make the decision. D. complete two more rounds of CPR and then check for a pulse. If there is no pulse, you should stop resuscitation.
B DNR protocols vary by state. It is essential you know and follow your local protocols. Contact medical direction if you are unsure how to proceed
You explain a risky procedure to a patient. He says, "As long as it's guaranteed to work, you can do it." You should: A. consult medical direction. B. explain that a risky procedure is not guaranteed. C. begin the procedure. D. decide not to use the procedure
B Expressed consent must be informed consent. That is, patients must understand the risks associated with the care they will receive. It is not only a legal requirement but also sound emotional care to explain all procedures to the patient. In this case, the patient's response shows a lack of understanding that there is no guarantee with a risky procedure.
You are at the dinner table with your crew and mention to everyone that a coworker on the opposite shift is moving up the administration chain quickly, probably because she's sleeping with the company CEO. This comment could be considered: A. a HIPAA violation. B. slander. C. res ipsa loquitur. D. libel.
B In the spoken context, this comment can be described as slander
The person who is legally designated to make health care decisions for the patient if the patient is unable to do so is called: A. a patient advocate. B. a health care proxy. C. the attorney of record. D. the executor of the estate.
B Patients may wish to designate a health care proxy who can legally make decisions for them in the event that they are unable to do so themselves
You have just returned to the station after completing a call in which you transported an elderly female patient to the hospital for nausea and vomiting. Upon exiting the ambulance, you are approached by an adult male who indicates that the patient you just transported was his mother and he wants to know the details of the run. You should: A. tell him that you can pass his contact information along to the privacy officer at your department. B. ask to see his driver's license to verify last names and, if they match, give him the information. C. allow him to read the patient care report, as that is public information. D. give the patient the information he is requesting, as he is the patient's son
B The EMT has the duty to protect the rights of the patients they transport, which includes protecting their health information. Your agency's privacy officer should be the primary contact here.
Quality improvement relates primarily to: A. state-by-state regulations. B. standard of care. C. scope of practice. D. the limits of the EMT job
B The process of quality improvement relates to maintaining standards of care.
Why does the EMT's scope of practice vary from state to state? A. Company insurance B. Local legislation C. EMT preference D. National standards
B The skills and medical interventions that the EMT may perform are defined by legislation that varies from state to state. Sometimes different regions within the same state may have different rules and guidelines for their EMTs.
A photo of a pair of EMTs on a call shows them laughing and looking casual and relaxed a few feet away from a patient in apparent distress. This would most likely be used to demonstrate: A. res ipsa loquitur. B. abandonment. C. proximate causation. D. a patient refusal situation
B The term res ipsa loquitur means "the thing speaks for itself," and in this case, knowing nothing but what is shown in the photo, it would appear that the EMTs were neglecting the patient in distress. It isn't clearly a patient refusal situation because there is nothing to indicate that the patient has refused treatment or transport. It's not abandonment because the EMTs have not actually left the patient. It isn't necessarily proximate causation because the patient's distress isn't clearly the result of the EMTs' actions or inaction.
To be compassionate and empathetic, to be accurate with interviews, and to inspire confidence are all examples of which of the personal traits of a quality EMT? A. Emotionally stable B. Able to listen to others C. Pleasant D. Nonjudgmental and fair
B. Able to listen to others
What BEST describes the level of EMS training that emphasizes use of advanced airway devices and some prehospital medication administration? A. Paramedic B. Advanced EMT C. EMT D. Emergency Medical Responder
B. Advanced EMT
Who is responsible for on-scene safety of EMS providers? A. The triage officer B. All crew members C. Law enforcement D. The traffic director
B. All crew members
During the new employee orientation, the training officer meets with the new EMTs and explains to them the monthly training schedule and the classes they must attend for EMT recertification. One of the new EMTs asks the training officer why they have to keep taking EMT courses if they already passed the EMT examination. What is the BEST answer? A. The state requires the training. B. EMS is constantly evolving in response to evidence-based research. C. EMTs often forget their training once they pass the EMT exam. D. It contributes to the appearance of professionalism.
B. EMS is constantly evolving in response to evidence-based research.
Which of the following is TRUE about medical terminology? A. EMTs are not allowed to use or document medical terms. B. EMTs are expected to know basic medical terminology. C. EMTs should use complex medical terms whenever possible. D. EMTs are encouraged to know basic medical terminology, but it is not essential.
B. EMTs are expected to know basic medical terminology. EMTs are expected to understand basic medical terminology.
Which of the following is the most common gateway for hospital services for patients who need emergency medical assistance? A. Surgical services department B. Emergency department C. Emergency medical services system D. Emergency medical dispatch center
B. Emergency department
Which of the following BEST describes a communication system capable of identifying the number and location of the phone from which a caller is calling? A. Advanced 911 B. Enhanced 911 C. Data display 911 D. Priority dispatch 911
B. Enhanced 911
What is an MI? A. Muscle index B. Myocardial infarction C. Massive implantation D. Myocyte induction
B. Myocardial infarction
A fellow EMT is talking with the Medical Director at a staff meeting. The EMT states that the neighboring ambulance service is carrying special clotting bandages for serious bleeding wounds. The special bandages cost five times as much as the regular bandages, but the EMT claims they work ten times better. The EMT wants the Medical Director to approve the bandages for use in their ambulances. The Medical Director responds to the EMT by saying he will not approve the bandages until he can prove they are worth the additional cost. How can the EMT best prove the worth of the special bandages? A. Have a member of the other ambulance service call the Medical Director to provide firsthand information on how the special bandages are much better. B. Perform a literature search to see what studies have been done on the special bandages and report the findings to the Medical Director. C. Call the manufacturer of the special bandage and request literature to give to the Medical Director. D. Order a small number of the special bandages and compare them side-by-side to the regular bandages.
B. Perform a literature search to see what studies have been done on the special bandages and report the findings to the Medical Director.
If your patient is lying face up on his or her back, the patient is said to be in what position? A. Prone B. Supine C. Anatomical D. Lateral
B. Supine A patient is in the supine position when the patient is lying flat on his or her back.
Which of the following groups is credited with developing the earliest documented emergency medical service? A. The Egyptians B. The French C. The Spanish D. The Mayans
B. The French
Upon arrival at the hospital, the EMT advises hospital personnel of the patient's condition, observations from the scene, treatment rendered, and other pertinent data to assure continuity of care. This process is known as which of the following? A. Patient assessment B. Transfer of care C. Patient advocacy D. Patient care
B. Transfer of care
A patient would see a cardiologist for a problem with the: A. bones. B. heart. C. stomach. D. brain.
B. heart. From the combining form "cardi-," which means "heart," and the suffix "-ology," meaning "the study of," a cardiologist is a physician who specializes in diagnosing and treating disorders of the heart.
An imaginary line drawn down the center of the body, dividing it into right and left halves, is called the: A. midaxillary line. B. midline. C. ventral line. D. bilateral.
B. midline. An imaginary line drawn down the center of the body, dividing it into right and left halves, is called the midline.
During your EMT class, you will be studying the effects of how the brain (a neurological structure) contributes to normal lung inflation (a pulmonary structure). The study of how these body structures and systems relate together is known as: A. anatomical regions. B. physiology. C. pathophysiology. D. anatomy.
B. physiology. Physiology is the study of the function and interrelated nature of the body. Anatomy is the study of the body's structure. Pathophysiology is the study of the body's abnormal function due to disease.
The "normal anatomical position" means that the patient is: A. lying on the back, arms down at the sides, palms forward. B. standing erect, facing forward, arms down at the sides, palms forward. C. lying on the back, arms outstretched, palms facing forward. D. standing erect, facing forward, arms outstretched, palms backward.
B. standing erect, facing forward, arms down at the sides, palms forward. It is essential to understand "normal anatomical position." Unless otherwise indicated, all references to the human body assume the anatomical position: The patient is standing erect, facing forward, with arms down at the sides and palms forward. This basic position is used as the point of reference whenever terms of direction and location are used.
The word part "-ology" is referred to as the: A. root. B. suffix. C. phrase. D. prefix.
B. suffix. The word part "-ology" is referred to as the suffix of the medical term.
The term "anterior" refers to: A. the side. B. the front. C. the middle. D. the back.
B. the front "Anterior" refers to the front. Side is "lateral." Back is "posterior." Middle is "medial."
When a patient, who has been having an asthma attack is placed in a sitting position on a stretcher, this position is called: A. Trendelenburg. B. Fowler's. C. prone. D. supine.
B. Fowler's. The seated position is referred to as Fowler's position.
An EMT involved in an especially difficult call, such as one in which a coworker was killed, should be urged to: A. begin a course of psychiatric medications. B. conceal the problem because care may not be covered financially. C. seek help from a trained mental health professional. D. discuss the experience freely with coworkers.
C
An artery is a blood vessel that only: A. carries deoxygenated blood. B. returns blood to the heart. C. carries blood away from the heart. D. carries oxygenated blood.
C
A 42-year-old patient who is mentally competent has refused care but appears to be experiencing respiratory difficulty. He demands you get into your ambulance and go. You should: A. plead with the patient to sign a release form. B. restrain the patient to provide emergency care. C. remain on the scene and try to persuade the patient to consent to care. D. immediately leave the scene.
C
A child's ________ takes up proportionally more space in the pharynx than does an adult's. A. epiglottis B. cricoid cartilage C. tongue D. trachea
C
Documents signed by a patient that communicate his or her wishes regarding medical care are called: A. automated care orders. B. extended patient directives. C. advance directives. D. physician orders
C
Even if the Good Samaritan laws in a particular state cover the actions of EMTs as rescuers, they can still be held liable and are NOT protected by these laws if: A. their actions cause embarrassment for the patient. B. the patient dies from the injuries. C. their actions demonstrate gross negligence. D. their actions demonstrate poor clinical reasoning.
C
Healthcare employers are required by law to provide a hepatitis B ________ available to employees free of charge. A. cure B. immunity C. vaccine D. prophylaxis
C
If an EMT were to release information about how intoxicated a patient was onto a social networking site, this could be considered: A. breach of faith. B. slander. C. libel. D. battery
C
If emergency care providers discover that a seriously injured patient is an organ donor, they should: A. ignore a DNR order and perform CPR. B. confirm with the family that this was the patient's decision. C. treat the patient the same as a nondonor. D. treat the patient as having given prior expressed consent for all emergency care
C
In relation to anatomy, the term topography means: A. blood pressure fluctuations. B. the study of the skin. C. external landmarks of body structures. D. key elements of the central nervous system.
C
In which of the following locations is the femoral pulse palpated? A. Behind the knee B. On the medial side of the upper arm C. At the groin D. On the medial side of the ankle, posterior to the tibia
C
One's "cognitive ability" refers to his or her ability to do which of the following? A. Use fine motor skills B. Adapt to stress C. Think and solve problems D. Control his or her emotions
C
The actions and care that are legally allowed for the EMT are called the: A. standing orders. B. Good Samaritan law. C. scope of practice. D. standard of care
C
The cardiac muscle receives its supply of oxygenated blood by which of the following mechanisms? A. Absorption of oxygen from the blood returning from the lungs B. Coronary veins that branch off the pulmonary vein as it returns oxygenated blood to the heart C. Coronary arteries that branch off the aorta D. None of the above
C
The care that would be expected to be provided to the same patient under the same circumstances by another EMT who had received the same training is called the: A. scope of practice. B. duty to act. C. standard of care. D. protocol.
C
The "Stress Triad," or the body's response to a stressful stimulation, is known as general ________ syndrome. A. incident B. reaction C. adaptation D. resistance
C
What is the bone on the thumb side of the forearm? A. Ulna B. Fibula C. Radius D. Acromion
C
What is the EMT's highest priority at the scene of a hazardous materials incident? A. Identification of hazardous materials B. Patient care C. Personal safety D. Safety of bystanders
C
What is the inferior-most portion of the sternum? A. Manubrium B. Sternal notch C. Xiphoid process D. Body
C
What is the large, wing-shaped bone on either side of the pelvis? A. Ischium B. Acetabulum C. Ilium D. Pubis
C
What may interfere with an EMT's ability to care for a patient at a crime scene? A. The patient has multiple injuries. B. The patient is bleeding from a wrist laceration. C. The police want to interview the patient. D. The police have secured the scene
C
What reference provides important information regarding hazardous materials, emergency care, and procedures in case of accidental fire or release; supplies definitions of placard colors and identification numbers; and should be standard issue on-board all ambulances and rescue units? A. Accidental Exposure and Contamination Guide B. Emergency Preparedness and Response Plan C. Emergency Response Guidebook D. Safety Data Sheets
C
What two components are directly related to aerobic metabolism? A. Electrolytes and carbohydrates B. Exercise and water C. Oxygen and glucose D. Carbolic acid and air
C
What type of muscles control the size of the bronchioles in the lungs? A. Skeletal B. Striated C. Smooth D. Voluntary
C
When responding to the scene of a patient who was discovered to be unresponsive, not breathing, and without a pulse, family members state that the patient has been suffering from cancer for several years. One of his sons is cursing at you and your partner, saying that you are not moving fast enough. Which stage of grief is the patient's son experiencing in response to his father's death? A. Denial B. Depression C. Anger D. Acceptance
C
When the potential exists for exposure to exhaled air of a person with suspected or confirmed TB, a(n) ________ mask should be worn by the EMT. A. B-50 B. surgical C. N-95 D. nonrebreather
C
Which chamber of the heart is the strongest, most muscular part of the heart and is primarily responsible for pumping oxygenated blood to the rest of the body? A. Right ventricle B. Right atrium C. Left ventricle D. Left atrium
C
Which component of blood is responsible for forming clotting factors to stop bleeding? A. White blood cells B. Red blood cells C. Platelets D. Plasma
C
Which hormone helps the body control stress, regulate metabolism, and influence an immune response? A. Immunoglobulin B. Epinephrine C. Cortisol D. Serotonin
C
Which of the following BEST describes the medical condition of shock? A. An extreme emotional reaction to a stressful event B. Delayed capillary refill C. A state of inadequate tissue perfusion D. Hypotension
C
Which of the following is the primary function of the stomach? A. Absorption of water from food products B. Production of bile C. Chemical breakdown of food by acidic secretions D. Absorption of nutrients into the bloodstream
C
Which one of these groups is at greatest risk of contracting and transmitting tuberculosis? A. Uranium mine workers B. Current and former smokers C. Healthcare practitioners D. Immunosuppressed patients
C
You and your partner have arrived on the scene of a person injured as a result of a gunshot wound during a burglary. When police later arrive and secure the scene, one of the police tells you to file a complete report describing what you saw when you arrived on scene, as required by law in your area. You should: A. file a report that leaves out any detail you consider confidential for that patient. B. refuse to file any report, citing patient confidentiality. C. file the report and leave out no details. D. file a report in which you explain in detail why you believe a crime was committed
C
You are on the scene of an "unknown medical" call. The patient is a 26-year-old, 250-pound male patient who suddenly becomes violently angry. Everything you say to the patient only makes him angrier. Offended by your questions, he screams that he is going to "cut your tongue out" and hurries into the kitchen. What should you do? A. Radio for police and relay to dispatch important scene information until they arrive. B. Tackle the patient before he can get a kitchen knife to stab you. C. Leave immediately to a safe area and then call for police assistance. D. Radio for police and then calmly walk out of the house, being sure to take all of your medical equipment.
C
You are transporting a patient from a doctor's office and see that the patient has not been well cared for. On your documentation, you write that the doctor seemed to be "a quack." This comment could be viewed as: A. res ipsa loquitur. B. proximate causation. C. libelous. D. slanderous
C
You have been under a lot of family stress lately, and you have not been sleeping well. When you got to work this morning, you realized that you had forgotten to place your badge on your uniform shirt. You tell your partner that you cannot seem to think clearly. Your partner tells you that he is concerned about your well-being. After hearing this, you know that your duty as an EMT is to: A. inform your partner that your well-being is not his concern. B. tell your partner that you feel better after talking to him and go about your work. C. take off work until you can straighten out your family problem and make sure that you are mentally prepared to work. D. recognize that talking about your problems at work is unprofessional and distracts your fellow EMTs.
C
You have just arrived at the station to start your shift, and you notice that your partner is asleep in a chair. You proceed to check out your ambulance. Your partner comes in drinking a cup of coffee, and you notice that she has a strong alcohol smell on her breath. Your duty as an EMT is to: A. tell dispatch that you will be out of service for maintenance. B. tell your partner to go get some rest before you get a call. C. notify dispatch that you are out of service and have your supervisor come to meet you. D. see whether someone from the night shift can hold over until your partner can sober up
C
You observe a coworker telling a terminal cancer patient and her family, "Everything will be okay." Making false reassurances is considered: A. caring and supportive. B. ambiguous and uncertain. C. naive and uncompassionate. D. professional and discreet.
C
You observe what appears to be elder abuse in a call to a nursing home. You have a clear: A. legal obligation to report the abuse. B. implied consent to provide care to any patients at the home. C. moral obligation to report the abuse. D. release from liability for negligence in your care
C
Your unit has arrived on the scene of a multiple vehicle collision where several vehicles have rear-ended each other. You are directed by the incident commander to care for a 23-year-old female in the first vehicle. The firefighter on-scene holding manual spinal immobilization indicates that her primary complaint is back pain from her head whipping back and forth from the impact. Your understanding of the anatomy of the spinal column and vertebrae suggests that this type of mechanism of injury results in frequent injuries to which part of the spinal column? A. Lumbar spine B. Thoracic spine C. Cervical spine D. Sacral spine
C
Which of the following is MOST clearly a HIPAA violation? A. Your agency receives a subpoena authorizing the release of a copy of a patient care report to a plaintiff's attorney. B. You provide certain health information on the billing copy of the patient care report. C. You provide a personal injury attorney with a copy of a patient care report. D. You provide a copy of the patient care report to a paramedic who is assuming care of your patient at the scene.
C HIPAA specifies circumstances in which protected health information can be released. This is generally on a "need to know" basis, when the patient consents in writing, or when the provider or organization is compelled by a court to do so. Providing a patient care report to a personal injury attorney is a breach of confidentiality under HIPAA.
At a crime scene, which of the following is the first priority of the EMT? A. Evidence preservation B. Working with police C. Patient care and transport D. Critiquing the scene
C After the police have ensured scene safety, your first priority is patient care.
You are caring for a patient who was stabbed. During your assessment, you find a small knife impaled in one of the stab wounds. You determine that removing the weapon now would be dangerous for the patient. You should: A. remove the knife and place it in an evidence bag. B. ask the police officer whether it is acceptable for you to leave the knife in place for transport. C. treat the wound as usual, but notify police that you must transport the weapon with the patient. D. have a police officer remove the knife before you transport
C Disturb as little as possible at crime scenes, and do not take items or leave behind items that you brought. However, if you must transport a potential piece of evidence, such as clothing on the patient or an impaled object, notify police. You, not law enforcement, are the medical authority on scene. Patient care decisions are your responsibility.
You suspect that a pediatric patient is being abused. You decide not to report this to the appropriate authorities because the parent is very upset and remorseful. This is: A. an ethical violation but definitely not a crime. B. a violation of professional ethics and possibly a crime. C. a reasonable judgment call. D. a violation of policy but not an ethical violation.
C Failure to report suspected abuse is a violation of the EMT code of ethics. In addition, most states have laws mandating that EMS providers report suspected abuse. Failure to do so could be considered a crime.
Good Samaritan laws are based on: A. having no formal training. B. the patient having no serious injuries. C. providing care in good faith. D. being a volunteer EMT.
C Good Samaritan laws provide limited legal protection for individuals who provide care in good faith and to the level of their training.
As you enter a hectic possible crime scene, you find that a coffee table is blocking your access to the patient. Which of the following is the BEST way to manage this situation? A. Move the table and get on with your work of caring for the patient. B. Use the table as a place to set your equipment as you are working on the patient. C. Move the table as little as possible, wearing gloves; notify police on the scene; and document your actions precisely in your patient care report. D. Wait until one of the police officers can move the table for you.
C If you must disturb any items at a crime scene to access a patient, move them as little as possible, wear gloves to avoid leaving additional fingerprints, make a note of the original location of the item, and state exactly how you moved the item
Which is concerned generally with what you can do, as opposed to what you should do and how you should do it? A. Standard of care B. Scope of practice and standard of care C. D. Quality improvement
C In general, scope of practice refers to what you should be able to do, while standard of care refers to what you should do in a particular situation and how you should do it. Quality improvement is involved with maintaining standards of care
Leaving a patient after initiating care and before the patient has been transferred to someone with equal or greater medical training is known as: A. in loco parentis. B. res ipsa loquitur. C. abandonment. D. negligence.
C Leaving a patient after care has been initiated and before the patient has been transferred to someone with equal or greater medical training is abandonment.
A patient who called 911 is now refusing transport. You should: A. make sure there is a law enforcement officer to act as a witness on the scene of every patient refusal. B. make sure that there is an immediate family member on scene who can sign as a witness to the refusal. C. assess the patient, advise the patient of the risks of refusal, and clearly document everything in the patient care report. D. direct the patient to contact his or her primary care physician for instructions on whether or not to go to the hospital.
C There is a potential for a lot of liability on the EMT's part when a patient refuses transport. EMTs must make sure to fully explain to the patient the risks of refusal and to clearly document their actions to protect themselves and the rest of the crew.
patient on the basis of: A. expressed consent. B. involuntary transportation. C. implied consent. D. informed consent.
C When the patient is not able to make decisions for himself or herself, the EMT can use implied consent, meaning that the EMT operates under the assumption is that if the patient were of sound mind, the patient would request help for the issue.
EMS is on the scene of the cardiac arrest of a terminally ill cancer patient. The family states that the patient has a valid DNR but they are unable to locate it. The family is upset and adamant that the patient does not want resuscitation. The EMS crew should: A. verify that the family on scene is related to the patient by asking for identification. If a family member is immediate family, that person can make health care decisions for the patient. B. begin resuscitation and consider establishing on-line medical direction. C. provide the family with a blank DNR and have them fill it out. D. withhold resuscitation. It is clear the patient is terminally ill, and the family is on scene instructing the crew to withhold care.
C Without a valid document, EMS has the moral and legal obligation to begin full resuscitative efforts and follow all protocols for such events
Which of the following is a physical trait necessary for performing the duties of an EMT? A. Ability to remain calm in stressful situations B. Nonjudgmental and fair C. Ability to speak clearly D. Ability to lift and carry 200 pounds
C. Ability to speak clearly
Which of the following is considered a high-risk situation in which the EMT should be cautious about the use of abbreviations and acronyms? A. While preparing for a recertification exam B. During conversations with fellow EMTs C. During a patient hand-off report D. When making study flashcards
C. During a patient hand-off report Abbreviations and acronyms can contribute to medical errors. Use caution in using abbreviations and acronyms during the patient hand-off report and in documentation.
Quality improvement programs are a part of which NHTSA Technical Assistance Program standard? A. Public information and education B. Regulation and policy C. Evaluation D. Human resources and training
C. Evaluation
Which of the following is the first responsibility of the EMT? A. Communicate with other responders on the scene. B. Protect and stabilize the patient. C. Maintain personal health and safety. D. Provide emergency care.
C. Maintain personal health and safety.
Who assumes the ultimate responsibility for patient care rendered by the EMT? A. EMT B. EMS supervisor C. Medical Director D. Director of quality assurance
C. Medical Director
The National Registry of Emergency Medical Technicians (NREMT) was founded to establish which of the following? A. Quality improvement and quality assurance programs for emergency medical services B. An education curriculum for EMT courses C. National standards for emergency medical services personnel D. Quality oversight of emergency medical services practices
C. National standards for emergency medical services personnel
Which of the following is added to the beginning of words to modify their meaning? A. Root word B. Acronym C. Prefix D. Suffix
C. Prefix A prefix is placed at the beginning of a word to modify its meaning.
After delivering a patient to the emergency department, you discuss with hospital staff the details of your care and ask for suggestions to improve your care. This is an example of your role in which of the following? A. Patient advocacy B. Transfer of care C. Quality improvement D. Continuing education
C. Quality improvement
Centralized coordination of emergency medical access, transportation, and care most refers to which of the following? A. Emergency preparedness plan B. Central deployment C. Resource management D. Trauma systems
C. Resource management
When talking to a patient or family members, what does the EMT need to remember to do? A. Try to convince the family that there is no reason to go to the ED. B. Explain everything once so that transport is not delayed. C. Speak in lay terms about the patient's condition. D. Use abbreviations whenever appropriate.
C. Speak in lay terms about the patient's condition. Always remember to speak in lay terms about a patient's condition to enable better understanding by the patient and family members.
You and another new EMT are studying your local protocols. The other EMT notices that you may give oral glucose without utilizing on-line medical control, but you must get an on-line order from a physician before assisting a patient in taking his nitroglycerin for chest pain. The EMT asks you why some drugs require on-line medical control while others do not. What is the best answer to give him? A. Glucose is only sugar so it cannot hurt the patient. B. Some drugs are rarely used and so require special permission. C. The physician wants to be sure it is appropriate for the patient. D. The patient's nitroglycerin might be expired.
C. The physician wants to be sure it is appropriate for the patient.
You have just come on duty. The EMT on the previous shift complains to you that the QI manager was giving him grief because he did not document three sets of vital signs on the patient record. The EMT is angry and does not understand why documenting three sets of vital signs is so important. What is the best answer you could give him? A. Vital signs are something you have to fill out because the state requires it. B. The report looks better when all the boxes are filled out. C. The recording of three sets of vital signs demonstrates that you were trending the patient's condition. D. It is important you show the QI manager that you are a team player.
C. The recording of three sets of vital signs demonstrates that you were trending the patient's condition
Which of the following BEST describes the overall purpose of the modern emergency medical services (EMS) system? A. To have trained personnel knowledgeable in all aspects of prehospital care B. To have trained personnel understand the limitations of their training and "do no harm," while providing prompt transport to the hospital C. To have trained personnel respond quickly and provide emergency care on the scene, during transport, and at the hospital D. To have trained personnel capable of assessing and caring for injured and ill patients on the scene
C. To have trained personnel respond quickly and provide emergency care on the scene, during transport, and at the hospital
Why is it important for EMTs to participate in quality improvement programs? A. To identify problem employees and create a corrective action plan B. To ensure adequate personnel are available for emergencies C. To identify problems and develop a plan to prevent their recurrence D. To ensure that individuals making false calls for EMS are prosecuted
C. To identify problems and develop a plan to prevent their recurrence
Which is the BEST reason for an EMT to be pleasant? A. To befriend patients and their families B. To improve camaraderie with other EMTs C. To inspire confidence and help calm the sick or injured D. To be likeable to people in general
C. To inspire confidence and help calm the sick or injured
Your patient has bilateral femur fractures. This means that: A. one femur is fractured. B. one femur is fractured in multiple places. C. both femurs are fractured. D. the femur is fractured lengthwise.
C. both femurs are fractured. The term "bilateral" refers to both sides.
You respond to a 35-year-old male patient who fell 50 feet from a bluff. Your authority to provide emergency care is an extension of the Medical Director's license to practice medicine. You are acting as a(n) ________ of the Medical Director. A. subordinate B. substitute C. designated agent D. employee
C. designated agent
The medical term that means toward the side and away from the midline is: A. posterior. B. ventral. C. lateral. D. medial.
C. lateral. The medical term that means away from the midline is "lateral."
An imaginary line drawn vertically from the middle of the armpit to the ankle is called the: A. dorsal line. B. medial line. C. midaxillary line. D. posterior line.
C. midaxillary line. An imaginary line drawn from the middle of the armpit to the ankle is called the midaxillary line.
In the lateral recumbent position, the patient is lying: A. face down on the stomach. B. on the back with the lower body elevated. C. on the right or left side with knees flexed. D. on the back with the upper body elevated.
C. on the right or left side with knees flexed. The patient is in the recovery position when the patient is lying on his or her side with the knees flexed. This position is often used for the patient who has an altered mental status and may vomit.
The study of the manner in which the parts of the human body work is called: A. anatomy. B. pharmacology. C. physiology. D. pathophysiology.
C. physiology. Physiology is the study of the way things work in the body. Anatomy is the study of the structure and location of the body components. Pathophysiology is the study of the body's abnormal function due to injury or disease.
Understanding how the function of one body system affects another body system describes the study of: A. chemistry. B. anatomy. C. physiology. D. physics.
C. physiology. Understanding physiology is the understanding of how the body systems work individually yet are interdependent. This understanding is important to EMTs if they want to fully understand the signs and symptoms they find in the patients they treat.
The midline divides the body into the: A. distal plane and the proximal plane. B. superior plane and the inferior plane. C. right plane and the left plane. D. posterior plane and the inferior plane.
C. right plane and the left plane. The midline divides the body into a left and right side (or plane). This reference can be used when describing where an injury or abnormal finding is located.
When a patient is found sitting up on a kitchen chair, you may state that she was found in which body position? A. Supine B. Trendelenburg C. Fowler's D. Prone
C. Fowler's The patient who is in a seated position is in Fowler's position.
All of the following are ways that an EMT can increase both physical and mental well-being, except: A. following a regular walking regimen. B. eating a balanced diet. C. spending more time relaxing with friends and family. D. drinking moderate amounts of caffeine and alcohol.
D
An EMT fails to properly care for a patient despite having a duty to act. The EMT is most likely guilty of: A. child endangerment. B. psychological abuse. C. domestic abuse. D. negligence.
D
An EMT is confronted by an armed gunman who is threatening to kill the EMT and his partner. An elevation in the EMT's heart rate and blood pressure occurs in which stage of the body's response to stress? A. Response stage B. Exhaustion stage C. Resistance stage D. Alarm reaction stage
D
An EMT should consider wearing protective eyewear when caring for which of these patients? A. A trauma patient who is covered in dirt, rocks, and other foreign debris B. A patient with a difficult-to-visualize scalp laceration C. A patient who was sprayed with mace by police during arrest D. A patient who is actively coughing
D
At which of the following locations could you palpate a malleolus? A. Elbow B. Spinal column C. Wrist D. Ankle
D
A 13-year-old patient involved in a collision who appears to be under the influence of drugs refuses care. Regarding the issue of providing care to this patient, you must consider that this patient: A. has legally refused care. B. should sign a release form. C. should be reported to the police. D. can't legally refuse care.
D
Critical Incident Stress Debriefings (CISDs): A. have been replaced with "defusings." B. must be held from 2 to 4 hours following an incident to be effective. C. are always recommended. D. are now less common than they once were.
D
Due to the high risk of an unstable work environment, EMTs responding to a motor vehicle crash may consider using ________ in addition to standard PPE. A. N-95 masks B. face shields C. Level B hazmat suits D. heavy-duty gloves
D
Physiology is the study of: A. exercise and nutrition. B. body structures. C. muscles and movement. D. body systems.
D
The pressure against the walls of the blood vessels as blood is ejected from the heart and circulates through the body is the ________ blood pressure. A. diastolic B. central venous C. mean arterial D. systolic
D
The two major portions of the skull are the: A. manubrium and mandible. B. frontal bone and ilium. C. atlas and axis. D. cranium and face.
D
What action does an organ undergo to best describe the term hypertrophy? A. Wasting B. Changing C. Absence D. Enlargement
D
What condition of immediate concern results from a loss of red blood cells due to hemorrhage? A. Decreased production of carbon dioxide B. Decrease in pulse rate C. Decreased ability to fight infection D. Decreased oxygen delivery to the tissues
D
What is a common term used to describe the items needed for Standard Precautions or body substance isolation precautions? A. Harm-reduction strategy B. Infection-control plan C. Exposure-control plan D. Personal protective equipment
D
What is a simple step EMTs can perform to help prevent the spread of flu in the prehospital environment? A. Transport all patients with coughs to negative pressure rooms. B. Notify the CDC and local health department of flu cases. C. Encourage patients to get their H1N1 antivirals early in the flu season. D. Place a surgical mask on suspected flu patients.
D
What is an EMT's primary ethical consideration? A. Making the company bottom line a priority B. Making partner relations a priority C. Making efficiency a priority D. Making patient care and the patient's well-being a priority
D
What is a positive, healthy way to help deal with stress? A. Adding workload to a busy regular schedule B. Caffeine to "get up and go" C. Drinking alcohol to "unwind" D. Regular physical exercise
D
What is the strongest and most muscular part of the heart? A. Right atrium B. Right ventricle C. Left atrium D. Left ventricle
D
What is the term for placing a person in fear of bodily harm? A. Libel B. Slander C. Battery D. AssaulT
D
What system produces chemicals called hormones that help to regulate many body activities and functions? A. Lymphatic system B. Digestive system C. Respiratory system D. Endocrine system
D
What two body systems are critical for the life support chain? A. Cardiopulmonary and digestive systems B. Respiratory and endocrine systems C. Cardiovascular and lymphatic systems D. Respiratory and cardiovascular systems
D
What vessel carries deoxygenated blood to the lungs? A. Aorta B. Pulmonary veins C. Vena cavae D. Pulmonary artery
D
When covering a patient's mouth and nose with a mask of any kind, which of the following is the primary risk? A. Causing or exasperating respiratory illnesses B. Upsetting the patient because of the social stigma C. Interfering with patient communication D. Obstructing the ability to visualize and protect the airway
D
Which layer of the skin is exposed to the environment? A. Adipose tissue B. Dermis C. Subcutaneous tissue D. Epidermis
D
Which of the following behaviors would demonstrate that an EMT understands reactions to death and dying? A. Giving a dying patient hope that a cure can be found before the patient dies B. Being firm with grieving family members and telling them they need to accept what has happened C. Providing spiritual guidance to patients who express anger at God D. Being tolerant of angry reactions by patients and family members
D
Which of the following body systems primarily produces hormones? A. Cardiovascular B. Exocrine C. Gastrointestinal D. Endocrine
D
Which of the following is NOT part of the upper extremities? A. Carpals B. Scapula C. Clavicle D. Calcaneus
D
Which of the following is a function of the skin? A. Protection from the environment B. Regulation of body temperature C. Balancing water in the body D. All of the above
D
Which of the following is the form of stress that can cause immediate and long-term problems with an EMT's health and well-being? A. Distress B. Hyperstress C. Megastress D. Eustress
D
Which of the following is the only movable bone of the face? A. Maxillae B. Manubrium C. Zygoma D. Mandible
D
Which of the following parts of the nervous system is responsible for the "fight or flight" response experienced in response to a stressor? A. Central nervous system B. Parasympathetic nervous system C. Peripheral nervous system D. Sympathetic nervous system
D
Which of the following pathogens is transmitted through contact with open wounds or sores? A. Rubella B. Pertussis C. Meningitis D. Staphylococcus
D
Which of the following provides the greatest personal safety for an EMT working at a motor vehicle collision? A. Portable radio B. Nonslip footwear C. Flashlight D. Reflective outer clothing
D
Which of the following statements about HIV/AIDS is true? A. The HIV virus lives longer outside the body than hepatitis B. B. HIV positive needlesticks have a 30 percent infection rate. C. Drugs are not available that slow HIV from progressing into AIDS. D. HIV positive needlesticks have less than a 0.05 percent infection rate.
D
Which of the following structures allows food to move from the mouth to the stomach? A. Vena cavae B. Trachea C. Duodenum D. Esophagus
D
Which of the following structures closes over the trachea to protect it during swallowing? A. Diaphragm B. Cricoid cartilage C. Pharynx D. Epiglottis
D
Which of the following structures or tissues is NOT part of the musculoskeletal system? A. Acetabulum B. Tendons C. Ligaments D. Fat
D
Which of the following terms describes the heart muscle's ability to generate its own electrical impulses? A. Irritability B. Conductivity C. Contractility D. Automaticity
D
Which of the following terms is best defined as "a state of physical and/or psychological arousal to a stimulus?" A. Homeostasis B. Eustress C. Distress D. Stress
D
While providing patient care at a secured crime scene, you should: A. use the telephone to call in a report to medical control. B. pick up any evidence that you find and give it directly to a police officer. C. cover the deceased patient with a sheet and move the body to the ambulance. D. not cut through holes in clothing that might have been caused by bullets or stabbing
D
While transporting a patient to the hospital who has a history of terminal brain cancer, the patient says, "I know I'm going to die, but first I want to see my grandson graduate from high school." What stage of death and dying describes this patient's current condition? A. Depression B. Anger C. Denial D. Bargaining
D
You are approaching the scene of a motor vehicle crash. Which of the following would be the first way to safeguard your well-being as an EMT? A. Take personal protective equipment (PPE) precautions. B. Request additional resources. C. Utilize DOT-approved reflective safety clothing. D. Ensure scene safety.
D
You are treating a patient who has a productive cough and who reports weight loss, loss of appetite, weakness, night sweats, and fever. Which of the following diseases is most likely the cause of these signs and symptoms? A. Pneumonia B. Hepatitis B C. AIDS D. Tuberculosis
D
You document on your run sheet that your patient with altered mental status is "just another drunk." This would likely be considered: A. slander. B. negligence. C. a HIPAA violation. D. libel
D
You respond to a laceration call. When you arrive on-scene, you walk into the house and find a person suffering from a severe wrist laceration from a broken window. Without thinking, you immediately grab the wrist and apply direct pressure to the wound. You then realize that, in your hurry to save a life, you forgot to put on your gloves. You look down to see your hand is covered in blood. When practical, your next action should be A. If your hands had no open wounds, it is not required to report the exposure as there is no risk of infection, and you could get in trouble at work for failure to follow policy. B. Report the exposure incident because it is the law and you could be fined a large sum of money for failing to report the exposure. C. Report the exposure. Failure to report the exposure may result in you not receiving financial compensation for a potential line-of-duty injury. D. Wash your hands and report the exposure.
D
Which of the following could be a source of information to let the EMT know that a patient is an organ donor? A. The on-line physician B. The statement of a bystander who is the patient's neighbor C. A piece of notepaper stating that fact D. The patient's driver's license
D You may find that the patient is an organ donor when told so by a family member, or a patient may carry an organ donor card. The back of the patient's driver's license may also contain an indication that the patient wishes to donate organs upon his or her death.
Which of the following is likely to be inscribed on a medical identification device worn as a bracelet? A. Date of birth B. Hospital preference C. Emergency contact D. Allergies
D A medical alert device may be a necklace, bracelet, or card and may indicate any of a number of conditions, including heart conditions, allergies, diabetes, and epilepsy.
You are at the scene of a patient with obvious signs of traumatic death. You are required by law in your state to report violent deaths. Your duty as an EMT is to notify: A. your EMS chief. B. medical direction. C. the district attorney's office. D. law enforcement.
D Because this is a potential crime scene, law enforcement must be notified
A suicidal 14-year-old who has critically injured herself is trying to get you to withhold care. She is screaming that she wants to die and that you should not touch her or come near her. You should: A. inform medical direction that you will withhold care. B. call her parents. C. wait for the girl to change her mind or lose consciousness. D. provide the care she needs.
D Children and mentally incompetent adults are not legally allowed to provide consent or refuse medical care and transportation. In cases of life-threatening illness or injury when a parent or guardian is not present, care may be given based on implied consent.
When an EMT takes the time to ask permission from a conscious adult to do an assessment and procedures, this is respecting the legal principle of: A. proximate cause. B. implied consent. C. in loco parentis. D. expressed consent
D Expressed consent must be obtained from every conscious, mentally competent adult before treatment is started
The actions that an EMT is legally allowed to perform while caring for an injured or ill patient are known as: A. the standard of practice. B. the standard of care. C. medical direction. D. the scope of practice
D The scope of practice is set by the state and outlines what procedures and skills the EMT is allowed to perform.
On the basis of your knowledge of medical terminology, you could deduce that the inferior vena cava is the portion of the vena cava that is positioned where in reference to the heart? A. To the right of B. Above C. Behind D. Below
D. Below Inferior means beneath or below.
What BEST describes the level of EMS training that emphasizes activation of the EMS system and provides immediate care for life-threatening problems? A. EMT B. Emergency Medical Dispatcher C. Cardiac care responder D. Emergency Medical Responder
D. Emergency Medical Responder
You and your EMT partner are assigned to spend a day at the senior center where you are to inspect the rooms and common areas for fall hazards. Your partner is upset that he is not in the ambulance where the "action is." He complains that "looking for loose rugs" is a waste of his time. What would be the best response to his complaints? A. It improves public relations with the community. B. It minimizes the number of 911 calls late at night. C. It is good practice for the next emergency call. D. Injury prevention in the community is an important component of EMS.
D. Injury prevention in the community is an important component of EMS.
Why is it important to use proper medical terminology? A. Doctors and nurses who speak only Latin will understand you. B. It is well understood by the general public. C. It allows an EMT to speak to doctors in code in front of a patient. D. It allows an EMT to correctly communicate with other medical professionals.
D. It allows an EMT to correctly communicate with other medical professionals. The understanding of medical terminology and the ability to properly use it allow the EMT to effectively document patient care activities and communicate with other healthcare professionals.
The EMT's role in the quality improvement process includes becoming involved in the quality process, keeping carefully written documentation, obtaining feedback from patients and the hospital staff, continuing his education, and which of the following? A. Being a member of the QI committee B. Writing protocols and standing orders C. Providing quality care D. Maintaining equipment
D. Maintaining equipment
What type of abbreviations should EMTs avoid? A. Abbreviations that are understood by the public B. Common abbreviations C. Abbreviations with fewer than four letters D. Obscure abbreviations
D. Obscure abbreviations Obscure or local abbreviations should be avoided, as they can lead to communication errors.
What level of emergency medical training provides the most advanced pre-hospital care? A. Emergency Medical Responder B. Emergency Medical Technician C. Advanced EMT D. Paramedic
D. Paramedic
What BEST defines the evaluation of the patient's condition in order to provide emergency care? A. Injury prevention B. Patient advocacy C. Medical intervention D. Patient assessment
D. Patient assessment
Which of the following BEST describes a list of steps the EMT should perform while assessing and managing emergency medical situations? A. On-line medical direction B. Standing orders C. Standard operating procedures D. Protocols
D. Protocols
You and your new EMT partner arrive first on the scene of a single car rollover on the shoulder of a busy highway. You pull off in a safe location and just as you stop the ambulance, your partner throws the passenger door open, steps out of the truck, and begins jogging through the scattered debris toward the overturned car. You shout for him to stop and he looks back at you, but then continues to the vehicle and begins assessing the driver. Later, as you are restocking in the ambulance bay of the local trauma center, your partner tells you that he thinks you acted unprofessionally by shouting at him. What is the best way to respond? A. New EMTs should expect partners to yell at them occasionally. B. An EMT should never hurry to assist a patient. C. The On-Duty Supervisor should be called. D. Shouting was an attempt to protect the EMT from a potentially unsafe scene
D. Shouting was an attempt to protect the EMT from a potentially unsafe scene
Which of the following statements about the NHTSA Technical Assistance Program transportation standard is FALSE? A. Some patients may require rapid transportation or transportation by helicopter or airplane. B. Most patients can be effectively transported by ground ambulances. C. Safe, reliable ambulance transportation is a critical component. D. Transportation from remote areas falls under the facilities standard instead of transportation
D. Transportation from remote areas falls under the facilities standard instead of transportation
Imaginary straight line divisions of the body are called: A. physiological divisions. B. positional placements. C. geometric components. D. anatomical planes.
D. anatomical planes. Anatomical planes are used as reference points in describing the locations of findings or conditions.
Learning the names of the organs and organ locations of the body would be an example of studying: A. pathophysiology. B. physiology. C. anatomical regions. D. anatomy.
D. anatomy. Anatomy is the study of the body's structure, physiology is the study of the body's function, and pathophysiology is the study of the body's abnormal function due to disease.
The study of the body's structures is referred to as: A. physiology. B. polyintegration. C. pathophysiology. D. anatomy.
D. anatomy. Anatomy is the study of the body's structure, physiology is the study of the body's function, and pathophysiology is the study of the body's abnormal function due to disease.
"-ist" refers to: A. below normal. B. above normal. C. pertaining to. D. one who specializes in.
D. one who specializes in. "-ist" refers to a specialist, such as a cardiologist.
Study of the function of the living body and its parts, or how the body works, is called: A. sociology. B. psychology. C. anatomy. D. physiology.
D. physiology. Physiology is the study or understanding of how the body's organs and systems work as well as how these systems integrate with each other.
When you arrived on scene, you found your patient lying on her stomach. You would report and document that the patient was found: A. supine. B. Trendelenburg. C. lateral. D. prone.
D. prone. The prone position is lying on the stomach.
In explaining a complex disease process to a patient, it is best to: A. just draw a picture; otherwise, the patient won't understand. B. talk slowly and make sure you explain in current medical jargon. C. be as concise as possible by using medical abbreviations. D. use language that the patient can understand clearly.
D. use language that the patient can understand clearly. Patients and the general public often do not understand medical terminology, abbreviations, or jargon.
The midaxillary line is drawn: A. vertically through the middle of the patient's body from the top of the head. B. horizontally through the patient's shoulders. C. horizontally through the patient's waist. D. vertically from the middle of the patient's armpit down to the ankle.
D. vertically from the middle of the patient's armpit down to the ankle. This imaginary line divides the body into a front (anterior) and back (posterior).
Which of the following is a personal trait an EMT should demonstrate? A. Good eyesight B. Strong student C. Strong communication D. Self-starter
D. Self-starter
The transverse plane divides the body into what two halves? A. Anterior/posterior B. Medial/lateral C. Distal/proximal D. Superior/inferior
D. Superior/inferior The transverse plane divides the body into superior and inferior halves.
Instead of telling your patient, "I am going to palpate your mandible," you should state, "I am going to touch your: A. shoulder." B. neck." C. chest." D. jawbone."
D. jawbone." Use the word "jawbone" instead of "mandible." Patients and the general public often do not understand medical terminology, abbreviations, or jargon.
How far apart should your hands be when using a power grip? a) 10 inches b) 24 inches c) 6 inches d) 15 inches
a) 10 inches
Where should you position the weight of the object being lifted? a) As close to the body as possible b) As far from the body as possible c) An arm's length away from the body d) To one side or the other
a) As close to the body as possible
Which of the methods listed below is best described as moving a patient from the floor to a stretcher by having two or more rescuers kneel, curl the patient to their chests, stand, and then reverse the process to place the patient on the stretcher? a) Direct ground lift b) Direct carry c) Draw-sheet method d) Power lift
a) Direct ground lift
What type of move should the EMT use to move a patient who is in a car that has started to burn? a) Emergency move b) Extremity carry c) Urgent move d) Nonurgent move
a) Emergency move
Which of the following statements regarding body mechanics is true? a) Use your legs to lift b) Use your back to lift c) Twist your torso while lifting d) Position your feet close together
a) Use your legs to lift
Stretchers that are designed to carry obese patients weighing up to 800 pounds (or more) are called: a) bariatric stretchers b) hydraulic stretchers c) battery-powered stretchers d) wheeled stretchers
a) bariatric stretchers
When lifting a patient, a basic principle is to: a) know your lifting limits b) lift with your lower back c) rush your lift to minimize your lift time d) extend your arms to maximize your lift
a) know your lifting limits
Urgent moves are required when: a) life threats exist but there is time for precautions for spinal injuries b) an emergency move is not possible c) there are no life threats and conditions are stable d) rapid transport is necessary
a) life threats exist but there is time for precautions for spinal injuries
How many pounds are most battery-powered hydraulic systems rated to safely lift? a) 500 b) 700 c) 200 d) 300
b) 700
What is the main benefit of using a stair chair with a tracklike system over a traditional stair chair? a) There is no benefit of a tracklike stair chair over a traditional stair chair b) A stair chair with a tracklike system prevents the patient from having to be lifted down stairs c) Only one EMT is required to operate a stair chair with a tracklike system d) A stair chair with a tracklike system can be manipulated to lift into an ambulance using a hydraulic system
b) A stair chair with a tracklike system prevents the patient from having to be lifted down stairs
You have responded to a nursing home and find an elderly patient in his bed in cardiac arrest. Which type of move would you perform to get the patient to a hard surface so you can perform chest compressions? a) Urgent move b) Emergency move c) Clothing drag d) Nonurgent move
b) Emergency move
You are moving an elderly patient down the stairs using a stair chair. The patient is alert and very anxious. What should you do prior to moving the patient to prevent her from grabbing the railing and causing you to fall? a) Gently tie the patient's hands together until you are downstairs to prevent her from unconsciously grabbing the railing b) Explain to the patient what you are doing and advise her to hold her hands together and not let go until you are finished moving her c) Place the patient on oxygen during the move to calm her down d) Use a strap to safely secure the patient's arms to the chair without causing any loss of circulation to the patient's extremities
b) Explain to the patient what you are doing and advise her to hold her hands together and not let go until you are finished moving her
Which of the following should you use when you want to move a patient from a wheelchair to a stretcher? a) Ground transfer b) Extremity lift c) Clothing lift d) Modified direct lift
b) Extremity lift
Which of the following devices is best suited for maneuvering a patient through a narrow hallway? a) Long backboard b) Flexible stretcher c) Basket stretcher d) Wheeled stretcher
b) Flexible stretcher
Which of the following is used to immobilize a patient with a suspected spinal injury? a) Basket stretcher b) Long backboard c) Scoop stretcher d) Portable stretcher
b) Long backboard
During an emergency move, which of the following techniques should be used, whenever possible, to minimize the possibility of further aggravating a possible spinal injury? a) Roll the patient over b) Move the patient in the direction of the long axis of the body c) Pull the patient from the feet, not the shoulders d) Move the patient sideways, alternating between moving the shoulders and the hips
b) Move the patient in the direction of the long axis of the body
You respond to a call at a park where you find a 550-pound patient who has fallen down a slope near a creek. As you and your partner discuss the situation, you decide to call a second unit for lifting assistance. Once the patient is on a stretcher, how would the additional two personnel help in this lift? a) You will place two persons at the head of the stretcher, one at the foot, and one to act as a spotter b) You place one person on each corner of the stretcher to balance the weight and share in the lifting c) You will place two persons at the foot, one at the head, and the other to act as a safety anchor with a rope d) They would position themselves halfway up the slope to take over when you and your partner get fatigued
b) You place one person on each corner of the stretcher to balance the weight and share in the lifting
If the weight being pulled is below the level of the EMT's waist, he should be in a(n) ________ position. a) feet-together b) kneeling c) squatting d) overhead
b) kneeling
For a patient without a possibility of spinal injury, which of the following carries should be used to move him from a bed to a stretcher? a) Extremity lift b) Draw-sheet method c) Direct ground lift d) Firefighter's carry
b) Draw-sheet method
You and your partner arrive on the scene of a 400-pound patient lying in bed. He complains of nausea and vomiting for the past 3 days. When he tries to sit up, he gets very dizzy and has a syncopal episode. Realizing that he cannot assist you in getting on the stretcher, you decide to do which of the following? a) Place the patient on a backboard to provide better gripping points to move the patient b) Use the patient's sheets to slide him over to the stretcher c) Call for additional manpower to move the patient d) Use the power lift technique to carefully and safely lift the patient to the stretcher
c) Call for additional manpower to move the patient
You have responded to a multiple casualty incident involving an overturned bus. Patients have been thrown around the interior of the bus, and several are piled on top of each other. What type of move would you perform to gain access to the most critically injured patients? a) Nonurgent move b) Urgent move c) Emergency move d) Extremity lift
c) Emergency move
Which of the following best describes an urgent move? a) Dragging a patient from a burning house using his shirt b) Using a sheet to move a patient from a bed to the stretcher c) Moving a patient from a car directly to a long spine board d) Pulling a patient by her feet across a parking lot
c) Moving a patient from a car directly to a long spine board
Which of the following best describes body mechanics? a) Maintaining correct body posture to improve ergonomics b) Proper use of the body to protect patient safety c) Proper use of the body to facilitate lifting and moving objects d) Equipment designed to minimize stress on the user's body
c) Proper use of the body to facilitate lifting and moving objects
You are treating an unconscious patient who does not have a possibility of spinal injury and who is breathing adequately. Which of the following is the best position for transporting the patient? a) Fowler position b) Semi-Fowler position c) Recovery position d) Supine
c) Recovery position
Which of the following is the correct position of an EMT's feet when lifting? a) As wide apart as possible b) As close together as possible c) Shoulder-width apart d) Two feet apart
c) Shoulder-width apart
What is the contraindication for the use of a scoop or orthopedic stretcher? a) Internal injuries b) Pelvic injury c) Spinal injury d) Hip fracture
c) Spinal injury
Which of the following devices should be used to carry a patient down the stairs whenever possible? a) Scoop stretcher b) Wheeled ambulance stretcher c) Stair chair d) Basket stretcher
c) Stair chair
Which of the following factors least needs to be considered before lifting any patient? a) Communications b) The weight of the patient c) The distance to cover d) Your physical limitations
c) The distance to cover
The term body mechanics describes the proper use of your body to lift without injury. What are the three considerations to review before any lift? a) Equipment, patient injury, and communication b) The object, patient injury, and communication c) The object, your limitations, and communication d) Environment, physical limitations, and communication
c) The object, your limitations, and communication
What is the preferred number of rescuers when using a stair chair? a) Four: one for each corner of the device b) Only one with the track-like chair c) Three: two lifting and one spotting d) Two: one in front and one in back
c) Three: two lifting and one spotting
What should you not do when using a stair chair? a) Lean forward from the hips b) Flex your knees c) Keep your back straight d) Lean forward from the waist
d) Lean forward from the waist
You respond to the scene of a two-vehicle T-bone vehicle collision. The driver's side door is smashed shut and will not open. The front passenger door will open. The front passenger is stable and complaining of severe head and neck pain. You suspect that he has a potential spinal injury. The driver is unresponsive, in critical condition, and has gurgling respirations. You should extricate the passenger by which technique? a) Carefully move the patient using full c-spine precautions b) Take extra care to protect the passenger's neck with a short spine board because of the injury c) Maneuver the patient onto a scoop stretcher to extricate him from the vehicle d) Move the patient out of the car as quickly as possible, in the direction of the long axis of the body
d) Move the patient out of the car as quickly as possible, in the direction of the long axis of the body
Which of the following patients should not be transported in a stair chair? a) Patient who is nauseated b) Patient with difficulty breathing c) Patient found lying in bed d) Patient with a suspected spinal injury
d) Patient with a suspected spinal injury
Which of the following is not correct when performing a log roll? a) Use your shoulder muscles b) Keep your back straight c) Lean forward from the hips d) Place both feet flat on the ground
d) Place both feet flat on the ground
When placing all fingers and the palm in contact with the object being lifted, you are using which of the following? a) Power lift b) Vise grip c) Lock grip d) Power grip
d) Power grip
Which of the following is another name for the squat-lift position? a) Weight-lifter technique b) Power grip c) Direct carry d) Power lift
d) Power lift
Which of the following should you not do when reaching for something? a) Avoid twisting b) Avoid reaching more than 20 inches in front of your body c) Keep your back in a locked-in position d) Prolong the reach for as long as necessary
d) Prolong the reach for as long as necessary
When a stretcher with a patient secured to it is elevated, what occurs? a) The stretcher is more stable and easily pushed b) The EMTs lessen the possibility of injury from being bent over the patient c) The patient feels more comfortable being at near normal height d) The center of gravity is raised and this causes a tip hazard
d) The center of gravity is raised and this causes a tip hazard
What is the likely impact of power stretchers on EMS? a) There will be an increase in the number of home health transfers b) Insurance reimbursement will increase for ambulance services c) There is no likely impact of power stretchers on EMS d) There will be a decrease in the number of injuries among EMTs
d) There will be a decrease in the number of injuries among EMTs
Which of the following is another name for an ambulance cot? a) Scoop stretcher b) Reeve's stretcher c) Stair chair d) Wheeled ambulance stretcher
d) Wheeled ambulance stretcher