Volume 5, Chapter 14

What is the basic function of a TEMS​ unit? A. Flight medical B. ​Long-distance critical care transport C. Law enforcement D. To work as medical adjuncts to the police or military

. To work as medical adjuncts to the police or military

Body armor protects you from many types of​ penetration, but you may still experience what type of​ injury? A. Cavitation B. Low impact C. Fragmentation D. Heavy metal poisoning

A. Cavitation

Body armor is typically manufactured from several layers​ of: A. Kevlar. B. ​dense-weave polyester. C. wool. D. carbon microfiber.

A. Kevlar.

What is your best tactical response to​ violence? A. Observation B. Concealment C. Pepper spray D. Engagement

A. Observation

Approximately how many victims of violent crimes require medical​ attention, often by emergency medical​ services? A. One in six B. Three in twelve C. Two in four D. Nine in ten

A. One in six

When conserving a wet garment worn by the victim of a​ crime, how should you store the​ item? A. Roll the item in a paper​ bag, place it in a second paper​ bag, and place both bags in a plastic bag. B. Place the item in a paper bag and then in a large plastic bag with the rest of the clothes. C. Place the item in a paper​ bag, then in a plastic bag. D. Place the item in a plastic bag.

A. Roll the item in a paper​ bag, place it in a second paper​ bag, and place both bags in a plastic bag.

Among which demographic group has there been a significant increase in commission of acts of violence over the past two​ decades? A. Youth B. ​Middle-aged men C. Teenage females D. The elderly

A. Youth

When advised of the potential for violence en route to the​ scene, the paramedic​ should: A. await law enforcement before approaching the area. B. refuse the trip. C. remain in the ambulance until law enforcement arrives. D. notify the ED.

A. await law enforcement before approaching the area.

​Violence: A. can occur anywhere. B. is primarily confined to suburbs and rural areas. C. does not happen in wealthy areas. D. is mainly an inner city problem.

A. can occur anywhere.

The act of evading someone by moving behind solid impenetrable objects to escape an armed encounter is known​ as: A. cover. B. concealment. C. distraction. D. body armor.

A. cover.

Before approaching a vehicle during a roadside​ emergency, you​ should: A. plan your escape route. B. approach from the​ driver's side. C. make radio contact with law enforcement. D. have had verbal contact with the driver.

A. plan your escape route.

If you are called to a scene of a domestic altercation and the scene becomes​ threatening: A. retreat to a place of safety. B. provide care if you see patients in need of treatment. C. ask that anyone uninjured stand against the wall until law enforcement arrives. D. explain that you are a paramedic and just there to provide assistance.

A. retreat to a place of safety.

Body armor has a higher level of​ performance: A. when it is dry. B. if it is wet. C. after it is broken in. D. when it is new.

A. when it is dry.

Body armor offers little or no protection​ against: A. ​high-velocity bullets. B. revolver rounds. C. semiautomatic pistol rounds. D. shotgun pellets.

A. ​high-velocity bullets.

Before approaching a potentially violent​ scene, you​ should: A. ​stop, listen, and observe for signs of danger. B. have dispatch put the local PD on standby. C. announce your presence loudly. D. send your partner in while you wait outside so that you can call for backup if needed.

A. ​stop, listen, and observe for signs of danger.

What is​ CONTOMS? A. An elite police unit B. A certification program C. An elite military unit D. An agency regulating TEMS units

B. A certification program

What should you do if you are administering care to a patient who is not prepared for transport and the scene becomes​ dangerous? A. Protect the patient B. Abandon the patient C. Package and remove the patient as soon as you can D. Call law enforcement

B. Abandon the patient

What piece of​ equipment, seldom used in EMS a few years​ ago, are more and more EMS agencies providing for their employees as a measure to prevent​ injuries? A. Vehicle tracking B. Body armor C. Mechanical CPR machines D. Demand valve resuscitators

B. Body armor

What more recent form of youth violence places victimized youth at increased risk for mental health problems such as depression and​ anxiety, psychosomatic complaints such as​ headaches, and poor school​ adjustment? A. Pedophilia B. Bullying C. Gang violence D. School violence

B. Bullying

Gangs with a history of arrest may make every effort to prevent you from transporting one of their members to a hospital or any other place beyond the reach of the gang. How should you​ respond? A. Attempt to gently reason with them B. Do not force the issue C. Offer to let a member accompany you D. Radio for law enforcement

B. Do not force the issue

Which of the following statements regarding documentation of evidence is​ incorrect? A. Follow local policies regarding confidentiality surrounding any criminal case. B. Document your judgment as to who may have committed a crime. C. Describe the shape and anatomic location of any puncture or cut. D. Use quotation marks to indicate any remarks made by the patient.

B. Document your judgment as to who may have committed a crime.

What is the primary reason you can still be seriously injured or killed when wearing body​ armor? A. You may not be able to flee. B. It​ doesn't cover your entire body. C. Cavitation injuries can be serious. D. An ice pick can penetrate it.

B. It​ doesn't cover your entire body.

What is required by a TEMS unit in order for it to begin​ operations? A. Volunteers to operate in the unit B. Local protocols and standing orders C. Sniper training D. Live fire training

B. Local protocols and standing orders

As you approach the driver of a vehicle involved in an​ MVC, you notice that he is being belligerent with the passenger and sounds intoxicated. As you get​ closer, the driver turns his attention to you in the same​ fashion, making you concerned for your safety. What should you​ do? A. Threaten to leave if the driver​ doesn't calm down. B. Retreat to the ambulance until law enforcement​ arrives, and be prepared to leave. C. Act nonthreatening and try to calm the driver. D. Shout the driver down.

B. Retreat to the ambulance until law enforcement​ arrives, and be prepared to leave.

To which type of training would a paramedic least likely be exposed before becoming part of a TEMS​ unit? A. Clan labs B. Sniper C. Pyrotechnics D. Helicopter operations

B. Sniper

You are dispatched to stand by at a demonstration that has turned violent. What steps can you take to protect​ yourself? A. Carry a Taser. B. Stage at a location away from the crowd until summoned. C. Show support for the crowd. D. Use your lights and siren.

B. Stage at a location away from the crowd until summoned.

If you spot danger at any time during your approach to a​ scene, what should you immediately​ do? A. Leave the scene in the ambulance B. Stop and reevaluate the situation C. Continue in a confident manner D. Identify yourself loudly

B. Stop and reevaluate the situation

What is the goal of performing EMS at a crime​ scene? A. To conserve the crime scene with a minimal impact on patient care B. To provide​ high-quality patient care while preserving evidence C. To perform patient care with disregard for the following investigation D. To assist in evidence gathering

B. To provide​ high-quality patient care while preserving evidence

You and your partner respond to a garage behind a home in a rural section of town. When you enter the​ building, it becomes immediately apparent that you have entered a methamphetamine lab. What should you​ do? A. Await law enforcement. B. Vacate the building. C. Notify dispatch using your portable radio. D. Initiate​ treatment, keeping your scene time minimal.

B. Vacate the building.

Which statement is​ true? A. EMS can usually predict when violent events will occur. B. You have a higher risk of being injured in traffic than by a violent act. C. Many EMS calls involve the threat of violence. D. An awareness of the potential for violence is only necessary in some situations.

B. You have a higher risk of being injured in traffic than by a violent act.

The inadvertent mixing of blood samples at a crime scene will result​ in: A. questionable blood typing. B. a useless sample. C. the DNA return on the sample being accurate only for the largest volume of blood in the mixed sample. D. a sample that will require purification before testing.

B. a useless sample.

When approaching a vehicle crash involving a single driver with the ambulance in gang territory at​ night, you can help protect yourself​ by: A. judging the reaction of the crowd as you approach. B. bypassing the location and waiting for law enforcement. C. stopping and treating the patient. D. placing the patient on a cot and returning to the ambulance.

B. bypassing the location and waiting for law enforcement.

During a roadside​ emergency, when approaching the vehicle from the​ rear, you should not move forward of the C post​ until: A. you communicate with the driver. B. you are sure there are no threats in the rear seat. C. the car is stable. D. law enforcement arrives.

B. you are sure there are no threats in the rear seat.

An average of how many youth homicides occurs in the United States every​ day? A. 10 B. 24 C. 16 D. 34

C. 16

Which of the following groups has a higher risk for substance​ abuse, academic​ problems, and violence in later adolescence and​ adulthood? A. Victims of violence B. Special education students C. Bullies D. Gang members

C. Bullies

You are responding to a home in a​ middle-class neighborhood for an​ "unknown problem." Your initial survey reveals nothing out of the​ ordinary, but a​ middle-aged man, dressed only in​ shorts, is frantically waving you to come inside. You enter the living​ room, where you see two other people sitting in chairs and a woman lying on the couch unconscious. Strewn on the coffee table is various drug​ paraphernalia, and the two people seated in the room are arguing quietly over whose fault​ "it" was. It is obvious to you that the activities in the room were drug related. What should you​ do? A. Remove the patient to your ambulance B. Retreat from the room and radio dispatch to have law enforcement put on standby C. Maintain awareness of activities in the room and treat the patient D. Leave the scene and go back into service

C. Maintain awareness of activities in the room and treat the patient

What is a duty of the cover provider while the contact provider is delivering patient​ care? A. Provides direct patient care B. Assesses the patient C. Observes the scene for danger D. Prepares the unit and the cot

C. Observes the scene for danger

Why is patient assessment provided by the contact​ provider? A. The cover provider does not wear PPE. B. The cover provider retrieves the cot from the ambulance. C. Patient care duties can prevent observation of the scene by the cover provider. D. The cover provider handles radio traffic.

C. Patient care duties can prevent observation of the scene by the cover provider.

You are first on the scene of a​ single-car vehicle crash. As you approach the​ scene, you notice that the car has sustained moderate​ front-end damage and the​ occupants, a​ middle-aged man and​ woman, are standing beside the car arguing. The woman has a bloody lip as well as a cut over one eye that is bleeding. Dispatch informs you that law enforcement is about 2 minutes out. How would you approach the scene if you decide it is safe to do​ so? A. Position your vehicle to protect the​ scene, notify dispatch of the activity at the​ scene, and both you and your partner cautiously approach the couple. B. Position your vehicle to protect the scene and use a bullhorn to inform the couple that you are EMS and will now approach to begin assessment and treatment. C. Position your vehicle to protect the​ scene, notify dispatch of the activity at the​ scene, and have your partner exit the vehicle and cautiously approach the couple while you remain in the vehicle. D. Position your vehicle near the​ couple, roll down the​ window, and inform them that you are paramedics and need to approach them to assess and treat their injuries.

C. Position your vehicle to protect the​ scene, notify dispatch of the activity at the​ scene, and have your partner exit the vehicle and cautiously approach the couple while you remain in the vehicle.

Why do methamphetamine labs pose a risk for​ rescuers? A. Rescuers may become intoxicated. B. They are in difficult to access locations. C. The solvents and reagents can be toxic and explosive. D. There is no treatment for meth toxicity.

C. The solvents and reagents can be toxic and explosive.

What information can be gathered by using blood spatter​ evidence? A. The weight of the attacker B. The caliber of the firearm C. The type of weapon used D. The time of the assault

C. The type of weapon used

What do metal​ clipboards, chemical​ agents, and other tools have in common for the TEMS​ medic? A. They are ruggedized. B. They have compact designs. C. They can be used as defensive weapons. D. They have patient care applications.

C. They can be used as defensive weapons.

For retreating to be​ effective, the paramedic​ should: A. rely on law enforcement for directions. B. retreat away from the ambulance. C. at least be concealed from sight. D. remain 500 feet from the incident.

C. at least be concealed from sight.

The act of evading​ someone's view behind convenient objects to escape danger is known​ as: A. cover. B. escape. C. concealment. D. pinning down.

C. concealment.

​Bully: A. is a declining problem. B. only causes social and emotional distress. C. may result in death. D. hurts the bullied but not those who bully.

C. may result in death.

Which of the following is a primary way in which TEMS varies from​ EMS? A. TEMS personnel more frequently encounter medical patients. B. TEMS operates closely with law enforcement. C. Treatment and transport considerations are at the discretion of TEMS personnel. D. A major priority in TEMS is extraction of the patient from the hot zone.

D. A major priority in TEMS is extraction of the patient from the hot zone.

What is a TEMS​ unit? A. A crime scene unit that specializes in gathering evidence from a victim in the ED B. A Taser that fires barbs C. An electronic nerve stimulator D. A unit that provides medical support to law enforcement

D. A unit that provides medical support to law enforcement

How can a paramedic practice tactical​ options? A. Carry a personal defensive weapon B. Attend workshops regularly C. Develop your own strategies D. Consider tactical options on routine calls

D. Consider tactical options on routine calls

What is the key requirement for EMS and law enforcement to interact well at a crime​ scene? A. Gathering clues B. Spotting evidence C. Watching for suspicious activity D. Good communication

D. Good communication

What type of crimes are committed against a person solely on the basis of the​ individual's actual or perceived​ race, color, national​ origin, ethnicity,​ gender, disability, or sexual​ orientation? A. Minority abuse B. Profiling C. Protected class crimes D. Hate crimes

D. Hate crimes

What is the leading cause of death for​ 10- to​ 24-year-old African​ Americans? A. Gang violence B. Motor vehicle accidents C. Sickle cell disease D. Homicide

D. Homicide

Where are you likely to encounter a clan​ lab? A. In apartments B. In residential neighborhoods C. In rural outbuildings D. In any location

D. In any location

You and your partner have stumbled across a suspected clandestine lab while bringing a patient home from the hospital. You promptly return the patient to the ambulance and leave the area. What is your next​ step? A. Mark off the area with caution tape B. Stop any chemical reactions in progress C. Return the patient to the hospital D. Notify law enforcement and initiate IMS procedures

D. Notify law enforcement and initiate IMS procedures

You are the first on the scene of a​ single-vehicle crash late at night. During your windshield​ survey, you notice that damage to the car is​ minimal, the driver is slumped over the steering​ wheel, and the car trunk lid is ajar but not open. What would the most appropriate next step​ be? A. Check the condition of the driver B. Position your vehicle to protect the scene C. Investigate the trunk D. Remain in your vehicle or bypass the accident until law enforcement arrives

D. Remain in your vehicle or bypass the accident until law enforcement arrives

When walking up to a​ residence, how should you position yourself relative to the door before knocking on​ it? A. Announce your presence before reaching the door B. Center yourself squarely in the door C. Walk up to the door in single file D. Stand to the side of the door

D. Stand to the side of the door

What is the most important rule to maximize the effectiveness of body​ armor? A. Keep body armor dry. B. Use it to take risks you otherwise​ wouldn't. C. Regular exercise can assist you in recovering from cavitation injuries. D. You must wear it.

D. You must wear it.

For cover to be​ effective, it​ must: A. offer a further path of retreat. B. be of a similar color or pattern to what you are wearing. C. offer concealment in all directions. D. be bulletproof.

D. be bulletproof.

You are dispatched to support law enforcement as they raid a drug manufacturing lab. You know that you will​ likely: A. respond immediately to the scene for an injury. B. be asked for advice on dismantling the lab. C. have to enter the lab first when law enforcement signal you forward. D. be staged in a safe area near the lab location.

D. be staged in a safe area near the lab location.

When EMS personnel arrive at a crime scene and begin patient​ treatment, it is of paramount importance that they​ avoid: A. removing evidence from the patient. B. leaving evidence at the ED. C. removing evidence from the scene. D. contaminating the evidence.

D. contaminating the evidence.

When responding to the scene of street​ violence, you​ should: A. request that law enforcement transport the victim to your staging area. B. be prepared to move the victim quickly to a controlled environment. C. verify that law enforcement is on the scene. D. ensure that law enforcement has secured the area and the victim before your arrival.

D. ensure that law enforcement has secured the area and the victim before your arrival.

Several studies suggest that a substantial number of victims of violent​ crimes: A. seek medical attention even if uninjured. B. commit violent crimes themselves. C. report the violence but the crimes are never solved. D. fail to report the violence to the police.

D. fail to report the violence to the police.

When approaching a scene at night with a​ flashlight, you​ should: A. not turn the light on until after patient contact. B. identify yourself loudly and clearly. C. announce your presence before approaching. D. hold the light out to your side.

D. hold the light out to your side.

When treating a victim near or in the midst of a crowd. you​ should: A. retreat from the area. B. force people away from the patient. C. enlist members for assistance. D. look for warning signs of impending danger.

D. look for warning signs of impending danger.

When approaching a vehicle accident with the ambulance at​ night, you can help protect yourself as you walk up on the car​ by: A. asking the driver to step out of the vehicle. B. silhouetting yourself in the headlights so that the driver can see you. C. approaching the car with your flashlight on. D. positioning the ambulance so that you can illuminate the other vehicle with your headlights and spotlights.

D. positioning the ambulance so that you can illuminate the other vehicle with your headlights and spotlights.

What demographic group has the highest arrest rates for​ homicide, rape,​ robbery, and aggravated​ assault? A. ​Middle-aged men B. Teenage males C. ​10- to​ 24-year-olds D. ​15- to​ 34-year-olds

D. ​15- to​ 34-year-olds