EMT 104 Midterm
In which of the following manners should you act and speak with a patient?
Calm and confident
Which of the following incidents does not require a report to be filed with local authorities?
Cardiac arrest
Which of the following is an example of a primary prevention strategy?
Community awareness programs that emphasize the dangers of drinking and driving
You arrive at the scene of an apparent death. When evaluating the patient, which of the following is a definitive sign of death?
Dependent lividity
Which of the following most accurately defines negligence?
Deviation from the standard of care that might result in further injury
The determination that prompt surgical care in the hospital is more important than performing time-consuming procedures in the field on a major trauma patient is based mostly on:
EMS research.
What should you do before attempting to access a patient trapped in a vehicle?
Ensure the vehicle is stable.
A patient in a semi-reclined position with the head elevated to facilitate breathing is in the ___________ position.
Fowler
Which of the following is the most significant factor in determining whether a person will become ill from certain germs?
Immunity
Which of the following types of consent allows treatment of a patient who is unconscious or mentally incapacitated?
Implied
Which type of medical direction do standing orders and protocols describe?
Off-line
A young male jumped from a tree and landed feet first. Which aspect of his body has sustained the initial injury?
Plantar
Which of the following anatomic terms is synonymous with the word "dorsal"?
Posterior
An intoxicated 40-year-old male is found lying face down. How would you document his body's position?
Prone
Which of the following criteria is required to become licensed and employed as an EMT?
Proof of immunization against certain communicable diseases
Which aspect of the Health Insurance Portability and Accountability Act (HIPAA) most affects EMS personnel?
Protecting patient privacy
Which type of communications equipment functions as a radio receiver and searches across several frequencies?
Scanner
Two-way communication that requires the EMT to "push to talk" and "release to listen" describes which mode of communication?
Simplex
Which of the following statements regarding communication with a child is correct?
Standing over a child often increases his or her level of anxiety.
Which of the following statements regarding Good Samaritan laws is correct?
Such laws will not protect the EMT in cases of gross negligence.
Which of the following infectious diseases confers no protection from reinfection after exposure?
Syphilis
Which of the following statements regarding the NREMT is correct?
The NREMT provides a national standard for EMS testing.
The term "supraventricular tachycardia" means:
a rapid heart rate that originates from above the ventricles.
Movement or motion away from the body's midline is called:
abduction.
When decontaminating the back of your ambulance after a call, you should:
allow surfaces to air dry unless otherwise indicated in the product directions.
A patient's refusal of EMS treatment and/or transport must be:
an informed refusal.
Vector-borne transmission of an infectious organism occurs via:
animals or insects.
As an EMT, the performance of your duties will be compared to that of:
another EMT.
The ___________ of the heart is the inferior portion of the ventricles.
apex
Acting in such a way as to make another person fear immediate bodily harm is called:
assault.
According to the National EMS Scope of Practice Model, an EMT should be able to:
assist a patient with certain prescribed medications.
Any radio hardware containing a transmitter and a receiver that is located in a fixed location is called a:
base station.
A patient has fractured both femurs. Anatomically, these injuries would be described as being:
bilateral.
When relaying patient information via radio, communications should be:
brief and easily understood.
Hazards that are associated with a structural fire include all of the following, except:
carbon dioxide deficiency.
The spread of HIV and hepatitis in the healthcare setting can usually be traced to:
careless handling of sharps.
For a do not resuscitate (DNR) order to be valid, it must:
clearly state the patient's medical problem.
All information recorded on the PCR must be:
considered confidential.
Ethnocentrism is defined as:
considering your own cultural values as more important when interacting with people of a different culture.
An appropriate demonstration of professionalism when your patient is frightened, demanding, or unpleasant is to:
continue to be nonjudgmental, compassionate, and respectful.
The patient care report (PCR) ensures:
continuity of care.
Putrefaction is defined as:
decomposition of the body's tissues.
When communicating with a visually impaired patient, you should:
determine the degree of the patient's impairment.
An EMT would most likely be held liable for abandonment if he or she:
did not make provisions for continued care of an injured patient.
During the alert and dispatch phase of EMS communications, the dispatcher's responsibilities include all of the following, except:
discouraging the caller from providing care until the EMS unit arrives.
A 5-year-old boy has fallen and has a severe deformity of the forearm near the wrist. He has possibly sustained a fracture of the ____________ forearm.
distal
A fracture of the humerus just above the elbow would be described as a:
distal humerus fracture.
Communicating with hearing-impaired patients can be facilitated by doing all of the following, except:
elevating the tone of your voice and exaggerating word pronunciation.
The EMT certification exam is designed to:
ensure that EMTs are competent and have the same level of knowledge and skills.
The most important consideration at the scene of a hazardous materials incident is:
ensuring your personal safety.
Vaccination against the hepatitis A virus is unnecessary if you:
have been infected with hepatitis A in the past.
After applying a tourniquet, the injury from a patient's leg stops bleeding. This is called:
hemostasis
Enlargement of the liver is called:
hepatomegaly.
The continuous quality improvement (CQI) process is designed to:
identify areas of improvement and provide remedial training if needed.
In the eyes of the courts, an incomplete or untidy patient care form indicates:
inadequate patient care was administered.
Characteristics of eustress following dispatch to a high-speed motor vehicle collision may include:
increased self-image from performing well under a challenging situation.
Obtaining continuing medical education is the responsibility of the:
individual EMT.
The topographic term used to describe the parts of the body that are nearer to the feet is:
inferior.
A diabetic patient has polydipsia. This means that she:
is excessively thirsty.
In many states, a minor may be treated as an adult for the purpose of consenting to or refusing medical treatment if the minor:
is self-supporting and lives by him- or herself.
Two EMTs witnessed a call in which a coworker gave adequate medical care but ignored the patient's emotional needs. The coworker was deliberately rude solely because the patient was thought to be infected with the human immunodeficiency virus (HIV). The EMTs ignored the coworker's treatment of this patient and took no steps to prevent this behavior from happening again. This lack of action on the part of the two EMTs is considered:
legal but unethical.
Continuing education in EMS serves to:
maintain, update, and expand the EMT's knowledge and skills.
Calming and reassuring an anxious patient can be facilitated by:
maintaining eye contact with the patient whenever possible.
The topographic term used to describe the location of body parts that are closer toward the midline of the body is:
medial.
The EMT's scope of practice within his or her local response area is defined by the:
medical director.
Maintaining the chain of evidence at the scene of a crime should include:
not cutting through holes in clothing that were caused by weapons.
When providing a patient report via radio, you should protect the patient's privacy by:
not disclosing his or her name.
Prescription glasses do not provide adequate eye protection because they:
offer little or no side protection.
A patient with a pneumothorax has unilateral chest expansion. This means that:
only one side of his chest rises when he inhales.
An EMS provider who has extensive training in various aspects of advanced life support (ALS) is called a(n):
paramedic.
Cardiac monitoring, pharmacologic interventions, and other advanced treatment skills are functions of the:
paramedic.
In relation to the chest, the back is:
posterior.
In relation to the wrist, the elbow is:
proximal.
If a defibrillator manufacturer claims that its device terminates ventricular fibrillation on the first shock 95% of the time, you should:
recognize that this does not mean the device will save more lives.
A ___________ receives messages and signals on one frequency and then automatically retransmits them on a second frequency.
repeater
You have been working at the scene of a major building collapse for eight hours. Many injured people are still being removed, and everyone is becoming frustrated and losing focus. This situation is most effectively managed by:
requesting a CISM team to provide on-scene peer support.
Quid pro quo, a type of sexual harassment, occurs when the harasser:
requests sexual favors in exchange for something else.
The capacity of an individual to cope with and recover from stress is called:
resilience.
As you are wheeling your patient through the emergency department doors, you receive another call for a major motor vehicle crash. You should:
respond only after giving a verbal patient report to a nurse or physician.
A pregnant patient is diagnosed with hyperemesis gravidarum. This means that:
she has excessive vomiting.
You could be sued for ___________ if your radio report to the hospital describes the patient in a manner that injures his or her reputation.
slander
The manner in which the EMT must act or behave when caring for a patient is called the:
standard of care.
The standards for prehospital emergency care and the individuals who provide it are typically regulated by the:
state office of EMS.
The most serious consequence of drug or alcohol abuse among EMS personnel is:
substandard or inappropriate patient care.
The term "pericardiocentesis" means:
the removal of fluid from around the heart.
The simplest, yet most effective method of preventing the spread of an infectious disease is to:
wash your hands in between patient contacts.
The most effective way to preserve your own body heat when functioning in cold, wet weather is to:
wear at least three layers of clothing.
A positive TB skin test indicates that:
you have been exposed to TB.
Which of the following scenarios involves the administration of ALS?
A 48-year-old patient whose airway is secured with a supraglottic device
Which of the following patients has decision-making capacity and can legally refuse emergency medical treatment?
A conscious and alert woman with severe abdominal pain
Which of the following scenarios most accurately depicts abandonment?
A paramedic transfers patient care to an EMT.
Which of the following general statements regarding consent is correct?
A patient can consent to transport but can legally refuse treatment.
Which of the following descriptions most accurately portrays emergency medical services (EMS)?
A team of health care professionals who are responsible for providing emergency care and transportation to the sick and injured
EMS as we know it today had its origins in 1966 with the publication of:
Accidental Death and Disability: The Neglected Disease of Modern Society.
General adaptation syndrome is characterized by which of the following phases?
Alarm response, reaction and resistance, and recovery
Which of the following errors is an example of a knowledge-based failure?
An EMT administers the wrong drug to a patient because she did not know the pertinent information about the drug.
Which of the following situations requires you to notify the appropriate authorities?
Attempted suicide
Which of the following skills or interventions is included at every level of prehospital emergency training?
Automated external defibrillation
You are caring for a 52-year-old man who complains of chest discomfort. The patient is a retired paramedic and is very anxious because he thinks he is having a heart attack. Which of the following statements would be appropriate?
"It is possible that you are experiencing a heart attack. I am going to give you four baby aspirin to chew and swallow."
A critical incident stress debriefing should be conducted no longer than ________ hours following the incident.
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