EMT- Chapter 11
25) A fall is considered severe anytime an adult patient has fallen more than ________ feet. A) 20 B) 15 C) 10 D) 8
A) 20
27) Which of the following situations will NOT require additional resources at the scene? A) A patient with emphysema who is on oxygen therapy at home B) A call for a sick person at home during which an odor of natural gas is detected C) A call to a manufacturing plant where a worker has his hand caught in a machine D) A 300-pound woman complaining of back pain
A) A patient with emphysema who is on oxygen therapy at home
30) When should the EMT evaluate the need for Standard Precautions? A) An evaluation should be made throughout the call. B) An evaluation should be made once a general impression of the patient has been formed. C) An evaluation should be made before arrival on-scene. D) No evaluation is ever needed, since the precautions are the same for every call.
A) An evaluation should be made throughout the call.
26) Which of the following BEST describes blunt-force trauma? A) An object strikes the body, but it does not penetrate the body tissues. B) The object is not sharp, but it penetrates the body when enough force is used. C) The object penetrates soft tissue, but it cannot penetrate bone. D) A rounded object impacts the body tissues.
A) An object strikes the body, but it does not penetrate the body tissues.
11) Which of the following is true concerning the potential for violence at the scene of an EMS call? A) An unusual lack of activity at the scene may signal impending violence against the EMT. B) The chance for violence is very low at emergency scenes. C) You do not need to worry about violence at an emergency scene once the police have secured it. D) Signs of impending violence are obvious if you know what to look for.
A) An unusual lack of activity at the scene may signal impending violence against the EMT.
19) Which of the following will deliver a medium velocity impact? A) Bullet from a handgun B) Ice pick C) Butcher knife D) Bullet from an assault rifle
A) Bullet from a handgun
1) Which of the following is NOT determined in a scene size-up? A) Chief complaint B) Mechanism of injury C) Potential hazards to the EMS crew D) Need for additional resources
A) Chief complaint
28) In which of the following situations should the EMT consult the Emergency Response Guidebook? A) Chlorine gas leak at a public swimming pool B) Domestic disturbance with the potential for violence C) Patient with a suspected infectious disease D) Downed power lines at the scene of a vehicle collision
A) Chlorine gas leak at a public swimming pool
7) At the scene of a vehicle collision in which there are no apparent hazards, which of the following guidelines should be followed for establishing a danger zone? A) The danger zone should be 50 feet in all directions. B) The danger zone should be 150 feet in all directions. C) The danger zone should be 15 feet in all directions. D) There is no need to establish a danger zone when there are no apparent hazards.
A) The danger zone should be 50 feet in all directions.
14) You are dispatched to a local bar for the report of an unresponsive female patient found in the bathroom. As you approach the scene, you notice a large crowd outside the front door holding beer bottles. The group has pulled the patient outside. As you approach the scene, people from the group start yelling, "Do something! She's not breathing." What concerns you the most about this scene? A) The large crowd that has been drinking and is now yelling at you B) The fact that the patient has been moved from where she was found C) The crowd stating the patient is not breathing D) All of the above
A) The large crowd that has been drinking and is now yelling at you
10) You and your partner respond to a residence for a fall. You arrive to find a group of approximately 30 adults surrounding a middle-aged man who appears to be unconscious. A police car pulls in behind you. You should: A) wait for the police officer to assess the safety of the scene. B) enter the scene ahead of the police officer to provide care. C) leave the area and stage until the scene is cleared of people. D) have the police officer drag the victim over to the ambulance.
A) wait for the police officer to assess the safety of the scene.
An index of suspicion is: A. an awareness that there may be injuries. B. recognition of potential threats based on previous experiences. C. the need to constantly monitor a scene for new dangers. D. reason to believe a crime has been committed.
A. an awareness that there may be injuries.
For trauma to qualify as penetrating trauma, it must be an injury that passes through the skin or other body tissues and that is caused by: A. an object. B. a blunt object. C. a person. D. a projectile.
A. an object.
Your unit arrives first at the scene of a car and bus accident. A bystander approaches your vehicle and states that multiple children are injured. You should first: A. request additional units. B. initiate patient care. C. begin primary triage. D. review the mechanism of injury.
A. request additional units.
You were dispatched to treat a 41-year-old woman with unknown bleeding. You introduce yourself to the patient and identify that the bleeding was caused by a stab wound. The patient says that the perpetrator has left the premises. You should next: A. request law enforcement. B. identify the weapon. C. leave the scene. D. begin the primary assessment.
A. request law enforcement.
Your unit arrives first at the scene of a tractor-trailer motor vehicle crash. Your partner notes that he sees hazardous materials placards on the truck. You should first: A. stage in place, upwind from the scene. B. immediately leave the scene. C. use your intercom to ask the driver to come to the ambulance. D. approach the truck to identify the placard.
A. stage in place, upwind from the scene.
You suspect that your patient may have tuberculosis. Which of the following should be added to your personal protective equipment? A. N-95 mask B. Simple face mask C. Gown D. Shoe covers
A. N-95 mask
You arrive at the scene of a head-on collision. One passenger not wearing a seatbelt struck the windshield with her forehead during impact. You should expect the possibility of: A. head, neck, chest, and abdominal injuries. B. injuries to the spine and pelvis. C. injuries involving lacerations but not blunt force. D. hip, knee, and leg injuries.
A. head, neck, chest, and abdominal injuries.
In which of the following situations should the EMT consult the Emergency Response Guidebook? A. Downed power lines at the scene of a vehicle collision B. Chlorine gas leak at a public swimming pool C. Patient with a suspected infectious disease D. Domestic disturbance with the potential for violence
B. Chlorine gas leak at a public swimming pool
What law of physics explains why a patient's liver can be injured from the impact of his car with a tree? A. Second law of motion B. Law of inertia C. Law of kinetic energy D. Newton's law of universal gravitation
B. Law of inertia
You have been dispatched to 29 Park Avenue for a man having chest pain. As you approach the house, you hear loud voices and verbal threats coming from inside. You should: A. approach the scene quietly. B. NOT enter the scene. C. use the PA system to announce your arrival. D. direct everyone to move away from the patient.
B. NOT enter the scene.
You have just arrived on the scene of a motor vehicle collision in which a compact car was struck from behind by a delivery truck. The driver of the delivery truck is standing outside his vehicle talking to police when you arrive, but the driver of the car is still seated in the driver's seat. You have noted moderate damage to the rear of the car. For which of the following injuries should you have the highest level of suspicion? A. Chest injury B. Neck injury C. Fractures of the lower extremities D. Abdominal injuries
B. Neck injury
A patient you are treating after a car wreck has been lacerated in multiple places by broken glass and debris. Injuries such as these lacerations are known as which of the following? A. Cavitating trauma B. Penetrating trauma C. Internal injuries D. Blunt-force trauma
B. Penetrating trauma
You are performing a scene size-up at a large motor vehicle crash scene. Which of the following elements should be assessed first? A. The number of patients. B. Possible hazards to your safety. C. A general impression of the patient. D. The need for additional resources.
B. Possible hazards to your safety.
As you approach the scene of a motorcycle accident, you see an EMR trying to stop the bleeding on the patient's left arm. You notice that the EMR has blood covering the front of his shirt and running down his arms. Other than simple protocol, what factor MOST indicates the need for Standard Precautions? A. It is unclear whether the EMR has already taken Standard Precautions. B. The patient is bleeding and the EMR is covered in blood. C. You haven't established a danger zone around the patient. D. The accident involved a motorcycle.
B. The patient is bleeding and the EMR is covered in blood.
During scene size-up, what hazard MOST likely involves thinking about Standard Precautions? A. Broken glass and smashed machinery B. The potential for contact with body fluids C. Hazardous materials D. Downed power lines
B. The potential for contact with body fluids
You arrive at a residential house. Your patient is somewhere inside. Why is it important NOT to simply rush into a patient's house when you arrive on the scene? A. You need to assemble necessary equipment. B. The scene should be sized up for threats and violence. C. Calls to residences typically do not involve major emergencies. D. It is protocol to look for a back or side entrance for entry into residences.
B. The scene should be sized up for threats and violence.
An explosion has occurred at a local church. You are the first responding medical unit, and you note many patients lying in the street. After establishing incident command, you should next: A. begin primary triage. B. call for additional resources and begin the scene size-up. C. return to the ambulance until additional resources arrive. D. begin caring for the closest patient.
B. call for additional resources and begin the scene size-up
A brief survey of an emergency scene: A. can determine the mechanism of injury. B. can reveal information such as visible hazards. C. can determine the nature of an illness. D. can make additional monitoring of the scene unnecessary.
B. can reveal information such as visible hazards.
You and your partner are en route to a motor vehicle crash involving a tanker truck on a rural road. Dispatch informs you that fluid is leaking from the truck, that there are several bystanders passed out on the ground near the cab of the truck, and that a caller has reported the code that appears on a placard attached to the tanker truck. You should: A. park about 50 feet from the truck. B. consult the Emergency Response Guidebook. C. park downwind from the tanker truck. D. remove the bystanders from the scene.
B. consult the Emergency Response Guidebook.
A relevant consideration during scene size-up would be: A. carefully writing down everything that you and your partner do. B. determining the mechanism of injury of nature of illness. C. speculating as to what factors might have caused the emergency situation. D. thinking through the route to the hospital to avoid high-traffic areas.
B. determining the mechanism of injury of nature of illness.
Blunt-force trauma is: A. the direct damage from a projectile. B. injury from a blow that does not penetrate the skin or other body tissues. C. pressure-related damage. D. caused by an object that passes through the skin or other body tissues.
B. injury from a blow that does not penetrate the skin or other body tissues.
You respond to a motor vehicle accident. Determining where the patient was seated, if he was wearing a seat belt, and if the airbags deployed are part of determining the: A. nature of the illness. B. mechanism of injury. C. danger zone. D. patient history.
B. mechanism of injury.
When assessing along the path of the energy, where should the EMT assess for injury first when caring for a patient who had a two-story fall and landed square on his feet? A. Upper and lower extremities B. Feet, ankles, and legs C. Head and neck D. Upper and lower back
B. Feet, ankles, and legs
8) Which of the following is NOT a consideration that should be used by the EMT in establishing the size of the danger zone? A) Presence of hazardous materials B) Wind direction C) Amount of equipment needed D) Fire
C) Amount of equipment needed
3) At which of the following points should you begin your scene size-up? A) After exiting the ambulance, but before making patient contact B) When you arrive on the scene, but before exiting the ambulance C) As you approach the scene in the ambulance D) When the patient or family member opens the door to the residence
C) As you approach the scene in the ambulance
21) What law of physics explains why a patient's liver can be injured from the impact of his car with a tree? A) Second law of motion B) Newton's law of moving energy C) Law of inertia D) Law of kinetic energy
C) Law of inertia
13) As you are assessing a 32-year-old asthmatic woman who has called EMS due to difficulty breathing, her husband enters the home through a back door and shouts, "Get your hands off her; she doesn't need your help. She needs to be taught a lesson about her smart mouth." Which of the following is the best course of action? A) Attempt to remove the patient from the home and continue treatment en route to the hospital. B) Continue assessment and respond that the patient is sick and needs medical attention. C) Leave the scene and patient, then notify police. D) Let the husband know that his behavior is inappropriate, and if it continues you will call for the police.
C) Leave the scene and patient, then notify police.
22) An injury caused by an object that passes through the skin or other body tissue is known as which of the following? A) Cavitating trauma B) Puncturing trauma C) Penetrating trauma D) Impaling trauma
C) Penetrating trauma
Which of the following situations is LEAST likely to require additional resources at the scene? A. A 300-pound woman complaining of back pain B. A call to a manufacturing plant where a worker has his hand caught in a machine C. A patient with emphysema who is on oxygen therapy at home D. A call for a sick person at home during which an odor of natural gas is detected
C. A patient with emphysema who is on oxygen therapy at home
Which of the following is NOT a consideration that should be used by the EMT in establishing the size of the danger zone? A. Presence of hazardous materials B. Wind direction C. Amount of equipment needed D. Fire
C. Amount of equipment needed
You respond to the scene of a vehicle collision. You see no smoke or fumes, but you do see what appears to be liquid beneath the vehicles that have collided, which are in the center of the road with skid marks that seem relatively even. What should you MOST suspect as potential hazards? A. No apparent hazards B. Downed power lines or damaged utility poles C. Spilled fuel and/or hazardous materials D. Vehicle on fire or hazardous materials threatened by fire
C. Spilled fuel and/or hazardous materials
When determining possible injuries suffered from a gunshot wound, which of the following is true? A. The EMT must determine the caliber of ammunition involved. B. The EMT must ask the patient or bystanders exactly where the shooter was standing. C. The EMT must be aware that bullets cause damage in more than one way. D. Bullets pass in a straight line through the body from the point of entry to the exit wound.
C. The EMT must be aware that bullets cause damage in more than one way.
You are dispatched to a local bar for the report of an unresponsive female patient found in the bathroom. As you approach the scene, you notice a large crowd outside the front door holding beer bottles. The group has pulled the patient outside. As you approach the scene, people from the group start yelling, "Do something! She's not breathing." What concerns you the most about this scene? A. The possibility that the patient may be intoxicated B. The fact that the patient has been moved from where she was found C. The large crowd that has been drinking and is now yelling at you D. The crowd stating the patient is not breathing
C. The large crowd that has been drinking and is now yelling at you
You are on the scene of an explosion at a suspected methamphetamine manufacturing operation. You and your partner are the first to arrive and note two middle-aged men and a woman on the front lawn with burns and cuts on their faces and arms. The fire department and the police are en route. What should indicate potential for violence? A. The explosion B. The burns and cuts C. The scene being a suspected meth production operation D. The police being en route
C. The scene being a suspected meth production operation
You are on the scene of a tanker truck versus passenger vehicle collision on a rural highway. The vehicles are just beyond a curve in the roadway and there is a distinct odor of diesel fuel. It is dark and there is little traffic. Which of the following should be used to alert oncoming traffic to the situation? A. Flashing lights on the ambulance B. Yellow crime scene tape C. Flares D. Reflective triangles
D. Reflective triangles
You arrive on the scene of a collision. What is MOST likely for the drivers and passengers involved in the collision? A. They will still be seated within their vehicles. B. The drivers and passengers will have gathered near the collision to exchange information. C. They might have been thrown from or walked away from their vehicles. D. If uninjured, passengers and drivers will be standing by the roadside.
C. They might have been thrown from or walked away from their vehicles.
Your patient, a 29-year-old female, was the front seat passenger in a vehicle that was struck in the passenger's side door by another vehicle that ran a red light. Which of the following is MOST likely to have occurred? A. The patient impacted the steering wheel with her chest, causing a fracture of the sternum. B. The patient took the "up and over" pathway, striking her head on the windshield. C. The patient's body was pushed forcefully out from under her head, causing injury to the cervical spine. D. The patient took the "down and under" pathway, causing trauma to her lower extremities.
C. The patient's body was pushed forcefully out from under her head, causing injury to the cervical spine.
What is the purpose for establishing a danger zone while working at a motor vehicle crash scene? A. To ensure that the traffic will be rerouted around the wreckage B. To establish the area where the fire department will be operating C. To designate the area where special safety precautions should be taken D. To require additional equipment to be dispatched to the scene
C. To designate the area where special safety precautions should be taken
A pickup truck blew a tire on a bridge, skidded, and is now overhanging the edge of the deck with the driver still inside. You arrive on scene before other responding units. You should first: A. have your partner stand in the truck bed while you assess the driver. B. immediately assist the driver out of the vehicle. C. call for assistance to stabilize the truck. D. park your ambulance right next to the pickup and assess the patient from your cab.
C. call for assistance to stabilize the truck.
You are dispatched to a motor vehicle crash on a street in a residential neighborhood. As you pull up, you note that none of the houses along the street have lights on. You should suspect: A. that the residents are not yet home from work. B. a violent ambush. C. downed power lines. D. that the houses are not occupied.
C. downed power lines.
The process of ensuring scene safety is: A. completed at the beginning of the call. B. not the job of the EMT. C. dynamic and ongoing. D. completed once patient care begins.
C. dynamic and ongoing.
A car was struck broadside, injuring the driver. You would expect that during the collision, the driver's: A. head was pushed laterally while the body stayed in place. B. the head was pushed violently backward and then forward. C. head stayed in place while the body was pushed laterally. D. body would have been injured by a side-curtain airbag deploying.
C. head stayed in place while the body was pushed laterally.
As you arrive at the scene of a house fire, you see a police officer and a distraught man in the yard, both of whom signal for your attention. You should: A. call out to the officer to approach you. B. approach the distraught man. C. size up the scene before acting. D. approach the police officer.
C. size up the scene before acting.
A patient's body substances may enter your body through: A. protective eyewear. B. protective gloves. C. your eyes. D. unbroken skin.
C. your eyes.
When considering the potential for injury from a fall, which of the following is LEAST important? A. Height of the fall B. Type of surface onto which the patient fell C. Patient's weight D. Whether the patient struck anything with his body on the way down
C. Patient's weight
You are called to the scene of a multiple-vehicle collision at which several patients are injured and bleeding. Which of the following provides the best protection against bloodborne pathogens? A. Standard Precautions B. Appropriate personal decontamination C. The use of HEPA respirators D. Decontamination of common surfaces
A. Standard Precautions
At the scene of a vehicle collision in which there are no apparent hazards, which of the following guidelines should be followed for establishing a danger zone? A. The danger zone should be 50 feet in all directions. B. There is no need to establish a danger zone when there are no apparent hazards. C. The danger zone should be 15 feet in all directions. D. The danger zone should be 150 feet in all directions
A. The danger zone should be 50 feet in all directions.
Your patient fell out of a tree while putting the roof on a tree house. A 15-foot ladder is required to enter the tree house and there is enough room for an adult to stand up inside. Your patient should be transported to: A. a trauma center. B. the closest hospital. C. an urgent care center. D. a neurosurgery center.
A. a trauma center.
Which of the following will deliver a medium-velocity impact? A. Ice pick B. Bullet from a handgun C. Bullet from an assault rifle D. Butcher knife
B. Bullet from a handgun
2) At what point is the scene size-up complete? A) When crashed vehicles have been stabilized B) At the end of the call C) Upon stabilization of the c-spine D) When the number of patients has been determined
B) At the end of the call
15) As you approach the scene of a motorcycle accident, you see an EMR trying to stop the bleeding on the patient's left arm. You notice that the EMR has blood covering the front of his shirt and running down his arms. What Standard Precautions are needed? A) There is no need for Standard Precautions because you have no open injuries. B) Gloves, gown, and face mask with eye shield are needed. C) Gloves, gown, eye protection, and an N-95 or HEPA respirator are needed. D) Gloves and gown only are needed.
B) Gloves, gown, and face mask with eye shield are needed.
6) As you arrive at the scene of a house fire, a very upset man screams at you to help his young son, who is trapped under a piece of burning wood on the ground. Which of the following should you do first? A) With the father's help, grab the boy by the arms and pull him from underneath the wood. B) Size-up the scene before acting. C) Perform an initial assessment on the patient. D) Use a blanket to put out the fire on the piece of wood.
B) Size-up the scene before acting.
4) Which of the following situations requires additional action by the EMT during scene size-up? A) A vehicle collision involving a tractor-trailer that appears to be empty. B) The sound of a barking and growling dog upon approaching the door to a residence. C) A bystander who is smoking a cigarette at the scene of an assault at a local park. D) A news media helicopter arrives and hovers overhead at the scene of a vehicle collision.
B) The sound of a barking and growling dog upon approaching the door to a residence.
5) You are called to a motor vehicle collision where the car is on fire. You should ensure safety by: A) borrowing turnout gear from the fire department. B) remaining a safe distance from the car until the fire is out. C) putting your unit back in service and leaving the scene. D) using your fire extinguisher to put out the fire.
B) remaining a safe distance from the car until the fire is out.
Which of the following would be the appropriate place to park an ambulance if you were responding to a hazardous materials scene that involved gases or fumes? A. Uphill from the scene B. Downwind from the scene C. Downhill from the scene D. Level with the scene
D. Level with the scene
Which of the following is the definition of mechanism of injury? A. A dangerous instrument, machine, or vehicle B. A force or forces that may have caused injury C. An injury sustained through operation of machinery D. A point-by-point summary of how an accident occured
B. A force or forces that may have caused injury
You arrive on scene and hear a loud voice. When is this MOST likely to be of concern? A. A woman laughs loudly at something another woman said. B. A man shouts to another man to mind his own business. C. A man shouts out the name of another man. D. A child calls to another child on the playground.
B. A man shouts to another man to mind his own business.
Which of the following settings is LEAST likely to be dangerous to the EMT? A. A patient's home with a broken whiskey bottle on the front step B. A shopping mall on a Saturday morning C. A street in a crime-ridden neighborhood at 4 a.m. D. A bar late at night with an entrance in an alley
B. A shopping mall on a Saturday morning
Which of the following is true concerning the potential for violence at the scene of an EMS call? A. The chance for violence is very low at emergency scenes. B. An unusual lack of activity at the scene may signal impending violence against the EMT. C. You do not need to worry about violence at an emergency scene once the police have secured it. D. Signs of impending violence are obvious if you know what to look for.
B. An unusual lack of activity at the scene may signal impending violence against the EMT.
Which of the following scenes would require you to be extra vigilant? A. A noisy scene in an open factory area B. An unusually quiet scene C. A large crowd at a daycare D. Police on scene motioning you in
B. An unusually quiet scene
17) Your patient, a 29-year-old female, was the front seat passenger in a vehicle that was struck in the passenger's side door by another vehicle that ran a red light. Which of the following is most likely to have occurred? A) The patient impacted the steering wheel with her chest, causing a fracture of the sternum. B) The patient took the "down and under" pathway, causing trauma to her lower extremities. C) The patient's body was pushed forcefully out from under her head, causing injury to the cervical spine. D) The patient took the "up and over" pathway, striking her head on the windshield.
C) The patient's body was pushed forcefully out from under her head, causing injury to the cervical spine.
23) Your patient fell out of a tree while putting the roof on a tree house. A 15-foot ladder is required to enter the tree house and there is enough room for an adult to stand up inside. Your patient should be transported to: A) an urgent care center. B) the closest hospital. C) a trauma center. D) a neurosurgery center.
C) a trauma center.
32) You and your partner are en route to a motor vehicle crash involving a tanker truck on a rural road. Dispatch informs you that fluid is leaking from the truck, that there are several bystanders passed out on the ground near the cab of the truck, and that a caller has reported the code that appears on a placard attached to the tanker truck. You should: A) remove the bystanders from the scene. B) park about 50 feet from the truck. C) consult the Emergency Response Guidebook. D) park downwind from the tanker truck.
C) consult the Emergency Response Guidebook.
How far does the danger zone extend when downed wires are involved? A. There is no specific danger zone to establish. B. Half the distance that the severed wires can reach. C. A full span beyond the first intact pole. D. No more than 50 feet is needed in any direction.
C. A full span beyond the first intact pole.
24) Where should the EMT assess for injury when caring for a patient who had a two-story fall and landed square on his feet? A) Patient's lower back B) Patient's ankles C) Patient's femur D) All of the above
D) All of the above
29) Which of the following may be a hazard at the scene of a vehicle collision? A) Electrocution B) Hazardous materials C) Other emergency vehicles D) All the above
D) All the above
12) You are on the scene of an explosion at a suspected methamphetamine manufacturing operation. You and your partner are the first to arrive and note two middle-aged men and a woman on the front lawn with burns and cuts on their faces and arms. The fire department is en route. Which of the following resources should be the LEAST important to be requested by the EMT during the scene size-up? A) Gas company B) Law enforcement C) One or two additional ambulances D) Hazardous material clean-up crew
D) Hazardous material clean-up crew
31) You should have a keen awareness that there may be injuries based on your scene size-up. This is known as which of the following? A) Nature of illness B) Law of inertia C) Mechanism of injury D) Index of suspicion
D) Index of suspicion
16) You have just arrived on the scene of a motor vehicle collision in which a compact car was struck from behind by a delivery truck. The driver of the delivery truck is standing outside his vehicle talking to police when you arrive, but the driver of the car is still seated in the driver's seat. You have noted moderate damage to the rear of the car. For which of the following injuries should you have the highest level of suspicion? A) Fractures of the lower extremities B) Chest injury C) Abdominal injuries D) Neck injury
D) Neck injury
18) When considering the potential for injury from a fall, which of the following is LEAST important? A) Height of the fall B) Type of surface onto which the patient fell C) Whether the patient struck anything with his body on the way down D) Patient's weight
D) Patient's weight
9) You are on the scene of a tanker truck versus passenger vehicle collision on a rural highway. The vehicles are just beyond a curve in the roadway and there is a distinct odor of diesel fuel. It is dark and there is little traffic. Which of the following should be used to alert oncoming traffic to the situation? A) Flashing lights on the ambulance B) Yellow crime scene tape C) Flares D) Reflective triangles
D) Reflective triangles
20) When determining possible injuries suffered from a gunshot wound, which of the following is true? A) The EMT must ask the patient or bystanders exactly where the shooter was standing. B) Bullets pass in a straight line through the body from the point of entry to the exit wound. C) The EMT must determine the caliber of ammunition involved. D) The EMT must be aware that bullets cause damage in more than one way.
D) The EMT must be aware that bullets cause damage in more than one way.
You determine that a patient involved in a vehicular collision has sustained only blunt-force trauma. Which of the following BEST describes blunt-force trauma? A. The object penetrates soft tissue, but it cannot penetrate bone. B. A rounded object impacts the body tissues. C. The object is not sharp, but it penetrates the body when enough force is used. D. An object strikes the body, but it does not penetrate the body tissues.
D. An object strikes the body, but it does not penetrate the body tissues.
At which of the following points should you begin your scene size-up? A. After exiting the ambulance, but before making patient contact B. When you arrive on the scene, but before exiting the ambulance C. When the patient or family member opens the door to the residence D. As you approach the scene in the ambulance
D. As you approach the scene in the ambulance
At what point is the scene size-up complete? A. When crashed vehicles have been stabilized B. When the number of patients has been determined C. Upon stabilization of the c-spine D. At the end of the call
D. At the end of the call
When you arrive on scene, what is LEAST likely to be a sign of hazardous materials? A. Vapor clouds B. Fumes C. Flowing liquids D. Broken glass
D. Broken glass
You are dispatched to the scene of a child who was bitten by a dog. What step of the scene size-up can you begin to perform before arrival? A. Instruct bystanders on bleeding control. B. Determine whether the dog has been immunized. C. Establish the seriousness of the bite. D. Determine whether the dog has been secured.
D. Determine whether the dog has been secured.
You are responding to the scene of a rollover collision. You should have a keen awareness that there may be injuries based on your scene size-up. This is known as which of the following? A. Mechanism of injury B. Nature of illness C. Law of inertia D. Index of suspicion
D. Index of suspicion
What danger does the catalytic converter in your ambulance represent? A. It can attract electricity from downed power lines. B. It could begin to leak hazardous chemicals. C. It becomes a shock hazard in rainy conditions. D. It could be an ignition source for spilled fuel.
D. It could be an ignition source for spilled fuel.
As you are assessing a 32-year-old asthmatic woman who has called EMS due to difficulty breathing, her husband enters the home through a back door and shouts, "Get your hands off her! She doesn't need your help. She needs to be taught a lesson about her smart mouth." Which of the following is the best course of action? A. Let the husband know that his behavior is inappropriate, and if it continues you will call for the police. B. Continue assessment and respond that the patient is sick and needs medical attention. C. Attempt to remove the patient from the home and continue treatment en route to the hospital. D. Request police backup immediately and consider leaving the scene.
D. Request police backup immediately and consider leaving the scene.
Which of the following is TRUE concerning scene size-up? A. Determining the number of patients is not important on a medical call. B. Information from bystanders is not important on trauma calls. C. Scene size-up does not play a role in determining the nature of the illness. D. The need for additional resources must be determined on both medical and trauma calls.
D. The need for additional resources must be determined on both medical and trauma calls.
Which of the following situations should MOST indicate a hazard to the EMT during scene size-up? A. A bystander who is smoking a cigarette at the scene of an assault at a local park. B. A news media helicopter arrives and hovers overhead at the scene of a vehicle collision. C. A vehicle collision where bystanders are recording video on their phones. D. The sound of a barking and growling dog upon approaching the door to a residence.
D. The sound of a barking and growling dog upon approaching the door to a residence.
Your patient is an elderly male who has paralysis of his right arm and leg. What is an aspect of the scene that may help you identify the nature of this patient's illness? A. The patient if he is conscious B. The patient's family members C. Bystanders who have entered the scene D. Visible medications
D. Visible medications
You are dispatched for a 35-year-old male complaining of chest pain. You arrive on scene at a residential address in a very run-down section of town. You approach the scene carefully, and upon entering, you find that the patient has been shot in the chest. You should: A. provide treatment of immediate life threats only. B. call for law enforcement and then begin care. C. provide treatment of immediate life threats and then leave the scene. D. exit the scene and call for law enforcement.
D. exit the scene and call for law enforcement.
A patient who has sustained a fall is unconscious and lying face upward. He fell at a construction site, and you cannot determine the distance of the fall or how the patient landed on impact with the ground. You should: A. assess the mechanism of injury as a fall flat on the back. B. assess the mechanism of injury as a fall on the head. C. assess the mechanism of injury as a fall squarely on the feet. D. prioritize the patient for rapid packaging and immediate transport.
D. prioritize the patient for rapid packaging and immediate transport.
A 77-year-old female complains of chest pain. When you arrive, her husband greets you at the front door. You note that he is out of breath, sweaty, and holding his chest. You should: A. ask him where the patient is located. B. assess his wife first but then return to him once you have confirmed that she is non-emergent. C. immediately focus your attention only on him. D. radio for an additional unit and have your partner assess him while you check on his wife.
D. radio for an additional unit and have your partner assess him while you check on his wife.
The EMT's initial evaluation of the scene is called the: A. hazard assessment. B. initial assessment. C. primary assessment. D. scene size-up.
D. scene size-up.
You are a block away from arriving on the scene of an emergency. What should be LEAST important to you at this time is: A. a glimpse of smoke that appears to be above the emergency scene. B. a lack of opposing traffic flow. C. the sound of other emergency vehicles approaching the scene. D. the condition of the buildings you pass.
D. the condition of the buildings you pass.
You and your partner respond to a residence for a fall. You arrive to find a group of approximately 30 adults surrounding a middle-aged man who appears to be unconscious. A police car pulls in behind you. You should: A. have the police officer drag the victim over to the ambulance. B. enter the scene ahead of the police officer to provide care. C. leave the area and stage until the scene is cleared of people. D. wait for the police officer to assess the safety of the scene.
D. wait for the police officer to assess the safety of the scene.
