Homework Question Test #1
Which of the following statements includes a pertinent negative? A. "The patient complains of nausea but denies vomiting." B. "The patient rates his pain as an 8 on a scale of 0 to 10." C. "The rapid head-to-toes exam revealed abrasions to the chest." D. "The possible smell of ETOH was noted on the patient."
A. "The patient complains of nausea but denies vomiting."
A patient has a gunshot wound just below the right nipple. How should you describe the injury location? A. Anterolateral B. Posteromedial C. Inferolateral D. Inferomedial
A. Anterolateral
Many ______ believe that touching the head may put their soul in jeopardy. A. Asians B. Thais C. Somalis D. Muslims
A. Asians
Which of the following is an example of a factor that influences the need for paramedics? A. Increased lifespan for patients who live at home with chronic conditions B. The increased demand for nurses capable of providing advanced procedures C. An increase in public awareness in bleeding control and CPR procedures D. A decrease in the number of physician assistants and nurse practitioners
A. Increased lifespan for patients who live at home with chronic conditions
In which of the following situations would the documentation on a patient care report MOST likely be limited? A. Mass-casualty incidnet B. Injury to a paramedic C. Physical abuse D. Cardiac arrest
A. Mass-casualty incident
Notification of EMS usually occurs when: A. a bystander notifies the dispatcher via telephone B. law enforcement requests assistance via two-way radio C. EMTs contact an emergency medical dispatcher D. a sick or injured patient presents to your EMS station
A. a bystander notifies the dispatcher via telephone
The abbreviation "amp" refers to: A. ampule B. single dose C. infusion dose D. bolus dose
A. ampule
The MOST significant problems with making up your own medical abbreviations and documenting them on the patient care report is: A. an error in patient care B. insurance care C. a potential lawsuit D. confusion at the hospital
A. an error in patient care
The purpose of a closed-ended question is to: A. elicit a specific response from the patient B. enable then paramedic to gauge the patient's mentation C. allow the patient to describe what he or she is feeling D. obtain reliable information about a patient's compliant
A. elicit a specific response from the patient
When a competent adult patient refuses medical care, it is MOST important for the paramedic to: A. ensure that the patient is well informed about the situation at hand B. perform a detailed physical exam before allowing the patient to refuse C. contact medical control and request permission to obtain refusal D. obtain a signed refusal from the patient as well as a witness signature
A. ensure that the patient is well informed about the situation at hand
A patient with blepharospasm has spasm of the: A. eyelid B. gallbladder C. neck muscles D. urinary bladder
A. eyelid
Movement of the distal point of an extremity toward the trunk is called: A. flexion B. extension C. pronation D. supination
A. flexion
Tetralogy of Fallot is a congenital anomaly involving____ anatomic abnormalities of the heart. A. four B. three C. five D. two
A. four
Ilium and ileum are examples of: A. homonyms B. synonyms C. eponyms D. antonyms
A. homonyms
If the paramedic is unable to complete his or her patient care report before departing the emergency department, he or she should: A. leave an abbreviated form with pertinent data with the receiving provider and complete the patient care report as soon as possible B. obtain the emergency department fax number and transmit the completed patient care report within the 12 hours after delivering the patient C. advise the receiving provider that he or she will return to the emergency department with the completed patient care report within 24 hours D. leave, at minimum, the patient's name and age, but recognize that the physician will perform his or her own exam
A. leave an abbreviated form with pertinent data with the receiving provider and complete the patient care report as soon as possible
The topographic term used to describe the location of body parts that are closer to the midline is: A. medial B. lateral C. midaxillary D. midclavicular
A. medial
In urban settings, radio dead spots MOST often occur in areas with: A. tall buildings B. bodies of water C. high cell phone use D. a lot of trees
A. tall buildings
When a caller requests EMS in an area that uses an enhanced 9-1-1 system: A. the caller's name and address are automatically displayed B. the caller's GPS coordinates will display on the computer C. the fastest route to the scene will be displayed on the computer D. known hazards at or near the scene will be displayed on the computer
A. the caller's name and address are automatically displayed
If the body is sliced so the result is a top and bottom portion, this is referred to as the: A. transverse plane B. midsagittal plane C. body's midline D. cross section
A. transverse plane
If you make an error when completing a written patient care report, you should: A. use different colored ink when drawing z single line through the error. B. leave the error, but write the correct information in parentheses next to it. C. circle the error, initial it, and write the correct information next to it. D. not alter the original patient care report and write the correct information on an addendum.
A. use a different colored ink when drawing a single line through the error.
Which one of the following is unique to the training of a paramedic who transports patients via fixed-wing aircraft? A. Trauma management B. Altitude physiology C. Toxic exposure management D. Advanced airway management
B. Altitude physiology
Paramedics respond to a dimly lit bar for a woman with chest pain. The jukebox is playing and several patrons are present. What should they do? A. Ask the bartender to turn on the lights and turn off the music B. Move the patient to the restroom and begin their assessment C. Assess the patient only after moving her to the ambulance D. Order the patrons to leave the scene and begin their assessment
B. Move the patient to the restroom and begin their assessment
A group of people is planning an expedition in a large state park. Which of the following individuals would MOST likely accompany them? A. Community paramedic B. Wilderness paramedic C. Tactical paramedic D. Flight paramedic
B. Wilderness paramedic
Cardiomegaly is a term used to describe: A. surgical repair of the heart B. an enlarged heart C. a weakened heart D. malposition of the heart
B. an enlarged heart
Most EMS agencies require a double signature system any time a : A. patient is given more than one dose of any medication B. controlled substance is checked, used, discarded, or replaced C. patient's condition warrants diversion to a closer hospital D. medication that alters ma patient's physiology is given
B. controlled substance is checked, used, discarded. or replaced
If a patient is reluctant to share personal information with you, you should: A. advise the patient that treatment cannot begin without it B. explain why you need his or her name and date of birth C. defer all questions and simply transport to the hospital D. ask a law enforcement officer to obtain the information
B. explain why you need his or her name and date of birth
For purposes of refusing medical care, a patient's mental status may be considered impaired if he or she: A. is notably frightened B. makes nonsensible statements C. is not sure of the exact time D. makes a derogatory comment
B. makes nonsensical statements
A ______ receives a weak signal and retransmits it at higher power an another frequency. A. multiples system B. repeater C. duplex system D. base station
B. repeater
A_________ receives a weak signal and retransmits it at a higher power on another frequency. A. multiples system B. repeater C. duplex system D. base station
B. repeater
A patient is placed in the Fowler position. In this position, the body is: A. on its side with the head lowered below 30 degrees B sitting straight up with the knees bent or straight C. on its side with the head elevated at 15 to 20 degrees D. supine with the legs elevated between 6 and 12 inches
B. sitting straight up with the knees bent or straight
Something that is homogeneous is: A. different B. the same C. large D. small
B. the same
The accuracy of your patient care report depends on all of the following factors, EXCEPT: A. including all pertinent event times. B. the severity of the patient's condition. C. documenting any extenuating circumstances. D. the thoroughness of the narrative section.
B. the severity of the patient's condition.
When transmitting information via radio, you should: A. break long messages into 60-second segments B. use a normal conversational tone of voice C. speak with your voice slightly elevated D. keep your mouth 1 inch from the microphone
B. use a normal conversational tone of voice
In which of the following locations would a bicycle emergency response paramedic MOST likely respond? A. Social gathering B. Indoor concert C. State park D. Private party
C. State park
How does the role of a mobile integrated health care provider (MIHP) differ from that of the traditional paramedic? A. The MIHP is authorized to directly admit a chronically ill patient to the appropriate hospital B. The MIHP not only provides acute care, but continues to provide care in the hospital setting C. The MIHP's focus in on working with the patient in the home to prevent acute emergencies D. The MIHP has prescribing privileges that do not require an order from a licensed physician
C. The MIHP's focus is on working with the patient in the home to prevent acute emergencies
Which of the following is a significant benefit of electronic documentation? A. The use of drop-down boxes, which minimizes the possibility for errors B. The elimination of the need to complete a narrative section C. The ability of the data to be shared between health care facilities D, The ease with which it can be applied during mass-casualty incidents
C. The ability of the data to be shared between health care facilities
Which of the following statements regarding a paramedic who works in an emergency department is correct? A. The paramedic must function under the license of a nurse B. The paramedic has limited medication prescribing privileges C. The paramedic may be able to suture uncomplicated wounds D. The paramedic can run a code without a physician present
C. The paramedic may be able to suture uncomplicated wounds
Data collected from the state EMS office for the purpose of research would likely NOT include: A. patient outcomes. B. the nature of all calls. C. average cost per call. D. call volume per month.
C. average cost per call.
The Greek prefix burs/o refers to the: A. kidney B. tongue C. back D. face
C. back
In the anatomic position, all extremities are: A. flexed B. abducted C. extended D. adducted
C. extended
Before you begin to transmit over the radio, you should check the volume and then: A. turn the squelch setting to zero to ensure a good signal B. press the transmit key for 1 second before talking C. listen to make sure that the channel is clear of traffic D. key the microphone two or three times to reach the repeater
C. listen to make sure that the channel is clear of traffic
A poorly written patient care report: A. often indicated that the paramedic was too busy providing patient care B. generally results in a lawsuit, even if the patient outcome was favorable C. may raise questions by others as to the paramedic's quality of patient care D. is unavoidable during a mass-casualty incident and is generally acceptable
C. may raise questions by others as to the paramedic's quality of patient care
In order for the paramedic to talk and transmit an ECG simultaneously on one frequency, a ___ system is required. A. simplex B. low-band C. multiplex D. duplex
C. multiplex
In order for the paramedic to talk and transmit an ECG simultaneously on one frequency, a ________ system is required. A. simplex B. low-band C. multiplex D. duplex
C. multiplex
One of the reasons that there are such limited peer-reviewed EMS research publications is that: A. the data are difficult to collect, given the short patient encounter B. providers are usually unable to follow up their patients C. providers are not well prepared to conduct clinical research D. research institutions are unwilling to provide needed support
C. providers are not well prepared to conduct clinical research
In order to ensure that all recorded times associated with an incident are accurate, the paramedic should: A. frequently glance at his or her watch. B. get a copy of the dispatch log after the call. C. radio the dispatcher after an event occurs. D. document the time that each event occurs.
C. radio the dispatcher after an event occurs.
The term "frequency" as it applies to radio communications, is MOST accurately defined as: A. the number of megahertz per cycle that the radio transmits B. a relatively long wavelength that produces audible sound C. the number of oscillations per second of the carrier wave D. a predefined station designed for emergency use only
C. the number of oscillations per second of the carrier wave
The ability of multiple agencies or systems to share the same radio frequency is called: A. patching B. telemetry C. trunking D. a duplex
C. trunking
Medical control requests you to administer 50 micrograms of a drug. You should recognize that this is equivalent to: A. 0.005 mg B. 500 mg C. 0.5 mg D. 0.05 mg
D. 0.05 mg
Which if the following would be a proper way of documenting a drug dosage? A. 0.10 mg B. 25.0 mg C. 2.0 mg D. 5 mg
D. 5 mg
A hospital emergency management coordinator utilizes standards set by the : A. state EMS office standard operating procedures B. Occupational Safety and Health Administration C. Department of Homeland Security D. Federal Emergency Management Agency
D. Federal Emergency Management Agency
Which of the following would be the MOST significant complication associated with incorrect use of medical terminology? A. The medical director could be sued B. The paramedic could be held legally accountable C. The patient could lose trust in the paramedic D. Ineffective treatment could be rendered
D. Ineffective treatment could be rendered
Repeating the key parts of a patient's responses to your questions demonstrates: A. sympathy B. an exchange of information C. passive communication D. active listening
D. active listening
In order to know where to begin making decisions about your personal career development, you should: A. determine your financial net worth B. decide at what age you wish to retire C. first apply for a management position D. assess your current skills honestly
D. assess your current skills honestly
A patient experiencing a stroke involving the left cerebral hemisphere has contralateral hemiplegia. This means that the patient: A. cannot move either upper extremity B. cannot move his left side C. cannot move any of his extremities D. cannot move his right side
D. cannot move his right side
Maintaining eye contact with a patient enables the paramedic to: A. rapidly gain any patient's trust B. relay the seriousness violent situation C. defuse the potentially violent situation D. evaluate the patient's neurologic status
D. evaluate the patient's neurologic status
General responsibilities of a mobile integrated health care provider (MIHP) include: A. supervising psychiatric care to patients with known mental health issues B. serving as a patient's medical and statutory power of attorney C. providing ultimate medical oversight and authority for patient care D. functioning as a field paramedic and perform direct life-saving activities
D. functioning as a field paramedic and perform direct life-saving activities
If you want reliable answers to personal questions, you should: A. request law enforcement presence when asking a personal question B. tell the patient that personal questions are a routine part of your exam C. tell the patient his or her responses to your questions are confidential D. manage the scene so you can ask such questions quietly and privately
D. manage the scene so you can ask such questions quietly and privately
Under the instructions of a good EMD, a layperson should be able to: A. obtain a blood pressure B. immobilize a person's spine C. assess a patient's pupils D. perform chest compressions
D. perform chest compressions
Compared to the frontal region of the skull. the occiput is: A. inferior B. exterior C. anterior D. posterior
D. posterior
When communicating medical information via radio, you should be: A. thorough yet rapid B. comprehensive but brief C. as expeditious as possible D. simple, brief, and direct
D. simple, brief, and direct
A patient with orchitis has inflammation of the: A. eyelid B. bladder C. intestine D. testicle
D. testicle
An imaginary plane passing horizontally through the body at the waist, creating top and bottom portions, is called the: A. coronal plane B. sagittal plane C. midsagittal plane D. transverse plane
D. transverse plane
When communicating with a patient whose cultural background differs from the paramedic's, the paramedic should: A. agree with the patient's cultural differences B. know the specifics about the patient's culture C. use his or her own culture as the sole reference D. treat the patient with the utmost respect at all times
D. treat the patient with the utmost respect at all times
When communicating with a patient whose cultural background differs from the paramedic's, then paramedic should: A. agree with the patient's cultural differences B. know the specifics about the patient's culture C. use his or her own culture as the sole reference D. treat the patient with the utmost respect at all times
D. treat the patient with the utmost respect at all times
All of the following are subjective findings, EXCEPT: A. a persistent dull headache B. a feeling of impending doom C. acute and severe nausea D. visible blood in the ear canal
D. visible blood in the ear canal
When providing patient care, it is MOST important that you maintain effective communication with: A. medical control B. the dispatcher C. bystanders D. your partner
D. your partner
