MDC EMT CHAPTER 2

Which of the following statements regarding the hepatitis B vaccine is correct?

OSHA requires that your employer offer you the vaccine free of charge.

Which of the following statements regarding HIV is correct?

There is no vaccine against HIV infection.

Physiologic manifestations of stress include:

perspiration, increased blood glucose levels, and dilated pupils.

While assisting an advanced life support (ALS) ambulance crew, you are accidentally stuck with an IV needle. You should:

report the incident to your supervisor after the call.

The simplest yet most effective method of preventing the spread of an infectious disease is to:

wash your hands in between patient contacts.

If you use a waterless handwashing substitute in the field, it is important to:

wash your hands with soap and water at the hospital.

. Critical incident stress management (CISM) can occur at an ongoing scene in all of the following circumstances, EXCEPT:

when patients are actively being assessed or treated

Gloves, a mask, eye protection, and a face shield should be used:

when performing endotracheal intubation.

A positive TB skin test indicates that:

you have been exposed to the disease..

If a mask cannot be placed on a coughing patient, the Centers for Disease Control and Prevention (CDC) recommend that you maintain a distance of at least ________ feet if possible.

3

A critical incident stress debriefing should be conducted no longer than ________ hours following the incident.

72

Which of the following scenarios MOST accurately depicts a posttraumatic stress disorder (PTSD) reaction?

An EMT becomes distracted at the scene of a motor vehicle crash involving the same type of car in which a child was previously killed.

Which of the following is the MOST effective strategy for managing stress?

Focus on delivering high-quality patient care.

Vector-borne transmission of an infectious organism occurs via:

animals or insects.

The BEST way to reduce your risk of contracting a work-related disease following exposure is to:

activate your department's infection control plan as soon as possible.

The general adaptation syndrome is characterized by which of the following phases?

alarm response, reaction and resistance, and recovery

When decontaminating the back of your ambulance after a call, you should:

allow surfaces to air dry unless otherwise indicated in the product directions.

You are transporting a 40-year-old male with respiratory distress. The patient tells you that he recently had a positive tuberculosis (TB) skin test and is currently being evaluated for possible TB. You should:

apply a nonrebreathing mask on the patient and a high-efficiency particulate air (HEPA) respirator on yourself.

The spread of HIV and hepatitis in the health care setting can usually be traced to:

careless handling of sharps.

If it is not possible to adequately clean your ambulance at the hospital following a call, you should:

clean the ambulance at your station in a designated area that is well ventilated.

What type of stress reaction occurs when an EMT is exposed to many insignificant stressors over a period of several months or years?

cumulative stress reaction

Determination of exposure is an important component of an infection control plan because it:

defines who is at risk for contact with blood and body fluids and which tasks pose a risk of exposure.

It is especially important for EMS personnel to develop nonadversarial relationships with their coworkers because they

depend on each other for their safety.

. The compliance monitoring component of an infection control plan should:

ensure that employees understand what they should do and why it is important.

. The hepatitis B vaccine program, a component of the infection control plan, addresses all of the following issues, EXCEPT:

family history of hepatitis.

When considering his or her personal life, it is important for the EMT to realize that:

family or friends may not understand the stress associated with EMS.

Vaccination against the hepatitis A virus is unnecessary if you:

have been infected in the past.

Which of the following is the MOST significant factor in determining if a person will become ill from certain germs?

immunity

While providing care to a patient, blood got onto the ambulance stretcher. Because the stretcher was not properly cleaned afterward, a virus was transmitted to another emergency medical technician (EMT) several days later. What route of transmission does this scenario describe?

indirect contact

Which of the following signs would indicate that your partner is experiencing significant stress?

isolation from the rest of the crew

If a person is partially immune to a particular disease, he or she:

may develop illness from germs that lie dormant from the initial infection.

As an EMT, it is important to remember that the signs and symptoms of cumulative stress:

may not be obvious or present all the time.

. According to Occupational Safety and Health Administration (OSHA) regulations, an employer must:

offer a workplace environment that reduces the risk for exposure.

Prescription glasses do not provide adequate eye protection because they:

offer little or no side protection.

You have been working at the scene of a major building collapse for 8 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.

Which of the following infectious diseases confers no protection from reinfection after exposure?

syphilis

According to the CDC, recommended immunizations and tests include a:

tetanus-diphtheria booster every 10 years.

If you are exposed to a patient's blood or other bodily fluid, your first action should be to:

transfer care of your patient to another EMS provider.