Module 1
4 Which of the following times are NOT required to be included in your P.C.R.
Going off duty time
9 An effective team leader should
Have the goals of the team in mind
38 Common equipment carried on the ambulance included all of the following except
Hazardous Materials Gear
8 In contrast to a typical wheeled ambulance stretchers, features of bariatric stretcher include:
Increased stability from a wider wheelbase
1 Obtaining continuing medical education is the responsibility of the:
Individual EMT
8 The MOST serious consequence of a poorly planned or rushed patient move is:
Injury to you or your patient
38 The most common and serious ambulance crashes occur at
Intersections
9 Which of the following would the paramedic be LEAST likely to ask the EMT to do
Intubate a patient
14 CPR retraining is the MOST effective when it
Involves hands-on practice
14 A patient should be placed in the recovery position when he or she
Is unresponsive, uninjured, and breathing adequately
4 A chief complaint is
Is what the patient tells you is wrong with them
4 You are caring for a 52-year-old man who complains of having chest discomfort. The patient is a retired paramedic and is very anxious because he thinks he is having a heart attack. Which is 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
8 Which of the following statements regarding the power lift is correct
It is the safest and most powerful method of lifting a patient
14 Which of the following maneuvers should be used to open a patient's airway when a spinal injury is suspected
Jaw thrust
8 To minimize the risk of injuring yourself when lifting or moving a patient, you should
Keep the weight as close to your body as possible
8 The first rule of safe lifting is to
Keep your back in a straight, vertical position
38 Maintaining a cushion of safety when operation an ambulance means
Keeping a safe distance between you ambulance and the vehicles in front of you and remaining aware of vehicles potentially hiding in your mirrors blind spots
8 When using a body drag to pull a patient who is on the ground you should
Kneel to minimize the distance that you will have to lean over
8 An 81-year-old female fell and struck her head. You find the patient lying on her left side. She is conscious and complains of neck and upper back pain. As you are assessing her, you note that she has a severely kyphotic spine. What is the MOST appropriate method of immobilizing this patient?
Leave her on her side and use blanket rolls to immobilize her wit to the long backboard
8 A critical aspect of the rapid extrication technique is to
Maintain stabilization of the spine at all times
1 Once you get a skill singed off you may
Make an appointment to reatke the skills test to get a higher score
3 The EMT's scope of practice within his or her local response area is defined by the
Medical director
11 Which of the following organs or tissues can survive the longest without oxygen
Muscle
38 While traveling Code 3 the driver encounters a red light, yellow light, stop sign, or an uncontrolled intersection they
Must come to e complete stop then may proceed through at no more that 15 MPH
38 What is the basic speed law
Never drive faster than conditions allow
11 A patient who is suspected of being hypoxic and is breathing adequately should be given a supplemental oxygen with a
Non re breathing mask
4 When providing a patient report via radio, you should protect the patients privacy by
Not disclosing his or her name
1 In order to pass a skill that has been demonstrated in class a student must
Obtain two signatures from a classmate before making an appointment to be signed off with an instructor
1 During the year extra credit will be
Once a year and is worth 100 points and usually consists of organizing a community event
14 A team of EMT's and paramedics are attempting to resuscitate a man who is in cardiac arrest while his wife and son are present. Which of the following should occur during the resuscitation attempt
One EMT should update the family on the interventions that have been performed and how the patient has responded
8 Which of the following most accurately describes the correct position of the EMT's who are executing the diamond carry technique
One at the head, two at the feet, and a fifth EMT balancing torso
4 What type of pain are you experiencing? Would be an example of
Open ended question
9 Which step in EMS decision making comes after a patient has been transferred
Outcome evaluation
1 An EMS provider who has extensive training in various aspects of advanced life support (ALS) is called a(n):
Paramedic
9 Which of the following would the EMT most likely be asked to do when assisting a paramedic with endotracheal intuabation?
Preoxygenation with a BVM
1 the showing of politeness in one's attitude and behavior toward others no matter what the circumstances is known as
Professionalism
3 Which aspect of the Health Insurance Portability and Accountability Act (HIPAA) MOST affects EMS personnel?
Protecting patient privacy
38 When checking the oil in a vehicle you should
Pull the dipstick, wipe off the oil, reinsert the dipstick, pull it again and check the oil level
8 In most instances, you should move a patient on a wheeled ambulance stretcher by
Pushing the head of the stretcher while your partner guides the foot
3 You are dispatched to an apartment complex to respond to a shooting. Law enforcement personnel are present and have the suspect in custody. You find the patient lying in a narrow space between the couch and coffee table of his small compartment. He is semiconscious and has a large gunshot wound to his chest. You should
Quickly move the coffee table so you can access and treat the patient
8 You and your partner enter the residence of an elderly couple, both of whom are found unconscious in their bed. There is no evidence of trauma. As you being your assessment, you and your partner notice the smell of natural gas in the residence. Which of the following should be your most appropriate action
Rapidly remove the patients from their residence using a blanket or clothes drag
8 After applying medical restrains to a combative patient, you should
Remove them only after hospital personnel have requested you to do so
8 You and your partner respond to the scene of a 49 year old male with acute abdominal pain. As you enter his residence, you find him laying on the floor in severe pain. He is conscious and alert. The patient appears to weigh in excess of 350 pounds. Your first action is to
Request additional personnel before making any attempts to lift him
38 The driver must exercise due regard for others while
Requesting code 3 right of way, transporting a patient to the hospital, responding to Code 2 call
4 As you were wheeling your patient through the emergency room doors, you receive another call for a major motor vesicle crash You should
Respond only after giving a verbal patient report to a nurse or physician
1 In order to be certified as an EMT for SSV-EMS a student must
Score an 80% in the course, obtain 10 patient contacts, do 10 hours in the emergency room at Mercy Hospital and have all the skills completed
38 When driving an off road vehicle it is important to remember that the four wheel drive mode
Should be turned off when on a solid surface
8 When a person is standing upright, the weight of anything being lifted and carried in the hands is first reflected onto the
Shoulder girdle
1 The agency in charge of the governship of EMS in shasta county is called
Sierra Sacremento Valley EMS (ssv)
4 Which of the following statements regarding communication with a child is correct
Standing over a child often increases his or her level of anxiety
1 You and your family have decided to leave for Disney vacation which is one daybefore school gets out. Your quater final is on that same day. You tell Eddie that you will not be there to take the test and he tells you that
Take it on the first day back to school after the holiday vacation
38 As soon as you leave the hospital and are en-route to your station/post, you should inform the dispatcher
That you are prepared for another call
8 In which of the following situations is an emergency patient move indicated
The EMT is unable to protect the patient from scene hazards
9 While caring for a patient, the EMT states to her partner, "why even splint the patients leg if they are only going to remove it in the ED?" This statement indicates that
The EMT's focus is not the common goal
1 Directions for treating a patient may be found
The SSV-EMS protocols
1 EMT's are referred to as
The backbone of EMS
11 Structures of the lower airway include all of the following except
The epiglottis
38 During the walk around portion of a pre-trip you should check for all EXCEPT
The level of each portable oxygen cylinder
9 EMT's arrive at the scene of an ill person. The EMR, who arrived before the EMT's decide that the patient had a sync opal episode. The patient is conscious and alert and remains so throughout transport. When transferring patient care to the emergency department nurse, the EMT should advise the nurse that
The patient reported a sync opal episode
9 Which of the following is an example of closed loop communication
The team leader assigns the EMT a task, and the EMT repeats the request back to the team leader
11 What is the MOST common cause of airway obstruction in an unconscious patient
The tougue
11 When suctioning a patient it is important to remember
The yankauer should have a hole that needs to be plugged so it will generate a vacuum
38 When a non transporting BLS agency has a question about what equipment should be carried on their units
They should consult their local EMS agency to obtain the list of required equipment
11 When assessing someone's breathing ______ is NOT part of the assessment
Tidal Volume
1 If you miss a day of school you have 24 hours to turn in your missing assignments
True
3 You suspect that a 6-year-old girl has broken her leg after falling from a swing at a playground. Shortly after you arrive, the child's mother appears and refuses to allow you to continue treatment. You should:
Try to persuade the mother that treatment is needed
38 What are the procedures for backing an ambulance
Use a backer at all times, use hand signals that both the driver and backer know, have a back at the left rear of vechicle
8 To facilitate a safe and coordinated move, the team leader should:
Use preparatory commands to initiate any moves
4 General guidelines for effective radio communications include all of the following except
Using 10 codes to ensure radio traffic confidentiality
14 Which of the following statements regarding ventricular fibrillation is correct
VF results in absence of forward blood flow
3 When is forcible restraint permitted
When the patient poses a significant threat to self or others
4 The T in C.H.A.R.T indicates
Who a transfer of care was given to, where the patient was transported, what treatment was done en route to the hospital
8 The extremity lift/sit pick would not be appropriate to use on a patient
With a deformed humerus
1 You find two partners and are ready to get signed off on the use of a stair chair. You should
Write your name on the board in the designated space for an appoitment for your test
4 The correct format for communicating with EMS dispatch is
`
38 Equipment and supplies that are carried on an ambulance should be stored
according to the urgency and frequency of their use
14 What is the minimum number of chest compression that should be delivered per minute to a 4-month-old infant
100
14 To ensure that you will deliver the appropriate number of chest compression during one-rescuer adult CPR, you should compress the patient's chest at a rate of:
100 to 120 compression's per minute
38 You should change your siren mode/tone approximately ____ prior to the intersection
200ft
14 After _____ minutes without oxygen, permanent brain damage is possible
4 to 6
38 Emergency vehicles should follow another emergency vehicle no closer than
500ft
14 You should attempt to maintain a chest compression fraction of at least
80%
3 Which of the following situations does a legal duty to act clearly exist
A call received 15 minutes prior to shift change
11 Which of the following patients is breathing adequately
A conscious male with respiration of 19 breaths per minute and pink skin
3 Shortly after you load your patient, a 50-year-old man with abdominal pain, into the ambulance, he tells you that he changed his mind and does not want to go to the hospital. The patient is conscious and alert and has no signs of mental incapacitation. You are suspicious that the man has a significant underlying condition and feel strongly that he should go to the hospital. Which of the following statements regarding this situation is correct?
A mentally competent competent adult can withdraw his or her consent to treat at any time
4 A ______ receives messages and signals on one frequency from one area and boosts the signal in order for it to reach another area
A repeater
8 Which of the following statements regarding the scoop stretcher is not correct
A scoop stretcher will provide will provide adequate immoblization of a patient's spinal comumn
9 Crew resource management is
A way for team members with different skill set to collaborate to solve a problem
9 Situational awareness is the
Ability to recognize potential threats
8 Which of the following conditions or situations presents the most unique challenge to the EMT when immobilizing an elderly patient on a long back board
Abnormlal spinal curvature
38 When approaching a steep uphill you must
Accelerate as smoothly as possible keeping in mind how the weight transferred affects the people in the patient area
9 A team of EMT's is caring for a critically injured patient. The team leader advises the EMT that transport will not begin until the patient's closed forearm fracture is splinted. Utilizing the crew resource management model, the EMT should:
Advise the team leader that the immediate transport is more important that splinting
1 Drinks in a clear plastic disposable container
Are the only liquid allowed in the classroom
4 You are assessing a 75-year-old woman with mild shortness of breath. A you are asking her questions about her chief complaint and medical history, you progressively move closer and closer to her. In doing this, it is important to remember that
As you physically get closer to the patient, a greater and greater sense of trust must be established
4 Despite your numerous, sincere efforts to convince a 40-year-old man to consent to EMS treatment and transport, he refuses. After explaining the potential consequences of his refusal and determining that the patient has decision-making capacity, you ask him to sign an EMS refusal form, but he refuses to do that as well. You should:
Ask a family member, law enforcement officer, or bystander to sign the form verifying that the patient refused to sign
4 The acronym S.O.A.P is used as a guide too chart a narrative on a Patient Care Report, the A stands for
Assessment
3 Which of the following situations requires you to notify the appropriate authorities
Attempted suicide
9 After assuming care of a cardiac arrest patient from an EMT, the paramedic should remember that
BLS efforts must continue throughout the patient care continuum
38 When transporting a patient to the hospital you should
Be safe and get the patient to the hospital in the shortest practical time
14 A 60 year old man is found to be unresponsive, pulse less, and apneic You shoul
Begin CPR until an AED is avaliable
3 You respond to the home of a 59-year-old man who is unconscious; has slow, shallow breathing; and has a weak pulse. The family states that the patient has terminal brain cancer and does not wish to be resuscitated. They further state that there is a DNR order for this patient, but they are unable to locate it. You should:
Begin treatment and contact medical control as needed
4 When relaying patient information via radio, communications should be
Brief and easily understood
11 Which of the following structures is NOT found in the supper airway
Bronchus
4 Which of the following manners should you act and speak with a patient?
Calm and confident
9 Health care teams that infrequently train and work together:
Can create delays in patient care
14 Which of the following is not a BLS intervention
Cardiac monitoring
14 Which of the following is NOT and indication to stop CPR once you have started?
Care is transferred to a bystander
38 The process of removing dirt, dust, blood, or other visible contaminants from a surface or equipment is called:
Cleaning
38 What is the proper way to negotiate a multiple lane intersection during code 3 operation
Clear each lane, one at a time while going through the intersection, be sure it is safe to enter the intersection prior to entering
9 Health care providers who infrequently work together can function effectively as a team if they work in an environment that supports and promotes
Collaboration
9 For patient hand off, it is important for EMT's hospital staff to use
Common language
4 Transmission of information from one person to another is called
Communication
4 All information on the PCR must be considered
Considered confidential
8 General guidelines for carrying a patient on a stretcher include
Constant communication with your partners
4 The patient care report means
Continuity of care
9 All team members deserve a please and a thank you. This is knows as:
Courtesy
11 Which of the following is a late sign of Hypoxia
Cyanoisis
8 It is essential that you ____________ your equipment to prevent the spread of disease.
Decontaminate
9 The effectiveness of pit crew CPR is dependent on
Defining clear roles and repsonsibilities
Therapeutic communication is used to
Demonstrate verbal and nonverbal communication to encourage patients express how they feel
14 Which of the following is considered an obvious sign of death and would not require the initiation of CPR?
Dependent blood pooling
4 The role of the base hospital is to
Direct paramedics when protocols are in question
8 Upon arriving at the scene of a motor vehicle crash, you find a single patient still seated in his car. there are no scene hazards. As you approach the vehicle, you note that the patient is semiconscious and has a large laceration to his forehead
Direct your partner to apply manual-in-line support of the patients head
8 Which is the most appropriate method to use when moving a patient from his or her bed to a wheeled stretcher
Draw sheet method
3 Where would you most likely find information regarding a patients wishes to be an organ donor
Drivers license
1 Which of the following is NOT in the scope of practive of an EMT according to the SSV-EMS scope of practice
Endotracheal intubation
9 In an interdependent group, when one person fails:
Everyone fails
3 Which type of consent must be used by the EMT when seeking to treat a mentally competent adult?
Expressed
3 You suspect that a pregnant 16 year old girl has a broken leg after being hit by a car. You explain that you need to put a splint in her leg and she agrees . What describes this kind of agreement
Expressed
8 A 56-year-old female is found supine in a narrow hallway of her mobile home. She complains of sever weakness and dizziness, and states that she is unable to walk
Extremity lift
1 Narcan is givin to Asthmatic patients to help the respiratory system recover from an Astmatic attack
False
4 You and your partner are attempting to resuscitate a middle-aged female in cardiac arrest Because of the remote geographic location you are unable to contact medical control. What should you do
Follow locally established protocols or standing orders
9 To be a great EMT a person must strive for
Foundational knowledge
14 Complications associated with chest compressions include all the following EXCEPT
Gastric distention
38 While responding to a call for cardiac arrest, you approach a stopped school bus with its red lights flashing. You should
stop and wait until the warning lights stop flashing
11 70% of breathing is supported by
the diaphragm
38 The six pointed star of life emblem identifies vehicles that
they meet federal specifications as licensed or certified ambulances
14 When ventilating an apenic adult with a bag-mask device, you should deliver each breath
while watching for adequate chest rise
11 A pharyngeal airway is inserted
with the bevel facing the septum if inserted into the right near
38 Minimum staffing in the back of an ambulance must be
an EMT
14 After establishing that an adult patient is unresponsive, you should:
assess for breathing and a pulse
4 Any radio hardware containing a transmitter and a receiver that is located in a fixed location is called a
base station
3 For a do not resuscitate order to be valid, it must
be dated within the previous 24 months
1 A core value of Shasta Union EMS is to
be nice
14 You and your partner arrive at the scene of a 60 year old woman who collapsed about 7 minutes ago. She is unresponsive apenic and pulse less. You should
begin CPR and apply the AED as soon as it is available
3 When faced with a situation in which a patient is in cardiac arrest and a valid living will or DNR order cannot be located, you should?
begin resuscitation at once
3 When you and your partner arrive at the residence of a man in cardiac arrest, you immediately recognize the patient as the drunk driver who killed your brother several years earlier. A backup ambulance is en route to the scene. You should:
begin two rescuer CPR and apply the AED as soon as possible
3 Which of the following components are need to prove negligence
breach of duty, injury/damages and causation
14 Several attempts to adequately open a trauma patient's airway with the jaw-thrust maneuver have been unsuccessful you should:
carefully perform the jead tilt-chin lift manuever
38 When approaching a steep downhill you should
check for hazard in your route, make sure you can see at the bottom of the slope, make your descent as straight down the hill as possible
14 You should deliver chest compression to an unresponsive adult patient in cardiac arrest by
compressing the sternum between the nipples
1 An appropriate demonstration of professionalism when your patient is frightened, demanding, or unpleasant is to:
continue to be nonjudgemental, compassiniate, and respectful
14 After an advanced airway device has been inserted during two-rescuer CPR, you should:
deliver one rescue breath every 6 seconds
3 An EMT would most likely be held liable for abandonment if he or she:
did not make provisions for continued care of an injured adult
3 You are dispatched to an office building for a 49 year old male with chest pain. When you arrive at the scene you find the patient to be conscious and alert but in obvious pain. He tells you that he did not call 911, a co-worker did. He further states that he does not want to be treated or transported to the hospital. You should
ensure that he is aware of the risks of refusing medical care
14 Signs of sudden severe upper airway obstruction include all of the following EXCEPT:
forceful coughing
3 You and your parents arrive at the scene of a major motor vehicle crash. he driver a young male is severely entrapped in his car he has an open head injury and massive facial trauma. He is unresponsive not breathing and does not have a palpable carotid pulse. You should
have your partner check for pulse to confirm that the patient is deceased
14 Gastric distention will MOST likely occur
if you ventialate a patient too quickly
3 In the eyes of the courts, an incomplete or untidy patient care form indicates
inadequate patient care was administered
3 In many states, a minor may be treated as an adult for the purpose of consenting to or refusing medical treatment
is self-supporting and lives by him or herself
38 Delivering a patient to the hospital involves all of the following EXCEPT
making sure the patient is well fed prior to arriving at the hospital
14 While rescuer one is finishing his or her fifth cycle of 30 compressions, rescuer two should:
move to the opposite side of the patients chest
3 Acting in such a way as to make another person fear immediate bodily harm is called:
negligence
14 Basic life supports BLS is defined as
noninvasive emergency care that is used to treat conditions such as airway obstruction, respiratory arrest, and cardiac arrest
38 When securing a patient to a side by side the
patient must be secured to a back board, patient should be secured ins tokes in the rear of side by side, if the patient is secured in stokes the pin must be in place and seat-belts as well
14 Your initial attempt is to ventilate an unresponsive, apneic 30 year old man is met with resistance and you do not see the chest rise. Your second ventilation attempt is also unsuccessful. you should
perform 30 chest compression
14 CPR will not be effective if the patient is
prone
3 You are dispatched to a middle school for a 16 year old female experiencing an asthma attack. She is conscious and alert but in severe respiratory distress. The school nurse informs you that she has tried several times to contact the patient's parents has not been successful. You should
provide treatment up to your level of training and transport the child at once
14 In most cases, cardiopulmonary arrest in infants and children is caused by
respiratory arrest