quiz 8 emt
According to the START triage system, what should you do if you encounter an unresponsive patient who is not breathing? A. Open the airway and reassess breathing status. B. Assign the patient in the "immediate" category. C. Ventilate the patient for 2 minutes and reassess. D. Triage the patient as "expectant" and move on.
A. Open the airway and reassess breathing status.
The term used when individual units or different organizations make independent and often inefficient decisions regarding an incident is called: A. freelancing. B. undermining. C. logistical chaos. D. single command
A. freelancing.
The function of the National Incident Management System (NIMS) is to: A. prepare for, prevent, respond to, and recover from domestic incidents. B. facilitate a standard method of incident command for natural disasters. C. prepare for the potential of a nuclear attack against the United States. D. educate city and county governments regarding foreign terrorist attacks.
A. prepare for, prevent, respond to, and recover from domestic incidents.
You and your partner are the first to arrive at the scene of a motor vehicle accident. As you approach the scene, you can see multiple patients, some walking and others who are still in their vehicles. You should: A. establish an incident command post until you are relieved of your duties. B. declare a mass-casualty incident and request additional resources. C. begin rapidly triaging all patients before requesting additional help. D. immediately move all ambulatory patients to a designated area.
B. declare a mass-casualty incident and request additional resources.
The purpose of the incident command system (ICS) is to: A. reduce overall mortality and morbidity from large-scale mass-casualty incidents and to restore key infrastructure. B. ensure responder and public safety, achieve incident management goals, and ensure the effective use of resources. C. quickly and efficiently respond to natural disasters and terrorist incidents, regardless of the complexity of the incident. D. protect the public from the effects of large- and small-scale disasters and to minimize the financial impact from such incidents.
B. ensure responder and public safety, achieve incident management goals, and ensure the effective use of resources.
As a triage supervisor, you: A. must prepare patients for transport before they leave the triage area. B. must not begin treatment until all patients have been triaged. C. are responsible for providing initial treatment to all patients. D. should communicate with area hospitals regarding their capabilities.
B. must not begin treatment until all patients have been triaged
When driving an ambulance on a multilane highway in emergency mode, you should: A. pass other drivers on the right side. B. remain in the extreme left-hand lane. C. remain in the extreme right-hand lane. D. drive in the center lane of the highway
B. remain in the extreme left-hand lane.
Aggressive ambulance driving may have a negative effect on other motorists because: A. they may become enraged and attempt to run you off the road. B. they move to the right or drive as close to the curb as possible. C. it may not allow for their reaction time to respond to your vehicle. D. they often freeze when they see the lights in the rearview mirror.
C. it may not allow for their reaction time to respond to your vehicle.
Which of the following MOST accurately describes a mass-casualty incident? A. an incident that involves more than five critically injured or ill patients B. an incident where patients have been exposed to hazardous materials C. an incident in which at least half of the patients are critically injured D. an incident that greatly taxes or depletes a system's available resources
D. an incident that greatly taxes or depletes a system's available resources
You are triaging patients at the scene of a multiple vehicle crash when you encounter a young male who is unresponsive and is not breathing. After you open his airway, he begins to breathe at a rapid rate. According to the START triage system, you should: A. assist his ventilations with a bag-mask device and perform a rapid scan of his entire body. B. move him to the treatment area so he can receive a more comprehensive assessment of his status. C. move to the other patients, but reassess him in 5 minutes to determine if he is still breathing. D. tag him as immediate (red), place him in the recovery position, and move to the next patient.
D. tag him as immediate (red), place him in the recovery position, and move to the next patient.
The ____________ supervisor is responsible for notifying area hospitals and determining their availability and capabilities. A. triage B. medical C. treatment D. transportation
D. transportation
You are triaging four patients who were involved in a head-on motor vehicle crash. Which of the following patients should be assigned the highest (red) triage category? a) a 50-year-old male with an open head injury and no pulse b) a 49-year-old female with diabetes and difficulty breathing c) a 36-year-old female with back pain and numb extremities d) a 29-year-old male with bilaterally closed femur deformities
b) a 49-year-old female with diabetes and difficulty breathing
You have just delivered a major trauma patient to the hospital. Shortly after departing the hospital, dispatch advises you of another call. The back of the ambulance is contaminated with bloody dressings and is in disarray, and you are in need of airway equipment and numerous other supplies. You should: a) proceed to the call, functioning only as an emergency medical responder b) advise the dispatcher that you are out of service and to send another unit c) have your partner quickly clean the ambulance as you proceed to the call d) quickly proceed to the call and clean and restock the ambulance after
b) advise the dispatcher that you are out of service and to send another unit
You are assessing a 30-year-old female who presents with respiratory distress and tachycardia after she opened a package that was delivered to her home. The patient tells you that there was a fine white powder on the package, but she did not think it was important. This patient has MOST likely been exposed to: a) ebola b) anthrax c) botulinum d) a neurotoxin
b) anthrax
A weapon of mass destruction is MOST accurately defined as: a) a device or agent used to destroy a specific area or region within a given geographic location b) any agent used to bring about mass death, casualties, or massive infrastructural damage c) a nuclear or chemical weapon that can be launched from one country to another country d) any device used for the express purpose of creating carnage in an effort to make a particular point
b) any agent used to bring about mass death, casualties, or massive infrastructural damage
You are attempting to gain access to a patient who was injured when his truck struck another vehicle from behind. The patient is conscious and alert, but is screaming in pain. You try to open the door, but it is locked. You should: a) break the window and unlock the door b) ask the patient if he can unlock the door c) request the rescue team to extricate him d) use a pry bar to attempt to open the door
b) ask the patient if he can unlock the door
Upon returning to your station following a run, you should disinfect the ambulance as needed. Disinfection is MOST accurately defined as: a) using heat as a means of removing all microbial contaminants b) killing pathogenic agents with a chemical made for that purpose c) removing dirt, dust, blood or other grossly visible contaminants d) destroying pathogen agents by using potent disinfections means
b) killing pathogenic agents with a chemical made for that purpose
Immediately upon arriving at the scene of an emergency call involving a traumatic injury, you should notify the dispatcher of your arrival and then: a) quickly gain access to the patient b) observe the scene for safety hazards c) determine if additions units are needed d) carefully assess the MOI
b) observe the scene for safety hazards
Once entrance and access to the patient have been provided, you should: a) allow extrication to commence b) perform a primary assessment c) administer high-flow O2 d) begin treating his or her injuries
b) perform a primary assessment
Signs and symptoms of exposure to a nerve agent include: a) dry mouth, dilated pupils and headache b) salivation, pinpoint pupils and diarrhea c) hypertension and severe pulmonary edema d) tachycardia, flushed skin, and unequal pupils
b) salivation, pinpoint pupils and diarrhea
When victims involved in a mass-casualty incident are moved to the treatment area a) definitive care is provided and preparations for transport will be made b) secondary triage is performed and the appropriate treatment is rendered c) they will be rapidly assessed and prioritized according to their injuries d) all uninjured patients are placed in a holding area and closely observed
b) secondary triage is performed and the appropriate treatment is rendered
Viral hemorrhagic fevers (VHF), such as Ebola, cause the blood to: a) become thick and spontaneously clot b) seep out of the blood vessels and tissues c) attack the bone marrow and destroy cells d) engorge the brain and cause hemorrhaging
b) seep out of the blood vessels and tissues
Which of the following statements regarding blast injuries is correct? a) solid organs such as the middle ear, lungs and GI tract are the most susceptible to pressure changes b) solid organs are relatively protected from shock wave injury but may be injured during the secondary or tertiary blast phase. c) tertiary blast injuries are penetrating or non penetrating injuries that result from flying debris, such as ordinance projectiles d) the GI tract is the organ system most sensitive to blast injuries and is the leading cause of death following an explosion
b) solid organs are relatively protected from shock wave injury but may be injured during the secondary or tertiary blast phase.
A critical function of the safety officer is to: a) determine the most efficient approach to extricate a victim b) stop an emergency operation whenever a rescuer is in danger c) monitor emergency responders for signs of stress and anxiety d) brief responders during the demobilization phase of an incident
b) stop an emergency operation whenever a rescuer is in danger
It is 10:30 PM and you have requested air medical transport for a critically injured patient. When you arrive at the designated landing zone, you should: a) mark the proposed landing area with road flares b) survey the area for power lines or other hazards c) provide the flight crew with a patient status update d) mark the landing site using personnel with flashlights
b) survey the area for power lines or other hazards
Multiple people in a small town began experiencing abdominal cramps, excessive salivation and urination, and muscle twitching shortly after a small crop duster plane made several passes over the community. As you are assessing the patients, you further determine that most of them are bradycardic and have miosis. In addition to high-flow oxygen, the MOST appropriate treatment for these patients includes: a) amyl nitrate and naloxone b) activated charcoal and glucose c) atropine and pralidoxime chloride (2-PAM) d) epinephrine and hyperbaric oxygen
c) atropine and pralidoxime chloride (2-PAM)
While using lights and siren, most state laws permit an ambulance to: a) disregard all traffic control signals b) drive as fast as the department allows c) carefully exceed the posted speed limit d) proceed through red lights without stopping
c) carefully exceed the posted speed limit
The type and severity of wounds sustained from incendiary and explosive devices primarily depend on the: a) type of material used to manufacture the device b) pressure that is generated from the explosion itself c) patient's distance from the epicenter of the explosion d) size of the structure that was involved in the explosion
c) patient's distance from the epicenter of the explosion
When arriving at the scene of an overturned tractor-trailer rig, you note that a green cloud is being emitted from the crashed vehicle. The driver is still in the truck; he is conscious but bleeding profusely from the head. After notifying the hazardous materials team, you should: a) park downhill from the scene b) ask the driver to exit the vehicle c) position the ambulance upwind d) quickly gain access to the patient
c) position the ambulance upwind
The _________ area is where incoming ambulances meet and await further instructions at the scene of a mass-casualty incident. a) triage b) support c) staging d) transportation
c) staging
Your unit has been dispatched to stand by at the scene of a structure fire. There are no injuries of which you are aware. Upon arriving at the scene, you should: a) contact medical control and apprise him or her of the situation b) park your ambulance behind the incident commander's vehicle c) set up a staging area where fire fighters can be treated if necessary d) ask the incident commander where the ambulance should be staged
d) ask the incident commander where the ambulance should be staged
After eating at a local restaurant, a 20-year-old male complains of blurred vision, difficulty speaking, and difficulty breathing. He is conscious; however, his respirations are profoundly labored and producing minimal tidal volume. You should: a) apply oxygen via a non-rebreather mask b) position him supine and elevate his legs c) request a paramedic to administer atropine d) assist his ventilations with 100% oxygen
d) assist his ventilations with 100% oxygen
When transporting a patient to the hospital, you should: a) generally exceed the posted speed limit by 10 to 20 mph b) place the patient on a long backboard, even if no trauma is involved c) secure the patient to the ambulance stretcher with atlas two straps d) be safe and get the patient to the hospital in the shortest practical time
d) be safe and get the patient to the hospital in the shortest practical time
To date, the preferred weapons of mass destruction for terrorists have been: a) nuclear weapons b) chemical weapons c) biologic weapons d) explosive weapons
d) explosive weapons
__________ rays easily penetrate through the human body and require lead or several inches of concrete to prevent penetration. a) Beta b) alpha c) neutron d) gamma
d) gamma
When multiple patients present with an acute onset of difficulty breathing, chest tightness, and hoarseness or stridor, you should be MOST suspicious of exposure to a) a nerve agent b) sarin or soman c) a vesicant agent d) phosgene or chlorine
d) phosgene or chlorine
Most terrorist attacks are: a) are carried out by fewer than 3 people b) occur within the continental US c) involve the use of nuclear explosive devices d) require multiple terrorists working together
d) require multiple terrorists working together
While en route to a call for a patient in cardiac arrest, you approach a stopped school bus with its red warning lights flashing. You should: a) pass the bus only after all the children have exited b) back up and take an alternate route to the scene c) slowly are carefully pass the bus on the left side d) stop and wait until the warning lights have stopped flashing
d) stop and wait until the warning lights have stopped flashing
Which of the following statements regarding the rapid extrication technique is correct? a) the only indication for performing a rapid extrication is if the patient is not entrapped and is in cardiac arrest b) rapid extrication involves the use of heavy equipment to disentangle a patient from his or her crashed vehicle c) it involves rapidly removing a patient from his or her vehicle after immobilizing him or her with a short backboard d) the rapid extrication technique is indicated if the scene is unsafe and the patient is not entrapped in his or her vehicle
d) the rapid extrication technique is indicated if the scene is unsafe and the patient is not entrapped in his or her vehicle.
You are dispatched to the scene of a building explosion. Upon arrival, you see people frantically fleeing the building, screaming, "Everyone is passing out!" You should: a) carefully assess the situation and ensure your own safety b) assist with the evacuation and begin triaging patients c) notify dispatch and state that a terrorist attack has occurred d) contact the FBI immediately and report the current situation
a) carefully assess the situation and ensure your own safety
The process of removing dirt, dust, blood, or other visible contaminants from a surface or equipment is called: a) cleaning b) disinfection c) sterilization d) high-level disinfection
a) cleaning
Which of the following agents blocks the body's ability to use oxygen and possesses an odor similar to almonds? a) hydrogen cyanide b) phosgene oxide c) organophosphates d) carbon monoxide
a) hydrogen cyanide
A hiker was injured when he fell approximately 20′ from a cliff. When you arrive at the scene, a member of the technical rescue group escorts you to the patient, who is positioned on a steep incline. The MOST appropriate method of immobilizing and moving the patient to the ambulance is to: a) immobilize his spine with a long backboard and place him in a basket stretcher b) immobilize him to a long backboard and use the four-person carry to move him c) apply a vest-style immobilization device and move him using a stair chair device d) immobilize him with a short backboard and place him on the ambulance stretcher
a) immobilize his spine with a long backboard and place him in a basket stretcher
The scene size-up at a motor vehicle crash or other incident: a) is an ongoing process until the incident is terminated b) should be performed by the most experienced EMT c) is a quick visual assessment of the scene prior to entry d) determines who is allowed to safety enter the hot zone
a) is an ongoing process until the incident is terminated
At present, the likelihood of a nuclear attack against the United States is very low because: a) terrorist nations do not have the ability to deliver a nuclear weapon via missile or bomb b) the US has an effective early warning system to detect an incoming nuclear missile c) other than the US, no other countries are currently in possession of nuclear weapons d) all nuclear devices or weapons that different countries are in possession of are currently accounted for
a) terrorist nations do not have the ability to deliver a nuclear weapon via missile or bomb
Upon arriving at the scene of a major motor vehicle crash at night, you find that the safest place to park your ambulance is in a direction that is facing oncoming traffic. You should: a) turn your headlights off b) quickly assess the patient c) place a flare near the crash d) turn all warning lights off
a) turn your headlights off
The main objective of traffic control at the scene of a motor vehicle crash is to: a) warn oncoming traffic and prevent another crash b) facilitate a route for the media to access the scene c) prevent curious onlookers from observing the scene d) get oncoming traffic past the scene ASAP
a) warn oncoming traffic and prevent another crash
