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EMD FINAL EXAM 2024 | 2 DIFFERENT VERSIONS |
100 QUESTIONS AND CORRECT ANSWERS
(ALREADY GRADED A+) | EMERGENCY MEDICAL
DISPATCH | LATEST UPDATE 2024 | PROFESSOR
VERIFIED
EMD FINAL EXAM 1
PDI-b on Protocol 6 has a Pre-Instruction Qualifier (PIQ) of "(≥1 + E-1 or D- 1, 2, 3)." This PIQ indicates that PDI-b should be given: --------CORRECT ANSWER-------------whenever the patient is one year old or older and a 6-E- 1, 6-D-1, 6-D-2, or 6-D-3 Determinant Code is appropriate for the case. What is the most appropriate Chief Complaint Protocol to use when the complaint description is a breathing-related tracheotomy (trach or stoma) problem in a conscious patient? --------CORRECT ANSWER-------------6: Breathing Problems Public safety agencies that fail to take appropriate remedial action against employees who demonstrate poor performance may be found liable for the employee's inappropriate actions based on the legal concept of: -------- CORRECT ANSWER-------------negligent retention. The Gap Theory suggests that: --------CORRECT ANSWER-------------silent "gaps" during a call can elevate caller anxiety. A second-party caller is reporting that her 10-year-old daughter accidentally cut herself with a sharp knife and is bleeding all over. The patient is awake and breathing. In response to Key Question 1 on Protocol 21, the caller
reports that the patient is bleeding from her cheek. What should you do next? --------CORRECT ANSWER-------------Ask Key Question 2 on Protocol 21. The symbol in the "Go To" column of a Chief Complaint Protocol directs you to: --------CORRECT ANSWER-------------use the Stroke Diagnostic & return to questioning. Which of the following is the best definition for "wake-effect collision"? -------
- CORRECT ANSWER-------------a traffic accident caused by the passage of an emergency vehicle that does not directly involve (hit) the emergency vehicle A high school teacher reports that a 16-year-old student accidentally cut her finger off in the woodshop. There is some bleeding, but the bleeding is not SERIOUS. The patient is alert, and the accident happened about 5 minutes ago. What is the most appropriate Determinant Code? -------- CORRECT ANSWER------------- 30 - A- 2 A second-party caller reports that his wife is in labor. He does not believe they can get to the hospital in time. Key Questioning finds: 39 weeks pregnant cannot see any part of the baby yet third full pregnancy and delivery contractions 2 minutes apart no SERIOUS bleeding no HIGH RISK complications What is the most appropriate Determinant Code? --------CORRECT ANSWER------------- 24 - D- 3
A second-party caller reports that his 12-year-old son injured his hip playing football. There is no bleeding, and the patient is completely alert and breathing normally. The caller reports that the injury occurred last night (over 10 hours ago), but the boy just woke up and is complaining that he can barely walk because of the pain. What is the most appropriate Determinant Code? --------CORRECT ANSWER------------- 30 - A- 3 The head-tilt is the only recognized method of airway control in the PAI dispatch environment. --------CORRECT ANSWER-------------true A second-party caller reports that his 17-year-old friend was stabbed during a fight. During Case Entry, the caller reports that the patient is awake and breathing. Key Questioning finds: SERIOUS bleeding completely alert stabbed in abdomen one wound just happened What is the most appropriate Determinant Code? --------CORRECT ANSWER------------- 27 - D-4S During Case Entry, a second-party caller reports that his 12-year-old stepson is having a generalized (non-FOCAL/non-ABSENCE) seizure. Key Questioning finds: not more than one seizure in a row not diabetic epileptic (diagnosed seizure disorder) no history of STROKE or brain tumor jerking (twitching) stopped effective breathing verified using AGONAL BREATHING Detector What is the most appropriate Determinant Code? --------CORRECT ANSWER------------- 12 - A-1E
According to the First Law of Chest or Back Pain, "hurts to breathe" should be considered the same as difficulty breathing until proven otherwise. -------
- CORRECT ANSWER-------------false On the Case Entry Protocol, use of the AGONAL BREATHING Detector is not necessary when UNCERTAIN BREATHING or INEFFECTIVE BREATHING is associated with unconsciousness. --------CORRECT ANSWER-------------true A second-party caller reports that a 45-year-old female has been bitten by a snake. Key Questioning finds: snake is now dead patient is alert no difficulty breathing or swallowing What is the most appropriate Determinant Code? --------CORRECT ANSWER------------- 2 - D- 4 An effective quality improvement program includes case review, feedback, and: --------CORRECT ANSWER-------------continuing dispatch education (CDE) MPDS words or phrases that have a specific dispatch definition are marked using: --------CORRECT ANSWER-------------all uppercase text (all capital letters) The Priority Symptoms are: --------CORRECT ANSWER-------------abnormal breathing, chest pain/discomfort (any), decreased level of consciousness, and SERIOUS hemorrhage
interrogation, you should go to: --------CORRECT ANSWER------------- Protocol 19: Heart Problems/A.I.C.D A second-party caller reports that her 42-year-old husband is currently having a seizure. During Case Entry, the caller reports that the patient is not awake and is not breathing, but is still seizing. What is the most appropriate Chief Complaint Protocol to use for this case? -------- CORRECT ANSWER-------------Convulsions/Seizures Which of the following is the best definition for "repetitive persistence"? ----- ---CORRECT ANSWER-------------A calming technique in which the calltaker repeats a phrase verbatim using a firm but caring tone. The phrase should contain both an action and a reason for the action. A second-party caller reports that her 81-year-old mother just fell (ground level) and may have broken her hip. During Case Entry, the caller reports that the patient is awake and breathing. In response to Key Question 2 on Protocol 17, the caller reports that the patient was dizzy and may have fainted. What should you do next? --------CORRECT ANSWER------------- Shunt to Protocol 31. In response to Case Entry Question 3, the caller reports that her 34-year- old husband accidentally set himself on fire while using gasoline to ignite a campfire. The man is still on fire. What should you do next? -------- CORRECT ANSWER-------------Immediately initiate a 7-E-1 response and provide the appropriate Case Entry PDIs. If the EMD does not understand the caller's language well enough to determine a Chief Complaint and no one on duty is able to assist, the EMD should: --------CORRECT ANSWER-------------send 32-B-4, immediately
contact a language line service, if available, and reconfigure as appropriate. If the caller believes a DNR (Do Not Resuscitate Order) should be ignored or is uncertain if a DNR is valid or in place, an appropriate response and resuscitation attempt should be made. --------CORRECT ANSWER----------- --true Key Question 1 on Protocol 16 is "Is s/he completely alert (responding appropriately)?" According to MPDS standards, it is acceptable to read this question as "Is she completely alert and responding appropriately?" -------- CORRECT ANSWER-------------false What is the most appropriate Chief Complaint Protocol to use when the caller is reporting autonomic dysreflexia/hyperreflexia? --------CORRECT ANSWER-------------26: Sick Person (Specific Diagnosis) Most emergency callers are uncooperative or hysterical. --------CORRECT ANSWER-------------false There is no way over the phone to tell whether STROKE-like symptoms are from a TIA (TRANSIENT ISCHEMIC ATTACK) or an acute STROKE. -------
- CORRECT ANSWER-------------true A second-party caller reports that his 52-year-old wife is complaining of abdominal pain. The patient: is completely alert is breathing effectively
of the family swimming pool. What should you do next? --------CORRECT ANSWER-------------Send 14-E-2, provide Case Entry PDIs a and c, and then return to questioning. Which of the following lists contains the four elements necessary to prove negligence in a court of law? --------CORRECT ANSWER-------------duty, breach of duty, damage, causation You are providing Childbirth-Delivery instructions from Protocol F. In response to the operant question on Panel 10, "Is the afterbirth (placenta) out yet?" the caller reports that the afterbirth is not out, but the mother is experiencing serious cramping. What should you do next? -------- CORRECT ANSWER-------------Link to Panel 37. A second-party caller is reporting an assault on a 26-year-old male patient. Key Questioning finds: no SERIOUS bleeding completely alert injuries to head and chest no difficulty breathing (breathing normally) happened 30 minutes ago What is the most appropriate Determinant Code? --------CORRECT ANSWER------------- 4 - B-1A An unconscious, non-breathing hypothermia patient should always be considered an OBVIOUS DEATH until proven otherwise. --------CORRECT ANSWER-------------false A third-party caller reports that a bus full of passengers just crashed into a large tree. The caller has no other information about the incident. What is
the most appropriate Determinant Code? --------CORRECT ANSWER-------- ----- 29 - D-1b
EMT Final Exam 2
A ____ _____ ______ Was successfully master this body skills and knowledge in order to be effective in serving the publics emergency medical needs as part of the local emergency medical services system ----- CORRECT ANSWER-----------Emergency Medical Dispatcher In addition to the public safety telecommunicate a requirement all students must have current _____ certification from the American heart Association - ----CORRECT ANSWER-----------CPR The a PCO institute EM do you course was designed to provide enough material to ensure he will be able to: -----CORRECT ANSWER----------- State and identify the roles of an EMD Allocate resources properly and according to local medically approved guide cards Obtain sufficient and accurate information from callers to dispatch resources properly and efficiently Give appropriate pre-arrival instructions to callers as locally approved medical interrogation guide cards indicate Understand the medical information found and locally approved and customize a PCO emergency medical dispatch guidelines and software
A resource with basic life support capability dispatched and told to respond in an emergency response mode -----CORRECT ANSWER-----------BLS hot A resource with advanced life support capability dispatched and told to respond in an emergency response mode -----CORRECT ANSWER----------
- ALS Hot Is when everything rolls using the emergency response mode ----- CORRECT ANSWER-----------Full response _______ Means that you were ultimately responsible for your actions ----- CORRECT ANSWER-----------Liability ______ Is defined as failure to act or perform in a particular situation as any other reasonable prudent telecommunicator would under the same or similar circumstances -----CORRECT ANSWER-----------Negligence _____ negligence Is defined as negligent conduct that was not purposeful or caused by malicious intent -----CORRECT ANSWER-----------Simple Didn't mean for it to happen -----CORRECT ANSWER-----------Simple Didn't care if it did happen -----CORRECT ANSWER-----------Gross
Planned for it to happen -----CORRECT ANSWER-----------Criminal _______ Is anything awarded to winning plaintiffs -----CORRECT ANSWER-----------Damages To reduce liability risk management must be approached at what two levels -----CORRECT ANSWER-----------Agency Individual What method can we use to reduce liability -----CORRECT ANSWER-------- ---Use of a well organized written orientation and training program for new employees What are some common sources of litigation in EMD -----CORRECT ANSWER-----------Failing to send emergency medical services when requested Subjective judgment of caller credibility Subjective judgment of the validity of callers chief complaint Argumentative and combative attitude on the part of the EMD Allowing prejudices to affect objective decision making Providing medical instruction without using locally approved EMD guide cards Failure to train and be certified as an EMD
What for events may cause hysteria in callers -----CORRECT ANSWER----- ------Recurrent hysteria It's not working Telescoping of time Secondary patient When faced with a crisis why do children often appear to be very calm ----- CORRECT ANSWER-----------Because they generally do not understand the gravity of the situation What system controls all of your body functions and allows for interaction with the outside world through sensation -----CORRECT ANSWER----------- The nervous system How soon does the AHA recommend defibrillation be accomplished? ----- CORRECT ANSWER-----------Less than 5 minutes from the time the call is received What six caution notes are listed on the AED reference guide card ----- CORRECT ANSWER-----------Do not operate the AED in or around: Water snow or ice Bathtubs pools or jacuzzis Metal street ventilation grates Hazardous materials Any type of conductive medium What are some good questions to ask a caller with a VAD -----CORRECT ANSWER-----------Is there a good power source? Are there any alarms going off? If so what are they?
What system takes in the oxygen we need and is responsible for removing carbon dioxide -----CORRECT ANSWER-----------The respiratory system What system supports the body and provides movement through the actions of muscles and joints -----CORRECT ANSWER-----------The musculoskeletal system What system is responsible for eating digesting food and liquids and eliminating waste -----CORRECT ANSWER-----------The digestive system What system is made up of the organs of waste elimination and reproduction -----CORRECT ANSWER-----------The genitourinary system For a newborn how many breaths per minute are considered normal ----- CORRECT ANSWER----------- 30 - 50 What is objective can be seen heard smelled or felt by an observer such as pain or clammy skin -----CORRECT ANSWER-----------A sign What is subjective or felt and reported by the patient such as nausea or dizziness -----CORRECT ANSWER-----------A symptom
What do you do if a caller says that a tourniquet has already been applied - ----CORRECT ANSWER-----------Leave the tourniquet on and ask for time of application What is the most critical allergic reaction -----CORRECT ANSWER----------- Anaphylactic shock Ectopic pregnancy, a third critical cause is indicated by what? ----- CORRECT ANSWER-----------Lower abdominal pain and signs of shock What is considered a moderate cause of chest pain -----CORRECT ANSWER-----------Pleurisy pneumonia hiatal hernia viral illnesses rib injuries muscle strains and shingles What is a disorder where the body does not produce insulin or does not use it efficiently? -----CORRECT ANSWER-----------Diabetes The body does not use insulin properly. This is controlled by diet exercise and medications -----CORRECT ANSWER-----------Type two Commonly known as juvenile diabetes, the body does not produce insulin - ----CORRECT ANSWER-----------Type one Develops during pregnancy and can affect the mother and baby ----- CORRECT ANSWER-----------Gestational diabetes
Sudden or acute onset of a headache associated with fever or neck pain with a change in level of alertness can be indicative of meningitis or a subarachnoid hemorrhage this is considered a what case? -----CORRECT ANSWER-----------Critical What should we do in the case of a poisoning -----CORRECT ANSWER----- ------Do not give the patient anything to eat or drink except in cases of caustic ingestion of an acid or lye What are four common signs of a stroke -----CORRECT ANSWER----------- Speech and motor problems, motor functions may diminish on one side of the body Complaining of numbness and tingling Possible history of stroke Possible altered level of consciousness What are some Traumatic incident types -----CORRECT ANSWER----------- Animal bites Assault/sexual assault Burns Heat/cold exposure What should we ensure is done in a sexual assault case -----CORRECT ANSWER-----------Preservation of evidence
