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EMD ONLINE PRACTICE EXAM ACTUAL
EXAM 2024 | EMERGENCY MEDICAL
DISPATCH EXAM QUESTIONS AND
CORRECT ANSWERS (ALREADY
GRADED A+) | LATEST UPDATE
The Academy does not consider aspirin to be a blood thinner in response to Key Question 5 on Protocol 21: "Does s/he have a bleeding disorder or is s/he on blood thinners?" A.) True B.) False ------CORRECT ANSWER------------A.) True Both ECHO- and DELTA-level Determinant Codes imply potentially critical, time- sensitive situations. A.) True B.) False ------CORRECT ANSWER------------A.) True ECHO Determinant Codes were created to encourage agencies to send: A.) The most cost-efficient response B.) All available responders C.) The absolute closest response of any trained crew D.) Their most highly trained paramedic ------CORRECT ANSWER------------C.) The absolute closest response of any trained crew ECHO codes only exist on Chief Complaint Protocols without DELTA codes.
A.) True B.) False ------CORRECT ANSWER------------B.) False As a general rule, ECHO Codes are included on Chief Complaint Protocols that involve significant scene safety risks. A.) True B.) False ------CORRECT ANSWER------------B.) False You will sometimes have enough information after hearing the caller's response to, "Okay, tell me exactly what happened," to immediately initiate an ECHO response for the patient. A.) True B.) False ------CORRECT ANSWER------------A.) True Which of the following complaints represents a situation that, without obtaining any further information, could be properly categorized by an EMD into one of the MPDS Chief Complaint Protocols? A.) "He's just laying on the couch looking miserable. I think he's dying. Come quick! B.) "Something's wrong with my Mom. She needs an ambulance right away." C.) "My baby just swallowed a marble and it's stuck in her throat. She can't breathe at all!" D.) "He's been acting really sick since yesterday, and now he's getting even worse." -----
- CORRECT ANSWER------------C.) "My baby just swallowed a marble and it's stuck in her throat. She can't breathe at all!" Immediately after initiating an ECHO response, you should: A.) Provide applicable Case Entry Post-Dispatch instructions.
A.) ask if the patient is changing color and if s/he is still warn to try to determine if the patient is still alive. B.) instruct the caller not to move or touch anything at the scene in order to preserve evidence. C.) Instruct the caller: "Cut him down immediately, loosen the noose, then tell me if s/he's breathing." ------CORRECT ANSWER------------C.) Instruct the caller: "Cut him down immediately, loosen the noose, then tell me if s/he's breathing." A caller tells you that she just found her 2-year-old son in their backyard swimming pool and he is still under the water. After initiating a 14-E-2 response and providing Case Entry PDI-a, you should: A.) ask the caller about the size and depth of the pool and how good of a swimmer they are to determine if it is safe to tell the caller to go in the water. B.) Instruct the caller to immediately get the child out of the water. C.) Instruct the caller not to go in the water unless it's safe to do so. ------CORRECT ANSWER------------C.) Instruct the caller not to go in the water unless it's safe to do so. You have just initiated a 9-E-5 response in suffocation case where the patient may still have something covering her face or in her mouth that is interfering with her ability to breathe. After providing Case Entry PDI-a, you should immediately tell the caller: A.) "Remove anything covering the face or in the mouth, then tell me if she's breathing." B.) "Loosen anything around the neck, then tell me if she's breathing." C.) "Turn her on her side and check to see if there is anything in her mouth then tell me if she's breathing." D.) "Cut her down immediately, loosen the noose, then tell me if she's breathing." ------ CORRECT ANSWER------------A.) "Remove anything covering the face or in the mouth, then tell me if she's breathing." In response to, "Okay, tell me exactly what happened," the caller reports that her dad's pants are on fire. What should you do next?
A.) Continue with the Case Entry interrogation. B.) Instruct the caller to, "Tell him to stop running, drop to the ground, cover his face, and roll around. If water is available, douse him with it immediately until the fire is completely out." C.) Initiate a 7-ECHO-1 response. D.) Instruct the caller to immediately, "Get away and call us from somewhere safe." ------ CORRECT ANSWER------------C.) Initiate a 7-ECHO-1 response. After an ECHO response, completing all Case Entry and Chief Complaint Key Questions, when directed, ensures that the proper knowledge regarding safety issues and the appropriate warnings and/or advice are immediately and always passed on to the responders and potential scene helpers. A.) True B.) False ------CORRECT ANSWER------------A.) True If you are using the MPDS cardset, and the correct Chief Complaint Protocol for the ECHO-level case you're handling is Protocol 9: Cardiac or Respiratory Arrest, then: A.) you always know it should be coded as 9-ECHO-1, since there is only one ECHO code on Protocol 9. B.) you can refer to the list on the Case Entry Additional Information Protocol to help you determine the correct Determinant Code. C.) you should not initiate a response until you have completed the Key Questions on Protocol 9. ------CORRECT ANSWER------------B.) you can refer to the list on the Case Entry Additional Information Protocol to help you determine the correct Determinant Code. When you discover during Case Entry that a patient is in full arrest from anaphylactic shock after having been stung by a wasp and is not breathing, you should code the case as: A) 2-E- 1
D.) Is considered an unnecessary interruption in compressions and should be avoided. - -----CORRECT ANSWER------------B.) Allows the heart to refill with blood that can be circulated out into the body again with the next compression. Once applied to the patient and turned on, an AED will administer a shock to the patient, even if her/his heart is beating normally. A.) True B.) False ------CORRECT ANSWER------------B.) False As the EMD, it's your job to diagnose reported heart problems. A.) True B.) False ------CORRECT ANSWER------------B.) False The term "arrhythmia" refers to: A.) An abnormally fast heart rate. B.) An abnormally slow heart rate. C.) Any electrical heart rhythm abnormality. D.) The absence of a measurable heart rate. ------CORRECT ANSWER------------C.) Any electrical heart rhythm abnormality. Some patients with Premature Atrial Contractions (PACs) have the sensation that their heart has momentarily stopped beating. A.) True B.) False ------CORRECT ANSWER------------A.) True
Ventricular tachycardia is an arrhythmia characterized by: A.) A very rapid heart rate. B.) A very slow heart beat. C.) An uncoordinated and ineffective heart beat. D.) No measurable heart beat. ------CORRECT ANSWER------------A.) A very rapid heart rate.. Which of the following is designed to restore a normal heart rhythm when a patient is experiencing ventricular fibrillation? A.) A defibrillation device B.) CPR C.) Anti-arrhythmia drugs such a lidocaine or amiodarone D.) Cardiac ablation ------CORRECT ANSWER------------A.) A defibrillation device An A.I.C.D is a defibrillation device which is: A.) Surgically implanted into the patient's chest. B.) An external defibrillator designed for use by people with little or no medical training. C.) Specifically designed for use on patients under the age of 1. D.) Worn on the patient's wrist. ------CORRECT ANSWER------------A.) Surgically implanted into the patient's chest. Congestive heart failure is: A.) When a loss of blood supply to part of the heart muscle results in the death of, or damage to, that tissue. B.) The sudden and complete loss of heart function.
A.) (4) Assault/Sexual Assault B.) (19) Heart Problems/A.I.C.D C.) (10) Chest Pain/Chest Discomfort (Non-Traumatic) D.) (30) Traumatic Injuries ------CORRECT ANSWER------------A.) (4) Assault/Sexual Assault Select the Best Chief Complaint Protocol: My husband have one of those little shock boxes in his heart & he just felt it go off. He seems okay right now but I am really worried because there must be something worse going on with his heart." A.) (10) Chest Pain/Chest Discomfort (Non-Traumatic) B.) (15) Electrocution/Lightning C.) (19) Heart Problems/A.I.C.D. D.) (26) Sick Person ------CORRECT ANSWER------------C.) (19) Heart Problems/A.I.C.D. Select the Best Chief Complaint Protocol: "I have been having AFIB this morning. And it has gotten out of control. I was trying to get to the hospital but my heart is racing." A.) (10) Chest Pain/Chest Discomfort (Non-Traumatic) B.) (19) Heart Problems/A.I.C.D. C.) (26) Sick Person D.) (31) Unconscious/Fainting (Near) ------CORRECT ANSWER------------B.) (19) Heart Problems/A.I.C.D. The caller's "diagnosis" may have nothing to do with the actual reason the patient needs help now.
A.) True B.) False ------CORRECT ANSWER------------A.) True In the dispatch environment, a patient who is _____ years old or older with chest pain or chest discomfort, is considered a heart attack patient until proven otherwise. A.) 30 B.) 35 C.) 40 D.) 45 ------CORRECT ANSWER------------B.) 35 The caller has reported that her heart is beating really fast. In response to Key Question 2, the caller says she is breathing normally. Which of the following should you ask next? A.) Key Question 2: "Are you breathing normally?" B.) Key Question 2a: "Do you have difficulty speaking between breaths?" C.) Key Question 3: "Are you changing color?" D.) Key Question 4: "Are you clammy or having cold sweats?" ------CORRECT ANSWER------------D.) Key Question 4: "Are you clammy or having cold sweats?" Which one of the following color changes is NOT of clinical significance? A.) Gray B.) Blue C.) Purple D.) Red ------CORRECT ANSWER------------D.) Red
When chest pain or discomfort is "discovered" during Protocol 19's Key Questioning, you should shunt to Protocol 10: Chest Pain/Chest Discomfort. A.) True B.) False ------CORRECT ANSWER------------B.) False A 35-year-old man reports that he has been experiencing heart palpitations for the past two hours. He is alert, breathing normally and is not clammy or having cold sweats. He has no history of heart problems, but in response to Key Question 5, he reports that he does have some chest discomfort. In response to Key Question 7, he admits that he smoked "weed" (marijuana) about 5 hours ago. His heart rate is 136 beats per minute. A.) 19-C- 3 B.) 19-C- 5 C.) 19-C- 6 D.) 19-A- 2 ------CORRECT ANSWER------------A.) 19-C- 3 Ventricular fibrillation is an arrhytmia characterized by: A.) A very rapid heart rate. B.) A very slow heart beat. C.) An uncoordinated and ineffective heart beat. D.) No measurable heart beat. ------CORRECT ANSWER------------C.) An uncoordinated and ineffective heart beat. You are providing the Instructions for Taking a Pulse. The caller has just indicated that they have detected the patient's pulse. What is the next instruction you should give to the caller? A.) "Count each beat out loud so I can time you, starting now."
B.) "Count the beats for 15 seconds." C.) "Count out loud so I can count with you." D.) "Okay, I want you to say 'now' every single time you feel a pulse, starting immediately." ------CORRECT ANSWER------------A.) "Count each beat out loud so I can time you, starting now." A man reports that his 38-year-old wife feels like there's something wrong with her heart. He reports that she's experiencing extreme fatigue and a slow heart beat. She is alert, breathing normally, and is not clammy or changing color. She does not have a history of heart problems and hasn't taken any drugs or medications in the past 12 hours. She's also not having chest pain or discomfort. The pulse check indicates that her heart rate is 45 bpm. A.) 19-C- 3 B.) 19-C- 6 C.) 19-A- 1 D.) 19-A- 2 ------CORRECT ANSWER------------B.) 19-C- 6 Which of the following should you do if the caller asks whether the alert patient should take her "heart medication?" A.) Tell the caller to use her best judgment. B.) Tell the caller to give the medications now. C.) Tell the caller to remind the patient to do what her doctor has instructed for these situations. D.) Tell the caller not to let the patient have anything to eat or drink because it might make her sick or cause problems for the doctor. ------CORRECT ANSWER------------C.) Tell the caller to remind the patient to do what her doctor has instructed for these situations. The caller's 65-year-old father feels like his heart is "beating out of his chest." He is not responding appropriately, and is having difficulty speaking between breaths. When you
D.) Triage ------CORRECT ANSWER------------C.) Enhanced 9- 1 - 1 ProQA's Cursor Priority feature allows local medical control to specify which Determinant Codes become the default, suggested code when two or more codes might apply. A.) True B.) False ------CORRECT ANSWER------------A.) True Local Media Control must authorize the EMD's evaluation and administration of aspirin in patients presenting with chest pain or heart attack symptoms. A.) True B.) False ------CORRECT ANSWER------------A.) True According to Rule 1 on the Aspirin Diagnostic Tool, Aspirin-containing medications should not be administered to patient who are not alert or under age 20. A.) True B.) False ------CORRECT ANSWER------------B.) False On the Emerging Infectious Disease Surveillance Tool, the symptoms displayed in red indicate: A.) Diseases related to the blood. B.) A scene safety hazard. C.) A severe respiratory infection. D.) Ebola-essential symptoms to ask. ------CORRECT ANSWER------------D.) Ebola- essential symptoms to ask.
Which one of the following is best defined as unusual, dying, breathing efforts exhibited by someone entering cardiac arrest? A.) Effective breathing B.) Agonal breathing C.) Stroke D.) Ventilations ------CORRECT ANSWER------------B.) Agonal breathing The AGONAL BREATHING Diagnostic should be used when the caller is unsure whether the patient is breathing. A.) True B.) False ------CORRECT ANSWER------------B.) False The Aspirin Diagnostic is designed to be used after: A.) Key Questions have been asked. B.) Key Questions have been asked and dispatch has been initiated. C.) Key Questions have been asked, dispatch has been initiated, and all appropriate Post-Dispatch Instructions have been provided. D.) Case Exit instructions have been given. ------CORRECT ANSWER------------C.) Key Questions have been asked, dispatch has been initiated, and all appropriate Post- Dispatch Instructions have been provided. According to the Pulse Check Tool and Protocol 19: Heart Problems. a patient's condition merits a CHARLIE response if their pulse is <50 bpm or >: A.) 80 bpm B.) 100 bpm C.) 130 bpm ------CORRECT ANSWER------------C.) 130 bpm
C.) Compressions Monitor D.) Time-to-Compressions Calculator ------CORRECT ANSWER------------C.) Compressions Monitor In response to Case Entry Question 3, a caller reports that her husband is Obviously NOT BREATHING and Unconscious. It is clear that no trauma was involved. What should you do next? A.) Ask Case Entry Question 4 B.) Initiate dispatch and return to questioning C.) Initiate dispatch, provide all appropriate PDIs, and return to questioning D.) Initiate dispatch, provide PDI-a, determine if a defibrillator is available, and then provide CPR instructions from Protocol C ------CORRECT ANSWER------------D.) Initiate dispatch, provide PDI-a, determine if a defibrillator is available, and then provide CPR instructions from Protocol C Protocol Q: Narcan/Naloxone Administration Assistance Instructions are designed for treating patients who: A.) Are experiencing an extreme allergic reaction or anaphylactic shock. B.) Are in need of an antidote for a narcotic drug overdose. C.) Have been in an automobile accident. D.) Have committed chemical suicide. ------CORRECT ANSWER------------B.) Are in need of an antidote for a narcotic drug overdose. When using the Epinephrine Auto-Injector Instructions, EMDs should strongly recommend using the medication if the patient is exhibiting clear symptoms of a severe allergic reaction, even if the medication was not prescribed for them. A.) True B.) False ------CORRECT ANSWER------------A.) True
The Epinephrine Auto-Injector instructions contain important, specific directions if the caller reports that the injector is expired. A.) True B.) False ------CORRECT ANSWER------------A.) True Telematics Servce Provider (TSP) operators currently do not have the ability to conference the emergency dispatcher in with vehicle occupants. A.) True B.) False ------CORRECT ANSWER------------B.) False To initiate a SMS text message from ProQA, EMDs will need to: A.) Use special equipment such as a teletypewriter (TTY). B.) Use their cell phone. C.) Right click on a question or instruction and select the send question or send instruction option. D.) Wait for a future version of ProQA to be developed. ------CORRECT ANSWER-------- ----C.) Right click on a question or instruction and select the send question or send instruction option. The transition to Next Generation 9- 1 - 1 systems is as simple as installing new computers in the communication center. A.) True B.) False ------CORRECT ANSWER------------B.) False Gagging is a common type of choking that is always a prehospital emergency.
