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1. Emergency medical services (EMS) as we know it today originated in 1966 with the highway safety act under the department of __—_—? Ans department of transportation 2.each EMS system has a who authorizes EMTs to provide medical care in the field. Ans medical director 3. which of the following is an example of off-line medical control. a. protocols b. telemetry with the hospital emergency department telephone communications with an emergency room physician d. written orders from a patient's primary care physician or specialist. ANS a. protocols 4. is a system which ensures all providers meet the appropri- ate medical standards. a. quality assurance b. quality control c. quality improvement d. quality standards Ans b. quality control 5. is a system which continually monitors and audits all aspects 1/4 of an EMS system. a. quality assurance b. quality control c. continuous quality improvement d. quality standards Ans c. continuous quality improvement 6. an enhanced 911 center will a. automatically dispatch the closest resources b. forward the call to the appropriate authority c. display the caller's address d. gather all pertinent information IANS c. displays the caller's address 7. which system will provide callers with vital emergency instructions prior to the arrival of EMS a. EMI (emergency medical dispatch) b. TEC (telecommunication emergency care) c. EMD (emergency medical dispatch) d. all of the above are correct Ans c. EMD (emergency medical dispatch) 8. each EMS system, medical director and training program must conform with a. laws and regulations adopted by the state b. local municipal law c. generally accepted industry standards c. acquired immune deficiency syndrome d. hepatitis B IANS a. tuberculosis 13. the most effective way to control disease a. the use of examination gloves b. proper handwashing c. splash resistant safety glasses/ goggles d. gowns Ans b. proper handwashing 14. your employer must make which vaccination available to all "at risk" employees a. influenza b. PPD c. Tetanus d. Hepatitis B Ans d. Hepatitis B 15. the body's 3 stage response to stress is a. acute stress management b. anxiety response syndrome c. fatigue syndrome d. general adaptation syndrome Ans d. general adaption syndrome 16. excessive or prolonged exposure to stressful situation is a. cumulative stress b. chronic stress fatigue c. chronic stress disorder d. post traumatic stress disorder Ans a. cumulative stress 17. an attempt to secure a reward for good behavior or the promise to change a particular lifestyle is which phase of the grieving process a. denial b. bargaining c. acceptance d. depression IANS b. bargaining 18. when dealing with stressful situations you should not a. assure them that "everything will be all right" b. be empathetic c. respect their final wishes d. treat them to the standard of care Ans a. assure them that "everything will be all right" 19. scene safety (Ans when should you begin protecting yourself? a. at dispatch 24. pathogen Ans a microorganism which is capable of causing disease 25. immune IANS the body's ability to protect itself for acquiring a disease 26. contamination IANS the presence of infectious organisms on or in objects 27. host Ans the organism or individual which is attacked by an infecting agent 28. acute stress reactions Ans response to stress during a stressful situation 29. delayed stress reactions (Ans response to stress after a stressful situation 30. hepatitis ANS inflammation of the liver 31. the right of a patient to make decisions regarding their own health a. decisional capacity b. informed consent c. expressed consent d. patient autonomy Ans d. patient autonomy 32. your patient presents unconscious, you should render emergency medical care and treatment under which type of consent a. absolute b. expressed c. implied d. informed An c. implied 33. which of the following patients has the right to refuse care a. a patient who is a minor and is the mother of a child b. an unconscious patient c. a patient with an altered mental status (ANS a. a patient who is a minor and is the mother of a child 34. the responsibility to provide patient care is a. duty to act b. standard of care c. a tort d. continuance of care IANS a. duty to act 35. The unilateral termination of care without turning patient treatment over to a competent provider (equal or higher level of certification) is a. neglect b. abandonment c. res ipsa loquitor d. assault Ans b. abandonment 36. assault is defined as a. unlawfully touching a person b. kidnapping c. placing a person in fear of immediate bodily harm d. defamation 37. which of the following factors must be present to determine negligence (select all that apply) a. the EMT had an obligation to provide care in accordance with protocols b. the EMT did not act within an expected standard of care c. the EMT acted independently from the sponsoring agency d. the patient was harmed either physically or psychologically in some way e. there is reasonable cause and effect relationship between the breach of duty and the damages suffered by the patient ANS a, b, dande 38. you respond to a reported person unresponsive in the bathtub. Upon arrival you find 35 yo male in the bathtub (full of water) with both wrists cut with significant blood loss. Your first concern is a. scene safety b. airway c. management of life- threatening hemorrhage d. removing the patient from the bathtub IANS a. scene safety 39. Upon your assessment of the patient mentioned in question 8 you find the patient to be cyanotic, pulseless, not breathing, and cold to the touch. You should a. immediately remove the patient from the bathtub and begin resuscitation b. back out of the bathroom paying particular attention to the location of objects in the room and any objects you may have disturbed c. open the airway and assess for breathing d.manage life-threatening bleeding and transport as soon as possible 10/44 Ans b. back out of the bathroom paying particular attention to the location of objects in the room and any objects you may have disturbed 40. good Samaritan laws do not necessarily protect you from a lawsuit a. true b. false IAnS a. true 41. battery (ANS touching a patient or providing care without consent 42. dependent lividity AS blood settling to the lowest point of the body causing dis- coloration of the skin 43. ethics (ANS the philosophy of right and wrong 44. in loco parentis ANS the legal responsibility of a person or organization of the parents in their absence 45. consent ANS permission to render care 46. Gross Neglegence (ANS conduct which constitutes willful or reckless disregard for a duty or standard of care 47. decision making capacity Ans ability to understand and process information and make a choice regarding appropriate medical care 1/44 Ans heart muscle 60. perfusion (ANS the supply of oxygen and nutrients to the cells 61. proximal (ANS closer to the trunk 62. sagittal plane Ans divides the body into right and left sides 63. storke volume Ans the quantity of blood pumped with each ventricular contraction 64. superior (Ans towards the head 65. systole JAS the contraction phase of the cardiac cycle 66. transverse plane Ans divides the body into top and bottom parts 67. tendon (Ans connects muscles to bone 68. ventilation Ans the movement of air in and out of the lungs 69. ventral ANS the anterior surface of the body 70. ventricle AnS muscular chambers of the heart 71. trace a drop of blood through the heart beginning in the superior vena cava NS -vena cava -right atrium -tri-cups valve -right ventricle -pulmonary valve -pulmonary artery -lungs -pulmonary vein -left atrium -bi cups valve -left ventricle -aortic valve (Ans stomach, spleen 78. what's in the right lower quadrant? Ans appendix 79. what is in the left lower quadrant? Ans colon 80. trace the path of the digestive system starting in the stomach (Ans - Duodenum - Jejunum - ilium - large intestine 81. what type of metabolism utilizes oxygen (An aerobic 82. lactic acid is a by- product of which type of metabolism nS anaerobic 83. when providing artificial ventilations to an infant with a bag valve mask it is most important to remember a. an infant has a proportionately larger tongue than an adult b. an infant typically has relatively low blood pressure c. an infant's lungs are fragile d. an infant's airway is significantly smaller than an adult's ANS c. an infants lungs are fragile 84. an infant who is reaching out to people and drooling is most likely what age a. 2 months 16/44 b. 3 months c. 4 months d. 5 months ANS c. 4 months 85. an infant who is repeatedly rejected experiences which type of attachment a. secure attachment b. insecure attachment c. anxious-avoidant attachment d. rejection attachment IANS c. anxious- avoidant attachment 86. Why do colds develop so easily in toddlers and preschoolers? a. They experience a loss of passive immunity. b. They do not have well-developed lung musculature. c. They are spending a lot of time around playmates and classmates. d. All of the above Ans d. all of the above 87. the pulse rate of toddlers is (ANS 90-150 beats per minute 88. when the school age children act in a manner to avoid punishment they are demonstrating which type of reasoning a. preconventional reasoning b. conventional reasoning c. postconventional reasoning d. trust and mistrust reasoning IANS a. preconventional reasoning 95. what is part of history and secondary assessment? (Ans -measure the blood pressure -determine allergies and medications -determine the quality of pain 96. which of the following is not performed during the "airway" phase of the assessment a. head tilt/ chin lift b. obtaining a respiratory rate c. insertion of an OPA d. suctioning IANS b. obtaining a respiratory rate 97. Your patient's initial vital signs are; pulse rate of 120 and weak, respiratory rate of 24 and shallow, blood pressure of 90/50, skin is cool and ashen. After administering high concentration 02, keeping the patient warm and in the position of comfort you reassess the vital signs to be pulse rate of 98 and regular, respiratory rate of 20, blood pressure of 110/60 and the skin is warm and pink. Which of the following can you conclude from this information? a. the patient will survive b. the patient may be transported BLS c. the initial vital signs were inaccurate d. the patient's condition may be improving (ANS d. the patient's condition may be improving 98. the feeling of not getting enough air can be terrifying, regardless of the cause. As an EMT you should be prepared to not only treat the symptoms and underlying cause, but also a. nausea and vomiting b. the anxiety is produces c. headache it produces d. pneumonia IANS b. the anxiety it produces 99. You are on the scene of a victim of an assault, the scene is safe. You find a 22 year old male patient who is responsive to painful stimuli, his blood pressure is 180/60, pulse is 60 and bounding, respirations are 12 and labored. How would you classify this patient? a. stable, the patient is hypertensive b. unstable, the patient is hypertensive c. stable, the vital signs are within the "normal" range for an adult d. unstable, the patient is responsive only to pain stimuli Ans d. unstable, the patient is responsive only to painful stimuli 100. action taken to correct a patient's condition are known as a. ABCs 
