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1
Q

The standards for prehospital emergency care and the individuals who provide it are typically regulated by the:

Select one:

a. National Registry of EMTs.
b. American Heart Association.
c. regional trauma center.
d. state office of EMS.

A

d. state office of EMS.

2
Q

In relation to the wrist, the elbow is:

Select one:

a. lateral.
b. proximal.
c. medial.
d. distal.

A

b. proximal.

3
Q

The official transfer of patient care does not
occur until the EMT

Select one:
a. informs dispatch of the patient’s arrival at the
emergency department.
b. notifies the admitting clerk of the patient’s
arrival at the hospital.
c. gives a radio report to the receiving medical
facility.
d. gives an oral report to the emergency room
physician or nurse.

A

d. gives an oral report to the emergency room physician or nurse.

4
Q

The spread of HIV and hepatitis in the health
care setting can usually be traced to:

Select one:

a. careless handling of sharps.
b. excessive blood splashing or splattering.
c. lack of proper immunizations.
d. noncompliance with standard precautions

A

a. careless handling of sharps.

5
Q

According to Occupational Safety and Health Administration (OSHA) regulations, an employer must:

Select one:
a. offer a workplace environment that reduces the
risk of exposure
b. screen all prospective employees for blood-borne
pathogens.
c. provide gloves and other personal protective
equipment to full-time paid employees only.
d. guarantee a 100% risk-free environment prior to
employment.

A

a. offer a workplace environment that reduces the risk of exposure.

6
Q

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?

Select one:
a. Perform CPR only and initiate immediate
transport.
b. Follow locally established protocols or standing orders.
c. Ask the husband if he wants to continue
resuscitation.
d. Make continuous attempts to contact medical
control.

A

b. follow locally established protocols or standing orders.

7
Q

When performing the rapid extrication technique to remove a patient from his or her vehicle, you should:

Select one:
a. apply a cervical collar and remove the patient
on a long backboard.
b. apply a cervical collar and immobilize the
patient on a short backboard.
c. apply a vest-style extrication device prior to
moving the patient.
d. grasp the patient by the clothing and drag him
or her from the car.

A

a. apply a cervical collar and remove the patient on a long backboard.

8
Q

The bones of the forearm are called the

Select one:

a. tibia and radius.
b. radius and ulna.
c. radius and humerus.
d. humerus and ulna.

A

b. radius and ulna.

9
Q

According to the National EMS Scope of
Practice Model, an EMT should be able to:

Select one:
a. interpret a basic (ECG) rhythm and treat accordingly. I
b. assist a patient with certain prescribed medications.
c. administer epinephrine via the subcutaneous
route.
d. insert a peripheral IV line and infuse fluids.

A

b. assist a patient with certain prescribed medications.

10
Q

Cardiac monitoring, pharmacologic interventions, and other advanced treatment skills are functions of the:

Select one:

a. EMR.
b. AEMT.
c. Paramedic.
d. EMT.

A

c. paramedic.

11
Q

The atlas is the:

Select one:
a. point where the ribs attach to the sternum.
b. seventh cervical vertebra, which is easily
palpable
c. first cervical vertebra, which articulates with
the skull.
d. attachment between the first and second cervical
vertebrae.

A

c. first cervical vertebra, which is easily palpable

12
Q

An intoxicated 40-year-old male is found lying face down. How would you document his body’s position?

Select one:

a. Supine
b. Prone
c. Recumbent
d. Dorsal

A

b. prone

13
Q

Situations in which you should use the rapid extrication technique include all of the following, EXCEPT:

Select one:
a. a patient whose condition requires immediate
transport to the hospital.
b. a patient who needs immediate care that requires
a supine position.
c. a patient who blocks access to another seriously
injured patient.
d. a patient who can be properly assessed while
still in the vehicle.

A

d. a patient who can be properly assessed while still in the vehicle.

14
Q

The carpal bones form the:

Select one:

a. hand
b. wrist.
c. foot.
d. ankle.

A

b. wrist.

15
Q

The root “melan/o” means:

Select one:

a. white
b. black.
c. red.
d. gray.

A

b. black.

16
Q

The ___________ is made up of the maxilla and zygoma, as well as the frontal bone of the cranium.

Select one:

a. orbit
b. sphenoid
c. mastoid
d. occiput

A

a. orbit

17
Q

When carrying a patient up or down stairs, you
should avoid:

Select one:

a. flexing your body at the knees.
b. using a wheeled stretcher whenever possible.
c. the use of a long backboard or scoop stretcher.
d. the use of more than two EMTs.

A

b. using a wheeled stretcher whenever possible.

18
Q

As an EMT, the standards of emergency care are often partially based on:

Select one:
a. Patient care cannot be discredited based on poor
documentation.
b. It is difficult to prove actions were performed
if they are not included on the report.
c. EMTs are not liable for any actions that are
accurately documented.
d. Incomplete reports are common and accepted in
EMS.

A

b. It is difficult to prove actions were performed if they are not included on the report.

19
Q

Which type of consent is involved when a 39-year-old mentally competent female with a severe headache asks you to take her to the hospital?

Select one:

a. Informed
b. Formal
c. Implied
d. Expressed

A

d. expressed

20
Q

Twelve pairs of ribs attach to which section of
the spinal column?

Select one:

a. Sacral
b. Thoracic
c. Lumbar
d. Coccyx

A

b. thoracic

21
Q

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 begin 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?

Select one:
a. Perform a rapid assessment and then move the
patients from their residence.
b. Request another ambulance to assist with lifting
and moving the patients.
c. Quickly exit the residence and request the fire
department to move the patients.
d. Rapidly remove the patients from their residence
using a blanket or clothes drag.

A

d. Rapidly remove the patients from their residence using a blanket or clothes drag.

22
Q

The axial skeleton is composed of the:

Select one:

a. lower part of the torso and the legs.
b. bones that constitute the pelvic girdle.
c. skull, face, thorax, and vertebral column.
d. arms, legs, and pelvis.

A

c. skull, face, thorax, and vertebral column.

23
Q

You are assessing a 13-month-old female who is running a fever and has been vomiting. While you are performing your physical examination on this child, you will MOST likely find that she:

Select one:
a. is unable to track your movements with her eyes.
b. has bulging fontanelles secondary to severe
dehydration.
c. responds to her name but is fearful of your
presence.
d. will readily allow you to separate her from her
mother.

A

c. responds to her name but is fearful of your presence.

24
Q

If you use a waterless hand washing substitute in
the field, it is important to:

Select one:
a. wait at least 5 minutes before touching another
patient.
b. immediately dry your hands with a paper towel.
c. avoid donning another pair of gloves for at
least 10 minutes
d. wash your hands with soap and water at the
hospital.

A

d. wash your hands with soap and water at the hospital.

25
Q

You are caring for a 52-year-old man who complains of chest discomfort. The patient is a retired paramedic and is very anxious because he thinks he is having a heart attack. Which of the following statements would be appropriate?

Select one:

a. “I notice that you are a retired paramedic, so I’m sure you will understand all of the things that we will be doing to you.”
b. ) “We need to take you to the ED stat. We will give you ASA and NTG en route and then reassess your vitals. Do you have any questions?”
c. It is possible that you are experiencing a heart attack. I am going to give you four baby aspirin to chew and swallow.”
d. ) “This is nothing to worry about. Please try to stay calm. The physician at the hospital will probably not find any signs of a heart problem.”

A

c. “It is possible that you are experiencing a heart attack. I am going to give you four baby aspirin to chew and swallow.”

26
Q

EMT training in nearly every state meets or exceeds the guidelines recommended by the:

Select one:
a. National Association of EMTs. 
b. individual state's EMS protocols.
c. National Registry of EMTs.
d. National Highway Traffic Safety Administration
(NHTSA).
A

d. National Highway Traffic Safety Administration (NHTSA).

27
Q

The anterior fontanelle fuses together between
the ages of:

Select one:

a. 3 and 4 months.
b. 6 and 8 months.
c. 7 and 14 months.
d. 9 and 18 months.

A

d. 9 and 18 months.

28
Q

The most superior section of the sternum is
called the

Select one:

a. manubrium.
b. xiphoid process.
c. costal arch.
d. angle of Louis

A

a. manubrium.

29
Q

Which of the following general statements
regarding consent is correct?

Select one:
a. Patients who are intoxicated are generally
allowed to refuse treatment.
b. Expressed consent is valid only if given in
writing by a family member.
c. A patient can consent to transport but can
legally refuse to be treated.
d. All patients older than 18 years can legally
refuse treatment or transport.

A

c. A patient can consent to transport but can legally refuse to be treated.

30
Q

When is forcible restraint permitted?

Select one:
a. Anytime that the EMT feels threatened
b. Only if law enforcement personnel have witnessed
threatening behavior
c. Only if consent to restrain is given by a family
member
d. When the patient poses a significant threat to
self or others

A

d. When the patient poses a significant threat to self or others

31
Q

The inferior cartilaginous tip of the sternum is
called the:

Select one:

a. jugular notch.
b. sternal notch.
c. xiphoid process
d. angle of Louis.

A

c. xiphoid process

32
Q

You are transporting a 40-year-old male with respiratory distress. The patient tells you that he recently had a positive tuberculosis (TB) skin test and is currently being evaluated for possible TB. You should:

Select one:
a. apply a nasal cannula on the patient and a
sterile surgical mask on yourself.
b. apply a sterile surgical mask on yourself and a
HEPA respirator on the patient.
c. remain at least 3 feet away from the patient and
apply a surgical mask on him.
d. apply a nonrebreathing mask on the patient and a high-efficiency particulate air (HEPA) respirator on yourself.

A

d. apply a nonrebreathing mask on the patient and a high-efficiency particulate air (HEPA) respirator on yourself.

33
Q

Which of the following statements regarding an
infant’s vital signs is correct?

Select one:
a. By 6 months of age, an infant’s normal tidal
volume is 2 to 4 mL/kg.
b. An infant’s heart rate generally ranges between 70 and 110 beats/min. Incorrect
c. An infant’s normal heart rate increases by 10
beats/min each month.
d. An infant’s normal body temperature is typically
higher than a preschooler’s.

A

d. An infant’s normal body temperature is typically higher than a preschooler’s.

34
Q

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?

Select one:
a. Leave her on her side and use blanket rolls to
immobilize her to the long backboard.
b. Apply a cervical collar and place her in a
sitting position on the wheeled stretcher.
c. Move her to a supine position and immobilize her
with a scoop stretcher and padding.
d. Immobilize her in a supine position on a long
backboard and secure her with straps.

A

a. Leave her on her side and use blanket rolls to immobilize her to the long backboard.

35
Q

At the scene of a motor vehicle crash, you determine that there are two critically injured patients and that another ambulance is needed. You attempt to contact the dispatcher with your portable radio but are unsuccessful. You should:

Select one:
a. place both patients in the ambulance and
transport them at once.
b. ask a police officer to call dispatch with his portable radio.
c. use the mobile radio in the ambulance to contact
dispatch.
d. make another attempt to contact dispatch from an
area of higher terrain.

A

c. use the mobile radio in the ambulance to contact dispatch.

36
Q

An infant or small child’s airway can be
occluded if it is overextended or overflexed because:

Select one:
a. the back of the head is flat, which prevents a
neutral position.
b. the occiput is proportionately large and the
trachea is flexible.
c. the tongue is proportionately small and can fall
back into the throat.
d. he or she has a long neck, which makes the
trachea prone to collapse.

A

b. the occiput is proportionately large and the trachea is flexible.

37
Q

You are dispatched to the residence of an Asian family for a child with a high fever. When you assess the child, you note that he has numerous red marks on his back. The child’s parents explain that these marks represent coining—a traditional Asian healing practice in which hot coins are rubbed on the back. You should:

Select one:

a. document this finding on your patient care report and advise the emergency department staff of what the child’s parents told you.
b. acknowledge and respect this practice as a cultural belief, but advise the child’s parents that it has no healing power.
c. advise the child’s parents that this is a harmful practice and is considered a form of child abuse in the United States.
d. advise the emergency department physician that you feel as though the child was intentionally abused by his parents.

A

a. document this finding on your patient care report and advise the emergency department staff of what the child’s parents told you.

38
Q

The suffix “-pathy” means:

Select one:

a. study of.
b. specialist.
c. disease.
d. enlargement.

A

c. disease

39
Q

“Chondro” in the word chondritis
means:

Select one:

a. cartilage.
b. joint.
c. tendon.
d. rib.

A

a. cartilage.

40
Q

To help protect patients, EMS agencies are
required to have __________.

Select one:

a. an anonymous reporting system
b. a privacy officer to answer questions
c. public forums with their medical director
d. online access to patient records

A

b. a privacy officer to answer questions

41
Q

To avoid injury when pushing a patient or other
object, you should:

Select one:
a. push from the area of your body between the
knees and hips.
b. avoid pushing the patient with your elbows fully
extended.
c. push the patient from an overhead position if
possible.
d. kneel if you are pushing an object that is above
waist level.

A

b. avoid pushing the patient with your elbows fully extended.

42
Q

Prescription glasses do not provide adequate eye
protection because they:

Select one:

a. have large, rounded lenses.
b. do not have shatterproof lenses.
c. offer little or no side protection.
d. are not secured with a strap.

A

c. offer little or no side protection.

43
Q

The meaning “around” can have which of
the following prefixes?

Select one:

a. “epi-” and “sub-”
b. “infra-” and “peri-”
c. “peri-” and “circum-”
d. “sub-” and “infra-”

A

c. “peri-“ and “circum-“

44
Q

You arrive at the scene of a motor vehicle-versus-pedestrian accident. The patient, a 13-year-old male, is unconscious and has multiple injuries. As you are treating the child, a law enforcement officer advises you that the child’s parents will be at the scene in approximately 15 minutes. What should you do?

Select one:
a. Transport the child immediately and have the
parents meet you at the hospital.
b. Begin transport at once and have the parents
meet you en route to the hospital.
c. Treat the child at the scene and wait for the
parents to arrive and give consent.
d. Withhold treatment until the parents arrive and give you consent for treatment.

A

a. Transport the child immediately and have the parents meet you at the hospital.

45
Q

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:

Select one:
a. transport the patient without providing any
treatment.
b. decide on further action once the DNR order is produced.
c. begin treatment and contact medical control as
needed.
d. honor the patient’s wishes and withhold all
treatment.

A

c. begin treatment and contact medical control as needed.

46
Q

The ___________ portion of the spinal column is
joined to the iliac bones of the pelvis.

Select one:

a. lumbar
b. sacrum
c. thoracic
d. coccyx

A

b. sacrum

47
Q

During your monthly internal quality improvement (QI) meeting, you review several patient care reports (PCRs) with the staff of your EMS system. You identify the patient’s name, age, and sex, and then discuss the treatment that was provided by the EMTs in the field. By taking this approach to the QI process, you:

Select one:
a. violated the patient’s privacy because you should have discussed the information only with the EMTs involved.
b. acted appropriately but must have each EMT sign a waiver stating that he or she will not discuss the cases with others.
c. are in violation of HIPAA because you did not
remove the PHI from the PCR beforehand
d. adequately safeguarded the patient’s PHI because the cases were discussed internally.

A

c. are in violation of HIPPA because you did not remove the PHI from the PCR beforehand

48
Q

An EMS provider who has extensive training in various aspects of advanced life support (ALS) is called aNo:

Select one:

a. advanced EMT (AEMT).
b. EMR.
c. EMT.
d. Paramedic.

A

d. paramedic.

49
Q

In which of the following circumstances can the EMT legally release confidential patient information?

Select one:
a. A police officer requests a copy to place on
file
b. The family requests a copy for insurance
purposes
c. The patient is competent and signs a release
form
d. A media representative inquires about the
patient

A

c. The patient is competent and signs a release form.

50
Q

Which aspect of the Health Insurance Portability and Accountability Act (HIPAA) MOST affects EMS personnel?

Select one:

a. Protecting patient privacy
b. Controlling insurance costs
c. Ensuring access to insurance
d. Preventing insurance fraud

A

a. Protecting patient privacy