A patient has requested to be transported to a specific hospital; however, the hospital does not have the proper resources to meet the patient's needs. You should:
A) determine if there is a more appropriate medical facility within a reasonable distance.
A) determine if there is a more appropriate medical facility within a reasonable distance.
All of the following are examples of injury prevention, EXCEPT: pg18
A) demonstrating the proper use of a bicycle helmet.
B) instructing a person on how to wear a seat belt properly.
C) informing a patient of a loose rug at the top of the stairs.
D) teach
D) teaching rescue breathing and CPR to a group of citizens.
Being empathetic toward a patient means that you: pg18
A) reassure the patient of your competence.
B) know exactly how the patient feels.
C) acknowledge the patient's feelings.
D) feel a sense of sorrow for the patient.
C) acknowledge the patient's feelings.
While you and your partner are en route to the scene of a patient in cardiac arrest, you should expect the emergency medical dispatcher to: pg12
A) obtain your permission to give simple medical directions to the caller.
B) instruct the caller on how to pe
B) instruct the caller on how to perform CPR until you arrive at the scene.
Common actions performed by the dispatcher after receiving an emergency call include all of the following, EXCEPT: pg136
A) receiving and entering all data regarding the call.
B) relaying information to the appropriate resources.
C) interpreting the infor
D) determining if an ambulance should be dispatched.
What instructions or guidance would an emergency medical dispatcher MOST likely provide to a caller? pg12
A) How to properly use a bag-mask device
B) How to obtain a blood pressure by palpation
C) How to control bleeding and perform CPR
D) How to administ
C) How to control bleeding and perform CPR
You and your team are attempting to resuscitate a 50-year-old woman in a traumatic cardiac arrest. Your team consists of two EMTs and an AEMT. Which of the following tasks would be MOST appropriate to assign to the AEMT? pg12
A) Chest compressions
B) IV t
B) IV therapy and fluid boluses
The first EMT textbook, Emergency Care and Transportation of the Sick and Injured, was published in 1971 by the: pg4
A) National Association of EMS Educators (NAEMSE).
B) American College of Emergency Physicians (ACEP).
C) American Academy of Orthopaedic
C) American Academy of Orthopaedic Surgeons (AAOS).
Upon arriving at the scene of a motorcycle crash, you are approached by an EMR. What is the MOST important information the EMR should provide to you? pg12
A) The patient's vital signs and the presence of any underlying medical conditions
B) How the crash
D) Initial scene and patient assessment findings and any basic care that was provided to the patient
Which of the following is NOT a typical function of the EMS medical director? pg21
A) Interfacing between EMS systems and other agencies
B) Responding to an emergency scene with the paramedics
C) Participating in the hiring process of new EMS personnel
D)
B) Responding to an emergency scene with the paramedics
You are dispatched to a residence at 3:00 AM for a 39-year-old man with signs of a common cold. When caring for this patient, you should: pg11
A) educate the patient and tactfully discuss why a cold is not an emergency.
B) realize that this clearly is not
A) educate the patient and tactfully discuss why a cold is not an emergency.
A patient who subconsciously converts his or her anxiety into a bodily dysfunction is experiencing: pg53
A) blind panic.
B) clinical depression.
C) regressive behavior.
D) conversion hysteria.
D) conversion hysteria.
A critical incident is MOST accurately defined as: pg63
A) a delayed stress reaction to an incident that is similar to what has been experienced in the past.
B) a situation that completely incapacitates a person's ability to cope with the acute stress rea
D) an incident that overwhelms the ability of an EMS worker or system to cope with the experience, either at the scene or later.
A patient's response to an emergency is determined by:
pg.55
A) the type of illness or injury that is involved.
B) the patient's personal methods of adapting to stress.
C) the patient's inherent ability to accept the situation.
D) the paramedic's percepti
B) the patient's personal methods of adapting to stress.
A return to an earlier age level of behavior or emotional adjustment during a crisis situation is called: pg 56
A) projection.
B) regression.
C) digression.
D) redirection.
B) regression.
A man having a possible heart attack redirects his anger away from his condition and toward the paramedic. This is called: pg56
A) digression.
B) projection.
C) regression.
D) displacement.
D) displacement.
All of the following are common triggers of distress, EXCEPT: pg53
A) the loss of a loved one.
B) planning a lengthy vacation.
C) excessive responsibility at work.
D) having children that leave home.
B) planning a lengthy vacation.
Any time you need to move a patient who cannot or should not walk, it is MOST important to consider: pg44
A) the need for extra help.
B) why the patient cannot walk.
C) the type of moving device needed.
D) how far the patient must be moved.
A) the need for extra help.
As a part of your personal health assessment, you should:
pg 48
A) see your personal physician at least every 6 months.
B) have your cholesterol checked every 3 or 4 months.
C) consider hereditary factors that can impact your health.
D) have a routine col
C) consider hereditary factors that can impact your health.
At the scene of an incident involving multiple patients, an obviously depressed bystander needs: pg57
A) an assessment to determine why he or she is depressed.
B) immediate psychological support and possible transport.
C) to be brought back to reality and
C) to be brought back to reality and removed from the scene.
Burnout is a consequence of: pg58
A) a high call volume.
B) many years in EMS.
C) underlying depression.
D) chronic, unrelieved stress.
D) chronic, unrelieved stress.
Burnout is MOST accurately defined as: pg58
A) an acute reaction to an overwhelming situation.
B) the exhaustion of physical or emotional strength.
C) cynicism after being a paramedic for many years.
D) a person's emotional reaction to a stressful event.
B) the exhaustion of physical or emotional strength.
Chronic stress: pg55
A) has actually been shown to lower one's risk for cancer.
B) places the body in a continuous, unrelieved state of alert.
C) most commonly results from a single acute stress reaction.
D) is preferentially treated with a benzodiazepine
B) places the body in a continuous, unrelieved state of alert.
Common signs of PTSD include all of the following, EXCEPT: pg63
A) recurring mental flashbacks of the incident.
B) a change in appetite following a serious incident.
C) feelings of guilt that you performed inadequately.
D) difficulty getting an incident o
C) feelings of guilt that you performed inadequately.
Consequences of poor nutrition include all of the following, EXCEPT:
pg39
A) obesity.
B) diabetes.
C) hair loss.
D) heart disease.
C) hair loss.
During a crisis, the paramedic is able to focus and function, but afterwards, he or she may be left with nervous, excited energy that continues to build. This is indicative of: pg53
A) burnout.
B) an acute stress reaction.
C) a delayed stress reaction.
D)
C) a delayed stress reaction.
Family members who are depressed following the loss of a loved one:
A) should seek psychiatric counseling.
B) should have their emotions redirected.
C) typically do not want to be cheered up.
D) will usually wish to share their feelings.
C) typically do not want to be cheered up.
General guidelines for preventing burnout include: pg60
A) avoiding stress-relieving techniques while you are on duty.
B) taking a mild sedative to help get adequate sleep each night.
C) discussing your shift with your spouse or other family members.
D) e
D) engaging in social activities with people not involved in EMS.
If you are approached by a coworker who has noticed a negative change in your behavior, you should:
A) request to speak to a psychologist as soon as possible.
B) keep an open mind regarding what the coworker has noticed.
C) thank your coworker, but let hi
B) keep an open mind regarding what the coworker has noticed.
Ignoring one's circadian rhythms may result in all of the following, EXCEPT: pg43
A) decreased physical coordination.
B) enhanced social functioning.
C) persistent difficulty with sleep.
D) impairment of higher thought function.
B) enhanced social functioning.
In general, paramedics who do not experience burnout are those who:pg59
A) regularly see a psychiatrist or psychologist.
B) have been paramedics for fewer than 10 years.
C) consider the patient's needs before their own.
D) have learned to value and respec
D) have learned to value and respect themselves.
In which order do MOST people progress through the stages of grieving? pg61
A) Denial, bargaining, anger, acceptance, depression
B) Anger, denial, depression, bargaining, acceptance
C) Depression, denial, anger, bargaining, acceptance
D) Denial, anger, ba
D) Denial, anger, bargaining, depression, acceptance
Progressive relaxation is a technique of anxiety relief that:
A) allows you to relax without being noticed by others.
B) utilizes sedative medications to facilitate anxiety relief.
C) can easily be used even if you are on an emergency call.
D) involves ti
D) involves tightening and relaxing specific muscle groups.
Regardless of a paramedic's circadian rhythms, he or she should:
A) not overlook the need for rest.
B) vary his or her sleep schedule.
C) only consume minimal caffeine.
D) eat at different times of the day.
A) not overlook the need for rest.
The BEST way for a paramedic to sustain energy is to:
pg41
A) limit water intake to less than 16 ounces per day.
B) eat a large meal at the beginning of his or her shift.
C) carry numerous small snacks that can be eaten slowly.
D) drink fewer than four ca
C) carry numerous small snacks that can be eaten slowly.
The FIRST thing you should do if you think you are beginning to experience symptoms of burnout is: pg60
A) take at least 3 weeks off from work and go on a vacation.
B) see a psychologist and try to identify the underlying cause.
C) reexamine your beliefs
C) reexamine your beliefs and your ways of responding to stress.
The MOST effective way to deal with stress is to:
A) seek psychiatric assistance and request a mild sedative drug.
B) recognize what causes the stress and eliminate it from your life.
C) avoid caffeine and get a minimum of 12 hours of sleep every day.
D)
D) identify the stress triggers and take action to minimize their effects.
To prepare for or handle stress, you should:
A) increase your caffeine intake to facilitate the fight-or-flight mechanism.
B) stop taking any prescribed anxiolytic medications so you can stay focused.
C) exercise vigorously and regularly during the 12 hou
C) exercise vigorously and regularly during the 12 hours preceding your shift.
What is the recommended exercise routine for most adults? pg41
A) At least 30 minutes a day of moderate to vigorous exercise
B) No more than 2 hours of vigorous exercise every other day
C) At least 1 hour a day of mild to moderate physical activity
D) At
A) At least 30 minutes a day of moderate to vigorous exercise
When a patient calls EMS for an apparent non-life-threatening condition, the paramedic should:
A) recall that what he or she considers to be a non-emergency may be very emergent to the patient.
B) educate the patient regarding what constitutes an emergenc
A) recall that what he or she considers to be a non-emergency may be very emergent to the patient.
When a patient minimizes his or her symptoms by stating, "I'm fine," the paramedic should:
A) recognize that his or her condition is not life threatening.
B) realize that he or she is subconsciously in a state of regression.
C) find a reliable informant a
C) find a reliable informant among the patient's family or friends.
Which of the following habits will increase your exposure to injury from lifting your maximum weight?
A) Ensuring that the patient is aware that he or she is about to be lifted
B) Routinely lowering the ambulance stretcher all the way to the ground
C) Rem
B) Routinely lowering the ambulance stretcher all the way to the ground
When managing stress, it is important to:
A) consume only moderate amounts of alcohol.
B) avoid taking sleeping aids after a stressful event.
C) avoid vigorous exercise because it raises your heart rate.
D) increase your caffeine intake to increase your a
B) avoid taking sleeping aids after a stressful event.
Which of the following is NOT a component of well-being that is essential for a healthy life?
A) Mental
B) Physical
C) Financial
D) Emotional
C) Financial
Which of the following is NOT a symptom of impending burnout?
A) Requesting additional shifts
B) Chronic fatigue and irritability
C) Decreased ability to concentrate
D) Frequent stomach upset or colds
A) Requesting additional shifts
Which of the following is NOT an early warning sign of stress?
A) Heart palpitations
B) Dry, irritated skin
C) Chest pain or tightness
D) Difficult or rapid breathing
B) Dry, irritated skin
You should know your target heart rate and:
A) surpass it by 50% every time you exercise.
B) achieve at least half of it when you exercise.
C) attempt to achieve it every time you exercise.
D) avoid reaching it because it may injure the heart.
C) attempt to achieve it every time you exercise.
A patient states, "I can't catch my breath," and the paramedic responds, "You say you can't catch your breath, ma'am'?" This is an example of:
A) facilitation.
B) reflection.
C) confrontation.
D) interpretation.
B) reflection.
At minimum, sending the 12-lead ECG of a patient with chest pain to the emergency department physician via telemetry would:
A) decrease the time from diagnosis to treatment.
B) enable the paramedic to begin treatment in the field.
C) decrease the likeliho
A) decrease the time from diagnosis to treatment.
Biotelemetry is MOST accurately defined as:
A) linking two frequencies together so that the paramedic and physician can converse directly.
B) a common radio frequency assigned to EMS by the Federal Communications Commission.
C) the ability of more than on
D) the capability of measuring vital signs and ECG tracings and transmitting them to a distant terminal.
Cellular telephones are more advantageous than regular two-way radios in that cellular telephones:
A) enable laypeople to call 9-1-1 for a minimal service charge.
B) incorporate GPS technology to help rescuers find the patient.
C) can transmit long distan
B) incorporate GPS technology to help rescuers find the patient.
During the course of your interview, your patient begins making sexual innuendos to you. You should:
A) defer further questioning and simply transport the patient.
B) ensure that another paramedic or EMT is present at all times.
C) stop the interview unti
B) ensure that another paramedic or EMT is present at all times.
If a patient avoids answering a specific question, you should:
A) conclude that the patient is trying to hide something.
B) redirect him or her to the question to elicit a response.
C) document that the patient did not answer the question.
D) avoid repeat
B) redirect him or her to the question to elicit a response.
If a patient is unable to tell you who he or she is, where he or she is, and what day of the week it is:
A) you should suspect decreased blood flow to the brain.
B) he or she is most likely scared and unable to remember.
C) he or she likely has an intrace
A) you should suspect decreased blood flow to the brain.
Islamic and Hindu cultures avoid:
A) touching the head.
B) touching with the left hand.
C) clapping their hands together.
D) sitting with their legs crossed.
B) touching with the left hand.
Radio transmission distances from a mobile transceiver are reduced:
A) by fog or light rain.
B) over mountainous areas.
C) over water or flat terrain.
D) with greater than 7.5 W of power.
B) over mountainous areas.
Sitting a chair next to a patient when conducting your interview promotes:
A. authority.
B. empathy.
C. trust.
D. professionalism
C. trust.
When attempting to interview a potentially violent patient, you should:
A. avoid eye contact with the patient, as this may agitate him or her.
B. ensure that you are positioned between the patient and the door.
C. use closed-ended questions to obtain his
B. ensure that you are positioned between the patient and the door.
When transmitting data over the radio, you should NOT disclose the patient's:
A) vital signs.
B) chief complaint.
C) HIV status.
D) age and sex.
C) HIV status.
When relaying medical information to a physician in person, you should:
A) include information that you did not provide during your radio report.
B) provide a lengthy, detailed report that includes all patient information.
C) ensure that another physician
A) include information that you did not provide during your radio report.
When the paramedic encounters a patient who has difficulty communicating, he or she should:
A) enlist the help of a family member or primary caregiver.
B) try to use sign language when asking a specific question.
C) suspect that the patient may have a psy
A) enlist the help of a family member or primary caregiver.
Which of the following is a drawback of using the ten-code system when communicating by radio?
A. The codes' meanings vary by jurisdiction
B. They are difficult to hear over the radio.
C. They disclose too much information.
D. They do not convey accurate
A. The codes' meanings vary by jurisdiction
Which of the following statements is an example of providing false reassurance?
A. "I don't see any abnormalities on your ECG, but you should be evaluated by a physician.
"B. "Your condition does not appear to be life threatening at the present time, but
C. "I'm sure that you will be fine, but let us take you to the hospital just to be on the safe side.
A vertical plane that is parallel to the median plane and divides the body into unequal left and right parts is called the:
A. midsagittal plane.
B. median plane.
C. transverse plane.
D. caudal plane
A. midsagittal plane.
An endogenous chemical is one that:
A. occurs inside the body.
B. occurs only in small amounts.
C. occurs outside the body.
D. is in one part of the body.
A. occurs inside the body.
An imaginary plane that divides the body into ventral and dorsal portions is called the:
A. lateral plane.
B. sagittal plane.
C. axial plane.
D. coronal plane.
D. coronal plane.
Costohondritis is inflammation of the:
A. cartilage part of the ribs.
B. tendons of the quadriceps.
C. sternocleidomastoid muscles.
D. inner lining of the chest.
A. cartilage part of the ribs.
The combining form of encephala/o refers to the:
A. head
B. tongue
C. face
D. brain
D. brain
The diaphragm resides within the:
A. superior thorax.
B. retroperitoneal space.
C. mediastinum
D. infrathoracic region
D. infrathoracic region
What color does the rood word poli/o describe?
A. Gray
B. Blue
C. Yellow
D. Green
A. Gray
When asking a patient to supinate his or her hand, you would expect him or her to:
A. bend the hand at the wrist.
B. place the hand palm down.
C. turn the hand on its side.
D. place the hand palm up.
D. place the hand palm up.
Which of the following directional terms describes the front surface of the body?
A. Ventral
B. Superior
C. Inferior
D. Dorsal
A. Ventral
Which of the following prefixes are synonymous?
A. Nephr/o; pneum/o
B. Mamm/o; pulmon/o
C. Angi/o; vas/o
D. Coron/o; mast/o
C. Angi/o; vas/o
An effective injury prevention program should focus on all of the following data, EXCEPT:
A) common injury locations.
B) current EMS call volumes.
C) typical injury mechanisms.
D) the mean age of the patient.
B) current EMS call volumes.
Which of the following results in the MOST years of potential life lost?
A) Cancer
B) Suicide
C) Heart disease
D) Unintentional injury
D) Unintentional injury
In 2016, the leading cause of death by unintentional injury was:
poisioning
One of the MOST visible ways in which EMS professionals have interacted with public health agencies is through:
A) Coordinating Stop the Bleed campaigns.
B) The provision of immunizations.
C) Community-wide CPR training.
D) Home and workplace safety inspe
B) The provision of immunizations.
In 2016, the leading cause of death by unintentional injury was:
A) Poisoning.
B) Drowning.
C) Choking.
D) Falls.
A) Poisoning.
The statement, "The bicycle safety program will increase the rate of helmet use by children younger than 18 years of age from 30% to 50% within the next 18 months," is an example of a / an:
A) Short-term objective.
B) Outcome objective.
C) Proactive inter
B) Outcome objective.
Which of the following is NOT a reason why EMS providers are in the ideal position to serve as advocates for injury prevention?
A) In many rural communities, the EMT might be the most medically sophisticated person.
B) Most EMS systems require their perso
B) Most EMS systems require their personnel to participate actively in injury prevention programs.
Which of the following is NOT an example of a passive injury prevention intervention?
A) The manufacture of child-resistant bottles
B) Providing public education on the use of AEDs
C) The use of softer materials for playground surfaces
D) Installing sprin
B) Providing public education on the use of AEDs
Which of the following is the MOST common cause of injuries that occur at the school?
A) Sports-related incidents.
B) School bus crashes.
C) Drug-related incidents.
D) Gang fights.
A) Sports-related incidents.
Which of the following results in the MOST years of potential life lost?
A) Cancer
B) Suicide
C) Heart disease
D) Unintentional injury
D) Unintentional injury
A poorly written patient care report:
A. generally results in a lawsuit, even if the patient outcome was favorable.
B. often indicates that the paramedic was too busy providing patient care.
C. may raise questions by others as to the paramedic's quality o
C. may raise questions by others as to the paramedic's quality of patient care.
All of the following are subjective findings, EXCEPT:
A. visible blood in the ear canal.
B. acute and severe nausea.
C. a feeling of impending doom.
D. a persistent dull headache.
A. visible blood in the ear canal.
An accurate and legible patient care report:
A. is a relatively reliable predictor of the quality of care that the paramedic provided to the patient during the call.
B. should be complete to the point where anyone who reads it understands exactly what tra
B. should be complete to the point where anyone who reads it understands exactly what transpired on the call.
Data collected from the state EMS office for the purpose of research would likely NOT include:
A. the nature of all calls.
B. average cost per call.
C. call volume per month.
D. patient outcomes.
B. average cost per call.
For purposes of refusing medical care, a patient's mental status may be considered impaired if he or she:
A. is notably frightened.
B. makes a derogatory comment.
C. makes nonsensical statements.
D. is not sure of the exact time.
C. makes nonsensical statements.
In which of the following situations would the documentation on a patient care report MOST likely be limited?
A. Mass-casualty incident
B. Physical abuse
C. Cardiac arrest
D. Injury to a paramedic
A. Mass-casualty incident
If you make an error when completing a written patient care report, you should:
A. circle the error, initial it, and write the correct information next to it.
B. not alter the original patient care report and write the correct information on an addendum.
C. use different colored ink when drawing a single line through the error.
Most EMS agencies require a double signature system any time a:
A. patient's condition warrants diversion to a closer hospital.
B. controlled substance is checked, used, discarded, or replaced.
C. medication that alters a patient's physiology is given.
D.
B. controlled substance is checked, used, discarded, or replaced.
The accuracy of your patient care report depends on all of the following factors, EXCEPT:
A. documenting any extenuating circumstances.
B. the thoroughness of the narrative section.
C. including all pertinent event times.
D. the severity of the patient's
D. the severity of the patient's condition.
Which of the following incident times is NOT commonly documented on the patient care report?
A. Time of departure from the scene
B. Time of medication administration
C. Time of primary assessment
D. Time of arrival at the hospital
C. Time of primary assessment
In order to ensure that all recorded times associated with an incident are accurate, the paramedic should:
A. document the time that each event occurs.
B. radio the dispatcher after an event occurs.
C. get a copy of the dispatch log after the call.
D. fre
B. radio the dispatcher after an event occurs.
The National Emergency Medical Services Information System (NEMSIS):
A. collects relevant data from each state and uses it for research.
B. defines the scope of practice for all levels of EMS provider.
C. defines the minimum data that must be collected on
A. collects relevant data from each state and uses it for research.