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EMT Final > Chapter 38-41 > Flashcards

Chapter 38-41 Flashcards

1
Q
  1. Upon arrival at a trench rescue operation, you should ___________ .

park as close to the incident as possible

park at least 500 feet from the incident

assist with the rescue operation

A

park at least 500 feet from the incident

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2
Q
  1. While staged at the scene of a structure fire, the EMT should _________ .

locate the safety officer b. stay with the incident commander

assess firefighters for signs of fatigue

remain with the ambulance :

A

remain with the ambulance

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3
Q
  1. A 19-year-old female has just been extricated from her severely damaged car. She is on a long backboard and has been moved to a place of safety. As your partner maintains manual stabilization of her head, you perform a rapid assessment. The patient is unresponsive, has slow and shallow respirations, and has bilaterally closed femur deformities. You should:

stabilize her legs with long board splints.

apply oxygen via a nonrebreathing mask.

obtain baseline vital signs and transport at once.

direct your partner to begin ventilatory assistance.

A

direct your partner to begin ventilatory assistance.

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4
Q
  1. Returning the emergency unit to service is part of the __________ .

transfer phase

hazard-control phase

termination phase

support phase

A

termination phase

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5
Q
  1. If a technical rescue team is required at the scene, but is not present when you arrive, you should:

don personal protective equipment and begin the rescue process.

check with the incident commander to ensure that the team is en route.

remain with your ambulance until the rescue team arrives at the scene.

have fire personnel initiate the rescue process if they are at the scene.

A

check with the incident commander to ensure that the team is en route.

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6
Q
  1. After primary triage, the triage supervisor should communicate all of the following information to the medical branch officer, EXCEPT:

the total number of patients that have been triaged.

the recommended transport destination for each patient.

recommendations for movement to the treatment area.

the number of patients in each triage category.

A

the recommended transport destination for each patient.

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7
Q
  1. In preparing for a disaster, EMS systems should have enough supplies for at least a _________ period of self-sufficiency.

24-hour

48-hour

72-hour

96-hour

A

72-hour

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8
Q
  1. You are approaching an overturned tanker truck to assess the driver, who appears to be unresponsive. As you get closer to the vehicle, you note the smell of noxious fumes and find that you are in the midst of a vapor cloud. What should you do?

Remain where you are and perform a visual assessment of the patient.

Cover your face with your shirt and quickly extricate the injured driver.

Exit the area immediately and gather information for the HazMat team.

Realize that you are in the danger zone and prevent others from entering.

A

Exit the area immediately and gather information for the HazMat team.

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9
Q
  1. The FIRST step in the START triage system is to:

focus on the patients who are unconscious.

scan the area for patients with severe bleeding.

move all walking patients to a designated area.

get a quick head count of all the patients involved.

A

move all walking patients to a designated area.

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10
Q
  1. As a triage supervisor, you:

must prepare patients for transport before they leave the triage area.

must not begin treatment until all patients have been triaged.

are responsible for providing initial treatment to all patients.

should communicate with area hospitals regarding their capabilities.

A

must not begin treatment until all patients have been triaged.

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11
Q
  1. You are triaging four patients who were involved in a head-on motor vehicle crash. Which of the following patients should be assigned the highest (red) triage category?

A 50-year-old male with an open head injury and no pulse

A 49-year-old female with diabetes and difficulty breathing

A 36-year-old female with back pain and numb extremities

A 29-year-old male with bilaterally closed femur deformities

A

A 49-year-old female with diabetes and difficulty breathing

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12
Q
  1. The function of the National Incident Management System (NIMS) is to:

prepare for, prevent, respond to, and recover from domestic incidents.

facilitate a standard method of incident command for natural disasters.

prepare for the potential of a nuclear attack against the United States.

educate city and county governments regarding foreign terrorist attacks.

A

prepare for, prevent, respond to, and recover from domestic incidents.

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13
Q
  1. A supervisor who has more than seven people reporting to him or her:

is more beneficial to the overall effort than a supervisor with fewer personnel because his or her team can accomplish more tasks.

should regularly report to the incident commander (IC) to inform him or her of the functions that his or her team is performing.

has exceeded an effective span of control and should divide tasks and delegate the supervision of some tasks to another person.

should assign a specific task to each person reporting to him or her and regularly follow up to ensure that the tasks were carried out.

A

has exceeded an effective span of control and should divide tasks and delegate the supervision of some tasks to another person.

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14
Q
  1. While triaging patients at the scene of a building collapse, you encounter a young child who is conscious, alert, and breathing: has bilateral radial pulses, and has a severely angulated leg, which is not bleeding. According to the JumpSTART triage system, you should:

quickly bind his legs together to stabilize the fracture, and continue triaging.

assign him a delayed (yellow) category and continue triaging the other patients.

evacuate him to a designated area and assign him a minimal (green) category.

apply high-flow oxygen, obtain baseline vital signs, and continue triaging.

A

assign him a delayed (yellow) category and continue triaging the other patients

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15
Q
  1. Following proper decontamination, a 30-year-old male is brought to you. He is semiconscious and has rapid, shallow respirations. A quick visual assessment reveals no obvious bleeding. You should

begin some form of positive-pressure ventilation.

ask a firefighter what the patient was exposed to.

perform a rapid assessment to locate critical injuries.

administer high-flow oxygen via a nonrebreathing mask.

A

begin some form of positive-pressure ventilation.

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16
Q
  1. Multiple people in a small town began experiencing abdominal cramps, excessive salivation and urination, and muscle twitching shortly after a small crop duster plane made several passes over the community. As you are assessing the patients, you further determine that most of them are bradycardic and have miosis. In addition to high-flow oxygen, the MOST appropriate treatment for these patients includes:

amyl nitrate and naloxone.

activated charcoal and glucose.

atropine and pralidoxime chloride.

epinephrine and hyperbaric oxygen

A

atropine and pralidoxime chloride.

17
Q
  1. After eating at a local restaurant, a 20-year-old male complains of blurred vision, difficulty speaking, and difficulty breathing. He is conscious; however, his respirations are profoundly labored and producing minimal tidal volume. You should

apply oxygen via a nonrebreathing mask.

position him supine and elevate his legs

request a paramedic to administer atropine.

assist his ventilations with high-flow oxygen.

A

assist his ventilations with high-flow oxygen.

18
Q
  1. The type and severity of wounds sustained from incendiary and explosive devices primarily depend on the:

type of material used to manufacture the device.

pressure that is generated from the explosion itself.

patient’s distance from the epicenter of the explosion.

size of the structure that was involved in the explosion.

A

patient’s distance from the epicenter of the explosion.

19
Q
  1. As you and your partner report for duty, you check your ambulance and begin talking about the possibility of a terrorist attack. The MOST effective and appropriate way to determine the likelihood of this happening is to:

check with local businesses to see if they have received any terrorist threats.

ask your immediate supervisor if he or she has been watching the local news.

know the current threat level issued by the Department of Homeland Security.

ascertain the current situation overseas with regard to the number of casualties.

A

know the current threat level issued by the Department of Homeland Security.

20
Q
  1. You and your partner arrive at the scene of a fire at a large office complex. Witnesses tell you that they heard a loud explosion shortly before the building caught fire You should:

carefully document the witnesses’ statements and report them immediately.

ensure that your ambulance is parked upwind and uphill from the building.

take standard precautions and begin searching for critically injured patients.

tell the witnesses that you suspect that the explosion was the work of a terrorist

A

ensure that your ambulance is parked upwind and uphill from the building.

21
Q
  1. Which of the following would indicate that the endotracheal tube is NOT in the trachea?

Decreased resistance when ventilating

Absence of sounds over the epigastrium

Steady increase in the oxygen saturation

Absence of an end-tidal CO2 waveform.

A

Absence of an end-tidal CO2 waveform.

22
Q
  1. You are attending to a 68-year-old female patient in cardiac arrest. An ALS provider arrives shortly after you do and the transfer of care is made. The ALS provider asks that you assist in the endotracheal intubation. As part of this process, you may be required to:

ventilate and preoxygenate the patient but not handle any of the equipment required for the intubation.

visualize the airway and look for any potential complications in advance of the intubation.

help position the patient for a better view of the airway during the procedure.

perform the intubation with assistance.

A

help position the patient for a better view of the airway during the procedure.

23
Q

23, You are called to the scene of a 56-year-old female patient who was the driver of a car that struck a telephone pole. The patient is sitting in her vehicle with her seat belt on and the air bag has deployed. A bystander approaches as you arrive and informs you that he is an off-duty firefighter and was first on thescene. The bystander wishes to provide you with a patient care report. You should:

ask your partner to perform the primary survey while you listen to the report.

ask the bystander to wait and you will take their report after you have finished your assessment.

listen to the report while you perform a primary survey and render care to the patient.

ask the bystander for any formal identification and listen to the report once it is verified.

A

ask your partner to perform the primary survey while you listen to the report.

24
Q
  1. Hyperventilation during the preoxygenation phase of endotracheal intubation:

will decrease the likelihood of aspiration.

is acceptable if done for fewer than 2 minutes.

can cause gastric distention and hypotension.

provides a better oxygen reserve for the patient.

A

can cause gastric distention and hypotension.

25
Q
  1. Upon arrival at a search-and-rescue incident, the EMS crew should _________ .

prepare the equipment to carry to the patient

begin searching for the patient

split up and request a search grid

provide the incident commander with the crew’s names and certification level(s)

A

prepare the equipment to carry to the patient

26
Q
  1. Extrication is defined as:

using heavy equipment to access a patient.

dismantling an automobile to remove a victim.

removal from a dangerous situation or position,

immobilizing a patient before moving him or her.

A

removal from a dangerous situation or position,

27
Q
  1. The use of special tools to remove an entrapped patient from a vehicle is known as

complex access

simple access

vehicle stabilization.

incident management

A

complex access

28
Q
  1. Once entrance and access to the patient have been provided, you should:

allow extrication to commence.

perform a primary assessment.

administer high-flow oxygen,

begin treating his or her injuries.

A

perform a primary assessment.

29
Q
  1. The JumpSTART triage system is intended to be used for children younger than ______ years or who appear to weigh less than _________.
    5: 50 lb
    6: 70 lb.
    7: 90 tb
    8: 100 lb
A

8: 100 lb

30
Q
  1. Unlike viral agents, bacterial agents:

are far less infectious.

respond to antibiotics.

are usually not treatable.

do not replicate in the body.

A

respond to antibiotics.

31
Q
  1. A team of EMTS is caring for a critically injured patient. The team leader advises the EMT that transport will not begin until the patient’s closed forearm fracture is splinted. Utilizing the crew resource management model, the EMT should:

repeat the request back to the team leader and then splint the patient’s arm.

ensure that the entire team is aware that transport will be delayed for splinting.

disregard the team leader’s request and contact medical control for guidance.

advise the team leader that immediate transport is more important than splinting.

A

advise the team leader that immediate transport is more important than splinting.

32
Q
  1. You are attending to a 66-year-old male patient in cardiac arrest. As you gather history and begin the resuscitation, an Advanced Life Support (ALS) provider arrives on scene. You should:

ensure that CPR is ongoing by the other providers present and then provide a patient care report off to the side

stay focused on the resuscitation and allow the ALS provider to make his or her own assessment.

pause the resuscitation and provide a patient care report as quickly as possible.

continue the resuscitation and provide a patient care report while you work.

A

ensure that CPR is ongoing by the other providers present and then provide a patient care report off to the side

33
Q
  1. EMTS arrive at the scene of an ill person. The EMR, who arrived before the EMTs, advises that the patient had a syncopal episode. The patient is conscious and alert and remains so throughout transport, When transferring patient care to the emergency department nurse, the EMT should advise the nurse that:

the patient had a reported syncopal episode.

she should contact the EMR about the incident.

the EMR was probably mistaken about the episode.

there is no evidence to support the syncopal episode.

A

the patient had a reported syncopal episode.

34
Q
  1. When functioning at the scene of a motor vehicle crash in which a patient will require complex extrication, you should enter the vehicle and provide care to the patient:

only if the patient has experienced a major injury.

. after rescue personnel have cut the battery cables.

after receiving approval from the incident commander.

only after you believe the vehicle has been stabilized.

A

after receiving approval from the incident commander.

EMT Final (9 decks)

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