Test 16

Question 1

When was LUCAS device found to be effective in studies

Answer 1

When it was used within 15 minutes of initial EMS call

Question 2

How does black widow venom work

Answer 2

Calcium channel mediated neurotransmitter release of acetylcholine and other excitatory neurotransmitters

Question 3

How does coral snake venom work

Answer 3

Blocking release of acetylcholine at neuromuscular junctions

Question 4

What is a Sked? When is it useful

Answer 4

A Sked is a flexible plastic device that slides easily over wet surfaces
Size of patient, multiple handles for dragging
Useful in caves

Question 5

What is a stokes basket?
When is it useful?

Answer 5

Rigid metal frame
Used in outdoor angle rescue operations

Question 6

Warm zone medical treatment

Answer 6

Potential or indirect life threats
Needle decompression, intubation, IV access

Question 7

Hot zone treatment

Answer 7

Tourniquet application and extrication

Question 8

Next line in combat medicine if bleeding not amenable to tourniquet placement

Answer 8

Hemostatic agent with a pressure dressing

Question 9

Level B PPE

Answer 9

SCBA mask, chemical resistant suit, chemical resistant boots, and chemical resistant gloves
No vapor protection

Question 10

What is the Emergency response guidebook

Answer 10

resource that will identify a given material based on its placard, and will give initial management principles for the scene
i.e the orange book

Question 11

What study identifies patients based on outcomes

Answer 11

Case-Control studies

Question 12

What study identifies patient’s based on exposure

Answer 12

Cohort studies

Question 13

3 Legal claims arising from QI

Answer 13

Defamation
Anti-trist/tortious interference (loss of employment as result of discipline)
Patient claims of negligent supervision

Question 14

National databases relevant to EMS providers

Answer 14

CODES (crash outcome data evaluation systems)
National trauma databank
CARES
NEMSIS

Question 15

% V-Fib converted if shocked within first 3 minutes

Answer 15

70-80%

Question 16

Survival decrease for every minute defibrillation is delayed

Answer 16

7-10%

Question 17

Definition of fractal response times

Answer 17

The ability of the department to respond within a given time with a certain level of assurance

Question 18

EMS responsibilities on the fireground

Answer 18

Medical monitoring
Warming or cooling based on the weather
Basic fluid replacement
Only one BLS or ALS crew

Question 19

What does direct oversight over telephone allow medical director to do

Answer 19

To delegate more complex medical procedures to prehospital providers with guidance from physician

Question 20

Risk factors for elder abuse

Answer 20

1. Social isolation of older adult
2. Dementia
3. Shared living arrangement with abuser

Question 21

What causes spatial disorientation in air transport

Answer 21

Conflict between visual and vestibular systems during flight

Question 22

What is Sopite syndrome

Answer 22

Drowsiness associated with prolonged motion

Question 23

Level A PPE

Answer 23

Fully encapsulating chemical resistant suit
Positive pressure SCBA
Double layers of chemical resistant gloves and boots

Question 24

Level C PPE

Answer 24

Full face air purification device and non encapsulating chemical resistant suit with gloves and boots

Question 25

Biggest danger in excavation efforts for victims

Answer 25

Re-suspension of dust particles

Question 26

Revised trauma score

Answer 26

GCS + RR + Systolic blood pressure
Score of 0-4 assigned to each