Chapter 40 Quiz Flashcards

(54 cards)

1
Q

Which of the following measures can the EMT take to create a safer extrication scene?
Select one:

A.
Setting up road flares every 10 feet for a safe distance to divert traffic away from the collision

B.
Setting up road flares around hazards such as spilled fuel

C.
Dropping road flares from the ambulance as you are approaching the scene

D.
Both Setting up road flares around hazards such as spilled fuel and Dropping road flares from the ambulance as you are approaching the scene

A

A.
Setting up road flares every 10 feet for a safe distance to divert traffic away from the collision

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2
Q

Which of the following describes vehicle glass that is designed to break into small pieces rather than shattering into sharp fragments?
Select one:

A.
Alloy glass

B.
Leaded glass

C.
Tempered glass

D.
Plexiglas

A

C.
Tempered glass

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3
Q

You respond to the scene of a motor vehicle collision involving a small pickup truck that struck the rear of a moving tractor-trailer. The driver of the tractor-trailer is walking around and complains of neck pain. The driver of the pickup truck is conscious but cannot exit the vehicle because the door is stuck and the steering wheel is displaced onto his lap. The passenger of the pickup truck is sitting upright in the passenger seat, is unconscious, but has radial pulses. Access to the passenger is not obstructed. A fourth patient, who was sitting in the pickup truck bed, is found about 10 feet away and responds to commands appropriately. Assuming your ambulance is the only emergency vehicle on the scene currently, which of the following patients should be packaged for transport first by the next arriving ambulance?
Select one:

A.
Passenger ejected from the pickup truck bed

B.
Pickup truck driver

C.
Tractor trailer driver

D.
Passenger in the pickup truck’s front seat

A

D.
Passenger in the pickup truck’s front seat

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4
Q

Which of the following phases of extrication follows the other three phases?
Select one:

A.
Stabilizing the vehicle

B.
Recognizing and managing hazards

C.
Immobilizing and extricating the patient

D.
Gaining access to the patient

A

C.
Immobilizing and extricating the patient

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5
Q

Which of the following best describes why it is important for the EMT to understand the extrication process?
Select one:

A.
To anticipate any dangerous steps in the extrication process

B.
To provide direction to the rescue technicians if they appear to be making errors

C.
To take over the extrication process if requested by the rescue technicians

D.
All of these

A

A.
To anticipate any dangerous steps in the extrication process

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6
Q

One of the greatest hazards associated with EMS highway operations is:
Select one:

A.
explosion.

B.
sharp objects.

C.
traffic flow.

D.
power lines.

A

C.
traffic flow.

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7
Q

Which of the following is the rule of thumb for determining the stability of a vehicle that has been involved in a collision?
Select one:

A.
It is stable if it is upright on all four wheels.

B.
It is stable if the transmission is in “Park” or the parking brake is on.

C.
It is stable if the ignition is turned off.

D.
It should only be considered stable after assessment by trained rescue personnel.

A

D.
It should only be considered stable after assessment by trained rescue personnel.

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8
Q

You have arrived at the scene of a vehicle collision in which there are utility wires down around the vehicle. The three occupants appear dazed and other responding units have not yet arrived. Which of the following is the best course of action?
Select one:

A.
Cool the wires with large amounts of water to prevent a fire from starting.

B.
Stay at a distance and caution the occupants to stay inside the vehicle.

C.
Push the wires out of the way with a long pry-bar in order to access the patients.

D.
Encourage the occupants to exit the vehicle by jumping free of the vehicle before touching the ground.

A

B.
Stay at a distance and caution the occupants to stay inside the vehicle.

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9
Q

Which of the following is an advantage of removing the roof of a vehicle that has sustained major damage in a collision?
Select one:

A.
It makes the entire interior of the vehicle accessible.

B.
The EMT can better access the patients.

C.
It creates a large exit through which to remove the patient.

D.
All of these

A

D.
All of these

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10
Q

When extrication will involve cutting the roof off a vehicle, stabilization of the vehicle should include:
Select one:

A.
deflating all tires by slashing them.

B.
placing wheel chocks on both sides of all wheels.

C.
placing chocks on both sides of at least two wheels.

D.
deflating all tires by pulling the valve stems.

A

D.
deflating all tires by pulling the valve stems.

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11
Q

While performing night operations, which of the following combinations of lights provide maximum visibility?
Select one:

A.
Red/amber warning lights ON, headlights ON, fog lights OFF, and traffic directional boards ON

B.
Red/amber warning lights ON, headlights ON, fog lights ON, and traffic directional boards ON

C.
Red/amber warning lights ON, headlights OFF, fog lights OFF, and traffic directional boards OFF

D.
Red/amber warning lights ON, headlights OFF, fog lights OFF, and traffic directional boards ON

A

D.
Red/amber warning lights ON, headlights OFF, fog lights OFF, and traffic directional boards ON

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12
Q

Which of the following considerations should be determined when conducting a scene size-up at night of a single vehicle collision involving a rollover?
Select one:

A.
How many EMS supervisors are needed for command

B.
Make and model of the vehicle involved

C.
Which patient is the least injured

D.
Mechanism of injury

A

D.
Mechanism of injury

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13
Q

Which of the following is a reason that the vehicle doors are removed to extricate the patient rather than pulling the patient through an open window?
Select one:

A.
To avoid being cut by glass

B.
To avoid criticism from bystanders

C.
To make the interior of the vehicle less accessible

D.
To allow a patient with life-threatening injuries to be removed quickly

A

D.
To allow a patient with life-threatening injuries to be removed quickly

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14
Q

An unresponsive patient is found sitting in the front seat of a vehicle with his legs pinned under the dash. Once his legs have been freed, which of the following methods should be used for removal of the patient?
Select one:

A.
Rapid take-down

B.
Scoop stretcher

C.
Rapid extrication technique

D.
Quick extraction

A

C.
Rapid extrication technique

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15
Q

Which of the following may be a source of ignition when rescuing people who are trapped in a car that has stopped off the roadway in a field of dried grass?
Select one:

A.
Leaking coolant

B.
Catalytic converter

C.
Mobile radio

D.
Battery

A

B.
Catalytic converter

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16
Q

Once access to the patient is gained, which of the following is the next goal during an auto extrication?
Select one:

A.
Primary assessment and rapid trauma exam

B.
Disentanglement of the patient

C.
Stabilization of the vehicle

D.
Extrication of the patient from the vehicle

A

A.
Primary assessment and rapid trauma exam

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17
Q

Which of the following is not an example of a specialty rescue team?
Select one:

A.
Confined-space rescue

B.
High-angle rescue

C.
Water rescue

D.
Advanced cardiac life support

A

D.
Advanced cardiac life support

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18
Q

Upon arrival at the scene of a motor vehicle collision, you find a vehicle that is on fire. The fire is confined to the engine compartment and the hood is tightly closed. Of the following, which is the best course of action?
Select one:

A.
Let the fire burn and concentrate on extricating the patient.

B.
Wet the interior of the vehicle to keep the fire from spreading.

C.
Use a long-handled pry-bar to open the hood and put out the fire with a fire extinguisher.

D.
Discharge a dry chemical fire extinguisher onto the patient’s clothing to protect him from the fire.

A

A.
Let the fire burn and concentrate on extricating the patient.

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19
Q

Which of the following is not a phase of the extrication process?
Select one:

A.
Disentanglement

B.
Gaining access to the patient

C.
Terminating the rescue

D.
Simplification

A

D.
Simplification

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20
Q

Which of the following is the first concern when you are caring for a patient who has been in a vehicle collision?
Select one:

A.
Treating life-threatening injuries

B.
Preserving evidence, such as alcohol beverage bottles and vehicle positioning

C.
Helping law enforcement get the driver’s name and insurance information

D.
Your own safety

A

D.
Your own safety

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21
Q

Which of the following is the EMT’s key role at the scene of an auto extrication?
Select one:

A.
Incident commander

B.
Rescue technician

C.
Patient advocate

D.
Safety officer

A

C.
Patient advocate

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22
Q

You are assessing a patient in the front seat of a vehicle that was involved in a head-on collision. As you examine the interior of the vehicle, you notice the airbags have not deployed. What action should you take in order to render the scene safe to work?
Select one:

A.
Disconnect the battery and wait 2 minutes before entering the vehicle.

B.
Turn the ignition to the “off” position and wait 2 minutes before entering the vehicle.

C.
Disconnect the battery and continue assessing the patient.

D.
Use a long spine board to shield yourself from the undeployed airbag.

A

A.
Disconnect the battery and wait 2 minutes before entering the vehicle.

23
Q

You are on the scene of a vehicle collision involving a downed power line. You are walking in an area you feel is a safe distance from the line and begin to feel a tingling sensation in your feet. Which of the following would be a proper method of ensuring your safety while exiting the area?
Select one:

A.
Turn 180 degrees to the direction you are walking and quickly run to a safe location.

B.
Turn 90 degrees to the direction you are walking and hop to a safe place on one foot.

C.
Turn 180 degrees to the direction you are walking and shuffle away from the danger area.

D.
Turn 90 degrees to the direction you are walking and shuffle away from the danger area.

A

C.
Turn 180 degrees to the direction you are walking and shuffle away from the danger area.

24
Q

When placing cribbing:
Select one:

A.
kneel on one knee only so you can move away quickly.

B.
kneel on both knees for stabilization.

C.
always squat, so you can move away quickly.

D.
kneel or squat as necessary.

A

C.
always squat, so you can move away quickly.

25
Which of the following should the EMT consider when protecting a patient during extrication? Select one: A. Noise B. Weather C. Debris D. All of these
D. All of these
26
When disconnecting a battery cable to disrupt a vehicle's electrical system, the EMT should disconnect the: Select one: A. negative cable from the alternator. B. positive cable from the alternator. C. positive cable from the battery. D. negative cable from the battery.
D. negative cable from the battery.
27
Which of the following is a common hazard associated with the inner circle of a typical auto extrication? Select one: A. Penetrating injury from extrication tools B. Broken glass and metal fragments C. Carbon monoxide poisoning D. Both Penetrating injury from extrication tools and Carbon monoxide poisoning
B. Broken glass and metal fragments
28
Which of the following is the best protection for an EMT's upper body during an extrication operation? Select one: A. Nylon jacket with asbestos lining B. Thick wool coat C. Thick fireproof blanket draped around the shoulders D. Firefighting turnout coat
D. Firefighting turnout coat
29
Which of the following activities should not occur during the scene size-up? Select one: A. Providing airway management B. Determining the extent of the patient's entrapment C. Determining the need for additional resources D. Determining the mechanism of injury
A. Providing airway management
30
Which of the following is the highest priority during extrication? Select one: A. Controlling major bleeding B. Gaining access to the patient C. Maintaining the patient's airway D. Ensuring your personal safety
D. Ensuring your personal safety
31
You are at the scene of a motor vehicle collision in which a single vehicle has collided with a tree. You note that the driver's side airbag has deployed. Which of the following is recommended by airbag experts? Select one: A. Sharply strike the front bumper to make sure the second airbag has deployed. B. Use a portable fan to ventilate the car to remove the powder from the airbag. C. Lift the airbag and inspect the steering wheel for damage. D. Cut away the fabric portion of the airbag to get it out of the way.
C. Lift the airbag and inspect the steering wheel for damage.
32
When attempting to extinguish a fire inside the passenger compartment, it is important to: Select one: A. apply the extinguishing agent liberally to speed up the extinguishing process. B. use the extinguishing agent sparingly to avoid creating a cloud of powder. C. aim the nozzle of the extinguisher away from the patient to avoid hitting the patient. D. resist the urge to extinguish the fire and focus on extricating any patients.
B. use the extinguishing agent sparingly to avoid creating a cloud of powder.
33
Which of the following is a common reason that EMTs are struck by motor vehicles at the scene of motor vehicle collisions on roadways? Select one: A. Drivers are distracted by the scene of the collision and do not pay attention to what they are doing. B. EMTs sometimes lose track of what they are doing and wander into traffic. C. Drivers who are angry at being delayed deliberately take out their frustrations on rescue workers. D. All of these
A. Drivers are distracted by the scene of the collision and do not pay attention to what they are doing.
34
On arrival at a vehicle collision, you observe a small fire in the engine compartment. A bystander is attempting to smother the fire with a jacket as you approach with an A-B-C extinguisher from your ambulance. Which of the following is the best method of extinguishing the fire? Select one: A. Aim the nozzle to the side of the fire and, with a sweeping motion, push the fire at its base. B. Sweep the nozzle of the extinguisher left and right using short bursts until you are out of extinguishing agent. C. Aim at the base of the fire and use short bursts until the fire is out. D. Close the hood to contain the fire within the engine compartment.
C. Aim at the base of the fire and use short bursts until the fire is out.
35
Under which of the following conditions are safety vests with reflective trim effective in increasing the visibility of the EMT? Select one: A. On sunny days B. On cloudy days C. At night D. All of these
D. All of these
36
Which safety device prevents car doors from opening during a collision? Select one: A. Safety pin B. Nader jam C. Safety lock D. Nader pin
D. Nader pin
37
You have arrived at the scene of a motor vehicle collision to find that there are several critically injured patients. Which of the following should you do first? Select one: A. Begin to care for the patient closest to your vehicle. B. Begin triage of all patients before deciding on additional resources. C. Begin extrication of the most critically injured patient. D. Call for additional rescue units and transporting ambulances.
D. Call for additional rescue units and transporting ambulances.
38
Which of the following methods should the EMT use first to attempt to access a patient in a vehicle while awaiting arrival of a rescue crew? Select one: A. Use a pry-bar to release the Nader pin in the door latch. B. Use a spring-loaded punch to break the rear window. C. Try all of the vehicle's doors to see if they will open. D. Use a heavy tool to break the window closest to the patient.
C. Try all of the vehicle's doors to see if they will open.
39
Which of the following steps of extrication comes before the other three steps? Select one: A. Recognizing and managing hazards B. Sizing up the situation C. Preparing for the rescue D. Gaining access to the patient
C. Preparing for the rescue
40
Which of the following provides the best protection for the EMT's hands during a vehicle rescue operation? Select one: A. Fabric work gloves with non-slip palms B. Double-thickness latex gloves C. Elbow-length chemical-proof gloves D. Leather gloves
D. Leather gloves
41
Stabilizing a vehicle is unnecessary when a vehicle is on its roof with: Select one: A. all roof supports collapsed. B. the trunk lid in contact with the ground. C. the front edge of the hood in contact with the ground. D. the vehicle horizontal and resting entirely on the roof.
A. all roof supports collapsed.
42
Which of the following should be used to protect a patient during extrication? Select one: A. Plastic blanket B. Netting C. Goggles D. None of these
C. Goggles
43
Which of the following is the most common type of rescue across the United States? Select one: A. Farm rescue B. Water rescue C. Vehicle rescue D. Hazardous materials response
C. Vehicle rescue
44
Which of the following is adequate protection for the EMT's head while at the scene of an auto extrication? Select one: A. Firefighting helmet B. Watch cap C. Nomex hood D. NFPA standard rescue helmet
D. NFPA standard rescue helmet
45
If you are first on scene, what should you do first in determining where and how you should park your apparatus? Select one: A. Immediately park in the same direction and in single file. B. Establish Command and confirm the exact location of the incident with the dispatch center before parking. C. Provide downstream blocking if you are driving one of the larger units. D. Use apparatus to institute "downstream blocking" of the scene to protect the work area.
B. Establish Command and confirm the exact location of the incident with the dispatch center before parking.
46
If the steering wheel must be displaced during extrication and the airbag has not deployed, which of the following actions is recommended by airbag manufacturers? Select one: A. Firmly strike the hub of the steering wheel with a mallet to deactivate the airbag before displacing the steering wheel. B. No action is required; only frontal impact will deploy airbags. C. Secure a long backboard across the steering wheel to deflect the airbag from the patient should it deploy. D. Disconnect the battery cables.
D. Disconnect the battery cables.
47
Which of the following is a good choice for preventing further injury to a patient during auto extrication? Select one: A. Disposable blanket B. Sheet C. Aluminized blanket D. Placing your body over the top of the patient
C. Aluminized blanket
48
When controlling the scene of an emergency involving damaged power poles and downed electrical wires, the EMT must remember to: Select one: A. request appropriate personnel to cut the power source. B. use double-thickness gloves to insulate the body from electrocution. C. render the scene safe before entering the danger zone. D. use nonconductive implements to make a safe path to victims.
A. request appropriate personnel to cut the power source.
49
When working at a nighttime emergency on a roadway, which of the following safety considerations should the prudent EMS provider do to increase safety? Select one: A. Switch the headlights to the "high beam" position for maximum lighting. B. Operate amber warning lights only, if the option is available. C. Keep only the fog lights on to keep the light out of drivers' vision. D. Keep all available response lights on to warn oncoming traffic.
B. Operate amber warning lights only, if the option is available.
50
Which of the following is an important reason for controlling spectators at the scene of an extrication incident? Select one: A. Spectators may get injured. B. Spectators may create problems for passing motorists. C. Spectators may interfere with rescue efforts. D. All of these
D. All of these
51
When responding to an emergency located on an interstate highway in a medium-duty ambulance, the vehicle should be positioned: Select one: A. across as many lanes as possible to block oncoming traffic. B. to one side of the damaged vehicles for easy egress. C. in the same direction as other response vehicles in a single line. D. in a safe location in the emergency lane of the interstate.
C. in the same direction as other response vehicles in a single line.
52
You are at the scene of a vehicle collision on an interstate highway. There are two cars involved and both are out of the lanes against the median wall. As an EMS provider, what is your primary safety concern? Select one: A. Watching for distracted drivers who are driving past the scene B. Ensuring the patient is properly packaged for transport C. Evaluating the risk of fire caused by ruptured fuel lines D. Searching for sharp edges of broken glass and torn metal
A. Watching for distracted drivers who are driving past the scene
53
You are managing a patient who is being extricated from a vehicle by a rescue crew using hydraulic tools. Which of the following items should you use in order to protect your patient during the extrication process? Select one: A. Wool blanket to protect the patient from broken glass B. Aluminized rescue blanket to protect the patient from sharp edges C. Oxygen mask to prevent inhalation of noxious fumes D. Short spine board to prevent debris from contacting the patient
D. Short spine board to prevent debris from contacting the patient
54
Which of the following can serve as appropriate eye protection for an EMT on the scene of an extrication? Select one: A. Prescription eyeglasses B. Shield of a Firefighter's helmet C. Plastic face shield of the type used for Standard Precautions D. Face conforming goggles
D. Face conforming goggles