fisdap opterations

Question 1

When using PCR for research or quality assurance. What should you delete?
Pt’s name/ emt’s name/ response times/ treatments rendered

Answer 1

Pt’s name

Question 2

6 yo child fell at the park. No adult around. Type of consent?
Implied/ legal/ expressed/ pediatric

Answer 2

Implied

Question 3

First to arrive. Using START, you should identify pts who?

Ambulatory/ deceased/ unresponsive/ breathing

Answer 3

Ambulatory

Question 4

Partner comes to work dirty and leaves trash. Best describe these actions?
Unethical/ unprofessional/ dangerous/ negligent

Answer 4

Unprofessional

Question 5

Verbal consent to treatment is called?

Expressed/ implied/ defined/ legalized

Answer 5

Expressed

Question 6

Elderly pt cut her hand, bleeding is controlled. She answers questions slowly and often pauses. Vitals are BP 110/80, 64, 14. What should you do?
Allow adequate time unless condition worsens/ yes or no ?/ document altered mental/ direct questions to someone else

Answer 6

Allow adequate time

Question 7

MCI, pt asks for help. Disoriented and R 32. According to START, you should?

Answer 7

Immediate

Question 8

MCI, how should report info to trans ambulance?

Neuro status and vitals/ medical and SAMPLE/ pt’s hospital pref/ MOI and who was at fault

Answer 8

Neural status and vitals

Question 9

Pt cond should be corrected during Pri survey?
12 yo dyspnea from allergic reaction/ 28 yo rapid pulse stung by several bees/ 22 yo ab pain baseball bat/ 45 yo mod chest pain, no palp BP

Answer 9

12 yo dyspnea from allergic reaction

Question 10

58 yo heavy chest pressure. Ask you what is cause. You should?
Hospital staff will explain/ heart not getting enough O2/ acute MI/ can’t explain bc HIPAA

Answer 10

Hospital staff will explain

Question 11

Legal case against you. What is your best defense in court?

Complete and thorough report/ dispatch records/ partner’s supporting testimony/ immediate recollection of events

Answer 11

Complete and thorough report

Question 12

Alert 67 yo refuses care and requests to release form? What should you do?
Explain risks/ restrain and trans/ provide supportive care and allow refusal/ ask PD to place in protective custody

Answer 12

Explain risk

Question 13

Pt shot in head no signs of life. Brain matter on floor. You should?
Cover pt and contact coroner/ leave scene untouched and contact PD/ resus measures and tran/ permit fam to view and emotional support

Answer 13

Leave scene untouched and contact PD

Question 14

Most effective way to stop spread of infectious diseases?

Gloves all pts/ good hand washing/ avoid bodily fluids/ face shield all calls

Answer 14

Good hand washing

Question 15

START, open airway, he begins breathing and is unresponsive. This pt should be classified?

Answer 15

Immediate

Question 16

Finalizing PCR, notice incorrect pulse reading. What should you do?

Answer 16

Single horizontal line, correct, initial

Question 17

Arrive large fight, pointed to stab victim. You should?

Drive away and stage/ quickly load and tran/ treat and request ALS/ treat and request police

Answer 17

Drive away and stage

Question 18

Pt dead when you arrive. Rigor mortis already set in. you should?
Direct fam to contact coroner and leave scene/ *tell bad news and emotional supp/ pt dead nothing you can do/ fam sign refusal and clear scene

Answer 18

tell bad news and emotional supp

Question 19

Honor DNR when?

Given appropriate paperwork/ fam requests/ confirm with physician/ pt’s cond is irreversible

Answer 19

Given appropriate paperwork

Question 20

Upon entering home elderly called 911 for chest pain you should?
Gen impress/ check BP/ collect meds/ load and go

Answer 20

Gen impression

Question 21

A medical director issues permanent written orders that allow you to treat patients under certain circumstances. This is known as:
Standing order/ online medical direction/ advance directive/ designated agent

Answer 21

Standing order

Question 22

When approaching unsafe scene, you should:
Park ambulance so that you can easily make a quick retreat/ wear Kevlar vest to reduce threat of gunshot wound or stabbing/ leave on lights and sirens to scare off perpetrators/ stand clear view so that you can be identified as medical personal

Answer 22

Park ambulance so that you can easily make a quick retreat

Question 23

Suspect a chemical of mass destruction?
75 people become sick with sudden onset of vomiting and diarrhea at parade/ you smell an unfamiliar bitter odor at scene of multi vehicle collision/ 20 ppl complain of abdominal cramping at triathlon/ 100 people evacuated with nausea from office building with a new furnace

Answer 23

75 people become sick with sudden onset of vomiting and diarrhea at parade

Question 24

Pt’s wife called for medical emergency. On arrival, pt is upset and refusing care. He wants to go back to bed. You should:
Evaluate mental status/ treat pt according to wife wishes/ advise that you need his permission to treat/ let police handle patient

Answer 24

Evaluate mental status

Question 25

Pt has several open sores on arm. The pt states that they haven't healed despite taking antibiotics. Have pt wear surgical mask/ admin o2 via nasal/ apply a sterile dressing or bandage/ don gloves and gown immediately

Answer 25

Don gloves and gown immediately

Question 26

Upon arrival for shift, what would you do? | Check ambulance supplies/ repair broken equipment/ decontaminate ambulance/ copy previous crew checklist

Answer 26

Check ambulance supplies

Question 27

2 yo F with flu like symptoms. She is in care of a babysitter and her parents can't be reached by phone. What should you do? Treat and release with babysitters consent/ contact law enforcement for temporary custody/ stay on scene until parents can be contacted/ trans under implied consent

Answer 27

trans under implied consent

Question 28

You need pts agreement in order to share treatment info when you are? Giving condition info to pts roommate/ speaking to reporting agency about victim of elder abuse/ providing info to hospital for treatment purposes/ notifying family member of pt location

Answer 28

Giving condition info to pts roommate/

Question 29

14 yo shooting victim is pulseless and apneic. Pupils are fixed and lividity is present. What should you do? Protect against scene intrusion/ CPR/ search for pt identification/ search for other victims

Answer 29

Protect against scene intrusion

Question 30

Cpr in progress and family member state's pt didn't wish to be revived. You should? Continue with resuscitation/ call pts physician/ cease resus effort/ contact medical control

Answer 30

Continue with resuscitation

Question 31

Pt trapped in vehicle upside down and showing signs of hypoperfusion. You can only access left arm and head. Medical treatment should begin after? Scene safety/ get pt GCS/ rapid trauma survey/ *pt is freed from vehicle

Answer 31

pt is freed from vehicle

Question 32

2 days after a call you realize you forgot to document that you checked a pts blood glucose prior to him refusing trans and signing refusal form. You should? Add an addendum to report with correct info, current date and initials/ disregard the mistake since the pt was not transported to hospital and medical director knew about reading/ inform supervisor of error and let him know that it won't happen again/ complete now refusal and return to pt residence to have him resign

Answer 32

Add an addendum to report with correct info, current date and initials

Question 33

What criteria does the START triage system use to determine pt priority Pulse rate, respiratory rate, mental status/ mental status, pulse rate, blood pressure/ bp, mental status, peripheral pulse/ pulse rate, respiratory rate, bp

Answer 33

Pulse rate, respiratory rate, mental status

Question 34

Organization best suited to deal with a downed power line | Electric company/ ambulance crew/ construction company/ fire department

Answer 34

Electric company

Question 35

Pt with leukemia and obviously near death. A valid DNR is present. You should: Provide o2 and any other supportive care/ ask family if they are sure about DNR order/ attempt resuscitation if pt appears to be viable/ clear scene and explain nothing can be done

Answer 35

Provide o2 and any other supportive care

Question 36

While responding to a call with lights and sirens, you approach a school bus that is displaying warning flashers. You should: Wait until the warning flashers are turned off and the bus pulls to the side of the road/ change the tone of the siren and drive around the bus with extreme caution/ turn off your siren temporarily and proceed past the bus before activating again/ announce on the PA speaker that you are going to pass the bus and then proceed carefully

Answer 36

Wait until the warning flashers are turned off and the bus pulls to the side of the road

Question 37

Trauma pt with history of hepatitis. You should wear gloves and? Goggle and mask/ n95 mask and level b suit/ gown and mask/ n95 and Tyvek suit

Answer 37

Goggle and mask

Question 38

You are beginning to assess a 35 yo man with a cut to his wrist. He is reluctant to reveal his past medical history. You should? Take bsi precautions/ continue assess/ take VS and wait for ALS to arrive/ refuse to handle the pt until he answers your question

Answer 38

Take BSI precautions

Question 39

When does scene size up start? | En route to the call/ arrive on scene/ see the pt/ receive the call

Answer 39

Arrive on scene

Question 40

Considering scene safety, priorities from most to least? You, your crew, other rescuers, bystanders, the pt/ your crew, the pt, equipment, other rescuers/ the pt, your partner, you, bystanders

Answer 40

You, your crew, other rescuers, bystanders, the pt

Question 41

Which pt would benefit most from a helicopter transport: 30 yo male pulseless and apneic with history of asthma/ 15 yo F in a motor vehicle crash victim still trapped bp 78 over 42/ 28 year old F in labor crowning; hospital 45 minutes away/ 38 year old male burn pt with first degree burns to 55% of body

Answer 41

15 yo F in a motor vehicle crash victim still trapped bp 78 over 42

Question 42

Valid pt refusal should be: Signed by a legally and mentally competent pt/ signed by everyone on scene/ signed by pt and notarized by a witness/ cosigned by 1 care physician

Answer 42

Signed by a legally and mentally competent pt

Question 43

You are the 1st ambulance at a 2 vehicle collision. What should you do? Scene safety/ count # of injured/ determine MOI/ request additional resources

Answer 43

Scene safety

Question 44

26 yo pt complains of chest pain, productive cough, and not feeling well over last 2 days. "he just flew back from Africa last week." You should? Put on n95 mask on yourself/ listen to lung sounds/ take vitals/ HEPA mask on pt

Answer 44

Put on n95 mask

Question 45

You have just reported for duty with your ambulance company. You should? Do inventory and equipment check/ assign call duties with your partner/ do an inspection of the vehicle/ notify dispatch that you are in service

Answer 45

Do inventory and equipment check

Question 46

18 yo pt has gunshot wound in the arm during a fight. Become increasingly anxious and pushes hands away during primary assessment. What would you do? Verify with law that pt has been searched/ obtain vitals and trans immediately/ reassess scene for additional pts/ continue with pri assess away from the police

Answer 46

Verify with law that pt has been searched

Question 47

You are resus a pt following cardiac arrest when a family member asks you to stop your efforts. You should: Continue resus per protocol and ask to see the physician signed DNR order/ ask a team member to call online med director for permission to stop/ immediately stop CPR and turn off AED/ delay trans of pt while family searches for the advanced directive

Answer 47

Continue resus per protocol and ask to see the physician signed DNR order

Question 48

School bus crashed into tree. 15 children are unharmed, 10 have abrasions and minor lacerations, and 2 children are unconscious. What should you do? Relocate unharmed children to safe location/ contact the school/ call for additional ambulance/ question bus driver about crash

Answer 48

call for additional ambulance

Question 49

Technique to comm with a deaf pt? | Write questions on paper/ face pt and speak loudly/ speak slowly with exaggerate lip movement/ request interpreter

Answer 49

Write questions on paper

Question 50

How should an epipen be discarded? | Sharp container/ red biohazard bag/ return to pt for disposal/ trash can on scene

Answer 50

Sharps container

Question 51

Pt coughing up bright red blood every time he yells or coughs and is spitting up secretions. What should you wear? Face shield/ goggles/ protective gown/ HEPA mask

Answer 51

Face shield

Question 52

While returning to lunch a women flags you down, she found a young child on the roadside who appears to be hit by a car she is not sure if the child is breathing. What should you do? Alert dispatch that you have been flagged for a possible emergency/ grab necessary equipment and have woman show you the locations/ have dispatch call for ALS backup and move to safety while waiting/ calmly explain that you are currently off duty and call 911

Answer 52

Alert dispatch that you have been flagged for a possible emergency

Question 53

Appropriate method to obtain pts medical history? Remain at eye level and ask open ended questions/ multitask while gathering info/ stand over the pt and maintain authoritative appearance/ provide choices following each question

Answer 53

Remain at eye level and ask open ended questions

Question 54

Following a motor vehicle collision, which pt requires emergency moves? 50 yo who cannot be assessed in position found/ 53 yo with severe neck pain/ 24 yo with numbness in extremities/ 64 yo with previous back injuries

Answer 54

50 yo who cannot be assessed in position found

Question 55

23 yo F sudden onset of diff breathing while gardening. BP 90/ 60, P 144, R 26 and labored, wheezing in all lung fields. She has a prescribed epinephrine auto injector. What should you do? Admin o2 and contact medical control/ admin o2 via nasal cannula and reassess/ ask if she knows what insect stung her/ assist with metered dose inhaler

Answer 55

Admin o2 and contact medical control/

Question 56

You need to access unconscious patient inside vehicle via rear passenger window? Place spring loaded window punch to the corner of window/ take axe and work around edges/ hydraulic cutting tool to remove rear door/ use a halligan tool to pull off window

Answer 56

Place spring loaded window punch to the corner of window

Question 57

Triage upon opening airway he is breathing and unresponsive? | Immediate/ deceased/ delayed/ minor

Answer 57

Immediate

Question 58

When is it acceptable to disturb evidence at a crime scene When it is necessary for proper patient care/ when the investigator states it is permissible/ when entering and exiting the crime scene/ when police have cleared the scene for safety

Answer 58

When it is necessary for proper patient care

Question 59

The process by which an agency in one state grants automatic certification to an EMT from another state? Reciprocity/ reexamination/ transfer/ professional courtesy

Answer 59

Reciprocity

Question 60

Process in which teams of professional and peer counselors provide emotional and psychological support? Critical incident stress management/ peer psychiatric counseling/ post traumatic incident review/ quality improvement of conference

Answer 60

Critical incident stress management

Question 61

80 yo Spanish speaking patient not responding to questions alert and choking? Simple hand gestures/ find interpreter/ speak louder/ check for hearing aids

Answer 61

Simple hand gestures

Question 62

Example of definitive care (when you're doing something to fix somebody) Trauma pt going to surgery to repair a lacerated liver/ hypovolemic pt receiving IV fluid therapy en route to the hospital/ geriatric receiving o2 for respiration difficulty/ pediatric pt receiving x ray for possible femur fracture

Answer 62

Trauma pt going to surgery to repair a lacerated liver

Question 63

After assess you determine pt is dead. Police suspect foul play. What should you do? Avoid disturbing the scene/ leave area immediately/ document time of death/ take pics for documentation

Answer 63

Avoid disturbing the scene

Question 64

20 yo pt is reluctant to answer questions pertaining to abdominal discomfort? Reassure her that you are there to help her/ ask family for her medical history/ repeat question in firm but pleasant tone/ advise that she needs to be truthful

Answer 64

Reassure her that you are there to help her

Question 65

BSI procedures? Are the responsibility of each individual/ only required when blood is visible/ are not required in the care of children/ does not include the wearing of a mask

Answer 65

Are the responsibility of each individual

Question 66

A dying pt has signed a DNR, you should? Contact medical control before providing care/ clear the scene once the order has been verified/ treat the pt since the DNR orders only apply to hospital care/ provide emotional support to the pt and fam members

Answer 66

provide emotional support to the pt and fam members

Question 67

Unconscious pt is sitting in driver's seat in a vehicle that has just been involved in a motor vehicle collision. The doors are locked and you have a simple tool kit and the rescue truck is 20 min away. You should: Use hammer to break the rear passenger window/ prepare equipment while waiting for rescue truck/ use screwdriver and hammer to pry open the driver's side door/ use hammer to break driver's side window

Answer 67

Use hammer to break the rear passenger window

Question 68

Defamation in writing

Answer 68

Libel