Question 1
Question
The combined roles and responsibilities of paramedic practice is known as:
Answer
-
Paramedicine.
-
primary care.
-
community medicine.
-
integrated care
Question 2
Question
Critical care transport vehicles are
Answer
-
required to have two registered nurses (RNs) on board during transport
-
considered ambulances with at least one advanced life support (ALS) provider.
-
specially equipped and staffed for moving extremely ill patients.
-
reserved for ventilator or balloon pump patients.
Question 3
Question
Paramedics typically function outside their customary emergency response and transport roles in what emerging type of medicine?
Answer
-
Critical care medicine
-
Flight paramedicine
-
Telemedicine
-
Community paramedicine
Question 4
Question
Which type of emergency service provider has the skills and knowledge to use both basic and advanced equipment found on an ambulance?
Question 5
Question
Of the nationally recognized levels of emergency medical services (EMS) certifications in the United States, who performs the highest level of prehospital care?
Answer
-
Advanced Emergency Medical Technician (AEMT)
-
Paramedic
-
Emergency Medical Responder (EMR)
-
Emergency Medical Technician (EMT)
Question 6
Question
Which level of emergency medical services (EMS) provider is certified to provide only basic emergency medical care and transportation?
Question 7
Question
Which level of emergency medical services (EMS) provider is most likely to hold an associate's degree in emergency care?
Question 8
Question
The primary focus of the advanced emergency medical technician (AEMT) is to provide:
Answer
-
basic and limited advanced emergency medical care and transportation for critical and emergent patients who access the emergency medical services (EMS) system.
-
immediate advanced life support to noncritical patients who access the emergency medical system.
-
basic emergency medical care and transportation for noncritical patients who access the emergency medical system.
-
advanced emergency medical care for critical and emergent patients who access the EMS system.
Question 9
Question
The paramedic is always expected to:
Answer
-
improve the patient's condition.
-
supervise other care providers.
-
serve as the patient's advocate
-
obtain online medical direction.
Question 10
Question
One of the primary tasks of the paramedic is to:
Answer
-
diagnose the patient's primary medical issue.
-
provide care in an out-of-hospital setting.
-
minimize on-scene time.
-
reduce unnecessary transports.
Question 11
Question
To be a successful paramedic, you must:
Answer
-
exert your authority on all emergency calls.
-
be adaptable and make critical decisions effectively.
-
never appear uncertain about what to do
-
make a decision quickly and never waiver.
Question 12
Question
What is often touted as being the best way to avoid legal issues as a paramedic?
Answer
-
Document patient care as it should have occurred.
-
Place the patient's welfare above all other tasks.
-
Have the patient sign a medical liability waiver.
-
Always establish online medical direction.
Question 13
Question
In the near future, paramedics may find themselves taking on a variety of additional roles including:
Answer
-
injury prevention within their service area.
-
replacing the nurse in the emergency department.
-
providing suturing of lacerations to children.
-
determining if a patient should go to the hospital based upon the likelihood they will be admitted.
Question 14
Question
A role that the paramedic often performs while on duty, but between emergency calls, is:
Question 15
Question
Your patient requires transport; however, you have determined the closest facility is NOT the best destination and your medical director agrees. Transporting to the more distant facility will cause you to get off late for this shift. Transporting the patient to the appropriate facility anyway shows you are:
Answer
-
serving the best interests of the patient.
-
exceeding your medical authority.
-
protecting the public's safety.
-
guilty of abandonment.
Question 16
Question
You are obligated to ensure the patient receives the best care possible:
Answer
-
within a 10-20 minute transport time.
-
regardless of the patient's ability to pay.
-
according to the patient's insurance provider.
-
within the patient's financial means.
Question 17
Question
Based on current trends, paramedic graduates of today will continue to enter into nontraditional roles such as helicopter EMS, tactical EMS, and industrial medicine because of their:
Answer
-
ability to follow standing orders.
-
unique education and ability to think and work independently.
-
ability to follow direction from medical direction.
-
rapport with hospital-based emergency systems.
Question 18
Question
What is an environment that today's paramedics often work in?
Answer
-
Industrial environments
-
Commercial aircrafts
-
Dental offices
-
The operating room
Question 19
Question
What would provide most of the capabilities of the hospital intensive care unit in an out-of-hospital environment?
Answer
-
Critical care transport vehicle
-
Tactical emergency medical services (EMS) gear bag
-
Special event crews in chase vehicle
-
Standard advanced life support (ALS) ambulance
Question 20
Question
You have accepted a part-time job as a paramedic working in an outpatient clinic. This will likely increase your knowledge of:
Question 21
Question
Your emergency medical services (EMS) system sends multiple levels of emergency care personnel to the same incident. This is an example of a(n):
Question 22
Question
What process is used to continuously evaluate and improve the emergency medical services (EMS) system?
Answer
-
Depositions
-
Progressive discipline
-
Quality improvement
-
Civil litigation
Question 23
Question
Auditing encounter forms and peer review are examples of:
Answer
-
retrospective medical oversight.
-
intervener medical direction.
-
on-line medical direction.
-
anticipatory medical oversight.
Question 24
Question
Standing orders are:
Answer
-
preauthorized protocols.
-
increase liability for paramedics.
-
used when the paramedic must speak with the medical director.
-
protocols the paramedic may follow at will
Question 25
Question
Paramedics are an essential component in:
Answer
-
the clinic referral system.
-
the continuum of patient care.
-
the hospital emergency room.
-
Medicare fraud prevention.
Question 26
Question
The out-of-hospital components of an emergency medical services (EMS) system include:
Question 27
Question
Health care providers such as (emergency department) ED physicians and ED nurses, and the availability of services such as emergency radiology and respiratory care, are:
Answer
-
not part of an EMS.
-
in-hospital components of an emergency medical services (EMS) system.
-
alternate pathways of educating EMS providers for an online EMS training system.
-
accessory patient care systems for rural communities.
Question 28
Question
If there is a weakness in one component of an emergency medical services (EMS) system, it will:
Answer
-
be supported by other components in a properly functioning system.
-
diminish the overall quality of patient care.
-
be less critical in tiered response systems.
-
create an opportunity for the paramedic to intervene.
Question 29
Question
What were the lessons learned from the Korean and Vietnam conflicts that have impacted modern-day emergency medical services (EMS)?
Answer
-
There was a need for a common scope of practice for all prehospital personnel.
-
The lifesaving care needs to occur in the hospital setting.
-
Injured soldiers benefited from emergency care provided as soon as possible.
-
Speed of evacuation is the most important element in an EMS system.
Question 30
Question
The earliest medical records:
Answer
-
were inscribed on clay tablets.
-
discussed treating diagnoses, not symptoms.
-
didn't include medications.
-
included instructions on physical examination.
Question 31
Question
What was the effect of the publication of Accidental Death and Disability: The Neglected Disease of Modern Society on modern-day emergency medical services (EMS)?
Answer
-
It was the "white paper" that acted as a catalyst for improving ambulance systems and emergency responder training.
-
The American Heart Association began training the public in cardiopulmonary resuscitation (CPR).
-
Determining many people died from preventable causes cited in the report.
-
The states each took a leadership role in improving their own EMS systems.
Question 32
Question
The concept of ambulance volante, pioneered by Larrey during the Napoleonic Wars, was initiated during the Civil War by:
Question 33
Question
Accidental Death and Disability: The Neglected Disease of Modern Society was first published by:
Answer
-
National Institute of Occupational Safety and Health (NIOSH).
-
The Journal of Emergency Medical Services (JEMS)
-
The National Registry of Emergency Medical Technicians (NREMT).
-
The National Academy of Sciences
Question 34
Question
Accidental Death and Disability: The Neglected Disease of Modern Society was released in:
Question 35
Question
What coincided with the release of Accidental Death and Disability: The Neglected Disease of Modern Society that resulted in the first emergency medical services (EMS) guidelines for the United States?
Answer
-
The Health Insurance Portability and Accountability Act of 1972
-
The National EMS Curriculum Act of 1963
-
The Los Angeles County EMS Planning Conference in 1961
-
The Highway Safety Act of 1966
Question 36
Question
As a paramedic working in emergency medical services (EMS) today, what current day practice could you attribute to the recommendations found in Accidental Death and Disability: The Neglected Disease of Modern Society study?
Answer
-
Improved communication between the ambulance and physicians
-
Well-equipped and maintained ambulances
-
Standardized training requirements for EMS personnel
-
All of the answers are correct
Question 37
Question
In 1988, the Statewide emergency medical services (EMS) Technical Assessment Program was established by NHTSA to:
Answer
-
provide acute illness and injury care and follow-up, and contribute to the treatment of chronic conditions and to community health monitoring.
-
provide funding to states for trauma system planning, development, implementation, and evaluation.
-
help establish helicopter EMS (HEMS) programs.
-
define elements necessary to all EMS systems.
Question 38
Question
The Statewide Emergency Medical Services (EMS) Technical Assessment Program defines elements necessary to all EMS systems; the transportation element covers which items?
Answer
-
Defensive driving class requirements
-
Standards for street marking and placement of house numbers
-
Minimum standards for equipping air ambulances
-
Safe patient transport by ground or air ambulance
Question 39
Question
Standardized curriculum, adequate training, and qualified instructors are covered in which element of the Statewide emergency medical services (EMS) Technical Assessment Program?
Question 40
Question
Which element does NOT pertain to the medical director as it relates to the Statewide emergency medical services (EMS) Technical Assessment Program?
Answer
-
The medical director responds to all requests for on-line medical care.
-
The medical director oversees all aspects of patient care.
-
The medical director delegates medical practice to nonphysician caregivers.
-
Each EMS system must have a physician as its medical director.
Question 41
Question
A significant advance in paramedic education was contained in the 2009 publication of the National EMS Education Instructional Guidelines, developed by the:
Question 42
Question
Which organization recommended sweeping improvements for the helicopter air ambulance industry?
Answer
-
National Registry of Emergency Medical Technicians
-
President's Council on Safety
-
National Transportation Safety Board
-
National Highway Traffic Safety Administration (NHTSA)
Question 43
Question
Which document recommended that emergency medical services (EMS) of the future would be a community-based health management system that would be fully integrated into the overall health care system?
Question 44
Question
The National Report Card on the State of Emergency Medicine: Evaluating the Environment of Emergency Care Systems State by State pointed out the significant problems that existed in all aspects of emergency care, including:
Answer
-
a significant need for helicopter transport services for critically ill or injured patients.
-
overstressing of emergency medical services (EMS) systems are so severe that the quality of care has been compromised.
-
a lack of competent providers causing a deterioration in patient care.
-
patient disappointment in service from long ambulance wait times.
Question 45
Question
In the publication Emergency Medical Services: At the Crossroads, published by the National Academies Institute of Medicine, which element is not a weakness identified in current emergency medical services (EMS) delivery systems?
Answer
-
Disparities in response time
-
Insufficient coordination
-
poor patient rapport
-
Uncertain quality of care
Question 46
Question
In 2006, the National Academies Institute of Medicine published an evaluation of the status of emergency services which found that, despite the advances made in emergency medical services (EMS), sizable challenges remained. This evaluation was entitled:
Answer
-
The National Report Card on the State of Emergency Medicine: Evaluating the Environment of Emergency Care Systems State by State.
-
Statewide EMS Technical Assessment Program.
-
The EMS Agenda for the Future.
-
Emergency Medical Services: At the Crossroads.
Question 47
Question
Which statement is true regarding response times to emergency medical services (EMS) calls?
Answer
-
Response times are very consistent throughout the United States.
-
Response times are not tracked in the United States.
-
Response times are not impacted by dispatch resources.
-
Response times vary greatly across the United States.
Question 48
Question
What was published in 2006 that reported the lack of standardized measures of emergency medical services (EMS) quality?
Answer
-
EMS Agenda for the Future
-
Accidental Death and Disability: The Neglected Disease of Modern Society
-
Emergency Medical Services for Children
-
Emergency Medical Services: At the Crossroads
Question 49
Question
First used by the Salt Lake City Fire Department and using a set of medically approved protocols, emergency medical dispatchers (EMDs) are trained to medically interrogate a distressed caller, prioritize symptoms, select an appropriate response, and give lifesaving prearrival instructions. This management method is called:
Question 50
Question
Emergency medical services (EMS) is just part of the patient's continuum of care. When does the continuum of care begin?
Answer
-
When EMS is first activated
-
.When the patient is admitted to the hospital
-
When the patient is first injured or becomes ill
-
When the patient arrives at the hospital
Question 51
Question
For improved efficiency, emergency medical services (EMS)operations among multiple agencies should be:
Answer
-
isolated.
-
independent.
-
infrequent.
-
integrated.
Question 52
Question
What is the sixth and final step in the American Heart Association (AHA) chain of survival?
Question 53
Question
The study of the ways in which disease states interfere with normal functioning of body systems is called:
Answer
-
pathology.
-
epidemiology.
-
pathophysiology.
-
immunology.
Question 54
Question
Which of these terms refer to the movement of a solute from an area of higher concentration to an area of lower concentration without the use of energy or assistance?
Answer
-
Osmosis
-
Facilitation
-
Simple diffusion
-
Active transport
Question 55
Question
Poisons released from bacterial cells when they die, that can trigger an inflammatory process, are known as:
Answer
-
epitoxins.
-
exotoxins.
-
ectotoxins.
-
endotoxins.
Question 56
Question
The process in which the size of a cell decreases as a result of decreasing workload is known as:
Answer
-
hyperplasia
-
hypertrophy.
-
metaplasia.
-
Atrophy.
Question 57
Question
The smallest units of life are:
Answer
-
atoms.
-
cells.
-
tissues.
-
molecules.
Question 58
Question
A group of organs working together for some common goal is known as a(n):
Answer
-
organism.
-
organ thread.
-
organ system.
-
human being.
Question 59
Question
What is the term used to describe any unit of life that is capable of surviving and reproducing in an environment?
Answer
-
Organ system
-
Biome
-
Organism
-
Human
Question 60
Question
The smallest unit of life is the:
Answer
-
Cell
-
organ
-
tissue
-
body system
Question 61
Question
External influences that tend to increase the body's vulnerability to a disease, such as poor dietary habits increasing the risk of diabetes, are called:
Question 62
Question
Humans at both ends of the age spectrum are especially vulnerable to disease due to:
Answer
-
weakness of the immune system.
-
frail body systems.
-
increased exposure to illness.
-
diminished mental capacities.
Question 63
Question
Predisposition to certain disease processes on a familial basis can be attributed to:
Answer
-
country of origin.
-
atherosclerosis.
-
lifestyle.
-
genetics.
Question 64
Question
In the Ukraine, the incidence of cancers, specifically thyroid cancer, has increased dramatically following the nuclear disaster in 1986 at Chernobyl. In this case, the predisposing factor is:
Answer
-
inheritance.
-
genetics.
-
lifestyle.
-
exposure.
Question 65
Question
Pathological changes that result from invasion of the body and colonization by a pathogenic organism are classified as:
Answer
-
immunologic diseases.
-
inflammatory diseases.
-
an autoimmune disorder.
-
infectious diseases.
Question 66
Question
Congenital diseases can result from problems which occur during:
Question 67
Question
Disease states that result from a deficiency in one or all of the major nutritional sources (carbohydrates, proteins, fats) are classified as:
Answer
-
electrolyte imbalances.
-
nutritional diseases.
-
vitamin deficiencies.
-
malnutrition disorders.
Question 68
Question
What is neoplasia?
Answer
-
Abnormal or uncontrolled cell growth
-
Hypoxia-induced cellular malformation
-
Chemical destruction of a cell membrane
-
The formation of new skin cells on a fetus
Question 69
Question
Most atoms become stable by:
Question 70
Question
The process by which atoms join together to form a molecule is called:
Answer
-
orbitation
-
coupling
-
bonding
-
valence
Question 71
Question
The equal sharing of electrons between atoms results in a(n):
Answer
-
hydrogen bond.
-
atomic mass.
-
covalent bond.
-
ionic bond.
Question 72
Question
An atom or molecule with missing electrons and thus a net positive charge is called a(n):
Answer
-
ionic bond.
-
anion.
-
nonmetallic element.
-
cation.
Question 73
Question
Which of these is NOT a major class of biologic chemicals?
Answer
-
Water
-
Lipids
-
Carbohydrates
-
Proteins
Question 74
Question
Polysaccharides are considered part of which major class of biologic chemicals?
Answer
-
Carbohydrates
-
Water
-
Lipids
-
Proteins
Question 75
Question
Amino acids are held together in proteins by:
Answer
-
hydrogen bonds.
-
ionic bonds.
-
covalent bonds.
-
peptide bonds.
Question 76
Question
Most enzymes can also be considered:
Answer
-
Carbohydrates
-
Lipids
-
Water
-
Proteins
Question 77
Question
Successfully completing a course that adheres to the most recent National EMS Education Instructional Guidelines would fulfill the requirements of:
Answer
-
initial education.
-
subsequent education.
-
field training.
-
continuing education.
Question 78
Question
Quality, accredited continuing education programs and much of the didactic portion of initial emergency medical services (EMS) education are now available:
Question 79
Question
Which statement is true regarding the Consolidated Omnibus Budget Reconciliation Act (COBRA) of 1981?
Answer
-
It introduced federal funding for EMS.
-
It prevented EMS agencies from applying for grants.
-
It significantly increased federal funding for EMS.
-
It wiped out federal funding for emergency medical services (EMS).
Question 80
Question
Which document provided funding to states for trauma system planning, development, implementation, and evaluation?
Answer
-
Statewide EMS Technical Assessment Program
-
Trauma Care Systems and Development Act
-
EMS Agenda for the Future
-
Ontario Prehospital Advanced Life Support study
Question 81
Question
Clinical protocols are designed around the four "Ts" of emergency care. These are:
Answer
-
triage, treatment, training, and testing.
-
training, triage, treatment, and transport.
-
triage, treatment, telemetry, and transport.
-
triage, treatment, transport, and transfer.
Question 82
Question
Emergency medical services (EMS) providers are the medical director's designated agents. This defines the concept of:
Question 83
Question
The trend in emergency medical services (EMS) as it relates to medical direction is to:
Answer
-
eliminate medical direction.
-
increase on-line medical direction and decrease off-line medical direction.
-
increase off-line medical direction and decrease on-line medical direction.
-
transition to entirely on-line medical direction.
Question 84
Question
In most emergency medical services (EMS) systems, what is the most overlooked component of the EMS system?
Question 85
Question
A means to promote and enhance the status of emergency medical services (EMS) within the health care community and to help create a unified voice for EMS providers are two of the services provided by:
Question 86
Question
What nongovernmental organization develops and administers standardized tests for various EMS provider levels?
Answer
-
N.R.E.M.T.
-
N.E.M.S.E.S.
-
C.o.A.E.M.S.P.
-
N.A.E.M.S.E.
Question 87
Question
An abundant source of continuing education material and an excellent opportunity for EMS professionals to write and publish articles are two benefits of:
Question 88
Question
Which publication is specifically for emergency medical services (EMS)professionals?
Question 89
Question
KKK-A-1822 is a federal specification intended to improve:
Question 90
Question
Which statement is true regarding KKK-A-1822 standards?
Answer
-
All ambulances meet this standard.
-
Not all ambulances meet this federal standard.
-
This standard is only for air ambulances.
-
This standard is only for fire department ambulances.
Question 91
Question
The KKK-A-1822 federal standards for ambulances include:
Answer
-
elimination of handheld spotlights.
-
geographical positioning system (GPS) navigation system.
-
video communication system.
-
occupant protection standards.
Question 92
Question
Which standard called for improved electrical standards and reduced interior siren noise for ambulances?
Question 93
Question
A designated trauma center is:
Answer
-
any hospital that self-designates itself as a trauma center.
-
a hospital that meets accreditation standards for trauma care.
-
a hospital with air ambulance resources on site.
-
a hospital with trauma and rehabilitation services on site.
Question 94
Question
Receiving facilities should have all of these capabilities except which one?
Question 95
Question
Which facilility is NOT a recognized specialty center category?
Answer
-
Burn center
-
Orthopedic center
-
Pediatric center
-
Perinatal center
Question 96
Question
You are transporting a patient who was rescued from a house fire. Which type of receiving facility, if available, should you transport the patient to?
Answer
-
Chest pain center
-
Trauma center
-
Stroke center
-
Burn center
Question 97
Question
For quality assurance and improvement programs to be effective, they must:
Answer
-
be dynamic and comprehensive.
-
fully attain total excellence.
-
set the community's expectations.
-
be designed with the needs of cost effective care as their chief concern.
Question 98
Question
Which guideline does not appear in the National Highway Traffic Safety Administration (NHTSA) released manual called A Leadership Guide to Quality Improvement for Emergency Medical Services Systems?
Question 99
Question
A good emergency medical services (EMS) quality improvement (QI) program is also a(n):
Answer
-
"good enough" quality program.
-
excellent individual performance monitor.
-
excellent risk management strategy.
-
excellent low-risk procedure monitor.
Question 100
Question
EMS cases can be divided into four areas of risk; of these, which is most important for quality improvement (QI) monitoring?
Question 101
Question
The primary tenet of medicine is primum non nocere, which means:
Question 102
Question
Which error is an ongoing issue in emergency medical services (EMS)and a common source of malpractice litigation?
Question 103
Question
When a health care provider fails to perform a skill properly, this is known as a:
Answer
-
protocol-based failure.
-
skill-based failure.
-
knowledge-based failure.
-
cognitive load failure.
Question 104
Question
When an emergency medical services (EMS) provider fails to follow an established treatment guideline, this is known as a(n):
Question 105
Question
One reason there is very little known about the quality of care delivered by emergency medical services (EMS) services in the United States is:
Answer
-
medical professionals attempt to hide problems from government agencies.
-
there are no standardized measures of EMS quality.
-
EMS providers are reluctant to report quality issues.
-
hospital emergency departments fail to review EMS performance.
Question 106
Question
What is an essential component of an emergency medical services (EMS) system?
Answer
-
Research
-
Online training
-
Tuition reimbursement
-
Conferences
Question 107
Question
Historically, emergency medical services (EMS) has implemented treatment guidelines without adequate:
Answer
-
communication
-
training
-
research
-
medical direction.
Question 108
Question
What is a significant barrier to emergency medical services (EMS) research?
Question 109
Question
What enhancement has been made in some emergency medical services (EMS) systems based on the benefits recently identified with rapid primary percutaneous coronary intervention (PPCI)?
Answer
-
Paramedics can activate cardiac catheterization teams.
-
Most ALS ambulances now carry single tPA doses.
-
EMS providers can now perform percutaneous coronary interventions in the prehospital setting.
-
HEMS resources are now used regardless of proximity to the receiving facilities for patients in need of PPCI.
Question 110
Question
Which change is NOT one of the rules of evidence when considering a new medication, process, or procedure?
Answer
-
Any proposed change must be supported by ample scientific human research.
-
Any proposed change must be affordable.
-
Any proposed change must be clinically important.
-
Any proposed change must be supported by the community.
Question 111
Question
Is there any benefit in new clinical evidence invalidating traditional emergency medical services (EMS) practices?
Answer
-
.Yes, because they can be replaced with treatments that are more effective.
-
No, because current practices are so established within the system that changes will create problems.
-
Yes, because EMS agencies will be able to seek higher reimbursement rates based on more advanced procedures.
-
No, because traditional EMS practices have been proven out by years of effective use.
Question 112
Question
With regard to evidence-based medicine, what skill is essential for paramedics to possess?
Answer
-
When to determine which protocols to follow
-
How to read and interpret scientific literature
-
When to disregard clinical experience
-
How to conduct scientific human research
Question 113
Question
Which field of medicine requires you to be the most mentally, physically, and emotionally prepared?
Answer
-
Dietetics
-
Social work
-
Rehabilitation
-
Paramedicine
Question 114
Question
Paramedics require a strong knowledge in which area?
Answer
-
Pharmacology
-
Surgical techniques
-
Pathophysiology
-
Rehabilitation
Question 115
Question
Which individuals are not part of the allied health professions?
Answer
-
Paramedic
-
Physician
-
Respiratory therapist
-
Physical therapist
Question 116
Question
Which is an example of a paramedic providing primary care?
Answer
-
The paramedic responds to a call where a child has stuffed a marble up in their nose. The paramedic removes the marble and transports the child to an outpatient clinic for additional follow up.
-
The paramedic responds to a call where an adult has fallen off a roof and has a fractured forearm and head wound. The paramedic stabilizes the patient and transports the patient to a trauma center.
-
C.
The paramedic responds to a call where an individual is having an allergic reaction to a bee sting. The paramedic administers epinephrine, and the patient requests to not be transported to the hospital.
-
The paramedic responds to a call where a college student has passed out from too much alcohol. The paramedic transports the student to the nearest hospital.
Question 117
Question
Restocking and equipment disinfection:
Answer
-
are not required before returning to service.
-
should be done after every call.
-
can be completed anytime during your shift.
-
are basic life support (BLS) responsibilities.
Question 118
Question
The paramedic is stationed in a facility in a remote area and is called to respond to a trauma related emergency. There are no major cities in the area, and the only medical care is from a clinic in a small town that is open during weekdays only. However, the physician is on call as needed. What level of trauma center would the paramedic expect to take the patient to?
Answer
-
Level II
-
Level IV
-
Level I
-
Level III
Question 119
Question
On your way to work, you consciously set aside your personal problems in order to focus on the needs of your patients. This is an example of:
Answer
-
response
-
preparation
-
scene size up.
-
recognition
Question 120
Question
In order for paramedics to properly treat a patient, they must master:
Question 121
Question
How many levels of trauma centers are there according to the American College of Surgeons?
Question 122
Question
Which level of trauma center is required to have criteria for transporting certain types of trauma patients to a higher level of care?
Answer
-
Level IV centers only
-
Level I, II, and III centers
-
Level III and IV centers
-
Level II, III, and IV centers
Question 123
Question
You are caring for a 17-year-old patient who experienced an acute psychotic break and jumped off a building. They have sustained multiple long bone and chest injuries. They should be transported to what type of facility (assuming all are within a reasonable driving distance)?
Question 124
Question
You have a 23-year-old patient who jumped from a first story balcony to escape a house fire. They have extensive burns to the face, neck, arms, and torso. During the jump they seemed to have twisted their ankle. What would be the best destination facility given this scenario, and assuming all facilities are within similar transporting distances?
Answer
-
Pediatric trauma center
-
Burn facility
-
Immediate care facility
-
Trauma facility
Question 125
Question
Setting high standards for personal performance, crew performance, and agency performance is an indicator of:
Answer
-
professionalism.
-
independence
-
pride
-
ego
Question 126
Question
Ethics are not laws, but rather:
Answer
-
standards of honorable behavior of a group.
-
a specific code of conduct of an individual.
-
a personal moral standard.
-
agency-specific protocols for right and wrong.
Question 127
Question
Which document details some of the guiding principles for professional emergency medical technician (EMT) service?
Question 128
Question
Being a professional requires a:
Question 129
Question
Professionalism in communication is an important attribute in the prehospital environment. Which are attributes of effective communication?
Answer
-
Using complicated medical terminology to explain a procedure to the injured
-
Speaking clearly, writing legibly, and always using medical terminology
-
Speaking clearly, listening actively, and writing legibly
-
Speaking clearly and loudly and always using medical terminology
Question 130
Question
A critical review of your own performance is a(n):
Question 131
Question
Which statement is most reflective of good teamwork?
Answer
-
Ensuring unanimous agreement on all decisions
-
Maintaining a friendly atmosphere for all team members
-
Placing success of the team over personal interests
-
Demonstrating your ability to direct others competently
Question 132
Question
Of the varied attributes a care provider may demonstrate, which one is not appropriate for an emergency medical services (EMS) provider?
Answer
-
Skill mastery
-
Egotism
-
Commitment to excellence
-
High standards
Question 133
Question
Human immunodeficiency virus (HIV), hepatitis B, and hepatitis C are all:
Question 134
Question
Cleaning with a bleach solution is a form of:
Question 135
Question
The nonspecific response of the body to any demand, real or percerived, is called:
Answer
-
stress
-
defense
-
grief
-
coping
Question 136
Question
The extreme endpoint of the stress continuum is known as:
Answer
-
eustress
-
alpha stress.
-
burnout
-
decompression
Question 137
Question
Which response is true regarding use of lights and sirens by an emergency medical services (EMS) provider while transporting a patient or responding to a call?
Answer
-
They should be used on every call.
-
They are a means to get through heavy traffic.
-
They should only be used on cardiac arrest patients.
-
They should be limited to those patients with a time-critical condition.
Question 138
Question
What is a correct outcome regarding basic physical fitness when done correctly?
Answer
-
It increases the risk of back injury.
-
It can reduce workplace injuries.
-
It reduces the need for adequate sleep.
-
It eliminates job stress.
Question 139
Question
You are dispatched to a call for a morbidly obese patient. You need to move the patient to the ambulance on a cot. You should use what piece of equipment when transitioning the patient?
Answer
-
Use a power lift stretcher
-
Use a manual lift stretcher
-
Use a Reeves stretcher
-
Slide the patient rather than lifting
Question 140
Question
All the listed factors are important for paramedics who want to be in emergency medical services (EMS) long-term without physical injury, except which one?
Answer
-
24 hour shifts
-
Basic physical fitness
-
Proper nutrition
-
Adequate sleep
Question 141
Question
As an emergency medical technician (EMT) looking to improve your personal wellness, it is important to focus on:
Answer
-
increasing the amount of exercise you get in your day.
-
considering taking medication to help manage stressful times.
-
increasing coffee and tea intake.
-
watching more TV and playing more video games.
Question 142
Question
If your body is fed well and kept fit and if you use the principles of back safety and avoid potentially addictive and harmful substances, you:
Answer
-
will be able to work long shifts without tiring.
-
will be able to work without additional assistance on morbidly obese patients.
-
should have the physical strength and stamina to perform the duties of a paramedic.
-
will reduce your insurance rates.
Question 143
Question
Which guideline is consistent with MyPlate guidelines provided by the U.S. Department of Agriculture?
Answer
-
Make one quarter of your plate fruits and vegetables.
-
Drink whole milk as a source of calcium.
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Make half your grains whole grains.
-
Eat larger portions less often.
Question 144
Question
What outcome is not a direct benefit of physical fitness?
Question 145
Question
Provider obesity and a lack of general physical fitness are associated with an increase in:
Answer
-
poor patient care.
-
lucidy
-
burnout
-
back injuries.
Question 146
Question
Overuse and abuse of substances such as caffeine are common among:
Answer
-
EMS providers in rural areas.
-
those with high-stress jobs.
-
older workers specifically.
-
mostly women in emergency medical services (EMS).
Question 147
Question
What risk factor increases the likelihood of cancer and cardiovascular disease?
Answer
-
Use of tobacco
-
Hypermetabolism
-
Job stress
-
Chronic fatigue
Question 148
Question
You have decided to quit smoking. You should:
Answer
-
replace the habit with food or alcohol.
-
take some time off work.
-
keep quiet until you are sure you can do it.
-
seek support from local resources.
Question 149
Question
What technique is very important to avoid injuring your back at work?
Question 150
Question
Abdominal strength can help reduce back injuries. The best way to increase core strength is:
Answer
-
jogging
-
jumping jacks.
-
abdominal crunches.
-
sit-ups
Question 151
Question
If you are not sure you can handle a particular lifting or moving situation, you should:
Answer
-
take yourself out of service.
-
get help from other rescuers.
-
warm up first.
-
ask bystanders to assist you.
Question 152
Question
When lifting a patient who is on your wheeled cot, you should:
Answer
-
lift with your palms up.
-
lift with your palms down.
-
lock your knees and bend your back prior to lifting.
-
lift with one palm up and one down.
Question 153
Question
Calls involving what issue are typically challenging for most emergency medical services (EMS) providers?
Answer
-
Elderly patients
-
Traumatic injuries
-
Death and dying
-
Refusals
Question 154
Question
The "denial" stage of grief is characterized by:
Answer
-
"why me?"
-
"but I haven't."
-
"not me."
-
"I'm not afraid."
Question 155
Question
Which statement or question characterizes the anger stage of grief?
Answer
-
"First let me."
-
"Not me."
-
"I'm not afraid."
-
"Why me?"
Question 156
Question
During which stage of grief will the family likely need more support than the patient?
Answer
-
Bargaining
-
Acceptance
-
Anger
-
Denial
Question 157
Question
The additional stress from exposure to death, which paramedics encounter much more frequently than other people do, can lead to:
Answer
-
denial of the event.
-
an increased ability to deal with death without outside support.
-
an increased sense of reverence toward the event.
-
a cumulative sense of overload.
Question 158
Question
A stimulus that causes stress is known as a(n):
Answer
-
hardship
-
insult
-
stressor
-
event
Question 159
Question
The U.S. Surgeon General once estimated that stress-related diseases kill approximately what percentage of people who die of nontraumatic causes?
Question 160
Question
What are the three physiologic phases of the stress response?
Answer
-
Alarm, resistance, and exhaustion
-
Distress, alarm, and recovery
-
Distress, eustress, and recovery
-
Resistance, alarm, and recovery
Question 161
Question
Exercising, eating a healthy diet, using relaxation techniques, and reframing thoughts are all ways of managing:
Answer
-
stress
-
cancer
-
critical infections.
-
anorexia
Question 162
Question
Defensive response strategies to stress can include:
Answer
-
problem solving.
-
denial or distortion of the situational reality.
-
multiple option determination.
-
confrontation of the stressor
Question 163
Question
In emergency medical services (EMS) and life, you have the ability to choose how to treat your body in regard to diet, exercise, and stress management. As such, in doing so, you must realize that every health choice has:
Answer
-
only positive outcomes.
-
some amount of negative outcomes.
-
outcomes that will be immediately realized
-
outcomes and consequences.
Question 164
Question
Which mechanism is not recognized as a method for adapting to stress?
Question 165
Question
Post-traumatic stress disorder (PTSD) is:
Answer
-
often seen in individuals who have not actually been exposed to traumatic events.
-
an emotional disability that primarily affects accident survivors.
-
not generally considered to be a cause of anxiety.
-
a possible outcome of recurrent and unmitigated stress.
Question 166
Question
Which of these is NOT a symptom of post-traumatic stress disorder (PTSD)?
Answer
-
Physical reactions whenever something reminds the person of the event(s).
-
Unwanted and distressing memories of the traumatic event(s).
-
An uncontrollable desire to return to the place of the event(s).
-
Disturbing or intrusive flashbacks of the event(s).
Question 167
Question
An organization that raises awareness about post-traumatic stress disorder (PTSD) specifically in the emergency medical services (EMS) community is:
Question 168
Question
Why has the concept of Critical Incident Stress Management (CISM) been all but abandoned in emergency medical services (EMS)?
Answer
-
The evidence showed that it was potentially harmful to participants.
-
Industry support for EMS provider mental health resources has waned.
-
It was replaced by the critical incident stress debriefing (CISD) process.
-
Most agencies now use the stress management protocols outlined in the National Incident Management System.
Question 169
Question
When rescuers are working together as a team to lift a patient:
Answer
-
all rescuers should lift and twist at the same time.
-
only one person should be in charge of verbal commands.
-
all rescuers should hold their breath during the lift process.
-
no rescuer should bend the knees more than 90 degrees.
Question 170
Question
Proper lifting techniques:
Answer
-
are best developed by individual trial and error.
-
should ideally be taught by and practiced with a seasoned emergency medical services (EMS) educator or trainer.
-
cannot be utilized by a provider with bad knees.
-
rely most heavily on strong back muscles.
Question 171
Question
The person who drives the ambulance should understand which basic principle?
Answer
-
Use lights and sirens at all times when driving on a congested road.
-
Follow the ambulance escort as closely as possible to avoid losing the lead vehicle in traffic.
-
Park as close to the victim as possible when responding to a roadway incident.
-
Know how to manage an intersection in which traffic is moving in several directions.
Question 172
Question
Which factor(s) seem to contribute to ambulance crashes?
Answer
-
Increased braking distances of modern ambulances
-
The least trained and experienced person typically drives
-
Less responsive steering in modern ambulances
-
All of the above
Question 173
Question
A hypothesis is:
Answer
-
the ability to generalize your results.
-
a statement of exactly what your study will answer.
-
what you want to measure.
-
the group you draw your subjects from.
Question 174
Question
Research has proven that a certain treatments actually improve morbidity, mortality, or quality of life for the patient. This is known as:
Answer
-
anecdotal data.
-
inconclusive research.
-
qualitative research.
-
outcomes-based research.
Question 175
Question
You submit an emergency medical services (EMS) article for publication and are told it must first be reviewed by other EMS professionals for quality and accuracy. This is known as:
Question 176
Question
Quantitative research expresses phenomena in:
Answer
-
images
-
opinions
-
numbers
-
words
Question 177
Question
Future changes in emergency medical services (EMS) procedures, techniques, and equipment must be evaluated to prove they make a positive difference prior to implementation; this aspect of EMS is known as:
Answer
-
research
-
scientific method.
-
quality assurance.
-
peer review.
Question 178
Question
What is one hallmark of the emergency medical services (EMS) profession?
Answer
-
The ability to attain knowledge through study or practice.
-
The ability to change practices and procedures based on evolving research.
-
The ability to analyze results and draw conclusions.
-
The ability to obtain funding for EMS research from the government.
Question 179
Question
What is most essential to ensuring that the best possible patient care is provided in the prehospital and out-of-hospital setting?
Question 180
Question
In the evidence-based approach, once a practice has been changed, ongoing evaluation must be carried out to determine:
Answer
-
if paramedics are willing to learn and implement the change.
-
if emergency medical services (EMS) systems want to implement the change.
-
whether the practice is correctly applied to the proper group of patients.
-
if patients will comply with the change.
Question 181
Question
The National Emergency Medical Services (EMS) Research Agenda was published by:
Answer
-
National Association of EMS Educators (NAEMSE).
-
United States Department of Transportation (USDOT).
-
Federal Emergency Management Agency (FEMA).
-
National Highway Traffic Safety Administration (NHTSA)
Question 182
Question
Which of the following was NOT a conclusion identified in the National EMS Research Agenda?
Answer
-
Researchers with extensive careers should be sought and funded.
-
The need for research in EMS should be recognized.
-
Relationships should be developed between emergency medical services (EMS) researchers and economists
-
Ethical research should be enhanced in EMS.
Question 183
Question
According to the National EMS Research Agenda, researchers must have access to what type of data in order to improve prehospital patient care.
Question 184
Question
The National EMS Research Agenda recommends the use of what process when evaluating technical advances in out-of-hospital care.
Answer
-
Observations
-
Scientific methodology
-
Protocols
-
Operating procedures
Question 185
Question
The reliable, consistent, and nonarbitrary components of a research project, used to explore observations and answer questions, are known collectively as:
Question 186
Question
Which is not a step of the research process as it relates to the scientific method of research for emergency medical services (EMS)?
Answer
-
Poll others in the EMS field for their opinions
-
State the hypothesis or a precise question
-
Set up an experiment to test a hypothesis
-
Do background research on the subject
Question 187
Question
In the scientific method, the first step is to observe something and ask questions about it. This step is followed by which step?
Question 188
Question
Which step of the scientific method needs to occur if your hypothesis is found to be incorrect?
Answer
-
Collect data
-
Construct a hypothesis
-
Ask questions
-
Revise the hypothesis
Question 189
Question
Research that produces findings not arrived at by means of statistical procedures or other means of quantification is known as:
Answer
-
qualitative
-
prospective
-
quantitative
-
retrospective
Question 190
Question
Which type of study would be conducted if the researcher wants to study a behavior in more than one context?
Answer
-
Prospective research
-
Quantitative research
-
Mixed research
-
Qualitative research
Question 191
Question
Which type of study would have both prospective and retrospective components?
Question 192
Question
An emergency medical services (EMS) researcher wants to determine whether the rate of drug-related calls has been increasing over the past 10 years. This researcher should conduct what kind of study?
Answer
-
Qualitative
-
Retrospective
-
Mixed
-
Prospective
Question 193
Question
An emergency medical services (EMS) researcher wants to assimilate all the available data related to the use of endotracheal intubation in children during prehospital care. What type of study will the researcher need to conduct?
Question 194
Question
An emergency medical services (EMS) researcher is conducting a study in which some patients in need of analgesia are treated with acetaminophen and some are treated with both acetaminophen and ibuprofen. Treatment with acetaminophen alone is the current institutional protocol, so patients in this group are the control group; patients receiving both acetaminophen and ibuprofen are the treatment group. Patients are randomly assigned a group, and neither group of patients knows their group designation. The researcher, however, is aware of which patients belong to which group. Based on this information, which study type is being used?
Question 195
Question
Which type of research is scientific research at its most basic level?
Question 196
Question
What type of research has the highest level of evidence?
Question 197
Question
What is the purpose of an institutional review board (IRB)?
Answer
-
To review the credentials of researchers taking part in the project
-
To approve the study for journal publication
-
To verify the accuracy of research findings
-
To ensure the protection of human subjects in research
Question 198
Question
Which document regarding research identifies the following: respect for the individual, ability of the subject to make an informed decision about participating in the research, and assurance by the researcher that the patient's safety will be protected?
Answer
-
Nuremburg Code of 1947
-
Geneva Convention
-
Tuskegee Accord
-
Helsinki Declaration
Question 199
Question
Overall, research is now a much safer endeavor and has provided many of the advancements in modern medical care; however:
Answer
-
there is a much lower risk to the general population since volunteer prisoners are commonly used.
-
there is still a potential for harm in many studies.
-
all study information is not yet available in the Belmont Report.
-
prehospital care has yet to fully benefit.
Question 200
Question
In the United States, informed consent is required:
Answer
-
for all medical experiments except emergency medical services (EMS).
-
for some medical experiments.
-
only for EMS related experiments.
-
for all medical experiments.