Assignment 1

which of the following agencies is responsible for establishing EMS system assessment programs?

which of the following agencies is responsible for establishing EMS system assessment programs?

National highway traffic safety administration (NHTSA)

you respond to a 35 YO PT who fell 50 feet from a bluff, your authority to provide emergency care is an example o the medical director’s license to practice medicine. You are acting as a(n) ____ of the medical director

designated agent

who assumes the ultimate responsibility for PT care rendered by the EMT

Medical director

what is the minimum level of certification required for ambulance personnel responsible for direct PT care?

Emergency medical responder

which of the following is a personality trait required of EMT’s

control of personal habits

which of the following best describes a list of steps the EMT should perform while assessing and managing emergency medical situations?

Protocols

centralized coordination of emergency medical access, transportation, and care most refers to which of the following?

Resource management

you and your new EMT partner arrive first on a scene of a single car rollover on the shoulder of a busy highway. You pull off in a safe location and just as you stop the ambulance, your partner throws the passenger door ope, steps out of the truck, and begins jogging through the scattered debris towards the overturned car. You shout for him to stop and he looks back at you, but then continues to the vehicle and begins assessing the driver. Later as you are restocking in the ambulance, bay of the local trauma center your partner tells you that he thinks you acted unprofessionally by shouting at him. What is the best way to respond?

Shouting was an attempt to protect the EMT from a potentially unsafe scene

the application of O2 for a PT who is short of breath without having to contact the physician in the emergency department is an example of which of the following

Standing orders

the national registry of emergency medical technicians (NREMT) was founded to establish which of the following

National standards for emergency medical services personnel

you and another new EMT are studying your local protocols. The other EMT notices that you may give oral glucose without utilizing on line medical control, but you must get an on line order from a physician before assisting a PT in taking his nitroglycerin for chest pain. The EMT asks you why some drugs require on line medical control while others do not

the physician wants to be sure it is appropriate for the PT

which of the following best describes training that supplements the EMT’a original training and that is usually taken in regular intervals

Recertifications

which of the following is the primary responsibility of the EMT

provide emergency care

to be compassionate and empathetic, to be accurate with interviews, and to inspire confidence are all examples of which of the personal traits of a quality EMT

able to listen to others

which of the following groups is credited with developing the earliest documented emergency medical services

the French

what has the modern emergency medical services systems been developed to provide?

prehospital care

the e EMT’s role in quality improvement process includes becoming involved in the quality process, keeping carefully written documentation, obtaining feedback from PT’s and hospital staff, continuing your education, and what else?

Maintaining your equipment

which of the following best describes a person who speaks up on behalf of the PT and supports his cause?

advocate

what best defines the evaluation of the PT’s condition in order to provide emergency care?

Patient assessment

Who is responsible for on-scene safety of EMS providers?

all crew members

you have worked a cardiac arrest call on a 48 year old father of three/ despite your best efforts, the PT died in the emergency department. As you are getting your ambulance in service, the PT’s wife rushes out of the emergency department. She finds you and begins screaming at you that her husband’s death is your fault. She blames you for not getting on scene the scene fast enough, taking too long at the house, and not shocking her husband back to life like she has seen on TV. what response should have to her anger?

listen empathetically to all of her complaints and let her know she can contact you for any additional assistance e

what is the name of the federal act that mandates a procedure by which emergency health care providers can find out if they have been exposed to potentially life threatening diseases while on the job?

Ryan white care act

healthcare employers are required by law to provide a hep b ____ available to employees free of charge

vaccine

you are treating a PT who has a productive cough and who reports weight loss, loss of appetite, weakness, night sweats and a fever. Which of the following diseases is most likely the cause of these signs and symptoms

tuberculosis

you observe a coworker telling a terminal cancer PT and her family “everything will be okay”. Making false reassurances is considered

naive and uncompasionate

what mode of transmission most accurately describes the route of speeding hep a?

fecal-oral

which hormone helps the body control stress, regulate metabolism, and influence an immune system response?

Cortisol

which of the following parts of the nervous system is responsible for the fight or flight response experienced to response to a stressor?

Sympathetic nervous system

the term burnout is also known as a(n) _____ stress reaction

cumulative

due to the high risk of a unstable work environment, EMT’s responding to a motor vehicle crash may consider using ______ in addition to PPE

heavy duty gloves

which of the following is the form of stress that can cause immediate and long term problems with an EMT’s health and well being

distress

which of the following term is best defined as “a state of physical and/or psychological arousal to stimulus”?

Stress

what would be the primary reason for an EMT to change gloves between contact with different PT’s?

to prevent spreading infection to the next PT

you are dispatched to a female altered mental status. Once inside the home, you find a female who appears to have been beaten unconscious. a man, who smells of alcohol, says that she is his wife and that he does not know what happened. “I just found her this way” the husband is behaving suspiciously, appears paranoid and is pacing erratically around the room. what would be the safest course of action

leave the house and call for law enforcement

which one of these groups is at greatest risk of contracting and transmitting tuberculosis

immunosuppressed PT’s

what is a positive, healthy way to help deal with stress?

regular physical exercise

what is the EMT’s highest priority at the scene of a hazardous materials incident?

Personal safety

since EMS personnel are often exposed to both acute and chronic stressors, ____ management may be helpful to cope with on-the-job experiences

critical incident stress

you are called to an assault in a homeless male. Dried blood from the trauma is visible around the PT’s mouth and nose. During assessment, you note the PT has a productive cough. The PT says “don’t worry, i’m not contagious. i’ve had this cough for a year” describe the best approach regarding respiratory isolation

mask yourself and the PT

what is a simple step EMT’s can perform to help prevent the spread of flu in the prehospital environment?

Place a surgical mask on suspected flu PT’s

which of the following should you use when you want to move a PT from a wheelchair to a stretcher?

extremisty lift

you have responded to inuring home and find an elderly PT in his bed in cardiac attest. Which type of move would you perform to get the PT to a hard surface so you can perform chest compressions?

Emergency move

which of the following devices should be used to carry a PT down the stairs whenever possible?

Stair chair

what should you not do when using a stair char?

lean forward from the waist.

when placing all fingers and palm in contact with the object being lifted, you are using which of the following?

power grip

what is the preferred number of rescuers when using a stair chair

three: two lifting and one spotting

you are called to the scene of a PT who fell approximately 5 feet off a stepladder to the floor of a third-story attic of a very old building. He is complaining of severe neck and back pain, and he has an obvious fractured ankle. You cannot get your stretcher past the first floor stairs and your long spine board is not practical with the winding spiral staircase and the small attic access. What is the best device to safely get the patient out of the attic where he can be properly immobilized?

vest-type extraction device

you respond to the scene of a two vehicle T-bone vehicle collision. The driver’s side door is smashed shut and will not open. The front passenger door will open. The front passenger is stable and complaining of sever head and neck pain. You suspect that he has a potential spinal injury. The driver is unresponsive, in critical condition, and has gurgling respirations. You should extract the passenger by which technique

move the PT as quickly as possible so he can get to a hospital before paralysis sets in

which if the following Pt’s should not be transported in a stair chair?

PT with a suspected spinal injury

how many pounds are most battery-powered hydraulic systems rated to safely lift?

700lbs

which of the following should you do when reaching for something?

all of the above (keep your back in a locked-in position, avoid reaching more than 15 to 20 inches in front of your body, avoid twisting)

what is the contraindication for the use of a scope or orthopedic stretcher?

spinal injury

you are moving an elderly patient down the stairs using a stair chair. The PT is alert and very anxious. What should you do prior to moving the PT to prevent her from grabbing the railing and causing you to fall?

explain to the PT what you are doing and advise her to hold her hands together and not let go until you are finished moving her/

which of the following factors should be considered before lifting any PT’s

all of the above (your physical limitations, communications, the weight of the PT")

which of the following is another name for an ambulance cot

wheeled ambulance stretcher

you are treating an unconscious PT who does not have a possibility of spinal injury and who is breathing adequately. Which of the following is the best position for transporting the PT

recovery position

which of the following is used to immobilize a PT with a suspected spinal injury?

long backboard

what type of move should the EMT use to move a PT who is in a car that has started to burn

emergency move

which of the following is another name for the squat lift position

power lift

which of the following statements regarding body mechanics is true

use your legs to lift

which of the following information may be important to law enforcement officers investigating a crime scene

how you gained access to the scene

while treating a PT involved in a shooting at the PT’s vacation home, which of the following actions may internet with the investigation of a crime scene

all of the above (using the bathroom, using the PT’s phone, moving the PT)

the administration of O2 and the application of spinal immobilization is part of which of the following for the EMT?

scope of practice

which of the following refers to the set of regulations that defines the local actions expected and limitations placed on the EMT

scope of practice

you respond to the report of an unconscious female PT. you can acquire important medical information about the PT through which of the following?

medical identification device

you arrive on the scene of a 55 YO male PT. The PT’s wife called 911 because he is having chest pains. The PT’s is very angry with his wife for calling 911 because he states he only has heartburn and adamantly refuses any treatment or transport. After signing the PT’s form, the PT collapses and goes into sudden cardiac arrest. The wife is crying uncontrollably and begging you to do something. What should you do

provide emergency care under implied consent

which of the following incidents is the EMT legally required to report to law enforcement

your PT has facial and head injuries and states that her husband beat her with a telephone receiver

sharing information about a PT’s medical history with your neighbor after you hear a call on a radio scanner would constitute which of the following

breach of confidentiality

you are providing care to a 54 YO male PT complaining of chest pain. The PT asks to speak to you privately. He tells you he is taking Cialis for ED and his wife does not know he is taking it. He does not want his wife to find out. As you are putting the EMTs bags back in the ambulance, the wife corners you and insists that you tell her what her husband said. What should you do

you should not tell her. By law, your conversation with your PT is confidential

your PT is a 45 YO who is suffering from chest pain. Upon arrival, the PT is pale, sweaty and seems short of breath. The PT is angry with his daughter for calling 911. He says that he had some spicy sausage for breakfast and has indigestion. which of the following is appropriate means of getting the PT the care he needs?

try to find out why the PT does not want to go to the hospital

your PT is a 40 YO known diabetic who was found unconscious at work by a coworker. What type of consent allows you to treat this PT

implied concent

while documenting a call, you add a false statement that was made about a local doctor. This could constitute which of the following

libel

you are treating an elderly male PT in the back of our ambulance. En route, the PT becomes unresponsive. upon arrival, the ED nurse asks you several questions about his condition. What should you do?

you should answer her questions because you may legally share the PT’s medical conditions with another pertinent health care providers

which of the following is the EMT’s primary responsibility at a secured crime scene

providing patient care

which of the following is not required to provide a claim of negligence against an EMT

the PT was in fear of bodily harm at the time of the incident

which type of consent must be used by the EMT when seeking to treat a mentally competent adult

expressed consent

which of the following refers to the care that would be expected to be provided by an EMT with similar training when caring for a PT in similar situations?

standard of practice

the EMT’s obligation to provide care to a PT either as a formal or ethical responsibility Is known as which of the following

duty to act

your PT is a 10 year old boy who suffered a possible fractured arm while rollerblading at a friends house. Which of the following is best to obtain consent for treatment

call the PT’s mother at work

which of the following requires training, policies and procedures related to storing, accessing and sharing PT’s information?

HIPAA

when you place your fingers in an infant’s palm, she grasps it with her fingers. This is an example of which reflex

palmer

the transition from childhood to adult hood is known as which of the following?

adolescence

you have been dispatched to a shopping mall to assess a 1 month old female PT that tumbled out of her stroller while her mother was shopping. Upon arrival, the baby is awake, alert and happily smiling and cooing at her mother. The mother reports that the child did not appear to suffer any injures as a result of the fall. As you assess the PT and place your fingers in her hand, she grabs it tightly, this is know as

palmer reflex

middle adulthood is the stage of life from __ to __ years

41;60

which of the following is the feeling infants get when they know all their needs will be met

bonding

you are caring for a 4 month old PT who is reported to have vomited five times today. his parents described no tore associated symptoms or complaints. The PT is lying on the couch with a pacifier in his mouth, smiling at you. Developmentally, you would expect a PT at this age to be able to

drool without swallowing

during which age group is the body in peak physical condition

early adult

PT’s in late adulthood are likely to face which of the following challenges?

self worth

you have been called to a private residence where a 16 YO female PT is reported by her parents to be “acting strangely” and possibly “on something”. Upon arrival, the PT is locked in her bedroom refusing to open the door. The PT refuses to speak to you and will only come out if her best friend is present. Your knowledge of life span development indicates that the following characteristics are common with the PT of this age

all of the above (depression and suicide, self-destructive behaviors such as tobacco, alcohol, and drug use, preoccupation with body image)

you are assessing a female PT with depression. She tells you that her psychologist said that she is dealing with “empty nest syndrome” what age group is this associated with

middle adulthood

a 26 YO toddler is reported to have fallen and lacerated his chin. his mother did not witness the fall. As you proceed through your assessment, your partner reports that she is concerned about his HR which she measures as 64. She checks it twice. Your knowledge of normal vital signs for a PT this age suggests

too slow

PTs in which age group tend to be very concerned about body image

adolescence

what is the sage of development where there are several physiological and psychosocial changes, second only to infancy or adolescence

late adulthood

in which age group do you anticipate seeing PT who have less efficient cardiovascular systems and reduction of previous blood volume

late adulthood

your 89 YO male PT has called for help because he almost passed out after bringing in his garbage can from the curb. The PT lives alone and says that he came panicked when he started feeling so lightheaded and dizzy. PT’s in this age group often undergo all of the following changes to their health except

increased metabolism

which of the following would be a normal set of vitals for a 4 YO male PT

HR 110/minute, RR 24/minute, SBP 80 mmHg

at which of the following stages is toilet training most likely to begin

toddler

infancy is defined as the stage of life from birth to

12 months

which of the following is not a common psychosocial challenge of late adulthood

selt destructive behaviors

your 4 MO PT is reported to be irritable and lethargic after feeding poorly for two days. One method for assessing the PT’s level of hydration is to gently palpate the soft spots on the surface of the skull. These soft spots are also known as the

fontanelles