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What parameters does the START triage system assess to determine a patient's priority in a multiple-casualty situation?
breathing, circulation, and mental status
Which of the following is NOT a major area addressed within the scope of NIMS?
Financial Aid
The National Incident Management System (NIMS) was designed to:
handle the immediate response, mitigation, and long-term recovery of small and massive natural and man-made incidents
You are the first medically trained person to arrive at the scene of a car crash. There is one patient, who is still in his badly damaged car. The patient appears to be unconscious and is bleeding heavily from the mouth. After ensuring that the scene is safe, your priority should be to:
promptly but safely gain access to the patient
If you arrive at a crash scene and find a vehicle on its side, your FIRST priority should be to:
promptly notify the fire department
A water tower is an example of a(n):
elevated confined space
If patients are still in a vehicle that has power lines draped across its hood, you should
tell the patients to stay in the vehicle and notify the power company
If you must break a window to open a door or gain access, you should
try to break a window that is farthest from the patient
Your main priority when responding to any emergency scene is to
get there safely and quickly
If your EMS system uses a helicopter to transport patients, it is MOST important to:
attend an orientation session with the helicopter personnel
Routine postrun activities include all of the following, EXCEPT
conducting a critical incident stress debriefing (CISD)
The emergency lights and siren on your response vehicle
allow you to request the right of way
When choosing the most appropriate landing site for a helicopter, it is important to remember that
most helicopters need a 100′ × 100′ area
The MOST effective way to minimize the incidence of elder abuse is to
promptly report its signs and symptoms to the proper authorities
A geriatric patient is MOST accurately defined as a person who
is older than 65 years
An elderly person who is hearing-impaired
may be able to hear a low-pitched voice but not a high-pitched voice
An advance directive is MOST accurately defined as a
document that provides instructions to medical caregivers regarding the care the patient wants if he or she is unable to communicate
A person with osteoporosis has
a loss of bone strength resulting from a lack of calcium.
Vomiting and diarrhea in children are MOST often the result of
gastrointestinal infections
Children with serious head injuries commonly experience
seizures
For the purposes of performing cardiopulmonary resuscitation (CPR), a child is defined as
1 year of age to the onset of puberty
When communicating with a sick child, you should
kneel down at the child's level and establish eye contact
During delivery, you note that the umbilical cord is wrapped around the infant's neck. Your initial action should be to:
attempt to slip the cord over the infant's shoulders
Despite resuctioning the newborn's mouth and nose, it has not taken its first breath. You should
rub its back or flick the soles of its feet
As the infant's head emerges from the vagina, you note it is covered with the amniotic sac. You should
tear it with your fingers and clear it away from the face
Once released, the egg travels to the uterus via the:
fallopian tube
You have just delivered a healthy baby girl. Before responding paramedics arrive, the placenta delivers as well. You should:
keep the placenta at the same level as the infant
The newborn infant should NOT:
remain blue for up to 30 minutes
If bleeding continues following delivery of the placenta, you should
massage the uterus until the bleeding stops
If a woman's contractions are more than 5 minutes apart:
she can usually be transported to the hospital
You are dispatched to a residence for a possible miscarriage. Your patient, a 19-year-old woman, is lying on the couch. She tells you that she is 24 weeks pregnant, and that when she went to the bathroom, she passed what looked like a fetus. After confirming her finding, you should:
assess her for signs of shock, provide emotional support, and arrange for prompt transport
According to the START triage system, assessment of a patient's mental status is conducted after:
adequate breathing and circulation have been established
If terrorists intentionally dispersed a biologic agent, the organism would
have to come in contact with people in sufficient quantities to produce an illness
Which of the following statements regarding terrorism is correct?
The bombing of an abortion clinic by American citizens is considered a domestic terrorist event
A 50-year-old man begins experiencing shortness of breath and anxiety about 2 hours after turning his residential air conditioner on. As you enter his home, you note the smell of freshly cut grass. This patient has MOST likely been exposed to:
phosgene
A weapon of mass destruction (WMD) is MOST accurately defined as
any agent designed to cause mass death, casualties, and/or massive damage to property and infrastructure.
The MOST effective way to keep bystanders away from an emergency scene is to:
use a rope or police/fire barrier tape
Patients with an air embolism or decompression sickness often require treatment in a(n):
hyperbaric chamber
If, upon reaching a distressed swimmer, you find that he or she is in cardiac arrest, you should FIRST
stabilize the head and neck and remove the victim from the water
When approaching a helicopter with its rotors turning, it is important to remember that the:
main rotor may be only 4' (1.2 m) above the ground
What is rotor “wash”?
winds that are generated by the main rotor
Which of the following statements regarding your response to an emergency scene is correct?
Mobile computers, GPS systems, and radios can contribute to crashes
Which of the following medical conditions cause the MOST number of deaths in the elderly population?
cardiovascular diseases and respiratory diseases
Dementia is MOST accurately defined as
a progressive and usually irreversible decline in mental functions
Signs of a severe (complete) airway obstruction in a child include all of the following, EXCEPT
difficulty speaking
A high-pitched upper airway sound heard during inspiration is called:
stridor
Signs of respiratory distress in a pediatric patient include
a breathing rate of more than 60 breaths/min in infants
Specific causes of cardiopulmonary arrest in children include all of the following, EXCEPT:
emphysema
If you suspect that an infant has an airway obstruction, you should FIRST:
determine if there is any air exchange
To determine whether the infant's head is crowning, you must
observe the vaginal opening during a contraction
The bloody show is MOST accurately defined as
a mucous plug mixed with blood that is expelled from the cervix
In the absence of a prepackaged OB kit, it is MOST important to remember that you can still assist in delivering an infant with no more than
gloved hands and common sense
The developing infant is also called the
fetus
A pregnant patient should be positioned on her left side because
this will allow venous blood to return to the heart
The _________ draw(s) nutrients from the wall of the mother's uterus and deliver(s) them to the developing fetus
placenta