Henry: EMT Prehospital Care, Revised 3Rd Edition

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Test Bank

Henry: EMT Prehospital Care, Revised 3rd Edition

Test Bank

Chapter 1: Introduction to Emergency Medical Care

MULTIPLE CHOICE

1.Which of the following definitions best describes an EMS system?

a. / A system of resources and personnel necessary to provide immediate medical care to patients with sudden or unexpected illness or injury
b. / A system of ambulances with basic life support (BLS) and advanced life support (ALS) level of care in the community
c. / A dispatch system that provides the telephone number of the caller and the exact location
d. / A system of hospitals that provide ambulance services in a given community

ANS:AREF:DOT Module: 1OBJ:DOT Objective: 1

TOP:Chapter: 1MSC:DOT Lesson: 1

2.What did war contribute to EMS systems?

a. / Disaster drill strategies
b. / Design of outpatient clinics
c. / A coordinated response to injury
d. / Research methods

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3.The first use of ambulances in the United States occurred during the:

a. / Revolutionary War.
b. / War of 1812.
c. / Civil War.
d. / World War I.

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4.Which war saw the first widespread use of helicopters to provide rapid transport of casualties from the battleground to field hospitals?

a. / World War I
b. / Crimean War
c. / World War II
d. / Korean War

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5.Motorized ambulances were first used by which hospital?

a. / Mayo Clinic
b. / Michael Reese Hospital in Chicago
c. / Massachusetts General Hospital
d. / Edsel Ford Medical Center in Los Angeles

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6.What is the leading cause of death from 1 to 45 years of age?

a. / Preventable injury
b. / Coronary heart disease
c. / Cancer
d. / AIDS

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OBJ:DOT Objective: EnrichmentTOP:Chapter: 1MSC:DOT Lesson: 1

7.Which landmark paper did the National Academy of Sciences publish in 1966?

a. / Accidental Death and Disability: The Neglected Disease of Modern Society
b. / Ethics in Emergency Medicine: Treating the Disabled Patient
c. / Sudden Cardiac Death: What Can Be Done?
d. / Ethics in Emergency Medicine: Death of a Loved One

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OBJ:DOT Objective: EnrichmentTOP:Chapter: 1MSC:DOT Lesson: 1

8.The ____ is the “central nervous system” of EMS resources.

a. / dispatch center
b. / online medical control
c. / hospital emergency department
d. / hospital critical care unit

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TOP:Chapter: 1MSC:DOT Lesson: 5

9.Equipment that allows for the transmission of electrocardiographic (ECG) data from the patient in the field to the physician at the base hospital or medical control facility is called:

a. / duplex communications.
b. / biotelemetry.
c. / a repeater.
d. / UHF radio transmission.

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OBJ:DOT Objective: EnrichmentTOP:Chapter: 1MSC:DOT Lesson: 1

10.All of the following are components of an EMS system except:

a. / fire suppression.
b. / ambulances.
c. / medical direction.
d. / hospitals.

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11.Which of the following is a primary responsibility of an EMT at the scene of an accident?

a. / Medical direction
b. / Dispatch
c. / Personal safety
d. / Equipment management

ANS:CREF:DOT Module: 1OBJ:DOT Objective: 3

TOP:Chapter: 1MSC:DOT Lesson: 1

12.Which component of an EMS system is the "intersection of care" for the critical patient?

a. / The accident scene
b. / The ambulance
c. / The hospital emergency department
d. / The hospital critical care unit

ANS:CREF:DOT Module: 1OBJ:DOT Objective: 2

TOP:Chapter: 1MSC:DOT Lesson: 1

13.Who of the following EMS system personnel often provides the first help to the patient?

a. / The emergency department physician
b. / The dispatcher
c. / The nearest emergency facility
d. / The lay rescuer

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14.Why are specialty facilities an essential part of an EMS system?

a. / They can use expensive and unique equipment.
b. / They provide specific care and interventions often not available at community hospitals.
c. / They provide resources capable of treating all medical problems.
d. / They provide the means to stabilize a patient’s condition before transfer to an emergency department.

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15.Which of the following best defines medical direction?

a. / A system of hospital designation according to the hospital's ability to treat different patients
b. / The provision of centralized coordination to identify and categorize the resources necessary for overall system implementation and operation
c. / Synonymous with "the dispatch system"
d. / Accountability for the medical conduct of EMS personnel by a physician expert in emergency care

ANS:DREF:DOT Module: 1OBJ:DOT Objective: 6

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16.Which of the following does an operating room provide to a patient?

a. / Surgical procedures designed to initially stabilize the patient
b. / In-hospital response to a cardiac arrest or other emergency
c. / Definitive and stabilizing care to different types of critically ill or injured patients
d. / A sterile treatment room where initial resuscitation is performed

ANS:CREF:DOT Module: 1OBJ:DOT Objective: 2

TOP:Chapter: 1MSC:DOT Lesson: 1

17.Which of the following are primary responsibilities of the EMT when providing patient care in the field setting?

a. / Extrication, communication, and equipment maintenance
b. / Patient assessment, patient care, and transport of the patient
c. / Evaluation, medical direction, and resource management
d. / Maintaining proper attire and honoring the judicial laws of God and man

ANS:BREF:DOT Module: 1OBJ:DOT Objective: 2

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18.Which of the following are the best ways to maintain competence?

a. / Treating the patient as a whole and considering all aspects of his or her condition
b. / Employing a serious effort to apply and perfect the skills taught during the initial training program, as well as taking measures to prevent deterioration of knowledge
c. / Learning the importance of following the proper hierarchy of the EMS system and designating jobs appropriately among members of a team
d. / Learning basic analytical skills and applying them to an emergency situation

ANS:BREF:DOT Module: 1OBJ:DOT Objective: 8

TOP:Chapter: 1MSC:DOT Lesson: 1

19.Professionalism is defined by which of the following?

a. / Treating co-workers with complete equality and fairness
b. / Acting requisite to the body of knowledge which defines the service and abilities of the professional...according to the oath of the profession
c. / Understanding the chain of command within a given profession, and adhering to it
d. / Maintaining composure in all areas of emergency that a profession calls for

ANS:BREF:DOT Module: 1OBJ:DOT Objective: 8

TOP:Chapter: 1MSC:DOT Lesson: 1

20.Which of the following best describes the EMT-Basic?

a. / The person who interprets the ECG, performs invasive airway skills, and has a more broadly based knowledge of pharmacology
b. / Usually the first medically trained emergency responder to care for a patient
c. / The person who often first recognizes an emergency condition
d. / The person who provides advanced airway management, intravenous therapy, and possibly limited drug administration

ANS:BREF:DOT Module: 1OBJ:DOT Objective: 2

TOP:Chapter: 1MSC:DOT Lesson: 1

21.Which of the following best describes the EMT-Paramedic?

a. / The person who interprets the ECG, performs invasive airway skills, and has a more broadly based knowledge of pharmacology
b. / Usually the first medical person to see a patient
c. / The person who often first recognizes an emergency condition
d. / The person who provides advanced airway management, intravenous therapy, and possibly limited drug administration

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22.Which of the following best describes the EMT-Intermediate?

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23.Which is designed to provide a system of internal and external reviews, review ambulance runs, and allow for continuing medical education?

a. / The health care system
b. / The prehospital care report
c. / Government-derived medical legislation
d. / A quality improvement program

ANS:DREF:DOT Module: 1OBJ:DOT Objective: 5

TOP:Chapter: 1MSC:DOT Lesson: 1

24.Medical direction involves which of the following?

a. / Designation of responsibility among members of a rescue team
b. / Physician involvement in both prehospital and hospital phases of patient care
c. / Respecting the authority of more experienced emergency medical technicians
d. / Instructing the patient on the procedure for taking his or her medication

ANS:BREF:DOT Module: 1OBJ:DOT Objective: 6

TOP:Chapter: 1MSC:DOT Lesson: 1

25.Which of the following is a designated agent of the medical director?

a. / The surgeon general
b. / The lay rescuer
c. / The EMT
d. / The quality improvement review team

ANS:CREF:DOT Module: 1OBJ:DOT Objective: 6

TOP:Chapter: 1MSC:DOT Lesson: 1

26.Which of the following is not a primary role for the EMT-Basic?

a. / Tesponsible for the safety of others
b. / Portray a positive image
c. / Online medical director
d. / Act as a liaison with other public safety providers

ANS:CREF:DOT Module: 1OBJ:DOT Objective: 4

TOP:Chapter: 1MSC:DOT Lesson: 1

27.Which of the following treatments would require wearing only gloves (no goggles) as your personal protective equipment?

a. / Bandaging a minor wound
b. / Bandaging a spurting wound
c. / Suctioning a patient's airway
d. / Emergency childbirth

ANS:AREF:DOT Module: 1OBJ:DOT Objective: 4

TOP:Chapter: 1MSC:DOT Lesson: 1

28.Which of the following are components of the quality improvement process?

a. / Passing legislation enabling personnel to employ new medical procedures
b. / Passing certification examinations and periodically recertification
c. / Doing experiments on diseases and disorders to find new treatments
d. / Performing run reviews and audits and gathering feedback from patients and hospital staff

ANS:DREF:DOT Module: 1OBJ:DOT Objective: 5

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29.Which best describes online medical direction?

a. / Standing orders and written protocols that advise rescuers on how to deal with certain situations, and quality improvement review
b. / Receiving calls for help and dispatching the appropriate resources to the scene
c. / Lay rescuers receiving instructions from dispatchers on how to treat patients
d. / Speaking directly with a physician for advice, by telephone or radio, from the patient's side

ANS:DREF:DOT Module: 1OBJ:DOT Objective: 6

TOP:Chapter: 1MSC:DOT Lesson: 1

30.Which of the following best describes offline medical direction?

a. / Standing orders and written protocols to advise rescuers on how to deal with certain situations and quality improvement review
b. / Receiving calls for help, and relaying response vehicles to the scene
c. / Lay rescuers receiving instructions from dispatchers on how to treat a patient
d. / Speaking directly with a physician for advice, by telephone or radio, from the patient's side

ANS:AREF:DOT Module: 1OBJ:DOT Objective: 6

TOP:Chapter: 1MSC:DOT Lesson: 1

31.911 access is the first link in which of the following?

a. / A chain of events
b. / The chain of survival
c. / A protocol chain
d. / A curriculum chain

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OBJ:DOT Objective: EnrichmentTOP:Chapter: 1MSC:DOT Lesson: 1

32.Many communities have enhanced 911 emergency access available. This means that:

a. / enhanced emergency medical technicians respond on all ambulance calls.
b. / every ambulance request is responded to by both a BLS and an ALS support team.
c. / the dispatch center is staffed by trained physicians.
d. / the address of the caller is automatically displayed for the dispatcher on a computer screen.

ANS:DREF:DOT Module: 1OBJ:DOT Objective: 9

TOP:Chapter: 1MSC:DOT Lesson: 1

TRUE/FALSE

1.Physicians and nurses rarely refer to the prehospital care report; therefore a complete oral report to the emergency department staff is more important than clear and complete written documentation.

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OBJ:DOT Objective: EnrichmentTOP:Chapter: 1MSC:DOT Lesson: 1

2.Once the EMT arrives at the patient’s side, he or she becomes the primary health care representative for the patient during the prehospital phase of care.

ANS:TREF:DOT Module: 1OBJ:DOT Objective: 8

TOP:Chapter: 1MSC:DOT Lesson: 1

3.Proper inspection and maintenance of the ambulance and equipment are roles of every EMT.

ANS:TREF:DOT Module: 1OBJ:DOT Objective: 4

TOP:Chapter: 1MSC:DOT Lesson: 1

CASE

Refer to the following scenario.

You respond to the scene of a fire and the police officer on the scene directs you to a parking lot across the street from a three-story building that is on fire. In the parking lot you encounter two patients who were in the burning building and are now coughing and complaining of difficulty in breathing. A store owner is attempting to care for the patients.

1.The store owner would be considered:

a. / a first responder.
b. / a lay rescuer.
c. / a paramedic.
d. / an EMT-Intermediate.

ANS:

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2.One of your patients has a minor wound on her lower arm. The proper choice of personal protective equipment that you should use when caring for this patient is:

a. / disposable medical gloves, goggles, and a gown.
b. / goggles and a gown.
c. / disposable medical gloves.
d. / disposable medical gloves and a special mask to filter any airborne pathogens.

ANS:

REF:DOT Module: 1OBJ:DOT Objective: 4

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3.The first and most important step in providing care to these patients is:

a. / obtaining demographic information including the patients’ names and birth dates.
b. / immediately transporting the patient to the local burn center.
c. / ensuring safety for you, your partner, and the patients.
d. / notifying the hospital of the type of patients you are treating and your estimated arrival time.

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4.Based on the burn injuries that these patients sustained you follow your regional protocols and transport the patients to the burn center. The burn center is:

a. / a specialty referral center.
b. / a community hospital that can stabilize the patients and then transfer them to more specialized facilities as indicated.
c. / always the closest hospital to the scene of the injury.
d. / always equipped with a hyperbaric chamber.

ANS:

REF:DOT Module: 1OBJ:DOT Objective: Enrichment

TOP:Chapter: 1MSC:DOT Lesson: 1