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The responsibility of the medical director to ensure the appropriate medical care
standards are met by EMTs on each call is called:
A. Continuous quality improvement
B. Medical control
C. Primary prevention
D. Quality control
Rationale: Medical control refers to the oversight provided by a medical director to ensure
EMTs deliver proper patient care according to established protocols. Continuous quality
improvement is part of the process but does not define the medical director’s direct
responsibility.
You are transporting an elderly woman who may have had a stroke. She cannot talk and
cannot move the right side of her body. In addition to providing medical care, you should:
A. Maintain eye contact and tell her there is no need to be scared
B. Reassure her that she will regain speech in time
C. Tell her you understand why she is scared and that everything will likely be okay
D. Acknowledge that she is scared and tell her that you will take good care of her
Rationale: Patients should be reassured and their emotions acknowledged. Avoid making
promises about outcomes, as recovery cannot be guaranteed.
Which of the following is an effective stress management strategy for EMTs?
A. Frequently reflecting on troublesome calls
B. Modestly increasing caffeine consumption
C. Developing a social network outside of EMS
D. Requesting overtime to occupy your mind
Rationale: Healthy coping strategies include maintaining supportive social connections
outside of work. Excessive focus on calls, caffeine, or overtime can worsen stress.
,Which statement regarding the stages of the grieving process is correct?
A. The stages of grieving may occur simultaneously
B. The grieving process typically begins with severe depression
C. Bargaining is the most unpleasant stage
D. It is rare that people jump back and forth between stages
Rationale: Grieving is not strictly linear; people may experience multiple stages at once or
revisit stages.
Vector-borne transmission occurs via:
A. Inanimate objects
B. Smoke or dust
C. Direct contact
D. Animals or insects
Rationale: Vector-borne transmission occurs when animals or insects carry pathogens from
one person or location to another.
Which of the following statements regarding HIV is correct?
A. HIV is transmitted exclusively via blood
B. HIV is far more contagious than hepatitis B
C. HIV is easily transmittable in the EMS field
D. There is no vaccine against HIV infection
Rationale: HIV cannot be prevented via vaccination. It is transmitted via blood, sexual
contact, or body fluids, but is not easily spread in routine EMS activities.
When decontaminating the back of an ambulance, you should:
A. Spray the areas and immediately wipe them dry
B. Allow surfaces to air dry unless the product directs otherwise
C. Use a bleach solution at a 1:2 ratio
D. Clean with alcohol and water mixture
Rationale: Proper procedure depends on the disinfectant product. Many disinfectants
require air drying to ensure effectiveness.
After accidentally sticking yourself with a contaminated lancet, you should:
A. Discontinue patient care and seek medical attention
B. Report the incident to your supervisor after the call
, C. Immerse the wound in alcohol
D. Get immunized immediately
Rationale: Exposures should be reported immediately to follow infection control protocols.
Immediate immunization is only relevant if indicated by exposure.
The simplest yet most effective method of preventing disease spread is:
A. Ensuring immunizations are up to date
B. Annual physical examination
C. Washing hands between patient contacts
D. Annual testing for tuberculosis and hepatitis
Rationale: Hand hygiene is the most effective and practical method to prevent transmission
of infectious diseases in EMS settings.
At the scene of an automobile crash, downed power lines are across the car. You should:
A. Remove the lines with a nonconductive object
B. Mark off a danger zone around the lines
C. Advise patients to carefully exit the car
D. Proceed with normal extrication
Rationale: Never touch live wires. Establishing a danger zone protects both EMS personnel
and patients until the utility company addresses the hazard.
Gloves, mask, eye protection, and face shield should be used:
A. During routine ambulance cleaning
B. When performing endotracheal intubation
C. Whenever touching nonintact skin
D. While handling needles
Rationale: PPE should be used whenever there is a risk of exposure to bodily fluids,
especially during high-risk procedures like intubation.
Vaccination against hepatitis A is unnecessary if you:
A. Have been infected with hepatitis in the past
B. Received hepatitis B vaccination
C. Are older than 35
D. Have a weak immune system