OF THE SICK AND INJURED, 12TH EDITION|ALL CHAPTERS | TABLE OF CONTENTS
QUESTIONS AND ANSWERS WITH RATIONALES LATEST
Section 1: Preparatory
Chapter 1 – EMS Systems
Chapter 2 – Workforce Safety and Wellness
Chapter 3 – Medical, Legal, and Ethical Issues
Chapter 4 – The Well-Being of the EMT
Chapter 5 – Lifting and Moving Patients
Chapter 6 – Medical Terminology
Chapter 7 – Anatomy and Physiology
Chapter 8 – Pathophysiology
Chapter 9 – Life Span Development
Section 2: Patient Assessment
Chapter 10 – Patient Assessment
Section 3: Airway
Chapter 11 – Airway Management, Oxygen Therapy, and Ventilation
Section 4: Pharmacology
Chapter 12 – Principles of Pharmacology
Section 5: Shock and Resuscitation
Chapter 13 – Shock
Chapter 14 – BLS Resuscitation
Section 6: Medical Emergencies
Chapter 15 – Medical Overview
Chapter 16 – Respiratory Emergencies
Chapter 17 – Cardiovascular Emergencies
,Chapter 18 – Neurologic Emergencies CHAPTER 1 – EMS SYSTEMS
Chapter 19 – Gastrointestinal and Genitourinary Emergencies
Chapter 20 – Endocrine and Hematologic Emergencies 1. Which component is considered the foundation of an effective EMS system?
Chapter 21 – Allergic Reactions and Anaphylaxis
Chapter 22 – Toxicology
A. Advanced life support availability
Chapter 23 – Behavioral and Psychiatric Emergencies B. Public access and communication
Chapter 24 – Gynecologic Emergencies C. Medical direction
D. Trauma center designation
Section 7: Trauma Correct Answer: B
Rationale: Public access and communication (e.g., 911) allow patients to enter the
Chapter 25 – Trauma Overview
Chapter 26 – Bleeding
EMS system. Without reliable access, other components cannot function
Chapter 27 – Soft-Tissue Injuries effectively.
Chapter 28 – Face and Neck Injuries
Chapter 29 – Head and Spine Injuries
Chapter 30 – Chest Injuries 2. The primary role of medical direction in EMS is to:
Chapter 31 – Abdominal and Genitourinary Injuries
Chapter 32 – Orthopedic Injuries A. Determine EMS budgets
Chapter 33 – Environmental Emergencies B. Establish dispatch protocols
C. Ensure quality and medical oversight of patient care
D. Manage EMS personnel schedules
Section 8: Special Patient Populations
Correct Answer: C
Chapter 34 – Obstetrics and Neonatal Care
Chapter 35 – Pediatric Emergencies
Rationale: Medical direction provides both online and offline guidance to ensure
Chapter 36 – Geriatric Emergencies patient care meets accepted medical standards.
Chapter 37 – Patients with Special Challenges
3. Which level of medical direction involves written protocols, standing
Section 9: EMS Operations orders, and training?
Chapter 38 – Ambulance Operations
A. Online medical direction
Chapter 39 – Incident Management
Chapter 40 – Hazardous Materials Awareness B. Direct medical control
Chapter 41 – Terrorism and Disaster Response C. Indirect medical direction
D. Retrospective medical oversight
Correct Answer: C
Rationale: Indirect (offline) medical direction includes protocols, policies,
training, and quality improvement measures.
, 7. Which component ensures ongoing evaluation and improvement of patient
care within an EMS system?
4. What is the primary purpose of a trauma system?
A. Mutual aid agreements
A. Reduce EMS response times
B. Quality improvement (QI)
B. Provide specialized care for critically injured patients
C. Public education
C. Increase availability of ALS units
D. Dispatch coordination
D. Improve ambulance maintenance
Correct Answer: B
Correct Answer: B
Rationale: Quality improvement programs review care, identify deficiencies, and
Rationale: Trauma systems ensure patients with severe injuries are transported to
promote system-wide improvements.
facilities capable of providing definitive trauma care.
8. What is the primary goal of public education within an EMS system?
5. Which federal agency provides leadership and coordination for EMS at the
national level? A. Recruit new EMTs
B. Increase tax funding
A. Centers for Disease Control and Prevention (CDC)
C. Reduce injury and illness through prevention
B. Department of Homeland Security (DHS)
D. Improve hospital reimbursement
C. National Highway Traffic Safety Administration (NHTSA)
D. Federal Emergency Management Agency (FEMA) Correct Answer: C
Rationale: Public education focuses on prevention, safety awareness, and
Correct Answer: C
appropriate use of EMS resources.
Rationale: NHTSA oversees the development of national EMS standards and
education guidelines.
9. Which statement best describes an inclusive trauma system?
6. An EMT’s scope of practice is primarily defined by: A. Only severe injuries are transported to trauma centers
B. All hospitals participate based on their capabilities
A. Employer policies
C. Patients self-select destination hospitals
B. State law and regulation
D. Only Level I trauma centers provide care
C. Medical director preference
D. National Registry guidelines Correct Answer: B
Rationale: Inclusive trauma systems incorporate all hospitals, matching patient
Correct Answer: B
needs with facility capabilities.
Rationale: State laws establish the legal scope of practice for EMTs, which may
vary between states.
, 10. Mutual aid agreements are designed to: 13. Which document outlines national EMS education standards?
A. Reduce EMS training costs A. EMS Agenda for the Future
B. Share medical direction among agencies B. National EMS Scope of Practice Model
C. Provide assistance when local resources are overwhelmed C. National EMS Education Standards
D. Replace disaster response plans D. DOT EMT Curriculum
Correct Answer: C Correct Answer: C
Rationale: Mutual aid agreements allow neighboring agencies to assist during Rationale: The National EMS Education Standards define educational content for
large-scale or resource-intensive incidents. EMS provider levels.
11. Which EMS system model is funded primarily through taxes and operated 14. A key difference between online and offline medical direction is that online
by a governmental agency? direction:
A. Hospital-based A. Occurs after patient care
B. Private service B. Is provided in real time
C. Fire-based C. Does not involve physicians
D. Third-service D. Is optional for EMTs
Correct Answer: D Correct Answer: B
Rationale: Third-service EMS systems are publicly funded and operate Rationale: Online medical direction involves real-time communication with a
independently from fire or police departments. physician during patient care.
12. The EMT’s primary responsibility within the EMS system is to: 15. Which EMS component is responsible for coordinating resources during
large-scale emergencies?
A. Diagnose medical conditions
B. Provide definitive medical care A. Communications
C. Deliver timely emergency care and transport B. Medical direction
D. Direct hospital treatment plans C. Incident management
D. Quality improvement
Correct Answer: C
Rationale: EMTs provide immediate emergency care and transport patients to Correct Answer: C
appropriate facilities. Rationale: Incident management systems organize and coordinate resources
during complex incidents.