LA County Accreditation Test Exam Questions with
Verified Solutions.
What is an acceptable reason for a hospital to divert an ALS unit? - ANS Internal disaster
Which of the following reason for a hospital to divert a BLS unit? - ANS BLS units transport
to a MAR REGARDLESS of diversion status with the exception of internal disaster
When should a paramedic report abuse of a dependent adult or child? - ANS when there is
reasonable SUSPICION that abuse has occurred
Transporting a pt. with a gunshot wound to the abdomen, your patient goes into CARDIAC
ARREST DURING the transport.
Where do you transport? - ANS Trauma Center
What is the most accurate description of a MAR? - ANS facility MOST appropriate to suite
the patients' needs and chief complaint
What must you assess in order to pronounce death in the field? - ANS apical pulse for 60
seconds
What is required to function as a paramedic or MICN in LA County? - ANS employed with an
approved LA county provider and possess a current CA state license
Which of the following may request discontinuation of resuscitation efforts for a PEDIATRIC
patient in full arrest? - ANS parent or guardian
11 year old female at a park with a small laceration to the left hand, there is NO bleeding and
ALS treatment/transport is not required. What do you do? - ANS release patient to self
What is 2PAM used in conjunction with? - ANS Atropine
What is 2PAM used for? - ANS Nerve agents
What has ultimate say in patient destination? - ANS the assigned base hospital has ultimate
say on pt. destination
Where do you perform needle T? - ANS midclavicular 2nd intercostal ABOVE THE THIRD
RIB
What is not a trauma guideline? - ANS physiology of helicopter/air transport/ altitude
Which is not appropriate means of pain management? - ANS rapid transport
Which of the following requires base contact? - ANS 26 year old complaining of pleurisy
chest pain
Treating a pt. with VTACH when they suddenly become unresponsive, what treatment can
you administer? - ANS synchronized cardio version
What treatment would you administer FIRST for a pt. with respiratory distress with a cardiac
origin? - ANS nitroglycerin
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, What is considered a pediatric in LA County? - ANS 14 years and younger
Pediatric injuries meeting trauma criteria per 506 - ANS in between midclavicular lines
You are assessing a patient and note unilateral adventitious (riles) lung sounds, what would
you suspect? - ANS pneumonia
You are transporting a pt. who was actively seizing and is now postictal, what should you
do? - ANS contact base
Your pt. meets medical guidelines and REQUIRES transport, however the pt. is refusing
ALS assessment, treatment, and transport... what do you do? - ANS contact base
What pt. requires transport to a hospital regardless of chief complaint? - ANS pediatric 12
months and younger
Your pt. is a pediatric with swollen vocal cords, what treatment do you administer? - ANS
5mg: 1:1000 nebulized (if over 1 year old) 2.5mg HHN less than 1 year EPI
You are treating a hospice pt. with morphine, what is required? - ANS patient must sign AMA
You are treating a pt. on scene in full cardio-pulmonary arrest. At what point should you
transport? - ANS after ROSC is achieved
If pt. needs a copy of their ems report, where would they be able to get it? - ANS LA county
hall of records
What is NOT a barrier to pain? - ANS time of day
What must you acquire after you achieve ROSC? - ANS 12 lead
Which of the following must go to PMC? - ANS pediatric choking, with a brief period of
cyanosis. Pt. is no longer choking
If a pt. dies due to prone positioning what is it considered? - ANS accidental
You are transporting a pt. with a medical complaint. Your pt. then goes into full cardio-
pulmonary arrest, after resuscitative measures you achieve ROSC. Where do you transport
this pt.? - ANS SRC
Why do we have SART? - ANS to increase conviction rate
What is the transport time to a stroke center? - ANS 30 minutes
What is the transport time to a PMC? - ANS 30 minutes
What factor determines if a pt. meds criteria for 506? - ANS MOI
Which is true regards to the administration of midazolam for pts. with agitated delirium? -
ANS reduces pt. mortality
When do you treat crust syndrome? - ANS when hyperkalemia is suspected
When do you check narcotics? - ANS 2 person shift change
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Verified Solutions.
What is an acceptable reason for a hospital to divert an ALS unit? - ANS Internal disaster
Which of the following reason for a hospital to divert a BLS unit? - ANS BLS units transport
to a MAR REGARDLESS of diversion status with the exception of internal disaster
When should a paramedic report abuse of a dependent adult or child? - ANS when there is
reasonable SUSPICION that abuse has occurred
Transporting a pt. with a gunshot wound to the abdomen, your patient goes into CARDIAC
ARREST DURING the transport.
Where do you transport? - ANS Trauma Center
What is the most accurate description of a MAR? - ANS facility MOST appropriate to suite
the patients' needs and chief complaint
What must you assess in order to pronounce death in the field? - ANS apical pulse for 60
seconds
What is required to function as a paramedic or MICN in LA County? - ANS employed with an
approved LA county provider and possess a current CA state license
Which of the following may request discontinuation of resuscitation efforts for a PEDIATRIC
patient in full arrest? - ANS parent or guardian
11 year old female at a park with a small laceration to the left hand, there is NO bleeding and
ALS treatment/transport is not required. What do you do? - ANS release patient to self
What is 2PAM used in conjunction with? - ANS Atropine
What is 2PAM used for? - ANS Nerve agents
What has ultimate say in patient destination? - ANS the assigned base hospital has ultimate
say on pt. destination
Where do you perform needle T? - ANS midclavicular 2nd intercostal ABOVE THE THIRD
RIB
What is not a trauma guideline? - ANS physiology of helicopter/air transport/ altitude
Which is not appropriate means of pain management? - ANS rapid transport
Which of the following requires base contact? - ANS 26 year old complaining of pleurisy
chest pain
Treating a pt. with VTACH when they suddenly become unresponsive, what treatment can
you administer? - ANS synchronized cardio version
What treatment would you administer FIRST for a pt. with respiratory distress with a cardiac
origin? - ANS nitroglycerin
Page 1|5
, What is considered a pediatric in LA County? - ANS 14 years and younger
Pediatric injuries meeting trauma criteria per 506 - ANS in between midclavicular lines
You are assessing a patient and note unilateral adventitious (riles) lung sounds, what would
you suspect? - ANS pneumonia
You are transporting a pt. who was actively seizing and is now postictal, what should you
do? - ANS contact base
Your pt. meets medical guidelines and REQUIRES transport, however the pt. is refusing
ALS assessment, treatment, and transport... what do you do? - ANS contact base
What pt. requires transport to a hospital regardless of chief complaint? - ANS pediatric 12
months and younger
Your pt. is a pediatric with swollen vocal cords, what treatment do you administer? - ANS
5mg: 1:1000 nebulized (if over 1 year old) 2.5mg HHN less than 1 year EPI
You are treating a hospice pt. with morphine, what is required? - ANS patient must sign AMA
You are treating a pt. on scene in full cardio-pulmonary arrest. At what point should you
transport? - ANS after ROSC is achieved
If pt. needs a copy of their ems report, where would they be able to get it? - ANS LA county
hall of records
What is NOT a barrier to pain? - ANS time of day
What must you acquire after you achieve ROSC? - ANS 12 lead
Which of the following must go to PMC? - ANS pediatric choking, with a brief period of
cyanosis. Pt. is no longer choking
If a pt. dies due to prone positioning what is it considered? - ANS accidental
You are transporting a pt. with a medical complaint. Your pt. then goes into full cardio-
pulmonary arrest, after resuscitative measures you achieve ROSC. Where do you transport
this pt.? - ANS SRC
Why do we have SART? - ANS to increase conviction rate
What is the transport time to a stroke center? - ANS 30 minutes
What is the transport time to a PMC? - ANS 30 minutes
What factor determines if a pt. meds criteria for 506? - ANS MOI
Which is true regards to the administration of midazolam for pts. with agitated delirium? -
ANS reduces pt. mortality
When do you treat crust syndrome? - ANS when hyperkalemia is suspected
When do you check narcotics? - ANS 2 person shift change
Page 2|5
