v v v v v v vv
on by Joseph J. Mistovich Keith J Karren Brent Q. Hafen
v v v v v v v v v vv
Chapterv1 EmergencyvMedicalvServicevSystems,vResearch,vandvPublicvHealth
1) Whatvisvavprimaryvpurposevofvthevmodern-dayvEMSvsystem?
A) Providevavmeansvofvtransportvtovandvfromvthevhospital
B) Ensurevthatvallvmembersvofvsocietyvhavevequalvaccessvtovhospitals
C) Decreasevthevincidencevofvdeathvandvdisabilityvrelatedvtovinjuryvandvillness
D) Providevemergencyvhealthvcarevservicesvtovmedicallyvunderservedvareasv
Answer:v C
Diff:v2 PagevRef:v2
Objective:v v 1-2
2) Mostvauthoritiesvagreevthatvthevmodern-
dayvEMSvsystemvevolvedvaftervthevreleasevofvwhichvdocument?
A) ThevEmergencyvMedicalvServicesvActvofv1973
B) Thevwhitevpaperv"AccidentalvDeathvandvDisability:vThevNeglectedvDiseasevofvModernvSociety,"vi
nv1966
C) ThevAmericanvHeartvAssociation'svGuidelinesvforvCardiacvResuscitation
D) EmergencyvMedicalvServices:vAgendavforvthevFuture,vinv1996v
Answer:v B
Diff:v1 PagevRef:v2
Objective:v v 1-2
3) AnvEmergencyvMedicalvRespondervcomesvtovyouvandvstatesvthatvtheyvwouldvlikevtovworkvforvy
ourvemergencyvambulancevservicevonvavfull-
timevbasis.vKnowingvthevNationalvEMSvScopevofvPracticevModel,vyouvinformvthemvofvwhichvele
mentvtheyvneedvtovattainvfirst?
A) Theyvwillvbevablevtovtakevcarevofvonlyvpatientsvwithvnon-life-threateningvcomplaints.
B) Theyvwillvfirstvneedvapprovalvfromvyourvambulancevservice'svmedicalvdirector.
C) TheyvwillvbevablevtovworkvonlyvwithvanvAdvancedvEmergencyvMedicalvTechnicianv(AEMT)vorvP
aramedic.
D) TheyvwillvfirstvhavevtovbecomevanvEmergencyvMedicalvTechnicianv(EMT).v
Answer:v D
Diff:v1 PagevRef:v3
Objective:v v 1-1
4) AsvdefinedvbyvthevNationalvEMSvScopevofvPracticevModel,vthevfourvlevelsvofvEMSvpractitionersvi
nclude:
A) Ambulancevdrivers.
B) EMSvmedicalvdirector.
C) Paramedics.
D) Emergencyvmedicalvdispatchers.v
Answer:v C
Diff:v1 PagevRef:v6
,Objective:v v 1-3
5) AnvEmergencyvMedicalvResponderv(EMR)vapproachesvyouvandvstatesvthatvtheyvarevinterestedvinvb
ecomingvanvEMT.vSpecifically,vtheyvaskvwhatvtheyvwillvbevablevtovdovasvanvEMTvthatvtheyvcannotvpr
esentlyvdovasvanvEMR.vYouvrespondvbyvsayingvtheyvwillvbevablevto:
A) Administervsomevmedications.
B) Assistvinvemergencyvchildbirth.
C) Usevanvautomatedvexternalvdefibrillator.
D) Obtainvvitalvsigns.
vAnswer:v A
Diff:v1 PagevRef:v5-6
Objective:v v 1-5
6) Youvhavevbeenvdispatchedvforvav61-year-
oldvfemalevinvcardiacvarrest.vEmergencyvMedicalvRespondersv(EMRs)varevonvthevscene.vInvyourv
community,vallvEMSvpractitionersvarevtrainedvaccordingvtovthevNationalvEMSvScopevofvPracticev
Model.vGivenvthis,vwhichvtypevofvcarevdovyouvexpectvthevEMRsvtovbevproviding?
A) Emergencyvmedicationvadministration
B) Automatedvexternalvdefibrillation
C) Intravenousvtherapy
D) Readingvanvelectrocardiogramv
Answer:v B
Diff:v2 PagevRef:v5-6
Objective:v v 1-5
7) AnvEMTvwithvyourvservicevstatesvthatvtheyvdesirevtovbecomevavParamedicvbecausevtheyvwantvtovp
rovidevadvancedvcare.vUndervthevNationalvEMSvScopevofvPracticevModel,vwhichvonevofvthesevtype
svofvcarevwillvtheyvbevablevtovprovidevasvavParamedicvthatvtheyvcannotvprovidevasvanvEMT?
A) Usevofvanvautomatedvbloodvpressurevmonitoring
B) Assistancevwithvemergencyvchildbirth
C) Providingvinterfacilityvtransports
D) Initiatingvintravenousv(IV)vtherapy
vAnswer:v D
Diff:v1 PagevRef:v6
Objective:v v 1-5
8) WhichvstatementvmadevbyvanvEMTvrequiresvimmediatevinterventionvbyvavsuperiorvorvthevservicevs
upervisor?
A) "IvalwaysvwearvmyvseatvbeltvwhenevervIvamvinvthevpatientvcompartmentvofvthevambulance,vunlessvIv
havevtovremovevitvtovcarevforvavpatient."
B) "IvdrivevasvfastvasvIvcanvtovgetvtovthevscenevofvanvemergency,vespeciallyvifvavchildvisvsickvorvinjuredvac
cordingvtovdispatchvinformation."
C) "WhenvIvamvdrivingvwithvlightsvandvsirens,vIvinstructvmyvpartnervthatvhevwillvneedvtovhandlevallvr
adiovcommunications."
D) "IvputvexamvglovesvonvforveveryvpatientvIvcontact,vevenvifvhevorvshevdoesvnotvhavevavknownvorvs
uspectedvinfectiousvdisease."
Answer:v v B
Diff:v1 PagevRef:v7
,Objective:v v 1-7
9) WhichvstatementvshowsvthatvthevEMTvhasvavgoodvunderstandingvofvtheirvrolevandvresponsibilitiesvr
elatedvtovbeingvanvEMT?
A) "Thevpatient'svneedsvcomevbeforevanyonevelse'svneeds."
B) "Atvthevscenevofvanvemergency,vmyvresponsibilityvisvtovgetvtovthevpatientvnovmattervwhat."
C) "Myvsafetyvcomesvfirst,vandvthenvthevpatient'svsafety."
D) "AsvanvEMT,vIvrecognizevthatvthevpublic'svsafetyvcomesvbeforevthevsafetyvofvmevorvmyvpartner."v
Answer:v C
Diff:v2 PagevRef:v7
Objective:v v 1-7
10) AnvambulancevwithvtwovEMTsvarrivesvinvfrontvofvavhousevforvanvunknownvmedicalvemergency.v
Onvscene,vbystandersvreportvthatvavfemalevpatientvwasvbeatenvbyvhervhusbandvinvthevdrivewayvandvt
henvdraggedvbackvintovthevhouse.vTheyvstatevthatvthevpatientvappearedvunconsciousvandvwasvbleedi
ngvfromvthevhead.vWhichvactionvwouldvthevEMTsvperformvnext?
A) Dovnotventervthevscenevuntilvitvhasvbeenvcontrolledvbyvlawvenforcement.
B) Quietlyventervthevhomevandvquicklyvmovevthevpatientvtovthevambulance.
C) Removevthevhusbandvfromvthevhouse,vthenvprovidevemergencyvcarevtovthevwife.
D) Entervthevhomevtovprotectvthevpatientvwhilevwaitingvforvthevpolicevtovarrive.v
Answer:v A
Diff:v2 PagevRef:v7-8
Objective:v v 1-7
11) WhyvisvEMSvinvavuniquevpositionvtovcontributevsignificantlyvtovmobilevintegratedvhealthvcare?
A) EMSvprovidersvarevfamiliarvwithvandvcapablevofvfunctioningvinvthevout-of-hospitalvenvironment.
B) Ambulancesvareveasilyvidentified.
C) Thevcommunityvtrustsvuniformedvhealthvcarevproviders.
D) EMSvprovidersvarevfamiliarvwithvthevmanyvroutesvofvmedicationvadministration.v
Answer:v A
Diff:v1 PagevRef:v15
Objective:v v 1-14
12) Youvhavevarrivedvonvthevscenevofvavmotorvvehiclevcollision.vAvcarvhasvgonevoffvthevroadvandvintovav
utilityvpole.vThevpolevisvbrokenvandvwiresvarevhangingvjustvabovevthevcar.vYouvdovnotvseevanyvsparki
ngvorvarcingvofvthevwires.vThevdrivervofvthevcarvisvslumpedvovervthevsteeringvwheelvandvnotvmoving.
vSeveral vbystandersvaroundvthevcarvarevyellingvforvyouvtovhelp.vWhichvstepsvrepresent vthevcorrect vor
dervofvyourvresponse?
A) Clearvthevbystanders,vallowvthevfirevdepartmentvtovsecurevthevwires,vaccessvthevpatient,vextricatevt
hevpatient,vtransport
B) Accessvthevpatient,vclearvthevbystanders,vallowvthevfirevdepartmentvtovsecurevthevwires,vextricatevt
hevpatient,vtransport
C) Clearvthevbystanders,vaccessvthevpatient,vextricatevthevpatient,vtransport,vallowvthevfirev
departmentvtovsecurevthevwires
D) Accessvthevpatient,vallowvthevfirevdepartmentvtovsecurevthevwires,vclearvthevbystanders,vextricatevt
hevpatient,vtransport
Answer:v v A
Diff:v2 PagevRef:v7-8
Objective:v v 1-7
, 13) Oncevavscenevisvfreevofvsafetyvhazards,vthevEMTvmustvrecognizevandvfocusvonvthevneedsvofvthe:
A) Rescuers.
B) Patient.
C) Family.
D) Bystanders.
vAnswer:v B
Diff:v1 PagevRef:v8
Objective:v v 1-7
14) Youvhavevbeenvaskedvtovsitvonvyourvservice'svqualityvimprovementv(QI)vcommittee.vAsvavk
nowledgeablevEMT,vyouvrecognizevthatvinvthisvrolevyouvwillvbevinvolvedvinvprojectsvthatvarevpri
marilyvdesignedvto:
A) Communicatevwithvinsurancevcompaniesvforvincreasedvreimbursement.
B) RecruitvandveducatevEMTsvaboutvthevEmergencyvMedicalvServicesvprofession.
C) Developvwaysvinvwhichvthevdeliveryvofvemergencyvcarevcanvbevimproved.
D) IdentifyvandvreeducatevEMTsvwhovroutinelyvdovnotvprovidevpropervcare.v
Answer:v C
Diff:v2 PagevRef:v12-13
Objective:v v 1-10
15) Whatvwouldvbevavlogicalvprojectvtovbevundertakenvandvdevelopedvbyvavqualityvimprovementv(
QI)vcommittee?
A) TerminationvofvEMTsvwhovarevchronicallyvlatevtovwork
B) Avprogramvbyvwhichvpayvraisesvarevbasedvonvperformancevandvattitude
C) CommunityvfundraiservtovraisevmoneyvforvnewvEMSvequipment
D) Monthlyvcontinuingveducationvprogramsvinvwhichvseldom-
usedvskillsvarevpracticedvAnswer:v D
Diff:v2 PagevRef:v12-13
Objective:v v 1-10
16) YouvarevinterviewingvforvthevpositionvofvEMTvwithvavbusyvurbanvservice.vThisvmorningvyouvarevt
ovmeetvwithvthevservice'svmedicalvdirector.vYouvhavevbeenvtoldvthatvshevlikesvitvwhenvapplicantsvaskvq
uestionsvaboutvhervrolevasvthevmedicalvdirector.vRelatedvtovhervresponsibilitiesvasvmedicalvdirector,vw
hichvquestionvisvmostvappropriate?
A) "Howvdov youvdeterminevthevwagesvthatvthevEMTsvarevpaid?"
B) "Howvdov youvdeterminevthevnumbervandvlocationvofvambulancesvwithinvthevsystem?"
C) "Howvoftenvarevthevemergencyvcarevprotocolsvupdated?"
D) "Dovyouvassignvthevdailyvchoresvthatvmustvbevcompletedvaroundvthevstations?"v
Answer:v C
Diff:v2 PagevRef:v11
Objective:v v 1-9
17) Tovbevavmedicalvdirectorvofvanvambulancevservice,vwhichvrequirementvmustvthevinterestedvi
ndividualvsatisfy?
A) Licensedvphysician
B) Emergencyvphysicianvwithvsurgicalvexperience
C) Physicianvwhovwasvavparamedic