LA COUNTY ACCREDITATION TEST
QUESTIONS & ANSWERS(RATED A+)
what is an acceptable reason for a hospital to divert an ALS unit? - ANSWERInternal
disaster
Which of the following reason for a hospital to divert a BLS unit? - ANSWERBLS 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? - ANSWERwhen
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? - ANSWERTrauma Center
what is the most accurate description of a MAR? - ANSWERfacility MOST appropriate
to suite the patients' needs and chief complaint
what must you assess in order to pronounce death in the field? - ANSWERapical pulse
for 60 seconds
what is required to function as a paramedic or MICN in LA county? -
ANSWERemployed 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? - ANSWERparent 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? -
ANSWERrelease patient to self
what is 2PAM used in conjunction with? - ANSWERAtropine
What is 2PAM used for? - ANSWERNerve agents
what has ultimate say in patient destination? - ANSWERthe assigned base hospital has
ultimate say on pt destination
where do you perform needle T? - ANSWERmidclavicular 2nd intercostal ABOVE THE
THE THIRD RIB
, what is not a trauma guideline? - ANSWERphysiology of helicopter/air transport/ altitude
which is not appropriate means of pain management? - ANSWERrapid transport
which of the following requires base contact? - ANSWER26 year old complaining of
pleuritic chest pain
treating a pt with VTACH when they suddenly become unresponsive, what treatment
can you administer? - ANSWERsynchronized cardioversion
what treatment would you administer FIRST for a pt with respiratory distress with a
cardiac origin? - ANSWERnitroglycerin
what is considered a pediatric in LA county? - ANSWER14 years and younger
pediatric injuries meeting trauma criteria per 506 - ANSWERin between midclavicular
lines
you are assessing a patient and note unilateral adventitous (rales) lung sounds, what
would you suspect? - ANSWERpneumonia
you are transporting a pt who was actively seizing and is now postictal, what should you
do? - ANSWERcontact base
your pt meets medical guidelines and REQUIRES transport, however the pt is refusing
ALS assessment, treatment, and transport.. what do you do? - ANSWERcontact base
what pt requires transport to a hospital regardless of chief complaint? -
ANSWERpediatric 12 months and younger
your pt is a pediatric with swollen vocal cords, what treatment do you administer? -
ANSWER5mg: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? - ANSWERpatient must
sign AMA
you are treating a pt on scene in full cardio-pulmonary arrest. at what point should you
transport? - ANSWERafter ROSC is achieved
if pt needs a copy of their ems report, where would they be able to get it? - ANSWERLA
county hall of records
what is NOT a barrier to pain? - ANSWERtime of day
what must you acquire after you achieve ROSC? - ANSWER12 lead
QUESTIONS & ANSWERS(RATED A+)
what is an acceptable reason for a hospital to divert an ALS unit? - ANSWERInternal
disaster
Which of the following reason for a hospital to divert a BLS unit? - ANSWERBLS 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? - ANSWERwhen
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? - ANSWERTrauma Center
what is the most accurate description of a MAR? - ANSWERfacility MOST appropriate
to suite the patients' needs and chief complaint
what must you assess in order to pronounce death in the field? - ANSWERapical pulse
for 60 seconds
what is required to function as a paramedic or MICN in LA county? -
ANSWERemployed 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? - ANSWERparent 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? -
ANSWERrelease patient to self
what is 2PAM used in conjunction with? - ANSWERAtropine
What is 2PAM used for? - ANSWERNerve agents
what has ultimate say in patient destination? - ANSWERthe assigned base hospital has
ultimate say on pt destination
where do you perform needle T? - ANSWERmidclavicular 2nd intercostal ABOVE THE
THE THIRD RIB
, what is not a trauma guideline? - ANSWERphysiology of helicopter/air transport/ altitude
which is not appropriate means of pain management? - ANSWERrapid transport
which of the following requires base contact? - ANSWER26 year old complaining of
pleuritic chest pain
treating a pt with VTACH when they suddenly become unresponsive, what treatment
can you administer? - ANSWERsynchronized cardioversion
what treatment would you administer FIRST for a pt with respiratory distress with a
cardiac origin? - ANSWERnitroglycerin
what is considered a pediatric in LA county? - ANSWER14 years and younger
pediatric injuries meeting trauma criteria per 506 - ANSWERin between midclavicular
lines
you are assessing a patient and note unilateral adventitous (rales) lung sounds, what
would you suspect? - ANSWERpneumonia
you are transporting a pt who was actively seizing and is now postictal, what should you
do? - ANSWERcontact base
your pt meets medical guidelines and REQUIRES transport, however the pt is refusing
ALS assessment, treatment, and transport.. what do you do? - ANSWERcontact base
what pt requires transport to a hospital regardless of chief complaint? -
ANSWERpediatric 12 months and younger
your pt is a pediatric with swollen vocal cords, what treatment do you administer? -
ANSWER5mg: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? - ANSWERpatient must
sign AMA
you are treating a pt on scene in full cardio-pulmonary arrest. at what point should you
transport? - ANSWERafter ROSC is achieved
if pt needs a copy of their ems report, where would they be able to get it? - ANSWERLA
county hall of records
what is NOT a barrier to pain? - ANSWERtime of day
what must you acquire after you achieve ROSC? - ANSWER12 lead
