EMD 350 FINAL
1. the EMS agenda for the future included 14 focus areas. which were part of the EMS agenda for the future: human
resources, medical direction and clinical care
2. which of the following is an example of a medical innovation developed during WW1: rapid extraction
3. what did the emergency medical services act of 1973 provide: funding for EMS system development
4. is it true that EMT basics need 750-1500 hours of training and can perform intravenous IV access, advanced airway
and administer meds: no
5. what were the two key factors that contributed to increased survival follow- ing injury between WW1 and WW2:
quicker evacuation of injured individuals from the battlefield and application of medical science to their care
6. Following the Vietnam war many soldiers returned to the U.S. and noted "survival following injury on the battlefield
was more likely than when injured in most major cities." This observation was highlighted in the landmark paper titled::
accidental death and disability, the neglected disease of modern society
7. cardiac arrest occurs when: there is a sudden loss of heart function when the hearts electrical system
malfunctions
8. signs of cardiac arrest include: sudden loss os responsiveness, no response when tapping on shoulders asking if
they are ok, absence of normal breathing
9. research shows that the following intervention saves lives:: early chest com- pression
10.EMS agenda for the future provides a vision for EMS including
education issues: out of hospital
11.when EMS professionals are providing CPR the ideal crew configuration is:: 4 person crew
12.training for an EMT consists of: a : 120-130 hour course
13. : early recognition of the emergency and activation of the EMS, early defibrillation when indicated and early
bystander CPR, early advanced life support followed by pos resuscitation care delivered by healthcare providers-
: chain of survival
14.Reversing cardiac arrest due to an abnormal hearth rhythm called ventric- ular fibrillation is more likely to occur if
you're in and airport, a casino and hospital because:: AED's are immediately available
15.EMS providers who work with SWAT teams are called: tactical medics
16.resuscitation attempts should NOT be withheld in the cases of?: lightning strike
17.when considering pediatric out of hospital cardiac arrests: : a longer
downtime is accepted for initiation of resuscitation
, EMD 350 FINAL
18.what is used to guide decisions for termination of resuscitation? .
what is not used ?: witnessing of arrest/time/ end tidal carbon dioxide (EtCO2). not used is
medical history
19.which of the following may be favorable regarding the survival of a patient in cardiac arrest: hypothermia
20.chest compressions should be:: administered at a rate of 110 cpm or in cycles of 200
21.which of the following interventions does not match its appropriate dis- ease: hemorrhage and epinephrine
22.interventions for these diseases
a. amiodarone:
b. calcium chloride:
c. naloxone: : ventricular fibrillation after a second shock, hyperkalemia, opiate OD
23.EMT tasks during the pit crew model for CPR (pCPR) include all of the following EXCEPT:
a. placement of nonrebreather and nasal cannula
b. placement of defibrillator pads
c. performance of CPR
d. placement of an intraosseous (IO) line: placement of an intraosseous (IO) line
24.Paramedic-only tasks during the pit crew model for CPR (pCPR) include all of the following EXCEPT:
A)
Advanced airway management (placement of supraglottic device or intuba- tion)
B)
Administration of epinephrine C)
Use of an AED to shock the patient. D)
Administer medication adjuncts (ex. amiodarone): use of an AED to shock the patient
25.what is true regarding epinephrine in pCPR: it should be given twice, once early and once at 8 minutes
26.Retrospective Medical Oversight includes the use of quality assurance (QA) and Quality Improvement (QI) to answer
the following questions: "Is the system providing quality medical care." or "what can be done to improve qual- ity of care"?
Which of the following is an example of how quality assurance
, EMD 350 FINAL
(QA) is performed: routine review of care, documentation of problems identified, feedback of practicioners
27.The authority to provide medical care is tightly regulated in the United States by:: individual states which
define scope of practice
28.Based on the Skamania Symposium recommendations, the National High- way Traffic Safety Administration and the
American Trauma Society are work- ing together to develop a trauma system vision for our country through
2010 in which the primary purpose of a trauma care system is to reduce
after injury changing the system focus from only the most severely injured to addressing
the needs of all injured patients will result in the greatest health care benefit for the entire population.: preventable
deaths
29.EMS Medical control is traditionally thought of being performed by a single physician when in reality it can be
performed by:: Anyone of the following acting under supervision of a physician but typically a team of physicians,
nursing staff, pre-hospital providers and administrative staff.
30.The essence of Medical Oversight is to ensure that emergency medical service activities are conceived, structured
and executed to ultimately provide benefit to patients. Two methods for providing medical control include Online or direct
and offline or indirect medical control. Which of the following sce- narios would be an example of online medical control?:
A 55 year old man calls 911 for chest pain. Paramedics perform an EKG and are concerned the patient may be
having a heart attack. The EKG is transmitted electronically to the ER doctor on duty. The Paramedics then speak
to the ER doc on the radio who agrees the patient is having a heart attack and authorizes administration of aspirin
and transportation to the nearest cardiac center.
31.A system of physician directed quality assurance that provides profes-
sional and public accountability for medical care in the pre-hospital setting is:: medical control
32. : THE MEDICAL TERM FOR BODILY INJURY, IS THIS nation's most
tragic and expensive - yet correctable - national health care problem.: trauma
33.Preventable death studies in exclusive trauma care systems show injury treatment at Level I or II trauma centers
reduces deaths from 25% to
less than 3%.: unnecessary
34.a comprehensive rehabilitation program is often the most part of a
trauma system: neglected
35. should begin as soon as possible following injury as it might be the longest and most difficult stage in
a trauma patient's recovery: rehabilita- tion
1. the EMS agenda for the future included 14 focus areas. which were part of the EMS agenda for the future: human
resources, medical direction and clinical care
2. which of the following is an example of a medical innovation developed during WW1: rapid extraction
3. what did the emergency medical services act of 1973 provide: funding for EMS system development
4. is it true that EMT basics need 750-1500 hours of training and can perform intravenous IV access, advanced airway
and administer meds: no
5. what were the two key factors that contributed to increased survival follow- ing injury between WW1 and WW2:
quicker evacuation of injured individuals from the battlefield and application of medical science to their care
6. Following the Vietnam war many soldiers returned to the U.S. and noted "survival following injury on the battlefield
was more likely than when injured in most major cities." This observation was highlighted in the landmark paper titled::
accidental death and disability, the neglected disease of modern society
7. cardiac arrest occurs when: there is a sudden loss of heart function when the hearts electrical system
malfunctions
8. signs of cardiac arrest include: sudden loss os responsiveness, no response when tapping on shoulders asking if
they are ok, absence of normal breathing
9. research shows that the following intervention saves lives:: early chest com- pression
10.EMS agenda for the future provides a vision for EMS including
education issues: out of hospital
11.when EMS professionals are providing CPR the ideal crew configuration is:: 4 person crew
12.training for an EMT consists of: a : 120-130 hour course
13. : early recognition of the emergency and activation of the EMS, early defibrillation when indicated and early
bystander CPR, early advanced life support followed by pos resuscitation care delivered by healthcare providers-
: chain of survival
14.Reversing cardiac arrest due to an abnormal hearth rhythm called ventric- ular fibrillation is more likely to occur if
you're in and airport, a casino and hospital because:: AED's are immediately available
15.EMS providers who work with SWAT teams are called: tactical medics
16.resuscitation attempts should NOT be withheld in the cases of?: lightning strike
17.when considering pediatric out of hospital cardiac arrests: : a longer
downtime is accepted for initiation of resuscitation
, EMD 350 FINAL
18.what is used to guide decisions for termination of resuscitation? .
what is not used ?: witnessing of arrest/time/ end tidal carbon dioxide (EtCO2). not used is
medical history
19.which of the following may be favorable regarding the survival of a patient in cardiac arrest: hypothermia
20.chest compressions should be:: administered at a rate of 110 cpm or in cycles of 200
21.which of the following interventions does not match its appropriate dis- ease: hemorrhage and epinephrine
22.interventions for these diseases
a. amiodarone:
b. calcium chloride:
c. naloxone: : ventricular fibrillation after a second shock, hyperkalemia, opiate OD
23.EMT tasks during the pit crew model for CPR (pCPR) include all of the following EXCEPT:
a. placement of nonrebreather and nasal cannula
b. placement of defibrillator pads
c. performance of CPR
d. placement of an intraosseous (IO) line: placement of an intraosseous (IO) line
24.Paramedic-only tasks during the pit crew model for CPR (pCPR) include all of the following EXCEPT:
A)
Advanced airway management (placement of supraglottic device or intuba- tion)
B)
Administration of epinephrine C)
Use of an AED to shock the patient. D)
Administer medication adjuncts (ex. amiodarone): use of an AED to shock the patient
25.what is true regarding epinephrine in pCPR: it should be given twice, once early and once at 8 minutes
26.Retrospective Medical Oversight includes the use of quality assurance (QA) and Quality Improvement (QI) to answer
the following questions: "Is the system providing quality medical care." or "what can be done to improve qual- ity of care"?
Which of the following is an example of how quality assurance
, EMD 350 FINAL
(QA) is performed: routine review of care, documentation of problems identified, feedback of practicioners
27.The authority to provide medical care is tightly regulated in the United States by:: individual states which
define scope of practice
28.Based on the Skamania Symposium recommendations, the National High- way Traffic Safety Administration and the
American Trauma Society are work- ing together to develop a trauma system vision for our country through
2010 in which the primary purpose of a trauma care system is to reduce
after injury changing the system focus from only the most severely injured to addressing
the needs of all injured patients will result in the greatest health care benefit for the entire population.: preventable
deaths
29.EMS Medical control is traditionally thought of being performed by a single physician when in reality it can be
performed by:: Anyone of the following acting under supervision of a physician but typically a team of physicians,
nursing staff, pre-hospital providers and administrative staff.
30.The essence of Medical Oversight is to ensure that emergency medical service activities are conceived, structured
and executed to ultimately provide benefit to patients. Two methods for providing medical control include Online or direct
and offline or indirect medical control. Which of the following sce- narios would be an example of online medical control?:
A 55 year old man calls 911 for chest pain. Paramedics perform an EKG and are concerned the patient may be
having a heart attack. The EKG is transmitted electronically to the ER doctor on duty. The Paramedics then speak
to the ER doc on the radio who agrees the patient is having a heart attack and authorizes administration of aspirin
and transportation to the nearest cardiac center.
31.A system of physician directed quality assurance that provides profes-
sional and public accountability for medical care in the pre-hospital setting is:: medical control
32. : THE MEDICAL TERM FOR BODILY INJURY, IS THIS nation's most
tragic and expensive - yet correctable - national health care problem.: trauma
33.Preventable death studies in exclusive trauma care systems show injury treatment at Level I or II trauma centers
reduces deaths from 25% to
less than 3%.: unnecessary
34.a comprehensive rehabilitation program is often the most part of a
trauma system: neglected
35. should begin as soon as possible following injury as it might be the longest and most difficult stage in
a trauma patient's recovery: rehabilita- tion
