Chapter 1

Question 1

Who published the first EMT book? Which year?

Answer 1

AAOS
1971

Question 2

Talking to an emergency room physician via radio while at the scene would be what type of medical control?

Answer 2

Online

Question 3

What does HIPAA stand for?

Answer 3

Health Insurance Portability Accountability Act.

Question 4

Advanced life-saving procedures, some of which are now being provided by EMT.

Answer 4

Advanced Life support (ALS)

Question 5

Comprehensive legislation that is designed to protect people with disabilities against discrimination.

Answer 5

Americans with Disabilities Act (ADA)

Question 6

A device that detects treatable life-threatening cardiac dysrhythmias (Ventricular fibrillation and ventricular tachycardia) and delivers the appropriate electrical shock to the patient.

Answer 6

Automated External defibrillator (AED)

Question 7

A system of internal and external reviews and audits of all aspects of an EMS system aiming at improving outcomes.

Answer 7

Continuous quality improvement (CQI)

Question 8

A system that assists dispatchers in selecting appropriate units to respond to a particular call for assistance and provides callers with vital instructions until the arrival of EMS crews.

Answer 8

Emergency Medical Dispatch (EMD)

Question 9

Federal legislation passed in 1996. Its main effect in EMS is in limiting availability of patients health care information and penalizing violations of patient privacy.

Answer 9

Health Insurance Portability and Accountability Act (HIPAA)

Question 10

The delivery of medication directly into a vein.

Answer 10

Intravenous Therapy (IV)

Question 11

Efforts to prevent an injury or illness from ever occurring.

Answer 11

Primary Prevention

Question 12

A call center, staffed by trained personnel who are responsible for managing request for police, fire, and ambulance services.

Answer 12

Public Safety Access Point

Question 13

Efforts to limit the effects of an injury or illness that you cannot completely prevent.

Answer 13

Secondary Prevention.

Question 14

The standards for prehospital emergency care and the individuals who provide it are typically regulated by the…

A. state office of EMS
B. regional trauma center
C. American Heart Association
D. National Registry of EMTs

Answer 14

A. State office of EMS

Question 15

An EMS provider who has extensive training in various aspects of advanced life support (ALS) is called a(n):

A. EMT
B. Paramedic
C. AEMT
D. EMR

Answer 15

B. Paramedic

Question 16

Cardiac monitoring, pharmacologic interventions, and other advanced treatment skills are functions of the:

A. EMT
B. Paramedic
C. AEMT
D. EMR

Answer 16

B. Paramedic

Question 17

Which of the following statements regarding the NREMT is correct?

A. The NREMT is a governmental agency that certifies EMTs.
B. The NREMT regulates EMS training standards.
C. The NREMT is the exclusive certifying body for EMTs.
D. The NREMT provides a national standard for EMS testing.

Answer 17

D. The NREMT provides a national standard for EMS testing.

Question 18

According to the National EMS Scope of Practice Model, an EMT should be able to:

A. Assist a patient with certain prescribed medications.
B. Insert a peripheral IV line and infuse fluids.
C. Administer epinephrine via the subcutaneous route.
D. Interpret a basic (ECG) rhythm and treat accordingly.

Answer 18

A. Assist a patient with certain prescribed medications.

Question 19

Which of the following skills or interventions is included at every level of prehospital emergency training?

A. Oral Glucose for hypoglycemia
B. Automated external defibrillation
C. Intranasal medication administration.
D. Use of a manually triggered ventilator.

Answer 19

B. Automated external defibrillation

Question 20

Which type of medical direction do standing orders and protocols describe?

A. Radio
B. Online
C. Off-line
D. Direct

Answer 20

C. Off-line

Question 21

The continuous quality improvement (CQI) process is designed to:

A. Administer punitive actions to EMTs who do not follow local protocols.
B. Identify areas of improvement and provide remedial training if needed.
C. Ensure that all EMTs maintain licensure through the state EMS office.
D. Focus specifically on the quality of emergency care provided to the patient.

Answer 21

B. Identify areas of improvement and provide remedial training if needed.

Question 22

Which of the following errors is an example of a knowledge-based failure?

A. An EMT gives the correct drug to a patient, although his protocols clearly state that he is not authorized to do so.
B. Due to an improperly applied cervical collar, a patient’s spinal injury is aggravated and he is permanently disabled.
C. A patient is given nitroglycerin by an EMT who did not obtain proper authorization from medical control first.
D. An EMT administers the wrong drug to a patient because she did not know the pertinent information about the drug.

Answer 22

D. An EMT administers the wrong drug to a patient because she did not know the pertinent information about the drug.

Question 23

Obtaining continuing medical education is the responsibility of the:

A. Individual EMT
B. State Bureau of EMS
C. EMS training officer
D. EMS medical director.

Answer 23

A. Individual EMT

Question 24

The determination that prompt surgical care in the hospital is more important than performing time-consuming procedures in the field on a major trauma patient is based mostly on:

A. EMS Research.
B. Local protocols.
C. The lead EMT’s decision.
D. Regional trauma guidelines.

Answer 24

A. EMS Research

Question 25

If a defibrillator manufacturer claims that its device terminates ventricular fibrillation on the first shock 95% of the time, you should:

A. avoid purchasing the device because this claim is unrealistic.
B. recognize that this does not mean the device will save more lives.
C. Purchase the device based solely on the manufacturer’s claim.
D. determine which device the American Heart Association recommends.

Answer 25

B. recognize that this does not mean the device will save more lives.

Question 26

The EMT certification exam is designed to:

A. rank EMTs based on performance on the certification exam.
B. Identify those EMTs who are prepared for advanced levels of training.
C. provide EMTs with the best possible wage once certification is achieved.
D. Ensure that EMTs are competent and have the same level of knowledge and skills.

Answer 26

D. Ensure that EMTs are competent and have the same level of knowledge and skills.

Question 27

Which of the following scenarios involves the administration of ALS?

A. 48 year old patient who airway is secured with a supraglottic device.
B. 53 year old patient who is assisted with his prescribed nitroglycerin.
C. 61 year old patient who is receiving humidified supplemental oxygen.
D. 64 year old patient. who is given aspirin for suspected cardiac chest pain

Answer 27

A. 48 year old patient who airway is secured with a supraglottic device.

Question 28

Continuing education in EMS serves to:

A. confirm research and statistical findings in prehospital care.
B. maintain, update, and expand the EMT’s knowledge and skills.
C. enforce mandatory attendance at agency-specific training.

Answer 28

B. maintain, update, and expand the EMT’s knowledge and skills.

Question 29

Which of the following is an example of a primary prevention strategy?

A. Community awareness programs that emphasize the dangers of drinking and driving.
B. The construction of a guardrail on a dangerous curve following a fatal motor vehicle crash.
C. Protecting a patient’s spine from further injury after a fall from a significant height.
D. Teaching a group of new parents how to perform one and two rescuer infant CPR.

Answer 29

A. Community awareness programs that emphasize the dangers of drinking and driving.

Question 30

EMS as we know it today had its origins in 1966 with the publication of:

A. the Emergency Medical Services Act.
B. the Department of Transportation’s White Paper: Death and Dying.
C. Emergency Care and Transportation of the Sick and Injured.
D. Accidental Death and Disability: The Neglected Disease of Modern Society.

Answer 30

D. Accidental Death and Disability: The Neglected Disease of Modern Society.

Question 31

Which of the following criteria is required to become licensed and employed as an EMT?

A. Demonstration of the ability to life and carry at least 200 pounds.
B. Proof of immunization against certain communicable diseases.
C. A minimum of 60 college credit hours that focus on health care.
D. Successful completion of a recognized bystander CPR course.

Answer 31

B. Proof of immunization against certain communicable diseases.

Question 32

An appropriate demonstration of professionalism when your patient is frightened, demanding, or unpleasant is to:

A. continue to be nonjudgmental, compassionate, and respectful.
B. demand that the patient remain quiet and cooperative during transport.
C. ignore the patient’s feelings and focus on his or her medical complaint.
D. reassure the patient that everything will be all right, even if it will not be.

Answer 32

A. continue to be nonjudgmental, compassionate, and respectful.