Question 1

A 19-year-old female has just been extricated from her severely damaged car. She is on a long backboard and has been moved to a place of safety. As your partner maintains manual stabilization of her head, you perform a rapid assessment. The patient is unresponsive, has slow and shallow respirations, and has bilateral closed femur deformities. You should: Select one: A. apply oxygen via a nonrebreathing mask. B. obtain baseline vital signs and transport at once. C. stabilize her legs with long board splints. D. direct your partner to begin ventilatory assistance.

Accepted Answer

D. direct your partner to begin ventilatory assistance.

Question 2

A 33-year-old restrained driver of a motor vehicle crash is awake and alert, complaining only of neck pain and left leg pain. The vehicle is stable and no hazards are present. When removing this patient from his vehicle, you should: Select one: A. maintain slight traction to his neck area. B. use the rapid extrication technique. C. apply a full leg splint prior to extrication. D. immobilize him with a vest-style device.

Accepted Answer

D. immobilize him with a vest-style device.

Question 3

At a scene with downed electrical lines, the EMT should _________. Select one: A. relocate the danger (hot) zone away from the patient B. enter the danger (hot) zone for patient removal only C. remain outside the danger (hot) zone D. stabilize the patient in the danger (hot) zone

Accepted Answer

C. remain outside the danger (hot) zone

Question 4

Extrication is defined as: Select one: A. dismantling an automobile to remove a victim. B. immobilizing a patient before moving him or her. C. using heavy equipment to access a patient. D. removal from a dangerous situation or position.

Accepted Answer

D. removal from a dangerous situation or position.

Question 5

If a technical rescue team is required at the scene, but is not present when you arrive, you should: Select one: A. check with the incident commander to ensure that the team is en route. B. remain with your ambulance until the rescue team arrives at the scene. C. don personal protective equipment and begin the rescue process. D. have fire personnel initiate the rescue process if they are at the scene.

Accepted Answer

A. check with the incident commander to ensure that the team is en route.

Question 6

Once entrance and access to the patient have been provided, you should: Select one: A. perform a primary assessment. B. allow extrication to commence. C. begin treating his or her injuries. D. administer high-flow oxygen.

Accepted Answer

A. perform a primary assessment.

Question 7

Returning the emergency unit to service is part of the _________. Select one: A. hazard-control phase B. termination phase C. support phase D. transfer phase

Accepted Answer

B. termination phase

Question 8

The EMT's responsibility during search-and-rescue operations is to _________. Select one: A. assist in the search on foot B. wait at the staging area until the patient is located C. direct other incoming EMS units D. assume medical command

Accepted Answer

B. wait at the staging area until the patient is located

Question 9

The rescue team is in the process of extricating a 40-year-old male from his truck. The patient's wife, who was uninjured in the crash, is calmly observing the extrication and asks you if her husband will be all right. You should: Select one: A. ask her follow-up questions about the details of the crash. B. ensure that she is in a safe area, away from the scene. C. allow her to talk to her husband during the extrication. D. allow her to observe the extrication and keep her calm.

Accepted Answer

B. ensure that she is in a safe area, away from the scene.

Question 10

The use of special tools to remove an entrapped patient from a vehicle is known as _________. Select one: A. vehicle stabilization B. incident management C. simple access D. complex access

Accepted Answer

D. complex access

Question 11

Trench collapses usually involve large areas of falling dirt that weigh approximately _______ per cubic foot. Select one: A. 100 lb B. 200 lb C. 50 lb D. 150 lb

Accepted Answer

A. 100 lb

Question 12

Upon arrival at a search-and-rescue incident, the EMS crew should _________. Select one: A. prepare the equipment to carry to the patient B. split up and request a search grid C. begin searching for the patient D. provide the incident commander with the crew's names and certification level(s)

Accepted Answer

A. prepare the equipment to carry to the patient

Question 13

Upon arrival at a trench rescue operation, you should _________. Select one: A. assist with the rescue operation B. determine if rescuers are operating safely C. park at least 500 feet from the incident D. park as close to the incident as possible

Accepted Answer

C. park at least 500 feet from the incident

Question 14

Upon arriving at the scene of a motor vehicle crash, you can see three patients, one who is entrapped in his car and two who have been ejected from their vehicle. You should: Select one: A. call medical control for further direction. B. request law enforcement for traffic control. C. begin triage to determine injury severity. D. immediately request additional resources.

Accepted Answer

D. immediately request additional resources.

Question 15

When functioning at the scene of a motor vehicle crash in which a patient will require complex extrication, you should enter the vehicle and provide care to the patient: Select one: A. after rescue personnel have cut the battery cables. B. only if the patient has experienced a major injury. C. only after you believe the vehicle has been stabilized. D. after receiving approval from the incident commander.

Accepted Answer

D. after receiving approval from the incident commander.

Question 16

When removing a critically injured patient from his or her vehicle, you should: Select one: A. move him or her in one fast, continuous step. B. release c-spine control to facilitate rapid removal. C. protect the cervical spine during the entire process. D. remove him or her using a short backboard.

Accepted Answer

C. protect the cervical spine during the entire process.

Question 17

While staged at the scene of a structure fire, the EMT should _________. Select one: A. remain with the ambulance B. locate the safety officer C. assess firefighters for signs of fatigue D. stay with the incident commander

Accepted Answer

A. remain with the ambulance

Question 18

You are attempting to gain access to a patient who was injured when his truck struck another vehicle from behind. The patient is conscious and alert, but is screaming in pain. You try to open the door, but it is locked. You should: Select one: A. break the window and unlock the door. B. request the rescue team to extricate him. C. ask the patient if he can unlock the door. D. use a pry bar to attempt to open the door.

Accepted Answer

C. ask the patient if he can unlock the door.

Question 19

You are standing by at the scene of a hostage situation when the incident commander advises you that one of his personnel has been shot. The patient is lying supine in an open area and is not moving. As the SWAT team escorts you to the patient, you should: Select one: A. limit your primary assessment to airway and breathing only. B. grab him by the clothes and immediately move him to safety. C. perform a rapid assessment and move him to a place of safety. D. treat only critical injuries before moving him to a safe place.

Accepted Answer

B. grab him by the clothes and immediately move him to safety.

Question 20

You arrive at an accident scene to find an alternative-fuel vehicle leaking an unknown substance. You should immediately _________. Select one: A. search the vehicle for occupants B. disconnect the car battery C. apply retardant to the leaking fuel D. call for additional resources and keep bystanders away from the vehicle

Accepted Answer

D. call for additional resources and keep bystanders away from the vehicle

Question 21

As you and your team are removing an unresponsive patient from her wrecked car, you note that she has closed deformities to both of her legs and a deformity to her left humerus. You should: A.realign the deformed extremities before continuing. B. splint the deformities before moving her any further. C. support the injured extremities and continue removal. D. assess distal neurovascular functions in her extremities.

Accepted Answer

C. support the injured extremities and continue removal.

Question 22

What should be done for any type of alternative-fuel vehicle that is involved in an accident? A. Drain the fuel. B. Apply fire retardant to the engine compartment. C. Leave the engine in neutral during rescue operations. D. Disconnect the battery.

Accepted Answer

D. Disconnect the battery.

Question 23

Which of the following is the most important in protecting EMS providers during an extrication operation? A. The dispatch information B. The scene size-up C. The number of patients D. The availability of special operations personnel

Accepted Answer

B. The scene size-up

Question 24

A hiker was injured when he fell approximately 20 feet from a cliff. When you arrive at the scene, a member of the technical rescue group escorts you to the patient, who is positioned on a steep incline. The MOST appropriate method of immobilizing and moving the patient to the ambulance is to: A. immobilize his spine with a long backboard and place him in a basket stretcher. B. immobilize him to a long backboard and use the four-person carry to move him. C.apply a vest-style immobilization device and move him using a stair chair device. D. immobilize him with a short backboard and place him on the ambulance stretcher.

Accepted Answer

A. immobilize his spine with a long backboard and place him in a basket stretcher.

Question 25

Tactical EMS providers are specially trained to function during _________. A. High-angle rescue operations B. dangerous law enforcement operations C. aircraft rescue and recovery operations D. swift-water rescue operations

Accepted Answer

B. dangerous law enforcement operations

Question 26

Common duties and responsibilities of EMS personnel at the scene of a motor vehicle crash include all of the following, EXCEPT: A. keeping bystanders at a safe distance. B. assigning all patients a triage category. C. preparing all patients for transportation. D. continual assessment of critical patients.

Accepted Answer

A. keeping bystanders at a safe distance.

Brainscape's Knowledge GenomeTM

Chapter 39 - Vehicle Extrication & Special Rescue Flashcards

Brainscape's Knowledge Genome^TM