EMT 219 Flashcards
A medical director reviewing written EMS care paperwork is completing what kind of review?
d. Retrospective review
A network of services coordinated to provide aid and medical assistance from a primary response to definitive care is referred to as which area?
a. EMS system
A paramedic is asked to review a research paper. If the paramedic were interested in assessing the process used to select and randomize patients during the trial, which section of the paper would most likely contain relevant information?
b. Methods
A paramedic is assisting the medical director with the development of a new treatment protocol. The medical director asks the paramedic to conduct an observational study of the treatment protocol. Which course of action would be closest to the expectations of the medical director?
c. Survey other EMS systems, and describe the protocols used by each.
A paramedic is called to a physician’s office to provide care and transport to a patient suffering extreme respiratory distress. The patient’s personal physician is present. Which would be the most appropriate choice of action by the paramedic?
b. Refuse to provide care outside of established treatment protocols
A paramedic is in a study in which he or she gives a patient a coded vial of medication but doesn’t know what medication is being given. The patient is also unaware of which medication is being administered. Which type of study is this referred?
c. Double-blinded
A paramedic makes special efforts to keep family members apprised of progress during a cardiac arrest. This demonstrates which of the following characteristics?
a. Empathy
A paramedic participates in a study in which all patients over the age of 55 are asked whether they take an aspirin daily. Which type of research is this referred?
d. Descriptive
A paramedic participating in a research experiment contacts medical direction to allow the physician to administer informed consent to the subject. Which type of consent is being used?
b. Consent at a distance
A paramedic who places the needs of the patient before his or her self-interest is displaying:
a. Patient advocacy
its protocols. The medication is tested for the next 3 months and then its benefits are evaluated. What type of research is being conducted?
b. Prospective
An EMS system is participating in a study of a new treatment for chest pain. Which type of consent is likely to be used in this study?
d. Informed consent
Attending continuing education sessions demonstrates which characteristic of the paramedic as a health care professional?
d. Self-motivation
During which situation is professional conduct not expected of the paramedic?
b. Professionalism is expected during all situations
During which time frame were the most funds distributed by the federal government to assist the regional emergency medical services (EMS) system development?
b. 1968-1981
Encouraging citizens’ involvement in the EMS system achieves which goal?
b. Creating informed and independent advocates
National standard curricula for EMS providers are established by which agency?
d. National Highway Traffic Safety Administration
Off-line medical direction provides which benefit?
d. Standardized care
Online medical direction provides which benefit?
c. Patient-specific care
Participation in the development of which policy would be the most appropriate role for a physician medical director?
b. Personnel selection
Quality assurance (QA) differs from continuous quality improvement (CQI) in that CQI:
c. Is less rigid and considers many factors
The act of placing one’s name in a book of record is referred to as which term?
c. Registration
The practice of physician participation in education, equipment selection, and development of protocols for EMS systems is best described by which term?
a. Medical direction
Which action by a paramedic best demonstrates the characteristic of personal hygiene?
c. Ensuring that uniforms are clean
Which aspect contributes to the existence of a profession?
b. Specialized body of knowledge
Which aspect of professionalism is provided by belonging to national EMS groups?
c. A unified voice for EMS providers
Which behavior by a paramedic demonstrates self-confidence?
d. Trusting personal judgment on the need for endotracheal intubation
Which behavior by a paramedic is the best example of self-motivation?
c. Accepting constructive criticism
Which behavior would demonstrate the professional attribute of integrity?
d. Accurately documenting a medication error performed by a partner
Which best describes the paramedic when he or she is acting as a health care professional?
b. Displays honesty in all actions
Which best describes the role of the National Registry of EMTs?
c. Verification of the competency of EMS providers
Which characteristic differentiates EMT-paramedics from other recognized levels of EMS training?
b. Advanced training in drug therapy
Which document called for the preparation of nationally acceptable texts and courses of instruction for rescue squads, police, and ambulance personnel in 1966?
d. Accidental Death and Disability: The Neglected Disease of Modern Society
Which is a national organization that verifies competency for emergency medical technicians (EMTs) and parame
NREMT
Which is an attribute of an EMS system identified by the Emergency Medical Services Agenda for the Future?
a. Prevention activities
Which is considered to be a component of the EMS system, according to NHTSA’s Ten System Elements?
d. Trauma centers
Which is generally required for publication in a peer-reviewed journal?
b. Evaluation by an institutional review board
Which is the least likely benefit of paramedics’ teaching in the community?
c. Improved reimbursement
Which most accurately describes the term professionalism?
a. Adherence to standards of conduct
Which organization is the federal agency with jurisdiction over EMS systems?
d. NHTSA
Which research design characteristic carries the highest risk of participant bias?
a. Unblinded
Which research design characteristics would be used to help prevent selection bias?
a. Randomization of subjects
Which responsibility would be considered a primary responsibility of the paramedic?
a. Documentation
Which term refers to a process by which an authority grants permission to engage in an activity that would otherwise be unlawful?
c. Licensure
Which term refers to guidelines that define the scope of prehospital intervention practiced by emergency care providers?
b. Treatment protocols
Which term refers to the process by which a competent authority provides a document verifying that the individual has met predetermined qualifications to participate in an activity?
a. Certification
Which treatment protocol for an EMS system requires consultation with a physician at the base hospital before the administration of certain medications?
a. Online medical direction
Which would be the least valuable component of a CQI program?
b. Comparison of individual paramedic IV success rates
Which would indicate that a research project was carried out in an ethical manner?
d. Evaluation by an institutional review board
A continuous quality improvement (CQI) project aims to standardize the care of patients with chest pain while integrating the care in the prehospital environment with emergency department care. Which focus area of CQI best describes this project?
c. Process management
A male paramedic has a body mass index (BMI) of 32. What does this indicate?
d. Severely overweight
A paramedic beginning a new exercise program should aim to keep his or her heart rate in the target zone for _____ minutes to increase cardiovascular endurance.
20
A paramedic has been exposed to repeated stressful emergency calls with no stress relief. His or her home life is also stressful. The paramedic has begun to lose concentration at work and is withdrawing from co-workers. What term best describes the paramedic’s current state?
d. Chronic anxiety
A paramedic has been under extreme stress because of forced overtime following a flood in the local township. A small child was killed in the flood, and the paramedic attempted to resuscitate the patient. The paramedic has not been able to deal with rising stress levels and is beginning to use some defense mechanisms to deal with this elevated stress.
What term describes a paramedic that continues to be frustrated by the forced overtime but enthusiastically tells co-workers that he or she welcomes the overtime and the opportunity to help the flood victims?
b. Reaction formation
A paramedic has been under extreme stress because of forced overtime following a flood in the local township. A small child was killed in the flood, and the paramedic attempted to resuscitate the patient. The paramedic has not been able to deal with rising stress levels and is beginning to use some defense mechanisms to deal with this elevated stress.
What term describes a paramedic trying to keep the memories of the attempted resuscitation of the child out of conscious memory?
Repression
A paramedic has been under extreme stress because of forced overtime following a flood in the local township. A small child was killed in the flood, and the paramedic attempted to resuscitate the patient. The paramedic has not been able to deal with rising stress levels and is beginning to use some defense mechanisms to deal with this elevated stress.
What term describes a paramedic that begins to criticize the patient care skills of other paramedics to cover for his or her own perceived mistakes in resuscitating the child?
Projection
A paramedic is talking to a patient with a newly identified heart disease. Which dietary guideline provides good advice for this patient?
b. Limit cholesterol to 200 mg a day.
A steady diet rich in cold-water fish and canola oil will have what effect to the body?
a. Lowering blood cholesterol from polyunsaturated fats
A veteran paramedic has been responding to emergency calls for 15 years. The person has developed _____ to the alarm response.
Resistance
An 80-year-old woman has just died in her home. Her anxious family members ask you how she is doing. What is the most appropriate response?
a. “She has died.”
Approximately what percentage of the human body is composed of water?
55%
During the alarm reaction phase of the stress response, what physical reaction takes place?
a. ACTH is released.
During the grieving process, a “Why me?” response is an example of what might be said during which stage?
Anger
How can most infectious diseases be avoided?
d. Handwashing and following universal precautions
How do 3- to 6-year-old children deal with death and dying?
c. Might engage in magical thinking and feel responsible for the death
Levels of what compound and hormone influence periods of sleepiness and wakefulness?
c. Melatonin and cortisol
What action should a patient with total cholesterol of 200 mg/dL, LDL of 160 mg/dL take?
c. Try to lower overall cholesterol intake.
What are fats found primarily in meat and dairy products that raise cholesterol levels in the blood called?
b. Saturated fats
What are two main components of wellness and physical well-being?
a. Mental and emotional health
What form of stress is associated with the need to be liked?
a. Personality
What is a benefit of performing isometric exercises?
d. Strengthens muscles at joint angles
What is an aspect of water-soluble vitamins?
d. Must be ingested through daily food intake
What is an element of essential amino acids?
a. Obtained from food sources
What is another name for antioxidants?
a. Free-radical scavengers
What is the purpose of critical-incident stress management?
b. Allows emergency workers opportunities to vent their feelings
What nervous system mediates the alarm reaction phase of a stress response?
b. Autonomic