EMT219 Review Flashcards

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1
Q

Which is considered to be a component of the EMS system, according to NHTSA’s “Ten System Elements”?

a. private physicians’ officer
b. long-term facilities
c. community college
d. trauma centers

A

d. trauma centers

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2
Q

Which organization is the federal agency with jurisdiction over EMS systems?

a. NREMT
b. NAEMT
c. NHTSA
d. NAEMSP

A

c. NHTSA

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3
Q

Which behavior by a paramedic is the best example of self-motivation?

a. trusting personal judgement
b. listening actively and accurately
c. accepting constructive criticism
d. ensuring that uniforms are clean

A

c. accepting constructive criticism

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4
Q

A paramedic makes special efforts to keep family members apprised of progress during a cardiac arrest. This demonstrates which of the following characteristics?

a. self-motivation
b. empathy
c. careful delivery of service
d. respect

A

b. empathy

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5
Q

What are two main components of wellness and physical well-being?

a. adequate nutrition and minimal exercise
b. prevention of disease and taking vitamins
c. physical fitness and adequate nutrition
d. mental and emotional health

A

d. mental and emotional health

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6
Q

Which statement is true about cholesterol?

a. cholesterol is found in all foods of animal origin
b. cholesterol is heavily concentrated in lean muscle
c. cholesterol has no helpful purpose and should be eliminated from the body
d. cholesterol forms in the pancreas

A

a. cholesterol is found in all foods of animal origin

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7
Q

What is another name for antioxidants?

a. free radical scavengers
b. free radicals
c. vitamin A
d. carcinogens

A

a. free radical scavengers

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8
Q

A male paramedic has a BMI of 32. What does this indicate?

a. underweight
b. at a healthy weight
c. moderately overweight
d. severely overweight

A

d. severely overweight

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9
Q

Levels of what compound and hormone influence periods of sleepiness and wakefulness?

a. melatonin and cortisol
b. estrogen and progesterone
c. insulin and cortisol
d. melatonin and testosterone

A

a. melatonin and cortisol

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10
Q

What term is best described as an apprehensive uneasiness or painful dread about an impending event?

a. anxiety
b. depression
c. guilty
d. stress

A

a. anxiety

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11
Q

What term is best described as a positive stress that is considered to be protective?

a. distress
b. eustress
c. prostress
d. antistress

A

b. eustress

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12
Q

The Haddon matrix helps us to remember which aspect?

a. predict the patient’s injuries
b. understand the entire injury sequence
c. control the scene and prevent rescuer injury
d. the steps of patient assessment at trauma scenes

A

b. understand the entire injury sequence

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13
Q

Injury-prevention discussions after an injury should possess which characteristic?

a. approximately 1 week later
b. last about 30 to 60 seconds
c. be provided by the emergency physician
d. when patients are severely injured

A

b. last about 30 to 60 seconds

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14
Q

Who does the paramedic have legal responsibilities to?

a. the patient and the employer
b. the patient, the employer, and the medical director
c. the patient, the medical director, and the public
d. the patient, the employer, the medical director, and the public

A

d. the patient, the employer, the medical director, and the public

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15
Q

What are regulations that developed by a governmental agency to provide details about the function and process of the law called?

a. legislative law
b. administrative law
c. common law
d. criminal law

A

b. administrative law

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16
Q

What term best describes physical contact with a patient without his or her consent?

a. assault
b. battery
c. false imprisonment
d. denied consent

A

b. battery

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17
Q

A terminal cancer patient has signed a valid DNR. The patient’s family requests transport to the hospital and comfort measures such as IV fluid administration and pain medication. How should the paramedic handle this situation?

a. provide no care but transport the patient; the DNR takes precedence
b. provide BLS care only
c. provider appropriate care; DNR orders do not interfere with nonresuscitative care
d. provide no care and do not transport; the DNR takes precedence

A

c. provide appropriate care; DNR orders do not interfere with nonresuscitative care

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18
Q

Which situation fits the legal definition of “next of kin”

a. a divorced spouse if the patient has not remarried
b. a sibling, even if the patient is married
c. a 20 y/o son
d. a parent for a married child

A

c. a 20 y/o son

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19
Q

What organ can a patient with no heartbeat donate?

a. heart
b. liver
c. pancreas
d. corneas

A

d. corneas

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20
Q

Which standard is defined by honorable behavior that has been designed by a group and with which conformity is expected?

a. ethics
b. duty to act
c. obligation
d. systemic appraisal

A

a. ethics

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21
Q

Which defines the Hippocratic Oath?

a. negligent activities
b. scope of practice
c. the rights of the patient
d. ethics treatment of animals

A

c. the rights of the patient

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22
Q

Moral accountability refers to what?

a. personal ethics
b. professional ethics
c. legal ethics
d. community ethics

A

a. personal ethics

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23
Q

When considering the best decision to make in an ethical decision making scenario, you ask yourself, “Am I able to provide good reasons to justify and defend my actions to others?” Which ethics test is this paramedic applying?

a. impartiality
b. universalizability
c. interpersonal justifiability
d. moral code

A

c. interpersonal justifiability

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24
Q

What is a significant purpose of EMS research?

a. learn of intended effects and cost-effectiveness of EMS interventions
b. to promote the use of unproven methods in the field
c. creates a means for an EMS professional to make more money
d. helps promote abstract methods of patient care

A

a. learn of intended effects and cost-effectiveness of EMS interventions

25
Q

How is a descriptive research method best described?

a. distorted
b. observational
c. interactive
d. manipulitive

A

b. observational

26
Q

The first use of a helicopter for medical evacuation was during which armed conflict?

A

Korean conflict

27
Q

The twentieth century battlefield ambulance corps was developed during which armed conflict?

A

World War I

28
Q

In which city did Dr. Eugene Nagel train firefighters as paramedics?

A

Miami (1967)

29
Q

During which armed conflict was the earliest American battlefield ambulance corps?

A

U.S. Civil War

30
Q

Clara Barton was an American nurse who founded which organization?

A

The American Red Cross

31
Q

Dominique Jean Larrey was a French surgeon and transported the wounded in a covered cart during this armed conflict?

A

Napoleonic Wars

32
Q

Fixed-wing medical transports were developed during this conflict?

A

World War II

33
Q

This EMS certification-level is trained in basic life support, including defibrillation?

A

EMT (EMT-B)

34
Q

This EMS certification-level is trained in only some components of basic life support?

A

EMR (First Responder)

35
Q

This EMS certification-level is trained in all aspects of basic life support and IV therapy?

A

AEMT (EMT-I)

36
Q

This EMS certification-level is trained in all aspects of basic and advanced life support?

A

Paramedic (EMT-P)

37
Q

Which federal law enabled creation of the U.S. DOT (and the NHTSA) and provided funding for EMS?

a. Accidental Death and Disability Act
b. Consolidated Omnibus Reconciliation Act
c. Emergency Medical Services Systems Act
d. Highway Safety Act

A

d. Highway Safety Act

38
Q

TRUE or FALSE?

The report named “Accidental Death and Disability: the Neglected Disease of Modern Society” is also known as “The White Paper” and was published in 1966

A

TRUE

39
Q

This act required states to develop effective EMS programs or lose federal construction funds. It enabled large amounts of money to be spent for development of EMS and ALS pilot programs.

A

Highway Safety Act (1966)

40
Q

TRUE or FALSE:

The Emergency Medical Services Systems (EMSS) Act of 1973 developed regional EMS organizations and identified the 15 required components of the EMS system.

A

TRUE

41
Q

TRUE or FALSE:

The Consolidated Omnibus Reconciliation Act (COBRA) was originally passed in 1986 and created patient stabilization and transfer requirements for
hospitals and physicians.

A

TRUE

42
Q

TRUE or FALSE:

The Consolidated Omnibus Reconciliation Act (COBRA) was originally passed in 1986 and eliminated federal funds for EMS and redistributed them under state block grants.

A

TRUE

43
Q

TRUE or FALSE:

The Emergency Medical Treatment and Labor Act (EMTALA) is a federal law that requires anyone coming to an emergency department to be stabilized and treated, regardless of their insurance status or ability to pay

A

TRUE

44
Q

This is designed to protect the public to ensure that paramedics demonstrate a minimum level of skills and knowledge (and is often required for licensure in most states)?

A

Certification

45
Q

This authorizes a person who has met specific qualifications to PARTICIPATE IN AN ACTIVITY?

A

Certification

46
Q

This authorizes a person who has met specific qualifications to PRACTICE A PROFESSION?

A

Licensure

47
Q

To have a person’s name listed in a book of records?

A

Registration

48
Q

The EMS physician medical director is responsible for which of the following?

a. ensuring maintenance of ambulances and equipment
b. monitoring the quality of EMS care
c. negotiating staff salary and benefits
d. providing patient care in the field on ALS units

A

b. monitoring the quality of EMS care

49
Q

Which of the following demonstrates a PROSPECTIVE method of Continuous Quality Improvement (CQI) model?

a. continuing education programs
b. listening to audio tapes of EMS reports
c. observing of prehospital care by the medical director
d. reviewing patient care reports

A

a. continuing education programs (ensure quality before a problem may occur by introducing new material, concepts, or skills)

50
Q

Which of the following demonstrates a RETROSPECTIVE method of Continuous Quality Improvement (CQI) model?

a. continuing education programs
b. observing of prehospital care by the medical director
c. reviewing patient care reports
d. none of the above

A

c. reviewing patient care reports (by looking back unto something)

51
Q

Which error prevention strategy involved asking yourself, “Am I doing the right thing?”

a. after action review
b. reflection bias
c. reflection in action
d. questioning assumptions

A

b. reflection bias

52
Q

“A rape victim cannot recall anything from the time she was abducted until the police find her”

Which defense mechanism is being used?

a. denial
b. projection
c. repression
d. regression

A

c. repression

53
Q

“A paramedic was passed over for a promotion states that the boss always played favorites”

Which defense mechanism is being used?

a. rationalization
b. projection
c. repression
d. substitution

A

a. rationalization

54
Q

“A paramedic is upset by a violent death and washes all the vehicles in the garage”

Which defense mechanism is being used?

a. rationalization
b. projection
c. repression
d. substitution

A

d. substitution

55
Q

“A victim of a MVC refuses to acknowledge that he cannot move his legs”

Which defense mechanism is being used?

a. denial
b. projection
c. repression
d. regression

A

a. denial

56
Q

“An EMT who gave poor care complains about the patient’s hospital treatment”

Which defense mechanism is being used?

a. rationalization
b. projection
c. repression
d. substitution

A

b. projection

57
Q

“A 10 y/o begins to suck his thumb en route to the hospital after sustaining a fracture from a fall”

Which defense mechanism is being used?

a. denial
b. projection
c. repression
d. regression

A

d. regression

58
Q

Which of the following is true regarding a healthy diet?

a. amino acids are produced by the body in the liver
b. fats should be completely eliminated from the diet
c. vitamin supplements are necessary for normal health
d. water is one of the most important nutrients

A

d. water is one of the most important nutrients