unit 9 exam

Question 1

You are en route to an emergency call when you approach a slow-moving vehicle on a two-way road. You can see oncoming traffic in the other lane. The driver has his windows up and does not realize that you are behind him. You should:

Select one:

a. use your public address system to alert the driver
b. quickly pass the vehicle on the left side
c. pass the driver on the right-hand shoulder
d. remain at a safe distance until it is safe to pass

Answer 1

d. remain at a safe distance until it is safe to pass

Question 2

While responding to an emergency call, the use of lights and siren on your ambulance:

Select one:

a. is required any time a patient is being transported to the hospital
b. legally gives the emergency vehicle operator the right of way
c. signifies a request for other drivers to yield the right of way
d. allows other drivers to hear and see you from a great distance

Answer 2

c. signifies a request for other drivers to yield the right of way

Question 3

You arrive at an accident scene to find an alternative-fuel vehicle leaking an unknown substance. You should immediately _________.

Select one:

a. call for additional resources and keep bystanders away from the vehicle
b. disconnect the car battery
c. apply retardant to the leaking fuel
d. search the vehicle for occupants

Answer 3

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

Question 4

You have just delivered a major trauma patient to the hospital. Shortly after departing the hospital, dispatch advises you of another call. The back of the ambulance is contaminated with bloody dressings and is in disarray, and you are in need of airway equipment and numerous other supplies. You should:

Select one:

a. have your partner quickly clean the ambulance as you proceed to the call
b. quickly proceed to the call and clean and restock the ambulance afterwards
c. advise the dispatcher that you are out of service and to send another unit
d. proceed to the call, functioning only as an emergency medical responder

Answer 4

c. advise the dispatcher that you are out of service and to send another unit

Question 5

Upon arriving at the scene of a law enforcement tactical situation, you should ensure your own safety and then:

Select one:

a. apprise medical control of the tactical situation
b. locate all injured personnel and begin treatment.
c. report to the incident commander for instructions
d. begin immediate triage of any injured personnel

Answer 5

c. report to the incident commander for instructions

Question 6

Upon arrival at a trench rescue operation, you should _________.

Select one:

a. park as close to the incident as possible
b. park at least 500 feet from the incident
c. determine if rescuers are operating safely
d. assist with the rescue operation

Answer 6

b. park at least 500 feet from the incident

Question 7

Burn patients without airway compromise and patients with multiple bone or joint injuries should be marked with a __________ triage tag at a mass-casualty incident.

Select one:

a. yellow
b. red
c. black
d. green

Answer 7

a. yellow

Question 8

The EMT should expect that a patient who was exposed to cyanide will have:

Select one:

a. skin that is cherry red and hot
b. an abnormally slow pulse rate
c. an abnormally slow respiratory rate
d. a normal pulse oximetry reading

Answer 8

d. a normal pulse oximetry reading

Question 9

When arriving at the scene of an overturned tractor-trailer rig, you note that a green cloud is being emitted from the crashed vehicle. The driver is still in the truck; he is conscious but bleeding profusely from the head. After notifying the hazardous materials team, you should:

Select one:

a. ask the driver to exit the vehicle
b. position the ambulance upwind
c. quickly gain access to the patient
d. park downhill from the scene

Answer 9

b. position the ambulance upwind

Question 10

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. immediately request additional resources
b. begin triage to determine injury severity
c. request law enforcement for traffic control
d. call medical control for further direction

Answer 10

a. immediately request additional resources

Question 11

A medical transport helicopter is incoming and you are responsible for setting up the landing zone (LZ). You should:

Select one:

a. use weighted cones to mark all four corners of the LZ
b. ask bystanders to stand at all four corners of the LZ
c. place four flares 100 feet apart in an “X” pattern
d. use yellow caution tape to mark of the LZ perimeter

Answer 11

a. use weighted cones to mark all four corners of the LZ

Question 12

Immediately upon arriving at the scene of an emergency call involving a traumatic injury, you should notify the dispatcher of your arrival and then:

Select one:

a. quickly gain access to the patient
b. carefully assess the mechanism of injury
c. determine if additional units are needed
d. observe the scene for safety hazards

Answer 12

d. observe the scene for safety hazards

Question 13

A portable oxygen cylinder should have a minimum capacity of ____ of oxygen.

Select one:

a. 500 L
b. 1000 L
c. 750 L
d. 250 L

Answer 13

a. 500 L

Question 14

Regardless of where portable and mounted oxygen cylinders are stored in the ambulance, they must:

Select one:

a. be easily identifiable by their bright green color
b. undergo hydrostatic testing on a weekly basis
c. be capable of delivering oxygen at 1 to 15 L/min
d. hold a minimum capacity of 1,500 L of oxygen

Answer 14

c. be capable of delivering oxygen at 1 to 15 L/min

Question 15

The purpose of a jump kit is to:

Select one:

a. carry advanced life support equipment approved by the EMS medical director
b. contain anything that you might need during the first 5 minutes of patient care
c. manage a critically injured patient until he or she is loaded into the ambulance
d. facilitate defibrillation within 5 to 10 minutes after making patient contact

Answer 15

b. contain anything that you might need during the first 5 minutes of patient care

Question 16

If the incident command system is already established at the scene of a terrorist attack, the EMT should:

Select one:

a. remain in the rehabilitation area until he or she is assigned a task
b. locate the medical staging officer to obtain his or her assignment
c. contact the EMS medical director and obtain further instructions
d. begin triaging patients and start treating the most critical ones

Answer 16

b. locate the medical staging officer to obtain his or her assignment

Question 17

When victims involved in a multiple-casualty incident are moved to the treatment area:

Select one:

a. all uninjured patients are placed in a holding area and closely observed
b. they will be rapidly assessed and prioritized according to their injuries
c. secondary triage is performed and the appropriate treatment is rendered
d. definitive care is provided and preparations for transport will be made

Answer 17

c. secondary triage is performed and the appropriate treatment is rendered

Question 18

Portable and mounted suction units must be powerful enough to generate a vacuum of at least ____ mm Hg when the tubing is clamped.

Select one:

a. 300
b. 200
c. 100
d. 400

Answer 18

a. 300

Question 19

When approaching a helicopter, whether the rotor blades are moving or not, you should:

Select one:

a. never duck under the body or the tail boom because the pilot cannot see you in these areas
b. approach the aircraft from the side because this will make it easier for you to access the aircraft doors
c. carefully approach the aircraft from the rear unless a crew member instructs you to do otherwise
d. remember that the main rotor blade is flexible and can dip as low as 5’ to 6’ from the ground.

Answer 19

a. never duck under the body or the tail boom because the pilot cannot see you in these areas

Question 20

When multiple patients present with an acute onset of difficulty breathing, chest tightness, and hoarseness or stridor, you should be MOST suspicious of exposure to:

Select one:

a. a nerve agent
b. sarin or soman
c. phosgene or chlorine
d. a vesicant agent

Answer 20

c. phosgene or chlorine

Question 21

When a rehabilitation area is established at the scene of a multiple-casualty incident, it should:

Select one:

a. be staffed by the treatment supervisor and at least one physician
b. be mandated that responders participate in a defusing session
c. be in a location that prevents visualization of the scene itself
d. provide rehabilitative services to both responders and patients

Answer 21

c. be in a location that prevents visualization of the scene itself

Question 22

While staged at the scene of a structure fire, the EMT should _________.

Select one:

a. locate the safety officer
b. stay with the incident commander
c. assess firefighters for signs of fatigue
d. remain with the ambulance

Answer 22

d. remain with the ambulance

Question 23

At a scene with downed electrical lines, the EMT should _________.

Select one:

a. enter the danger (hot) zone for patient removal only
b. remain outside the danger (hot) zone
c. stabilize the patient in the danger (hot) zone
d. relocate the danger (hot) zone away from the patient

Answer 23

b. remain outside the danger (hot) zone

Question 24

While en route to a call for a patient in cardiac arrest, you approach a stopped school bus with its red warning lights flashing. You should:

Select one:

a. back up and take an alternate route to the scene
b. stop and wait until the warning lights stop flashing
c. pass the bus only after all the children have exited
d. slowly and carefully pass the bus on the left side

Answer 24

b. stop and wait until the warning lights stop flashing

Question 25

A disposable oxygen humidifier should be considered for ambulance services that often transport patients for ___ hour(s) or more.

Select one:

a. 2
b. 1
c. 3
d. 4

Answer 25

b. 1

Question 26

Aggressive ambulance driving may have a negative effect on other motorists because:

Select one:

a. it may not allow for their reaction time to respond to your vehicle
b. they often freeze when they see the lights in the rearview mirror
c. they move to the right or drive as close to the curb as possible
d. they may become enraged and attempt to run you off the road

Answer 26

a. it may not allow for their reaction time to respond to your vehicle

Question 27

As a triage supervisor, you:

Select one:

a. are responsible for providing initial treatment to all patients
b. should communicate with area hospitals regarding their capabilities
c. must not begin treatment until all patients have been triaged
d. must prepare patients for transport before they leave the triage area

Answer 27

c. must not begin treatment until all patients have been triaged

Question 28

You and your partner arrive at the scene of a fire at a large office complex. Witnesses tell you that they heard a loud explosion shortly before the building caught fire. You should:

Select one:

a. carefully document the witnesses’ statements and report them immediately
b. take standard precautions and begin searching for critically injured patients
c. ensure that your ambulance is parked upwind and uphill from the building
d. tell the witnesses that you suspect that the explosion was the work of a terrorist

Answer 28

c. ensure that your ambulance is parked upwind and uphill from the building

Question 29

The main objective of traffic control at the scene of a motor vehicle crash is to:

Select one:

a. prevent curious onlookers from observing the scene
b. get oncoming traffic past the scene as soon as possible
c. warn oncoming traffic and prevent another crash
d. facilitate a route for the media to access the scene

Answer 29

c. warn oncoming traffic and prevent another crash

Question 30

If an incident increases in scope and complexity, the incident commander should consider:

Select one:

a. relinquishing command to someone with more experience
b. maintaining responsibility for all of the command functions
c. ceasing all operations until a revised plan is established
d. requesting a second incident commander to assist him or her

Answer 30

a. relinquishing command to someone with more experience

Question 31

The FIRST step in the START triage system is to:

Select one:

a. get a quick head count of all the patients involved
b. focus on the patients who are unconscious
c. move all walking patients to a designated area
d. scan the area for patients with severe bleeding

Answer 31

c. move all walking patients to a designated area

Question 32

After eating at a local restaurant, a 20-year-old male complains of blurred vision, difficulty speaking, and difficulty breathing. He is conscious; however, his respirations are profoundly labored and producing minimal tidal volume. You should:

Select one:

a. assist his ventilations with high-flow oxygen
b. request a paramedic to administer atropine
c. apply oxygen via a nonrebreathing mask
d. position him supine and elevate his legs

Answer 32

a. assist his ventilations with high-flow oxygen

Question 33

You are triaging four patients who were involved in a head-on motor vehicle crash. Which of the following patients should be assigned the highest (red) triage category?

Select one:

a. A 49-year-old female with diabetes and difficulty breathing
b. A 50-year-old male with an open head injury and no pulse
c. A 29-year-old male with bilaterally closed femur deformities
d. A 36-year-old female with back pain and numb extremities

Answer 33

a. a 49-year-old with diabetes and difficulty breathing

Question 34

Upon arriving at the scene of a major motor vehicle crash at night, you find that the safest place to park your ambulance is in a direction that is facing oncoming traffic. You should:

Select one:

a. quickly access the patient
b. place a flare near the crash
c. turn your headlights off
d. turn all warning lights off

Answer 34

c. turn your headlights off

Question 35

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. only if the patient has experienced a major injury
b. only after you believe the vehicle has been stabilized
c. after receiving approval from the incident commander
d. after rescue personnel have cut the battery cables

Answer 35

c. after receiving approval from the incident commander

Question 36

According to the START triage system, what should you do if a patient is found to have a respiratory rate of 24 breaths/min?

Select one:

a. Triage the patient as delayed
b. Administer high-flow oxygen
c. Assess his or her neurologic status
d. Assess for bilateral radial pulses

Answer 36

d. assess for bilateral radial pulses

Question 37

Delivering a patient to the hospital involves all of the following activities, EXCEPT:

Select one:

a. giving a verbal report to the clerk
b. restocking any disposable items you used
c. informing the dispatcher of your arrival
d. completing a detailed written report

Answer 37

a. giving a verbal report to the clerk

Question 38

Delivering a patient to the hospital involves all of the following activities, EXCEPT:

Select one:

a. giving a verbal report to the clerk
b. restocking any disposable items you used
c. informing the dispatcher of your arrival
d. completing a detailed written report

Answer 38

a. giving a verbal report to the clerk

Question 39

Upon arriving at the scene of a possible hazardous materials (HazMat) incident involving several patients, you should:

Select one:

a. carefully assess the situation
b. rope off the entire perimeter
c. retrieve all critical patients
d. divert traffic away from the scene

Answer 39

a. carefully assess the situation