UEMSA: Medical First Responder

Transcription

1 Name UEMSA: Medical First Responder Date 1. A basic life support ambulance is MOST accurately defined as: A. any transport vehicle that is staffed by at least two EMTs. B. an emergency response vehicle equipped with a defibrillator. C. a properly equipped vehicle that is staff by EMT personnel. D. any transport vehicle staffed by EMTs with additional training. 2. The U.S. Department of Transportation s responsibility is to: A. determine each first responder s scope of practice. B. credential the first responder through a system of testing. C. develop the national standard curriculum for the first responder. D. maintain a registry of all certified first responders in the country. 3. Communication with a physician via two-way radio or wireless telephone is an example of: A. indirect medical control. B. online medical control. C. off-line medical control. D. standard operating protocol. 4. Upon arriving at the scene of a multiple-patient incident, the first responder s primary responsibility is to: A. advise the dispatcher that additional resources will be needed. B. quickly gain access to all patients and begin immediate treatment. C. protect bystanders from any hazards that may exist at the scene. D. assess the environment to detect possible threats to the first responder s safety. 5. Which of the following represents the MOST common order in which patients or family members progress through the grieving process? A. Denial, bargaining, depression, anger, and acceptance B. Bargaining, depression, denial, anger, and acceptance C. Depression, denial, bargaining, anger, and acceptance D. Denial, anger, bargaining, depression, and acceptance 6. Critical incident stress debriefing (CISD) is used to: A. investigate potential wrongdoings by the first responder. B. alleviate the stress reactions caused by a significant incident. C. determine whether the first responder provided quality patient care. D. identify the exact stressors that resulted in the stress reaction. 7. A citizen who encounters a motor vehicle crash: A. has a legal duty to act. B. is not required by law to stop. C. is required to provide immediate care. D. must wait until first responders arrive.

2 8. An advance directive is MOST accurately defined as a/an: A. legal document that allows EMS providers to provide all necessary treatment. B. notarized document that specifies who may and may not provide emergency care. C. legal document that indicates the care to be provided if the patient is incapacitated. D. emergency document in which the patient s family determines what care the patient is to receive. 9. If you are presented with a living will that does not appear to be valid, you should: A. initiate the care that is appropriate for the patient s condition. B. look for a bracelet to determine whether the patient has a living will. C. contact the patient s attorney for guidance before providing care. D. begin care only after receiving approval from a licensed physician. 10. The MOST common abandonment scenario occurs when: A. a competent patient refuses treatment at the scene, but later dies of a hidden injury or illness. B. an EMS provider assesses and treats a patient, but fails to transport and later learns the patient died. C. a first responder transfers care of a critically injured patient to a certified EMT or paramedic. D. a paramedic transfers care of a stable patient to an emergency department nurse or physician. 11. You arrive at the scene of an incident involving a motor vehicle and a pedestrian. Law enforcement officers are present, but the paramedic unit will not arrive for another 5 minutes. Your patient, who was struck by the vehicle, is a 16-year-old girl. She is unconscious and has severe bleeding from her head. You should: A. begin immediate treatment and ask a law enforcement officer to attempt to contact the child s parents. B. contact the child s parents and obtain phone consent before rendering any emergency medical care. C. keep curious bystanders away from the patient until the paramedic unit arrives at the scene. D. ask a law enforcement officer to sign a statement that you are providing care without parental consent. 12. You and your partner are performing CPR on a 77-year-old man when his wife states that he has terminal cancer and did not want to be resuscitated. She further tells you that he has a living will; however, she is unable to locate it. You should: A. honor the wife s wishes and cease resuscitation efforts. B. assist the wife in looking for the living will documents. C. have the wife sign a release form and then stop CPR. D. continue CPR and contact medical control for guidance. 13. The respiratory system functions by: A. transporting oxygenated blood throughout the body. B. eliminating damaged blood cells from the human body. C. bringing oxygen into the body and removing carbon dioxide. D. ensuring that adequate amounts of oxygen reach the body s cells. 14. The rate of a person s breathing increases when: A. the need for carbon dioxide increases. B. the body requires lesser amounts of oxygen. C. the body generates additional carbon dioxide. D. there is too much oxygen within the blood. 15. Air is inhaled into the lungs when the diaphragm: A. relaxes and moves upward in the chest. B. contracts and moves downward in the chest. C. relaxes and moves downward in the chest.

3 D. contracts and moves upward in the chest. 16. Which of the following statements regarding a child s airway is correct? A. Very young infants can breathe only through their noses. B. Airway blockage is less likely to occur in small children. C. The child s airway is smaller but less flexible than an adult s. D. An infant s respiratory rate is somewhat slower than an adult s. 17. A pulse is felt: A. when a wave of pressure is created by the heart as it forces blood into the arteries. B. on any part of the body where a large vein lies close to the surface of the skin. C. as oxygen and nutrients pass from the blood cells into the cells of the body tissues. D. wherever a large capillary lies between a bony structure and a thin layer of skin. 18. The spine contains vertebrae. A. 26 B. 30 C. 33 D Tendons function by: A. connecting bones to each other. B. attaching muscles to the bones. C. supporting two bones at a joint. D. providing the body s framework. 20. Which of the following statements regarding the ribs is MOST correct? A. The seven pairs of ribs attach anteriorly to the sternum. B. The eight pairs of ribs protect the heart, lungs, liver, and spleen. C. The eleventh and twelfth ribs are attached directly to the sternum. D. All twelve pairs of ribs are attached posteriorly to the spinal column. 21. Which of the following statements regarding fused joints is correct? A. Fused joints permit movement in only one plane. B. The shoulders and hips are examples of fused joints. C. Fused joints do not permit movement between the bone ends. D. Fused joints allow movement in more than one plane. 22. The central nervous system is composed of the: A. brain and spinal cord. B. spinal cord and its nerve fibers. C. region of the brain that regulates breathing. D. nerve fibers that extend throughout the body. 23. What role does insulin play in the body? A. It aids in the body s use of sugar. B. It stimulates the liver to make sugar. C. It breaks down and eliminates sugar. D. It draws sugar from the body s cells.

4 24. When the body gets too cold, the blood vessels: A. remain at a constant size to maintain body temperature. B. constrict in order to shunt warm blood to the body s core. C. dilate in order to bring cold blood to the surface of the skin. D. constrict initially but then dilate in order to maintain temperature. 25. A 72-year-old woman complains of respiratory distress. What complication would MOST likely result from this? A. Increased oxygen concentrations in the arterial blood B. Excessive elimination of carbon dioxide from the blood C. Decreased carbon dioxide concentrations content in the blood D. Inefficient exchange of carbon dioxide and oxygen in the lungs 26 When a person swallows food or liquid, it does not enter the trachea because the: A. esophagus is a larger opening than the trachea. B. epiglottis covers the trachea during swallowing. C. muscles of the larynx spasm during swallowing. D. trachea briefly closes during the swallowing process. 27. Which of the following statements regarding infants and children is FALSE? A. An infant s or child s airway is more easily blocked by secretions. B. A child s tongue is proportionately larger than an adult s tongue. C. Infants and children require smaller breaths during rescue breathing. D. Cardiac arrest in infants and children is often the result of heart disease. 28. The purpose of the jaw-thrust technique is to: A. open the airway of an unconscious uninjured patient. B. keep the airway clear of foreign bodies or secretions. C. open a patient s airway without manipulating the neck. D. maintain the airway of a conscious patient who was injured. 29. The purpose of the recovery position is to: A. prevent secretions from entering the trachea. B. ensure that the patient is breathing adequately. C. facilitate placement of an oral airway adjunct. D. protect an injured patient s neck from further injury. 30. Generally speaking, the MOST common foreign object that causes an airway obstruction is: A. the tongue. B. a blood clot. C. food or candy. D. a small toy. 31. Upon arriving at the scene of an incident and determining that there are multiple patients, you should: A. begin immediate triage and care for all the patients. B. request additional resources before treating any patients. C. triage all patients first and then call for additional resources. D. call for help if at least two of the patients are critically injured.

5 32. When assessing circulation in an infant, you should check for: A. the carotid pulse in the neck. B. a pulse for at least 20 seconds. C. rise and fall of the infant s chest. D. the brachial pulse on the upper arm. 33. A 37-year-old man tripped on a throw rug and fell to the ground, injuring his shoulder. The man is blind and has a service dog. As you are assessing the patient, he keeps inquiring about his dog. You should: A. tell him that he should not be concerned about the dog because you are there to help him. B. speak loudly into the patient s ear to ensure that he heard the questions you are asking him. C. provide psychological support and recognize that the dog and the patient depend on each other. D. tell him that the dog has been secured in another room and that you need him to answer your questions. 34. You have arrived at the scene of a patient with respiratory distress. A responding ambulance is approximately 10 minutes away. After performing an initial assessment and correcting any life-threatening conditions, you should: A. monitor the patient s condition until the EMS unit arrives. B. document your assessment and the skills that you performed. C. call online medical control and obtain permission for further care. D. update the responding EMS unit on the patient s present condition. 35. You are the first medically trained person to arrive at the residence of a middle-aged female who, according to her husband, is not acting right. The patient is conscious but confused. The left side of her face does not move as well as the right side, and her speech is slurred. Initial care for this patient should include: A. placing her in the recovery position. B. administering a liquid sugar substance. C. administering oxygen if it is available. D. keeping her warm by applying blankets. 36. Signs and symptoms of insulin shock include all of the following, EXCEPT: A. pale, moist, cool skin. B. deep, rapid breathing. C. a rapid, weak pulse. D. confusion or unconsciousness. 37. When treating a patient who complains of dyspnea, the first responder s primary focus should be on: A. determining what is causing the dyspnea. B. treating the patient s signs and symptoms. C. rapid transport to the appropriate hospital. D. providing mouth-to-mask rescue breathing. 38. A poison is MOST accurately defined as a: A. toxic chemical that is injected directly into a large vein. B. substance that requires large quantities in order to be fatal. C. chemical that causes severe illness only when it is ingested. D. substance that can cause death in relatively small quantities. 39. If a patient appears to be in shock or is unconscious, you should attempt to locate the first. A. radial pulse B. carotid pulse C. femoral pulse

6 D. posterior tibial pulse 40. The five sections of the spine, in descending order, are the: A. Coccyx, sacrum, lumbar, thoracic, cervical B. Cervical, thoracic, lumbar, sacrum, coccyx C. Thoracic, sacrum, coccyx, cervical, lumbar D. Sacrum, cervical, lumbar, thoracic, coccyx 41 The draws nutrients from the wall of the mother s uterus and delivers them to the developing baby through the. A. umbilical cord, vagina B. ovaries, umbilical cord C. afterbirth, fallopian tube D. placenta, umbilical cord 42. A pregnant patient should be positioned on her left side because: A. this will slow down labor and prolong delivery. B. it is usually the most comfortable position for her. C. the heart will be compressed if she is on her back. D. this will allow venous blood to return to the heart. 43. During the delivery of a baby, it is important to remember that: A. your primary purpose is to assist in the delivery. B. the mother s urge to move her bowels is abnormal. C. the baby s head usually presents in a face-up position. D. you may have to pull on the baby to facilitate delivery. 44. Common principles used when assessing patients with a behavioral crisis include all of the following, EXCEPT: A. asking questions in a calm, reassuring voice. B. informing the patient what you are doing. C. asking the patient if he or she has any children. D. allowing the patient to tell you what happened. 45. A 6-year-old girl presents with severe respiratory distress, a high fever, and difficulty swallowing. Further assessment reveals that the child is drooling and is breathing with her chin thrust forward. You should be MOST suspicious for: A. croup. B. asthma. C. epiglottitis. D. foreign body aspiration. 46. Which of the following statements regarding depression in geriatric patients is MOST correct? A. Depression occurs in only a small portion of the geriatric population and tends to affect men more commonly than women. B. Depression is the most common psychiatric condition experienced by older patients and occurs more frequently in women than in men. C. Depression is most common in geriatric patients who take few medications and who live with immediate family members or close friends. D. Depression is the third most common psychiatric condition among geriatric patients and most often develops after the age of 75 years.

7 47. According to the golden hour, a patient s chance for survival increases if he or she: A. is extricated from his or her vehicle within 60 minutes. B. arrives at a trauma center within 1 hour after the injury. C. is in surgery within 1 hour of your arrival at the scene. D. receives paramedic-level care within 1 hour after the injury. 48. Chlorine and phosgene are common: A. insecticides. B. nerve agents. C. blister agents. D. pulmonary agents. 49. A young woman was removed from ice water and is found to be in cardiac arrest. You should: A. perform CPR for two minutes and then stop if there is no response. B. begin CPR and continue until the patient is transported to a hospital. C. not attempt resuscitation, because the patient will likely not survive. D. perform 5 cycles of CPR and defibrillate every minute with an AED. 50. A patient with a systolic blood pressure less than 90 mm Hg commonly presents with: A. signs of shock. B. a severe headache. C. persistent diarrhea. D. skin that is hot and dry.