MICN LA COUNTY FINAL EXAM QUESTIONS AND
ANSWERS VERIFIED 100% CORRECT
When do you do 20 minutes of CPR? - ANSWER -18 y.o and up, arrest not witnessed by
EMS, no shockable rhythm, no ROSC, no hypothermia
Can a physician on scene give EMS orders? - ANSWER -Not unless an approved EMS
physician. If it is a good Samaritan, direction must come from base!
Child abuse reporting guideline - ANSWER -36 hours
Elder and dependent adult abuse reporting guideline - ANSWER -48 hours
Minor v.s peds - ANSWER -Minor <18, peds 14 and younger
Who can a minor be released to on scene? - ANSWER -Self (if appropriate), parent,
responsible adult on scene, caregiver, law enforcement
Does a 13-36 m.o. require base contact if medical complaint? - ANSWER -Yes- all aged
13-36 with medical complaint (except isolated minor extremity injruy) require base
contact and/or transport
Do all infants 12 m.o. and less require transportation? - ANSWER -Yes- to the EDAP
(peds MAR) or PMC (if criteria met)
,What minors do not need parental consent? - ANSWER -Married or previously married,
emergency with no parent available, active duty, self sufficient 14 y.o. living
independently, emancipated, seeking care for pregnancy, rape, STI, abortion,
ETOH/substance abuse, or mental health
What type of patients require transport or AMA - ANSWER -<12 m.o. >70 y.o. , CP,
AP, pregnancy, GI bleed, syncope, neuro, AMS, or with comorbidities
Peds in active cardiac arrest gets transported where? - ANSWER -EDAP
Peds with ROSC gets transported where? - ANSWER -PMC
What type of restraints can be used on patients? - ANSWER -Keyless, 2 or 4 point,
padded or soft, quick release
What must you consider with restraints? - ANSWER -NEVER in prone position. If not
keyless (i.e. handcuffs- law enforcement must follow ambulance in tandem)
What is the dose of Fentanyl? Max dose prior to base contact? Max dose after base
contact? - ANSWER -50mcg/150mcg/250mcg
What is the dose of Morphine? Max dose prior to base contact? Max dose after base
contact? - ANSWER -4mg/12mg/20mg
, What is the dose of Zofran? Max dose after base contact? - ANSWER -4mg/8mg (repeat
after 15 min)
Contraindications for Zofran - ANSWER -<4, pregnant, onlazapine, allergy
What provider impressions require base contact? - ANSWER -Agitated delirium,
anaphylaxis, cardiac arrest, childbirth, dystonic reaction, hypotension, respiratory
failure/distress, shock, stroke/TIA, ALOC, dysrhythmia, medical device malfunction,
OD, pregnancy complication, seizure, submersion, trauma
Hypoglycemia treatment if awake and alert - ANSWER -Oral glucose or Glucopaste
Hypoglycemia treatment if not alert and IV - ANSWER -D10 125ml, can repeat if
continued symptomatic with base contact for total of 250ml
Hypoglycemia treatment if not alert and no IV - ANSWER -Glucagon 1mg IM, can
repeat x1 in 20 minutes
Hyperglycemia treatment if BS >200 but <400 - ANSWER -NS 1L (contact base)
Hyperglycemia treatment if BS>400 - ANSWER -NS 1L (no base contact needed)
ANSWERS VERIFIED 100% CORRECT
When do you do 20 minutes of CPR? - ANSWER -18 y.o and up, arrest not witnessed by
EMS, no shockable rhythm, no ROSC, no hypothermia
Can a physician on scene give EMS orders? - ANSWER -Not unless an approved EMS
physician. If it is a good Samaritan, direction must come from base!
Child abuse reporting guideline - ANSWER -36 hours
Elder and dependent adult abuse reporting guideline - ANSWER -48 hours
Minor v.s peds - ANSWER -Minor <18, peds 14 and younger
Who can a minor be released to on scene? - ANSWER -Self (if appropriate), parent,
responsible adult on scene, caregiver, law enforcement
Does a 13-36 m.o. require base contact if medical complaint? - ANSWER -Yes- all aged
13-36 with medical complaint (except isolated minor extremity injruy) require base
contact and/or transport
Do all infants 12 m.o. and less require transportation? - ANSWER -Yes- to the EDAP
(peds MAR) or PMC (if criteria met)
,What minors do not need parental consent? - ANSWER -Married or previously married,
emergency with no parent available, active duty, self sufficient 14 y.o. living
independently, emancipated, seeking care for pregnancy, rape, STI, abortion,
ETOH/substance abuse, or mental health
What type of patients require transport or AMA - ANSWER -<12 m.o. >70 y.o. , CP,
AP, pregnancy, GI bleed, syncope, neuro, AMS, or with comorbidities
Peds in active cardiac arrest gets transported where? - ANSWER -EDAP
Peds with ROSC gets transported where? - ANSWER -PMC
What type of restraints can be used on patients? - ANSWER -Keyless, 2 or 4 point,
padded or soft, quick release
What must you consider with restraints? - ANSWER -NEVER in prone position. If not
keyless (i.e. handcuffs- law enforcement must follow ambulance in tandem)
What is the dose of Fentanyl? Max dose prior to base contact? Max dose after base
contact? - ANSWER -50mcg/150mcg/250mcg
What is the dose of Morphine? Max dose prior to base contact? Max dose after base
contact? - ANSWER -4mg/12mg/20mg
, What is the dose of Zofran? Max dose after base contact? - ANSWER -4mg/8mg (repeat
after 15 min)
Contraindications for Zofran - ANSWER -<4, pregnant, onlazapine, allergy
What provider impressions require base contact? - ANSWER -Agitated delirium,
anaphylaxis, cardiac arrest, childbirth, dystonic reaction, hypotension, respiratory
failure/distress, shock, stroke/TIA, ALOC, dysrhythmia, medical device malfunction,
OD, pregnancy complication, seizure, submersion, trauma
Hypoglycemia treatment if awake and alert - ANSWER -Oral glucose or Glucopaste
Hypoglycemia treatment if not alert and IV - ANSWER -D10 125ml, can repeat if
continued symptomatic with base contact for total of 250ml
Hypoglycemia treatment if not alert and no IV - ANSWER -Glucagon 1mg IM, can
repeat x1 in 20 minutes
Hyperglycemia treatment if BS >200 but <400 - ANSWER -NS 1L (contact base)
Hyperglycemia treatment if BS>400 - ANSWER -NS 1L (no base contact needed)
