Test Bank For Prehospital Emergency Care 12th Edition By Joseph J. Mistovich, Keith J. Karren |All Chapters, Year-2023/2024|

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PrehospitalEmergencyCare, 12th Edition byJoseph J. Mistovich Keith J Karren Brent Q. Hafen
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Chapter1-44 j




Chapter1Emergency Medical ServiceSystems, Research, and PublicHealth
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1) Whatis a primarypurpose of the modern-dayEMS system?
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A) Providea means of transport to and from the hospital j j j j j j j j j




B) Ensurethat all members of societyhave equal access to hospitals j j j j j j j j j j




C) Decrease the incidence of death and disabilityrelated to injuryand illness j j j j j j j j j j j




D) Provideemergencyhealthcareservicestomedicallyunderserved areasAnswer:C Diff:
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2) Mostauthoritiesagreethat themodern-dayEMSsystemevolvedafterthereleaseofwhich
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document?
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A) TheEmergencyMedical Services Act of 1973
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B) Thewhitepaper"AccidentalDeathandDisability:TheNeglectedDiseaseofModernSociety,"in 1966
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C) TheAmerican HeartAssociation's Guidelines for CardiacResuscitation
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D) EmergencyMedicalServices:AgendafortheFuture,in1996Answer:B Diff: j j j j j j j j j j j




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3) An Emergency Medical Responder comes to you and states that they would like to work for your
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emergencyambulanceserviceona full-timebasis. KnowingtheNational EMS ScopeofPractice Model,
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you inform them of which element they need to attain first?
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A) Theywill be able to take careof onlypatients with non-life-threatening complaints.
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B) Theywill first needapproval from yourambulanceservice's medical director.
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C) They will be able to work only with an Advanced Emergency Medical Technician (AEMT) or
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Paramedic.
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D) Theywill first haveto become an EmergencyMedical Technician (EMT). Answer: D Diff: 1
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4) AsdefinedbytheNationalEMSScopeofPracticeModel,the fourlevels ofEMSpractitioners include:
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A) Ambulancedrivers. j




B) EMS medical director. j j




C) Paramedics.
D) Emergencymedicaldispatchers.Answer:C j j j j




Diff: 1
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5) An Emergency Medical Responder (EMR) approaches you and states that they are interested in
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becoming anEMT.Specifically, theyask what theywill beabletodo as an EMTthat theycannot presently
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do as an EMR. You respond by saying they will be able to:
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A) Administer some medications. j j




B) Assist in emergencychildbirth. j j j




C) Useanautomated external defibrillator. j j j j




D) Obtainvitalsigns. j j




Answer: A
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Objective: 1-5 j j




6) You have been dispatched for a 61-year-old female in cardiac arrest. Emergency Medical
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Responders (EMRs) are on the scene. In your community, all EMS practitioners are trained according
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totheNational EMSScopeofPracticeModel.Giventhis,whichtypeofcaredo you expect the EMRs to
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be providing?
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A) Emergencymedication administration j j




B) Automatedexternaldefibrillation j j




C) Intravenoustherapy j




D) Readinganelectrocardiogram j j




Answer: B
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Objective: 1-5 j j




7) AnEMTwith yourservicestatesthattheydesiretobecomeaParamedicbecausetheywantto provide
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advanced care. Under the National EMS Scope of Practice Model, which one of these types of care will
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they be able to provide as a Paramedic that they cannot provide as an EMT?
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A) Useof an automated blood pressuremonitoring j j j j j j




B) Assistancewith emergencychildbirth j j j




C) Providinginterfacilitytransports j j




D) Initiatingintravenous(IV)therapy j j j




Answer: D
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Objective: 1-5 j j




8) WhichstatementmadebyanEMTrequiresimmediateinterventionbyasuperiorortheservice j j j j j j j j j j j j j j




supervisor?
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A) "IalwayswearmyseatbeltwheneverIaminthepatientcompartmentoftheambulance,unless Ihave to
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remove it to care for a patient."
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B) "IdriveasfastasIcantogettothesceneofanemergency,especiallyifachildissickorinjured according
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to dispatch information."
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C) "When Iamdrivingwith lightsandsirens, Iinstructmypartnerthathewillneedtohandleall radio j j j j j j j j j j j j j j j j j j j




communications."
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D) "Iputexamgloveson foreverypatient Icontact,evenifheorshedoes not haveaknownor suspected
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infectious disease."
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Answer: B j j




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9) WhichstatementshowsthattheEMThasagoodunderstandingoftheirroleandresponsibilities related
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to being an EMT?
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A) "Thepatient'sneedscome beforeanyoneelse's needs."j j j j j j j




B) "Atthe sceneof an emergency, myresponsibilityis to get to the patient no matterwhat."
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C) "Mysafetycomes first, and then the patient's safety."
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D) "AsanEMT, Irecognizethatthepublic'ssafetycomesbeforethesafetyofmeormypartner." Answer:
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jC
Diff:2 PageRef:7
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Objective: 1-7 j j




10) AnambulancewithtwoEMTsarrivesinfrontofahouseforanunknownmedicalemergency. On
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scene, bystanders report that a femalepatient was beaten byher husband in thedrivewayand then
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dragged back into the house. They state that the patient appeared unconscious and was bleeding from the
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head. Which action would the EMTs perform next?
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A) Donot enterthe scene until it has been controlled bylaw enforcement.
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B) Quietlyenter the home and quicklymove the patient to the ambulance. j j j j j j j j j j j




C) Removethe husband from the house, then provideemergencycareto the wife. j j j j j j j j j j j j




D) Enterthehometoprotectthepatientwhilewaitingforthepolicetoarrive. j j j j j j j j j j j j j




Answer: A
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Objective: 1-7 j j




11) Whyis EMS in a unique position to contribute significantlyto mobile integrated health care?
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A) EMSprovidersarefamiliarwithandcapableoffunctioningintheout-of-hospitalenvironment.
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B) Ambulances areeasilyidentified. j j j




C) Thecommunitytrusts uniformed health careproviders.
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D) EMSprovidersarefamiliarwiththemanyroutesofmedicationadministration.
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Answer: A
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Objective: 1-14 j j




12) Youhavearrivedonthesceneofamotorvehiclecollision.Acarhasgoneofftheroadandinto a utility
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pole. The pole is broken and wires are hanging just above the car. You do not see any sparking or arcing of
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the wires. The driver of the car is slumped over the steering wheel and not moving. Several bystanders
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around the car are yelling for you to help. Which steps represent the correct order of your response?
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A) Clearthebystanders,allowthefiredepartmenttosecurethewires,accessthepatient,extricate the
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patient, transport
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B) Accessthepatient,clearthebystanders,allowthefiredepartmenttosecurethewires,extricate the j j j j j j j j j j j j j j j




patient, transport
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C) Clearthebystanders,accessthepatient,extricatethepatient,transport,allowthefire
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department to secure the wires
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D) Accessthepatient,allowthefiredepartmenttosecurethewires,clearthebystanders,extricate the j j j j j j j j j j j j j j j




patient, transport
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Answer: A j j




Diff:2 PageRef:7-8
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Objective: 1-7 j j




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