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,Prehospital Emergency Care, 11e (Mistovich et al.)
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Chapter 1 Emergency Care Systems, Research, and Public Health
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1) What is a primary purpose of the modern-day EMS system?
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A) Provide a means of transport to and from the hospital
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B) Ensure that all members of society have equal access to hospitals
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C) Decrease the incidence of death and disability related to injury and illness
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D) Provide emergency health care services to medically underserved areas
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Answer: C
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Diff: 2
x Page Ref: 7 x x
Objective: 1-2 x
2) Most authorities agree that the modern-day EMS system evolved after the release of which
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document?
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A) The Emergency Medical Services Act of 1973
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B) The white paper "Accidental Death and Disability: The Neglected Disease of Modern
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Society" in 1966
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C) The American Heart Association's Guidelines for Cardiac Resuscitation
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D) Emergency Medical Services: Agenda for the Future, in 1996 x x x x x x x x
Answer: B
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Diff: 1
x Page Ref: 3 x x
Objective: 1-2 x
3) An Emergency Medical Responder comes to you and states that he would like to work for
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your emergency ambulance service on a full-time basis. Knowing the National EMS Scope of
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Practice Model, you inform him of which element?
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A) He will be able to take care of only patients with non-life-threatening complaints
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B) He will first need approval from your ambulance service's medical director
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C) He will be able to work only with an Advanced EMT or paramedic
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D) He will first have to become an Emergency Medical Technician
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Answer: D
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Diff: 1
x Page Ref: 6-7 x x
Objective: 1-1 x
4) As defined by the National EMS Scope of Practice Model, the four levels of EMS
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practitioners include:
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A) Ambulance drivers x
B) EMS medical director
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C) Paramedics
D) Emergency medical dispatchers x x
Answer: C
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Diff: 1
x Page Ref: 6-7 x x
Objective: 1-3 x
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,5) An Emergency Medical Responder (EMR) approaches you and states that he is interested in
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becoming an EMT. Specifically, he asks what he will be able to do as an EMT that he cannot
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presently do as an EMR. You respond by saying he will be able to:
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A) Administer some medications x x
B) Assist in emergency childbirth
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C) Use an automated external defibrillator
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D) Obtain vital signs x x
Answer: A
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Diff: 1
x Page Ref: 6-7 x x
Objective: 1-5 x
6) You have been dispatched for a 61-year-old female in cardiac arrest. Emergency Medical
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Responders (EMRs) are on scene. In your community, all EMS practitioners are trained
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according to the National EMS Scope of Practice Model. Given this, which type of care do you
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expect the EMRs to be providing?
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A) Emergency medication administration x x
B) Automated external defibrillation x x
C) Intravenous therapy x
D) Reading an electrocardiogram x x
Answer: B
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Diff: 2
x Page Ref: 6 x x
Objective: 1-5 x
7) An EMT with your service states that she desires to become a paramedic because she wants to
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provide advanced care. Under the National EMS Scope of Practice Model, which one of these
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types of care will she be able to provide as a paramedic that she cannot provide as an EMT?
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A) Automated blood pressure monitoring x x x
B) Assistance with emergency childbirth x x x
C) Interfacility transports x
D) IV therapy
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Answer: D
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Diff: 1
x Page Ref: 7 x x
Objective: 1-5 x
8) Which statement made by an EMT requires immediate intervention by a superior or the
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service supervisor?
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A) "I always wear my seat belt whenever I am in the patient compartment of the ambulance,
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unless I have to remove it to care for a patient."
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B) "I drive as fast as I can to get to the scene of an emergency, especially if a child is sick or
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injured according to dispatch information."
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C) "When I am driving with lights and sirens, I instruct my partner that he will need to handle all
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radio communications."
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D) "I put exam gloves on for every patient I contact, even if he or she does not have a known or
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suspected infectious disease."
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Answer: B x
Diff: 1
x Page Ref: 9 x x
Objective: 1-7 x
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, 9) Which statement shows that the EMT has a good understanding of her role and
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responsibilities related to being an EMT?
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A) "The patient's needs come before anyone else's needs."
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B) "At the scene of an emergency, my responsibility is to get to the patient no matter what."
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C) "My safety comes first, and then the patient's safety."
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D) "As an EMT, I recognize that the public's safety comes before the safety of me or my
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partner."
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Answer: C x
Diff: 2 x Page Ref: 8-9 x x
Objective: 1-7 x
10) An ambulance with two EMTs arrives in front of a house for an unknown medical
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emergency. On scene, bystanders report that a female patient was beaten by her husband in the
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driveway and then dragged back into the house. They state that the patient appeared unconscious
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and was bleeding from the head. Which action would the EMTs perform next?
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A) Do not enter the scene until it has been controlled by law enforcement
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B) Quietly enter the home and quickly move the patient to the ambulance
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C) Remove the husband from the house, then provide emergency care to the wife
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D) Enter the home to protect the patient while waiting for the police to arrive
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Answer: A
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Diff: 2 x Page Ref: 9 x x
Objective: 1-7 x
11) Why is EMS in a unique position to contribute significantly to mobile integrated health care?
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A) EMS providers are familiar with and capable of functioning in the out-of-hospital
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environment
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B) Ambulances are easily identified x x x
C) The community trusts uniformed health care providers
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D) EMS providers are familiar with the many routes of medication administration
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Answer: A
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Diff: 1 x Page Ref: 17 x x
Objective: 1-15 x
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