EMD v13.0a Recertification Exam OUTEC
A second-party caller reports that a 45-year-old female has been bitten by a snake. Key
Questioning finds:
snake is now dead
patient is alert
no difficulty breathing or swallowing
What is the most appropriate Determinant Code? Correct Ans - 2-D-4
An effective quality improvement program includes case review, feedback, and: Correct
Ans - continuing dispatch education (CDE)
MPDS words or phrases that have a specific dispatch definition are marked using:
Correct Ans - all uppercase text (all capital letters)
The Priority Symptoms are: Correct Ans - abnormal breathing, chest
pain/discomfort (any), decreased level of consciousness, and SERIOUS hemorrhage
An alert, 34-year-old, first-party caller reports that he is having chest pain. Key Questioning
finds:
slight difficulty breathing
no difficulty speaking between breaths
clammy
no history of heart attack or angina
no drugs or medications in the past 12 hours
What is the most appropriate Determinant Code? Correct Ans - 10-D-4
When using the MPDS, actual response assignments and emergency modes (lights-and-
siren vs. no lights-and-siren) are predetermined by: Correct Ans - local Medical
Control and EMS Administration
You are using the Stroke Diagnostic Tool. The caller reports:
slight difference in smile
one arm higher than other (both raised, but unequally)
said "The early bird catches the worm" correctly
This should be considered: Correct Ans - STRONG evidence of stroke
Which of the following is the best definition for "cervical cerclage"? Correct Ans - a
surgical procedure meant to prevent premature dilation of the cervix and, therefore,
premature labor
A second-party caller reports that his 85-year-old sister says her heart is beating way too
fast and she needs to go to the doctor. The patient is awake and breathing effectively.
, Immediately after completing Case Entry interrogation, you should go to: Correct Ans -
Protocol 19: Heart Problems/A.I.C.D
A second-party caller reports that her 42-year-old husband is currently having a seizure.
During Case Entry, the caller reports that the patient is not awake and is not breathing, but
is still seizing. What is the most appropriate Chief Complaint Protocol to use for this case?
Correct Ans - Convulsions/Seizures
Which of the following is the best definition for "repetitive persistence"? Correct Ans -
A calming technique in which the calltaker repeats a phrase verbatim using a firm but
caring tone. The phrase should contain both an action and a reason for the action.
A second-party caller reports that her 81-year-old mother just fell (ground level) and may
have broken her hip. During Case Entry, the caller reports that the patient is awake and
breathing. In response to Key Question 2 on Protocol 17, the caller reports that the patient
was dizzy and may have fainted. What should you do next? Correct Ans - Shunt to
Protocol 31.
In response to Case Entry Question 3, the caller reports that her 34-year-old husband
accidentally set himself on fire while using gasoline to ignite a campfire. The man is still on
fire. What should you do next? Correct Ans - Immediately initiate a 7-E-1 response
and provide the appropriate Case Entry PDIs.
If the EMD does not understand the caller's language well enough to determine a Chief
Complaint and no one on duty is able to assist, the EMD should: Correct Ans - send
32-B-4, immediately contact a language line service, if available, and reconfigure as
appropriate.
If the caller believes a DNR (Do Not Resuscitate Order) should be ignored or is uncertain if
a DNR is valid or in place, an appropriate response and resuscitation attempt should be
made. Correct Ans - true
Key Question 1 on Protocol 16 is "Is s/he completely alert (responding appropriately)?"
According to MPDS standards, it is acceptable to read this question as "Is she completely
alert and responding appropriately?" Correct Ans - false
What is the most appropriate Chief Complaint Protocol to use when the caller is reporting
autonomic dysreflexia/hyperreflexia? Correct Ans - 26: Sick Person (Specific
Diagnosis)
Most emergency callers are uncooperative or hysterical. Correct Ans - false
There is no way over the phone to tell whether STROKE-like symptoms are from a TIA
(TRANSIENT ISCHEMIC ATTACK) or an acute STROKE. Correct Ans - true
A second-party caller reports that a 45-year-old female has been bitten by a snake. Key
Questioning finds:
snake is now dead
patient is alert
no difficulty breathing or swallowing
What is the most appropriate Determinant Code? Correct Ans - 2-D-4
An effective quality improvement program includes case review, feedback, and: Correct
Ans - continuing dispatch education (CDE)
MPDS words or phrases that have a specific dispatch definition are marked using:
Correct Ans - all uppercase text (all capital letters)
The Priority Symptoms are: Correct Ans - abnormal breathing, chest
pain/discomfort (any), decreased level of consciousness, and SERIOUS hemorrhage
An alert, 34-year-old, first-party caller reports that he is having chest pain. Key Questioning
finds:
slight difficulty breathing
no difficulty speaking between breaths
clammy
no history of heart attack or angina
no drugs or medications in the past 12 hours
What is the most appropriate Determinant Code? Correct Ans - 10-D-4
When using the MPDS, actual response assignments and emergency modes (lights-and-
siren vs. no lights-and-siren) are predetermined by: Correct Ans - local Medical
Control and EMS Administration
You are using the Stroke Diagnostic Tool. The caller reports:
slight difference in smile
one arm higher than other (both raised, but unequally)
said "The early bird catches the worm" correctly
This should be considered: Correct Ans - STRONG evidence of stroke
Which of the following is the best definition for "cervical cerclage"? Correct Ans - a
surgical procedure meant to prevent premature dilation of the cervix and, therefore,
premature labor
A second-party caller reports that his 85-year-old sister says her heart is beating way too
fast and she needs to go to the doctor. The patient is awake and breathing effectively.
, Immediately after completing Case Entry interrogation, you should go to: Correct Ans -
Protocol 19: Heart Problems/A.I.C.D
A second-party caller reports that her 42-year-old husband is currently having a seizure.
During Case Entry, the caller reports that the patient is not awake and is not breathing, but
is still seizing. What is the most appropriate Chief Complaint Protocol to use for this case?
Correct Ans - Convulsions/Seizures
Which of the following is the best definition for "repetitive persistence"? Correct Ans -
A calming technique in which the calltaker repeats a phrase verbatim using a firm but
caring tone. The phrase should contain both an action and a reason for the action.
A second-party caller reports that her 81-year-old mother just fell (ground level) and may
have broken her hip. During Case Entry, the caller reports that the patient is awake and
breathing. In response to Key Question 2 on Protocol 17, the caller reports that the patient
was dizzy and may have fainted. What should you do next? Correct Ans - Shunt to
Protocol 31.
In response to Case Entry Question 3, the caller reports that her 34-year-old husband
accidentally set himself on fire while using gasoline to ignite a campfire. The man is still on
fire. What should you do next? Correct Ans - Immediately initiate a 7-E-1 response
and provide the appropriate Case Entry PDIs.
If the EMD does not understand the caller's language well enough to determine a Chief
Complaint and no one on duty is able to assist, the EMD should: Correct Ans - send
32-B-4, immediately contact a language line service, if available, and reconfigure as
appropriate.
If the caller believes a DNR (Do Not Resuscitate Order) should be ignored or is uncertain if
a DNR is valid or in place, an appropriate response and resuscitation attempt should be
made. Correct Ans - true
Key Question 1 on Protocol 16 is "Is s/he completely alert (responding appropriately)?"
According to MPDS standards, it is acceptable to read this question as "Is she completely
alert and responding appropriately?" Correct Ans - false
What is the most appropriate Chief Complaint Protocol to use when the caller is reporting
autonomic dysreflexia/hyperreflexia? Correct Ans - 26: Sick Person (Specific
Diagnosis)
Most emergency callers are uncooperative or hysterical. Correct Ans - false
There is no way over the phone to tell whether STROKE-like symptoms are from a TIA
(TRANSIENT ISCHEMIC ATTACK) or an acute STROKE. Correct Ans - true
