EMD v13.0a Recertification Exam
OUTEC Questions & Answers Graded
A+
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? Answer- 2-D-4
An effective quality improvement program includes case review, feedback, and:
Answer- continuing dispatch education (CDE)
MPDS words or phrases that have a specific dispatch definition are marked using:
Answer- all uppercase text (all capital letters)
The Priority Symptoms are: Answer- 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? Answer- 10-D-4
When using the MPDS, actual response assignments and emergency modes (lights-
and-siren vs. no lights-and-siren) are predetermined by: Answer- 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: Answer- STRONG evidence of stroke
Which of the following is the best definition for "cervical cerclage"? Answer- 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:
Answer- 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? Answer- Convulsions/Seizures
Which of the following is the best definition for "repetitive persistence"? Answer- 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?
Answer- 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? Answer- 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: Answer-
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. Answer- 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?" Answer- false
What is the most appropriate Chief Complaint Protocol to use when the caller is
reporting autonomic dysreflexia/hyperreflexia? Answer- 26: Sick Person (Specific
Diagnosis)
Most emergency callers are uncooperative or hysterical. Answer- 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. Answer- true
A second-party caller reports that his 52-year-old wife is complaining of abdominal
pain. The patient:
is completely alert
OUTEC Questions & Answers Graded
A+
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? Answer- 2-D-4
An effective quality improvement program includes case review, feedback, and:
Answer- continuing dispatch education (CDE)
MPDS words or phrases that have a specific dispatch definition are marked using:
Answer- all uppercase text (all capital letters)
The Priority Symptoms are: Answer- 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? Answer- 10-D-4
When using the MPDS, actual response assignments and emergency modes (lights-
and-siren vs. no lights-and-siren) are predetermined by: Answer- 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: Answer- STRONG evidence of stroke
Which of the following is the best definition for "cervical cerclage"? Answer- 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:
Answer- 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? Answer- Convulsions/Seizures
Which of the following is the best definition for "repetitive persistence"? Answer- 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?
Answer- 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? Answer- 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: Answer-
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. Answer- 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?" Answer- false
What is the most appropriate Chief Complaint Protocol to use when the caller is
reporting autonomic dysreflexia/hyperreflexia? Answer- 26: Sick Person (Specific
Diagnosis)
Most emergency callers are uncooperative or hysterical. Answer- 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. Answer- true
A second-party caller reports that his 52-year-old wife is complaining of abdominal
pain. The patient:
is completely alert
