UCLA PARAMEDIC Block 1 STUDY
GUIDE CLASS 55 UPDATED ACTUAL
Exam Questions and CORRECT Answers
"A Leadership Guide to Quality Improvement for Emergency Medical Services Systems." -
CORRECT ANSWER - -A book published by NHTSA as a guide for quality improvement in
EMS.
"Accidental Death and Disability: The Neglected Disease of Modern Society." - CORRECT
ANSWER - -White Paper
-Published in 1966 by the National Academy of Sciences
-Consider a landmark in the development of the emergency medical services system in the U.S.
"borrowed servant" doctrine - CORRECT ANSWER - -A principal under which the party
usually liable for a person's actions.
-States the party (aka paramedic) is usually liable for another party's action (aka emt-b)
KKK-A-1822" - CORRECT ANSWER - -Requested by DOT, Developed by General Service
Admin to specify specifications for ambulances in 1974
-"Star of Life" located on all certified ambulances
-1985 NIOSH mandated reduced noise
-2002 Occupant protection improved
Administrative law (regulatory law) - CORRECT ANSWER - -Law that is enacted by
governmental agencies at either the federal or state level. Ex: OSHA
Ambulance construction requirements (KKK ambulance specs) - CORRECT ANSWER -
Type 1: Conventional cab and chassis with a module body; no passageway between driver and
patient
Type 2: Standard van, body, and cab
,Type 3: Specialty van with forward cab, has a passageway between the driver and patient.
Attributes of a paramedic - CORRECT ANSWER - -Comforms to the standards of other
medics, Provides quality patient care, pride in profession, strive for high standards, meets high
social standards on and off duty.
Beneficence - CORRECT ANSWER - -The concept of doing good for the patient
Benefits of physical fitness, cardiac risk factors, flexibility - CORRECT ANSWER -
Decreased resting HR & BP.
Increased O2 carrying capacity.
Increased muscle mass and metabolism.
Increased resistance to illness and injury.
Enhanced quality of life.
Breach of duty - CORRECT ANSWER - -An action or inaction that violates the standard of
care expected from a paramedic
BSI - what and when - CORRECT ANSWER - The CDC developed a set of universal
precautions for health care workers to use in treating patients. EMS follows standard precautions
rather than relying on universal precautions. Standard precautions differ from universal
precautions in that they are designed to approach all body fluids as being potentially infectious.
In observing universal precautions only, you are assuming that only blood and certain body
fluids pose only a risk for infectious diseases.
Gloves are to be used for touching blood, body fluids, secretions, excretions, or contaminated
items. Also, mucous membranes and nonintact skin.
Gowns are to be used during procedures and patient care activities when contact of the health
care provider's clothing/exposed skin to blood, body fluids, secretions, excretions, or
contaminated items is anticipated.
Mask, eye protection, and face shields are indicated during procedures and patient care activities
likely to generate splashes or sprays of blood, body fluids, secretions, or excretions. Examples
include suctioning or endotracheal intubation. During intubation, a face shield may offer better
protection.
, HEPA respirator should be used when working with a patient with tuberculosis.
Hand hygiene should be performed after touching blood, body fluids, secretions, excretions, or
contaminated items. Also, immediately after removing globes and between patient contacts. If
potential exposure has occurred (accidental sticking with a needle), immediately wash the area
with soap and warm water
Burnout - CORRECT ANSWER - Burnout is the exhaustion of physical or emotional
strength. May be a consequence of chronic, unrelieved stress. Symptoms include chronic fatigue
and irritability; cynical, negative attitudes; lack of desire to report to work; emotional instability
(crying easily, flying off the handle without provocation, laughing inappropriately); changes in
sleep patterns (insomnia or sleeping more than usual), and walking without feeling refreshed;
feelings of being overwhelmed or being helpless or hopeless; loss of interest in hobbies;
decreased ability to concentrate; declining health—having frequent colds, stomach upsets, and
muscle aches and pains (especially headaches or backaches); constant tightness in your muscles;
overeating, smoking, or abusing drugs or alcohol. Paramedics who do not experience burnout are
those who have learned to respect and value themselves.
Brownout - CORRECT ANSWER - Brownout refers to workers who are not in obvious crisis,
who seem to be performing fine but are often operating in a silent state of continual overwhelm,
and the predictable consequence is disengagement. They are often putting in massive hours in
meetings and calls, grinding out work while leading or contributing to teams, and saying all the
right things (though not in side-bar conversations).
Macro's. - CORRECT ANSWER - Protein = 4cal; Carbs = 4cal; Fat = 9cal.
Circadian rhythms, sleep cycles as they pertain to well being of the PM - CORRECT
ANSWER - EMS imposes schedules on paramedics that conflict with the body's circadian
rhythms, or natural timing system. These rhythms are controlled by special areas of the brain,
called the suprachiasmatic nuclei, which govern a person's "internal clock." Ignoring your
circadian rhythms can cause you to experience consistent difficulty with sleep, higher thought
functions, physical coordination,
Criminal prosecution - CORRECT ANSWER - Criminal prosecution is an action taken by the
government against a person the prosecutors feel has violated criminal laws.
GUIDE CLASS 55 UPDATED ACTUAL
Exam Questions and CORRECT Answers
"A Leadership Guide to Quality Improvement for Emergency Medical Services Systems." -
CORRECT ANSWER - -A book published by NHTSA as a guide for quality improvement in
EMS.
"Accidental Death and Disability: The Neglected Disease of Modern Society." - CORRECT
ANSWER - -White Paper
-Published in 1966 by the National Academy of Sciences
-Consider a landmark in the development of the emergency medical services system in the U.S.
"borrowed servant" doctrine - CORRECT ANSWER - -A principal under which the party
usually liable for a person's actions.
-States the party (aka paramedic) is usually liable for another party's action (aka emt-b)
KKK-A-1822" - CORRECT ANSWER - -Requested by DOT, Developed by General Service
Admin to specify specifications for ambulances in 1974
-"Star of Life" located on all certified ambulances
-1985 NIOSH mandated reduced noise
-2002 Occupant protection improved
Administrative law (regulatory law) - CORRECT ANSWER - -Law that is enacted by
governmental agencies at either the federal or state level. Ex: OSHA
Ambulance construction requirements (KKK ambulance specs) - CORRECT ANSWER -
Type 1: Conventional cab and chassis with a module body; no passageway between driver and
patient
Type 2: Standard van, body, and cab
,Type 3: Specialty van with forward cab, has a passageway between the driver and patient.
Attributes of a paramedic - CORRECT ANSWER - -Comforms to the standards of other
medics, Provides quality patient care, pride in profession, strive for high standards, meets high
social standards on and off duty.
Beneficence - CORRECT ANSWER - -The concept of doing good for the patient
Benefits of physical fitness, cardiac risk factors, flexibility - CORRECT ANSWER -
Decreased resting HR & BP.
Increased O2 carrying capacity.
Increased muscle mass and metabolism.
Increased resistance to illness and injury.
Enhanced quality of life.
Breach of duty - CORRECT ANSWER - -An action or inaction that violates the standard of
care expected from a paramedic
BSI - what and when - CORRECT ANSWER - The CDC developed a set of universal
precautions for health care workers to use in treating patients. EMS follows standard precautions
rather than relying on universal precautions. Standard precautions differ from universal
precautions in that they are designed to approach all body fluids as being potentially infectious.
In observing universal precautions only, you are assuming that only blood and certain body
fluids pose only a risk for infectious diseases.
Gloves are to be used for touching blood, body fluids, secretions, excretions, or contaminated
items. Also, mucous membranes and nonintact skin.
Gowns are to be used during procedures and patient care activities when contact of the health
care provider's clothing/exposed skin to blood, body fluids, secretions, excretions, or
contaminated items is anticipated.
Mask, eye protection, and face shields are indicated during procedures and patient care activities
likely to generate splashes or sprays of blood, body fluids, secretions, or excretions. Examples
include suctioning or endotracheal intubation. During intubation, a face shield may offer better
protection.
, HEPA respirator should be used when working with a patient with tuberculosis.
Hand hygiene should be performed after touching blood, body fluids, secretions, excretions, or
contaminated items. Also, immediately after removing globes and between patient contacts. If
potential exposure has occurred (accidental sticking with a needle), immediately wash the area
with soap and warm water
Burnout - CORRECT ANSWER - Burnout is the exhaustion of physical or emotional
strength. May be a consequence of chronic, unrelieved stress. Symptoms include chronic fatigue
and irritability; cynical, negative attitudes; lack of desire to report to work; emotional instability
(crying easily, flying off the handle without provocation, laughing inappropriately); changes in
sleep patterns (insomnia or sleeping more than usual), and walking without feeling refreshed;
feelings of being overwhelmed or being helpless or hopeless; loss of interest in hobbies;
decreased ability to concentrate; declining health—having frequent colds, stomach upsets, and
muscle aches and pains (especially headaches or backaches); constant tightness in your muscles;
overeating, smoking, or abusing drugs or alcohol. Paramedics who do not experience burnout are
those who have learned to respect and value themselves.
Brownout - CORRECT ANSWER - Brownout refers to workers who are not in obvious crisis,
who seem to be performing fine but are often operating in a silent state of continual overwhelm,
and the predictable consequence is disengagement. They are often putting in massive hours in
meetings and calls, grinding out work while leading or contributing to teams, and saying all the
right things (though not in side-bar conversations).
Macro's. - CORRECT ANSWER - Protein = 4cal; Carbs = 4cal; Fat = 9cal.
Circadian rhythms, sleep cycles as they pertain to well being of the PM - CORRECT
ANSWER - EMS imposes schedules on paramedics that conflict with the body's circadian
rhythms, or natural timing system. These rhythms are controlled by special areas of the brain,
called the suprachiasmatic nuclei, which govern a person's "internal clock." Ignoring your
circadian rhythms can cause you to experience consistent difficulty with sleep, higher thought
functions, physical coordination,
Criminal prosecution - CORRECT ANSWER - Criminal prosecution is an action taken by the
government against a person the prosecutors feel has violated criminal laws.
