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