FISDAP EMS OPERATIONS EXAM 2026
REVISION NOTES AND STRUCTURED EMS
OPERATIONS OVERVIEW GUIDE
◉ In 1966 the National Highway Safety Act charged which of the
following agencies with the development of emergency medical
service standards?
U.S. Department of Homeland Security
U.S. Department of Transportation
U.S. Department of the Interior
U.S. Department of Health Services Answer: U.S. Department of
Transportation
◉ The application of oxygen for a patient who is short of breath
without having to contact the physician in the emergency
department is an example of which of the following?
Breach of duty
Standing orders
Standards of care
On-line medical direction Answer: Standing orders
◉ Upon arrival at the hospital, the EMT advises hospital personnel
of the patient's condition, observations from the scene, treatment
,rendered, and other pertinent data to assure continuity of care. This
process is known as which of the following?
Definitive care
End of tour
Transfer of care
Breach of duty Answer: Transfer of care
◉ What is the minimum level of certification required of ambulance
personnel responsible for direct patient care?
Emergency Medical Technician
Advanced EMT
Emergency Medical Responder
Emergency Ambulance Driver Answer: Emergency Medical
Technician
◉ Which of the following BEST describes a list of steps the EMT
should perform while assessing and managing emergency medical
situations?
Protocols
Standing orders
On-line medical direction
Standard operating procedures Answer: Protocols
,◉ Which of the following BEST describes a person who speaks up on
behalf of the patient and supports his cause?
Assistant
Guardian
Advocate
Representative Answer: Advocate
◉ Which of the following agencies is responsible for establishing
EMS system assessment programs?
National Transportation Safety Board (NTSB)
National Highway Traffic Safety Administration (NHTSA)
United States Health Services Agency (HSA)
Department of Health and Human Services (HHS) Answer: National
Highway Traffic Safety Administration (NHTSA)
◉ Which of the following is the most common gateway for hospital
services for patients who need emergency medical assistance?
Emergency department
Emergency medical dispatch center
Emergency medical services system
Surgical services department Answer: Emergency department
◉ Which of the following is the primary responsibility of the EMT?
, Protect and stabilize the patient
Communicate with other responders on the scene
Provide emergency care
Maintain personal health and safety Answer: Maintain personal
health and safety
◉ Which of the following refers to a program or process for
evaluating and improving the effectiveness of an EMS system?
System effectiveness management
Quality improvement
Process Improvement Plan (PIP)
Total quality system Answer: Quality improvement
◉ You have just come on duty. The EMT on the previous shift
complains to you that the QI manager was giving him grief because
he did not document three sets of vital signs on the patient record.
The EMT is angry and does not understand why documenting three
sets of vital signs is so important. What is the best answer you could
give him?
It is important you show the QI manager that you are a team player.
The recording of three sets of vital signs demonstrates that you were
trending the patient's condition.
Vital signs are something you have to fill out because the state
requires it.
REVISION NOTES AND STRUCTURED EMS
OPERATIONS OVERVIEW GUIDE
◉ In 1966 the National Highway Safety Act charged which of the
following agencies with the development of emergency medical
service standards?
U.S. Department of Homeland Security
U.S. Department of Transportation
U.S. Department of the Interior
U.S. Department of Health Services Answer: U.S. Department of
Transportation
◉ The application of oxygen for a patient who is short of breath
without having to contact the physician in the emergency
department is an example of which of the following?
Breach of duty
Standing orders
Standards of care
On-line medical direction Answer: Standing orders
◉ Upon arrival at the hospital, the EMT advises hospital personnel
of the patient's condition, observations from the scene, treatment
,rendered, and other pertinent data to assure continuity of care. This
process is known as which of the following?
Definitive care
End of tour
Transfer of care
Breach of duty Answer: Transfer of care
◉ What is the minimum level of certification required of ambulance
personnel responsible for direct patient care?
Emergency Medical Technician
Advanced EMT
Emergency Medical Responder
Emergency Ambulance Driver Answer: Emergency Medical
Technician
◉ Which of the following BEST describes a list of steps the EMT
should perform while assessing and managing emergency medical
situations?
Protocols
Standing orders
On-line medical direction
Standard operating procedures Answer: Protocols
,◉ Which of the following BEST describes a person who speaks up on
behalf of the patient and supports his cause?
Assistant
Guardian
Advocate
Representative Answer: Advocate
◉ Which of the following agencies is responsible for establishing
EMS system assessment programs?
National Transportation Safety Board (NTSB)
National Highway Traffic Safety Administration (NHTSA)
United States Health Services Agency (HSA)
Department of Health and Human Services (HHS) Answer: National
Highway Traffic Safety Administration (NHTSA)
◉ Which of the following is the most common gateway for hospital
services for patients who need emergency medical assistance?
Emergency department
Emergency medical dispatch center
Emergency medical services system
Surgical services department Answer: Emergency department
◉ Which of the following is the primary responsibility of the EMT?
, Protect and stabilize the patient
Communicate with other responders on the scene
Provide emergency care
Maintain personal health and safety Answer: Maintain personal
health and safety
◉ Which of the following refers to a program or process for
evaluating and improving the effectiveness of an EMS system?
System effectiveness management
Quality improvement
Process Improvement Plan (PIP)
Total quality system Answer: Quality improvement
◉ You have just come on duty. The EMT on the previous shift
complains to you that the QI manager was giving him grief because
he did not document three sets of vital signs on the patient record.
The EMT is angry and does not understand why documenting three
sets of vital signs is so important. What is the best answer you could
give him?
It is important you show the QI manager that you are a team player.
The recording of three sets of vital signs demonstrates that you were
trending the patient's condition.
Vital signs are something you have to fill out because the state
requires it.
