Emergency Care 14th Edition Limmer O’Keefe Dickinson, EMT .
Section 1: EMS Systems & Operations (Questions 1-30)
1. Which of the following groups is credited with developing the earliest
documented emergency medical service?
A) The Spanish
B) The Egyptians
C) The Mayans
D) The French
Answer: D) The French
Rationale: The earliest documented EMS was in 1790 when the French began
transporting wounded soldiers from battlefields to physicians.
2. In 1966, the National Highway Safety Act charged which agency with
developing EMS standards?
A) U.S. Department of Health and Human Services
B) U.S. Department of Transportation (DOT)
C) National Highway Traffic Safety Administration (NHTSA)
D) Federal Emergency Management Agency (FEMA)
,Answer: B) U.S. Department of Transportation (DOT)
Rationale: The 1966 Act charged the DOT with developing EMS standards and
assisting states in upgrading prehospital emergency care.
3. What is the minimum level of certification usually required for ambulance
personnel responsible for direct patient care?
A) Emergency Medical Responder (EMR)
B) Emergency Medical Technician (EMT)
C) Advanced EMT (AEMT)
D) Paramedic
Answer: B) Emergency Medical Technician (EMT)
Rationale: In most areas, the EMT is considered the minimum certification level
for ambulance personnel.
4. Which level of EMS training provides the most advanced prehospital care?
A) Advanced EMT (AEMT)
B) Emergency Medical Responder (EMR)
C) Emergency Medical Technician (EMT)
,D) Paramedic
Answer: D) Paramedic
Rationale: Paramedics perform all skills of the EMT and AEMT plus advanced-level
skills, representing the most advanced prehospital care level.
5. Which level of EMS training emphasizes activation of the EMS system and
immediate care for life-threatening problems?
A) Emergency Medical Dispatcher
B) Emergency Medical Responder (EMR)
C) Emergency Medical Technician (EMT)
D) Advanced EMT (AEMT)
Answer: B) Emergency Medical Responder (EMR)
Rationale: The EMR level focuses on activating EMS, providing immediate life-
saving care, and preparing for ambulance arrival.
6. What is the primary responsibility of an EMT at an emergency scene?
A) Protecting and stabilizing the patient
B) Communicating with other responders
, C) Maintaining personal health and safety
D) Providing emergency care
Answer: C) Maintaining personal health and safety
Rationale: You cannot help a patient if you become injured. Your first
responsibility is to keep yourself healthy and safe.
7. A communication system that automatically identifies the caller's phone
number and location is called:
A) Priority Dispatch 911
B) Data Display 911
C) Enhanced 911 (E911)
D) Advanced 911
Answer: C) Enhanced 911 (E911)
Rationale: An enhanced 911 system has the capability of automatically identifying
the caller's phone number and location.
8. Which agency is responsible for establishing EMS system assessment
programs?
Section 1: EMS Systems & Operations (Questions 1-30)
1. Which of the following groups is credited with developing the earliest
documented emergency medical service?
A) The Spanish
B) The Egyptians
C) The Mayans
D) The French
Answer: D) The French
Rationale: The earliest documented EMS was in 1790 when the French began
transporting wounded soldiers from battlefields to physicians.
2. In 1966, the National Highway Safety Act charged which agency with
developing EMS standards?
A) U.S. Department of Health and Human Services
B) U.S. Department of Transportation (DOT)
C) National Highway Traffic Safety Administration (NHTSA)
D) Federal Emergency Management Agency (FEMA)
,Answer: B) U.S. Department of Transportation (DOT)
Rationale: The 1966 Act charged the DOT with developing EMS standards and
assisting states in upgrading prehospital emergency care.
3. What is the minimum level of certification usually required for ambulance
personnel responsible for direct patient care?
A) Emergency Medical Responder (EMR)
B) Emergency Medical Technician (EMT)
C) Advanced EMT (AEMT)
D) Paramedic
Answer: B) Emergency Medical Technician (EMT)
Rationale: In most areas, the EMT is considered the minimum certification level
for ambulance personnel.
4. Which level of EMS training provides the most advanced prehospital care?
A) Advanced EMT (AEMT)
B) Emergency Medical Responder (EMR)
C) Emergency Medical Technician (EMT)
,D) Paramedic
Answer: D) Paramedic
Rationale: Paramedics perform all skills of the EMT and AEMT plus advanced-level
skills, representing the most advanced prehospital care level.
5. Which level of EMS training emphasizes activation of the EMS system and
immediate care for life-threatening problems?
A) Emergency Medical Dispatcher
B) Emergency Medical Responder (EMR)
C) Emergency Medical Technician (EMT)
D) Advanced EMT (AEMT)
Answer: B) Emergency Medical Responder (EMR)
Rationale: The EMR level focuses on activating EMS, providing immediate life-
saving care, and preparing for ambulance arrival.
6. What is the primary responsibility of an EMT at an emergency scene?
A) Protecting and stabilizing the patient
B) Communicating with other responders
, C) Maintaining personal health and safety
D) Providing emergency care
Answer: C) Maintaining personal health and safety
Rationale: You cannot help a patient if you become injured. Your first
responsibility is to keep yourself healthy and safe.
7. A communication system that automatically identifies the caller's phone
number and location is called:
A) Priority Dispatch 911
B) Data Display 911
C) Enhanced 911 (E911)
D) Advanced 911
Answer: C) Enhanced 911 (E911)
Rationale: An enhanced 911 system has the capability of automatically identifying
the caller's phone number and location.
8. Which agency is responsible for establishing EMS system assessment
programs?
