An EMS Provider responds to a call and finds an 8- yr old female with no pulse or respira-
tions. The patient has a history of terminal brain cancer. The family states the last time she
as seen alive was 5 mins prior to EMS being called. They also state patient has a DNR oder. In
NYS, EMS personnel may accept which of the following DNR instruments as valid?
Verbal request from family
A. Written non-hospital B. DNR or MOLST form
C. Written healthcare proxy
D. Written living will
ANSWER
Written out-of-hospital DNR
OR MOLST FORM
Implied Consent exists when a patient is suffering from a life-threatening injury or illness and
is:
a. Under police custody
b. A threat to himself and others
c. Under age of 18
d. Unconscious
ANSWER
D. unconscious
The opposite of distal is
a. Superior
b. Medial
c. Lateral
1
,d. Proximal
ANSWER
D. Proximal
In correct sequence
(VERTEBRAE SECTIONS)
and number in each section
ANSWER
cervical (7), thoracic (5), lumbar (12), sacral (5), and coccygeal (4)
The chamber of the heart that is most muscular and that pumps the most blood into the
aorta is the
a. Right atrium
b. Left ventricle
c. Right ventricle
d. Left atrium
ANSWER
B. LEFT VENTRICLE
The purpose of the first set of vital signs is to:
ANSWER
A. establish a baseline for additional evaluations
PCR has how many spots for writing vital signs?
ANSWER
3 spots
When you take the pulse of a patient, you are really
2
,a. Counting pressure waves of blood that the heart sends through an artery
b. Feeling the swelling of the vein as each wave of blood passes back to the heart
c. Noting the heartbeats in the column of blood in a large vein
d. Feeling the vibrations of the heart muscles as they push the blood through
ANSWER
A. counting the pressure waves of blood that the heart sends through an artery
In people whose skin is darkly pigmented, cyanosis is BEST seen by observing
a. Mucosal membranes
b. Earlobes
c. Scalp
d. Face
ANSWER
A. mucosal membranes
You are treating an alert 35-year old trauma patient. You palpate a strong radial pulse of 100.
Your partner has taken the patient's blood pressure and advised you that it is 68/32. You
should:
a. Suspect the accuracy of the pressure reading and reevaluate it
b. Accept the reading as accurate
c. Ask you partner to retake BP reading again in 15 min
d. Treat patient for hypertension immediately
ANSWER
A. suspect the accuracy of the pressure reading and reevaluate it yourself
A correct statement about diastolic blood pressure is that it is the pressure
a. Exists when heart left ventricle is refilling
b. Due to the contraction of the ventricles of the heart
3
, c. Caused by contraction of the atria of heart
d. Caused by relaxation of the walls of the major arteries
ANSWER
d. Caused by relaxation of the walls of the major arteries
All of the following are symptoms EXCEPT?
a. Headache
b. Weak pulse
c. Chest pain
d. Nausea
ANSWER
B. weak pulse
sign vs symptom
ANSWER
a sign is a physical manifestation (objective)- something you can measure
symptom is what the patient tells you about the disease (subjective)
For a patient with a suspected lumbar spinal injury, the BEST device for moving the patient
as a single unit over uneven terrain is the:
A. wheeled stretcher
B. long spine board
C. flexible stretcher
D. short spine board
ANSWER
B. long spine board
4
tions. The patient has a history of terminal brain cancer. The family states the last time she
as seen alive was 5 mins prior to EMS being called. They also state patient has a DNR oder. In
NYS, EMS personnel may accept which of the following DNR instruments as valid?
Verbal request from family
A. Written non-hospital B. DNR or MOLST form
C. Written healthcare proxy
D. Written living will
ANSWER
Written out-of-hospital DNR
OR MOLST FORM
Implied Consent exists when a patient is suffering from a life-threatening injury or illness and
is:
a. Under police custody
b. A threat to himself and others
c. Under age of 18
d. Unconscious
ANSWER
D. unconscious
The opposite of distal is
a. Superior
b. Medial
c. Lateral
1
,d. Proximal
ANSWER
D. Proximal
In correct sequence
(VERTEBRAE SECTIONS)
and number in each section
ANSWER
cervical (7), thoracic (5), lumbar (12), sacral (5), and coccygeal (4)
The chamber of the heart that is most muscular and that pumps the most blood into the
aorta is the
a. Right atrium
b. Left ventricle
c. Right ventricle
d. Left atrium
ANSWER
B. LEFT VENTRICLE
The purpose of the first set of vital signs is to:
ANSWER
A. establish a baseline for additional evaluations
PCR has how many spots for writing vital signs?
ANSWER
3 spots
When you take the pulse of a patient, you are really
2
,a. Counting pressure waves of blood that the heart sends through an artery
b. Feeling the swelling of the vein as each wave of blood passes back to the heart
c. Noting the heartbeats in the column of blood in a large vein
d. Feeling the vibrations of the heart muscles as they push the blood through
ANSWER
A. counting the pressure waves of blood that the heart sends through an artery
In people whose skin is darkly pigmented, cyanosis is BEST seen by observing
a. Mucosal membranes
b. Earlobes
c. Scalp
d. Face
ANSWER
A. mucosal membranes
You are treating an alert 35-year old trauma patient. You palpate a strong radial pulse of 100.
Your partner has taken the patient's blood pressure and advised you that it is 68/32. You
should:
a. Suspect the accuracy of the pressure reading and reevaluate it
b. Accept the reading as accurate
c. Ask you partner to retake BP reading again in 15 min
d. Treat patient for hypertension immediately
ANSWER
A. suspect the accuracy of the pressure reading and reevaluate it yourself
A correct statement about diastolic blood pressure is that it is the pressure
a. Exists when heart left ventricle is refilling
b. Due to the contraction of the ventricles of the heart
3
, c. Caused by contraction of the atria of heart
d. Caused by relaxation of the walls of the major arteries
ANSWER
d. Caused by relaxation of the walls of the major arteries
All of the following are symptoms EXCEPT?
a. Headache
b. Weak pulse
c. Chest pain
d. Nausea
ANSWER
B. weak pulse
sign vs symptom
ANSWER
a sign is a physical manifestation (objective)- something you can measure
symptom is what the patient tells you about the disease (subjective)
For a patient with a suspected lumbar spinal injury, the BEST device for moving the patient
as a single unit over uneven terrain is the:
A. wheeled stretcher
B. long spine board
C. flexible stretcher
D. short spine board
ANSWER
B. long spine board
4
