Brady 2E- Chapter 1- Introduction to Advanced Prehospital Care

MULTIPLE CHOICE. Choose the one alternative that best completes the statement or answers the question. 1) A major advance in the development of EMS as a true -hceaarlethprofession was the: A) formation of the National Association of EMTs. B) television show "Emergency!" C) book Our Bodies, Our Selves. D) 1998 EM-TParamedic National Standard Curriculum. Answer:D 2) When physically preparing yourself to safely work as a paramedic, you should: A) exercise your cardiovascular system at least three times a week. B) perform as many traditional situps as you can to promote abdominal strength. C) do as little as possible to preserve your strength for emergency duty. D) read as much as you can about physical fitness. Answer:A 3) One area of EMS that will rely especially heavily on research is: A) funding. B) communications. C) medical direction. D) transportation. Answer:A 4) Which of the following should paramedics use with every patient? A) Surgical gown and mask B) Disposable gloves C) Mask and protective eyewear D) HEPA mask Answer:B 5) Which of the following is NOT a warning sign of cancer? A) Unexplained chronic fatigue B) Lumps C) Change in mole size or appearance D) Weight gain Answer:D 6) A supervisor senses that an EMS crew, which has just conducted a very dramatic but unsuccessful rescue of a drowned child, may be experiencing very intense emotions about the incident. What is an appropriate supervisory action? A) Refer all crew members to psychiatric help right after the end of the shift. B) Immediately conduct a full criti-cinalcident stress debriefing. C) Minimize any effects by pretending that the incident was really no big deal. D) Request a CISM- trained peer to conduct a defusing within 2 to 4 hours. Answer:D 7) Defending patients, protecting them, and in general acting in their best interests are all examples of: A) leadership. B) integrity. C) empathy. D) patient advocacy. Answer:D 8) When educating parents about child vehicle safety, which of the following should you emphasize? A) It is critical that infants ride in the front seat where they can be protected by the airbag. B) Children aged 3 and over do not need booster or other types -osfacfhetilydseats. C) Children aged 12 years and younger should ride in the back seat. D) All of the above. Answer:C 9) Which of the following vaccinations is NOT recommended for EMS providers? A) Tetanus B) Tuberculosis C) Influenza D) Measles, mumps, and rubella (MMR) Answer:B 10) Which of the following is the goal for ALS response times in an effective EMS system? A) Ten minutes or less under all circumstances B) Four minutes or less, 90 percent of the time C) Nine minutes or less, 80 percent of the time D) Eight minutes or less, 90 percent of the time Answer:D 11) Safety inspections, accident prevention programs, medical screenings, and vaccination and/or immunization programs are some of the responsibilities of paramedics working in: A) industrial medicine. B) sports medicine. C) community clinics. D) correctional institutions. Answer:A 12) Which of the following is NOT one of the core elements of physical fitness? A) Flexibility B) Muscular strength C) Cardiovascular endurance D) Speed Answer:D 13) Injuries are the leading cause of death in all age groups combined in the United States. A) first B) second C) third D) fourth Answer:C 14) During the return to service, one of the paramedic's chief responsibilities is: A) correcting the patient care report. B) taking care of personal matters before the next call. C) decontaminating the ambulance. D) giving a verbal report to the receiving facility personnel. Answer:C 15) To practice, paramedics must be approved not only by a state or provincial agency but also by the: A) EMS system medical director. B) National Registry of EMTs. C) National Association of EMTs. D) local authorities. Answer:A 16) Which of the following best describes a comprehensive network of personnel, equipment, and resources established to deliver aid and emergency medical care to the community? A) ALS system B) EMS system C) Trauma system D) Medical direction Answer:B 17) Maintaining paramedic certification through seeking and reporting continuing education is the responsibility A) fire department administration. B) the state EMS office. C) the paramedic. D) the training officer. Answer:C 18) Many traditional EMS treatments and practices have been abandoned or refined due to: A) legislation. B) research. C) experience. D) patient complaints. Answer:B 19) Which of the following factors is important to the success of illness and injury prevention programs in EMS? A) Safety policies, procedures, and environmental controls in the EMS workplace B) Securing budgetary support for prevention programs C) Identifying and helping to develop EMS employees who are interested in community education D) All of the above Answer:D 20) Your ambulance arrives at a scene where a car has run into a ditch alongs-idlaenae tcwoountry highway. You should park the ambulance: A) behind the car on the same side of the street. B) in front of the car on the same side of the street. C) behind the car on the opposite side of the street. D) in front of the car on the opposite side of the street. Answer:B 21) Which of the following choices best explains the difference between-aIntEerMmTediate and an EMT-Paramedic? A) Scope of knowledge B) Licensure versus certification C) Scope of practice D) The legal requirement for medical direction Answer:A 22) A city EMS service provides public education about the need for an outdoor residential pool to be surrounded by a 3-foot-high fence. This is an example of _ _ prevention activity. A) primary B) tertiary C) medullary D) secondary Answer:A 23) Which of the following is one of the paramedic's primary responsibilities? A) Public relations B) Accident reconstruction C) Crowd control D) Patient disposition Answer:D 24) Which of the following is NOT one of the three basic elements of community involvement in EMS? A) Providing financial support for EMS agencies B) Recognizing an emergency C) Accessing the EMS system D) Initiating basic li-fesupport procedures Answer:A 25) Which of the following best describes when paramedics learn during their careers? A) At the beginning B) At specific recertification times C) Continuously D) When they realize they made mistakes in patient care Answer:C 26) One of the principles of proper lifting is to: A) position the load close to your body. B) pull rather than push when possible. C) bend at the waist to use the strong muscles of the back. D) hold your breath while lifting. Answer:A 27) The desirable conduct or qualities that characterize a practitioner in a particular field or occupation are called A) professionalism. B) standards. C) etiquette. D) ethics. Answer:A 28) A way for paramedics to determine appropriate injury prevention programs for their community is the use of: A) finding out what the community wants to know about. B) injury risk surveys. C) National Science Foundation (NSF) guidelines. D) Centers for Disease Control (CDC) guidelines. Answer:B 29) Any occurrence in which blood or body fluids contact nonintact skin or mucous membranes is considered a(n): A) incident B) infection C) exposure D) contamination Answer:C 30) Increasingly specialized hea-lcthare facilities have expanded the paramedic's role to: A) well child care. B) prenatal care. C) critical care transport. D) emergency department treatment. Answer:C 31) State laws requiring the reporting of births, deaths, certain infectious diseases, and child and elder abuse and neglect may require the paramedic to breach the obligation to protect the patient's: A) autonomy. B) right to se-lfdetermination. C) First Amendment rights. D) confidentiality. Answer:D 32) Paramedics who work closely with medical direction to care for patients in their homes and at emergency scenes without transport provide care. A) tertiary B) managed C) primary D) dependent Answer:C 33) When analyzing an ethical problem, the method in which you ask yourself whether you would be willing to undergo a procedure or action if you were in the patient's place is known as the: A) rationalization test. B) universalizability test. C) impartiality test. D) interpersonal justifiability test. Answer:C 34) Which of the following statements about a paramedic's skill competency is true? A) Low- frequency, hig-hcriticality skills should be rarely reviewed. B) All skills should be reviewed equally, regardless of criticality. C) High- frequency, low- criticality skills should be reviewed often. D) Frequent review of seldomly used skills is critical to maintain proficiency. Answer:D