CHAPTER 1: EMS SYSTEMS
1. The primary mission of EMS is:
A. Hospital administration
B. Prehospital emergency care and transport
C. Medical billing
D. Research
2. An EMR (Emergency Medical Responder) is trained to:
A. Administer IV medications
B. Provide immediate lifesaving care
C. Perform endotracheal intubation
D. Interpret ECGs
3. Medical oversight of EMS providers is the responsibility of:
A. Fire department chiefs
B. Medical directors
C. State governors
D. Hospital nurses
4. Continuous Quality Improvement (CQI) focuses on:
A. Reducing ambulance costs
B. Evaluating and improving patient care
C. Staff scheduling efficiency
D. Public relations
5. The National Highway Traffic Safety Administration (NHTSA) defines EMS as having:
A. 3 components
B. 10 components
C. 15 components
D. 5 components
6. Off-line medical control refers to:
A. Direct physician supervision
B. Protocols and standing orders
C. Telemedicine consultations
D. Hospital transfer agreements
7. The "Chain of Survival" for cardiac arrest begins with:
, A. Advanced hospital care
B. Early recognition and access to EMS
C. Defibrillation
D. Paramedic response
8. Which entity establishes the National EMS Scope of Practice Model?
A. CDC
B. NHTSA
C. FDA
D. OSHA
9. Public Access Defibrillation (PAD) programs empower:
A. Physicians only
B. Laypersons to use AEDs
C. Nurses in clinics
D. EMTs to intubate
10. The purpose of the NREMT is to:
A. Manufacture ambulances
B. Certify EMS providers nationally
C. Train dispatchers
D. Set hospital standards
11. Integrated health care systems involve coordination between EMS and:
A. Grocery stores
B. Hospitals and public health agencies
C. Law enforcement only
D. Insurance companies
12. Evidence-Based Guidelines (EBGs) ensure:
A. Cost reduction
B. Treatments align with scientific research
C. Faster response times
D. Uniform ambulance designs
13. An EMT's primary duty is:
A. Diagnosing illnesses
B. Providing safe transport and basic care
C. Prescribing medications
, D. Performing surgery
14. The "P" in the 10 NHTSA EMS components stands for:
A. Paramedic
B. Public education
C. Pharmacology
D. Pediatrics
15. Immediate post-cardiac arrest care occurs in:
A. The field
B. Specialized hospital settings
C. Ambulances only
D. Urgent care clinics
16. EMTs must maintain certification through:
A. Annual drug testing
B. Continuing education and skills verification
C. Hospital internships
D. Community service
17. The "Golden Hour" concept emphasizes:
A. Billing efficiency
B. Rapid trauma care within 60 minutes
C. Shift handovers
D. Dispatcher training
18. A trauma center designated as Level I provides:
A. Basic life support
B. Comprehensive 24/7 trauma care
C. Rehabilitation only
D. Telemedicine consultations
19. A patient's refusal of care must be:
A. Ignored if life-threatening
B. Documented with informed consent
C. Approved by law enforcement
D. Verified by family
20. The FIRST step in EMS research is:
, A. Publishing results
B. Identifying a clinical question
C. Purchasing equipment
D. Hiring statisticians
21. Which is an EMS system "response" component?
A. Training curricula
B. Ambulance deployment
C. Hospital bed capacity
D. Insurance reimbursement
22. Community paramedicine focuses on:
A. Emergency calls only
B. Reducing hospital readmissions
C. Fire suppression
D. Disaster response
23. A "destination policy" determines:
A. EMT salaries
B. Where patients are transported
C. Ambulance fuel type
D. Shift durations
24. The STOP-BANG questionnaire screens for:
A. Stroke risk
B. Obstructive sleep apnea
C. Diabetes
D. Sepsis
25. Incident Command System (ICS) is activated during:
A. Routine transports
B. Mass-casualty incidents
C. Hospital admissions
D. Training exercises
Answer Key
1. B | 2. B | 3. B | 4. B | 5. B | 6. B | 7. B | 8. B | 9. B | 10. B 11. B | 12. B | 13. B | 14. B | 15. B |
16. B | 17. B | 18. B | 19. B | 20. B 21. B | 22. B | 23. B | 24. B | 25. B
1. The primary mission of EMS is:
A. Hospital administration
B. Prehospital emergency care and transport
C. Medical billing
D. Research
2. An EMR (Emergency Medical Responder) is trained to:
A. Administer IV medications
B. Provide immediate lifesaving care
C. Perform endotracheal intubation
D. Interpret ECGs
3. Medical oversight of EMS providers is the responsibility of:
A. Fire department chiefs
B. Medical directors
C. State governors
D. Hospital nurses
4. Continuous Quality Improvement (CQI) focuses on:
A. Reducing ambulance costs
B. Evaluating and improving patient care
C. Staff scheduling efficiency
D. Public relations
5. The National Highway Traffic Safety Administration (NHTSA) defines EMS as having:
A. 3 components
B. 10 components
C. 15 components
D. 5 components
6. Off-line medical control refers to:
A. Direct physician supervision
B. Protocols and standing orders
C. Telemedicine consultations
D. Hospital transfer agreements
7. The "Chain of Survival" for cardiac arrest begins with:
, A. Advanced hospital care
B. Early recognition and access to EMS
C. Defibrillation
D. Paramedic response
8. Which entity establishes the National EMS Scope of Practice Model?
A. CDC
B. NHTSA
C. FDA
D. OSHA
9. Public Access Defibrillation (PAD) programs empower:
A. Physicians only
B. Laypersons to use AEDs
C. Nurses in clinics
D. EMTs to intubate
10. The purpose of the NREMT is to:
A. Manufacture ambulances
B. Certify EMS providers nationally
C. Train dispatchers
D. Set hospital standards
11. Integrated health care systems involve coordination between EMS and:
A. Grocery stores
B. Hospitals and public health agencies
C. Law enforcement only
D. Insurance companies
12. Evidence-Based Guidelines (EBGs) ensure:
A. Cost reduction
B. Treatments align with scientific research
C. Faster response times
D. Uniform ambulance designs
13. An EMT's primary duty is:
A. Diagnosing illnesses
B. Providing safe transport and basic care
C. Prescribing medications
, D. Performing surgery
14. The "P" in the 10 NHTSA EMS components stands for:
A. Paramedic
B. Public education
C. Pharmacology
D. Pediatrics
15. Immediate post-cardiac arrest care occurs in:
A. The field
B. Specialized hospital settings
C. Ambulances only
D. Urgent care clinics
16. EMTs must maintain certification through:
A. Annual drug testing
B. Continuing education and skills verification
C. Hospital internships
D. Community service
17. The "Golden Hour" concept emphasizes:
A. Billing efficiency
B. Rapid trauma care within 60 minutes
C. Shift handovers
D. Dispatcher training
18. A trauma center designated as Level I provides:
A. Basic life support
B. Comprehensive 24/7 trauma care
C. Rehabilitation only
D. Telemedicine consultations
19. A patient's refusal of care must be:
A. Ignored if life-threatening
B. Documented with informed consent
C. Approved by law enforcement
D. Verified by family
20. The FIRST step in EMS research is:
, A. Publishing results
B. Identifying a clinical question
C. Purchasing equipment
D. Hiring statisticians
21. Which is an EMS system "response" component?
A. Training curricula
B. Ambulance deployment
C. Hospital bed capacity
D. Insurance reimbursement
22. Community paramedicine focuses on:
A. Emergency calls only
B. Reducing hospital readmissions
C. Fire suppression
D. Disaster response
23. A "destination policy" determines:
A. EMT salaries
B. Where patients are transported
C. Ambulance fuel type
D. Shift durations
24. The STOP-BANG questionnaire screens for:
A. Stroke risk
B. Obstructive sleep apnea
C. Diabetes
D. Sepsis
25. Incident Command System (ICS) is activated during:
A. Routine transports
B. Mass-casualty incidents
C. Hospital admissions
D. Training exercises
Answer Key
1. B | 2. B | 3. B | 4. B | 5. B | 6. B | 7. B | 8. B | 9. B | 10. B 11. B | 12. B | 13. B | 14. B | 15. B |
16. B | 17. B | 18. B | 19. B | 20. B 21. B | 22. B | 23. B | 24. B | 25. B
