EMD v13.0a Recertification Exam OUTEC

A second-party caller reports that a 45-year-old female has been bitten by a snake. Key Questioning finds: snake is now dead patient is alert no difficulty breathing or swallowing What is the most appropriate Determinant Code? - ANS 2-D-4 An effective quality improvement program includes case review, feedback, and: - ANS continuing dispatch education (CDE) MPDS words or phrases that have a specific dispatch definition are marked using: - ANS all uppercase text (all capital letters) The Priority Symptoms are: - ANS abnormal breathing, chest pain/discomfort (any), decreased level of consciousness, and SERIOUS hemorrhage An alert, 34-year-old, first-party caller reports that he is having chest pain. Key Questioning finds: slight difficulty breathing no difficulty speaking between breaths clammy no history of heart attack or angina no drugs or medications in the past 12 hours What is the most appropriate Determinant Code? - ANS 10-D-4 When using the MPDS, actual response assignments and emergency modes (lights-and-siren vs. no lights-and-siren) are predetermined by: - ANS local Medical Control and EMS Administration You are using the Stroke Diagnostic Tool. The caller reports: slight difference in smile one arm higher than other (both raised, but unequally) said "The early bird catches the worm" correctly This should be considered: - AND STRONG evidence of stroke Which of the following is the best definition for "cervical cerclage"? - ANS a surgical procedure meant to prevent premature dilation of the cervix and, therefore, premature labor A second-party caller reports that his 85-year-old sister says her heart is beating way too fast and she needs to go to the doctor. The patient is awake and breathing effectively. Immediately after completing Case Entry interrogation, you should go to: - ANS Protocol 19: Heart Problems/A.I.C.D A second-party caller reports that her 42-year-old husband is currently having a seizure. During Case Entry, the caller reports that the patient is not awake and is not breathing, but is still seizing. What is the most appropriate Chief Complaint Protocol to use for this case? - ANS Convulsions/Seizures Which of the following is the best definition for "repetitive persistence"? - ANS A calming technique in which the call taker repeats a phrase verbatim using a firm but caring tone. The phrase should contain both an action and a reason for the action. A second-party caller reports that her 81-year-old mother just fell (ground level) and may have broken her hip. During Case Entry, the caller reports that the patient is awake and breathing. In response to Key Question 2 on Protocol 17, the caller reports that the patient was dizzy and may have fainted. What should you do next? - ANS Shunt to Protocol 31. In response to Case Entry Question 3, the caller reports that her 34-year-old husband accidentally set himself on fire while using gasoline to ignite a campfire. The man is still on fire. What should you do next? - ANS Immediately initiates a 7-E-1 response and provides the appropriate Case Entry PDIs. If the EMD does not understand the caller's language well enough to determine a Chief Complaint and no one on duty is able to assist, the EMD should: - ANS send 32-B-4, immediately contact a language line service, if available, and reconfigure as appropriate. If the caller believes a DNR (Do Not Resuscitate Order) should be ignored or is uncertain if a DNR is valid or in place, an appropriate response and resuscitation attempt should be made. - ANS true Key Question 1 on Protocol 16 is "Is s/he completely alert (responding appropriately)?" According to MPDS standards, it is acceptable to read this question as "Is she completely alert and responding appropriately?" - ANS false What is the most appropriate Chief Complaint Protocol to use when the caller is reporting autonomic dysreflexia/hyperreflexia? - ANS 26: Sick Person (Specific Diagnosis) Most emergency callers are uncooperative or hysterical. - ANS false There is no way over the phone to tell whether STROKE-like symptoms are from a TIA (TRANSIENT ISCHEMIC ATTACK) or an acute STROKE. - ANS true A second-party caller reports that his 52-year-old wife is complaining of abdominal pain. The patient: is completely alert is breathing effectively has never been diagnosed with an aortic aneurysm describes the pain as a dull ache nearly fainted trying to get out of bed has pain below the belly button (navel) What is the most appropriate Determinant Code? - ANS 1-C-3 A second-party caller reports that a 28-year-old female has just been struck by lightning. The patient is currently unconscious and not breathing at all. Which pathway should be selected on Protocol C, Panel 4? - ANS Ventilations (V) 1st When using Protocol 22, which of the following body parts is considered PERIPHERAL? - ANS hand The International Academies of Emergency Dispatch recommends that emergency dispatchers verify the address and callback number by repeating the information back to the caller. - ANS false A second-party caller reports that an unconscious man is slumped over the steering wheel of his car in the parking lot of her apartment complex. The caller does not know if the patient is breathing. A note attached to the driver's side window says "Warning! Dangerous chemicals inside!" What is the most appropriate Chief Complaint Protocol to use for this case? - ANS 8: Carbon Monoxide/Inhalation/HAZMAT/CBRN In response to Case Entry Question 3, a 10-year-old caller reports that he believes his 16-year-old sister has drowned. She is currently at the bottom of the family swimming pool. What should you do next? - ANS Send 14-E-2, provide Case Entry PDIs a and c, and then return to questioning. Which of the following lists contains the four elements necessary to prove negligence in a court of law? - ANS duty, breach of duty, damage, causation You are providing Childbirth-Delivery instructions from Protocol F. In response to the operant question on Panel 10, "Is the afterbirth (placenta) out yet?" The caller reports that the afterbirth is not out, but the mother is experiencing serious cramping. What should you do next? - ANS Link to Panel 37. A second-party caller is reporting an assault on a 26-year-old male patient. Key Questioning finds: no SERIOUS bleeding completely alert injuries to head and chest no difficulty breathing (breathing normally) happened 30 minutes ago What is the most appropriate Determinant Code? - ANS 4-B-1A An unconscious, non-breathing hypothermia patient should always be considered an OBVIOUS DEATH until proven otherwise. - AND false PDI-b on Protocol 6 has a Pre-Instruction Qualifier (PIQ) of "(≥1 + E-1 or D-1, 2, 3)." This PIQ indicates that PDI-b should be given: - ANS whenever the patient is one year old or older and a 6-E-1, 6-D-1, 6-D-2, or 6-D-3 Determinant Code is appropriate for the case. What is the most appropriate Chief Complaint Protocol to use when the complaint description is a breathing-related tracheotomy (trach or stoma) problem in a conscious patient? - ANS 6: Breathing Problems Public safety agencies that fail to take appropriate remedial action against employees who demonstrate poor performance may be found liable for the employee's inappropriate actions based on the legal concept of: - ANS negligent retention. The Gap Theory suggests that: - ANS silent "gaps" during a call can elevate caller anxiety. A second-party caller is reporting that her 10-year-old daughter accidentally cut herself with a sharp knife and is bleeding all over. The patient is awake and breathing. In response to Key Question 1 on Protocol 21, the caller reports that the patient is bleeding from her cheek. What should you do next? - ANS Ask Key Question 2 on Protocol 21. The symbol in the "Go To" column of a Chief Complaint Protocol directs you to: - ANS use the Stroke Diagnostic & return to questioning. Which of the following is the best definition for "wake-effect collision"? - AND a traffic accident caused by the passage of an emergency vehicle that does not directly involve (hit) the emergency vehicle A high school teacher reports that a 16-year-old student accidentally cut her finger off in the woodshop. There is some bleeding, but the bleeding is not SERIOUS. The patient is alert, and the accident happened about 5 minutes ago. What is the most appropriate Determinant Code? - ANS 30-A-2 A second-party caller reports that his wife is in labor. He does not believe they can get to the hospital in time. Key Questioning finds: 39 weeks pregnant cannot see any part of the baby yet third full pregnancy and delivery contractions 2 minutes apart no SERIOUS bleeding no HIGH RISK complications What is the most appropriate Determinant Code? - ANS 24-D-3 When a caller is having difficulty understanding you over the phone, speaking slower is generally more helpful than speaking louder. - ANS True The symbol in the "Go To" column of a Chief Complaint Protocol directs you to: - ANS go to PDIs, then DLS Links. A second-party caller is reporting that her 11-year-old son burned his hand and arm when a recreational firework went off in his hand. Key Questioning finds: nothing still burning or smoldering completely alert no difficulty breathing hand and arm burned (no other injuries reported) happened 10 minutes ago What is the most appropriate Determinant Code? - ANS 7-A-1W A second-party caller reports that his nine-month-old daughter just fell 12 feet (3.5 meters) from a balcony. The caller reports that there is no bleeding and that the patient is completely alert, but he is worried because she hit her head. The patient has been moved inside. What is the most appropriate Determinant Code? - ANS 17-D-6 An alert, 38-year-old, first-party caller reports that she fell six feet (two meters) from the top of a ladder about two hours ago. She is now experiencing severe back pain and cannot get out of her bed because of the pain. What is the most appropriate Chief Complaint Protocol to use for this case? - ANS 17: Falls A second-party caller reports that his 12-year-old son injured his hip playing football. There is no bleeding, and the patient is completely alert and breathing normally. The caller reports that the injury occurred last night (over 10 hours ago), but the boy just woke up and is complaining that he can barely walk because of the pain. What is the most appropriate Determinant Code? - ANS 30-A-3 The head-tilt is the only recognized method of airway control in the PAI dispatch environment. - ANS true A second-party caller reports that his 17-year-old friend was stabbed during a fight. During Case Entry, the caller reports that the patient is awake and breathing. Key Questioning finds: SERIOUS bleeding completely alert stabbed in abdomen one wound just happened What is the most appropriate Determinant Code? - ANS 27-D-4S During Case Entry, a second-party caller reports that his 12-year-old stepson is having a generalized (non-FOCAL/non-ABSENCE) seizure. Key Questioning finds: not more than one seizure in a row not diabetic epileptic (diagnosed seizure disorder) no history of STROKE or brain tumor jerking (twitching) stopped effective breathing verified using AGONAL BREATHING Detector What is the most appropriate Determinant Code? - ANS 12-A-1E According to the First Law of Chest or Back Pain, "hurts to breathe" should be considered the same as difficulty breathing until proven otherwise. - ANS false On the Case Entry Protocol, use of the AGONAL BREATHING Detector is not necessary when UNCERTAIN BREATHING or INEFFECTIVE BREATHING is associated with unconsciousness. - ANS true A third-party caller reports that a bus full of passengers just crashed into a large tree. The caller has no other information about the incident. What is the most appropriate Determinant Code? - ANS 29-D-1b