Test Bank For Prehospital Emergency Care, 12th Edition by Joseph J. Mistovich Keith J Karren Brent Q. Hafen Chapter 1-44

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,TEST BANK FOR v v




Prehospital EmergencyCare, 12th Edition byJoseph J. Mistovich Keith J Karren Brent Q. Hafen
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Chapter 1-44 v




Chapter 1Emergency Medical ServiceSystems, Research, and Public Health
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1) What is a primarypurpose of the modern-day EMS system?
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A) Provide a means of transport to and from the hospital v v v v v v v v v




B) Ensure that all members of societyhave equal access to hospitals
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C) Decrease the incidence of death and disabilityrelated to injuryand illness
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D) Provideemergencyhealth careservices to medicallyunderserved areas Answer: C Diff:
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Objective: 1-2 v




2) Most authorities agree that the modern-dayEMS system evolved after therelease of which
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document?
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A) The EmergencyMedical Services Act of 1973
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B) Thewhite paper "Accidental Death and Disability: TheNeglected Disease of Modern Society,"in 1966
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C) TheAmerican Heart Association's Guidelines for Cardiac Resuscitation
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D) EmergencyMedicalServices: Agenda forthe Future, in1996Answer:B Diff: v v v v v v v v v v v




1 Page Ref: 2
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3) An Emergency Medical Responder comes to you and states that they would like to work for your
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emergency ambulance service on a full-time basis. Knowing the National EMS Scope of Practice
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Model, you inform them of which element they need to attain first?
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A) Theywill be able to take care of onlypatients with non-life-threatening complaints.
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B) Theywill first need approval from your ambulance service's medical director.
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C) They will be able to work only with an Advanced Emergency Medical Technician (AEMT) or
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Paramedic.
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D) Theywill first haveto become an EmergencyMedical Technician (EMT). Answer: D Diff: 1
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4) As defined bythe National EMS Scopeof PracticeModel, the fourlevels of EMS practitioners include:
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A) Ambulancedrivers. v




B) EMS medical director. v v




C) Paramedics.
D) Emergencymedicaldispatchers.Answer:C v v v v




vDiff: 1 v Page Ref: 6 v v




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,Objective: 1-3 v v




5) An Emergency Medical Responder (EMR) approaches you and states that they are interested in
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becoming anEMT. Specifically, theyask what theywill beabletodo as an EMT thattheycannot presently
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do as an EMR. You respond by saying they will be able to:
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A) Administer some medications. v v




B) Assist in emergencychildbirth. v v v




C) Usean automated external defibrillator.
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D) Obtainvitalsigns. v v




Answer: A
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Diff:1 PageRef: 5-6
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Objective: 1-5 v v




6) You have been dispatched for a 61-year-old female in cardiac arrest. Emergency Medical
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Responders (EMRs) are on the scene. In your community, all EMS practitioners are trained
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accordingtotheNational EMSScopeofPracticeModel.Giventhis,whichtypeof caredo you expect
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the EMRs to be providing?
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A) Emergencymedication administration v v




B) Automatedexternal defibrillation v v




C) Intravenoustherapy v




D) Readinganelectrocardiogram v v




Answer: B
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Diff:2 PageRef: 5-6
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Objective: 1-5 v v




7) AnEMTwith yourservicestatesthattheydesiretobecome aParamedic becausetheywant to provide
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advanced care. Under the National EMS Scope of Practice Model, which one of these types of care will
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they be able to provide as a Paramedic that they cannot provide as an EMT?
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A) Useof an automated blood pressuremonitoring
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B) Assistancewith emergencychildbirth v v v




C) Providinginterfacilitytransports v v




D) Initiatingintravenous(IV)therapy v v v




Answer: D
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Objective: 1-5 v v




8) WhichstatementmadebyanEMTrequiresimmediateinterventionbyasuperiorortheservice
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supervisor?
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A) "IalwayswearmyseatbeltwheneverIaminthepatientcompartmentoftheambulance,unless I have to
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remove it to care for a patient."
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B) "IdriveasfastasIcantogettothesceneofanemergency,especiallyifachildissickorinjured according
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to dispatch information."
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C) "When Iamdrivingwith lightsandsirens, Iinstruct mypartner thathe will needtohandleall radio
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communications."
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D) "Iput examgloveson for everypatient Icontact, evenifheorshedoes not haveaknownor suspected
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infectious disease."
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Answer: B v v




Diff:1 PageRef: 7
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, Objective: 1-7 v v




9) WhichstatementshowsthattheEMThasagoodunderstandingoftheirroleandresponsibilities related
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to being an EMT?
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A) "Thepatient's needs come before anyone else's needs."
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B) "Atthe scene of an emergency, myresponsibilityis to get to the patient no matter what."
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C) "Mysafetycomes first, and then the patient's safety."
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D) "AsanEMT, Irecognizethatthepublic's safetycomes beforethesafetyofmeormypartner." Answer:
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vC
Diff:2 PageRef: 7
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Objective: 1-7 v v




10) AnambulancewithtwoEMTsarrivesinfrontofahouseforanunknownmedicalemergency. On
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scene, bystanders report that a female patient was beaten byher husband in the drivewayand then
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dragged back into the house. They state that the patient appeared unconscious and was bleeding from
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the head. Which action would the EMTs perform next?
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A) Donot enter the scene until it has been controlled bylaw enforcement.
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B) Quietlyenter the home and quicklymove the patient to the ambulance. v v v v v v v v v v v




C) Removethe husband from the house, then provide emergencycare to the wife. v v v v v v v v v v v v




D) Enterthehometoprotect thepatientwhilewaitingforthepolicetoarrive.v v v v v v v v v v v v v




Answer: A
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11) Whyis EMS in a unique position to contribute significantlyto mobile integrated health care?
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A) EMSprovidersarefamiliarwithandcapableoffunctioningintheout-of-hospitalenvironment.
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B) Ambulances are easilyidentified. v v v




C) Thecommunitytrusts uniformed health careproviders.
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D) EMSprovidersarefamiliarwiththemanyroutesofmedicationadministration.
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Answer: A
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12) Youhavearrivedonthesceneofamotorvehiclecollision.Acarhasgoneofftheroadandinto a utility
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pole. The pole is broken and wires are hanging just above the car. You do not see any sparking or arcing
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of the wires. The driver of the car is slumped over the steering wheel and not moving. Several bystanders
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around the car are yelling for you to help. Which steps represent the correct order of your response?
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A) Clearthebystanders,allowthefiredepartmenttosecurethewires,accessthepatient,extricate the
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patient, transport
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B) Accessthepatient,clearthebystanders,allowthefiredepartmenttosecurethewires,extricate the v v v v v v v v v v v v v v v




patient, transport
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C) Clearthebystanders,accessthepatient,extricatethepatient,transport,allowthefire
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department to secure the wires
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D) Accessthepatient,allowthefiredepartmenttosecurethewires,clearthebystanders,extricate the v v v v v v v v v v v v v v v




patient, transport
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Answer: A v v




Diff:2 PageRef: 7-8
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Objective: 1-7 v v




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