FISDAP MEDICAL OPERATIONS PRACTICE TEST fully solved 2024/2025

FISDAP MEDICAL OPERATIONS PRACTICE TESTDuring the triage process, which of the following injuries or conditions would classify a patient as a high priority? A) Pulselessness and apnea B) Unilateral femur fracture and tachycardia C) Partial-thickness burns with no respiratory difficulty D) A large avulsion to the arm and an altered mental status - correct answer D During triage, patients with an altered mental status, who are in shock, or who have problems with their airway, breathing, or circulation are potentially salvageable and are given immediate priority. Patients who are pulseless and apneic have low priority in a mass-casualty situation. If you focus your efforts on cardiac arrest patients, who will most likely not survive anyway, patients who could have potentially been saved will die as well. Remember, the goal of triage is to provide the greatest good for the greatest number of patients. A 10-year-old child was struck by a car while crossing the street. He has bilateral femur fractures and a head injury. His father has been notified and is 20 minutes away from the scene. The EMT should: A) contact medical control to see if he/she will take custody of the child. B) attempt to contact the child's mother to see if she can be there sooner. C) begin immediate transport and have law enforcement update the father. D) stabilize the child at the scene until the father arrives and gives consent. - correct answer C The child in this scenario is critically-injured and needs immediate treatment and transport. In the interest of the child, it should be presumed that the parents would give consent to treat and transport if they were at the scene (implied consent). Begin emergency care, transport without delay, and ask a law enforcement officer to apprise the child's parents of your transport destination. When is it MOST appropriate to complete your patient care report for a critically ill or injured patient? A) Promptly after the primary assessment B) Any time before you arrive at the hospital C) As soon as all patient care activities are completed D) After the ambulance has been restocked at the station - correct answer C Patient care activities, especially when the patient's condition is critical, take priority over the completion of your patient care report (PCR). Once all patient care activities have been completed, you can complete the PCR. This is usually accomplished at the hospital or immediately upon returning to quarters. When the incident command system is activated at the scene, you should expect to: A) receive instructions and then function independently. B) be immediately directed to the established treatment area. C) report back to your section officer in between assignments. D) be assigned one responsibility for the duration of the incident. - correct answer C The incident command system (ICS) was established to maximize effective operations at the scene and maximize the number of lives saved. Deviation from the ICS jeopardizes lives and increases the risk of losing control over the situation. When you arrive at a scene where the ICS has been activated, you should report to the staging area; you will then be directed to the area in which you are needed. Report to the section officer of that area, receive your instructions, and carry them out. When you have completed your assignment, you must return to the section officer for further instructions. Depending on the situation, you may be sent to another section. The sections that you work in and the responsibilities that you are given may change during the incident. At no time should you attempt to function independently (freelancing); this defeats the purpose of the ICS and puts lives in jeopardy. When providing care to multiple patients at the scene of a mass-casualty incident, your goal should remain focused on: A) transporting patients to the hospital. B) immobilizing all patients at the scene. C) initiating CPR for those patients in cardiac arrest. D) keeping all bystanders at a safe distance. - correct answer A At the scene of a mass-casualty incident, you will be faced with many challenges, including ensuring your own safety, extrication, triage, and patient care. In the midst of all of these activities, however, you must never lose sight of your ultimate goal, which is to transport all patients to the hospital as soon as possible. The EMT should avoid focusing all of his or her attention on a single critical patient during the triage process because: A) three EMTs are required to effectively manage a critical patient. B) other patients may die from causes that could have been prevented. C) all of his or her supplies will likely be depleted on that one patient. D) the patient will most likely die before he or she can be transported. - correct answer B Triage is the process of rapidly assessing patients to determine their treatment priority. Focusing your attention on one patient during the triage process not only defeats the purpose of triage (to do the greatest good for the greatest number of people), but also neglects other patients who might die from injuries or conditions that could have been corrected if detected earlier. A conscious and alert 92-year-old woman with chest pain is refusing EMS treatment and transport to the hospital. Her family insists that you transport her. This situation is MOST appropriately managed by: A) transporting the patient as the family wishes. B) advising the patient of the risks of refusing care. C) obtaining a signed refusal from a family member. D) transporting the patient as you explain your actions. - correct answer B Just because the patient is 92 years old does not mean that she does not have decision-making capacity and cannot make an informed decision. In cases where any patient refuses care, after determining that the patient has decision-making capacity (ie, is of legal age, is not impaired by drugs or alcohol), you must inform the patient of the potential risks of refusing care, namely death. If the patient is aware of and willing to accept the potential consequences of his or her refusal, a refusal of treatment and/or transport form should be signed by the patient. A non-biased witness (ie, law enforcement officer, emergency medical responder [EMR]) should also sign the refusal form. How does a unified incident command system differ from a single incident command system?