EMD V13 0A EVALUATION TEST QUESTIONS AND
ANSWERS SET A+
✔✔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? -✔✔10-D-4
✔✔When using the MPDS, actual response assignments and emergency modes (lights-
and-siren vs. no lights-and-siren) are predetermined by: -✔✔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: -✔✔STRONG evidence of stroke
✔✔Which of the following is the best definition for "cervical cerclage"? -✔✔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: -
✔✔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? -✔✔Convulsions/Seizures
✔✔Which of the following is the best definition for "repetitive persistence"? -✔✔A
calming technique in which the calltaker 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? -✔✔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? -✔✔Immediately initiate a 7-E-1 response
and provide 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: -✔✔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. -✔✔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?" -✔✔false
✔✔What is the most appropriate Chief Complaint Protocol to use when the caller is
reporting autonomic dysreflexia/hyperreflexia? -✔✔26: Sick Person (Specific Diagnosis)
✔✔Most emergency callers are uncooperative or hysterical. -✔✔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. -✔✔true
✔✔A second-party caller reports that his 52-year-old wife is complaining of abdominal
pain. The patient:
ANSWERS SET A+
✔✔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? -✔✔10-D-4
✔✔When using the MPDS, actual response assignments and emergency modes (lights-
and-siren vs. no lights-and-siren) are predetermined by: -✔✔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: -✔✔STRONG evidence of stroke
✔✔Which of the following is the best definition for "cervical cerclage"? -✔✔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: -
✔✔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? -✔✔Convulsions/Seizures
✔✔Which of the following is the best definition for "repetitive persistence"? -✔✔A
calming technique in which the calltaker 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? -✔✔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? -✔✔Immediately initiate a 7-E-1 response
and provide 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: -✔✔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. -✔✔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?" -✔✔false
✔✔What is the most appropriate Chief Complaint Protocol to use when the caller is
reporting autonomic dysreflexia/hyperreflexia? -✔✔26: Sick Person (Specific Diagnosis)
✔✔Most emergency callers are uncooperative or hysterical. -✔✔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. -✔✔true
✔✔A second-party caller reports that his 52-year-old wife is complaining of abdominal
pain. The patient:
