EMD V13 0A COMPREHENSIVE ALL QUESTIONS AND
ANSWERS SET A+
✔✔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? -✔✔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? -✔✔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? -✔✔30-A-3
✔✔The head-tilt is the only recognized method of airway control in the PAI dispatch
environment. -✔✔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? -✔✔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? -✔✔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. -✔✔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. -✔✔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? -✔✔29-D-1b
✔✔ 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? -✔✔2-D-4
✔✔An effective quality improvement program includes case review, feedback, and: -
✔✔continuing dispatch education (CDE)
✔✔MPDS words or phrases that have a specific dispatch definition are marked using: -
✔✔all uppercase text (all capital letters)
✔✔The Priority Symptoms are: -✔✔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
ANSWERS SET A+
✔✔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? -✔✔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? -✔✔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? -✔✔30-A-3
✔✔The head-tilt is the only recognized method of airway control in the PAI dispatch
environment. -✔✔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? -✔✔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? -✔✔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. -✔✔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. -✔✔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? -✔✔29-D-1b
✔✔ 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? -✔✔2-D-4
✔✔An effective quality improvement program includes case review, feedback, and: -
✔✔continuing dispatch education (CDE)
✔✔MPDS words or phrases that have a specific dispatch definition are marked using: -
✔✔all uppercase text (all capital letters)
✔✔The Priority Symptoms are: -✔✔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
