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Prehospital Emergency Care, 11e (Mistovich et al.)
Prehospital Emergency Care, 11e (Mistovich et al.)
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Prehospital Emergency Care, 11e (Mistovich et al.) II II II II II IIChapter 1 Emergency Care Systems, Research, and Public Health
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1) What is a primary purpose of the modern-day EMS system?
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A) Provide a means of transport to and from the hospital
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B) Ensure that all members of society have equal access to hospitals
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C) Decrease the incidence of death and disability related to injury and illness
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D) Provide emergency health care services to medically underserved areas
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Answer: C
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Diff: 2
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Objective: 1-2 I I
2) Most authorities agree that the modern-day EMS system evolved after the release of which
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document?
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A) The Emergency Medical Services Act of 1973
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B) The white paper "Accidental Death and Disability: The Neglected Disease of Modern
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Society" in 1966
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C) The American Heart Association's Guidelines for Cardiac Resuscitation
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D) Emergency Medical Services: Agenda for the Future, in 1996 II II II II II II II II
Answer: B
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Diff: 1
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Objective: 1-2 I I
3) An Emergency Medical Responder comes to you and states that he would like to work for
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your emergency ambulance service on a full-time basis. Knowing the National EMS Scope of
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Practice Model, you inform him of which element?
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A) He will be able to take care of only patients with non-life-threatening complaints
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B) He will first need approval from your ambulance service's medical director
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C) He will be able to work only with an Advanced EMT or paramedic
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D) He will first have to become an Emergency Medical Technician
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Answer: D
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Diff: 1
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Objective: 1-1 I I
4) As defined by the National EMS Scope of Practice Model, the four levels of EMS
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practitioners include:
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A) Ambulance drivers II
B) EMS medical director II II
C) Paramedics
D) Emergency medical dispatchers II II
Answer: C
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Diff: 1
II Page Ref: 6-7 II II
Objective: 1-3 I I
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Copyright © 2018 Pearson Education, Inc. II II II II II
,5) An Emergency Medical Responder (EMR) approaches you and states that he is interested in
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becoming an EMT. Specifically, he asks what he will be able to do as an EMT that he cannot
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presently do as an EMR. You respond by saying he will be able to:
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A) Administer some medications II II
B) Assist in emergency childbirth II II II
C) Use an automated external defibrillator
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D) Obtain vital signs II II
Answer: A
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Diff: 1
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Objective: 1-5 I I
6) You have been dispatched for a 61-year-old female in cardiac arrest. Emergency Medical
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Responders (EMRs) are on scene. In your community, all EMS practitioners are trained
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according to the National EMS Scope of Practice Model. Given this, which type of care do you
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expect the EMRs to be providing?
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A) Emergency medication administration II II
B) Automated external defibrillation II II
C) Intravenous therapy II
D) Reading an electrocardiogram II II
Answer: B
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Diff: 2
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Objective: 1-5 I I
7) An EMT with your service states that she desires to become a paramedic because she wants to
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provide advanced care. Under the National EMS Scope of Practice Model, which one of these
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types of care will she be able to provide as a paramedic that she cannot provide as an EMT?
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A) Automated blood pressure monitoring II II II
B) Assistance with emergency childbirth II II II
C) Interfacility transports II
D) IV therapy
II
Answer: D
II I I
Diff: 1
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Objective: 1-5 I I
8) Which statement made by an EMT requires immediate intervention by a superior or the
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service supervisor?
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A) "I always wear my seat belt whenever I am in the patient compartment of the ambulance,
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unless I have to remove it to care for a patient."
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B) "I drive as fast as I can to get to the scene of an emergency, especially if a child is sick or
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injured according to dispatch information."
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C) "When I am driving with lights and sirens, I instruct my partner that he will need to handle all
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radio communications."
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D) "I put exam gloves on for every patient I contact, even if he or she does not have a known or
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suspected infectious disease."
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Answer: B I I
Diff: 1
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Objective: 1-7 I I
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Copyright © 2018 Pearson Education, Inc. II II II II II
,9) Which statement shows that the EMT has a good understanding of her role and
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responsibilities related to being an EMT?
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A) "The patient's needs come before anyone else's needs."
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B) "At the scene of an emergency, my responsibility is to get to the patient no matter what."
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C) "My safety comes first, and then the patient's safety."
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D) "As an EMT, I recognize that the public's safety comes before the safety of me or my
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partner."
II
Answer: C I I
Diff: 2 Page Ref: 8-9
II II II
Objective: 1-7 I I
10) An ambulance with two EMTs arrives in front of a house for an unknown medical
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emergency. On scene, bystanders report that a female patient was beaten by her husband in the
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driveway and then dragged back into the house. They state that the patient appeared unconscious
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and was bleeding from the head. Which action would the EMTs perform next?
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A) Do not enter the scene until it has been controlled by law enforcement
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B) Quietly enter the home and quickly move the patient to the ambulance
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C) Remove the husband from the house, then provide emergency care to the wife
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D) Enter the home to protect the patient while waiting for the police to arrive
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Answer: A
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Diff: 2 Page Ref: 9
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Objective: 1-7 I I
11) Why is EMS in a unique position to contribute significantly to mobile integrated health care?
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A) EMS providers are familiar with and capable of functioning in the out-of-hospital
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environment
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B) Ambulances are easily identified II II II
C) The community trusts uniformed health care providers
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D) EMS providers are familiar with the many routes of medication administration
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Answer: A
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Diff: 1 Page Ref: 17
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Objective: 1-15 I I
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Copyright © 2018 Pearson Education, Inc. II II II II II
, 12) You have arrived on the scene of a motor vehicle collision. A car has gone off the road and
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into a utility pole. The pole is broken and wires are hanging just above the car. You do not see
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any sparking or arcing of the wires. The driver of the car is slumped over the steering wheel and
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not moving. Several bystanders around the car are yelling for you to help. Which steps represent
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the correct order of your response?
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A) Clear the bystanders, allow the fire department to secure the wires, access the patient,
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extricate the patient, transport
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B) Access the patient, clear the bystanders, allow the fire department to secure the wires,
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extricate the patient, transport
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C) Clear the bystanders, access the patient, extricate the patient, transport, allow the fire
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department to secure the wires
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D) Access the patient, allow the fire department to secure the wires, clear the bystanders,
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extricate the patient, transport
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Answer: A I I
Diff: 2 Page Ref: 8-9
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Objective: 1-7 I I
13) Once a scene is free of safety hazards, the EMT must recognize and focus on the needs of
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the:
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A) Rescuers
B) Patient
C) Family
D) Bystanders
Answer: B
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Diff: 1 Page Ref: 9
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Objective: 1-7 I I
14) You have been asked to sit on your service's quality improvement (QI) committee. As a
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knowledgeable EMT, you recognize that in this role you will be involved in projects that are
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primarily designed to:
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A) Communicate with insurance companies for increased reimbursement II II II II II II
B) Recruit and educate EMTs about the Emergency Medical Services profession
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C) Develop ways in which the delivery of emergency care can be improved
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D) Identify and reeducate EMTs who routinely do not provide proper care
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Answer: C
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Diff: 2 Page Ref: 13
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Objective: 1-10 I I
15) What would be a logical project to be undertaken and developed by a quality improvement
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(QI) committee?
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A) Termination of EMTs who are chronically late to work II II II II II II II II
B) A program by which pay raises are based on performance and attitude
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C) Community fundraiser to raise money for new EMS equipment II II II II II II II II
D) Monthly continuing education programs in which seldom-used skills are practiced
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Answer: D
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Diff: 2 Page Ref: 14
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Objective: 1-10 I I
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