Prehospital Emergency Care, 11e (Mistovich et al.)
Chapter 1 Emergency Care Systems, Research, and Public Health
1) What is a primary purpose of the modern-day EMS system?
A) Provide a means of transport to and from the hospital
B) Ensure that all members of society have equal access to hospitals
C) Decrease the incidence of death and disability related to injury and illness
D) Provide emergency health care services to medically underserved areas
Answer: C
Diff: 2 Page Ref: 7
Objective: 1-2
2) Most authorities agree that the modern-day EMS system evolved after the release of which
document?
A) The Emergency Medical Services Act of 1973
B) The white paper "Accidental Death and Disability: The Neglected Disease of Modern
Society" in 1966
C) The American Heart Association's Guidelines for Cardiac Resuscitation
D) Emergency Medical Services: Agenda for the Future, in 1996
Answer: B
Diff: 1 Page Ref: 3
Objective: 1-2
3) An Emergency Medical Responder comes to you and states that he would like to work for
your emergency ambulance service on a full-time basis. Knowing the National EMS Scope of
Practice Model, you inform him of which element?
A) He will be able to take care of only patients with non-life-threatening complaints
B) He will first need approval from your ambulance service's medical director
C) He will be able to work only with an Advanced EMT or paramedic
D) He will first have to become an Emergency Medical Technician
Answer: D
Diff: 1 Page Ref: 6-7
Objective: 1-1
4) As defined by the National EMS Scope of Practice Model, the four levels of EMS
practitioners include:
A) Ambulance drivers
B) EMS medical director
C) Paramedics
D) Emergency medical dispatchers
Answer: C
Diff: 1 Page Ref: 6-7
Objective: 1-3
5) An Emergency Medical Responder (EMR) approaches you and states that he is interested in
becoming an EMT. Specifically, he asks what he will be able to do as an EMT that he cannot
presently do as an EMR. You respond by saying he will be able to:
A) Administer some medications
B) Assist in emergency childbirth
C) Use an automated external defibrillator
D) Obtain vital signs
Answer: A
Diff: 1 Page Ref: 6-7
Objective: 1-5
6) You have been dispatched for a 61-year-old female in cardiac arrest. Emergency Medical
Responders (EMRs) are on scene. In your community, all EMS practitioners are trained
according to the National EMS Scope of Practice Model. Given this, which type of care do you
expect the EMRs to be providing?
A) Emergency medication administration
B) Automated external defibrillation
C) Intravenous therapy
D) Reading an electrocardiogram
Answer: B
Diff: 2 Page Ref: 6
Objective: 1-5
7) An EMT with your service states that she desires to become a paramedic because she wants to
provide advanced care. Under the National EMS Scope of Practice Model, which one of these
types of care will she be able to provide as a paramedic that she cannot provide as an EMT?
A) Automated blood pressure monitoring
B) Assistance with emergency childbirth
C) Interfacility transports
D) IV therapy
Answer: D
Diff: 1 Page Ref: 7
Objective: 1-5
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