Exam (elaborations)
Fisdap Operations Exam/115 Questions and Answers /Distinction Graded
Fisdap Operations Exam/115 Questions and Answers /Distinction Graded
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Fisdap Operations Exam/115 Questionsand Answers /Distinction Graded
A patient is found unresponsive in his small bathroom. He is not breathing
and is sitting in the corner. Two EMTs are able to reach him, but they are
unable to stand side by side. He appears to weigh about 150 pounds and
there is no evidence that he has been injured. Which of the following would
be the quickest and MOST practical way of moving him out of the bathroom?
A) Extremity lift
B) Long backboard
C) Direct ground lift
D) Stair chair device - -A) Extremity lift
When moving any patient, you should do so in the safest, most efficient way
possible. If a patient is in a narrow space (ie, small bathroom, narrow
hallway)
and you and your partner cannot stand side by side to perform a direct
ground lift, the extremity lift would be the most practical way of moving him
or her.
One EMT would lift by the arms and the other by the legs; the patient could
then be moved to a larger working area. Two EMTs should be able to safely
lift a
150-pound patient. A long backboard would clearly not work in the case of a
narrow or small space because there would be little room to the patient's left
or
right to slide the board underneath him or her. A stair chair would also likely
not be possible, or practical, because of such a confined space.
-A 52-year-old woman crashed her minivan into a tree. She is pinned at the
legs by the steering wheel and is semiconscious. After gaining
access to the patient, you should:
A) perform a primary assessment and provide any life-saving care before
extrication.
B) immediately apply high-flow oxygen to the patient and allow extrication to
begin.
C) rapidly assess her from head to toe, obtain vital signs, and apply a
cervical collar.
D) have the fire department disentangle the patient and quickly remove her
from the car. - -A) perform a primary assessment and provide any life-saving
care before extrication.
Unless there is an immediate threat of fire, explosion, or other danger, you
should perform a primary assessment and begin any life-saving care as soon
as
,you have gained access to the patient. If you wait to do this until after the
patient has been disentangled, it may be too late; the patient may already
be dead.
After you have assessed the patient and treated any immediate threats to
life, allow extrication to commence. Once the patient has been freed from
the
vehicle, continue any lifesaving care and perform a rapid head-to -toe
assessment to identify and treat other life- threatening injuries. Another EMT
can
obtain vital signs as you rapidly assess the patient. Prepare for immediate
transport after the rapid head-to-toe assessment has been performed and
spinal
precautions have been taken (if indicated).
-When arriving at the scene of a motor vehicle crash at night, you determine
that the safest place to park the ambulance is in a direction that
faces oncoming traffic. What should you do?
A) Position road flares around the front of the ambulance.
B) Turn all emergency lighting off to avoid blinding the traffic.
C) Turn the high-beam headlights on to alert oncoming traffic.
D) Turn your headlights off, but keep the emergency lights on. - -D) Turn
your headlights off, but keep the emergency lights on.
Emergency operations on the highway at night can be especially dangerous
for responders; it is important to position emergency vehicles correctly, while
at
the same time ensuring visibility for oncoming traffic without blinding them.
First of all, road flares near an automobile crash are dangerous because
leaking
fluids , such as gasoline, may not be immediately apparent; safety triangles
are safer. If your emergency vehicle is facing oncoming traffic, you should
keep
your emergency lights on, but turn your headlights off. Bright lights, such as
high-beam headlights, can effectively blind and disorient an oncoming driver,
and could cause them to crash into the scene.
-A 72-year-old woman fell and has a hip injury. She is on the second floor of
her home. Which of the following devices should you use to
move her down the flight of stairs
A) Stair chair
B) Long backboard
C) Wheeled stretcher
D) Scoop stretcher - -D) Scoop stretcher
,Of the options listed, the scoop stretcher, also called an orthopaedic
stretcher or split litter, would be the most appropriate to use. The scoop
stretcher is
contoured and allows for the placement of straps to secure the patient; it
also allows you to place padding around and under the patient. The long
backboard,
unlike the scoop stretcher, is flat; therefore, the patient can slide from side
to side or top to bottom, even when straps are placed. The wheeled
ambulance
stretcher is top heavy and is not safe for patient movement down a flight of
stairs or across rough terrain. Because the patient has a hip injury, the stair
chair would not be appropriate to use.
-When calling in your radio report to the receiving hospital, you should:
A) include the patient's name.
B) be brief, concise, and factual.
C) give your report only to a physician.
D) break your report into 60-second increments. - -B) be brief, concise, and
factual.
A radio report should be brief, concise, and factual. It should include the
patient's age and sex, his or her chief complaint, associated assessment
findings,
vital signs, treatment that you provided, and the patient's response to your
treatment. Avoid speculative statements regarding the patient's condition;
report
only what you know to be fact. Longer radio reports should be broken into
30-second increments; after 30 seconds, pause and ensure the listener
heard
your previous traffic. The patient's name is not vital to your report; thus,
there is no need to disclose it. Unless you are requesting medical direction, it
is
acceptable, and routine practice, to give your report to a registered nurse.
-At the scene of a mass-casualty incident, you notice a bystander who is
emotionally upset. An appropriate action to take would be to:
A) tell the bystander to leave the scene at once.
B) have the bystander assist you with patient care.
C) notify the police and have the bystander removed.
D) assign the bystander a simple, non-patient-care task. - -D) assign the
bystander a simple, non-patient-care task.
One of the most effective ways to reduce stress in a bystander at the scene
of a mass-casualty incident is to assign the bystander a task that is not
related to
, patient care. This may involve assisting other bystanders who are having
difficulties as well or providing water to the rescuers. An obviously distressed
bystander should not simply be sent away from the scene, but should be
looked at as a patient as well. Clearly, if the bystander becomes aggressive
or violent,
law enforcement personnel should get involved.
-Upon arriving at a mass-casualty incident, the EMT is assigned to the
treatment area. Upon completion of duties in the treatment area, the
EMT should:
A) notify the incident commander and return to service.
B) report to the treatment officer for further instructions.
C) report to the transportation area to assist with transport.
D) report to the triage section to check for remaining patients. - -B) report to
the treatment officer for further instructions.
Organized operations at the scene of a mass-casualty incident are crucial in
order to achieve the best possible outcome and maximize the number of
lives
saved. When the EMT is given an assignment, he or she should complete the
assignment and then return to the individual who gave the assignment for
further instructions. Self-assigning at the scene (freelancing) is dangerous
and can compromise the effectiveness of the overall operation.
-A patient injured his arm and asks to be transported to a specific hospital
because he has been there before. The EMT states that he does
not feel the doctors there are competent and recommends a different
hospital. The EMT's behavior is:
A) legal and ethical.
B) ethical, but illegal.
C) legal, but unethical.
D) illegal and unethical. - -C) legal, but unethical.
The EMT's actions in this case are not illegal; he cannot go to jail for making
such comments. However, his actions are clearly unethical and
unprofessional,
and could lead to allegations of slander by the physician; this would be a civil
case, not a criminal one. You must not allow your personal feelings to
influence
a patient's decision as to who treats him or her, or where he or she is
treated.
-You arrive at the scene of an 80-year-old woman who is weak and
lightheaded. Her son, who called 911, is present and asks you to transport
his mother to the hospital. You should:
A) advise the son that he can probably drive his mother to the hospital.
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