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Chapter111 1 Emergency1Care1Systems,1Research,1and1Public1Health
1) What1is1a1primary1purpose1of1the1modern-day1EMS1system?
A) Provide1a1means1of1transport1to1and1from1the1hospital
B) Ensure1that1all1members1of1society1have1equal1access1to1hospitals
C) Decrease1the1incidence1of1death1and1disability1related1to1injury1and1illness
D) Provide1emergency1health1care1services1to1medically1underserved1areas
1Answer:1 C
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Objective:1 1-2
2) Most1authorities1agree1that1the1modern-
day1EMS1system1evolved1after1the1release1of1which1document?
A) The1Emergency1Medical1Services1Act1of11973
B) The1white1paper1"Accidental1Death1and1Disability:1The1Neglected1Disease1of1Modern
1Society"1in11966
C) The1American1Heart1Association's1Guidelines1for1Cardiac1Resuscitation
D) Emergency1Medical1Services:1Agenda1for1the1Future,1in11996
1Answer:1 B
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Objective:1 1-2
3) An1Emergency1Medical1Responder1comes1to1you1and1states1that1he1would1like1to1work1for1
your1emergency1ambulance1service1on1a1full-
time1basis.1Knowing1the1National1EMS1Scope1of1Practice1Model,1you1inform1him1of1which1el
ement?
A) He1will1be1able1to1take1care1of1only1patients1with1non-life-threatening1complaints
B) He1will1first1need1approval1from1your1ambulance1service's1medical1director
C) He1will1be1able1to1work1only1with1an1Advanced1EMT1or1paramedic
D) He1will1first1have1to1become1an1Emergency1Medical1Technician
1Answer:1 D
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Objective:1 1-1
4) As1defined1by1the1National1EMS1Scope1of1Practice1Model,1the1four1levels1of1EMS
1practitioners1include:
A) Ambulance1drivers
B) EMS1medical1director
C) Paramedics
D) Emergency1medical1dispatchers
1Answer:1 C
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Objective:1 1-3
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5) An1Emergency1Medical1Responder1(EMR)1approaches1you1and1states1that1he1is1interested1in
1becoming1an1EMT.1Specifically,1he1asks1what1he1will1be1able1to1do1as1an1EMT1that1he1cannot1
presently1do1as1an1EMR.1You1respond1by1saying1he1will1be1able1to:
A) Administer1some1medications
B) Assist1in1emergency1childbirth
C) Use1an1automated1external1defibrillator
D) Obtain1vital1signs
1Answer:1 A
Diff:11 Page1Ref:16-7
Objective:1 1-5
6) You1have1been1dispatched1for1a161-year-
old1female1in1cardiac1arrest.1Emergency1Medical1Responders1(EMRs)1are1on1scene.1In1your1co
mmunity,1all1EMS1practitioners1are1trained1according1to1the1National1EMS1Scope1of1Practice1
Model.1Given1this,1which1type1of1care1do1you1expect1the1EMRs1to1be1providing?
A) Emergency1medication1administration
B) Automated1external1defibrillation
C) Intravenous1therapy
D) Reading1an1electrocardiogram
1Answer:1 B
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Objective:1 1-5
7) An1EMT1with1your1service1states1that1she1desires1to1become1a1paramedic1because1she1wants1to
1provide1advanced1care.1Under1the1National1EMS1Scope1of1Practice1Model,1which1one1of1these1t
ypes1of1care1will1she1be1able1to1provide1as1a1paramedic1that1she1cannot1provide1as1an1EMT?
A) Automated1blood1pressure1monitoring
B) Assistance1with1emergency1childbirth
C) Interfacility1transports
D) IV1therapy
1Answer:1 D
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Objective:1 1-5
8) Which1statement1made1by1an1EMT1requires1immediate1intervention1by1a1superior1or1the
1service1supervisor?
A) "I1always1wear1my1seat1belt1whenever1I1am1in1the1patient1compartment1of1the1ambulance,
1unless1I1have1to1remove1it1to1care1for1a1patient."
B) "I1drive1as1fast1as1I1can1to1get1to1the1scene1of1an1emergency,1especially1if1a1child1is1sick1or
1injured1according1to1dispatch1information."
C) "When1I1am1driving1with1lights1and1sirens,1I1instruct1my1partner1that1he1will1need1to1handle1all
1radio1communications."
D) "I1put1exam1gloves1on1for1every1patient1I1contact,1even1if1he1or1she1does1not1have1a1known1or
1suspected1infectious1disease."
Answer:1 B
Diff:11 Page1Ref:19
Objective:1 1-7
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9) Which1statement1shows1that1the1EMT1has1a1good1understanding1of1her1role1and
1responsibilities1related1to1being1an1EMT?
A) "The1patient's1needs1come1before1anyone1else's1needs."
B) "At1the1scene1of1an1emergency,1my1responsibility1is1to1get1to1the1patient1no1matter1what."
C) "My1safety1comes1first,1and1then1the1patient's1safety."
D) "As1an1EMT,1I1recognize1that1the1public's1safety1comes1before1the1safety1of1me1or1my
1partner."
Answer:1 C
Diff:12 Page1Ref:18-9
Objective:1 1-7
10) An1ambulance1with1two1EMTs1arrives1in1front1of1a1house1for1an1unknown1medical1emergenc
y.1On1scene,1bystanders1report1that1a1female1patient1was1beaten1by1her1husband1in1the1driveway1a
nd1then1dragged1back1into1the1house.1They1state1that1the1patient1appeared1unconscious1and1was1bl
eeding1from1the1head.1Which1action1would1the1EMTs1perform1next?
A) Do1not1enter1the1scene1until1it1has1been1controlled1by1law1enforcement
B) Quietly1enter1the1home1and1quickly1move1the1patient1to1the1ambulance
C) Remove1the1husband1from1the1house,1then1provide1emergency1care1to1the1wife
D) Enter1the1home1to1protect1the1patient1while1waiting1for1the1police1to1arrive
1Answer:1 A
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Objective:1 1-7
11) Why1is1EMS1in1a1unique1position1to1contribute1significantly1to1mobile1integrated1health1care?
A) EMS1providers1are1familiar1with1and1capable1of1functioning1in1the1out-of-
hospital1environment
B) Ambulances1are1easily1identified
C) The1community1trusts1uniformed1health1care1providers
D) EMS1providers1are1familiar1with1the1many1routes1of1medication1administration
1Answer:1 A
Diff:11 Page1Ref:117
Objective:1 1-15
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, .Prehospital Emergency Care, 11e (Mist
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12) You1have1arrived1on1the1scene1of1a1motor1vehicle1collision.1A1car1has1gone1off1the1road1and1
into1a1utility1pole.1The1pole1is1broken1and1wires1are1hanging1just1above1the1car.1You1do1not1see1a
ny1sparking1or1arcing1of1the1wires.1The1driver1of1the1car1is1slumped1over1the1steering1wheel1and1
not1moving.1Several1bystanders1around1the1car1are1yelling1for1you1to1help.1Which1steps1represent
1the1correct1order1of1 your1response?
A) Clear1the1bystanders,1allow1the1fire1department1to1secure1the1wires,1access1the1patient,
1extricate1the1patient,1transport
B) Access1the1patient,1clear1the1bystanders,1allow1the1fire1department1to1secure1the1wires,
1extricate1the1patient,1transport
C) Clear1the1bystanders,1access1the1patient,1extricate1the1patient,1transport,1allow1the1fire
1department1to1secure1the1wires
D) Access1the1patient,1allow1the1fire1department1to1secure1the1wires,1clear1the1bystanders,
1extricate1the1patient,1transport
Answer:1 A
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Objective:1 1-7
13) Once1a1scene1is1free1of1safety1hazards,1the1EMT1must1recognize1and1focus1on1the1needs1of
1the:
A) Rescuers
B) Patient
C) Family
D) Bystanders
1Answer:1 B
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Objective:1 1-7
14) You1have1been1asked1to1sit1on1your1service's1quality1improvement1(QI)1committee.1As1a1
knowledgeable1EMT,1you1recognize1that1in1this1role1you1will1be1involved1in1projects1that1are
1primarily1designed1to:
A) Communicate1with1insurance1companies1for1increased1reimbursement
B) Recruit1and1educate1EMTs1about1the1Emergency1Medical1Services1profession
C) Develop1ways1in1which1the1delivery1of1emergency1care1can1be1improved
D) Identify1and1reeducate1EMTs1who1routinely1do1not1provide1proper1care
1Answer:1 C
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Objective:1 1-10
15) What1would1be1a1logical1project1to1be1undertaken1and1developed1by1a1quality1improvement
1(QI)1committee?
A) Termination1of1EMTs1who1are1chronically1late1to1work
B) A1program1by1which1pay1raises1are1based1on1performance1and1attitude
C) Community1fundraiser1to1raise1money1for1new1EMS1equipment
D) Monthly1continuing1education1programs1in1which1seldom-
used1skills1are1practiced1Answer:1 D
Diff:12 Page1Ref:114
Objective:1 1-10
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