A) a. He does not want his attacker to get in trouble for underage drinking and drug usage.
B) b. He is afraid you will tell his parents and he will get in trouble.
C) c. He thinks you will transport him to prison if he confesses to taking drugs.
D) d. Your uniform and equipment accessories make him think you are with the police.
A) d. Taking the time to reassure and calm the family and friends
B) b. Ensuring you and your partner can safely leave the scene
C) c. Notifying the police to charge the crowd members with harassment
D) a. Caring for your patient, no matter what the crowd says
A) c. Group of people who engage in socially disruptive behavior
B) a. Gathering of individuals
C) b. Gathering of people with criminal records
D) d. Group of people who gather according to race, gender, or ethnic origin
A) c. SWAT
B) b. PSP
C) a. CONTOMS
D) d. Tactical EMS
A) a. Contact, cover
B) c. Cover, contact
C) d. Patient care, observer
D) b. Contact, documentation
A) d. Leave the area immediately
B) b. Ignore your suspicions until you have evaluated the patient
C) a. Ask for the MSDS sheets on the chemicals
D) c. Investigate the scene
A) b. Cover
B) c. Distraction
C) d. Tactical retreat
D) a. Avoidance
A) d. Not include the statement
B) b. Include the patient’s statement, in quotation marks
C) a. Include in your documentation the statement, “Refer to police report for statements made by the patient”
D) c. Include the patient’s statement, paraphrased
A) c. Walk between the ambulance and the patient’s car so that you are backlit
B) d. Walk in front of the car before approaching the door, so the driver can see you
C) a. Have both crew members approach from the driver’s side
D) b. Have one crew member approach from the passenger’s side
A) a. Clean up all the blood to make the area as sanitary as possible for treatment.
B) d. Try to disturb the blood as little as possible without compromising patient care.
C) b. Collect as much of the blood as possible for type matching for the blood bank.
D) c. Retreat to a safe area, put on necessary PPE, and notify hazardous materials personnel.
A) c. Leave the scene immediately.
B) d. Treat the injuries in a nonjudgmental manner and report your suspicions.
C) b. Insist that the husband leave the room so that you can examine the patient.
D) a. Ask the woman if she is being abused.
A) a. A suddenly quiet crowd
B) b. A large group of people on the street
C) d. The arrival of law enforcement
D) c. Pushing and shoving
A) b. Concealment
B) c. Cover
C) d. Tactical retreat
D) a. Avoidance
A) c. C post
B) b. B post
C) d. D post
D) a. A post
A) d. Large gatherings on city streets
B) b. Graffiti on walls or structures
C) c. Lack of activities in the community
D) a. A number of youths dressed in similar colors
A) c. You should include in your documentation the statement, “Refer to police report for scene information.”
B) a. You should include in your documentation conclusions you have drawn regarding the crime scene.
C) d. You should not include references to the crime scene, only to the patient, because you are not an investigator.
D) b. You should include in your documentation the observations you have made about the crime scene.
A) c. Unacceptable and abandonment
B) a. Acceptable and not abandonment
C) d. Unethical but also not abandonment
D) b. Possibly abandonment but acceptable
A) d. Use the PA system on the ambulance to notify anyone in the house that you are present.
B) b. Knock on the door and then quickly enter the home to find your patient.
C) a. Don PPE and SCBA and perform a rapid life-saving search of the house.
D) c. Retreat to a safe area, activate ICS, and call for assistance from police and hazardous materials personnel.
A) c. Inside the scene perimeter, or “hot zone”
B) a. For any patient who is injured in a violent activity
C) b. For law enforcement providers on tactical missions
D) d. Related to weapons of mass destruction
A) b. Concealment
B) c. Cover
C) d. Tactical retreat
D) a. Avoidance
A) b. Enter the scene to find your patient
B) a. Ask a member of the crowd who called for EMS
C) d. Use the loudspeaker and order the crowd to disperse
D) c. Retreat to a safe area and call for the police
A) c. Information that the dispatcher can look up online
B) b. A comprehensive caller ID system
C) a. Callback numbers so the EMS crew can call the patient
D) d. Systematic prearrival instructions
A) b. Dispatch algorithms
B) d. Locations of incidents
C) c. Early warning sirens
D) a. Biosurveillance
A) c. A random sample of cases
B) a. All even-numbered cases for a particular time
C) b. All odd-numbered cases for a particular time
D) d. Several cases in a row
A) d. The call taker selects the unit and forwards any prearrival notes
B) c. The call taker receives all call-related information and forwards it to the unit
C) b. The call taker has recorded a preliminary incident code
D) a. The call taker calls the unit to confirm their availability
A) a. Priority 1: red response
B) d. Priority 3: yellow response
C) c. Priority 3: red response
D) b. Priority 1: yellow response
A) b. Priority 2: red response
B) c. Priority 3: red response
C) d. Priority 4: yellow response
D) a. Priority 1: yellow response
A) b. 5 to 10 minutes
B) a. Less than 2 minutes
C) c. 7 to 12 minutes
D) d. More than 12 minutes
A) a. Coordinate transportation needs of the system to accommodate nonemergent transport
B) d. Record patient pickup, history, and special equipment needs
C) b. Match receiving facilities and the capabilities of transporting units
D) c. Match transportation units with the needs of the facilities
Which of the following best describes the difference between protocols and telephone aid?
A) b. Protocols are more subjective and more structured than telephone aid.
B) c. Telephone aid is more objective and less structured than protocols.
C) a. Protocols are more comprehensive than telephone aid.
D) d. Telephone aid is used where dispatchers have previous training as paramedics.
A) b. Is the patient hungry?
B) a. Is the patient awake?
C) c. Is the patient thirsty?
D) d. Is the patient vomiting?
A) b. Global positioning system, enhanced 9-1-1, geologic information system
B) c. Global positioning system, expanded 9-1-1, geographic information system
C) a. Global positioning system, enhanced 9-1-1, geographic information system
D) d. Global positioning system, expanded 9-1-1, On-Star information system
A) a. Developing the deployment plan
B) d. Maintaining call volume
C) c. Maintaining call acuity throughout the system
D) b. Executing the deployment plan
Which factors are important in developing an early warning system within a communications center?
A) c. Standardization, speed, sensitivity, and specificity
B) d. Upgraded technology base, standardization of communications, staffing levels, and sensitivity
C) b. Speed, staffing levels, standardization, and unit availability
D) a. Ethical issues, funding, staffing, and unit availability
A) c. Specialty transport units
B) a. Historic data
C) d. System tolerances
D) b. Number of units in the system
A) c. Public services alarm point
B) d. Public services answering person
C) b. Public safety answering point
D) a. Public safety answering person
A) b. The elapsed time it takes for the call taker to process the information of the call
B) a. The elapsed time from the receipt of the call until the closest available unit is dispatched
C) c. The amount of time elapsed when the call is transferred from a PSAP to an SSAP
D) d. The amount of time elapsed since the call was received and the completion of the call
A) b. Get someone to the scene as fast as possible
B) c. Find the closest police officer to the scene
C) a. Ensure the use of emergency lights and siren
D) d. Match EMS resources to the clinical needs of the patient
A) b. Discipline and corrective action
B) c. Incentive program with bonuses
C) a. Consistent evaluation and feedback
D) d. Regular reassignment of dispatchers
A) b. To maintain current system status and locations of all units in the system
B) d. To track all unit times from dispatch, arrival, to on scene and en route to hospital
C) a. To check frequently on unit posting/locations and staffing changes
D) c. To monitor system radio traffic and verify the personnel on each unit
A) b. Staffing levels and response times
B) a. Response times for emergent and nonemergent calls
C) d. Unit availability, response times, and staffing levels
D) c. The criteria that only private agencies must meet
A) d. Nature of the call
B) c. Level of activity in the system
C) a. Caller’s state of mind
D) b. Emergency call center staffing
A) d. Verify the address of the caller
B) c. Determine the caller’s phone number
C) b. Detect a false alarm or prank call
D) a. Coordinate system resources
A) b. Can retake the certifying examination in lieu of continuing education
B) c. Must complete at least 12 hours of approved continuing education annually
C) d. Must complete EMT training within 1 year to maintain certification
D) a. Can challenge the continuing education requirement in writing
A) a. Emergency lights and siren can effectively reduce the response time.
B) d. Emergency lights and siren should only be used in hazardous conditions.
C) b. Emergency lights and siren must always be used when responding.
D) c. Emergency lights and siren should only be used in critical cases.
A) b. Have to delay call response processing to provide coverage because of a unit’s hours of service
B) a. Balance the needs of a high-volume area with geographically isolated areas
C) d. Refuse calls for assistance that do not meet the acuity threshold
D) c. Not be able to provide coverage to certain areas because of mandated coverage laws
A) c. With bariatric equipment
B) d. With two personnel
C) a. On a one and one-half-person stretcher
D) b. On a two-person stretcher
A) d. Training and agency policies
B) c. State traffic statutes
C) a. Due regard for all others
D) b. Reasonable excesses
A) b. Have the oncoming crew meet at the gas station to switch shifts
B) a. Grab a few dollars of fuel and then quickly return to the station
C) d. Return to the station and have the new crew fuel the vehicle
D) c. Refuel the vehicle and then return to the station for shift change
A) c. Doing a scene size-up
B) d. Route planning
C) b. Completing a daily inventory
D) a. Assigning units
A) d. Type IV ambulance
B) a. Type I ambulance
C) c. Type III ambulance
D) b. Type II ambulance
A) a. Ambient positioning
B) c. Fixed positioning
C) d. Status systems management
D) b. Community configuration
A) a. Type I ambulance
B) d. Type IV ambulance
C) b. Type II ambulance
D) c. Type III ambulance
A) b. National Ambulance Design and Specification Uniformity Act
B) d. Traffic Safety Ambulance Guidelines
C) a. KKK A-1822E Standards
D) c. National Ambulance Standards
A) c. Offensive driving
B) a. Defensive driving
C) b. Emergency response
D) d. The use of lights and sirens
A) d. Right side
B) b. Left side
C) a. Front
D) c. Rear
A) d. Past the scene, with headlights on the scene for visibility
B) c. Off the roadway if possible
C) a. 50 feet before the crash scene for patient and personal protection
D) b. 100 feet before the scene, broadside to oncoming traffic for visibility
A) d. USDOT
B) a. JJJ-1822E
C) b. KKK-1822E
D) c. NHTSA
A) b. Imminent childbirth
B) a. Children
C) c. Injuries that may worsen with time
D) d. A true medical emergency
A) a. Advise the dispatcher that the vehicle is out of service
B) c. Ignore the problem, as there are two tires, and report it later
C) d. Run the call, and get the vehicle in for repair after the call
D) b. Drive to meet a replacement vehicle, swap gear, and run the call
A) b. Back straight, legs bent, head down
B) c. Back straight, legs bent, head up
C) d. Back straight, legs straight, head up
D) a. Back bent, legs bent, head up
A) d. Use the expired medications for this shift only.
B) c. Ignore the expiration date, as drugs are effective past the expiration date.
C) b. Discard and replace the expired medications.
D) a. Advise any patient that they will receive an expired drug.
A) a. An escort
B) b. Due regard for others
C) c. The correct speed
D) d. The appropriate siren pattern
A) c. Shut the tank off to conserve oxygen.
B) a. Leave it alone if you think you can make it through the day with no problems.
C) d. Try to fix the leak, and if you cannot, replace it.
D) b. Nothing. It is only a slow leak.
A) d. Throughout the day
B) c. At the end of the shift
C) a. At the beginning of each shift
D) b. Monthly
A) b. Park in a position that protects the crew.
B) a. Park downwind of the accident to protect the patient and crew.
C) d. Park with the patient compartment as close to the patient as possible.
D) c. Park with the headlights facing oncoming traffic to warn other drivers.
A) b. 200 feet away and upwind if possible
B) d. 200 feet in front of the scene and downwind
C) a. 50 to100 feet in front of the scene
D) c. 100 feet in front of the scene
A) d. Wariness
B) a. Caution
C) c. No regard
D) b. Due regard
A) b. Discard and replace the medications that had ice crystals.
B) d. Report the problem to the supervisor sometime during the shift.
C) a. Allow the medications to thaw completely before using them.
D) c. Ignore the situation, as the cold temperature will not affect the drugs.
A) d. The fire department
B) b. Ground transportation
C) a. Fixed-wing aircraft
D) c. Helicopter
A) a. Economic development
B) b. Emergency vehicle stationing
C) d. Route planning
D) c. Response plans
A) b. Finance
B) d. Operations
C) a. Command
D) c. Logistics
A) a. Brief him on what you have done so far and relinquish command to him
B) d. Make no changes; assign your supervisor to a sector
C) b. Explain to your supervisor that you are in charge, and if you want his help, you will ask for it
D) c. Hand your command vest to your supervisor and walk away
A) b. 25; 50
B) c. 26; 99
C) a. 10; 20
D) d. 100; 500
A) d. Start treating patients; help will soon arrive to establish command
B) a. Do nothing until your supervisor arrives to take control of the scene
C) b. Establish command, request additional units, and direct your partner to start the triage process
D) c. Just request the help; everyone will figure out what to do when they arrive
A) a. Disaster mitigation
B) b. Disaster prevention
C) d. Incident management
D) c. EMS command and control
A) c. Triage
B) d. Transportation
C) b. Staging
D) a. Logistics
A) b. The emergency operations center is where the incident commander is situated during the incident.
B) a. This is the location of emergency management support personnel for large incidents.
C) c. This is the location of the planning and operations sections in all incidents.
D) d. This is the location from which logistics and security are initiated.
A) b. Assignment of transportation personnel, patient care attendants, and receiving location criteria
B) c. Selection of site for easy of egress and log to track patient destinations and priority
C) d. Selection of the transporting personnel, their designation and destination
D) a. Assignment of ancillary personnel, sector chief, and patient tracking log
A) d. When the patients are en route from the transportation sector until they get to the hospital
B) b. When providing care to injured persons only in large incidents
C) c. During a large-scale incident
D) a. When providing care of the injured from the point of injury to arrival at an appropriate facility
A) c. The principles are scalable and based upon the number of resources needed.
B) b. The principles are flexible and based upon the number of persons involved.
C) a. The principles are essentially the same regardless of incident size.
D) d. The principles for small or medium incidents are less robust than those for larger events.
A) b. Causes less work for the incident commander
B) a. Allows the scene to be broken into functional areas of operation
C) d. Really serves no useful purpose
D) c. Makes it easier for the commander to be relieved
A) b. Command
B) d. Planning
C) c. Operations
D) a. Administration
A) c. Standardized
B) b. Sophisticated
C) d. Structured
D) a. Simple
A) b. Field medical supplies and other support items
B) c. Field medical treatment and communication packages
C) a. Communication packages and payment to vendors
D) d. Payment to vendors and assignment of specific equipment to sectors
A) a. Patient identifier, destination, transporting unit, and transport priority
B) d. Patient name, injuries, transporting unit, and transport destination
C) c. Patient name, destination, transport destination, and patient condition
D) b. Patient name, approximate age, injuries, and who transported
A) d. Safety
B) c. Logistics
C) a. Incident commander
D) b. Finance
A) b. Just a big crash
B) d. A multipatient incident
C) c. A multiple casualty incident
D) a. A disaster
A) a. Multiple
B) c. Structured
C) d. Unified
D) b. Singular
A) c. Incident command
B) d. Unified command
C) b. Emergency response
D) a. Command and control
A) d. Lisa may just be old and cranky
B) a. Lisa may be suffering from bipolar disorder
C) b. Lisa may be suffering from critical incident stress
D) c. Lisa may be suffering from premenstrual stress
A) d. Rapidly determine who are the most severely injured patients so that they may be treated last
B) c. Rapidly prioritize who receives treatment in which order
C) b. Gather a complete set of vital signs on all patients
D) a. Devote your full resources to all patients in cardiac arrest
A) a. Logistics
B) c. Triage
C) b. Staging
D) d. Transportation
A) c. Do nothing
B) d. Participate in critical incident stress management to some extent
C) b. Clean up and get ready for the next call
D) a. Assume everyone did okay, and move on with the plan of the day
A) a. Borrow an SOP from another agency in another town where a mass casualty incident actually occurred
B) b. Just write the SOP for your agency; you cannot control other agencies
C) c. Look back at history to see how other incidents were managed, and just do it that way
D) d. Participate in table-top exercises or drills with all area agencies
A) d. Persons whose immediate treatment was delayed but effective or unable to be completed because of receiving facility issues
B) b. Only persons who are dead and their relatives
C) a. Only persons who are dead
D) c. Dead or dying
A) a. This person could be a police officer, a paramedic, or a firefighter.
B) c. This person is a paramedic because he is wearing dark clothes.
C) b. This person is a firefighter because he is carrying a radio.
D) d. This person is a police officer because he is wearing a badge.
A) b. It is left on the scene with bystanders.
B) d. It is placed in a plastic biohazard bag.
C) c. It is placed in a paper bag, if available.
D) a. It is disposed at the hospital.
A) b. Avoid backlighting yourself if at all possible
B) c. Use backlighting to give the impression that you are law enforcement
C) d. Use backlighting as a tool to illustrate your authority at the scene
D) a. Attempt to be backlit because it camouflages your presence
A) b. Leaving the scene without the patient is your preferred option.
B) c. Leaving the scene without the patient would be considered abandonment at this point.
C) d. Leaving the scene without the patient would be considered neglect at this point.
D) a. Leaving the scene without the patient is neither neglect nor abandonment.