Protocol Knowledge Exam (Basic/Advanced EMT)
29 Questions
| Total Attempts: 164
Questions and Answers
- 1.The current version of the Patient Care Guidelines (Protocols) went into effect:
- A.
January 1, 2012
- B.
January 1, 2014
- C.
July 1, 2013
- D.
They have not yet gone into effect
- 2.In a patient experiencing no obvious distress, only once oxygen saturation falls below ___ % should you deliver supplemental O2:
- A.
98%
- B.
96%
- C.
94%
- D.
99%
- 3.The EMS provider can always overrule a patient's hospital choice:
- A.
True
- B.
False
- 4.A patient with chest pain and computer generated EKG readout of ***Acute MI*** with a blood pressure of 85/45 is most likely experiencing ________ shock:
- A.
Cardiogenic
- B.
Anaphylactic
- C.
Septic
- D.
Neurogenic
- E.
Hemorrhagic
- 5.When following the “Chest Pain” protocol a 12-lead EKG should be obtained and transmitted within ____ minutes of patient contact:
- A.
10
- B.
20
- C.
Once in the ambulance
- D.
30
- E.
90
- 6.If the computer generates a reading of ***Acute MI*** and it is consistent with your patient's symptoms, scene time should be less than ____ minutes:
- A.
60
- B.
45
- C.
90
- D.
20
- 7.ScenarioYou arrive on scene of a single family home and are directed by the patient's adult son to the bedroom. You see a 72 year-old female short of breath. The patient is sitting upright in obvious distress speaking in 2-3 word sentences. She denies pain but vigorously nods her head in the affirmative when asked, "is it hard to breath"? The son tells you she has had this sort of episode once before and "ended up on a ventilator".Meds: "something for blood pressure and a water pill"Vital Signs: P 122, BP 220/134, RR 30, O2 84% on room air, T 98.7 FPhysical Exam: tachycardic, tachypneic, lungs - coarse wet-sounding crackles to the bilateral mid lung fields, diaphoretic, lips pale_____________________________________________________________Which patient care guideline (protocol) is most appropriate to use:
- A.
Asthma/COPD
- B.
Congestive Heart Failure
- C.
No Resuscitation Indicated
- D.
Cardiogenic Shock
- 8.ScenarioYou arrive on scene at the local church for a 57 year-old male not conscious, not breathing. As you make contact 40 bystanders have formed a circle around your patient with a family member performing CPR. While setting up your equipment the man's wife frantically tells you, "He hasn't been feeling well all morning, he just turned to me and said I think I'm going to be sick and collapsed!" She is unable to provide any further details.Meds: "something for blood pressure" but non-compliantVital signs: pulse not palpable, BP 0/0, RR agonal, PulseOx 40% on room airPhysical Exam: obese male unresponsive, skin still warm__________________________________________________________________Your first action in caring for this patient is:
- A.
Defibrillate
- B.
Place a supraglottic device for airway control
- C.
Instruct the bystander to continue CPR until EMS can take over
- D.
Tell the bystander to stop compressions while you prepare your equipment
- 9.You must remove all objects impaled in a patient's eye prior to ER arrival.
- A.
True
- B.
False
- 10.In the following scenarios you must decide if it is appropriate to immobilize the patient._______________________________________________________________An 18 year-old unhelmeted male involved in an ATV accident. He was traveling at 30 mph, ejected, and according to his friend, was unconscious for about two (2) minutes. The patient has the smell of alcohol on his breath and admits to drinking but will not quantify. He has definite short-term memory deficit and is repeating questions. There is no obvious neurologic deficit but he has a six (6) cm deep laceration across his forehead.
- A.
Immobilize
- B.
Do Not Immobilize
- 11.A 34 year-old restrained driver involved in a two car MVC where his car was struck by a semi-trailer at approximately 40 mph. The patient denies loss of consciousness and although his vehicle is badly damaged he was ambulatory following the incident. He complains of bilateral wrist pain but there is no deformity and the patient rates his discomfort at 2/10. Vital signs and physical exam are unremarkable (except for mild tenderness to his wrists).
- A.
Immobilize
- B.
Do Not Immobilize
- 12.A 44 year-old male bicyclist hit by a car. Bystanders estimate the car's speed at 15 mph. They state the patient was thrown onto the hood, starred the windshield and fell onto the concrete. He was unresponsive for approximately one (1) minute. The patient is belligerent and uncooperative with immobilization but is convinced to be transported. He refuses all medical care and will only allow transport. Each time you attempt c-collar placement he grows angry and threatens to jump out of the moving ambulance.
- A.
Immobilize
- B.
Do Not Immobilize
- 13.An 18 year-old female at a house party reportedly jumped from the second story balcony on a "dare". She landed on her back but nobody is certain if she hit her head. The patient had not been drinking (yet) and has no focal neurologic complaint. Her friend says to your partner though "she's not acting right, she seems confused, and is definitely slower than normal."
- A.
Immobilize
- B.
Do Not Immobilize
- 14.A 22 year-old male shot in the abdomen with no neurologic deficit.
- A.
Immobilize
- B.
Do Not Immobilize
- 15.An 86 year-old male fell from a park bench striking his forehead. He has a large abrasion and moderate swelling just below the frontal hairline. Although he denies neck pain he reports his arms feel heavy and weak. Vital signs and the remainder of the physical exam is unremarkable. You appropriately decide to immobilize the patient but once the c-collar is secured the patient reports difficulty breathing and states his arm weakness is worsening.
- A.
Immobilize
- B.
Do Not Immobilize
- 16.CPAP is an acceptable treatment for a COPD patient in severe respiratory distress:
- A.
True
- B.
False
- 17.Normal Carbon Monoxide levels can be as high as 9% in a smoker:
- A.
True
- B.
False
- 18.You are en route to a possible shooting scene, law enforcement is a few minutes behind you. Arriving on scene you see a patient down in the front hallway through an open door. The scene has not been secured as law enforcement has not yet arrived. You should enter the building as long as you do not notice any obvious threat.
- A.
True
- B.
False
- 19.The following etiologies are potential explanations for abnormal psychological behavior (circle all that apply):
- A.
Hypoglycemia
- B.
Stroke (Cerebrovascular Accident)
- C.
Seizure
- D.
Hypoxia
- E.
Poisoning
- 20.According to the patient care guidelines the following information must be included in the radio report of a suspected stroke victim (circle all that apply):
- A.
Last known well time
- B.
Cincinnati stroke scale
- C.
Allergies
- D.
Glucose
- E.
Primary physician
- F.
Past medical history
- 21."Triple Zero" (pulseless, non-breathing, asystole) can be confirmed on hypothermic patients:
- A.
True
- B.
False
- 22.You are delivering a victim of a radiation emergency but did not have time to warn hospital personnel. It is still acceptable to park inside the garage (i.e., ambulance bay):
- A.
True
- B.
False
- 23.With each additional pregnancy the duration of time between onset of labor and delivery decreases (e.g., a woman delivering for the fifth time will deliver faster than a woman delivering for the second time):
- A.
True
- B.
False
- 24.The following actions are appropriate during emergency childbirth (circle all that apply):
- A.
Ensure the umbilical cord is not wrapped around the infant's neck
- B.
Pull vigorously on the umbilical cord once the child has delivered so the placenta will rapidly appear.
- C.
If the presenting part is an arm or leg, pull until the rest of the baby emerges
- D.
Begin CPR if the infant's pulse is less than 60 bpm
- E.
Gently massage the fundus after successful delivery of child and placenta
- 25.If the presenting part is the umbilical cord ("prolapsed cord") do the following (circle all that apply):
- A.
Pull vigorously
- B.
Place a gloved hand inside the vagina to relieve pressure on the cord
- C.
Place mother in Trendelenburg and knees to chest
- D.
Close mother's legs and make your partner take over
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