In 1985, Seattle Fire Department initiated a successful program of instructing callers in:
CPR
Your patient has unstable vital signs and AIDS. You fear for your safety and decide not to treat or transport the patient. Your actions are considered:
Unethical and illegal
Standards designed by a group which identify honorable behaviors are called:
Ethics
Direct medical control exists when the EMT-P:
Receives treatment orders by phone from a medical control physician
You are on the scene of a motor vehicle crash. You begin treatment of a patient who complains of neck pain. A physician arrives and disagrees with your treatment. You seek further direction from the:
Intervening physician
In most EMS programs, who of the following is ultimately responsible for the quality of patient care:
The Fire Chief
Local training standards for Paramedic courses are often based on the:
- National medical control protocols for Paramedic curriculums
- National Registry of EMTs curriculum for Paramedic
- U.S. Department of Transportation’s national EMT-P curriculum
- American Red Cross national EMT-P curriculum
National Registry of EMTs curriculum for Paramedic
A Paramedic who is working in a tiered-response system would commonly perform which activity first?
- Establish contact with medical control
- Determine the need for ALS care
- Determine patient destination
- Determine which unit should transport the patient
Determine the need for ALS care
Which of the following statements is true regarding medical responsibility at the prehospital emergency scene:
- Orders from the EMS direct medical control physician take precedence over orders from the patient’s personal physician who is at the scene
- Orders from the EMS direct medical control physician take precedence over orders from any other physician at the scene who is not the patient’s personal physician
- When EMS direct medical control cannot be reached, the paramedic’s decisions take precedence over orders from any non-EMS physician at the scene
- When EMS direct medical control cannot be reached, orders from the Emergency Medical Dispatcher take precedence over orders from any non-EMS physician at the scene
Orders from the EMS direct medical control physician take precedence over orders from any other physician at the scene who is not the patient’s personal physician
When transferring patient care at a receiving facility (e.g. a hospital emergency department), paramedics should provide the receiving healthcare professionals with:
- Specific instructions for continued care
- An accurate diagnosis of the current illness or injury
- A briefing about the patient’s condition and treatment at the scene and during transport
- A list of the conclusions made about the patient and his or her presentation
A briefing about the patient’s condition and treatment at the scene and during transport
Which is not a component of the SOAP format for patient reports:
- Patient personal statistics
- Assessment data
- Objective data
- Subjective information
Patient personal statistics
The most important infection-control practice a paramedic can practice is:
Proper hand washing
Which of the following is a primary reason for verbal communication of patient information to the hospital:
- To document proper patient care in order to avoid a malpractice lawsuit
- To enable the emergency department staff to prepare for the needs of the patient
- To alert the emergency department of a patient with a communicable disease
- To allow the hospital time to ensure that the patient has the proper insurance
To enable the emergency department staff to prepare for the needs of the patient
Written EMS run forms are useful for all of the following purposes EXCEPT:
- As a part of the patient’s permanent record
- As a legal record of the patient’s prehospital care
- As a written record of the patient’s initial condition
- As a document to report a communicable disease
As a document to report a communicable disease
Which of the following statements regarding chest lead placement is NOT correct:
- Lead V1 is placed to the left of the sternum at the fifth intercostal space
- Lead V4 is placed in the fifth intercostal space at the mid-clavicular line
- Lead V3 is placed in a line midway between lead V2 and lead V4
- Lead V6 is placed at the mid-axillary line at the same level as lead V4
Lead V1 is placed to the left of the sternum at the fifth intercostal space
You see 3mm of ST elevation in two contiguous leads on the 12 lead ECG you have just taken. Of the following what is most likely:
- The patient is experiencing ischemia
- The patient has high potassium
- The patient is having an AMI
- There is nothing to worry about as this indicates an old, not acute, MI
The patient is having an AMI
The leads that view the septal aspect of the heart are:
V1 and V2
The leads that view the inferior aspect of the heart are:
II, III and AVF
In the majority of the population, which coronary artery is the major blood supply for the inferior wall of the left ventricle:
Right coronary artery
The intrinsic rate of the AV node is:
40-60 beats per minute
Which of the following is an acute coronary syndrome:
- Left ventricular hypertrophy
- Third degree heart block
- Stable angina
- Unstable angina
Unstable angina
The three I’s of ACS are
Ischemia, Injury and Infarction
During ventricular systole the ventricles contract while the:
- Pulmonic and aortic semilunar valves are closing
- Tricuspid and mitral valves open
- Atria simultaneously contract
- Tricuspid and mitral valves are closed
Tricuspid and mitral valves are closed
The term contralateral means:
On the opposite side
