Ch. 46-51 Quiz Questions

Front 1

Prior to unloading a patient from the ambulance, you should:

Back 1

ensure that the patient is secured to the stretcher

Front 2

Nerve agents block ___, an essential enzyme of the nervous system.

Back 2

cholinesterase

Front 3

According to the START triage system, if a patient has a strong radial pulse, you should:

Back 3

control bleeding and assess mental status

Front 4

Level ___ personal protective equipment would MOST likely be worn during the transport of patients with the potential of secondary contamination.

Back 4

C

Front 5

The permissible exposure limit (PEL) of a given chemical is the:

Back 5

maximum concentration of a chemical that a person may be exposed to under OSHA regulations

Front 6

You are dispatched to a residence for a 50-year-old woman with respiratory distress. While you are assessing the patient, she tells you that she began experiencing flu-like symptoms 4 days ago, shortly after delivering mail on the rural mail route for which she is responsible. Due to her illness, she has been unable to return to work. Her blood pressure is 90/50 mmHg, pulse rate is 120 beats/min, and respirations are 26 breaths/min and labored. Auscultation of her breath sounds reveals the presence of coarse crackles. This patient has MOST likely been exposed to:

Back 6

anthrax

Front 7

___ is the process in which individual units or different organizations make independent decisions about the next appropriate action.

Back 7

freelancing

Front 8

Which of the following would be of LEAST value when trying to determine the type of hazardous material a commercial tanker truck is carrying?

Back 8

waybill

Front 9

The motor oil level of the ambulance:

Back 9

should be checked prior to starting the engine

Front 10

The preferred initial method for disentangling a patient who is trapped between the seat and steering wheel involves:

Back 10

trying to slide the seat back on its track

Front 11

Broadly speaking, the finance section chief is responsible for:

Back 11

documenting all expenditures at an incident and seeking reimbursement

Front 12

Which of the following is NOT a pre-incident indicator of terrorism?

Back 12

there is a report of a loud explosion

Front 13

Requesting a hazardous materials (Haz-Mat) team as early as possible to a scene involving a weapon of mass destruction is MOST important because:

Back 13

it takes time for the Haz-Mat team to assemble their personnel and equipment

Front 14

Which of the following medications would be the LEAST likely to cause hypotension?

Back 14

toradol

Front 15

A helicopter landing zone should be:

Back 15

100 feet by 100 feet in size, and on a surface that is firm, level, and free of debris

Front 16

Where would you MOST likely find a Material Safety Data Sheet (MSDS) that provides information about a hazardous material?

Back 16

A permanent manufacturing or storage facility

Front 17

General principles for backing up an ambulance include:

Back 17

stopping the vehicle if you lose sight of your spotter

Front 18

The interaction of two hazardous materials that produces a much greater impact than either chemical alone is called:

Back 18

synergism

Front 19

A closed, or contained, mass casualty incident is a situation that:

Back 19

is not expected to produce more patients than initially present

Front 20

In contrast to a type II ambulance, a type III ambulance:

Back 20

is a specialty van that usually has a modular ambulance body

Front 21

You receive a call to a residence in a rural area of your jurisdiction for a patient with an acute COPD exacerbation. Upon arriving at the scene, you knock on the door and identify yourself. The patient, an elderly-sounding man, tells you that you took too long to get to him, and that he has a shotgun. You should:

Back 21

immediately retreat to the ambulance and notify law enforcement

Front 22

The severity with which a hazardous material interferes with the body’s internal processes is LEAST affected by the:

Back 22

part of the body exposed

Front 23

Which of the following statements regarding belt noise is MOST correct?

Back 23

it is the squealing sound related to a load on one of the belt-operated appliances.

Front 24

Systemic effects following exposure to a hazardous material:

Back 24

may be delayed for hours or even years

Front 25

Mass casualty equipment and supplies needed for airway control include all of the following, EXCEPT:

Back 25

large-bore IV catheters for thoracic decompression

Front 26

When transporting one stable and one critical patient in the same ambulance, you should:

Back 26

load the most critical patient last so he or she can be unloaded first.

Front 27

The objective of dash displacement is to:

Back 27

lift the dash up and move it forward

Front 28

If your only protection from gunfire in a residence is behind a frame wall, you should:

Back 28

stand near the door or window frame, which usually contain more wood than other areas of the wall.

Front 29

If your department has its own technical rescue team:

Back 29

technical rescue protocols should be established

Front 30

In contrast to the lesions associated with other skin disorders, the lesions associated with smallpox:

Back 30

are identical in size and shape

Front 31

Which of the following statements regarding radiation is MOST correct?

Back 31

it is impossible to recognize the type of radiation emitted from a given source

Front 32

If you discover that a seemingly ordinary EMS call is actually a hazardous materials incident, you should:

Back 32

immediately notify the dispatcher and request the appropriate resources

Front 33

Which of the following statements regarding the use of emergency escorts is MOST correct?

Back 33

Many drivers will only see the first emergency vehicle and assume that it is clear once that vehicle has passed

Front 34

A third-service EMS system is one in which:

Back 34

a public agency not affiliated with the fire department provides EMS service

Front 35

Air ambulances are advantageous for all of the following reasons, EXCEPT:

Back 35

more experience of the flight paramedics

Front 36

You are caring for a patient with non-life-threatening injuries in the treatment section of a mass casualty incident when you are approached by several TV reporters who are seeking details regarding the incident. You should:

Back 36

direct the reporters to the public information officer

Front 37

Which of the following statements regarding loading and securing a patient in the back of the ambulance is MOST correct?

Back 37

Whether the patient is lying on the stretcher or sitting on the bench seat, he or she must be properly seat-belted.

Front 38

An ambulance should be removed from service immediately if you feel or hear:

Back 38

brake fade

Front 39

While preparing to receive patients at the scene of a hazardous material spill, you see a middle-aged man approaching your ambulance. He is covered with a green liquid, is dyspneic, and states that he “barely got out of there alive!” You should:

Back 39

tell him to stop immediately and inform the incident commander that the patient has not been decontaminated.

Front 40

When functioning at the scene of a major incident, communication should:

Back 40

be face to face to minimize radio traffic

Front 41

If you are at the scene of an incident that potentially involves a weapon of mass destruction and other emergency resources are en route, it is MOST important for you to give the dispatcher information regarding the:

Back 41

optimal route of approach

Front 42

The primary function of the treatment section is to:

Back 42

separate and treat patients based on their triage category

Front 43

The MOST difficult part of any rescue is:

Back 43

the simultaneous coordination of rescue and treatment

Front 44

If you know common hand signs or slang used by gangs:

Back 44

it would be dangerous for you to use them around gang members because you are not a member of the group

Front 45

If you are trained in hazardous materials at the awareness level, you should be able to:

Back 45

recognize potential hazards and the need for additional resources

Front 46

Reputation provides status for individual gang members and is gained by:

Back 46

committing crimes

Front 47

Once you have succeeded in establishing verbal contact with a man who is in the process of being rescued, it is MOST important to:

Back 47

remain in contact with him

Front 48

While en route to a motor vehicle accident, the dispatcher advises you that law enforcement is at the scene and reporting that numerous bystanders are suddenly becoming ill. After receiving this information, you should:

Back 48

keep a safe distance from the scene and view it with binoculars

Front 49

You arrive at the scene of a motor vehicle crash in which a small passenger car struck a power pole at a high rate of speed. As you size-up the scene, you can see that the driver is severely entrapped in his car and is screaming in pain. The fire department is en route to the scene with extrication equipment. You should:

Back 49

stay away from the car until the absence of any utility hazards is confirmed

Front 50

Signs and symptoms of nerve agent exposure include all of the following, EXCEPT:

Back 50

tachycardia

Front 51

Which of the following items of information is typically NOT obtained by the dispatcher prior to sending rescue units to the scene?

Back 51

the patient’s medical history

Front 52

Which of the following statements regarding hostage situations is MOST correct?

Back 52

The physiological effects of being held hostage are often of greater concern than physical problems

Front 53

When arriving at a residence for any EMS call, you should make it a routine habit to:

Back 53

pay attention and listen for loud, threatening voices

Front 54

Which of the following statements regarding a hazardous materials toxicity level is NOT correct?

Back 54

Most ambulances carry protective gear that would be required for dealing with level 2 and above hazardous materials.

Front 55

If you must break a window to gain access to a patient trapped in his or her vehicle, you should:

Back 55

ensure that the patient and all rescuers are protected properly

Front 56

A man stormed into a daycare center and opened fire with a semiautomatic rifle. The scene has been secured by law enforcement, and you are in the process of triaging the injured children. The first child you assess, a 4-year-old boy, is unresponsive and apneic but has a pulse. After manually opening his airway, he remains apneic. You should:

Back 56

provide five rescue breaths and reassess his respiratory status

Front 57

Upon arriving at a scene in which the incident command system has already been established, you should:

Back 57

locate the medical staging officer to receive your assignment

Front 58

Command functions include all of the following, EXCEPT the:

Back 58

triage officer

Front 59

Safe practices when parking your emergency vehicle on a roadway at night include all of the following, EXCEPT:

Back 59

leaving the headlights on

Front 60

Because extrication and rescue are medically complex:

Back 60

the officers responsible for these functions usually function under the EMS branch of the incident command system

Front 61

How should you position your ambulance upon arriving at the scene of a victim who was found slumped over the steering wheel of his car?

Back 61

At least 15 feet behind the parked vehicle, at a 10 degree angle to the drivers side, facing the shoulder

Front 62

When approaching a van at night to determine if the driver, who is reportedly unconscious, is in need of medical assistance, you should:

Back 62

move 10 to 15 feet away from the passenger side and walk parallel to the van

Front 63

Mild effects of cyanide exposure:

Back 63

generally resolve by simply removing the victim from the environment and administering oxygen

Front 64

What do tabun, sarin, soman, and V agent all have in common?

Back 64

The onset of symptoms following exposure is immediate

Front 65

Upon arriving at the scene of a patient who is reportedly unconscious in his or her parked vehicle, you should:

Back 65

notify the dispatcher of your location and the number and state of the vehicle’s license plate

Front 66

At a very large incident, the operations section is responsible for:

Back 66

managing the tactical operations job usually handled by the incident commander on route EMS calls

Front 67

An attack on an abortion clinic would MOST likely be carried out by a/an:

Back 67

single-issue group

Front 68

After you have safely approached a parked vehicle and are ready to alert the apparently ill driver of your presence, you should:

Back 68

do so without moving past the B column into the driver’s door area

Front 69

Triage and emergency medical treatment should be performed:

Back 69

in the cold zone

Front 70

When approaching an overturned tanker truck that is not displaying a warning placard, it is MOST important for the paramedic to maintain a high index of suspicion because:

Back 70

tankers carrying small amounts of a hazardous material may not be required by law to display a warning placard

Front 71

You are at the scene of a drive-by shooting in which a 15-year-old man was shot in the chest. Law enforcement personnel are at the scene. The patient is conscious, has an actively bleeding entry wound to his left anterolateral chest, and is breathing with difficulty. You should:

Back 71

provide only the amount of care needed to prevent his condition from deteriorating and quickly move him to the ambulance.

Front 72

What level of personal protective equipment is typically worn by the hazardous materials decontamination team in the warm zone?

Back 72

Level B

Front 73

When checking the ambulance engine, the odor of sewer gas:

Back 73

indicates that the acid in the battery has boiled

Front 74

The hazardous materials team has deemed it safe for you to enter and remove patients from an office building that exploded. As you are moving the patients, it is MOST important to:

Back 74

remain alert to the possibility of a secondary explosive device

Front 75

If your unit is the first to arrive at an incident, you should keep yourself safe, size up the scene, and then:

Back 75

notify dispatch, identify your unit, apprise dispatch of the situation, and assume command.

Front 76

At 10:20 PM, you are dispatched for a woman reportedly slumped over the steering wheel of her car alongside the highway. Upon arriving at the scene, you should:

Back 76

park your ambulance at least 15 feet behind the patient’s vehicle

Front 77

The equipment and supplies that are carried in the back of an ambulance:

Back 77

must be stowed safely yet easily accessible

Front 78

The ___ has the authority and responsibility to stop an emergency operation if he or she believes a rescuer is in danger.

Back 78

Safety officer

Front 79

A Computer-Aided Management of Emergency Operations (CAMEO) device is used by hazardous materials teams to:

Back 79

help predict downwind concentrations of hazardous materials based on the input of environmental factors into a computer model.

Front 80

As the first responding unit to arrive at the scene of a confined space rescue, what is the MOST important information to share with the technical rescue team when they arrive?

Back 80

Whether the incident has changed significantly since your arrival

Front 81

Youths usually join a gang for all of the following reasons, EXCEPT:

Back 81

a psychiatric illness

Front 82

The goal of a system status management (SSM) is to:

Back 82

minimize response times by deploying EMS resources strategically

Front 83

Ricin is a neurotoxin that is derived from:

Back 83

mash that is left from the castor bean

Front 84

One aspect of the technique of contact and cover involves:

Back 84

one paramedic making contact with the patient to provide care while the second paramedic obtains patient information from another person while gauging his or her level of tension

Front 85

If a liquid leaking from a tank has a high boiling point, and the air temperature is low:

Back 85

the risk of vapor inhalation is relatively low

Front 86

Biological agents are:

Back 86

naturally occurring organisms that are cultivated in a laboratory

Front 87

Which of the following statements regarding an EMS provider’s role during a trench rescue is MOST correct?

Back 87

EMS providers should attempt to make contact with the patient, but should not enter the trench and attempt rescue

Front 88

Upon arriving at the scene of a multiple vehicle crash, you call for additional resources and begin triaging patients using the START triage system. The first patient you assess is a young male who is unconscious and apneic. After manually opening his airway, you note that he starts breathing shallowly. You should:

Back 88

categorize him as an immediate patient

Front 89

Which of the following statements regarding cold water submersion is NOT correct?

Back 89

Water that is colder than 70 degrees F will cause a marked increase in oxygen demand

Front 90

All of the following chemicals are vesicant agents, EXCEPT:

Back 90

chlorine

Front 91

Which of the following is the safest method for preparing to enter a residence?

Back 91

Stand to the doorknob side of the door, knock, and announce that you are a paramedic.

Front 92

You are assessing the circulation status of an injured patient using the START triage system. The patient, a 33-year-old man, has strong radial pulses bilaterally. You should:

Back 92

control any bleeding and assess his mental status

Front 93

While at the scene of an incident in which several patients were possibly exposed to Lewisite, you are informed that an unresponsive patient with multiple blisters on his body and inadequate breathing is being brought to you for treatment. You should:

Back 93

ensure that the patient has been decontaminated before initiating any treatment

Front 94

After stabilizing the scene, you must next:

Back 94

get access to the patient and determine his or her degree of entrapment

Front 95

The single MOST important process to ensure ongoing rescuer safety at a technical rescue incident is:

Back 95

the accountability system

Front 96

Preparedness in a given area should involve decisions and planning about:

Back 96

the most likely disasters for the area, among other disasters

Front 97

During a lengthy confined-space rescue in which the patient has experienced a crush injury, the paramedic should be especially concerned about the potential for:

Back 97

compartment syndrome

Front 98

Packaging a patient is MOST accurately defined as:

Back 98

preparing the patient for movement as a unit

Front 99

The symptoms and medical management of patients poisoned by ___ are identical to those of the nerve agents.

Back 99

Organophosphate insecticides

Front 100

If your partner is injured while approaching a parked vehicle, you should:

Back 100

back the ambulance away from the danger zone and request law enforcement

Front 101

Which of the following statements regarding vehicle stabilization is MOST correct?

Back 101

Vehicles that are positioned upright on all four wheels should be stabilized

Front 102

In addition to identifying and evaluating any hazards, scene stabilization typically involves all of the following components, EXCEPT:

Back 102

determining if air transport is available

Front 103

After concealing yourself and reassessing your position, you should:

Back 103

seek adequate cover

Front 104

In MOST ambulance collisions:

Back 104

the ambulance was not traveling in the proper lane or the operator was driving with excessive speed

Front 105

The staging officer is responsible for:

Back 105

coordinating with all incoming and outgoing ambulances

Front 106

All of the following are examples of real or physical evidence, EXCEPT:

Back 106

oral documentation by a witness

Front 107

Your unit is the first to arrive at the scene of a bus crash. As you approach the scene, you see multiple patients, some of them lying on the ground not moving and others walking around in a dazed state. You should:

Back 107

remain aware of the potential for hazards

Front 108

Proper documentation of an incident in which a patient was injured during a crime should include all of the following, EXCEPT:

Back 108

your estimate of when the injury occurred

Front 109

Following exposure to mustard:

Back 109

the patient experiences a progressive reddening of the affected area, which will gradually develop into large blisters

Front 110

Unique dangers associated with confined spaces include:

Back 110

limited ventilation

Front 111

A level 1 material:

Back 111

would cause irritation on contact but only mild residual injury, even without treatment

Front 112

According to the JumpSTART triage system, if an infant or child is not breathing, you should:

Back 112

immediately assess for a pulse

Front 113

If a sufficient concentration of a hazardous material mixes with the air and reaches its lower explosive limit:

Back 113

the material can burn in the air or explode

Front 114

Which of the following statements regarding windshield removal is MOST correct?

Back 114

When the windshield is struck with a center punch, a small break occurs but the structure of the glass remains intact

Front 115

In contrast to viruses and bacteria, neurotoxins:

Back 115

are not contagious, but do have a faster onset of symptoms

Front 116

Which of the following pieces of equipment does NOT require calibration?

Back 116

Stethoscope

Front 117

When staging at an appropriate distance from the scene until the hazardous materials team arrives to investigate the chemical leaking from an overturned tanker, you should:

Back 117

check the wind direction periodically and be prepared to relocate

Front 118

Which of the following statements regarding body armor is MOST correct?

Back 118

Sound survival skills to avoid dangerous situations provide more protection than body armor

Front 119

When dispatched to an emergency call, the paramedic must:

Back 119

decide which route will be used to arrive at the scene safely

Front 120

When landing a helicopter at night, you should:

Back 120

avoid shining a spotlight up at the descending aircraft