Pregunta 1
Pregunta
The combined roles and responsibilities of paramedic practice is known as:
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Paramedicine.
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primary care.
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community medicine.
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integrated care
Pregunta 2
Pregunta
Critical care transport vehicles are
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required to have two registered nurses (RNs) on board during transport
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considered ambulances with at least one advanced life support (ALS) provider.
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specially equipped and staffed for moving extremely ill patients.
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reserved for ventilator or balloon pump patients.
Pregunta 3
Pregunta
Paramedics typically function outside their customary emergency response and transport roles in what emerging type of medicine?
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Critical care medicine
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Flight paramedicine
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Telemedicine
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Community paramedicine
Pregunta 4
Pregunta
Which type of emergency service provider has the skills and knowledge to use both basic and advanced equipment found on an ambulance?
Pregunta 5
Pregunta
Of the nationally recognized levels of emergency medical services (EMS) certifications in the United States, who performs the highest level of prehospital care?
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Advanced Emergency Medical Technician (AEMT)
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Paramedic
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Emergency Medical Responder (EMR)
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Emergency Medical Technician (EMT)
Pregunta 6
Pregunta
Which level of emergency medical services (EMS) provider is certified to provide only basic emergency medical care and transportation?
Pregunta 7
Pregunta
Which level of emergency medical services (EMS) provider is most likely to hold an associate's degree in emergency care?
Pregunta 8
Pregunta
The primary focus of the advanced emergency medical technician (AEMT) is to provide:
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basic and limited advanced emergency medical care and transportation for critical and emergent patients who access the emergency medical services (EMS) system.
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immediate advanced life support to noncritical patients who access the emergency medical system.
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basic emergency medical care and transportation for noncritical patients who access the emergency medical system.
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advanced emergency medical care for critical and emergent patients who access the EMS system.
Pregunta 9
Pregunta
The paramedic is always expected to:
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improve the patient's condition.
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supervise other care providers.
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serve as the patient's advocate
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obtain online medical direction.
Pregunta 10
Pregunta
One of the primary tasks of the paramedic is to:
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diagnose the patient's primary medical issue.
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provide care in an out-of-hospital setting.
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minimize on-scene time.
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reduce unnecessary transports.
Pregunta 11
Pregunta
To be a successful paramedic, you must:
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exert your authority on all emergency calls.
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be adaptable and make critical decisions effectively.
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never appear uncertain about what to do
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make a decision quickly and never waiver.
Pregunta 12
Pregunta
What is often touted as being the best way to avoid legal issues as a paramedic?
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Document patient care as it should have occurred.
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Place the patient's welfare above all other tasks.
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Have the patient sign a medical liability waiver.
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Always establish online medical direction.
Pregunta 13
Pregunta
In the near future, paramedics may find themselves taking on a variety of additional roles including:
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injury prevention within their service area.
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replacing the nurse in the emergency department.
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providing suturing of lacerations to children.
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determining if a patient should go to the hospital based upon the likelihood they will be admitted.
Pregunta 14
Pregunta
A role that the paramedic often performs while on duty, but between emergency calls, is:
Pregunta 15
Pregunta
Your patient requires transport; however, you have determined the closest facility is NOT the best destination and your medical director agrees. Transporting to the more distant facility will cause you to get off late for this shift. Transporting the patient to the appropriate facility anyway shows you are:
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serving the best interests of the patient.
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exceeding your medical authority.
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protecting the public's safety.
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guilty of abandonment.
Pregunta 16
Pregunta
You are obligated to ensure the patient receives the best care possible:
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within a 10-20 minute transport time.
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regardless of the patient's ability to pay.
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according to the patient's insurance provider.
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within the patient's financial means.
Pregunta 17
Pregunta
Based on current trends, paramedic graduates of today will continue to enter into nontraditional roles such as helicopter EMS, tactical EMS, and industrial medicine because of their:
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ability to follow standing orders.
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unique education and ability to think and work independently.
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ability to follow direction from medical direction.
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rapport with hospital-based emergency systems.
Pregunta 18
Pregunta
What is an environment that today's paramedics often work in?
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Industrial environments
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Commercial aircrafts
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Dental offices
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The operating room
Pregunta 19
Pregunta
What would provide most of the capabilities of the hospital intensive care unit in an out-of-hospital environment?
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Critical care transport vehicle
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Tactical emergency medical services (EMS) gear bag
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Special event crews in chase vehicle
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Standard advanced life support (ALS) ambulance
Pregunta 20
Pregunta
You have accepted a part-time job as a paramedic working in an outpatient clinic. This will likely increase your knowledge of:
Pregunta 21
Pregunta
Your emergency medical services (EMS) system sends multiple levels of emergency care personnel to the same incident. This is an example of a(n):
Pregunta 22
Pregunta
What process is used to continuously evaluate and improve the emergency medical services (EMS) system?
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Depositions
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Progressive discipline
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Quality improvement
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Civil litigation
Pregunta 23
Pregunta
Auditing encounter forms and peer review are examples of:
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retrospective medical oversight.
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intervener medical direction.
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on-line medical direction.
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anticipatory medical oversight.
Pregunta 24
Pregunta
Standing orders are:
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preauthorized protocols.
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increase liability for paramedics.
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used when the paramedic must speak with the medical director.
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protocols the paramedic may follow at will
Pregunta 25
Pregunta
Paramedics are an essential component in:
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the clinic referral system.
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the continuum of patient care.
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the hospital emergency room.
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Medicare fraud prevention.
Pregunta 26
Pregunta
The out-of-hospital components of an emergency medical services (EMS) system include:
Pregunta 27
Pregunta
Health care providers such as (emergency department) ED physicians and ED nurses, and the availability of services such as emergency radiology and respiratory care, are:
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not part of an EMS.
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in-hospital components of an emergency medical services (EMS) system.
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alternate pathways of educating EMS providers for an online EMS training system.
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accessory patient care systems for rural communities.
Pregunta 28
Pregunta
If there is a weakness in one component of an emergency medical services (EMS) system, it will:
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be supported by other components in a properly functioning system.
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diminish the overall quality of patient care.
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be less critical in tiered response systems.
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create an opportunity for the paramedic to intervene.
Pregunta 29
Pregunta
What were the lessons learned from the Korean and Vietnam conflicts that have impacted modern-day emergency medical services (EMS)?
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There was a need for a common scope of practice for all prehospital personnel.
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The lifesaving care needs to occur in the hospital setting.
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Injured soldiers benefited from emergency care provided as soon as possible.
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Speed of evacuation is the most important element in an EMS system.
Pregunta 30
Pregunta
The earliest medical records:
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were inscribed on clay tablets.
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discussed treating diagnoses, not symptoms.
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didn't include medications.
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included instructions on physical examination.
Pregunta 31
Pregunta
What was the effect of the publication of Accidental Death and Disability: The Neglected Disease of Modern Society on modern-day emergency medical services (EMS)?
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It was the "white paper" that acted as a catalyst for improving ambulance systems and emergency responder training.
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The American Heart Association began training the public in cardiopulmonary resuscitation (CPR).
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Determining many people died from preventable causes cited in the report.
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The states each took a leadership role in improving their own EMS systems.
Pregunta 32
Pregunta
The concept of ambulance volante, pioneered by Larrey during the Napoleonic Wars, was initiated during the Civil War by:
Pregunta 33
Pregunta
Accidental Death and Disability: The Neglected Disease of Modern Society was first published by:
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National Institute of Occupational Safety and Health (NIOSH).
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The Journal of Emergency Medical Services (JEMS)
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The National Registry of Emergency Medical Technicians (NREMT).
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The National Academy of Sciences
Pregunta 34
Pregunta
Accidental Death and Disability: The Neglected Disease of Modern Society was released in:
Pregunta 35
Pregunta
What coincided with the release of Accidental Death and Disability: The Neglected Disease of Modern Society that resulted in the first emergency medical services (EMS) guidelines for the United States?
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The Health Insurance Portability and Accountability Act of 1972
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The National EMS Curriculum Act of 1963
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The Los Angeles County EMS Planning Conference in 1961
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The Highway Safety Act of 1966
Pregunta 36
Pregunta
As a paramedic working in emergency medical services (EMS) today, what current day practice could you attribute to the recommendations found in Accidental Death and Disability: The Neglected Disease of Modern Society study?
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Improved communication between the ambulance and physicians
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Well-equipped and maintained ambulances
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Standardized training requirements for EMS personnel
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All of the answers are correct
Pregunta 37
Pregunta
In 1988, the Statewide emergency medical services (EMS) Technical Assessment Program was established by NHTSA to:
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provide acute illness and injury care and follow-up, and contribute to the treatment of chronic conditions and to community health monitoring.
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provide funding to states for trauma system planning, development, implementation, and evaluation.
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help establish helicopter EMS (HEMS) programs.
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define elements necessary to all EMS systems.
Pregunta 38
Pregunta
The Statewide Emergency Medical Services (EMS) Technical Assessment Program defines elements necessary to all EMS systems; the transportation element covers which items?
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Defensive driving class requirements
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Standards for street marking and placement of house numbers
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Minimum standards for equipping air ambulances
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Safe patient transport by ground or air ambulance
Pregunta 39
Pregunta
Standardized curriculum, adequate training, and qualified instructors are covered in which element of the Statewide emergency medical services (EMS) Technical Assessment Program?
Pregunta 40
Pregunta
Which element does NOT pertain to the medical director as it relates to the Statewide emergency medical services (EMS) Technical Assessment Program?
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The medical director responds to all requests for on-line medical care.
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The medical director oversees all aspects of patient care.
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The medical director delegates medical practice to nonphysician caregivers.
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Each EMS system must have a physician as its medical director.
Pregunta 41
Pregunta
A significant advance in paramedic education was contained in the 2009 publication of the National EMS Education Instructional Guidelines, developed by the:
Pregunta 42
Pregunta
Which organization recommended sweeping improvements for the helicopter air ambulance industry?
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National Registry of Emergency Medical Technicians
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President's Council on Safety
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National Transportation Safety Board
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National Highway Traffic Safety Administration (NHTSA)
Pregunta 43
Pregunta
Which document recommended that emergency medical services (EMS) of the future would be a community-based health management system that would be fully integrated into the overall health care system?
Pregunta 44
Pregunta
The National Report Card on the State of Emergency Medicine: Evaluating the Environment of Emergency Care Systems State by State pointed out the significant problems that existed in all aspects of emergency care, including:
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a significant need for helicopter transport services for critically ill or injured patients.
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overstressing of emergency medical services (EMS) systems are so severe that the quality of care has been compromised.
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a lack of competent providers causing a deterioration in patient care.
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patient disappointment in service from long ambulance wait times.
Pregunta 45
Pregunta
In the publication Emergency Medical Services: At the Crossroads, published by the National Academies Institute of Medicine, which element is not a weakness identified in current emergency medical services (EMS) delivery systems?
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Disparities in response time
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Insufficient coordination
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poor patient rapport
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Uncertain quality of care
Pregunta 46
Pregunta
In 2006, the National Academies Institute of Medicine published an evaluation of the status of emergency services which found that, despite the advances made in emergency medical services (EMS), sizable challenges remained. This evaluation was entitled:
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The National Report Card on the State of Emergency Medicine: Evaluating the Environment of Emergency Care Systems State by State.
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Statewide EMS Technical Assessment Program.
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The EMS Agenda for the Future.
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Emergency Medical Services: At the Crossroads.
Pregunta 47
Pregunta
Which statement is true regarding response times to emergency medical services (EMS) calls?
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Response times are very consistent throughout the United States.
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Response times are not tracked in the United States.
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Response times are not impacted by dispatch resources.
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Response times vary greatly across the United States.
Pregunta 48
Pregunta
What was published in 2006 that reported the lack of standardized measures of emergency medical services (EMS) quality?
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EMS Agenda for the Future
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Accidental Death and Disability: The Neglected Disease of Modern Society
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Emergency Medical Services for Children
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Emergency Medical Services: At the Crossroads
Pregunta 49
Pregunta
First used by the Salt Lake City Fire Department and using a set of medically approved protocols, emergency medical dispatchers (EMDs) are trained to medically interrogate a distressed caller, prioritize symptoms, select an appropriate response, and give lifesaving prearrival instructions. This management method is called:
Pregunta 50
Pregunta
Emergency medical services (EMS) is just part of the patient's continuum of care. When does the continuum of care begin?
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When EMS is first activated
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.When the patient is admitted to the hospital
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When the patient is first injured or becomes ill
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When the patient arrives at the hospital
Pregunta 51
Pregunta
For improved efficiency, emergency medical services (EMS)operations among multiple agencies should be:
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isolated.
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independent.
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infrequent.
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integrated.
Pregunta 52
Pregunta
What is the sixth and final step in the American Heart Association (AHA) chain of survival?
Pregunta 53
Pregunta
The study of the ways in which disease states interfere with normal functioning of body systems is called:
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pathology.
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epidemiology.
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pathophysiology.
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immunology.
Pregunta 54
Pregunta
Which of these terms refer to the movement of a solute from an area of higher concentration to an area of lower concentration without the use of energy or assistance?
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Osmosis
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Facilitation
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Simple diffusion
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Active transport
Pregunta 55
Pregunta
Poisons released from bacterial cells when they die, that can trigger an inflammatory process, are known as:
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epitoxins.
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exotoxins.
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ectotoxins.
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endotoxins.
Pregunta 56
Pregunta
The process in which the size of a cell decreases as a result of decreasing workload is known as:
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hyperplasia
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hypertrophy.
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metaplasia.
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Atrophy.
Pregunta 57
Pregunta
The smallest units of life are:
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atoms.
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cells.
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tissues.
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molecules.
Pregunta 58
Pregunta
A group of organs working together for some common goal is known as a(n):
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organism.
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organ thread.
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organ system.
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human being.
Pregunta 59
Pregunta
What is the term used to describe any unit of life that is capable of surviving and reproducing in an environment?
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Organ system
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Biome
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Organism
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Human
Pregunta 60
Pregunta
The smallest unit of life is the:
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Cell
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organ
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tissue
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body system
Pregunta 61
Pregunta
External influences that tend to increase the body's vulnerability to a disease, such as poor dietary habits increasing the risk of diabetes, are called:
Pregunta 62
Pregunta
Humans at both ends of the age spectrum are especially vulnerable to disease due to:
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weakness of the immune system.
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frail body systems.
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increased exposure to illness.
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diminished mental capacities.
Pregunta 63
Pregunta
Predisposition to certain disease processes on a familial basis can be attributed to:
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country of origin.
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atherosclerosis.
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lifestyle.
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genetics.
Pregunta 64
Pregunta
In the Ukraine, the incidence of cancers, specifically thyroid cancer, has increased dramatically following the nuclear disaster in 1986 at Chernobyl. In this case, the predisposing factor is:
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inheritance.
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genetics.
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lifestyle.
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exposure.
Pregunta 65
Pregunta
Pathological changes that result from invasion of the body and colonization by a pathogenic organism are classified as:
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immunologic diseases.
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inflammatory diseases.
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an autoimmune disorder.
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infectious diseases.
Pregunta 66
Pregunta
Congenital diseases can result from problems which occur during:
Pregunta 67
Pregunta
Disease states that result from a deficiency in one or all of the major nutritional sources (carbohydrates, proteins, fats) are classified as:
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electrolyte imbalances.
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nutritional diseases.
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vitamin deficiencies.
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malnutrition disorders.
Pregunta 68
Pregunta
What is neoplasia?
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Abnormal or uncontrolled cell growth
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Hypoxia-induced cellular malformation
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Chemical destruction of a cell membrane
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The formation of new skin cells on a fetus
Pregunta 69
Pregunta
Most atoms become stable by:
Pregunta 70
Pregunta
The process by which atoms join together to form a molecule is called:
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orbitation
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coupling
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bonding
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valence
Pregunta 71
Pregunta
The equal sharing of electrons between atoms results in a(n):
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hydrogen bond.
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atomic mass.
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covalent bond.
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ionic bond.
Pregunta 72
Pregunta
An atom or molecule with missing electrons and thus a net positive charge is called a(n):
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ionic bond.
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anion.
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nonmetallic element.
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cation.
Pregunta 73
Pregunta
Which of these is NOT a major class of biologic chemicals?
Respuesta
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Water
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Lipids
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Carbohydrates
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Proteins
Pregunta 74
Pregunta
Polysaccharides are considered part of which major class of biologic chemicals?
Respuesta
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Carbohydrates
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Water
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Lipids
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Proteins
Pregunta 75
Pregunta
Amino acids are held together in proteins by:
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hydrogen bonds.
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ionic bonds.
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covalent bonds.
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peptide bonds.
Pregunta 76
Pregunta
Most enzymes can also be considered:
Respuesta
-
Carbohydrates
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Lipids
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Water
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Proteins
Pregunta 77
Pregunta
Successfully completing a course that adheres to the most recent National EMS Education Instructional Guidelines would fulfill the requirements of:
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initial education.
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subsequent education.
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field training.
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continuing education.
Pregunta 78
Pregunta
Quality, accredited continuing education programs and much of the didactic portion of initial emergency medical services (EMS) education are now available:
Pregunta 79
Pregunta
Which statement is true regarding the Consolidated Omnibus Budget Reconciliation Act (COBRA) of 1981?
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It introduced federal funding for EMS.
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It prevented EMS agencies from applying for grants.
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It significantly increased federal funding for EMS.
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It wiped out federal funding for emergency medical services (EMS).
Pregunta 80
Pregunta
Which document provided funding to states for trauma system planning, development, implementation, and evaluation?
Respuesta
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Statewide EMS Technical Assessment Program
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Trauma Care Systems and Development Act
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EMS Agenda for the Future
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Ontario Prehospital Advanced Life Support study
Pregunta 81
Pregunta
Clinical protocols are designed around the four "Ts" of emergency care. These are:
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triage, treatment, training, and testing.
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training, triage, treatment, and transport.
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triage, treatment, telemetry, and transport.
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triage, treatment, transport, and transfer.
Pregunta 82
Pregunta
Emergency medical services (EMS) providers are the medical director's designated agents. This defines the concept of:
Pregunta 83
Pregunta
The trend in emergency medical services (EMS) as it relates to medical direction is to:
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eliminate medical direction.
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increase on-line medical direction and decrease off-line medical direction.
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increase off-line medical direction and decrease on-line medical direction.
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transition to entirely on-line medical direction.
Pregunta 84
Pregunta
In most emergency medical services (EMS) systems, what is the most overlooked component of the EMS system?
Pregunta 85
Pregunta
A means to promote and enhance the status of emergency medical services (EMS) within the health care community and to help create a unified voice for EMS providers are two of the services provided by:
Pregunta 86
Pregunta
What nongovernmental organization develops and administers standardized tests for various EMS provider levels?
Respuesta
-
N.R.E.M.T.
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N.E.M.S.E.S.
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C.o.A.E.M.S.P.
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N.A.E.M.S.E.
Pregunta 87
Pregunta
An abundant source of continuing education material and an excellent opportunity for EMS professionals to write and publish articles are two benefits of:
Pregunta 88
Pregunta
Which publication is specifically for emergency medical services (EMS)professionals?
Pregunta 89
Pregunta
KKK-A-1822 is a federal specification intended to improve:
Pregunta 90
Pregunta
Which statement is true regarding KKK-A-1822 standards?
Respuesta
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All ambulances meet this standard.
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Not all ambulances meet this federal standard.
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This standard is only for air ambulances.
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This standard is only for fire department ambulances.
Pregunta 91
Pregunta
The KKK-A-1822 federal standards for ambulances include:
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elimination of handheld spotlights.
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geographical positioning system (GPS) navigation system.
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video communication system.
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occupant protection standards.
Pregunta 92
Pregunta
Which standard called for improved electrical standards and reduced interior siren noise for ambulances?
Pregunta 93
Pregunta
A designated trauma center is:
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any hospital that self-designates itself as a trauma center.
-
a hospital that meets accreditation standards for trauma care.
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a hospital with air ambulance resources on site.
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a hospital with trauma and rehabilitation services on site.
Pregunta 94
Pregunta
Receiving facilities should have all of these capabilities except which one?
Pregunta 95
Pregunta
Which facilility is NOT a recognized specialty center category?
Respuesta
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Burn center
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Orthopedic center
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Pediatric center
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Perinatal center
Pregunta 96
Pregunta
You are transporting a patient who was rescued from a house fire. Which type of receiving facility, if available, should you transport the patient to?
Respuesta
-
Chest pain center
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Trauma center
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Stroke center
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Burn center
Pregunta 97
Pregunta
For quality assurance and improvement programs to be effective, they must:
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be dynamic and comprehensive.
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fully attain total excellence.
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set the community's expectations.
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be designed with the needs of cost effective care as their chief concern.
Pregunta 98
Pregunta
Which guideline does not appear in the National Highway Traffic Safety Administration (NHTSA) released manual called A Leadership Guide to Quality Improvement for Emergency Medical Services Systems?
Pregunta 99
Pregunta
A good emergency medical services (EMS) quality improvement (QI) program is also a(n):
Respuesta
-
"good enough" quality program.
-
excellent individual performance monitor.
-
excellent risk management strategy.
-
excellent low-risk procedure monitor.
Pregunta 100
Pregunta
EMS cases can be divided into four areas of risk; of these, which is most important for quality improvement (QI) monitoring?
Pregunta 101
Pregunta
The primary tenet of medicine is primum non nocere, which means:
Pregunta 102
Pregunta
Which error is an ongoing issue in emergency medical services (EMS)and a common source of malpractice litigation?
Pregunta 103
Pregunta
When a health care provider fails to perform a skill properly, this is known as a:
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protocol-based failure.
-
skill-based failure.
-
knowledge-based failure.
-
cognitive load failure.
Pregunta 104
Pregunta
When an emergency medical services (EMS) provider fails to follow an established treatment guideline, this is known as a(n):
Pregunta 105
Pregunta
One reason there is very little known about the quality of care delivered by emergency medical services (EMS) services in the United States is:
Respuesta
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medical professionals attempt to hide problems from government agencies.
-
there are no standardized measures of EMS quality.
-
EMS providers are reluctant to report quality issues.
-
hospital emergency departments fail to review EMS performance.
Pregunta 106
Pregunta
What is an essential component of an emergency medical services (EMS) system?
Respuesta
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Research
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Online training
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Tuition reimbursement
-
Conferences
Pregunta 107
Pregunta
Historically, emergency medical services (EMS) has implemented treatment guidelines without adequate:
Respuesta
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communication
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training
-
research
-
medical direction.
Pregunta 108
Pregunta
What is a significant barrier to emergency medical services (EMS) research?
Pregunta 109
Pregunta
What enhancement has been made in some emergency medical services (EMS) systems based on the benefits recently identified with rapid primary percutaneous coronary intervention (PPCI)?
Respuesta
-
Paramedics can activate cardiac catheterization teams.
-
Most ALS ambulances now carry single tPA doses.
-
EMS providers can now perform percutaneous coronary interventions in the prehospital setting.
-
HEMS resources are now used regardless of proximity to the receiving facilities for patients in need of PPCI.
Pregunta 110
Pregunta
Which change is NOT one of the rules of evidence when considering a new medication, process, or procedure?
Respuesta
-
Any proposed change must be supported by ample scientific human research.
-
Any proposed change must be affordable.
-
Any proposed change must be clinically important.
-
Any proposed change must be supported by the community.
Pregunta 111
Pregunta
Is there any benefit in new clinical evidence invalidating traditional emergency medical services (EMS) practices?
Respuesta
-
.Yes, because they can be replaced with treatments that are more effective.
-
No, because current practices are so established within the system that changes will create problems.
-
Yes, because EMS agencies will be able to seek higher reimbursement rates based on more advanced procedures.
-
No, because traditional EMS practices have been proven out by years of effective use.
Pregunta 112
Pregunta
With regard to evidence-based medicine, what skill is essential for paramedics to possess?
Respuesta
-
When to determine which protocols to follow
-
How to read and interpret scientific literature
-
When to disregard clinical experience
-
How to conduct scientific human research
Pregunta 113
Pregunta
Which field of medicine requires you to be the most mentally, physically, and emotionally prepared?
Respuesta
-
Dietetics
-
Social work
-
Rehabilitation
-
Paramedicine
Pregunta 114
Pregunta
Paramedics require a strong knowledge in which area?
Respuesta
-
Pharmacology
-
Surgical techniques
-
Pathophysiology
-
Rehabilitation
Pregunta 115
Pregunta
Which individuals are not part of the allied health professions?
Respuesta
-
Paramedic
-
Physician
-
Respiratory therapist
-
Physical therapist
Pregunta 116
Pregunta
Which is an example of a paramedic providing primary care?
Respuesta
-
The paramedic responds to a call where a child has stuffed a marble up in their nose. The paramedic removes the marble and transports the child to an outpatient clinic for additional follow up.
-
The paramedic responds to a call where an adult has fallen off a roof and has a fractured forearm and head wound. The paramedic stabilizes the patient and transports the patient to a trauma center.
-
C.
The paramedic responds to a call where an individual is having an allergic reaction to a bee sting. The paramedic administers epinephrine, and the patient requests to not be transported to the hospital.
-
The paramedic responds to a call where a college student has passed out from too much alcohol. The paramedic transports the student to the nearest hospital.
Pregunta 117
Pregunta
Restocking and equipment disinfection:
Respuesta
-
are not required before returning to service.
-
should be done after every call.
-
can be completed anytime during your shift.
-
are basic life support (BLS) responsibilities.
Pregunta 118
Pregunta
The paramedic is stationed in a facility in a remote area and is called to respond to a trauma related emergency. There are no major cities in the area, and the only medical care is from a clinic in a small town that is open during weekdays only. However, the physician is on call as needed. What level of trauma center would the paramedic expect to take the patient to?
Respuesta
-
Level II
-
Level IV
-
Level I
-
Level III
Pregunta 119
Pregunta
On your way to work, you consciously set aside your personal problems in order to focus on the needs of your patients. This is an example of:
Respuesta
-
response
-
preparation
-
scene size up.
-
recognition
Pregunta 120
Pregunta
In order for paramedics to properly treat a patient, they must master:
Pregunta 121
Pregunta
How many levels of trauma centers are there according to the American College of Surgeons?
Pregunta 122
Pregunta
Which level of trauma center is required to have criteria for transporting certain types of trauma patients to a higher level of care?
Respuesta
-
Level IV centers only
-
Level I, II, and III centers
-
Level III and IV centers
-
Level II, III, and IV centers
Pregunta 123
Pregunta
You are caring for a 17-year-old patient who experienced an acute psychotic break and jumped off a building. They have sustained multiple long bone and chest injuries. They should be transported to what type of facility (assuming all are within a reasonable driving distance)?
Pregunta 124
Pregunta
You have a 23-year-old patient who jumped from a first story balcony to escape a house fire. They have extensive burns to the face, neck, arms, and torso. During the jump they seemed to have twisted their ankle. What would be the best destination facility given this scenario, and assuming all facilities are within similar transporting distances?
Respuesta
-
Pediatric trauma center
-
Burn facility
-
Immediate care facility
-
Trauma facility
Pregunta 125
Pregunta
Setting high standards for personal performance, crew performance, and agency performance is an indicator of:
Respuesta
-
professionalism.
-
independence
-
pride
-
ego
Pregunta 126
Pregunta
Ethics are not laws, but rather:
Respuesta
-
standards of honorable behavior of a group.
-
a specific code of conduct of an individual.
-
a personal moral standard.
-
agency-specific protocols for right and wrong.
Pregunta 127
Pregunta
Which document details some of the guiding principles for professional emergency medical technician (EMT) service?
Pregunta 128
Pregunta
Being a professional requires a:
Pregunta 129
Pregunta
Professionalism in communication is an important attribute in the prehospital environment. Which are attributes of effective communication?
Respuesta
-
Using complicated medical terminology to explain a procedure to the injured
-
Speaking clearly, writing legibly, and always using medical terminology
-
Speaking clearly, listening actively, and writing legibly
-
Speaking clearly and loudly and always using medical terminology
Pregunta 130
Pregunta
A critical review of your own performance is a(n):
Pregunta 131
Pregunta
Which statement is most reflective of good teamwork?
Respuesta
-
Ensuring unanimous agreement on all decisions
-
Maintaining a friendly atmosphere for all team members
-
Placing success of the team over personal interests
-
Demonstrating your ability to direct others competently
Pregunta 132
Pregunta
Of the varied attributes a care provider may demonstrate, which one is not appropriate for an emergency medical services (EMS) provider?
Respuesta
-
Skill mastery
-
Egotism
-
Commitment to excellence
-
High standards
Pregunta 133
Pregunta
Human immunodeficiency virus (HIV), hepatitis B, and hepatitis C are all:
Pregunta 134
Pregunta
Cleaning with a bleach solution is a form of:
Pregunta 135
Pregunta
The nonspecific response of the body to any demand, real or percerived, is called:
Respuesta
-
stress
-
defense
-
grief
-
coping
Pregunta 136
Pregunta
The extreme endpoint of the stress continuum is known as:
Respuesta
-
eustress
-
alpha stress.
-
burnout
-
decompression
Pregunta 137
Pregunta
Which response is true regarding use of lights and sirens by an emergency medical services (EMS) provider while transporting a patient or responding to a call?
Respuesta
-
They should be used on every call.
-
They are a means to get through heavy traffic.
-
They should only be used on cardiac arrest patients.
-
They should be limited to those patients with a time-critical condition.
Pregunta 138
Pregunta
What is a correct outcome regarding basic physical fitness when done correctly?
Respuesta
-
It increases the risk of back injury.
-
It can reduce workplace injuries.
-
It reduces the need for adequate sleep.
-
It eliminates job stress.
Pregunta 139
Pregunta
You are dispatched to a call for a morbidly obese patient. You need to move the patient to the ambulance on a cot. You should use what piece of equipment when transitioning the patient?
Respuesta
-
Use a power lift stretcher
-
Use a manual lift stretcher
-
Use a Reeves stretcher
-
Slide the patient rather than lifting
Pregunta 140
Pregunta
All the listed factors are important for paramedics who want to be in emergency medical services (EMS) long-term without physical injury, except which one?
Respuesta
-
24 hour shifts
-
Basic physical fitness
-
Proper nutrition
-
Adequate sleep
Pregunta 141
Pregunta
As an emergency medical technician (EMT) looking to improve your personal wellness, it is important to focus on:
Respuesta
-
increasing the amount of exercise you get in your day.
-
considering taking medication to help manage stressful times.
-
increasing coffee and tea intake.
-
watching more TV and playing more video games.
Pregunta 142
Pregunta
If your body is fed well and kept fit and if you use the principles of back safety and avoid potentially addictive and harmful substances, you:
Respuesta
-
will be able to work long shifts without tiring.
-
will be able to work without additional assistance on morbidly obese patients.
-
should have the physical strength and stamina to perform the duties of a paramedic.
-
will reduce your insurance rates.
Pregunta 143
Pregunta
Which guideline is consistent with MyPlate guidelines provided by the U.S. Department of Agriculture?
Respuesta
-
Make one quarter of your plate fruits and vegetables.
-
Drink whole milk as a source of calcium.
-
Make half your grains whole grains.
-
Eat larger portions less often.
Pregunta 144
Pregunta
What outcome is not a direct benefit of physical fitness?
Pregunta 145
Pregunta
Provider obesity and a lack of general physical fitness are associated with an increase in:
Respuesta
-
poor patient care.
-
lucidy
-
burnout
-
back injuries.
Pregunta 146
Pregunta
Overuse and abuse of substances such as caffeine are common among:
Respuesta
-
EMS providers in rural areas.
-
those with high-stress jobs.
-
older workers specifically.
-
mostly women in emergency medical services (EMS).
Pregunta 147
Pregunta
What risk factor increases the likelihood of cancer and cardiovascular disease?
Respuesta
-
Use of tobacco
-
Hypermetabolism
-
Job stress
-
Chronic fatigue
Pregunta 148
Pregunta
You have decided to quit smoking. You should:
Respuesta
-
replace the habit with food or alcohol.
-
take some time off work.
-
keep quiet until you are sure you can do it.
-
seek support from local resources.
Pregunta 149
Pregunta
What technique is very important to avoid injuring your back at work?
Pregunta 150
Pregunta
Abdominal strength can help reduce back injuries. The best way to increase core strength is:
Respuesta
-
jogging
-
jumping jacks.
-
abdominal crunches.
-
sit-ups
Pregunta 151
Pregunta
If you are not sure you can handle a particular lifting or moving situation, you should:
Respuesta
-
take yourself out of service.
-
get help from other rescuers.
-
warm up first.
-
ask bystanders to assist you.
Pregunta 152
Pregunta
When lifting a patient who is on your wheeled cot, you should:
Respuesta
-
lift with your palms up.
-
lift with your palms down.
-
lock your knees and bend your back prior to lifting.
-
lift with one palm up and one down.
Pregunta 153
Pregunta
Calls involving what issue are typically challenging for most emergency medical services (EMS) providers?
Respuesta
-
Elderly patients
-
Traumatic injuries
-
Death and dying
-
Refusals
Pregunta 154
Pregunta
The "denial" stage of grief is characterized by:
Respuesta
-
"why me?"
-
"but I haven't."
-
"not me."
-
"I'm not afraid."
Pregunta 155
Pregunta
Which statement or question characterizes the anger stage of grief?
Respuesta
-
"First let me."
-
"Not me."
-
"I'm not afraid."
-
"Why me?"
Pregunta 156
Pregunta
During which stage of grief will the family likely need more support than the patient?
Respuesta
-
Bargaining
-
Acceptance
-
Anger
-
Denial
Pregunta 157
Pregunta
The additional stress from exposure to death, which paramedics encounter much more frequently than other people do, can lead to:
Respuesta
-
denial of the event.
-
an increased ability to deal with death without outside support.
-
an increased sense of reverence toward the event.
-
a cumulative sense of overload.
Pregunta 158
Pregunta
A stimulus that causes stress is known as a(n):
Respuesta
-
hardship
-
insult
-
stressor
-
event
Pregunta 159
Pregunta
The U.S. Surgeon General once estimated that stress-related diseases kill approximately what percentage of people who die of nontraumatic causes?
Pregunta 160
Pregunta
What are the three physiologic phases of the stress response?
Respuesta
-
Alarm, resistance, and exhaustion
-
Distress, alarm, and recovery
-
Distress, eustress, and recovery
-
Resistance, alarm, and recovery
Pregunta 161
Pregunta
Exercising, eating a healthy diet, using relaxation techniques, and reframing thoughts are all ways of managing:
Respuesta
-
stress
-
cancer
-
critical infections.
-
anorexia
Pregunta 162
Pregunta
Defensive response strategies to stress can include:
Respuesta
-
problem solving.
-
denial or distortion of the situational reality.
-
multiple option determination.
-
confrontation of the stressor
Pregunta 163
Pregunta
In emergency medical services (EMS) and life, you have the ability to choose how to treat your body in regard to diet, exercise, and stress management. As such, in doing so, you must realize that every health choice has:
Respuesta
-
only positive outcomes.
-
some amount of negative outcomes.
-
outcomes that will be immediately realized
-
outcomes and consequences.
Pregunta 164
Pregunta
Which mechanism is not recognized as a method for adapting to stress?
Pregunta 165
Pregunta
Post-traumatic stress disorder (PTSD) is:
Respuesta
-
often seen in individuals who have not actually been exposed to traumatic events.
-
an emotional disability that primarily affects accident survivors.
-
not generally considered to be a cause of anxiety.
-
a possible outcome of recurrent and unmitigated stress.
Pregunta 166
Pregunta
Which of these is NOT a symptom of post-traumatic stress disorder (PTSD)?
Respuesta
-
Physical reactions whenever something reminds the person of the event(s).
-
Unwanted and distressing memories of the traumatic event(s).
-
An uncontrollable desire to return to the place of the event(s).
-
Disturbing or intrusive flashbacks of the event(s).
Pregunta 167
Pregunta
An organization that raises awareness about post-traumatic stress disorder (PTSD) specifically in the emergency medical services (EMS) community is:
Pregunta 168
Pregunta
Why has the concept of Critical Incident Stress Management (CISM) been all but abandoned in emergency medical services (EMS)?
Respuesta
-
The evidence showed that it was potentially harmful to participants.
-
Industry support for EMS provider mental health resources has waned.
-
It was replaced by the critical incident stress debriefing (CISD) process.
-
Most agencies now use the stress management protocols outlined in the National Incident Management System.
Pregunta 169
Pregunta
When rescuers are working together as a team to lift a patient:
Respuesta
-
all rescuers should lift and twist at the same time.
-
only one person should be in charge of verbal commands.
-
all rescuers should hold their breath during the lift process.
-
no rescuer should bend the knees more than 90 degrees.
Pregunta 170
Pregunta
Proper lifting techniques:
Respuesta
-
are best developed by individual trial and error.
-
should ideally be taught by and practiced with a seasoned emergency medical services (EMS) educator or trainer.
-
cannot be utilized by a provider with bad knees.
-
rely most heavily on strong back muscles.
Pregunta 171
Pregunta
The person who drives the ambulance should understand which basic principle?
Respuesta
-
Use lights and sirens at all times when driving on a congested road.
-
Follow the ambulance escort as closely as possible to avoid losing the lead vehicle in traffic.
-
Park as close to the victim as possible when responding to a roadway incident.
-
Know how to manage an intersection in which traffic is moving in several directions.
Pregunta 172
Pregunta
Which factor(s) seem to contribute to ambulance crashes?
Respuesta
-
Increased braking distances of modern ambulances
-
The least trained and experienced person typically drives
-
Less responsive steering in modern ambulances
-
All of the above
Pregunta 173
Pregunta
A hypothesis is:
Respuesta
-
the ability to generalize your results.
-
a statement of exactly what your study will answer.
-
what you want to measure.
-
the group you draw your subjects from.
Pregunta 174
Pregunta
Research has proven that a certain treatments actually improve morbidity, mortality, or quality of life for the patient. This is known as:
Respuesta
-
anecdotal data.
-
inconclusive research.
-
qualitative research.
-
outcomes-based research.
Pregunta 175
Pregunta
You submit an emergency medical services (EMS) article for publication and are told it must first be reviewed by other EMS professionals for quality and accuracy. This is known as:
Pregunta 176
Pregunta
Quantitative research expresses phenomena in:
Respuesta
-
images
-
opinions
-
numbers
-
words
Pregunta 177
Pregunta
Future changes in emergency medical services (EMS) procedures, techniques, and equipment must be evaluated to prove they make a positive difference prior to implementation; this aspect of EMS is known as:
Respuesta
-
research
-
scientific method.
-
quality assurance.
-
peer review.
Pregunta 178
Pregunta
What is one hallmark of the emergency medical services (EMS) profession?
Respuesta
-
The ability to attain knowledge through study or practice.
-
The ability to change practices and procedures based on evolving research.
-
The ability to analyze results and draw conclusions.
-
The ability to obtain funding for EMS research from the government.
Pregunta 179
Pregunta
What is most essential to ensuring that the best possible patient care is provided in the prehospital and out-of-hospital setting?
Pregunta 180
Pregunta
In the evidence-based approach, once a practice has been changed, ongoing evaluation must be carried out to determine:
Respuesta
-
if paramedics are willing to learn and implement the change.
-
if emergency medical services (EMS) systems want to implement the change.
-
whether the practice is correctly applied to the proper group of patients.
-
if patients will comply with the change.
Pregunta 181
Pregunta
The National Emergency Medical Services (EMS) Research Agenda was published by:
Respuesta
-
National Association of EMS Educators (NAEMSE).
-
United States Department of Transportation (USDOT).
-
Federal Emergency Management Agency (FEMA).
-
National Highway Traffic Safety Administration (NHTSA)
Pregunta 182
Pregunta
Which of the following was NOT a conclusion identified in the National EMS Research Agenda?
Respuesta
-
Researchers with extensive careers should be sought and funded.
-
The need for research in EMS should be recognized.
-
Relationships should be developed between emergency medical services (EMS) researchers and economists
-
Ethical research should be enhanced in EMS.
Pregunta 183
Pregunta
According to the National EMS Research Agenda, researchers must have access to what type of data in order to improve prehospital patient care.
Pregunta 184
Pregunta
The National EMS Research Agenda recommends the use of what process when evaluating technical advances in out-of-hospital care.
Respuesta
-
Observations
-
Scientific methodology
-
Protocols
-
Operating procedures
Pregunta 185
Pregunta
The reliable, consistent, and nonarbitrary components of a research project, used to explore observations and answer questions, are known collectively as:
Pregunta 186
Pregunta
Which is not a step of the research process as it relates to the scientific method of research for emergency medical services (EMS)?
Respuesta
-
Poll others in the EMS field for their opinions
-
State the hypothesis or a precise question
-
Set up an experiment to test a hypothesis
-
Do background research on the subject
Pregunta 187
Pregunta
In the scientific method, the first step is to observe something and ask questions about it. This step is followed by which step?
Pregunta 188
Pregunta
Which step of the scientific method needs to occur if your hypothesis is found to be incorrect?
Respuesta
-
Collect data
-
Construct a hypothesis
-
Ask questions
-
Revise the hypothesis
Pregunta 189
Pregunta
Research that produces findings not arrived at by means of statistical procedures or other means of quantification is known as:
Respuesta
-
qualitative
-
prospective
-
quantitative
-
retrospective
Pregunta 190
Pregunta
Which type of study would be conducted if the researcher wants to study a behavior in more than one context?
Respuesta
-
Prospective research
-
Quantitative research
-
Mixed research
-
Qualitative research
Pregunta 191
Pregunta
Which type of study would have both prospective and retrospective components?
Pregunta 192
Pregunta
An emergency medical services (EMS) researcher wants to determine whether the rate of drug-related calls has been increasing over the past 10 years. This researcher should conduct what kind of study?
Respuesta
-
Qualitative
-
Retrospective
-
Mixed
-
Prospective
Pregunta 193
Pregunta
An emergency medical services (EMS) researcher wants to assimilate all the available data related to the use of endotracheal intubation in children during prehospital care. What type of study will the researcher need to conduct?
Pregunta 194
Pregunta
An emergency medical services (EMS) researcher is conducting a study in which some patients in need of analgesia are treated with acetaminophen and some are treated with both acetaminophen and ibuprofen. Treatment with acetaminophen alone is the current institutional protocol, so patients in this group are the control group; patients receiving both acetaminophen and ibuprofen are the treatment group. Patients are randomly assigned a group, and neither group of patients knows their group designation. The researcher, however, is aware of which patients belong to which group. Based on this information, which study type is being used?
Pregunta 195
Pregunta
Which type of research is scientific research at its most basic level?
Pregunta 196
Pregunta
What type of research has the highest level of evidence?
Pregunta 197
Pregunta
What is the purpose of an institutional review board (IRB)?
Respuesta
-
To review the credentials of researchers taking part in the project
-
To approve the study for journal publication
-
To verify the accuracy of research findings
-
To ensure the protection of human subjects in research
Pregunta 198
Pregunta
Which document regarding research identifies the following: respect for the individual, ability of the subject to make an informed decision about participating in the research, and assurance by the researcher that the patient's safety will be protected?
Respuesta
-
Nuremburg Code of 1947
-
Geneva Convention
-
Tuskegee Accord
-
Helsinki Declaration
Pregunta 199
Pregunta
Overall, research is now a much safer endeavor and has provided many of the advancements in modern medical care; however:
Respuesta
-
there is a much lower risk to the general population since volunteer prisoners are commonly used.
-
there is still a potential for harm in many studies.
-
all study information is not yet available in the Belmont Report.
-
prehospital care has yet to fully benefit.
Pregunta 200
Pregunta
In the United States, informed consent is required:
Respuesta
-
for all medical experiments except emergency medical services (EMS).
-
for some medical experiments.
-
only for EMS related experiments.
-
for all medical experiments.