Jake Anderson
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Paramedic care and principles 6th edition. Volume 1 Chapters 1, 2, 3, 4, 5 (through objective 5.7) 19 ( through 19.6)

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Jake Anderson
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Practice Exam - Preparatory 1 of 3

Pregunta 1 de 50

1

The combined roles and responsibilities of paramedic practice is known​ as:

Selecciona una de las siguientes respuestas posibles:

  • Paramedicine.

  • primary care.

  • community medicine.

  • integrated care

Explicación

Pregunta 2 de 50

1

Critical care transport vehicles​ are

Selecciona una de las siguientes respuestas posibles:

  • required to have two registered nurses​ (RNs) on board during transport

  • considered ambulances with at least one advanced life support​ (ALS) provider.

  • specially equipped and staffed for moving extremely ill patients.

  • reserved for ventilator or balloon pump patients.

Explicación

Pregunta 3 de 50

1

Paramedics typically function outside their customary emergency response and transport roles in what emerging type of​ medicine?

Selecciona una de las siguientes respuestas posibles:

  • Critical care medicine

  • Flight paramedicine

  • Telemedicine

  • Community paramedicine

Explicación

Pregunta 4 de 50

1

Which type of emergency service provider has the skills and knowledge to use both basic and advanced equipment found on an​ ambulance?

Selecciona una de las siguientes respuestas posibles:

  • AEMT

  • EMR

  • EMS

  • EMT

Explicación

Pregunta 5 de 50

1

Of the nationally recognized levels of emergency medical services​ (EMS) certifications in the United​ States, who performs the highest level of prehospital​ care?

Selecciona una de las siguientes respuestas posibles:

  • Advanced Emergency Medical Technician​ (AEMT)

  • Paramedic

  • Emergency Medical Responder​ (EMR)

  • Emergency Medical Technician​ (EMT)

Explicación

Pregunta 6 de 50

1

Which level of emergency medical services​ (EMS) provider is certified to provide only basic emergency medical care and​ transportation?

Selecciona una de las siguientes respuestas posibles:

  • Paramedic

  • EMT

  • AEMT

  • EMR

Explicación

Pregunta 7 de 50

1

Which level of emergency medical services​ (EMS) provider is most likely to hold an​ associate's degree in emergency​ care?

Selecciona una de las siguientes respuestas posibles:

  • EMR

  • Paramedic

  • EMT

  • AEMT

Explicación

Pregunta 8 de 50

1

The primary focus of the advanced emergency medical technician​ (AEMT) is to​ provide:

Selecciona una de las siguientes respuestas posibles:

  • basic and limited advanced emergency medical care and transportation for critical and emergent patients who access the emergency medical services​ (EMS) system.

  • immediate advanced life support to noncritical patients who access the emergency medical system.

  • basic emergency medical care and transportation for noncritical patients who access the emergency medical system.

  • advanced emergency medical care for critical and emergent patients who access the EMS system.

Explicación

Pregunta 9 de 50

1

The paramedic is always expected​ to:

Selecciona una de las siguientes respuestas posibles:

  • improve the​ patient's condition.

  • supervise other care providers.

  • serve as the​ patient's advocate

  • obtain online medical direction.

Explicación

Pregunta 10 de 50

1

One of the primary tasks of the paramedic is​ to:

Selecciona una de las siguientes respuestas posibles:

  • diagnose the​ patient's primary medical issue.

  • provide care in an​ out-of-hospital setting.

  • minimize​ on-scene time.

  • reduce unnecessary transports.

Explicación

Pregunta 11 de 50

1

To be a successful​ paramedic, you​ must:

Selecciona una de las siguientes respuestas posibles:

  • exert your authority on all emergency calls.

  • be adaptable and make critical decisions effectively.

  • never appear uncertain about what to do

  • make a decision quickly and never waiver.

Explicación

Pregunta 12 de 50

1

What is often touted as being the best way to avoid legal issues as a​ paramedic?

Selecciona una de las siguientes respuestas posibles:

  • Document patient care as it should have occurred.

  • Place the​ patient's welfare above all other tasks.

  • Have the patient sign a medical liability waiver.

  • Always establish online medical direction.

Explicación

Pregunta 13 de 50

1

In the near​ future, paramedics may find themselves taking on a variety of additional roles​ including:

Selecciona una de las siguientes respuestas posibles:

  • injury prevention within their service area.

  • replacing the nurse in the emergency department.

  • providing suturing of lacerations to children.

  • determining if a patient should go to the hospital based upon the likelihood they will be admitted.

Explicación

Pregunta 14 de 50

1

A role that the paramedic often performs while on​ duty, but between emergency​ calls, is:

Selecciona una de las siguientes respuestas posibles:

  • annual conference attendance.

  • political activeness.

  • public safety.

  • teaching emergency medical services​ (EMS) courses.

Explicación

Pregunta 15 de 50

1

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:

Selecciona una de las siguientes respuestas posibles:

  • serving the best interests of the patient.

  • exceeding your medical authority.

  • protecting the​ public's safety.

  • guilty of abandonment.

Explicación

Pregunta 16 de 50

1

You are obligated to ensure the patient receives the best care​ possible:

Selecciona una de las siguientes respuestas posibles:

  • within a 10-20 minute transport time.

  • regardless of the​ patient's ability to pay.

  • according to the​ patient's insurance provider.

  • within the​ patient's financial means.

Explicación

Pregunta 17 de 50

1

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:

Selecciona una de las siguientes respuestas posibles:

  • ability to follow standing orders.

  • unique education and ability to think and work independently.

  • ability to follow direction from medical direction.

  • rapport with​ hospital-based emergency systems.

Explicación

Pregunta 18 de 50

1

What is an environment that​ today's paramedics often work​ in?

Selecciona una de las siguientes respuestas posibles:

  • Industrial environments

  • Commercial aircrafts

  • Dental offices

  • The operating room

Explicación

Pregunta 19 de 50

1

What would provide most of the capabilities of the hospital intensive care unit in an​ out-of-hospital environment?

Selecciona una de las siguientes respuestas posibles:

  • Critical care transport vehicle

  • Tactical emergency medical services​ (EMS) gear bag

  • Special event crews in chase vehicle

  • Standard advanced life support​ (ALS) ambulance

Explicación

Pregunta 20 de 50

1

You have accepted a​ part-time job as a paramedic working in an outpatient clinic. This will likely increase your knowledge​ of:

Selecciona una de las siguientes respuestas posibles:

  • critical care.

  • primary care.

  • tactical emergency medical services​ (EMS).

  • hospice care.

Explicación

Pregunta 21 de 50

1

Your emergency medical services​ (EMS) system sends multiple levels of emergency care personnel to the same incident. This is an example of​ a(n):

Selecciona una de las siguientes respuestas posibles:

  • tiered response.

  • basic life support​ (BLS) response.

  • unbalanced response.

  • advanced life support​ (ALS) response.

Explicación

Pregunta 22 de 50

1

What process is used to continuously evaluate and improve the emergency medical services​ (EMS) system?

Selecciona una de las siguientes respuestas posibles:

  • Depositions

  • Progressive discipline

  • Quality improvement

  • Civil litigation

Explicación

Pregunta 23 de 50

1

Auditing encounter forms and peer review are examples​ of:

Selecciona una de las siguientes respuestas posibles:

  • retrospective medical oversight.

  • intervener medical direction.

  • on-line medical direction.

  • anticipatory medical oversight.

Explicación

Pregunta 24 de 50

1

Standing orders​ are:

Selecciona una de las siguientes respuestas posibles:

  • preauthorized protocols.

  • increase liability for paramedics.

  • used when the paramedic must speak with the medical director.

  • protocols the paramedic may follow at will

Explicación

Pregunta 25 de 50

1

Paramedics are an essential component​ in:

Selecciona una de las siguientes respuestas posibles:

  • the clinic referral system.

  • the continuum of patient care.

  • the hospital emergency room.

  • Medicare fraud prevention.

Explicación

Pregunta 26 de 50

1

The​ out-of-hospital components of an emergency medical services​ (EMS) system​ include:

Selecciona una de las siguientes respuestas posibles:

  • social workers.

  • emergency nurses.

  • rehabilitation services.

  • regional poison control centers.

Explicación

Pregunta 27 de 50

1

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:

Selecciona una de las siguientes respuestas posibles:

  • not part of an EMS.

  • in-hospital components of an emergency medical services​ (EMS) system.

  • alternate pathways of educating EMS providers for an online EMS training system.

  • accessory patient care systems for rural communities.

Explicación

Pregunta 28 de 50

1

If there is a weakness in one component of an emergency medical services​ (EMS) system, it​ will:

Selecciona una de las siguientes respuestas posibles:

  • be supported by other components in a properly functioning system.

  • diminish the overall quality of patient care.

  • be less critical in tiered response systems.

  • create an opportunity for the paramedic to intervene.

Explicación

Pregunta 29 de 50

1

What were the lessons learned from the Korean and Vietnam conflicts that have impacted​ modern-day emergency medical services​ (EMS)?

Selecciona una de las siguientes respuestas posibles:

  • There was a need for a common scope of practice for all prehospital personnel.

  • The lifesaving care needs to occur in the hospital setting.

  • Injured soldiers benefited from emergency care provided as soon as possible.

  • Speed of evacuation is the most important element in an EMS system.

Explicación

Pregunta 30 de 50

1

The earliest medical​ records:

Selecciona una de las siguientes respuestas posibles:

  • were inscribed on clay tablets.

  • discussed treating​ diagnoses, not symptoms.

  • didn't include medications.

  • included instructions on physical examination.

Explicación

Pregunta 31 de 50

1

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)?

Selecciona una de las siguientes respuestas posibles:

  • It was the​ "white paper" that acted as a catalyst for improving ambulance systems and emergency responder training.

  • The American Heart Association began training the public in cardiopulmonary resuscitation​ (CPR).

  • Determining many people died from preventable causes cited in the report.

  • The states each took a leadership role in improving their own EMS systems.

Explicación

Pregunta 32 de 50

1

The concept of ambulance​ volante, pioneered by Larrey during the Napoleonic​ Wars, was initiated during the Civil War​ by:

Selecciona una de las siguientes respuestas posibles:

  • Clara Barton.

  • President Abraham Lincoln.

  • Jonathan Letterman.

  • Commercial Hospital.

Explicación

Pregunta 33 de 50

1

Accidental Death and​ Disability: The Neglected Disease of Modern Society was first published​ by:

Selecciona una de las siguientes respuestas posibles:

  • National Institute of Occupational Safety and Health​ (NIOSH).

  • The Journal of Emergency Medical Services​ (JEMS)

  • The National Registry of Emergency Medical Technicians​ (NREMT).

  • The National Academy of Sciences

Explicación

Pregunta 34 de 50

1

Accidental Death and​ Disability: The Neglected Disease of Modern Society was released​ in:

Selecciona una de las siguientes respuestas posibles:

  • 1966

  • 1970

  • 1960

  • 1979

Explicación

Pregunta 35 de 50

1

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?

Selecciona una de las siguientes respuestas posibles:

  • The Health Insurance Portability and Accountability Act of 1972

  • The National EMS Curriculum Act of 1963

  • The Los Angeles County EMS Planning Conference in 1961

  • The Highway Safety Act of 1966

Explicación

Pregunta 36 de 50

1

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?

Selecciona una de las siguientes respuestas posibles:

  • Improved communication between the ambulance and physicians

  • Well-equipped and maintained ambulances

  • Standardized training requirements for EMS personnel

  • All of the answers are correct

Explicación

Pregunta 37 de 50

1

In​ 1988, the Statewide emergency medical services​ (EMS) Technical Assessment Program was established by NHTSA​ to:

Selecciona una de las siguientes respuestas posibles:

  • provide acute illness and injury care and​ follow-up, and contribute to the treatment of chronic conditions and to community health monitoring.

  • provide funding to states for trauma system​ planning, development,​ implementation, and evaluation.

  • help establish helicopter EMS​ (HEMS) programs.

  • define elements necessary to all EMS systems.

Explicación

Pregunta 38 de 50

1

The Statewide Emergency Medical Services​ (EMS) Technical Assessment Program defines elements necessary to all EMS​ systems; the transportation element covers which​ items?

Selecciona una de las siguientes respuestas posibles:

  • Defensive driving class requirements

  • Standards for street marking and placement of house numbers

  • Minimum standards for equipping air ambulances

  • Safe patient transport by ground or air ambulance

Explicación

Pregunta 39 de 50

1

Standardized​ curriculum, adequate​ training, and qualified instructors are covered in which element of the Statewide emergency medical services​ (EMS) Technical Assessment​ Program?

Selecciona una de las siguientes respuestas posibles:

  • EMS program preparation

  • Human resources and training

  • Uniform training code

  • Minimum educational standards

Explicación

Pregunta 40 de 50

1

Which element does NOT pertain to the medical director as it relates to the Statewide emergency medical services​ (EMS) Technical Assessment​ Program?

Selecciona una de las siguientes respuestas posibles:

  • The medical director responds to all requests for​ on-line medical care.

  • The medical director oversees all aspects of patient care.

  • The medical director delegates medical practice to nonphysician caregivers.

  • Each EMS system must have a physician as its medical director.

Explicación

Pregunta 41 de 50

1

A significant advance in paramedic education was contained in the 2009 publication of the National EMS Education Instructional Guidelines​, developed by​ the:

Selecciona una de las siguientes respuestas posibles:

  • USDOT.

  • NTSB.

  • ​President's Council on Safety.

  • NHTSA

Explicación

Pregunta 42 de 50

1

Which organization recommended sweeping improvements for the helicopter air ambulance​ industry?

Selecciona una de las siguientes respuestas posibles:

  • National Registry of Emergency Medical Technicians

  • ​President's Council on Safety

  • National Transportation Safety Board

  • National Highway Traffic Safety Administration​ (NHTSA)

Explicación

Pregunta 43 de 50

1

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?

Selecciona una de las siguientes respuestas posibles:

  • EMS Systems Act

  • Ambulance volante

  • The EMS Agenda for the Future

  • The Consolidated Omnibus Budget Reconciliation Act​ (COBRA)

Explicación

Pregunta 44 de 50

1

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:

Selecciona una de las siguientes respuestas posibles:

  • a significant need for helicopter transport services for critically ill or injured patients.

  • overstressing of emergency medical services​ (EMS) systems are so severe that the quality of care has been compromised.

  • a lack of competent providers causing a deterioration in patient care.

  • patient disappointment in service from long ambulance wait times.

Explicación

Pregunta 45 de 50

1

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?

Selecciona una de las siguientes respuestas posibles:

  • Disparities in response time

  • Insufficient coordination

  • poor patient rapport

  • Uncertain quality of care

Explicación

Pregunta 46 de 50

1

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:

Selecciona una de las siguientes respuestas posibles:

  • The National Report Card on the State of Emergency​ Medicine: Evaluating the Environment of Emergency Care Systems State by State.

  • Statewide EMS Technical Assessment Program.

  • The EMS Agenda for the Future.

  • Emergency Medical​ Services: At the Crossroads.

Explicación

Pregunta 47 de 50

1

Which statement is true regarding response times to emergency medical services​ (EMS) calls?

Selecciona una de las siguientes respuestas posibles:

  • Response times are very consistent throughout the United States.

  • Response times are not tracked in the United States.

  • Response times are not impacted by dispatch resources.

  • Response times vary greatly across the United States.

Explicación

Pregunta 48 de 50

1

What was published in 2006 that reported the lack of standardized measures of emergency medical services​ (EMS) quality?

Selecciona una de las siguientes respuestas posibles:

  • EMS Agenda for the Future

  • Accidental Death and​ Disability: The Neglected Disease of Modern Society

  • Emergency Medical Services for Children

  • Emergency Medical​ Services: At the Crossroads

Explicación

Pregunta 49 de 50

1

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:

Selecciona una de las siguientes respuestas posibles:

  • emergency medical technician dispatching.

  • priority dispatching.

  • triage.

  • prearrival instruction.

Explicación

Pregunta 50 de 50

1

Emergency medical services​ (EMS) is just part of the​ patient's continuum of care. When does the continuum of care​ begin?

Selecciona una de las siguientes respuestas posibles:

  • When EMS is first activated

  • .When the patient is admitted to the hospital

  • When the patient is first injured or becomes ill

  • When the patient arrives at the hospital

Explicación

Pregunta 51 de 50

1

For improved​ efficiency, emergency medical services​ (EMS)operations among multiple agencies should​ be:

Selecciona una de las siguientes respuestas posibles:

  • isolated.

  • independent.

  • infrequent.

  • integrated.

Explicación

Pregunta 52 de 50

1

What is the sixth and final step in the American Heart Association​ (AHA) chain of​ survival?

Selecciona una de las siguientes respuestas posibles:

  • Rapid defibrillation

  • Recovery

  • Post-cardiac arrest care

  • Cardiopulmonary resuscitation​ (CPR)

Explicación

Pregunta 53 de 50

1

The study of the ways in which disease states interfere with normal functioning of body systems is​ called:

Selecciona una de las siguientes respuestas posibles:

  • pathology.

  • epidemiology.

  • pathophysiology.

  • immunology.

Explicación

Pregunta 54 de 50

1

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?

Selecciona una de las siguientes respuestas posibles:

  • Osmosis

  • Facilitation

  • Simple diffusion

  • Active transport

Explicación

Pregunta 55 de 50

1

Poisons released from bacterial cells when they​ die, that can trigger an inflammatory​ process, are known​ as:

Selecciona una de las siguientes respuestas posibles:

  • epitoxins.

  • exotoxins.

  • ectotoxins.

  • endotoxins.

Explicación

Pregunta 56 de 50

1

The process in which the size of a cell decreases as a result of decreasing workload is known​ as:

Selecciona una de las siguientes respuestas posibles:

  • hyperplasia

  • hypertrophy.

  • metaplasia.

  • Atrophy.

Explicación

Pregunta 57 de 50

1

The smallest units of life​ are:

Selecciona una de las siguientes respuestas posibles:

  • atoms.

  • cells.

  • tissues.

  • molecules.

Explicación

Pregunta 58 de 50

1

A group of organs working together for some common goal is known as​ a(n):

Selecciona una de las siguientes respuestas posibles:

  • organism.

  • organ thread.

  • organ system.

  • human being.

Explicación

Pregunta 59 de 50

1

What is the term used to describe any unit of life that is capable of surviving and reproducing in an​ environment?

Selecciona una de las siguientes respuestas posibles:

  • Organ system

  • Biome

  • Organism

  • Human

Explicación

Pregunta 60 de 50

1

The smallest unit of life is the:

Selecciona una de las siguientes respuestas posibles:

  • Cell

  • organ

  • tissue

  • body system

Explicación

Pregunta 61 de 50

1

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:

Selecciona una de las siguientes respuestas posibles:

  • predisposing factors.

  • self-destructive tendencies.

  • genetic predispositions.

  • low-immunity states

Explicación

Pregunta 62 de 50

1

Humans at both ends of the age spectrum are especially vulnerable to disease due​ to:

Selecciona una de las siguientes respuestas posibles:

  • weakness of the immune system.

  • frail body systems.

  • increased exposure to illness.

  • diminished mental capacities.

Explicación

Pregunta 63 de 50

1

Predisposition to certain disease processes on a familial basis can be attributed​ to:

Selecciona una de las siguientes respuestas posibles:

  • country of origin.

  • atherosclerosis.

  • lifestyle.

  • genetics.

Explicación

Pregunta 64 de 50

1

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:

Selecciona una de las siguientes respuestas posibles:

  • inheritance.

  • genetics.

  • lifestyle.

  • exposure.

Explicación

Pregunta 65 de 50

1

Pathological changes that result from invasion of the body and colonization by a pathogenic organism are classified​ as:

Selecciona una de las siguientes respuestas posibles:

  • immunologic diseases.

  • inflammatory diseases.

  • an autoimmune disorder.

  • infectious diseases.

Explicación

Pregunta 66 de 50

1

Congenital diseases can result from problems which occur​ during:

Selecciona una de las siguientes respuestas posibles:

  • childbirth.

  • uncontrolled cellular growth.

  • in utero trauma.

  • fetal development.

Explicación

Pregunta 67 de 50

1

Disease states that result from a deficiency in one or all of the major nutritional sources​ (carbohydrates, proteins,​ fats) are classified​ as:

Selecciona una de las siguientes respuestas posibles:

  • electrolyte imbalances.

  • nutritional diseases.

  • vitamin deficiencies.

  • malnutrition disorders.

Explicación

Pregunta 68 de 50

1

What is​ neoplasia?

Selecciona una de las siguientes respuestas posibles:

  • Abnormal or uncontrolled cell growth

  • Hypoxia-induced cellular malformation

  • Chemical destruction of a cell membrane

  • The formation of new skin cells on a fetus

Explicación

Pregunta 69 de 50

1

Most atoms become stable​ by:

Selecciona una de las siguientes respuestas posibles:

  • filling their outer electron shell.

  • bonding to other atoms.

  • decaying to noble gases.

  • becoming radioactive.

Explicación

Pregunta 70 de 50

1

The process by which atoms join together to form a molecule is​ called:

Selecciona una de las siguientes respuestas posibles:

  • orbitation

  • coupling

  • bonding

  • valence

Explicación

Pregunta 71 de 50

1

The equal sharing of electrons between atoms results in​ a(n):

Selecciona una de las siguientes respuestas posibles:

  • hydrogen bond.

  • atomic mass.

  • covalent bond.

  • ionic bond.

Explicación

Pregunta 72 de 50

1

An atom or molecule with missing electrons and thus a net positive charge is called​ a(n):

Selecciona una de las siguientes respuestas posibles:

  • ionic bond.

  • anion.

  • nonmetallic element.

  • cation.

Explicación

Pregunta 73 de 50

1

Which of these is NOT a major class of biologic​ chemicals?

Selecciona una de las siguientes respuestas posibles:

  • Water

  • Lipids

  • Carbohydrates

  • Proteins

Explicación

Pregunta 74 de 50

1

Polysaccharides are considered part of which major class of biologic​ chemicals?

Selecciona una de las siguientes respuestas posibles:

  • Carbohydrates

  • Water

  • Lipids

  • Proteins

Explicación

Pregunta 75 de 50

1

Amino acids are held together in proteins​ by:

Selecciona una de las siguientes respuestas posibles:

  • hydrogen bonds.

  • ionic bonds.

  • covalent bonds.

  • peptide bonds.

Explicación

Pregunta 76 de 50

1

Most enzymes can also be​ considered:

Selecciona una de las siguientes respuestas posibles:

  • Carbohydrates

  • Lipids

  • Water

  • Proteins

Explicación

Pregunta 77 de 50

1

Successfully completing a course that adheres to the most recent National EMS Education Instructional Guidelines would fulfill the requirements​ of:

Selecciona una de las siguientes respuestas posibles:

  • initial education.

  • subsequent education.

  • field training.

  • continuing education.

Explicación

Pregunta 78 de 50

1

Quality, accredited continuing education programs and much of the didactic portion of initial emergency medical services​ (EMS) education are now​ available:

Selecciona una de las siguientes respuestas posibles:

  • through nursing programs.

  • from the library.

  • on the Internet.

  • only through​ university-based programs.

Explicación

Pregunta 79 de 50

1

Which statement is true regarding the Consolidated Omnibus Budget Reconciliation Act​ (COBRA) of​ 1981?

Selecciona una de las siguientes respuestas posibles:

  • It introduced federal funding for EMS.

  • It prevented EMS agencies from applying for grants.

  • It significantly increased federal funding for EMS.

  • It wiped out federal funding for emergency medical services​ (EMS).

Explicación

Pregunta 80 de 50

1

Which document provided funding to states for trauma system​ planning, development,​ implementation, and​ evaluation?

Selecciona una de las siguientes respuestas posibles:

  • Statewide EMS Technical Assessment Program

  • Trauma Care Systems and Development Act

  • EMS Agenda for the Future

  • Ontario Prehospital Advanced Life Support study

Explicación

Pregunta 81 de 50

1

Clinical protocols are designed around the four​ "Ts" of emergency care. These​ are:

Selecciona una de las siguientes respuestas posibles:

  • triage, treatment,​ training, and testing.

  • ​training, triage,​ treatment, and transport.

  • triage, treatment,​ telemetry, and transport.

  • triage, treatment,​ transport, and transfer.

Explicación

Pregunta 82 de 50

1

Emergency medical services​ (EMS) providers are the medical​ director's designated agents. This defines the concept​ of:

Selecciona una de las siguientes respuestas posibles:

  • medical oversight.

  • patient care algorithms.

  • standardized protocols.

  • on-line medical direction.

Explicación

Pregunta 83 de 50

1

The trend in emergency medical services​ (EMS) as it relates to medical direction is​ to:

Selecciona una de las siguientes respuestas posibles:

  • eliminate medical direction.

  • increase​ on-line medical direction and decrease​ off-line medical direction.

  • increase​ off-line medical direction and decrease​ on-line medical direction.

  • transition to entirely​ on-line medical direction.

Explicación

Pregunta 84 de 50

1

In most emergency medical services​ (EMS) systems, what is the most overlooked component of the EMS​ system?

Selecciona una de las siguientes respuestas posibles:

  • Dispatch education

  • Medical director education

  • Public education

  • EMS education

Explicación

Pregunta 85 de 50

1

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:

Selecciona una de las siguientes respuestas posibles:

  • conferences.

  • professional organizations.

  • advertising.

  • EMS services.

Explicación

Pregunta 86 de 50

1

What nongovernmental organization develops and administers standardized tests for various EMS provider​ levels?

Selecciona una de las siguientes respuestas posibles:

  • N.R.E.M.T.

  • N.E.M.S.E.S.

  • C.o.A.E.M.S.P.

  • N.A.E.M.S.E.

Explicación

Pregunta 87 de 50

1

An abundant source of continuing education material and an excellent opportunity for EMS professionals to write and publish articles are two benefits​ of:

Selecciona una de las siguientes respuestas posibles:

  • professional magazines.

  • manual publishers.

  • educators.

  • professional organizations.

Explicación

Pregunta 88 de 50

1

Which publication is specifically for emergency medical services​ (EMS)professionals?

Selecciona una de las siguientes respuestas posibles:

  • AAFP

  • AJN

  • JAMA

  • JEMS

Explicación

Pregunta 89 de 50

1

KKK-A-1822 is a federal specification intended to​ improve:

Selecciona una de las siguientes respuestas posibles:

  • training standards.

  • reimbursement rates

  • documentation standards.

  • standards for ambulances.

Explicación

Pregunta 90 de 50

1

Which statement is true regarding​ KKK-A-1822 standards?

Selecciona una de las siguientes respuestas posibles:

  • All ambulances meet this standard.

  • Not all ambulances meet this federal standard.

  • This standard is only for air ambulances.

  • This standard is only for fire department ambulances.

Explicación

Pregunta 91 de 50

1

The​ KKK-A-1822 federal standards for ambulances​ include:

Selecciona una de las siguientes respuestas posibles:

  • elimination of handheld spotlights.

  • geographical positioning system​ (GPS) navigation system.

  • video communication system.

  • occupant protection standards.

Explicación

Pregunta 92 de 50

1

Which standard called for improved electrical standards and reduced interior siren noise for​ ambulances?

Selecciona una de las siguientes respuestas posibles:

  • The Ambulance Provision of the COBRA act

  • KKK-A-1822

  • NEMSES EVOC Regulation

  • AMB-7-1380

Explicación

Pregunta 93 de 50

1

A designated trauma center​ is:

Selecciona una de las siguientes respuestas posibles:

  • any hospital that​ self-designates itself as a trauma center.

  • a hospital that meets accreditation standards for trauma care.

  • a hospital with air ambulance resources on site.

  • a hospital with trauma and rehabilitation services on site.

Explicación

Pregunta 94 de 50

1

Receiving facilities should have all of these capabilities except which​ one?

Selecciona una de las siguientes respuestas posibles:

  • Emergency department

  • Surgical facilities

  • Medical imaging capabilities

  • Rehabilitation services

Explicación

Pregunta 95 de 50

1

Which facilility is NOT a recognized specialty center​ category?

Selecciona una de las siguientes respuestas posibles:

  • Burn center

  • Orthopedic center

  • Pediatric center

  • Perinatal center

Explicación

Pregunta 96 de 50

1

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?

Selecciona una de las siguientes respuestas posibles:

  • Chest pain center

  • Trauma center

  • Stroke center

  • Burn center

Explicación

Pregunta 97 de 50

1

For quality assurance and improvement programs to be​ effective, they​ must:

Selecciona una de las siguientes respuestas posibles:

  • be dynamic and comprehensive.

  • fully attain total excellence.

  • set the​ community's expectations.

  • be designed with the needs of cost effective care as their chief concern.

Explicación

Pregunta 98 de 50

1

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​?

Selecciona una de las siguientes respuestas posibles:

  • EMS process management

  • Leadership

  • Strategic quality planning

  • Cost-effective administration

Explicación

Pregunta 99 de 50

1

A good emergency medical services​ (EMS) quality improvement​ (QI) program is also​ a(n):

Selecciona una de las siguientes respuestas posibles:

  • "good enough" quality program.

  • excellent individual performance monitor.

  • excellent risk management strategy.

  • excellent​ low-risk procedure monitor.

Explicación

Pregunta 100 de 50

1

EMS cases can be divided into four areas of​ risk; of​ these, which is most important for quality improvement​ (QI) monitoring?

Selecciona una de las siguientes respuestas posibles:

  • High​ frequency/low risk

  • Low​ frequency/low risk

  • Low​ frequency/high risk

  • High​ frequency/high risk

Explicación

Pregunta 101 de 50

1

The primary tenet of medicine is primum non nocere​, which​ means:

Selecciona una de las siguientes respuestas posibles:

  • scene safety first.

  • basic life support​ (BLS) before advanced life support​ (ALS).

  • first, do no harm.

  • patient first always.

Explicación

Pregunta 102 de 50

1

Which error is an ongoing issue in emergency medical services​ (EMS)and a common source of malpractice​ litigation?

Selecciona una de las siguientes respuestas posibles:

  • Dropping patients

  • Ambulance crashes

  • Automated external defibrillator​ (AED) failures

  • Airway issues

Explicación

Pregunta 103 de 50

1

When a health care provider fails to perform a skill​ properly, this is known as​ a:

Selecciona una de las siguientes respuestas posibles:

  • protocol-based failure.

  • skill-based failure.

  • knowledge-based failure.

  • cognitive load failure.

Explicación

Pregunta 104 de 50

1

When an emergency medical services​ (EMS) provider fails to follow an established treatment​ guideline, this is known as​ a(n):

Selecciona una de las siguientes respuestas posibles:

  • skills-based failure.

  • evidence-based failure.

  • rules-based failure.

  • compliance-based failure.

Explicación

Pregunta 105 de 50

1

One reason there is very little known about the quality of care delivered by emergency medical services​ (EMS) services in the United States​ is:

Selecciona una de las siguientes respuestas posibles:

  • 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.

Explicación

Pregunta 106 de 50

1

What is an essential component of an emergency medical services​ (EMS) system?

Selecciona una de las siguientes respuestas posibles:

  • Research

  • Online training

  • Tuition reimbursement

  • Conferences

Explicación

Pregunta 107 de 50

1

​Historically, emergency medical services​ (EMS) has implemented treatment guidelines without​ adequate:

Selecciona una de las siguientes respuestas posibles:

  • communication

  • training

  • research

  • medical direction.

Explicación

Pregunta 108 de 50

1

What is a significant barrier to emergency medical services​ (EMS) research?

Selecciona una de las siguientes respuestas posibles:

  • Adequate EMS ageny involvment

  • Time

  • Obtaining patient consent

  • Access to patients

Explicación

Pregunta 109 de 50

1

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)?

Selecciona una de las siguientes respuestas posibles:

  • 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.

Explicación

Pregunta 110 de 50

1

Which change is NOT one of the rules of evidence when considering a new​ medication, process, or​ procedure?

Selecciona una de las siguientes respuestas posibles:

  • 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.

Explicación

Pregunta 111 de 50

1

Is there any benefit in new clinical evidence invalidating traditional emergency medical services​ (EMS) practices?

Selecciona una de las siguientes respuestas posibles:

  • .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.

Explicación

Pregunta 112 de 50

1

With regard to ​evidence-based medicine​, what skill is essential for paramedics to​ possess?

Selecciona una de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 113 de 50

1

Which field of medicine requires you to be the most​ mentally, physically, and emotionally​ prepared?

Selecciona una de las siguientes respuestas posibles:

  • Dietetics

  • Social work

  • Rehabilitation

  • Paramedicine

Explicación

Pregunta 114 de 50

1

Paramedics require a strong knowledge in which​ area?

Selecciona una de las siguientes respuestas posibles:

  • Pharmacology

  • Surgical techniques

  • Pathophysiology

  • Rehabilitation

Explicación

Pregunta 115 de 50

1

Which individuals are not part of the allied health​ professions?

Selecciona una de las siguientes respuestas posibles:

  • Paramedic

  • Physician

  • Respiratory therapist

  • Physical therapist

Explicación

Pregunta 116 de 50

1

Which is an example of a paramedic providing primary​ care?

Selecciona una de las siguientes respuestas posibles:

  • 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.

Explicación

Pregunta 117 de 50

1

Restocking and equipment​ disinfection:

Selecciona una de las siguientes respuestas posibles:

  • 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.

Explicación

Pregunta 118 de 50

1

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?

Selecciona una de las siguientes respuestas posibles:

  • Level II

  • Level IV

  • Level I

  • Level III

Explicación

Pregunta 119 de 50

1

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:

Selecciona una de las siguientes respuestas posibles:

  • response

  • preparation

  • scene size up.

  • recognition

Explicación

Pregunta 120 de 50

1

In order for paramedics to properly treat a​ patient, they must​ master:

Selecciona una de las siguientes respuestas posibles:

  • medication administration.

  • patient assessment.

  • 12-lead ECG​ (electrocardiogram).

  • online communication.

Explicación

Pregunta 121 de 50

1

How many levels of trauma centers are there according to the American College of​ Surgeons?

Selecciona una de las siguientes respuestas posibles:

  • 3

  • 2

  • 1

  • 4

Explicación

Pregunta 122 de 50

1

Which level of trauma center is required to have criteria for transporting certain types of trauma patients to a higher level of​ care?

Selecciona una de las siguientes respuestas posibles:

  • Level IV centers only

  • Level​ I, II, and III centers

  • Level III and IV centers

  • Level​ II, III, and IV centers

Explicación

Pregunta 123 de 50

1

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)?

Selecciona una de las siguientes respuestas posibles:

  • Psychiatric facility

  • Academic hospital facility

  • Dedicated pediatric facility

  • Trauma facility

Explicación

Pregunta 124 de 50

1

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?

Selecciona una de las siguientes respuestas posibles:

  • Pediatric trauma center

  • Burn facility

  • Immediate care facility

  • Trauma facility

Explicación

Pregunta 125 de 50

1

Setting high standards for personal​ performance, crew​ performance, and agency performance is an indicator​ of:

Selecciona una de las siguientes respuestas posibles:

  • professionalism.

  • independence

  • pride

  • ego

Explicación

Pregunta 126 de 50

1

Ethics are not​ laws, but​ rather:

Selecciona una de las siguientes respuestas posibles:

  • 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.

Explicación

Pregunta 127 de 50

1

Which document details some of the guiding principles for professional emergency medical technician​ (EMT) service?

Selecciona una de las siguientes respuestas posibles:

  • Oath of Geneva

  • Allied Health Behaviors

  • EMT Professionalism

  • Professional Code of Ethics

Explicación

Pregunta 128 de 50

1

Being a professional requires​ a:

Selecciona una de las siguientes respuestas posibles:

  • college degree.

  • certification

  • license

  • specialized body of knowledge.

Explicación

Pregunta 129 de 50

1

Professionalism in communication is an important attribute in the prehospital environment. Which are attributes of effective​ communication?

Selecciona una de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 130 de 50

1

A critical review of your own performance is​ a(n):

Selecciona una de las siguientes respuestas posibles:

  • professional attribute

  • process that must be documented.

  • unnecessary stress.

  • distraction from patient care.

Explicación

Pregunta 131 de 50

1

Which statement is most reflective of good​ teamwork?

Selecciona una de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 132 de 50

1

Of the varied attributes a care provider may​ demonstrate, which one is not appropriate for an emergency medical services​ (EMS) provider?

Selecciona una de las siguientes respuestas posibles:

  • Skill mastery

  • Egotism

  • Commitment to excellence

  • High standards

Explicación

Pregunta 133 de 50

1

Human immunodeficiency virus​ (HIV), hepatitis​ B, and hepatitis C are​ all:

Selecciona una de las siguientes respuestas posibles:

  • infectious diseases.

  • short-acting infections.

  • bacterial infections.

  • extremely virulent diseases.

Explicación

Pregunta 134 de 50

1

Cleaning with a bleach solution is a form​ of:

Selecciona una de las siguientes respuestas posibles:

  • pressurized decontamination.

  • general cleaning.

  • disinfection

  • sterilization

Explicación

Pregunta 135 de 50

1

The nonspecific response of the body to any​ demand, real or​ percerived, is​ called:

Selecciona una de las siguientes respuestas posibles:

  • stress

  • defense

  • grief

  • coping

Explicación

Pregunta 136 de 50

1

The extreme endpoint of the stress continuum is known​ as:

Selecciona una de las siguientes respuestas posibles:

  • eustress

  • alpha stress.

  • burnout

  • decompression

Explicación

Pregunta 137 de 50

1

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?

Selecciona una de las siguientes respuestas posibles:

  • 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.

Explicación

Pregunta 138 de 50

1

What is a correct outcome regarding basic physical fitness when done​ correctly?

Selecciona una de las siguientes respuestas posibles:

  • It increases the risk of back injury.

  • It can reduce workplace injuries.

  • It reduces the need for adequate sleep.

  • It eliminates job stress.

Explicación

Pregunta 139 de 50

1

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?

Selecciona una de las siguientes respuestas posibles:

  • Use a power lift stretcher

  • Use a manual lift stretcher

  • Use a Reeves stretcher

  • Slide the patient rather than lifting

Explicación

Pregunta 140 de 50

1

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?

Selecciona una de las siguientes respuestas posibles:

  • 24 hour shifts

  • Basic physical fitness

  • Proper nutrition

  • Adequate sleep

Explicación

Pregunta 141 de 50

1

As an emergency medical technician​ (EMT) looking to improve your personal​ wellness, it is important to focus​ on:

Selecciona una de las siguientes respuestas posibles:

  • 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.

Explicación

Pregunta 142 de 50

1

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:

Selecciona una de las siguientes respuestas posibles:

  • 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.

Explicación

Pregunta 143 de 50

1

Which guideline is consistent with MyPlate guidelines provided by the U.S. Department of​ Agriculture?

Selecciona una de las siguientes respuestas posibles:

  • 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.

Explicación

Pregunta 144 de 50

1

What outcome is not a direct benefit of physical​ fitness?

Selecciona una de las siguientes respuestas posibles:

  • Increased resistance to illness

  • Reduced anxiety levels

  • Slowing the progression of osteoporosis

  • Decreased metabolic rate

Explicación

Pregunta 145 de 50

1

Provider obesity and a lack of general physical fitness are associated with an increase​ in:

Selecciona una de las siguientes respuestas posibles:

  • poor patient care.

  • lucidy

  • burnout

  • back injuries.

Explicación

Pregunta 146 de 50

1

Overuse and abuse of substances such as caffeine are common​ among:

Selecciona una de las siguientes respuestas posibles:

  • EMS providers in rural areas.

  • those with​ high-stress jobs.

  • older workers specifically.

  • mostly women in emergency medical services​ (EMS).

Explicación

Pregunta 147 de 50

1

What risk factor increases the likelihood of cancer and cardiovascular​ disease?

Selecciona una de las siguientes respuestas posibles:

  • Use of tobacco

  • Hypermetabolism

  • Job stress

  • Chronic fatigue

Explicación

Pregunta 148 de 50

1

You have decided to quit smoking. You​ should:

Selecciona una de las siguientes respuestas posibles:

  • 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.

Explicación

Pregunta 149 de 50

1

What technique is very important to avoid injuring your back at​ work?

Selecciona una de las siguientes respuestas posibles:

  • Proper lifting technique

  • Weight lifting

  • Intensive daily exercise

  • Use of a powered stretcher

Explicación

Pregunta 150 de 50

1

Abdominal strength can help reduce back injuries. The best way to increase core strength​ is:

Selecciona una de las siguientes respuestas posibles:

  • jogging

  • jumping jacks.

  • abdominal crunches.

  • sit-ups

Explicación

Pregunta 151 de 50

1

If you are not sure you can handle a particular lifting or moving​ situation, you​ should:

Selecciona una de las siguientes respuestas posibles:

  • take yourself out of service.

  • get help from other rescuers.

  • warm up first.

  • ask bystanders to assist you.

Explicación

Pregunta 152 de 50

1

When lifting a patient who is on your wheeled​ cot, you​ should:

Selecciona una de las siguientes respuestas posibles:

  • 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.

Explicación

Pregunta 153 de 50

1

Calls involving what issue are typically challenging for most emergency medical services​ (EMS) providers?

Selecciona una de las siguientes respuestas posibles:

  • Elderly patients

  • Traumatic injuries

  • Death and dying

  • Refusals

Explicación

Pregunta 154 de 50

1

The​ "denial" stage of grief is characterized​ by:

Selecciona una de las siguientes respuestas posibles:

  • ​"why me?"

  • "but I​ haven't."

  • ​"not me."

  • ​"I'm not​ afraid."

Explicación

Pregunta 155 de 50

1

Which statement or question characterizes the anger stage of​ grief?

Selecciona una de las siguientes respuestas posibles:

  • ​"First let​ me."

  • "Not me."

  • ​"I'm not​ afraid."

  • "Why me?"

Explicación

Pregunta 156 de 50

1

During which stage of grief will the family likely need more support than the​ patient?

Selecciona una de las siguientes respuestas posibles:

  • Bargaining

  • Acceptance

  • Anger

  • Denial

Explicación

Pregunta 157 de 50

1

The additional stress from exposure to​ death, which paramedics encounter much more frequently than other people​ do, can lead​ to:

Selecciona una de las siguientes respuestas posibles:

  • 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.

Explicación

Pregunta 158 de 50

1

A stimulus that causes stress is known as​ a(n):

Selecciona una de las siguientes respuestas posibles:

  • hardship

  • insult

  • stressor

  • event

Explicación

Pregunta 159 de 50

1

The U.S. Surgeon General once estimated that​ stress-related diseases kill approximately what percentage of people who die of nontraumatic​ causes?

Selecciona una de las siguientes respuestas posibles:

  • 80

  • 50

  • 30

  • 95

Explicación

Pregunta 160 de 50

1

What are the three physiologic phases of the stress​ response?

Selecciona una de las siguientes respuestas posibles:

  • Alarm, resistance, and exhaustion

  • Distress, alarm, and recovery

  • Distress, eustress, and recovery

  • Resistance, alarm, and recovery

Explicación

Pregunta 161 de 50

1

​Exercising, eating a healthy​ diet, using relaxation​ techniques, and reframing thoughts are all ways of​ managing:

Selecciona una de las siguientes respuestas posibles:

  • stress

  • cancer

  • critical infections.

  • anorexia

Explicación

Pregunta 162 de 50

1

Defensive response strategies to stress can​ include:

Selecciona una de las siguientes respuestas posibles:

  • problem solving.

  • denial or distortion of the situational reality.

  • multiple option determination.

  • confrontation of the stressor

Explicación

Pregunta 163 de 50

1

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:

Selecciona una de las siguientes respuestas posibles:

  • only positive outcomes.

  • some amount of negative outcomes.

  • outcomes that will be immediately realized

  • outcomes and consequences.

Explicación

Pregunta 164 de 50

1

Which mechanism is not recognized as a method for adapting to​ stress?

Selecciona una de las siguientes respuestas posibles:

  • Developing​ problem-solving skills

  • Coping mechanisms

  • Guilt

  • Defensive strategies

Explicación

Pregunta 165 de 50

1

Post-traumatic stress disorder​ (PTSD) is:

Selecciona una de las siguientes respuestas posibles:

  • 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.

Explicación

Pregunta 166 de 50

1

Which of these is NOT a symptom of​ post-traumatic stress disorder​ (PTSD)?

Selecciona una de las siguientes respuestas posibles:

  • 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).

Explicación

Pregunta 167 de 50

1

An organization that raises awareness about​ post-traumatic stress disorder​ (PTSD) specifically in the emergency medical services​ (EMS) community​ is:

Selecciona una de las siguientes respuestas posibles:

  • the Code Green Campaign.

  • the Fellowship of Paramedics International​ (FPI)

  • Operation Homecoming.

  • the American Psychiatric Association​ (APA).

Explicación

Pregunta 168 de 50

1

Why has the concept of Critical Incident Stress Management​ (CISM) been all but abandoned in emergency medical services​ (EMS)?

Selecciona una de las siguientes respuestas posibles:

  • 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.

Explicación

Pregunta 169 de 50

1

When rescuers are working together as a team to lift a​ patient:

Selecciona una de las siguientes respuestas posibles:

  • 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.

Explicación

Pregunta 170 de 50

1

Proper lifting​ techniques:

Selecciona una de las siguientes respuestas posibles:

  • 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.

Explicación

Pregunta 171 de 50

1

The person who drives the ambulance should understand which basic​ principle?

Selecciona una de las siguientes respuestas posibles:

  • 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.

Explicación

Pregunta 172 de 50

1

Which​ factor(s) seem to contribute to ambulance​ crashes?

Selecciona una de las siguientes respuestas posibles:

  • Increased braking distances of modern ambulances

  • The least trained and experienced person typically drives

  • Less responsive steering in modern ambulances

  • All of the above

Explicación

Pregunta 173 de 50

1

A hypothesis​ is:

Selecciona una de las siguientes respuestas posibles:

  • 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.

Explicación

Pregunta 174 de 50

1

Research has proven that a certain treatments actually improve​ morbidity, mortality, or quality of life for the patient. This is known​ as:

Selecciona una de las siguientes respuestas posibles:

  • anecdotal data.

  • inconclusive research.

  • qualitative research.

  • outcomes-based research.

Explicación

Pregunta 175 de 50

1

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:

Selecciona una de las siguientes respuestas posibles:

  • word smithing.

  • the​ peer-review process.

  • grammatical editing.

  • editorial review.

Explicación

Pregunta 176 de 50

1

Quantitative research expresses phenomena​ in:

Selecciona una de las siguientes respuestas posibles:

  • images

  • opinions

  • numbers

  • words

Explicación

Pregunta 177 de 50

1

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:

Selecciona una de las siguientes respuestas posibles:

  • research

  • scientific method.

  • quality assurance.

  • peer review.

Explicación

Pregunta 178 de 50

1

What is one hallmark of the emergency medical services​ (EMS) profession?

Selecciona una de las siguientes respuestas posibles:

  • 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.

Explicación

Pregunta 179 de 50

1

What is most essential to ensuring that the best possible patient care is provided in the prehospital and​ out-of-hospital setting?

Selecciona una de las siguientes respuestas posibles:

  • Research

  • Certifications

  • Adequate funding

  • Quality assurance program

Explicación

Pregunta 180 de 50

1

In the​ evidence-based approach, once a practice has been​ changed, ongoing evaluation must be carried out to​ determine:

Selecciona una de las siguientes respuestas posibles:

  • 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.

Explicación

Pregunta 181 de 50

1

The National Emergency Medical Services​ (EMS) Research Agenda was published​ by:

Selecciona una de las siguientes respuestas posibles:

  • National Association of EMS Educators​ (NAEMSE).

  • United States Department of Transportation​ (USDOT).

  • Federal Emergency Management Agency​ (FEMA).

  • National Highway Traffic Safety Administration​ (NHTSA)

Explicación

Pregunta 182 de 50

1

Which of the following was NOT a conclusion identified in the National EMS Research​ Agenda?

Selecciona una de las siguientes respuestas posibles:

  • 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.

Explicación

Pregunta 183 de 50

1

According to the National EMS Research​ Agenda, researchers must have access to what type of data in order to improve prehospital patient care.

Selecciona una de las siguientes respuestas posibles:

  • Electronic patient care reports

  • Census data

  • Patient outcome information

  • Educational standards

Explicación

Pregunta 184 de 50

1

The National EMS Research Agenda recommends the use of what process when evaluating technical advances in​ out-of-hospital care.

Selecciona una de las siguientes respuestas posibles:

  • Observations

  • Scientific methodology

  • Protocols

  • Operating procedures

Explicación

Pregunta 185 de 50

1

The​ reliable, consistent, and nonarbitrary components of a research​ project, used to explore observations and answer​ questions, are known collectively​ as:

Selecciona una de las siguientes respuestas posibles:

  • the scientific method.

  • statistics

  • objectivity

  • engineering design process.

Explicación

Pregunta 186 de 50

1

Which is not a step of the research process as it relates to the scientific method of research for emergency medical services​ (EMS)?

Selecciona una de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 187 de 50

1

In the scientific​ method, the first step is to observe something and ask questions about it. This step is followed by which​ step?

Selecciona una de las siguientes respuestas posibles:

  • Getting published

  • Stating a hypothesis

  • Testing the hypothesis

  • Doing background research​ (literature review)

Explicación

Pregunta 188 de 50

1

Which step of the scientific method needs to occur if your hypothesis is found to be​ incorrect?

Selecciona una de las siguientes respuestas posibles:

  • Collect data

  • Construct a hypothesis

  • Ask questions

  • Revise the hypothesis

Explicación

Pregunta 189 de 50

1

Research that produces findings not arrived at by means of statistical procedures or other means of quantification is known​ as:

Selecciona una de las siguientes respuestas posibles:

  • qualitative

  • prospective

  • quantitative

  • retrospective

Explicación

Pregunta 190 de 50

1

Which type of study would be conducted if the researcher wants to study a behavior in more than one​ context?

Selecciona una de las siguientes respuestas posibles:

  • Prospective research

  • Quantitative research

  • Mixed research

  • Qualitative research

Explicación

Pregunta 191 de 50

1

Which type of study would have both prospective and retrospective​ components?

Selecciona una de las siguientes respuestas posibles:

  • A mixed study

  • A qualitative study

  • A​ now-and-then study

  • A​ before-and-after study

Explicación

Pregunta 192 de 50

1

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?

Selecciona una de las siguientes respuestas posibles:

  • Qualitative

  • Retrospective

  • Mixed

  • Prospective

Explicación

Pregunta 193 de 50

1

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?

Selecciona una de las siguientes respuestas posibles:

  • Cohort study

  • Meta-analysis

  • Case report

  • Randomized controlled trial

Explicación

Pregunta 194 de 50

1

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?

Selecciona una de las siguientes respuestas posibles:

  • Double blind study type

  • Single blind study type

  • Nonrandomized controlled trial study type

  • Cohort study type

Explicación

Pregunta 195 de 50

1

Which type of research is scientific research at its most basic​ level?

Selecciona una de las siguientes respuestas posibles:

  • Animal research

  • Nonrandomized controlled trials

  • Randomized controlled trials

  • Bench research

Explicación

Pregunta 196 de 50

1

What type of research has the highest level of​ evidence?

Selecciona una de las siguientes respuestas posibles:

  • Randomized controlled trial

  • Clinical observation

  • Descriptive studies

  • Expert opinion

Explicación

Pregunta 197 de 50

1

What is the purpose of an institutional review board​ (IRB)?

Selecciona una de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 198 de 50

1

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?

Selecciona una de las siguientes respuestas posibles:

  • Nuremburg Code of 1947

  • Geneva Convention

  • Tuskegee Accord

  • Helsinki Declaration

Explicación

Pregunta 199 de 50

1

Overall, research is now a much safer endeavor and has provided many of the advancements in modern medical​ care; however:

Selecciona una de las siguientes respuestas posibles:

  • 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.

Explicación

Pregunta 200 de 50

1

In the United​ States, informed consent is​ required:

Selecciona una de las siguientes respuestas posibles:

  • for all medical experiments except emergency medical services​ (EMS).

  • for some medical experiments.

  • only for EMS related experiments.

  • for all medical experiments.

Explicación

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