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FREE PARAMEDIC/EMT AND STUDY GAMES ABOUT EMT
MIDTERM EXAM QUESTIONS
Actual Qs and Ans Expert-Verified Explanation
This Exam contains:
-Guarantee passing score -41 Questions and Answers -format set of multiple-choice -Expert-Verified Explanation Question 1: What are the key components of the Emergency Medical Services system?
Answer:
991 and emergency medical dispatchers, First Responders, EMTs (all levels) and ambulances, emergency department and other hospital units
Question 2: what is the definition of the term quality improvement
Answer:
a process of continuous self-review with the purpose of identifying and correcting aspects of the system that require improvement
Question 3: describe the physical processes of inhalation
Answer:
inhalation is an active process. intercostal muscles and diaphragm contract. the diaphragm lowers and the ribs move upward and outward. this expands the size of the chest cavity, causing air to flow into the lungs.
Question 4: confidentiality
Answer:
the obligation not to reveal info obtained about a pt except to other health care processionals involved in the pt's care or under subpoena or in a court of law or when the pt has signed a release of confidentiality Question 5: name the techniques of artificial ventilation in the recommended order of preference
Answer:
- mouth to mask.
- two person bag valve mask
- flow restricted oxygen powered ventilation device
- one person bag valve mask
Question 6: list the 4 places a peripheral pulse may be felt
Answer:
radial, brachial, posterior tibialis, dorsalis pedis
Question 7: 5 divisions of the spine
Answer:
cervical, thoracic, lumber, sacral, coccyx Question 8: list several steps that must be taken when a pt refuses care or transportation
Answer:
- pt must be mentally competent and oriented
- the pt must be fully informed and understand the risks associated with refusing treatment and/or
- the pt must sign a release form
transport
Question 9: list steps of the rapid trauma assessment and describe the kind of pt for trauma assess.
Answer:
head, neck, chest, abdomen, pelvis, extremities and posterior. a pt with a significant MOI needs a rapid trauma assessment
Question 10: name the structures of the airway
Answer:
nose, mouth, pharynx, larynx, trachea, bronchi and lungs
Question 11: duty to act
Answer:
an obligation to provide care to a patient Question 12: what are the additional areas that you assess in the detailed physical exam that you did not evaluate in the rapid trauma assessment
Answer:
the scalp and cranium, face, ears, nose and mouth
Question 13: negligence
Answer:
a finding of failure to act properly in a situation in which there was a duty to act, needed care as would reasonably be expected of the EMT was not provided and harm was caused to the patient as a result Question 14: describe the purpose and process of a critical incident stress debriefing (CISD)
Answer:
the purpose of CISD is to assist in dealing w/ stress that is relation to a major incident. between 24-72 hours after in an open discussion of feelings experienced during and after. confidential.Question 15: explain how and why the focused history and physical exam for a medical pt differs from the focused history and physical exam for a trauma pt
Answer:
in medical pt, unlike trauma pts, there are not many external sources of information about what is wrong w/ the pt. for medical emergencies, the most important source of information about the problem is usually what the pt can tell you.Question 16: what is the difference between on-line and off-line medical direction
Answer:
in on-line medical direction, the on-duty physician gives orders directly to the emt by telephone or radio.off-line medical direction, the EMT carries out written standing orders from the Medical Director
Question 17: what are the roles and responsibilities of the emt?
Answer:
safety of the crew, patient and bystanders; patient assessment; patient care; lifting and moving; transport; transfer of care and patient advocacy
Question 18: list the types of personal protective equipment used in Standard Precautions and the condition which each would be used
Answer:
protective gloves - used w/ controlled bleeding, suctioning, artificial ventilation, CPR eye protection - used w/ splashing, spattering or spraying body fluids masks - w/ infections spread by airborne droplets gowns - w/ arterial bleeding, child birth
Question 19: priority decision
Answer:
determining whether a pt has a life-threatening condition that requires immediate transport to the hospital Question 20: describe the central nervous system and the peripheral nervous system
Answer:
the CNS is comprised of the brain and spinal cord. the PNS is the two types of nerves - sensory and motor
Question 21: describe exhalation
Answer:
exhalation is a passive process during which the intercostal muscles and the diaphragm relax. the ribs move downward and inward, while the diaphragm rises. the movement causes the chest cavity to decrease in size and forces air from the lungs.
Question 22: ways you may act to preserve evidence at a crime scene
Answer:
the condition of the scene, the condition of the pt, finger prints and footprints and microscopic evidence.remember what you touch, minimizing your impact on the scene and working w/ the police
Question 23: OPQRST
Answer:
onset, provokes, quality, radiation, severity, time Question 24: what are some of the special designations that hospitals may have? list them
Answer:
trauma center, burn center, pediatric care center, poison control center, cardiac center, and stroke center