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Mod 7

Multiple Choice
Identify the choice that best completes the statement or answers the question.
 

 1. 
A patient is trapped in a trench. As the team begins to work to get the patient out, which of the following is an important consideration?
a.
 Vehicles should be brought as close to the scene as possible.
b.
 The patient may be yanked out after the initial dirt is removed.
c.
 The patient may have fractures and additional traumatic injuries.
d.
 The patient typically will have only crush injuries.
 

 2. 
You respond to a call concerning a patient who complains of high fever, cough, and bloody sputum. Which of the following should be your first action?
a.
 Assess the airway.
b.
 Wear an N95 mask.
c.
 Comfort the patient.
d.
 Administer supplemental oxygen.
 

 3. 
You have arrived on scene and are parking on a hill. Which of the following is an important consideration in parking?
a.
 The vehicle should be in the 10 feet past the accident scene.
b.
 The vehicle should be parked downhill.
c.
 The parking brake should be on.
d.
 The vehicle should be parked behind the scene.
 

 4. 
You arrive on scene, where a building has a placard with a yellow-over-white diamond with a silhouette of a propeller. What does this symbol indicate?
a.
 Corrosive substance
b.
 Miscellaneous
c.
 Poison
d.
 Radioactive substance
 

 5. 
On scene, you are part of a team in charge of determining transport destinations. Which of the following statements is true regarding this task?
a.
 Patients should be transported based on their triage category.
b.
 A centralized destination process that allows even distribution should be attempted.
c.
 All green-triaged patients should be transported to the nearest hospital.
d.
 All patients should be transported to the nearest hospital.
 

 6. 
Dispatch informs you that a hazardous materials incident has occurred involving a truck carrying multiple hazard classes. Which type of placard would you expect to see?
a.
 White diamond
b.
 Green diamond
c.
 Red-over-white diamond
d.
 Yellow-and-black stripe diamond
 

 7. 
Which of the following is the most common cause of injury or death in a confined space accident?
a.
 Tripping hazards
b.
 Falls
c.
 Hazardous gases
d.
 Slippery floors
 

 8. 
You are about to extricate a patient from a badly damaged vehicle. Which of the following is an important consideration?
a.
 Patients typically are aware of all their injuries.
b.
 Assume inline immobilization of the cervical spine.
c.
 Pull the patient from the vehicle.
d.
 Move as quickly as possible.
 

 9. 
You are on scene at a major disaster. Which of the following statements is true regarding the provision of more extensive treatment on scene?
a.
 If hospitals are overwhelmed, more extensive treatment may be required on scene.
b.
 No patients should receive advanced treatment on scene.
c.
 Each patient should receive extensive treatment.
d.
 Patients who have been triaged into the green category should receive additional treatment.
 

 10. 
You are called to assist the fire department at a structure fire. Which of the following can be considered a possible hazardous material at this scene?
a.
 Structural collapse
b.
 Trench operations
c.
 Fire
d.
 Vapors
 

 11. 
A patient has been working on the farm. His wife found him unconscious and seizing. Which of the following should be your first action?
a.
 Put on personal protective equipment.
b.
 Transport the patient rapidly.
c.
 Assist ventilations.
d.
 Assess the airway.
 

 12. 
You arrive on scene at night at a multiple vehicle accident. The police have the road blocked. Which of the following is an important consideration?
a.
 Never use your parking brake.
b.
 Keep your lights flashing and face oncoming traffic.
c.
 Drive up to the other ambulances.
d.
 Turn off your headlights.
 

 13. 
You have just finished a long call and are only halfway through your shift. You are tired and hungry. Which of the following best explains the importance of immediately preparing the unit for the next call rather than putting it off until you have rested and eaten?
a.
 The next call in rotation may be in a few hours.
b.
 It is the law.
c.
 Your next crew requires the preparation.
d.
 The equipment used may be required on the next call.
 

 14. 
You are called to a hazardous materials scene. You are about to approach the scene. Which of the following is your first step?
a.
 Perform a risk assessment.
b.
 Set up a command structure.
c.
 Size up scene safety.
d.
 Determine the magnitude of the incident.
 

 15. 
You are en route to a motor vehicle accident on an expressway. Which of the following would drastically change your approach?
a.
 Number of patients
b.
 Police involvement
c.
 Weather
d.
 Presence of hazardous chemicals
 

 16. 
A patient is caught in a trench. It appears the lower portion filled the trench first. Which of the following is the name for this type of collapse?
a.
 Side wall in
b.
 Slough in
c.
 Spoil in
d.
 Shear in
 

 17. 
A terrorist claims that he has just launched a biologic attack on your community. Which of the following is an indication that this claim may be true?
a.
 People immediately begin complaining of burning of the skin and eyes.
b.
 Patients are rapidly dying because of respiratory complications.
c.
 Many people are affected with similar symptoms.
d.
 Patients are arriving at the hospital with significant secretions.
 

 18. 
Which of the following is a potential risk of a dive rescue?
a.
 The patient or rescuer may be suffering from heat stress.
b.
 Each person should don and doff his or her own equipment.
c.
 The patient or rescuer may be trapped or hung up on something under water.
d.
 Dehydration is rare because the patient and rescuer are in the water.
 

 19. 
The medical section functions under which division of the incident command system?
a.
 Command
b.
 Planning
c.
 Operations
d.
 Logistics
 

 20. 
During which of the following stages of an EMS response should equipment be checked?
a.
 Dispatch
b.
 Preparation for the call
c.
 Arrival at the scene
d.
 En route to the scene
 

 21. 
Which of the following is an appropriate role for the EMT at a hazardous materials scene?
a.
 Make good decisions and avoid becoming a victim.
b.
 Manage incident command.
c.
 Contain the hazardous material.
d.
 Rescue victims.
 

 22. 
You arrive on scene at a possible radiation exposure. You begin to examine a patient. Which of the following organ systems would you suspect to be affected?
a.
 Gastrointestinal system
b.
 Muscular system
c.
 Skeletal system
d.
 Skin
 

 23. 
You have arrived on scene, where a pulmonary toxicant is believed to have been released. Which of the following is most likely the cause?
a.
 Sulfur mustard
b.
 Phosgene
c.
 Cyanide
d.
 Sarin
 

 24. 
You are on shore when you notice that a person is caught in a fast-moving stream. Which of the following commands should you communicate to this patient?
a.
 Tread water.
b.
 Point your feet downstream.
c.
 Point your head downstream.
d.
 Swim upstream.
 

 25. 
You arrive on scene at a restaurant to find a patient who is complaining of difficulty swallowing and blurry vision. You notice that he is having trouble talking and swallowing secretions. Another person in the same restaurant begins to have the same complaints. Which of the following is the most likely cause?
a.
 Botulinum toxin
b.
 Tularemia
c.
 Dengue fever
d.
 Anthrax
 

 26. 
You are on scene at a lake, where a patient is struggling to swim. Which of the following equipment is required?
a.
 Personal flotation device
b.
 Mask
c.
 Gloves
d.
 Goggles
 

 27. 
Which of the following is the best description of triage?
a.
 The treatment of critically ill patients first
b.
 The process of identifying the deceased
c.
 The process of sorting and classifying patients into categories
d.
 The process of treating patients based on their arrival
 

 28. 
You are on scene, where a patient is trapped in a freezer. You are about to attempt to extricate this patient. Which of the following would make this a complex access?
a.
 The door can be opened only from the inside.
b.
 The patient is experiencing chest pain.
c.
 The patient has a past medical history.
d.
 The police department arrived first.
 

 29. 
You are triaging patients on scene. Which patients are given priority?
a.
 Those with the most urgent conditions who are believed to have a likely chance of survival.
b.
 Those with minor cuts and scrapes.
c.
 Those with life-threatening injuries, such as cardiac arrest.
d.
 Those with treatable injuries, such as broken bones.
 

 30. 
You arrive on scene at an explosion. You begin assessing a patient who is tachypneic and complains of difficulty breathing. Which of the following is a likely cause of his symptoms?
a.
 Torn bowel wall
b.
 Infection
c.
 Cardiac contusion
d.
 Pneumothorax
 

 31. 
You are on a planning committee for disaster preparedness. Which of the following is an important consideration in the use of radios for communication?
a.
 The choice of frequency
b.
 The choice of radio type
c.
 The choice of battery
d.
 The choice of call signs
 

 32. 
Which division is responsible for collecting, evaluating, and disseminating information regarding incident operations?
a.
 Operations
b.
 Logistics
c.
 Finance
d.
 Planning
 

 33. 
You are treating a patient who may have been exposed to radiation during an explosion. He also has a possible cervical fracture. Which of the following should be done first?
a.
 Provide inline immobilization.
b.
 Transport the patient.
c.
 Decontaminate the patient.
d.
 Remove the patient’s clothing.
 

 34. 
Which of the following agents interferes with nerve transmission?
a.
 Bacterial agents
b.
 Nerve agents
c.
 Vesicants
d.
 Viral agents
 

 35. 
Which of the following is an accurate statement with regard to biologic agents?
a.
 Viruses are chemicals that are toxic to other living organisms.
b.
 Bacteria are single-cell organisms capable of living outside of other living cells.
c.
 Viruses often smell like bitter almonds.
d.
 Bacteria use the human cell’s machinery to function.
 

 36. 
You are on scene at a rope rescue. The rope is supporting the entire weight of the rescuer and the patient. What type of rope system is this?
a.
 Cantilever
b.
 High angle
c.
 Low angle
d.
 Slope
 

 37. 
Which of the following is the correct definition of a hazardous scene?
a.
 A scene that involves or may involve any material or substance that can pose an unreasonable risk to a person’s safety or health
b.
 A situation that overwhelms resources
c.
 An information sign with symbols for recognition
d.
 A protocol for establishing command and coordination of procedures
 

 38. 
Which of the following is one of the four basic elements of wilderness search and rescue?
a.
 Establish communication.
b.
 Interview the victim.
c.
 Provide extensive treatment.
d.
 Locate the victim.
 

 39. 
Which of the following is the name of the reflex that causes the circulatory system to move oxygenated blood to critical core body areas?
a.
 Laryngeal reflex
b.
 Cold water reflex
c.
 Hypothermic reflex
d.
 Mammalian dive reflex
 

 40. 
Which of the following is an accurate statement regarding the use of helicopters in disaster situations?
a.
 Helicopters should transport victims to trauma centers.
b.
 Helicopters may be asked to take noncritical patients to hospitals that do not have trauma centers.
c.
 Helicopters typically are required to move supplies to and from the disaster scene.
d.
 Helicopters should take patients from the red triage category to destination hospitals.
 

 41. 
You are on a search and rescue mission. Windburn and sunburn are which type of hazard?
a.
 Terrain
b.
 Environmental
c.
 Man made
d.
 Personal
 

 42. 
You are on scene at an area where a river meets the ocean. A patient is being rescued by skilled personnel. What type of injuries should you suspect in this patient?
a.
 Blunt trauma
b.
 Blast injury
c.
 Crush injury
d.
 Penetrating trauma
 

 43. 
You arrive on scene to find a 44-year-old female trapped in a car. Which of the following is important regarding extrication?
a.
 Most bleeding is external.
b.
 The victim’s injuries probably will be due to previous medical conditions.
c.
 These incidents are easy to manage.
d.
 Environmental factors must be considered.
 

 44. 
Which of the following is important to consider when using lights and sirens for an emergency medical response?
a.
 The tone of the siren can be heard for miles.
b.
 Some drivers may not hear the sirens because of radios or cell phones.
c.
 Drivers will yield the right of way.
d.
 Lights can be seen for miles.
 

 45. 
You arrive on scene to find a patient who was badly burned in a fire. You initiate treatment. Which of the following is the next phase of this EMS call?
a.
 Arrival at the scene
b.
 The postrun phase
c.
 Transferring the patient to the ambulance
d.
 En route to the receiving facility
 

 46. 
On scene at a disaster, you are working in the medical tent. A patient walks up to the tent. Which triage category is appropriate for this patient?
a.
 Yellow
b.
 Black
c.
 Red
d.
 Green
 

 47. 
Which of the following is a desirable quality regarding personal protective equipment?
a.
 Helmets should deform under stress.
b.
 The turnout coat should be lightweight and puncture proof.
c.
 The eyewear should not have vents, because particles may get through them.
d.
 Boots should not have steel toes.
 

 48. 
You are dispatched to a scene where a person is trapped under a building. Upon arrival, you realize that this situation may be a disaster. Which of the following best describes your next step?
a.
 Set up staging.
b.
 Immediately begin rescue work.
c.
 Start triage.
d.
 Assess scene safety.
 

 49. 
You arrive on scene, where a truck has overturned. You are concerned about flammable contents. Which of the following is a placard consistent with flammable products?
a.
 Red diamond
b.
 White-over-black diamond
c.
 Green diamond
d.
 Yellow diamond
 

 50. 
Which of the following is the appropriate definition of a disaster?
a.
 An event that claims a number of lives
b.
 A determination based on the number of victims involved
c.
 An event that causes severe injury to a large number of people
d.
 An event that overwhelms the ability of local resources to respond
 

 51. 
You are en route to a motor vehicle accident. Bad weather is predicted. Which of the following should be your first consideration?
a.
 Road conditions
b.
 Number of vehicles
c.
 Police availability
d.
 Number of patients
 

 52. 
Which of the following is caused by a virus?
a.
 Smallpox
b.
 Plague
c.
 Tularemia
d.
 Anthrax
 

 53. 
Which of the following is a key component of scene debriefing?
a.
 Attendance by all victims and bystanders
b.
 Firing incompetent people
c.
 Learning from the event and the response
d.
 Criticizing the events and personnel
 

 54. 
You are on scene at a possible terrorist attack involving nerve gas. Which of the following is an appropriate role for the EMT?
a.
 Control zones
b.
 Medical operations
c.
 Incident command
d.
 Hazmat operations
 

 55. 
You are on scene at a large fire at a chemical plant. Which of the following is an important consideration?
a.
 Organizing the search and rescue
b.
 Risk assessment
c.
 Command structure
d.
 Fire suppression techniques
 

 56. 
You have just finished triaging all patients. You have sent all red patients to the medical tent for immediate treatment. All other patients are being cared for appropriately. Which of the following should be your next action?
a.
 Treat all yellow tag patients.
b.
 Treat all green tag patients.
c.
 Assess all black tag patients to see if any are still alive.
d.
 Assist with clean up, rehabilitation, and staging.
 

 57. 
During a disaster, you are responsible for a team of EMTs working on medical response. They have not had anything to eat or drink in 12 hours. Which division of incident command can help you with food and supplies?
a.
 Logistics
b.
 Planning
c.
 Operations
d.
 Incident command
 

 58. 
You arrive on scene and are about to park your vehicle. Which of the following best describes how you should park?
a.
 Park as close to the scene as possible.
b.
 Position your vehicle for easy departure.
c.
 Park downstream from smoke.
d.
 Park next to police vehicles.
 

 59. 
You are about to deliver a patient to the helicopter. Which of the following is correct for your approach?
a.
 Always approach from the uphill side.
b.
 Approach from the tail section.
c.
 Wear goggles to protect your eyes.
d.
 Keep equipment near your head.
 

 60. 
Which of the following is an appropriate size for a landing zone?
a.
 100 ´ 100 feet
b.
 10 ´ 10 m
c.
 30 ´ 30 feet
d.
 Twice the width of the helicopter
 

 61. 
A patient has been exposed to sarin. She has nausea, vomiting, and diarrhea. Which level of exposure does this patient have?
a.
 Mild
b.
 Moderate
c.
 This is not a sarin exposure
d.
 Severe
 

 62. 
You arrive on scene at a multiple vehicle accident. You are reporting your findings to dispatch. Which of the following is important to include in your assessment?
a.
 Weather conditions
b.
 Number of vehicles
c.
 Hazards that rescuers may face
d.
 Number of EMS personnel currently on scene
 

 63. 
You are on scene at the site of an explosion. You note that a patient has a fractured arm, some burns, and contusions. In which triage category should this patient be placed?
a.
 Yellow
b.
 Red
c.
 Black
d.
 Green
 

 64. 
Which of the following is true regarding most accidents involving EMS vehicles?
a.
 The use of sirens distracts other drivers.
b.
 Intersections are the most common sites of these accidents
c.
 Most accidents happen during rush hour.
d.
 The use of flashing lights blinds drivers.
 

 65. 
A patient has experienced a significant exposure to radiation. What would you expect to happen to this patient over time?
a.
 Bone fractures
b.
 Muscle breakdown
c.
 Kidney failure
d.
 Sepsis
 

 66. 
A fire breaks out at a local manufacturing facility. You are first on scene and are greeted by the safety engineer. Which of the following documents would be helpful to you?
a.
 Waybill
b.
 Material Safety Data Sheet
c.
 Air bill
d.
 Bill of landing
 

 67. 
You are on scene at a multiple vehicle accident. Which of the following is one of the first steps in this extrication process?
a.
 Traffic control
b.
 Fire control
c.
 Stabilization
d.
 Electrical control
 

 68. 
Which of the following diseases is transmitted by direct exposure to the bacteria rather than by person-to-person contact?
a.
 Tuberculosis
b.
 Smallpox
c.
 Plague
d.
 Anthrax
 

 69. 
You are in charge of communications during a disaster drill. Which of the following is an important consideration?
a.
 Whether to use cell phones or radios
b.
 Where the central command post should be located
c.
 Whether cell phones should be banned
d.
 Whether a backup communication system should be available
 

 70. 
You are planning a disaster drill. Which of the following is an important component of identification?
a.
 Triage tags
b.
 Call down
c.
 Roll call
d.
 Vests or jackets
 

 71. 
You are on scene, where a bus full of senior citizens has overturned. You and your partner are the only two EMTs available at this time. You come upon an elderly gentleman who has no spontaneous respirations. Which of the following is the most appropriate action?
a.
 Continue triaging other patients.
b.
 Start CPR.
c.
 Administer supplemental oxygen.
d.
 Intubate, ventilate, and extricate.
 

 72. 
The residents of an entire college dorm room begin to complain of fever, weakness, and body aches. On your arrival, you notice that the patients are bleeding from mucous membranes and have low blood pressure. Which of the following is the most likely agent?
a.
 Botulinum toxin
b.
 Smallpox
c.
 Tularemia
d.
 Ebola virus
 

 73. 
You are on scene at a possible hazardous materials situation. The National Incident Management System (NIMS) is being set up. Which of the following describes the benefit of this system?
a.
 The command post is controlled by medical personnel.
b.
 It is a standardized incident management system.
c.
 One person is in charge of both command and safety.
d.
 It has one level of structure.
 

 74. 
Which information is absolutely essential to running an EMS call?
a.
 Mechanism of injury
b.
 Type of call
c.
 Number of patients
d.
 Location
 

 75. 
Which of the following is the appropriate definition of a trench?
a.
 An enclosed space that requires a permit
b.
 An excavation that is wider than it is deep
c.
 An excavation that is deeper than it is wide
d.
 An excavation that has a high risk of collapse
 

 76. 
You arrive on scene at a motor vehicle accident involving a tanker that has overturned. You notice an orange diamond on the truck. Which of the following is the most appropriate action?
a.
 Assume command and set up staging.
b.
 Rescue the truck driver.
c.
 Contact medical control.
d.
 Immediately stage upwind, uphill, and away from the accident.
 

 77. 
Which of the following is an important consideration with regard to supplies?
a.
 Materials should be medically focused.
b.
 It is impossible to predict what supplies will be needed.
c.
 All supplies should be arranged and organized in advance.
d.
 They should be tailored for a specific event.
 

 78. 
Which of the following is part of the postrun phase?
a.
 Check the fuel levels.
b.
 Provide a report to hospital personnel.
c.
 Contact dispatch.
d.
 Leave a written report for hospital personnel.
 

 79. 
You are on scene at a structural collapse. In classifying this collapse, what is the appropriate term for a horizontal structural component close to the center of the span?
a.
 Inverted vee
b.
 Lean to
c.
 Pancake
d.
 Vee
 

 80. 
You are on scene. The commander of medical escorts a patient to you and states, “He is the walking wounded.” Which of the following color tags should this patient receive?
a.
 Yellow
b.
 Green
c.
 Red
d.
 Black
 

 81. 
You arrive on scene at an explosion. You come upon a patient who was struck by a penetrating object. He has a sucking chest wound. Into which of the following categories is this patient triaged?
a.
 Yellow
b.
 Black
c.
 Red
d.
 Green
 

 82. 
You are assisting with decontamination of a patient. In what zone are patients typically decontaminated?
a.
 Hot zone
b.
 Warm zone
c.
 Outside the cold zone
d.
 Cold zone
 

 83. 
You arrive on scene at a confined space rescue at a local coal mine. Which of the following should be your first consideration?
a.
 Number of rescuers needed
b.
 Number of patients in the confined space
c.
 Scene safety
d.
 Allocation of necessary equipment
 

 84. 
You have arrived on scene at a technical rescue. Which of the following systems is used to manage this incident?
a.
 National Incident Management System
b.
 National Associate of EMS
c.
 American Heart Association
d.
 Medical control
 

 85. 
Which of the following is a method of creating a support system inside a trench that places pressure against the trench walls?
a.
 Sloping
b.
 Shielding
c.
 Shearing
d.
 Shoring
 

 86. 
You are moving a patient to a helicopter. He was in a building that was on fire. He has multiple bandages and splints. Which of the following is important to consider when moving this patient?
a.
 Secure all bandages and splints before approaching the aircraft.
b.
 Move the patient only on a backboard.
c.
 Move the patient as soon as he is packaged.
d.
 Move the patient when you are ready.
 

 87. 
Which of the following is the most likely route for a biologic weapon attack?
a.
 Dermal exposure
b.
 Inhalation
c.
 Ingestion
d.
 Injection
 

 88. 
You are on scene for a possible hazardous materials incident. During scene size-up, which of the following should indicate the possibility that hazardous materials may be involved?
a.
 Numerous vehicles parked in the parking lot
b.
 Liquids flowing
c.
 A crowd gathered
d.
 Police cars present
 

 89. 
Which of the following is a vesicant?
a.
 Sulfur
b.
 Sarin
c.
 Cyanide
d.
 Organophosphates
 

 90. 
You are called to the scene of a roof collapse at a stadium. On arrival, you notice a full parking lot and a collapsed roof. You are staging in your vehicle. Which is your most important next step?
a.
 Contact the police for crowd control.
b.
 Assume command.
c.
 Contact dispatch for additional resources.
d.
 Set up staging.
 

 91. 
You arrive on scene at a structure fire. You are called for medical assistance. Which of the following is the most important consideration when parking your ambulance?
a.
 Park next to staging.
b.
 Park as close to the incident as possible.
c.
 Park uphill and upwind.
d.
 Park downhill.
 

 92. 
You have arrived at the hospital with a patient and are finishing a written report. Which of the following is essential to this report?
a.
 Location
b.
 Treatment
c.
 Ambulance number
d.
 Names of patient’s physician
 

 93. 
A patient has developed blistering lesions and is concerned that she has smallpox. Which of the following best describes the period in which she can transmit this infection?
a.
 During the rash phase
b.
 Smallpox is not transmittable.
c.
 After the scabs fall off
d.
 From before the rash starts until the scabs fall off
 

 94. 
You are en route to a possible hazardous materials scene. Which of the following is an appropriate action?
a.
 Identify the material.
b.
 Size up the scene.
c.
 Set up a perimeter.
d.
 Rescue the victim.
 

 95. 
Which of the following should signify completion of a call?
a.
 En route to the station
b.
 Advising dispatch of your availability
c.
 Postrun phase
d.
 Sterilization of equipment
 

 96. 
Which of the following is the function of staging?
a.
 It is the location of triage.
b.
 It is used for equipment, vehicles, and personnel.
c.
 It is the main egress for the scene.
d.
 It is the location for rest, rehabilitation, and food.
 

 97. 
Which radiation type has the greatest penetration?
a.
 Neutron
b.
 Beta
c.
 Alpha
d.
 Gamma
 

 98. 
The bacteria that cause which of the following diseases are commonly found in animals such as sheep and cattle?
a.
 Smallpox
b.
 Plague
c.
 Tularemia
d.
 Anthrax
 

 99. 
You arrive on scene at a motor vehicle accident involving a car and a truck with a placard visible. Which of the following is an appropriate first action?
a.
 Assess scene safety.
b.
 Call for the police.
c.
 Set up triage.
d.
 Approach the patients.
 

 100. 
You arrive on scene, where a patient collapsed by his shed in the backyard. The wife states that he was working on his outdoor hot tub. Which of the following is the most likely cause of his symptoms?
a.
 Bacterial agent
b.
 Nerve agent
c.
 Pulmonary toxicant
d.
 Vesicant
 



 
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