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You have just arrived on the scene of a motor vehicle collision in which a compact car was struck from behind by a delivery truck.The driver of the delivery truck is standing outside his vehicle talking to police when you arrive,but the driver of the car is still seated in the driver's seat.You have noted moderate damage to the rear of the car.For which of the following injuries should you have the highest level of suspicion?


A) Fractures of the lower extremities
B) Chest injury
C) Abdominal injuries
D) Neck injury

E) A) and B)
F) A) and D)

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Which of the following is true concerning the potential for violence at the scene of an EMS call?


A) An unusual lack of activity at the scene may signal impending violence against the EMT.
B) The chance for violence is very low at emergency scenes.
C) You do not need to worry about violence at an emergency scene once the police have secured it.
D) Signs of impending violence are obvious if you know what to look for.

E) C) and D)
F) None of the above

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An injury caused by an object that passes through the skin or other body tissue is known as which of the following?


A) Cavitating trauma
B) Puncturing trauma
C) Penetrating trauma
D) Impaling trauma

E) A) and C)
F) A) and D)

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You are on the scene of a tanker truck versus passenger vehicle collision on a rural highway.The vehicles are just beyond a curve in the roadway and there is a distinct odor of diesel fuel.It is dark and there is little traffic.Which of the following should be used to alert oncoming traffic to the situation?


A) Flashing lights on the ambulance
B) Yellow crime scene tape
C) Flares
D) Reflective triangles

E) B) and C)
F) A) and D)

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What law of physics explains why a patient's liver can be injured from the impact of his car with a tree?


A) Second law of motion
B) Newton's law of moving energy
C) Law of inertia
D) Law of kinetic energy

E) A) and B)
F) B) and C)

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You and your partner are en route to a motor vehicle crash involving a tanker truck on a rural road.Dispatch informs you that fluid is leaking from the truck,that there are several bystanders passed out on the ground near the cab of the truck,and that a caller has reported the code that appears on a placard attached to the tanker truck.You should:


A) remove the bystanders from the scene.
B) park about 50 feet from the truck.
C) consult the Emergency Response Guidebook.
D) park downwind from the tanker truck.

E) None of the above
F) B) and D)

Correct Answer

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Which of the following situations will NOT require additional resources at the scene?


A) A patient with emphysema who is on oxygen therapy at home
B) A call for a sick person at home during which an odor of natural gas is detected
C) A call to a manufacturing plant where a worker has his hand caught in a machine
D) A 300-pound woman complaining of back pain

E) A) and B)
F) None of the above

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You should have a keen awareness that there may be injuries based on your scene size-up.This is known as which of the following?


A) Nature of illness
B) Law of inertia
C) Mechanism of injury
D) Index of suspicion

E) None of the above
F) A) and B)

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As you are assessing a 32-year-old asthmatic woman who has called EMS due to difficulty breathing,her husband enters the home through a back door and shouts,"Get your hands off her; she doesn't need your help.She needs to be taught a lesson about her smart mouth." Which of the following is the best course of action?


A) Attempt to remove the patient from the home and continue treatment en route to the hospital.
B) Continue assessment and respond that the patient is sick and needs medical attention.
C) Leave the scene and patient, then notify police.
D) Let the husband know that his behavior is inappropriate, and if it continues you will call for the police.

E) A) and C)
F) All of the above

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C

You are dispatched to a local bar for the report of an unresponsive female patient found in the bathroom.As you approach the scene,you notice a large crowd outside the front door holding beer bottles.The group has pulled the patient outside.As you approach the scene,people from the group start yelling,"Do something! She's not breathing." What concerns you the most about this scene?


A) The large crowd that has been drinking and is now yelling at you
B) The fact that the patient has been moved from where she was found
C) The crowd stating the patient is not breathing
D) All of the above

E) A) and B)
F) A) and C)

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Where should the EMT assess for injury when caring for a patient who had a two-story fall and landed square on his feet?


A) Patient's lower back
B) Patient's ankles
C) Patient's femur
D) All of the above

E) A) and B)
F) B) and D)

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When should the EMT evaluate the need for Standard Precautions?


A) An evaluation should be made throughout the call.
B) An evaluation should be made once a general impression of the patient has been formed.
C) An evaluation should be made before arrival on-scene.
D) No evaluation is ever needed, since the precautions are the same for every call.

E) B) and C)
F) None of the above

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Which of the following is NOT determined in a scene size-up?


A) Chief complaint
B) Mechanism of injury
C) Potential hazards to the EMS crew
D) Need for additional resources

E) C) and D)
F) A) and C)

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As you approach the scene of a motorcycle accident,you see an EMR trying to stop the bleeding on the patient's left arm.You notice that the EMR has blood covering the front of his shirt and running down his arms.What Standard Precautions are needed?


A) There is no need for Standard Precautions because you have no open injuries.
B) Gloves, gown, and face mask with eye shield are needed.
C) Gloves, gown, eye protection, and an N-95 or HEPA respirator are needed.
D) Gloves and gown only are needed.

E) None of the above
F) A) and C)

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B

Which of the following is NOT a consideration that should be used by the EMT in establishing the size of the danger zone?


A) Presence of hazardous materials
B) Wind direction
C) Amount of equipment needed
D) Fire

E) C) and D)
F) B) and D)

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At what point is the scene size-up complete?


A) When crashed vehicles have been stabilized
B) At the end of the call
C) Upon stabilization of the c-spine
D) When the number of patients has been determined

E) B) and C)
F) B) and D)

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B

You are called to a motor vehicle collision where the car is on fire.You should ensure safety by:


A) borrowing turnout gear from the fire department.
B) remaining a safe distance from the car until the fire is out.
C) putting your unit back in service and leaving the scene.
D) using your fire extinguisher to put out the fire.

E) C) and D)
F) B) and D)

Correct Answer

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Your patient fell out of a tree while putting the roof on a tree house.A 15-foot ladder is required to enter the tree house and there is enough room for an adult to stand up inside.Your patient should be transported to:


A) an urgent care center.
B) the closest hospital.
C) a trauma center.
D) a neurosurgery center.

E) B) and C)
F) All of the above

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Which of the following is true concerning scene size-up?


A) The need for additional resources must be determined on both medical and trauma calls.
B) Scene size-up does not play a role in determining the nature of the illness.
C) Determining the number of patients is not important on a medical call.
D) Information from bystanders is not important on trauma calls.

E) A) and D)
F) A) and C)

Correct Answer

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In which of the following situations should the EMT consult the Emergency Response Guidebook?


A) Chlorine gas leak at a public swimming pool
B) Domestic disturbance with the potential for violence
C) Patient with a suspected infectious disease
D) Downed power lines at the scene of a vehicle collision

E) C) and D)
F) B) and D)

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