EMR Tutor Audit Quiz

Question 1 of 50

A detailed physical exam should be done ___________________.
  Only by medical staff in a hospital setting
  On an unconscious patient before anything else
  Only after critical interventions
  To determine the method of injury

Question 2 of 50

A man has both legs burned on the front and back, along with the fronts of both arms. Approximately what percentage of his body was burned?
  36 percent
  54 percent
  45 percent
  50 percent

Question 3 of 50

A part of the protocols that are to be completed before contacting medical direction are known as?
  Standard of care
  Required care
  Standard of practice
  Standing orders

Question 4 of 50

A sphygmomanometer is used to measure?
  Distance of skid marks
  Depth of laceration
  Blood pressure
  Spaces between Q - R and S waves

Question 5 of 50

AHA CPR/ AED Guidelines advise doing what after the first shock?
  Checking the pulse and rhythm of the patient
  Analyzing again and potentially giving up to 2 more shocks
  Resuming CPR for 5 cycles approximately 2 minutes
  None of the options are correct are appropriate

Question 6 of 50

Before applying a sling to an elbow dislocation you should?
  Make sure there are no laceration
  Do a detailed physical exam
  Align the elbow so it pops back in place
  Check the PMS

Question 7 of 50

CPR is in progress on an 35 year old woman who has fallen down an escalator. She has no pulse and chest compressions have been started. Current AHA guidelines specify that this woman should receive approximately how many compressions over a period of 3 minutes?
  290 compressions
  110 compressions
  400 compressions
  306 compressions

Question 8 of 50

Fluid that accumulates in the lungs makes the transfer of oxygen more difficult as the alveoli are partitioned by the fluid this is called?
  Respiratory emesis
  Alveoli failure
  Paradoxical flux
  Pulmonary edema

Question 9 of 50

Negligence is:
  An action that results in pain or injury to the patient
  Not providing care to an injured person
  Found when one of four criteria is met
  Deviating from the standard of care expected from your level of certification

Question 10 of 50

Perfusion is defined as?
  Movement of waste product through the intestines
  How well a person's skin looks during assessment
  The death of cells
  The movement of blood through the tissues

Question 11 of 50

Scene safety is compromised by doing what?
  Doing a full scene size up
  Entering the scene of a shooting before police have it secured
  Waiting for the fire department to contain a flammable spill
  Obeying traffic laws on your way to the scene

Question 12 of 50

The assessment based approach allows you to rule out life threats and then ________________.
  Repeat your assessment
  Diagnose the patient's illness
  None of the options are correct
  Treat the patient's complaints

Question 13 of 50

The bevel of a nasopharyngeal should be inserted ___________.
  Away from the septum
  Toward the septum
  To the base of the carina
  Only after lubing with petroleum jelly

Question 14 of 50

The exchange of gases in the lungs is called _________________.

Question 15 of 50

What letter from the DCAPBTLS mnemonic would you associate with finding that your patient has a pencil jammed into their leg about 2 inches deep?

Question 16 of 50

When asking the patient,"Does the pain move anywhere else?" This question refers to what part of the assessment?
  Pain reference
  Pertinent medical history

Question 17 of 50

Which of the following is not considered a vital sign?

Question 18 of 50

Who is responsible for developing protocols for an EMS system?
  National EMS control
  Medical director
  State EMS Control
  Department of Transportation (DOT)

Question 19 of 50

You and your partner Greg are performing CPR on a 22 year old man who was in a motorcycle accident. Your CPR will utilize:
  About 6 breaths per minute with a tidal volume enough to give adequate chest rise
  Chest compressions at 30 a minute with one breath every 10 seconds
  Compressions one third to one half the depth of the chest with one breath every 3-5 seconds
  12 to 20 breaths per minute with a tidal volume of 800ml each breath

Question 20 of 50

You arrive on scene of an unknown medical to find a man and a woman unconscious in their kitchen. You are finishing a rapid trauma assessment on the woman when your partner says she smells something odd and is feeling dizzy. Your best course of action would be to:
  Call dispatch and request hazmat assistance while maintaining the patient's airway
  Remove yourself from the scene and advise dispatch of the situation
  Place both patients on high flow O2 and pull them out of the house
  See if your partner can identify the odor

Question 21 of 50

You arrive on scene to find a 35 year old man lying prone in the bathroom. He is not alert and you log roll him with c-spine stabilization into a supine position. Your next course of action would be?
  Check pulse and apply AED
  Give him a sternal rub to check for consciousness
  Manually open the airway

Question 22 of 50

You arrive on scene with your partner Joe to find an 7 year old boy unconscious after being dragged from the water. He is not breathing and has no pulse. CPR in this case should include________________.
  30:1 compression to ventilation ratio
  15:2 compression to ventilation ratio
  30:2 compression to ventilation ratio
  5:1 compression to ventilation ratio

Question 23 of 50

You have been called to a home where a 1-year-old girl is in respiratory distress, possible apnea. The caregiver called 911 after finding the girl on the floor in front of the TV. She does not know if the child is breathing or not. Which of the following choices below contains the most accurate facts related to this call?
  Children have smaller airways that are often blocked by toys and rarely occluded with mucus or swelling. If you suspect a foreign body airway obstruction, try to visually locate the object and remove it if possible.
  Children may have anterior displacement of the tongue which can cause an airway obstruction. CPR should include delicate compressions to avoid rib fractures.
  Children have ridged tracheal cartilage and a short epiglottis that can easily block the airway. During CPR the neck should be slightly hyperextended to account for this difference.
  Children have a large tongue that takes up more

Question 24 of 50

Your partner Alex is assessing a patient who was a player in a hockey game. Alex thinks the man likely has a fractured zygoma. From this you would gather that the patient has been struck where?
  Right below the sternum

Question 25 of 50

Your partner Ruben has just asked a patient "Is the pain stationary in that one spot?" What part of the SAMPLE history is he assessing?
  None of the options are correct
  Pertinent medical history

Question 26 of 50

A wound to the leg that resulted in heavy bleeding of bright red blood could be controlled by what?
  Pressure to the knee
  Pressure to the femoral artery
  Pressure to the femoral artery
  Pressure over the brachial vein

Question 27 of 50

You are cleaning the back of your ambulance outside the hospital emergency room when a man walks up to you holding his stomach. He tells you that he is hurting really bad and asks if you can help him. What is the best response in this situation?
  Have him sit on your stretcher and begin assessing him for any obvious life threats
  Call dispatch and report a walk up medical and give your location
  Assist him into the Emergency Room and help him to the Triage area
  Tell him to walk down to the door marked 'Emergency Room' and talk to the lady at the front desk

Question 28 of 50

The autonomic nervous system is _____________.
  An automatic subdivision of the central nervous system
  A subdivision of the peripheral nervous system
  Responsible for offload of oxygen
  Responsible for offload of oxygen

Question 29 of 50

The cardiovascular system consists of the_____________.
  Heart and vessels
  Lungs and heart
  Heart and brain
  Heart and spinal cord

Question 30 of 50

Which of the following would cause a person to become hypovolemic?
  Dehydration on a hot day
  All of the options are correct
  Cut to the hand that is uncontrolled
  Slow GI bleed

Question 31 of 50

You arrive on scene to a MCI vehicle accident involving multiple vehicles. Your triaged patient is a 4 year old boy who has multiple fractures and is pulseless. You and your partner begin CPR:
  With 12 to 20 breaths per minute with a tidal volume of 800ml for each breath
  At a ratio of 15:2 with a compression depth of one third the diameter of the chest
  With chest compressions at a rate of 30:2 with one breath every 3-5 seconds
  At a rate of 100 compressions per minute with one breath every 5-6 seconds

Question 32 of 50

The majority of cardiac medical emergencies are the result of what?
  Embolism and thrombosis
  Old age
  Poor diet
  Reduced blood supply to the myocardium

Question 33 of 50

Which of the following would be a sign that CPR may not be necessary?
  No pulse or respirations
  Stiff neck and jaw
  Core cyanosis
  The patient is unconscious

Question 34 of 50

Respirations in a preschool aged child would be considered normal at ___________.
  35 breaths per minute
  32 breaths per minute
  24 breaths per minute
  16 breaths per minute

Question 35 of 50

You and your partner find an adult male pulseless and apneic. At what rate should your CPR compressions be delivered?
  109 compressions per minute
  170 compressions per minute
  At least 90 compressions per minute
  60-80 compressions per minute

Question 36 of 50

You arrive on scene to find a 64 year old male complaining of shortness of breath. He is using accessory muscles to breath and is in the tripod position. As you kneel down beside him you notice a cylinder of oxygen near his chair. From this scene size up information you might assume that?
  He has COPD
  He is a welder
  He has an upper airway obstruction
  He was exercising

Question 37 of 50

A patient who is competent may:
  Refuse treatment
  Tell you what to do
  Gain power of attorney over EMS providers
  Have lost control of their bladder

Question 38 of 50

A child is breathing at 32 breaths per minute. This would be considered ______________.
  In range
  Above range
  Below range

Question 39 of 50

You and your partner Shelly are called to the scene of a single car MVA with two patients. The reporting party told dispatch that one of the patients is unconscious in the car and the other is out of the car and conscious, but bleeding badly from his face. You arrive to find that the man in the car is actually dead and the other man is standing up against a bystander's car. According to the NREMT Patient Assessment/Management - Trauma Skill Sheet what would be the most appropriate treatment for this patient?
  Verbalize general impression of the patient, Determine chief complaint/apparent life threats, Make a transport decision, and get a set of baseline vitals
  Consider stabilization of the spine, Perform a primary survey and make a transport decision, then do a secondary assessment
  Determine chief complaint, do a secondary assessment, Treat ABC's, and then make a transport decision based on the vitals
  BSI, Treat any life threats, Do a detailed focused exam, Check vital signs and make a transport decision

Question 40 of 50

All of the following are functions of the Patient Care Report except:
  Essential research record
  Administrative information

Question 41 of 50

Without any further information, what condition would you say the following patient is in? A 1-year-old male with a pulse rate of 110, breathing at 30 breaths per minute, with a systolic BP of 90.

Question 42 of 50

Which of the following would be an advised method of asserting your authority with a patient who appears aggressive?
  Tell them you will call the police if they don't mellow out
  Tell them you are on the EMS boxing team
  Keep your eye level above that of the patient's
  Tell them you will sedate them if they don't mellow out

Question 43 of 50

What should be palpated in an infant when checking the pulse?
  Radial artery
  Carotid artery
  Femoral artery
  Brachial artery

Question 44 of 50

You and your partner Bob are called to the scene of a man down. The report said the man has no pulse and that family members are doing CPR. Upon arriving at the scene what 3 things are you going to do first?
  Question the bystanders, direct them to stop CPR, and check for pulse
  Open their airway, tell the bystander to stop CPR, and put your gloves on
  Hook up the AED, open their airway, and insert an adjunct
  Attach the AED, tell everyone to stand back, and hit the analyze button

Question 45 of 50

You arrive on scene with your partner Emilio to find a woman who is having problems breathing. She is speaking in 1 or 2 word bursts and is on oxygen at 3 liters per minute. There is an ashtray next to her bed loaded with cigarette butts. She says her care taker called the ambulance and she does not want you there. She says she will allow you to take her vitals but then you have to leave. Her BP is 100/60 her pulse is 48 and her respirations are 18. She says she is 89 years old and has a pacemaker and is on high blood pressure medication. "I just want to be old, please leave", she says. What should you do?
  Tell the care giver to quit calling and giving false alarms
  Respect her wishes and leave, asking her to please call if she needs medical attention
  Transport her to the ER. Her vitals dictate that you must
  Prepare to bag her and transport when she eventually passes out

Question 46 of 50

When transporting a patient who is in cardiac arrest, the use of sirens and lights is?
  For moving quickly and safely through traffic
  Advised by the DOT
  A necessity
  Recommended for comfort

Question 47 of 50

You are called to a local river where a rafting trip has turned bad. A family of 5 was dumped into the river after their raft capsized, only 3 of them made it to shore. As you arrive on scene, a woman and a young boy are brought up from a rescue raft. The search and rescue crew say the victims were under water about 15 minutes. The woman does not have a pulse, but the boy does. What will your ventilation rate be for the woman? What about the boy?
  6 ventilations per minute for the woman / 12-20 ventilations for the boy
  12-20 ventilations per minute for the woman / 15-30 ventilations per minute for the boy
  30 compressions to 2 ventilations per minute
  10-12 ventilations per minute for the woman / 12-20 ventilations per minute for the boy

Question 48 of 50

What is Hyperthermia?
  The body getting too hot
  The body getting too cold
  None of the options are correct
  The body having too much blood

Question 49 of 50

What is the best way to assess a patient's temperature?
  The back of your hand
  The index and middle finger
  Looking at their skin
  Your lips

Question 50 of 50

It's 8 a.m., you and your partner Raymond are called to a multiple car collision on a busy side street. You arrive on scene and can see at least 6 patients. The cars are a twisted mess and are covering one whole lane of traffic with multiple fluids pooling around the cars. You can hear people crying and traffic is already starting to move around and by the wreck. You should...?
  Begin extrication of the patients while your partner calls for more ambulances
  Inform the patients that you are not allowed by law to enter the zone until it is made safe by law enforcement
  Get the fire department in route, establish a safety zone, and assist in keeping traffic at a safe distance
  Triage the most critically injured first and then extricate them in order of severity