Which of the following is the best definition of eustress?
Stress during the grieving process
Negative stress, experienced during the grieving process
Positive stress, experienced before taking the NREMT-P
Negative Stress
Question 2
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50
The grieving process has 5 steps. The stages are denial, anger, bargaining, and what is the 4th step?
guilt
internalize
depression
acceptance
Question 3
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50
The last and 5th step of the grieving process is:
death of a family member
allowance
acceptance
arrogance
Question 4
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50
You arrive on scene of an auto-pedestrian accident where a 50's male was hit by a car. He was riding a moped and was carrying a 6 pack of beer, which have all broken. The pt. states that he is fine and isn't hurt and gets up off the concrete. He states that he is fine regardless of the question asked. You should take this person to the hospital based on
implied consent
release this patient
informed consent
expressed consent
Question 5
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50
You arrive on scene of a 10 y/o male pt. who has an angulated fracture of the left wrist. He is crying in pain and his arm is flopping around. How should you treat this patient?
Expressed consent allows you to treat this patient
Don't provide invasive treatments until contact has been made with a guardian
Treat this patient with splinting and pain control.
Implied consent allows you to treat this patient
Question 6
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50
You arrive on scene of an apartment complex for an apparent suicide attempt. The scene is very quite and you feel something is not right. It is your responsibility to ensure
crew safety
immediate transport
high quality patient care
crew integrity
Question 7
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50
Standard precautions dictates that you wear gloves on
patients with a history of infectious disease
patients that you don't know
patients who you suspect haven't showered
all patients
Question 8
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50
Level "A" PPE, commonly called HAZMAT suits, provides what level of protection?
protection to respiratory tract
complete skin and respiratory protection
the same protection as street clothing
the same protection as bunker gear
Question 9
of
50
To disinfect is to
sterilize
remove most virus and bacteria from an object
clean
remove all virus and bacteria
Question 10
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50
You want to give 150mg of amiodarone to a patient, but it is not a standing order per protocol. You call the doctor to obtain
a direct order
a standing order
a consultation
offline medical direction
Question 11
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50
You want to give 150mg of amiodarone to a patient. You call the doctor to get an order by phone. This is an example of
online medical direction
using the doctor to spread liability
standing order
offline medical direction
Question 12
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50
Within the DOT, which department develops EMT curriculum?
NHTSA
DOA
DOT
DOE
Question 13
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50
A policy differs from a standing order in that
standing orders are the same as protocols
policies are not related to patient care
policies are the same as standing orders
standing orders are not related to patient care
Question 14
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50
You are called emergent to a 86 y/o patient that is having a stroke. The nursing staff state patient is having an active stroke with unilateral weakness. The patient has no complaints, is AAOx4, and refuses your care. Your physical exam is negative for stroke. You believe the patient is not having a problem. Helping this patient make an informed decision on medical care is an example of
patient's rights
patient advocacy
patient assessment
pattern recognition
Question 15
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50
In 1966 the publication of the "white paper" lead to the development of what US department?
DOT
DOE
NREMT
EMT classes
Question 16
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50
What US department is in control of EMS systems, and tasked with the original or first EMS development?
DOD
DOE
FDA
DOT
Question 17
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50
The current 4 levels of EMS professionals are:
EMR, EMT, AEMT, Paramedic
First responder, EMT-B, EMT-I, EMT-P
EMR, Basics, Advanced EMT's, Paramedics
First responder, EMT, EMT-I, Medic
Question 18
of
50
A license to practice medicine is granted by:
NREMT
The federal government
The school of EMS
The state of practice
Question 19
of
50
Certification refers to:
The EMS school that gives tests
The state license
The testing process or examination to verify competency in certain areas
A medical direction release form
Question 20
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50
The credentialing required to practice within an EMS system is assigned by:
The EMS school
Medical direction
NREMT
The State of practice
Question 21
of
50
Sympathy is defined as:
Wishing the situation never occurred
Feeling sad about what happened
Showing concern for someone's situation, but not sharing the same feelings
Sharing the same feelings as someone else
Question 22
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50
Empathy is defined as:
Sharing the same feelings as someone else
Showing concern for someone's situation, but not sharing the same feelings
Wishing the situation never occurred
Feeling sad about what happened
Question 23
of
50
Malfeasance is defined as:
Willfully and intentionally injuring another
Willfully preforming incorrect action or preforming action in a way that harms another party
Failure to preform a required procedure or skill
Not responding to a call when requested
Question 24
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50
Misfeasance is defined as:
Willfully preforming incorrect action or preforming action in a way that harms another party
Not responding to a call when requested
Failure to preform a required procedure or skill
Willfully and intentionally injuring another
Question 25
of
50
Nonfeasance is defined as:
Willfully and intentionally injuring another
Not responding to a call when requested
Failure to preform a required procedure or skill
Willfully preforming incorrect action or preforming action in a way that harms another party
Question 26
of
50
You are called emergent to the memory care unit of a nursing home. An 80 y/o patient has fallen and has a 2 cm skin tear on his head. He answers all questions appropriately and remembers the event. He states he is refusing care. The patient is not oriented to place or time. Does this patient have the right to refuse?
Yes
No
Question 27
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50
You run on an 85 y/o female who has fallen down and hit her head. She has some bleeding and is unresponsive to pain. Respiratory rate of 4 and pulse of 82. The nurse says she has a DNR, but she is not sure where it is. How should you treat this patient?
Withhold treatment for 1 minute giving time for the nurse to find the form
Full treatment until DNR form arrives
Treat patient but do not intubate
Withhold treatment and allow nurse to find DNR
Question 28
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50
You have a critical patient needing RSI, which you cannot preform, and the closest hospital states they are on ED divert. The next hospital is 20 miles away. What should you do?
transport to closest facility, because this is appropriate
call the ED back and tell them you are coming anyway
transport to next closest facility 20 miles away
call an air ambulance
Question 29
of
50
When does a durable power of attorney assign medical control to a guardian of the patient's choosing?
Only if the patient has a valid DNR
When the patient can no longer hold a pen
As soon as the document is signed
When the patient is physically/mentally incapable of making their own decisions
Question 30
of
50
You are called emergent to a 20 y/o female who has had a miscarriage. Her cousin comes into the room and asks what is happening. Based on patient confidentiality and HIPPA, you should
tell them because they are family
not tell the family member about the patient's current condition
tell the family member to speak with the patient when she is ready
tell them to talk to the officer on scene
Question 31
of
50
A valid DNR must be signed by
the nursing facility
the family
a medical professional
a doctor
Question 32
of
50
A living will describes
the type of interventions that can be made before death
DNR procedures
where the patient wants their belongings kept
the guardian of the patient's estate
Question 33
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50
You are called emergent to a 72 y/o male patient who is complaining of shortness of breath. The patient is AAOx4 and has a history of COPD. The patient is lethargic and the family presents you with a valid and signed DNR requesting no intervention. The patient then states "please don't let me die!" What should you do?
Consult with the family for the best practice
This patient shouldn't receive EMS treatment
This patient should receive full treatment
Call medical control for guidance
Question 34
of
50
The unwanted touching of another person is called
Battery
Assault
Domestic Violence
People being people
Question 35
of
50
You are called emergent to a 60 y/o male patient with an active myocardial infarction. It is shift change time and you have been trying to go home for hours. A first responder shows up on scene and you tell them to take this call because you are too tired to do another. You could be sued for...
nonfeasance
misfeasance
abandonment
negligence
Question 36
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50
You are called emergent to a skilled nursing facility. There is an 89 y/o female patient in cardiac arrest and nursing staff are standing around looking nervous. The patient has a DNR but the staff has lost it. What should you do for this patient?
Start resuscitation
Wait for a DNR to be presented
Call patient's PCP if available for consult
Leave the patient there and call the coroner
Question 37
of
50
A durable power of attorney refers to
the person who should make important medical decisions in the event you become incapacitated
probate courts releasing patient's information to the public
attorney's that specialize is probate
a document that requests no medical intervention should begin in the event of cardiac arrest
Question 38
of
50
What US department is in control of EMS radio channels?
FCC
FDA
DOT
NHSHA
Question 39
of
50
The type of radio that can penetrate and pass through buildings is
VHF
UHF
Question 40
of
50
The type of radio frequency that can travel long distance but is easily stopped by obstructions is
UHF
VHF
Question 41
of
50
Choose the synonym for anterior
Cephalic
Caudal
Ventral
Dorsal
Question 42
of
50
Choose the synonym for posterior
Midline
Ventral
Midsaggital
Dorsal
Question 43
of
50
The left sided midclavicular line is used as a placement marker for which precordial lead?
V4
V5
V3
V2
Question 44
of
50
Is the elbow proximal or distal to the wrist?
Proximal
Distal
Question 45
of
50
Is the ankle proximal or distal to the knee?
Distal
Proximal
Question 46
of
50
Choose the retroperitoneal organ:
Stomach
Spleen
Liver
Kidney
Question 47
of
50
Within the thoracic cavity lies the mediastinum. The mediastinum refers to:
Area between the lungs including the heart, aorta, esophagus, etc.
The pleural space
The area superior to the diaphragm, mainly the ventral cavity.
The pleural cavity
Question 48
of
50
The primary function of the mesentery is to provide:
support for the peritoneum
support, protection, blood flow, and innervation mostly to the small intestine
support, cushion, and provide lipids to the omentum
Question 49
of
50
The cervical spine consists of _________ number of vertebrae
10
5
12
7
Question 50
of
50
The thoracic spine consists of _________ number of vertebrae