Questions and Answers
Scene hazards that are not visible to emergency responders include:
Identifying potential exit routes at an emergency scene is most important because:
The purpose of noting the mechanism of injury (MOI) is to:
When assessing the MOI of a vehicle that struck a utility pole, you notice that the vehicle's steering wheel is bent. You should:
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Which of the following statements regarding the MOI is correct?
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During the primary assessment, you should:
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You enter the residence of an unconscious 30-year-old man. As you are approaching the patient, who is lying motionless on the floor, you should:
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The first part of determining a conscious patient's level of responsiveness is to:
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A patient is said to be alert if he or she:
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To comply with the standard of care, the EMR must:
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You are a volunteer EMR and have placed your name on the schedule to respond for a 12-hour shift. With 10 minutes left in your shift, you are dispatched for a patient with a possible fractured leg. You should:
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While functioning at the scene of a patient in cardiac arrest, you do not initiate CPR because the patient is elderly and you think that he is probably dead. Which of the following statements regarding this scenario is correct?
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The scope of care under which the EMR functions is specified by the:
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In general, you should never change or alter a patient care report, unless:
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A patient who verbally or non-verbally lets you know that he or she is willing to accept treatment is giving you ____________ consent.
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For a patient to be legally able to make a decision regarding his or her own health care, he or she must:
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The principle of implied consent assumes that an unconscious patient:
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You arrive at the scene of an incident involving a motor vehicle and a pedestrian. Your patient, who was struck by the vehicle, is a 16-year-old girl. You should:
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You are dispatched to an elementary school for a 7-year-old boy who sustained a minor injury. What should you do?
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Which of the following statements regarding a patient's consent to treatment is correct?
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Which of the following is not considered an advance directive?
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A DNR order is a written request giving permission for medical personnel not to:
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The purpose of a communications system is to:
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Which of the following statements regarding a base station is correct?
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Upon arriving at the scene of a major motor vehicle crash, you determine that there are multiple patients. You should:
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When transmitting information from the patient's side to the responding ambulance, the EMR would most likely use a:
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A device that receives a weak radio signal, amplifies that signal, and then rebroadcasts it is called a(n):
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When dispatched to an emergency call, you should:
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Upon arriving at the scene of an emergency call, a visual survey will enable you to:
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In which of the following phases of an EMS call is the EMR typically not involved?
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Which of the following pieces of information is the least critical to relay to the responding EMS unit about your patient?
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When EMTs or paramedics arrive at an emergency scene, the EMR should:
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The most important reason for notifying the dispatcher after you have turned over care of a patient to other EMS providers is:
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Guidelines for effective radio communication include all of the following, except:
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Effective communication means that:
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Which of the following is an example of an internal distraction that may hinder an EMR's communication with a patient?
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When communicating with a conscious, sick, or injured patient, it is important to:
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A patient is in the anatomic position when he or she is:
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The term 'anterior' refers to the:
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Which of the following statements is correct?
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During your assessment of a 21-year-old man who fell from a roof, you note the presence of bruising on the medial aspect of the anterior trunk. What part of the body is this describing?
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In relation to the nose, the eyes are:
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Which of the following statements is correct?
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A fracture of a femur in a location farthest away from the hip is:
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The location of a lateral body part is:
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A 40-year-old woman has an injury to the midshaft humerus following a motor vehicle crash. What major joint is immediately distal to her injury?
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The respiratory system functions by:
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The structure that prevents food or liquid from entering the larynx is called the:
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All of the following are upper airway structures, except the:
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The airway within the lungs branches into narrower and narrower passages called:
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Air is inhaled into the lungs when the diaphragm:
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The circulatory system is responsible for:
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All of the following are components of the scene size-up, except:
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As you approach an emergency scene, you should first:
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Which of the following MOST accurately describes an emergency medical responder (EMR)?
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Fire fighters and law enforcement personnel are likely to be the first EMRs to arrive at a scene because:
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A cardiac arrest patient's most crucial contact with the EMS system occurs when:
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When EMTs or paramedics arrive at the scene of an emergency, the EMR should:
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Which of the following interventions would the EMR most likely perform at the scene of a cardiac arrest?
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Fire units are often a crucial part of the EMS system because they:
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Which of the following statements regarding transport of a patient to the hospital is correct?
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A patient requires rapid transport to the hospital when:
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A 33-year-old woman has a possible broken left ankle. She is in significant pain but is conscious and otherwise stable. This patient:
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You are at the scene of a shooting. The patient, who is being cared for by paramedics, is unresponsive and has severe bleeding from his injury. In this case, the EMR's most important function is to:
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To provide the best possible care for the patient:
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Skills commonly performed by the EMR include all of the following, except:
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The EMR must possess the ability to:
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Which of the following pieces of equipment should be included in the EMR's life support kit?
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Components of the quality improvement process, as identified by the Institute of Medicine, include all of the following, except:
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Which of the following statements regarding stress is correct?
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Ways in which the EMR can prevent and reduce unnecessary stress include all of the following, except:
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Which of the following would most likely produce the greatest amount of stress for the EMR?
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All of the following are part of the normal grieving process, except:
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To see his grandson graduate from high school, a man with a terminal illness promises to keep all of his doctor's appointments and take all of his medications exactly as prescribed. This is an example of:
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Which of the following statements regarding the acceptance stage of the grieving process is correct?
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When you encounter a patient with a significant illness, it is important to remember that he or she:
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An important step in managing your own stress is the ability to:
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If you are experiencing stress away from your job, you should:
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A critical incident stress debriefing (CISD) is used to:
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Which of the following infectious diseases would be the least likely to be spread by the airborne droplet route?
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The most effective way to prevent exposure to infectious diseases is to:
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Which of the following is not part of the standard precautions recommended by the Centers for Disease Control and Prevention (CDC)?
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In which of the following situations would the use of a gown or apron, face shield, and gloves clearly be indicated?
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You are the first responder to arrive at an emergency scene. What should you do first?
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In addition to ensuring your own safety, the most important guideline to follow when moving a patient is to:
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When moving a patient, who typically gives the command to begin the move?
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If you suspect that a patient has suffered a head or spine injury, you should:
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Regardless of the technique you use for moving patients, you should:
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You and your partner are the first to arrive at the scene of a man who fell approximately 20′ (6 m) from a second-story balcony. The patient is found lying on his side. He is conscious and alert with adequate breathing. A paramedic unit is approximately 5 minutes away. You should:
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The recovery position is used for patients who are:
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With regard to lifting and moving, good body mechanics includes:
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Before attempting to move any patient, you should:
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You are the first medically trained person to arrive at the scene of an ill person. You find the patient, a 350-pound man, sitting in a small bathroom. The patient tells you that he is extremely weak and is unable to walk. You should:
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The blanket drag would be most appropriate to use to move a patient if he or she is:
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An elderly woman must be moved from an unsafe environment quickly. The patient is unconscious and is wearing a thin nightgown. What is the most rapid and effective way for you and your partner to move her?
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Basic patient movement techniques require slight modification when moving a patient from a wrecked vehicle because the patient:
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A 60-year-old man is found sitting in his car alongside the road. There is no apparent damage to his vehicle. Your assessment reveals that the man is in cardiac arrest. You should:
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The direct ground lift should not be performed if the patient:
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Which of the following concepts is the first and most important when providing patient care?
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Study Notes
Emergency Medical Responders (EMR)
- EMRs are the first medically trained individuals to arrive at an emergency scene, providing initial care.
- Firefighters and law enforcement often serve as first responders due to their rapid response capabilities.
- Initial contact with EMS occurs when trained EMRs reach a cardiac arrest patient, critical for continued care.
EMR Responsibilities
- Upon arrival of EMTs or paramedics, EMRs should assist in continuing care rather than withdrawing.
- EMRs perform CPR and defibrillation during cardiac arrest situations, but not advanced procedures like medication administration or IV insertion.
- They provide specialized rescue services, such as patient extrication, in support of the EMS system.
Patient Transport and Care
- Patients may need stabilization at the nearest hospital before transfer to a specialized facility.
- Rapid transport is necessary if EMS personnel cannot deliver adequate life-saving care in the field.
- An EMR should recognize situations requiring patient transport without lights and siren when conditions allow.
Stress Management
- Past experiences can complicate the management of stress in high-pressure situations.
- Critical incident stress debriefing (CISD) helps alleviate stress from traumatic incidents.
- It is vital for EMRs to be aware of stress signs and seek professional mental health support when needed.
Infection Control
- Standard precautions are essential for infection disease prevention, including appropriate hand hygiene and protective equipment usage.
- Methicillin-resistant Staphylococcus aureus (MRSA) is less likely to spread via airborne droplets compared to diseases like Influenza and Tuberculosis.
Patient Movement and Safety
- The first action at an emergency scene is to survey for safety hazards to protect responders and patients alike.
- Proper body mechanics include using legs for lifting and minimizing patient movement to avoid further harm.
- Essential techniques like the blanket drag or log roll are employed for effective patient extraction, particularly during transport scenarios.
Grieving Process Understanding
- EMRs should recognize that patients may experience various stages of grief and that responses can vary widely.
- Examples of coping mechanisms include bargaining, where individuals might promise compliance with medical advice to hold onto hope.
Legal and Ethical Responsibilities
- EMRs have a duty to act in emergency situations within their scope while following established protocols to ensure patient safety.
- Continuously providing high-quality care that aligns with a reasonable standard is crucial to fulfilling their role.
Handling Cardiac Arrest
- When encountering a patient in cardiac arrest, EMRs must act promptly to initiate CPR, understanding that assumptions about their condition should not delay care.
Response Readiness
- EMRs must be prepared to respond, regardless of their volunteer status, and are obligated to proceed to the scene when dispatched.### Emergency Medical Response Concepts
- Cardiac arrest response within 6 minutes offers a chance for successful resuscitation.
- Emergency Medical Responders (EMRs) have a standard of care and may face liability for failing to follow it.
- EMRs must initiate CPR if needed, as it aligns with their responsibilities.
Consent in Medical Care
- Expressed consent is given verbally or non-verbally by a patient.
- To make decisions about healthcare, a patient must be of legal age as defined by state law.
- Implied consent applies to unconscious patients assumed to want treatment.
Handling Pediatric Emergencies
- In emergencies involving minors, seek immediate treatment while attempting to contact parents for consent.
- When a child is not in critical condition, consent must be obtained from a parent or guardian.
DNR and Advance Directives
- A Do Not Resuscitate (DNR) order instructs medical personnel not to attempt resuscitation in cardiac arrest.
- EMS system protocols are not classified as advance directives.
Communication and Dispatch
- Effective communication relays critical patient information and aids in emergency responses.
- Use portable radios for communicating from the patient side to the ambulance.
- After care is transferred to EMS, notify dispatch of availability for new calls.
Scene Safety and Size-Up
- Assess the scene for safety and hazards, including invisible hazards like toxic fumes.
- Identify exit routes to ensure safety if the situation escalates.
- Understanding the mechanism of injury (MOI) is vital to predict potential injuries.
Body Anatomy and Positioning
- Anatomic position: standing, facing forward with arms at sides and palms outward.
- Anterior refers to the front of the body; posterior refers to the back.
- Proximal and distal relate to the distance from the point of reference—proximal being closer, distal being farther.
Patient Assessment and Responsiveness
- Primary assessment focuses on identifying and addressing life-threatening conditions.
- A patient is considered alert if they can answer questions accurately.
- Introduce yourself to a conscious patient to gauge their responsiveness.
System Functionality
- The respiratory system brings oxygen into the body and removes carbon dioxide, while the circulatory system pumps blood throughout the body.
- Understanding organ functions aids in assessing patient health and treating injuries.
Important Considerations
- Avoid altering patient care reports without correcting for accuracy.
- Effective communication means the recipient fully understands the information conveyed.
- Prioritize patient care and support to other emergency responders to ensure comprehensive treatment.
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Description
Test your knowledge with these practice questions covering Chapters 1-7 of the EMR material. This flashcard set helps reinforce key concepts and definitions related to emergency medical responders and their roles. Perfect for preparing for your EMR certification exam.