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You are treating a 2-year-old girl who fell off her bike. She is crying and will not answer any of your questions. Which one of the following would be appropriate to find out where the girl hurts?


A) Have the girl's mother ask your questions for you.
B) Tell the patient she will be okay if she tells you what hurts.
C) Promise the girl a reward like ice cream if she answers the questions.
D) Use an adult-like voice and tell the girl she needs to answer the questions.

Correct Answer

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Currently, there is a debate within your organization regarding the use of codes in your medical communications and radio traffic. As you are in favor of plain English, and doing away with codes, a strong argument to justify this position would be:


A) codes only serve to increase the amount of air time to relay information.
B) the code system can be made public, thus allowing others to hear confidential information.
C) the use of codes does not allow the EMT to practice his or her medical terminology.
D) medical information can be too complex for a simple code system.

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Which of the following is a function of providing the physician or nurse with an oral report when transferring care to the hospital emergency department (ED) ?


A) To summarize patient assessment and treatment information
B) To provide an opportunity for the ED staff to critique the care provided
C) To inform them of whether or not they need to see the patient immediately
D) To provide input on additional medical care to be given in the ED

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You are treating an 82-year-old female who is having trouble hearing some of your questions. What technique would be best in helping you get her past medical history?


A) Enlist the help of a neighbor.
B) Speak with a loud and higher-pitched voice.
C) Defer further questions until en route to the hospital.
D) Speak clearly and slowly.

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As you drive lights and sirens to the hospital with a critical patient, the paramedic asks you to notify the receiving hospital since he is busy caring for the patient. He tells you to specifically let the emergency department know that the patient's blood sugar is 15 mg/dL (very low) . There is no history of diabetes. Of the following reports, which is best?


A) "… be advised that the blood sugar is 15 … that is one-five mg/dL"
B) "… the blood sugar is 15 … be advised that the paramedic, not I, checked the blood sugar"
C) "… the patient is not a diabetic but has a very low blood sugar"
D) "… we have a blood sugar that is 15 … I think that the patient is very critical"

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You pull up to the scene of a one-car motor vehicle collision and find a physician treating the patient. Which one of the following is the best way to initially communicate with the doctor?


A) "Thank you, doctor, you can go now; we will take over."
B) "Hello, we are EMTs. How can we help you, doctor?"
C) "We will be in the ambulance if you need us."
D) "The law requires you to let us handle the situation."

Correct Answer

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Over the radio, medical direction has given the following order for an unstable patient you suspect of having a heart attack: "have the patient chew four baby aspirin, each one at 81 mg, and transport as soon as possible." You would show reception of this order by stating:


A) "copy … we will administer the aspirin as ordered and begin immediate transport"
B) "copy … we will start transport and administer 324 mg of aspirin enroute"
C) "copy … we will have the patient chew four baby aspirin, each one at 81 mg and transport ASAP"
D) "copy Dr. Markowitz … we will follow the orders as received and transport to your facility"

Correct Answer

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How should the EMT respond when first making contact with an alert and oriented patient complaining of chest pain?


A) "Did you call for an ambulance? I am here to help."
B) "I am an EMT. Do you want to go to the hospital?"
C) "I am here to help you. Do you have chest pain?"
D) "My name is Charles Smith, and I am an EMT. Can I help you?"

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When interviewing a patient with a medical emergency, the EMT is using the technique of summary when she says:


A) "With one finger, can you point to where it hurts?"
B) "Did you also have diarrhea with the nausea and vomiting?"
C) "So the nausea and vomiting started two days ago."
D) "I know how you feel. I had the same thing last week."

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Which one of the following statements is most appropriate when transferring a patient to the emergency department and giving an oral report?


A) "This is Mr. Benton. He has the state insurance plan."
B) "Mr. Benton has high blood pressure and appears to be having a heart attack."
C) "Mr. Benton called us today because he was having chest pain."
D) "Please refer to the recording of my radio report for specific information about Mr. Benton and his chest pain."

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Which one of the following is a disadvantage in using cell phones as an emergency backup communication system?


A) They do not offer high-quality sound.
B) There is less privacy when using cell phones, as compared to radios.
C) Cell phone use is not monitored by the FCC.
D) Cell phones may not be effective in disaster situations.

Correct Answer

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When relying on a cell for medical communications, the EMT realizes that:


A) he can relay his diagnosis of the patient's problem to the emergency department.
B) he should use the same format of communication as used for radio transmissions.
C) he is free to relay personal and confidential information not allowed over the radio.
D) he can talk more casually and not as structured as when using the radio.

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You have accepted the head position on a committee that oversees the operation and maintenance of the communications system for your busy service. Which of the following mandates would you make to maximize the effectiveness and quality of the communication system?


A) All radios must be sterilized daily with a hospital-grade disinfectant.
B) Emergency generators must be placed at the base station and repeater stations.
C) Nonrechargeable batteries are to be used to increase the life of the portable radios.
D) Batteries must be changed out the same day each week on all mobile radios.

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You have been called for a 23-year-old male who is completely deaf. To best communicate with this patient, you should:


A) stand in front of the patient and speak loudly.
B) write questions on a note pad.
C) use gestures when asking questions.
D) have the emergency department get the needed information.

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You are returning from a call when you come across an apartment building with flames coming from several windows on the top story. You see several occupants trapped and hanging out of the windows screaming for help. Which one of the following radio transmissions is most appropriate when advising dispatch of the situation?


A) "Central communications from Unit 118, how do you copy?"
B) "Central communications be advised of a working structure fire on Third Street and Raven with occupants trapped."
C) "Central communication, be advised there is a structure fire with people trapped."
D) "Central communications I need the fire department and additional ambulances for a working structure fire on the north side of town."

Correct Answer

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You have arrived at the scene of a medical emergency. As you enter the room where the patient is located, you note him to be sitting up and talking without difficulty. Emergency Medical Responders are on scene and providing basic care for the patient. Which one of the following will you do first?


A) Place the patient on your stretcher and transfer him to the ambulance.
B) Ask the patient's family if he has any past medical problems.
C) Get the patient's pulse and respiratory rate, along with his blood pressure.
D) Get a report from the Emergency Medical Responder.

Correct Answer

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A 42-year-old female is complaining of shortness of breath. Which of the following questions would best assist you in getting additional information about the patient's chief complaint?


A) "You appear to be short of breath. Are you also having chest pain?"
B) "Why did you wait 2 hours to call for an ambulance?"
C) "Did you get diaphoretic when the shortness of breath started?"
D) "Have you ever had a myocardial infarction before?"

Correct Answer

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Which one of the following statements is most appropriate when communicating with the medical facility that will receive the patient?


A) "Inbound with a 52-year-old suffering from a myocardial infarction."
B) "En route to your facility with a 73-year-old male complaining of dizziness."
C) "Five minutes out with Mr. John Panzer who called us today for high blood pressure."
D) "En route with a drug addict who has overdosed on an unspecified amount of heroin."

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What important piece of information has been omitted from the following report: "University Hospital, we are en route with a 61-year-old male complaining of generalized weakness. He states that he was cutting the grass when he suddenly became hot and weak, forcing him to sit down. He has a history of diabetes and prostate cancer, but takes no medications. Right now he is alert and oriented and has the following vital signs: pulse 96, respirations 18, and blood pressure 156/82 mmHg. We have placed him on two liters of oxygen by nasal cannula and are transporting in a semi-Fowler's position. He states that the weakness is starting to resolve. Do you have questions or orders?"


A) Patient's family physician
B) Location of the incident
C) ETA to the hospital
D) Medications the patient is taking

Correct Answer

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Your partner accidentally uses a profane word when talking to dispatch. Which agency has the power to fine him and the ambulance service?


A) County Board of Commissioners
B) Department of Homeland Security
C) Local police department's division of communications
D) Federal Communications Commission

Correct Answer

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