Download EMT – Intermediate Technician Quiz

Aurora Health Care
South Market EMS
EMT-Intermediate Technician
Protocol Test 2012
*** Please highlight or bold the correct answers. ***
Name: ______________________________
Department: __________________________
E-mail Address: _______________________
1. It is necessary to contact Medical Control prior to initiating pre-hospital care to a patient
when:
A. A First Responder or EMT of any level determines it is necessary to deviate from
protocol.
B. The protocol states “at the discretion of Medical Control” and/or an
is
present in the protocol margin.
C. The EMT is uncertain of a drug dosage or specific protocol to be used for patient
care.
D. All the above.
2. All 12 leads obtained in the field should be transmitted to the ED for interpretation.
A. True
B. False
3. When circumstances allow, what should be your maximum on scene time with trauma
patients?
A.
B.
C.
D.
10Minutes.
30 Minutes (Golden Half Hour).
60 Minutes.(Golden Hour)
90 Minutes.
4. You are treating a patient who has suffered from a shotgun blast to his upper thigh. He
has significant bleeding coming from his injury. You should:
A. Immediately apply a tourniquet below the level of injury.
B. Apply pressure to pressure points below the injury.
C. Apply direct pressure to the injury and prepare hemostatic dressings for
application.
D. Load and go with no treatment as the patient requires immediate surgery.
Aurora Health Care
South Market EMS
EMT-Intermediate Technician
Protocol Test 2012
5. EMS personnel may withhold resuscitative efforts when:
A. The health and safety of the crew is in jeopardy.
B. The patient has been declared dead by a fellow EMT.
C. The patient’s family tells you that the patient has a DNR order but they cannot
find it.
D. All the above.
6. What route of medication administration is the EMT-Intermediate Technician unable to
utilize?
A.
B.
C.
D.
Subcutaneous (Sub-Q).
Intramuscular (IM).
Endo Tracheal (ET)
Oral.
7. A motor vehicle has rear ended another parked vehicle. You suspect the driver of the
moving vehicle is intoxicated as he smells of intoxicants and has slurred speech. He tells
you that he does not have any pain. Per our Selective Spinal Immobilization –
Appropriate Omission protocol, does this person qualify for no spinal immobilization?
A.
B.
C.
D.
Yes, but only if all crew members agree.
No, due to the Mechanism of Injury (MOI).
No, due to the suspicion of intoxication.
Yes, providing you document your findings.
8. According to the Scope of Practice, an EMT – Intermediate Technician is unable to
interpret a 12 Lead EKG.
A. True.
B. False.
9. A patient you are treating reports he was stung by multiple bees and tells you that he has
had allergic reactions to bee stings in the past. He is complaining of increasing difficulty
breathing, lightheadedness and itching all over his body. Based upon his complaints, you
believe he is having an anaphylactic reaction. You decide to administer a medication for
anaphylaxis. The correct drug, dose and route is/are:
A.
B.
C.
D.
Narcan, 2.0 mg, IV
Albuterol, 2.5 mg, Hand-held Nebulizer
Epinephrine, 0.5mg, IM
D50, 25 mg, IV
Aurora Health Care
South Market EMS
EMT-Intermediate Technician
Protocol Test 2012
10. Dextrose 50% (D50) should be given for a Blood Glucose level of:
A.
B.
C.
D.
Less than 60 mg/dl.
Less than 80 mg/dl.
Greater than 60 mg/dl.
Dextrose is not indicated for hypoglycemic patients.
11. Per our protocol, patients who have experienced the following, may benefit from ALS
interventions:
A. A fall greater than 10 feet, High Speed MVC with trauma, STEMI patient.
B. Hypotension with Signs of Shock, Anaphylaxis, ALOC.
C. Drowning or Near Drowning, imminent cardiac arrest, imminent delivery of a
neonate.
D. All the above.
12. According to our protocol for Spinal Immobilization – Appropriate Omission, what are
four conditions that MUST be met before you can omit C-spine immobilization?
1. No mind-altering drugs or evidence of intoxication
2. No distracting injuries
3. Conscious, cooperative and able to communicate
4. No midline, back or neck pain or tenderness upon palpation
A.
B.
C.
D.
1, 2 and 3
2, 3 and 4
1, 3 and 4
All of the above
13. CPAP is a tool that should be used for patients suffering from respiratory distress. What
disease(s)/condition(s) can we use CPAP for?
A.
B.
C.
D.
Asthma, Emphysema, Chronic Bronchitis.
Pulmonary Edema associated with Congestive Heart failure.
Pneumonia.
All of the above.
Aurora Health Care
South Market EMS
EMT-Intermediate Technician
Protocol Test 2012
14. An altered level of consciousness can be caused by many different reasons. To assist the
EMT with treatment and possibly determining the cause, any patient with an altered level
of consciousness should receive:
A. Blood Sugar check, complete assessment of neurologic function, O2, Cardiac
monitor.
B. Dextrose (D50), IV, Aspirin (ASA), O2.
C. None of the above
D. Both A and B.
15. The Scope of Practice of the EMT-Intermediate Technician allows?
1.
2.
3.
4.
CPAP, soft and rigid suctioning, Sellick maneuver, pulse oximetry.
Medication administration via IM, SQ, SL, and Hand Held Nebulizer (HHN).
Albuterol, Aspirin (ASA), Glucagon, Mark 1 Auto Injector.
Patient restraints, 12 lead (acquire and transmit) Manual Defibrillation, Endo
Tracheal (ET) intubation.
A. 1, 2, 3.
B. 2, 3, 4.
C. 1, 3, 4.
D. All the above.
16. What level of PEEP are EMT-Intermediate Technicians allowed to use when utilizing
CPAP?
A.
B.
C.
D.
5cm of H2O Pressure.
10cm of H2O Pressure.
Unlimited H2O Pressure.
All the above.
17. Your patient is in respiratory distress and you are monitoring his End Tidal CO2 output.
From your training, you know that:
A.
B.
C.
D.
An increased respiratory rate will decrease exhaled CO2.
An increased respiratory rate will increase exhaled CO2.
The normal range of exhaled CO2 is 25-35 mmHg.
The normal range of exhaled CO2 is 30-40 mmHg.
18. End Tidal CO2 should be monitored during CPR because:
A.
B.
C.
D.
It can be used as a predictor of survivability.
May indicate inadequate compressions and/or hyperventilation.
It is a good indicator of Return of Spontaneous Circulation (ROSC).
All of the above.
Aurora Health Care
South Market EMS
EMT-Intermediate Technician
Protocol Test 2012
19. The above patient was successfully resuscitated and he now has a pulse of his own. He
remains comatose and you are assisting his ventilations. You know that one of your new
protocols is Induced Hypothermia. This protocol includes initiating cold fluids via IV and
placing cold packs in the patient’s axillae, neck and groin. This protocol may be used:
A.
B.
C.
D.
For a 16 year old sudden cardiac arrest patient.
For a 30 year old gunshot victim who suffered cardiac arrest.
For a 42 year old who collapsed suddenly while playing basketbal1.
For a patient who was resuscitated and is now speaking with you complaining of
chest pain from the CPR.
20. A patient has been pulled from a burning vehicle and has extensive burns to his anterior
chest and abdomen and anterior surfaces of both legs (upper and lower). What percentage
of body surface area is burned?
A.
B.
C.
D.
18%
27%
36%.
45%
21. A patient is complaining of difficulty breathing. You have decided to administer a
breathing treatment of Albuterol and Atrovent. You have administered your initial dose
and your patient tells you that it helped some but is still complaining of distress. What
should you do next?
A.
B.
C.
D.
0.3cc of 1:1000 Epinephrine SQ.
1mg Glucagon IM.
Administer a second dose of Albuterol.
CPAP with inline Albuterol treatment.
22. You are treating a pediatric patient who has bruises of various colors on varying parts of
his body. You believe this child is a victim of child abuse. Under Wisconsin law, you are
a mandated reporter. What does that mean?
A.
B.
C.
D.
You must treat the patient.
The suspected abuse must be reported to appropriate legal authorities.
You should confront the suspected abusers.
Nothing as EMT’s are not mandated reporters under Wisconsin law.
23. DNR orders apply only when a patient has suffered either cardiac or respiratory arrest. In
the absence of either of those conditions, EMS should still provide supportive and
comfort care.
A. True.
B. False.
Aurora Health Care
South Market EMS
EMT-Intermediate Technician
Protocol Test 2012
24. All of the following are considered to be indications of high risk pregnancy except:
A.
B.
C.
D.
Lack of prenatal care.
Previous C-Section.
Multiple Fetuses.
Patient’s first child.
25. What is a contraindication for using CPAP?
A.
B.
C.
D.
Respiratory rate greater than 25/min
Capillary refill greater than 2 seconds.
Unable to follow verbal commands.
SPO2 less than 94%.
26. You are unable to gain IV/IO access to an unresponsive - hypoglycemic patient. What
would you consider as your next treatment option?
A.
B.
C.
D.
Give one dose of oral glucose.
Give 1mg Glucagon IM and expedite transport.
Give Dextrose 50% (D50) IM.
Give 1mg Glucagon orally and expedite transport.
27. APGAR score should be recorded 1 minute after birth and 5 minutes after birth. What
does APGAR stand for:
A.
B.
C.
D.
Appearance, Pulse, Grimace, Activity and Reactivity
Affect, Pulse, Grip, Appearance, Respirations
Appearance, Pulse, Grimace, Activity and Respirations
Appearance, Position, Grimace, Activity, Respirations
28. What care is appropriate for a patient who is experiencing an unstable – hypertensive
crisis?
A. Elevate the head of the cot 15-30 degrees, transport and monitor the patient.
B. Initial Medical Care, consider ALS intercept, elevate the head of the cot 15-30
degrees, obtain 12 lead EKG, and consider (at the discretion of Medical Control)
Nitroglycerine 0.4mg SL.
C. Treat for shock and elevate the patient’s legs.
D. None of the above.
Aurora Health Care
South Market EMS
EMT-Intermediate Technician
Protocol Test 2012
29. You are preparing to administer a patient Nitroglycerine due to his complaint of chest
pain. The patient tells you that he used a “performance enhancing” medication 12 hours
ago. What is the significance of this?
A. There is no significance to him having taken his medication and your planned
treatment.
B. The combination of performance enhancing medications and Nitroglycerine may
cause profound hypotension.
C. You should double the dose of Nitroglycerine.
D. All the above.
30. A patient you are treating has pin-point pupils, a respiratory rate of 8 and is unresponsive.
You suspect a narcotic overdose. What is the correct medication and dosage to give?
What route(s) can that medication be administered?
A.
B.
C.
D.
Narcan, 0.4 mg, IM
Narcan, 1.0 mg, IV/IO
Narcan, 1.0 mg, IV/IO/IN
Narcan, 2.0 mg, IV/IO/IN/IM
31. After treating the above patient with the appropriate medication, his respiratory rate has
now increased to 14 and you begin monitoring his End Tidal CO2. Your partner is
confused why you would want to monitor that and you explain by telling him:
A. It is a billable skill and will increase revenue.
B. It is a new skill and you need the practice.
C. By monitoring his ETCO2, you do not need to listen to his lung sounds and assess
his respiratory status.
D. It is a great tool to assess the adequacy of his respirations and it will be the first
thing to change if his respiratory rate starts to drop.
32. Part of routine pre-hospital care includes starting an IV of ____________ and
administering it at a _______ rate.
A.
B.
C.
D.
0.9% Normal Saline at a WO rate.
0.9% D5W at a TKO rate.
0.9% Lactated Ringers at a TKO rate.
0.9% Normal Saline at a TKO Rate.
Aurora Health Care
South Market EMS
EMT-Intermediate Technician
Protocol Test 2012
33. You are treating an elderly patient who reports feeling weak and has been experiencing
vomiting and diarrhea for the past 36 hours. She is pale, hypotensive and is complaining
that her mouth feels dry. What condition is this patient likely suffering from and what
would be the Intermediate Technicians IV Therapy treatment for this patient?
A. Hyperglycemia, IV with 0.9% NS at a WO rate.
B. Dehydration, IV with 0.9% NS TKO rate.
C. Dehydration, IV with 0.9% NS and 500 ml fluid bolus with reassessment of the
patient’s lung sounds between bolus’s up to a maximum of 2000cc’s.
D. Dehydration, Fluid bolus’s of 20cc/kg.
34. When dealing with a patient who we believe may be suffering from a stroke, we want to
determine when the signs and symptoms started. Why are we interested in that
information?
A.
B.
C.
D.
Certain interventions have “windows of opportunity” to be most effective.
Some treatments must be started within so many hours of onset of symptoms.
Hospital destination may be determined by this information.
All of the above.
35. You are treating a pediatric patient that was involved in a car vs. bicycle. Your patient’s
condition appears to be worsening. You decide to start an IV. What is the appropriate
initial fluid dose for a pediatric patient who you believe is hypovolemic?
A.
B.
C.
D.
20ml/kg of body weight, repeated up to a total of 60ml/kg
20ml/kg of body weight, repeated up to a total of 100ml/kg
50ml/kg of body weight, repeated up to a total of 100ml/kg
Wide open until you see improvement in the patient.