1. The primary purpose of the scene size-up is to:
A.verify whether news media have arrived.
B.ensure the well-being of the EMT-B.
C.get names and addresses of witnesses.
D.determine the patient's respiratory rate.


2. In approaching a trauma patient, an important part of the scene size-up is to try to determine the:
A.nature of the illness.
B.mechanism of injury.
C.mechanism of illness.
D.seriousness of the call.


3. You arrive at the scene of a domestic dispute in which a patient has evidently been shot. You can see the patient on the front porch lying in a pool of blood. Your response to this situation should be to:
A.immediately assess the patient.
B.look for and secure the gun.
C.send your partner to assess the patient.
D.verify the response of law enforcement.


4. Gloves, gowns, and masks are all elements employed in:
A.body substance isolation.
B.HIV education techniques.
C.hazardous materials control.
D.hepatitis B education techniques.


5. A mass-casualty plan should be activated when:
A.there is more than one patient.
B.there are as many patients as EMT-Bs.
C.an incident occurs on a weekend or holiday.
D.patient needs are greater than the available resources.


6. In approaching a patient who is ill, an important part of the scene size-up is to try to determine the:
A.nature of the illness.
B.mechanism of injury.
C.mechanism of illness.
D.seriousness of the call.


7. What is the proper sequence in which to assess and stabilize a patient's systems during the initial assessment?
A.Breathing, circulation, airway
B.Circulation, airway, breathing
C.Airway, breathing, circulation
D.Disability, breathing, airway


8. You pull up to the scene of an automobile accident. As you exit the ambulance you should:
A.begin treating the most critically injured.
B.be aware of the potential for gas leakage.
C.use your flashlight to reroute oncoming traffic.
D.ask the injured patient(s) to step out of the car.


9. Assessment of the patient's airway begins with:
A.assisting ventilations.
B.checking capillary perfusion.
C.noting skin color and temperature.
D.noting how well the patient responds to the question, "Are you okay?"


10. You should call for additional help before you begin to care for patients in a multiple-casualty situation because:
A.it might be a HazMat situation.
B.the patients might overpower you.
C.the patients will die if more help does not arrive quickly.
D.you might get preoccupied with patient care and forget to call.


11. Which of the following techniques should be used to manage the airway in a deeply unconscious patient with a possible spinal injury?
A.head tilt maneuver
B.head tilt-chin lift maneuver
C.jaw-thrust maneuver
D.look, listen, and feel technique


12. Findings such as inadequate breathing or an altered level of consciousness would be identified in the:
A.initial assessment.
B.rapid trauma assessment.
C.focused physical exam.
D.detailed physical exam.


13. A general impression of a patient is formed to determine:
A.scene safety.
B.response speed.
C.transport speed.
D.treatment priority.


14. The general impression is based on the:
A.nature of illness and the number of patients.
B.assessment of the surroundings and the patient's chief complaint.
C.information received from the dispatcher and the number of patients.
D.information received from the dispatcher, the number of patients, and the mechanisms of injury.


15. The letter U in the AVPU scale represents:
A.Unconscious.
B.Unresponsive.
C.Underlying cause.
D.Unusual behavior.


16. An unresponsive patient who is breathing well and has no spinal injury should be:
A.monitored but otherwise left alone.
B.actively ventilated by mouth-to-mask breathing.
C.placed supine on the stretcher and given low-concentration oxygen.
D.placed in the recovery position and given high-concentration oxygen.


17. An unresponsive patient with a possible spinal injury who is not breathing well should be placed:
A.on a backboard and given assisted ventilations.
B.in a PASG and given oxygen with a nonrebreathing mask.
C.face up on a stretcher and given low-concentration oxygen.
D.in the recovery position and given high-concentration oxygen.


18. During your general impression of a patient, you would be LEAST likely to assess for:
A.inadequate breathing.
B.unconsciousness.
C.tachycardia.
D.facial cyanosis.


19. Normal findings for skin color, temperature, and condition in patients with lightly pigmented skin are:
A.pale, warm, and dry.
B.pale, warm, and moist.
C.pink, warm, and dry.
D.pink, warm, and moist.


20. You and your partner are called to the scene of a possible crime. Upon arrival, you find one dead patient and one seriously injured patient. Law enforcement is present. Your initial responsibilities include:
A.protecting the scene and securing potential evidence.
B.witnessing bystander statements and assisting law enforcement.
C.protecting yourself and your partner and providing emergency medical care.
D.assisting law enforcement with crowd control and providing emergency medical care.


21. Which of the following conditions is NOT considered a high priority for immediate care and transport?
A.Routine childbirth
B.Difficulty breathing
C.Poor general impression
D.Severe pain in any area of the body


22. After completing the initial assessment and identifying priority patients at the scene of an accident, your next step should be the:
A.global survey.
B.scene size-up.
C.ongoing assessment.
D.focused history and physical exam.


23. A semiconscious patient pushes your hand away when you pinch his earlobe. This patient should be described as:
A.alert.
B.responsive to verbal stimuli.
C.responsive to painful stimuli.
D.unresponsive.


24. The Golden Hour can be defined as the:
A.period of time immediately after an injury in which the ABC should be checked every 5 minutes.
B.period of time during which EMS must arrive at the scene of an injury or illness to begin lifesaving care.
C.period of time during which a patient with life-threatening injuries must arrive at a hospital to receive definitive care.
D.maximum amount of ambulance transport time allowed before air medical transport should be considered.


25. When forming the general impression of a patient, a key early distinction for you to make is whether the patient is:
A.sick or injured.
B.moving or still.
C.pale or cyanotic.
D.bleeding or vomiting.


26. The proper way to wear seat belts is across the:
A.liver.
B.femur.
C.abdomen.
D.pelvic bones.


27. During the area-by-area examination of an injured patient's chest, you might feel bone grating on bone. This is called:
A.air crepitus.
B.bony crepitus.
C.pneumothorax.
D.subcutaneous emphysema.


28. Bradycardia would exist if a newborn's heart rate falls below:
A.160 beats/min.
B.140 beats/min.
C.130 beats/min.
D.120 beats/min.


29. When you examine the extremities during the rapid trauma assessment, you should first:
A.feel for pulses in the foot.
B.immobilize the extremity.
C.compare the strength in each extremity.
D.look for lacerations, bruises, swelling, and bleeding.


30. A patient's condition has been stabilized at the scene. En route to the hospital, you should now reassess the vital signs every:
A.5 minutes.
B.10 minutes.
C.15 minutes.
D.20 minutes.


31. The term "chief complaint" can be defined as:
A.the detailed description of each part of the OPQRST scale.
B.the patient's response to a general question about what is wrong.
C.an informal scale upon which the patient can rate the pain he or she is experiencing.
D.answers to a series of specific questions that you ask the patient as part of the detailed physical exam.


32. Developing a trusting relationship with a patient is called establishing:
A.rapport.
B.professionalism.
C.a treatment process.
D.two-way communication.


33. During the area-by-area examination, the last area you should check is the:
A.back.
B.head.
C.chest.
D.extremities.


34. Which of the following is NOT part of the SAMPLE history?
A.Allergies
B.Prescriptions
C.Events preceding
D.Medical insurance information


35. You approach an apparently unresponsive 18-year-old male who was involved in a car accident. Which of the following must you assume?
A.Adequate breathing
B.Spinal cord injury
C.Severe shock
D.Cardiac arrest


36. The EMT-B must initiate rapid transport or consider requesting ALS backup when managing which of the following patients?
A.A patient with chest pain and a blood pressure of 120/70 mm Hg
B.A woman who has had multiple children and is delivering a baby
C.A patient who is responsive but does not answer your questions
D.A patient with moderate pain to the left lower abdominal quadrant


37. A man trips and falls down a flight of stairs. Upon your arrival, he does not response to your greeting or questions. The most appropriate initial course of action would be to treat the patient as if he has had a:
A.spinal injury.
B.diabetic emergency.
C.fractured extremity.
D.reaction to medication.


38. During the rapid trauma assessment, the chest should be inspected and palpated for all of the following EXCEPT:
A.paradoxical motion.
B.equal breath sounds.
C.skin color and temperature.
D.bruises, contusions, and lacerations.


39. When evaluating a patient who complains of a painful left leg, your detailed physical exam should include assessing:
A.skin color, temperature, and moisture.
B.distal pulse rate, sensation, and motor function.
C.skin color, distal pulse rate, and skin temperature.
D.deformity, proximal pulse rate, and ability to move.


40. Which of the following must be constantly checked during the ongoing assessment?
A.ABC
B.Vital signs
C.Ventilation rate
D.External bleeding


41. The way in which traumatic injuries occur is called:
A.trauma score.
B.mode of injury.
C.mechanism of injury.
D.mechanism of incident.


42. Which of the following statements about air bags is true?
A.If the air bag has deployed, the patient has not been hurt.
B.Air bags do not have to be used with seat belts to be effective.
C.An SCBA should be worn if there is a lot of dust from a deployed air bag.
D.Even if the air bag deployed, the patient might have hit the steering wheel and sustained possible internal injuries.


43. Which of the following is considered a significant mechanism of injury for a child?
A.A bicycle collision
B.A fall from higher than 5'
C.A slow-speed vehicle collision
D.An abrasion injury of the abdomen


44. Your initial assessment of an elderly woman who fell reveals an altered level of consciousness and a large laceration to her forehead. Your next step should be to:
A.transport the patient immediately.
B.obtain baseline vital signs.
C.perform a focused exam of the head wound.
D.perform a rapid trauma assessment on the patient.


45. The detailed physical exam of a trauma patient should be performed:
A.after the initial assessment.
B.en route to the hospital.
C.in the absence of life-threatening injuries.
D.at the scene, after the rapid trauma assessment.



This is the end of the test. When you have completed all the questions and reviewed your answers, press the button below to grade the test.