1. During a lengthy extrication of a patient from her car, in which fire personnel are utilizing the "jaws of life," the EMT-B's PRIMARY concern is:
A.to provide care to the patient during the extrication.
B.to prevent further injury to the patient during the extrication.
C.to carefully coordinate your efforts with the fire chief in charge.
D.to ensure that during the extrication phase, you remain safe.


2. At the scene of a major motor vehicle accident, in which there are several patients entrapped in the automobile, whose responsibility is it to maintain order at the scene?
A.The EMT-B in charge
B.The fire chief in charge
C.Volunteer bystanders
D.Law enforcement


3. You are the first EMS unit on the scene of an incident. As you approach, you note that there are at least three patients who have been ejected from a motor vehicle. Your FIRST priority should be to:
A.begin triaging and treating the most seriously injured.
B.call for additional ambulances to assist in the situation.
C.notify medical control and apprise him or her of the situation.
D.call the fire department to provide any needed extrication.


4. At the scene of a school bus accident in which there are approximately 15 children injured, a man, who identifies himself as a family physician, shows you valid credentials and asks if he can help. How should the EMT-B respond to this offer?
A.Allow the physician to take charge of all patient-care activities.
B.Advise law enforcement to have the man removed from the scene.
C.Allow him to help with tasks such as keeping patients comfortable.
D.Advise him that his help is not needed and dismiss him from the scene.


5. As you approach an unconscious patient who is still in his wrecked vehicle, you note that there is an electrical line entangled in the wreckage of the car. You should:
A.retreat until the electrical line has been removed, or the power is shut off.
B.carefully gain access to the patient without touching any metal objects.
C.put on a pair of rubber gloves and carefully disentangle and remove the power line.
D.call for a tow truck to lift the car off of the power line, and then access the patient.


6. As you size up the scene of an incident in which a car has struck a tree and sustained moderate to severe damage, you should:
A.immediately call for complex rescue tools for extraction.
B.immediately approach the car and ensure its stability.
C.ensure that there are no hazards and try to open the doors.
D.ensure that there are no hazards and request the jaws of life.


7. A 45-year-old man is semiconscious and pinned by the steering wheel of his vehicle. Once access has been gained to the patient, the EMT-B's BEST approach is to:
A.perform an initial assessment and provide emergency care prior to extrication.
B.have the fire department disentangle the patient and remove him from the car.
C.immediately apply 100% oxygen to the patient and allow extrication to begin.
D.ensure that the patient is not bleeding significantly prior to allowing extrication.


8. While the EMT-B is in a vehicle assessing the patient, the rescue team should be:
A.awaiting further instructions from the EMT-B as to how to proceed with the extrication.
B.assessing exactly how the patient is trapped and determining the safest way to extricate.
C.actively extricating the patient using whichever rescue method is deemed necessary.
D.preparing for a simple extrication process as the EMT-B has obviously gained access.


9. Proper removal of a critically injured patient from an automobile includes which of the following?
A.Moving the patient in one fast, continuous step
B.Utilizing no more than two personnel as to avoid crowding
C.Moving the patient in smooth, slow, controlled steps
D.Removing the patient by grasping the immobilization device


10. Which of the following specialized teams would be required to remove a patient who is entrapped in a trench?
A.Confined space rescue team
B.Technical rope rescue team
C.Special care rescue team
D.Mountain or rock rescue team


11. You are called to a local state park in which a patient has been injured and is in a thick, wooded area with rough terrain. The BEST way to remove this patient from the area and to the ambulance would be to:
A.have the patient walk to the ambulance if his or her injuries are not life-threatening.
B.bring the ambulance stretcher to the patient and remove him or her from the area.
C.bring a long backboard or basket stretcher to remove the patient to the ambulance.
D.have a helicopter hoist the patient out of the wooded area and to the ambulance.


12. A situation has arisen in which a man, armed with a 12-gauge shotgun, has taken two people as hostages and has shot one of them. Upon your arrival at the scene, you should:
A.leave your lights and siren on until you reach the scene, as this will let the wounded person know that you are there
to help them
B.inform the incident commander that you will assume responsibility of the scene now that there is a confirmed
casualty.
C.be sure to turn up your portable radios loud enough so that you can keep aware of the situation.
D.have the incident commander guide you to a shielded, safe staging area and wait for the tactical team to bring the
patient to you.


13. When called to the scene of a structural fire to standby in the event that any injuries occur at the scene, the EMT-B should:
A.park the ambulance close enough to where you can rapidly access any patients.
B.ensure that the ambulance will not block or hinder other arriving fire apparatus.
C.enter the structure with the firefighters so that immediate care can be provided to any patients who are located.
D.depart the scene as soon as the fire has been extinguished and return your ambulance back to service.


14. If you find yourself caught in a situation in which there are active shots being fired, your MOST appropriate action is to:
A.remain with the SWAT team so that patients can receive immediate treatment.
B.turn on your vehicle's outside speakers so that you can monitor the situation.
C.proceed with extreme caution and rapidly remove any patients from the scene.
D.avoid looking around the corner of a building or any other structure that is shielding you.


15. At what point should an ambulance leave the scene of a structural fire?
A.When the fire has been fully extinguished
B.As soon as a firefighter says you can leave
C.When the incident commander has released you
D.When you feel that there is no longer a potential for injuries


16. Following the safety of the EMS responders, the next priority in a rescue situation is:
A.ensuring the patient's safety.
B.opening the patient's airway.
C.beginning chest compressions.
D.assessing for unresponsiveness.



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