Emergency Medical Technicians
The terms –or designations- ‘Ambulance Technician’ and Emergency Medical Technician (EMT) are utilized in certain countries in order to indicate a health care provider who offers medical services at an emergency capacity. EMTs are clinicians, who are trained to respond rapidly to emergency situations. These urgent matters could be with respect to medical matters, traumatic or catastrophic injuries and accidents of all natures.
EMTs are most commonly found working in ambulances, but should not be confused with “ambulance drivers” or “ambulance attendants
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- Question 1 of 24
Imagine you have a multi-system trauma patient with possible internal-bleeding. Which would the correct statement be, about the rapid scan for a multi-system trauma patient?CorrectIncorrect
A rapid scan is done as a part of the primary assessment and it is used to identify any life-threatening conditions that may not already have been discovered. Rapid scan machines aren’t used to discover low priority injuries. Looking for low priority injuries should be done during the secondary assessment. All patients who have a possible life-threatening condition; be they conscious or unconscious, should always receive a rapid scan.
- Question 2 of 24
When must life-threatening bleeding be found and treated?CorrectIncorrect
The primary assessment is when life-threatening bleeding should be found and managed. Interventions such as the control of bleeding are not done during the scene size-up. Excessive bleeding must be addressed before the secondary assessment and before taking the patient’s history.
- Question 3 of 24
You find yourself treating an unresponsive patient who has suffered from blunt trauma to the head. What should your first priority be –as an EMT- for an unresponsive patient?CorrectIncorrect
An unresponsive patient must always be assessed using the CAB sequence. Circulation should be assessed first, in order to begin CPR as soon as possible, should it be required.
- Question 4 of 24
A victim has drowned at a family barbecue. Upon arriving at the scene, you are approached by two family members who are yelling, swearing and demanding to know what took you so long to get there. One of the family members shoves you. What should you do?CorrectIncorrect
Your first priority upon arrival at a scene should always be safety. If the scene is not safe, rescuers must withdraw until it is deemed safe.
- Question 5 of 24
A six-year-old boy has jumped from a swing and injured his right leg. You notice a deformity in the right leg above the ankle. Where is the patient’s fracture most likely to be?CorrectIncorrect
The radius and ulna are located in the arm, not the leg; and a proximal fibula injury would be closer to the knee, not the ankle.
- Question 6 of 24
The foramen magnum:CorrectIncorrect
The foramen magnum is a large opening at the base of the skull where the brain and spinal cord connect. The atlas (C1) and axis (C2) allow for lateral movement of the head.
- Question 7 of 24
A twelve-year-old child has been injured at the neighbourhood skate park. He was not wearing a helmet and he is responsive to pain. His breathing includes snoring respirations and there is a deformity at his left ankle. What should you do?CorrectIncorrect
You should manually open the patient’s airway with the jaw thrust maneuver before suctioning his airway, securing him to a spine board, or applying a splint to his ankle.
- Question 8 of 24
You have an elderly patient who has fallen and is now complaining of hip pain. You are conducting the primary assessment and while assessing the patient’s circulation, what must you also check?CorrectIncorrect
Pulses, bleeding, and skin conditions are three aspects of circulation that should be included in the primary assessment. Pulse oximetry, lower extremities, motor function, and sensation are not part of the circulatory component of the primary assessment.
- Question 9 of 24
You have an eight-year-old patient who has blunt chest trauma from being struck by a car. The child is alert, his airway is clear, his breathing is adequate and his pulses are present but weak at 110 beats per minute. Which of the following actions should you take next?CorrectIncorrect
Your next action should be to perform a rapid scan on your patient, to assess for life-threatening injuries. This is more crucial than a pulse oximeter reading. Remember, a patient who is a minor, cannot give consent. An OPA is not required for a patient who is responsive.
- Question 10 of 24
You are trying to restrain a patient who is combative. During this attempt, the patient has bitten your partner on the arm. Which of the following statements is correct when it comes to bite wounds?CorrectIncorrect
Human bites can be highly infectious. Vaccines do not prevent the risk of infection from a bite wound. Human saliva does not contain anticoagulant enzymes.
- Question 11 of 24
You are treating a patient who has a partial thickness burn to her anterior chest, which is approximately the size of the palm of her hand. What is the approximate total body surface area of the patient’s burn?CorrectIncorrect
The palm of any person’s hand equals to approximately 1% of his or her total body surface area.
- Question 12 of 24
Out of all the types of patients below, which one should be your first priority?CorrectIncorrect
Any burn patient who has their breathing compromised, should be considered a high priority and transported immediately. Patients with first-degree (also known as superficial) burns or pains would be considered to be a lower transport priority in comparison to the first circumstance.
- Question 13 of 24
You are treating a patient who has partial-thickness burns over a large surface area. What should you do?CorrectIncorrect
Partial thickness burns must always be covered with a sterile burn sheet. Immersing a burn, which covers a large surface area into water or applying ice to the burn, would increase the risk of hypothermia. You would increase the risk of infection if you were to leave the burn area exposed.
- Question 14 of 24
Your patient’s forearm is bleeding severely. If direct pressure is not controlling the bleeding, what should you immediately do?CorrectIncorrect
A tourniquet should be applied when using direct pressure cannot control external bleeding. The application of a tourniquet should not be delayed to apply arterial pressure or in order to transport the patient. Blood-soaked dressings should be covered, NEVER removed from the wound.
- Question 15 of 24
You are treating a patient who has been involved in an industrial accident. He has an abdominal laceration with his internal organs protruding. What should you apply?CorrectIncorrect
Your patient has an abdominal evisceration and for this, the proper treatment would include applying a moist, sterile dressing, covered by an occlusive dressing. Using an ice pack or a tourniquet in this situation would not be appropriate.
- Question 16 of 24
Out of the following four options, which one is the body’s physiological response to overheating?CorrectIncorrect
Peripheral vasodilation allows the body to dissipate body heat. Peripheral vasoconstriction allows the body to conserve body heat. Shivering helps the body to generate body heat. Syncope can be a result from overheating. It is not actually a protective mechanism of the human body.
- Question 17 of 24
Your patient is exhibiting crepitus to the thorax, paradoxical motion and signs of hypoxia. What should your first suspicion be?CorrectIncorrect
Crepitus to the thorax and paradoxical motion are common signs of a flail chest and can lead to hypoxia. A ruptured spleen and femur fractures would most likely lead to hypovolemia, not hypoxia. Crepitus and paradoxical motion are not signs of anaphylaxis.
- Question 18 of 24
You find yourself treating a thirty-year-old male who has been stabbed in his abdomen during a fight. The blade has been impaled in his right lower abdominal quadrant. What is most important to do in this case?CorrectIncorrect
Impaled objects must always be stabilized in place unless they obstruct the management of the airway or prevent you from being able to perform CPR. This particular patient would most likely be transported in the Trendelenburg position in order to aid in the treatment of shock.
- Question 19 of 24
You and your partner are treating a confused and restless sixteen-year-old female with blunt chest trauma, following a motor vehicle accident. She is complaining to you of dyspnea and orthopnea. You note a reduced tidal volume, cyanosis and tachycardia. Which of the following actions should be taken first?CorrectIncorrect
Your patient is ventilating inadequately, therefore positive pressure ventilations should be initiated prior to any other assessments being performed.
- Question 20 of 24
You discover a penetrating wound to the anterior chest while assessing an unresponsive patient. What should you do first?CorrectIncorrect
Penetrating chest wounds must be covered with an occlusive dressing before applying a trauma dressing. This must always be done prior to assessing your patient’s vitals.
- Question 21 of 24
You are treating a patient for trauma with a closed head injury. Your patient is responsive to painful stimuli. The patient’s blood pressure is 160/100. The patient’s pulse is 60 beats per minute. What should you do?CorrectIncorrect
This patient is a high transport priority who is showing signs of increased intracranial pressure. Your on-scene time should be limited to management of life-threatening conditions.
- Question 22 of 24
Esophageal varices typically occurs in patients with:CorrectIncorrect
Esophageal varices is often associated with alcoholism.
- Question 23 of 24
Severe internal bleeding is usually caused by an injury to which of the following organs?CorrectIncorrect
There is a much greater risk of internal bleeding when there is injury to solid organs such as the spleen. The stomach, the appendix and the gallbladder are all hollow organs. Any injury or damage to hollow organs usually leads to infection.
- Question 24 of 24
You are treating a ten-year-old child who was involved in a motor vehicle accident. He was an unrestrained passenger and the car he was in, was struck from the rear. This child is complaining of neck pain. Which of the following actions should be taken first?CorrectIncorrect
Manual c-spine precautions should definitely be taken before applying a cervical collar, assessing PMS, or before performing a secondary assessment.