Question 1

When responding to calls involving two-vehicle collisions, you must always suspect:
A) multiple patients.
B) patients with altered mental status.
C) flail chest.
D) severe lower extremity injuries.

Accepted Answer

When responding to two-vehicle collisions, it is important to suspect multiple patients because there is a higher likelihood of multiple individuals being injured. It is important to be prepared for this possibility and to call for additional resources if needed. While patients with altered mental status, flail chest, and severe lower extremity injuries may occur in two-vehicle collisions, multiple patients are a more likely concern.

Question 2

A paramedic should wear protective eyewear when caring for a patient who is:
A) coughing up blood-tinged sputum.
B) complaining of dizziness.
C) unresponsive.
D) all of the above.

Accepted Answer

Protective eyewear should be worn when caring for a patient who is coughing up blood-tinged sputum to prevent any splashing of bodily fluids into the eyes. While a patient who is complaining of dizziness or is unresponsive may require other forms of protective equipment, such as gloves or a face mask, protective eyewear is not necessarily needed in those situations.

Question 3

A scene size-up is performed for all of the following reasons EXCEPT:
A) to assess the mechanism of injury.
B) to assess a baseline mental status.
C) to provide information that will guide your medical care.
D) to assess the need for additional resources.

Accepted Answer

A scene size-up is performed for several reasons, including assessing the mechanism of injury, providing information that will guide your medical care, and assessing the need for additional resources. However, assessing a baseline mental status is typically done during patient assessment rather than during the scene size-up.

Question 4

You arrive at a location and begin to read the scene by:
A) approaching the patient.
B) observing the immediate surroundings.
C) conducting a focused exam.
D) addressing life threats.

Accepted Answer

Before approaching the patient, the best course of action is to observe the immediate surroundings to ensure that the area is safe and free from any potential hazards or dangers. This is important for the safety of both the patient and the rescuer. Once the area is deemed safe, further assessment and treatment can be provided.

Question 5

Which of the following is most likely to result in life-threatening hemorrhage?
A) Epistaxis
B) Lacerated femoral artery
C) Fractured radius and ulna
D) Bleeding hemorrhoids

Accepted Answer

A lacerated femoral artery is a major blood vessel in the thigh and can result in significant and life-threatening hemorrhage. Epistaxis, fractured radius and ulna, and bleeding hemorrhoids may cause bleeding, but are generally not considered life-threatening.

Question 6

Which of the following is usually the best source of information about an alert and oriented patient?
A) The patient
B) Visual cues
C) Diagnostic tests
D) Family members

Accepted Answer

The patient is usually the best source of information about their own condition as they are alert and oriented and can convey their symptoms and concerns accurately. Visual cues and diagnostic tests can provide valuable information, but may not always capture the patient's subjective experience. Family members can also provide helpful information, but it is important to corroborate their observations with the patient's own report.

Question 7

Which of the following is a potentially life-threatening patient complaint?
A) Fractures of the tibia and radius
B) Asthma
C) Headache
D) Chest pain

Accepted Answer

Chest pain can be a symptom of many serious conditions, including heart attack and pulmonary embolism, and should always be taken seriously as a potentially life-threatening complaint.

Question 8

A paramedic should wear a properly fitted HEPA mask when evaluating a patient exhibiting signs and symptoms of:
A) influenza.
B) asthma.
C) COPD.
D) tuberculosis.

Accepted Answer

Tuberculosis is a highly contagious airborne disease that can be spread through respiratory droplets, making it important for the paramedic to wear a properly fitted HEPA mask to prevent exposure. Influenza, asthma, and COPD can also be spread through respiratory droplets, but they are not as contagious as tuberculosis.

Question 9

Which of the following is NOT a consideration when evaluating the mechanism of injury?
A) Mass and velocity of objects involved
B) Whether the mechanism was blunt or penetrating
C) Direction of impact
D) Whether it is a rural or an urban setting

Accepted Answer

Whether it is a rural or an urban setting is not directly relevant to evaluating the mechanism of injury. The other considerations listed (mass and velocity of objects involved, whether the mechanism was blunt or penetrating, and direction of impact) are all important factors to take into account when examining the mechanism of injury.

Question 10

When approaching a potential crime scene, you should:
A) enter the scene if no signs of danger are noted.
B) quickly enter the scene, retrieve the victim, and withdraw to the vehicle.
C) park away from the scene until the police arrive and secure the scene.
D) park and wait in front of the scene so the victim knows you are there.

Accepted Answer

As a civilian, you should not enter a potential crime scene unless it is a matter of life or death. It is important to park away from the scene and wait for the police to arrive and secure the scene. This is to avoid contaminating the scene, interfering with evidence or evidence collection, and potentially compromising any investigations.

Question 11

Which of the following factors may influence your index of suspicion of a patient's condition? Select the letter choice with the best combination of the following factors:
1) Age
2) Gender
3) Race
4) Forces involved with the mechanism of injury
A) 1, 2, and 4
B) 1, 3, and 4
C) 1, 2, 3, and 4
D) 4 only

Accepted Answer

The answer of Which of the following factors may influence...

Question 12

You find an adult patient lying supine on the sidewalk after being struck by a vehicle traveling at 10 mph. The patient is alert with stable vital signs. The mechanism of injury and initial patient presentation are most consistent with suspected:
A) pneumothorax.
B) closed-head injury.
C) abdominal trauma.
D) lower extremity trauma.

Accepted Answer

The mechanism of injury and initial patient presentation are most consistent with lower extremity trauma, as the patient was struck at a low speed and is alert with stable vital signs. Pneumothorax, closed-head injury, and abdominal trauma are less likely based on the patient's presentation and the mechanism of injury.

Question 13

All of the following mechanisms of injury yield a high level of suspicion for life-threatening injury EXCEPT:
A) a stab wound distal to the knee.
B) a collision between a motorcycle and a pedestrian.
C) falling off the top of a 30-foot extension ladder.
D) a patient ejection from a motor vehicle after a collision.

Accepted Answer

While any injury has the potential to be life-threatening, a stab wound distal to the knee is less likely to cause immediate life-threatening bleeding or damage to vital organs than the other mechanisms listed.

Question 14

Components of a scene size-up include all of the following EXCEPT:
A) patient's chief complaint.
B) number of patients.
C) mechanism of injury.
D) dangers to bystanders.

Accepted Answer

All of the components listed are typically included in a scene size-up, so the exception is choice A (patient's chief complaint).

Question 15

At the scene of a multiple-vehicle collision, which of the following actions should you take first?
A) Wait for additional resources to arrive.
B) Treat the most seriously injured patient.
C) Quickly scan the scene to count patients.
D) Go directly to the first patient you see.

Accepted Answer

Quickly scanning the scene to count patients will give you an idea of how many people are involved in the collision and their general condition. This will help you prioritize your response and call for additional resources if needed. Going directly to the first patient you see may not be the best course of action as there may be more seriously injured patients that require immediate attention. Similarly, waiting for additional resources to arrive may delay necessary medical care for patients on scene. Treating the most seriously injured patient is important, but the first step should be to assess the overall situation to ensure all patients receive appropriate care.

Question 16

Which of the following provides a clue to the nature of an illness?
A) Medication bottles on the nightstand
B) Length of a knife
C) Caliber of ammunition
D) Surface on which a patient fell

Accepted Answer

Medication bottles on the nightstand can indicate what medications a person is taking, which can provide clues to their medical conditions or illnesses.

Question 17

Which of the following best describes when you should perform a scene size-up?
A) Once you arrive at the patient's side
B) Throughout your time on the scene
C) When you initially arrive at the scene
D) As you are leaving the scene

Accepted Answer

Scene size-up should be performed continuously throughout your time on the scene to ensure ongoing safety and to adapt to any changes in the situation.

Question 18

A car has struck a pedestrian at about 45 mph. While assessing the patient, you note bilateral tibia and fibula fractures. Which of the following best describes why the patient should be transported to a trauma center?
A) Pain from the fractures cannot be treated in the prehospital setting.
B) Other serious injuries are likely.
C) These fractures cannot be treated in a community hospital.
D) Fractures always require immediate surgery.

Accepted Answer

Bilateral tibia and fibula fractures suggest a high-energy mechanism of injury, which puts the patient at risk for other serious injuries, such as internal bleeding, organ damage, or head injury. Transporting the patient to a trauma center with a higher level of care and resources can better address any potential life-threatening injuries. While pain management and definitive treatment for the fractures may also be necessary, they are not the primary reason for transport to a trauma center. Fractures do not always require immediate surgery and can be stabilized and managed initially in a community hospital.

Question 19

Which of the following is NOT an example of a mechanism of injury?
A) An episode of chest pressure
B) A fall from a ladder
C) A low-speed motor vehicle collision
D) A high-velocity gunshot wound

Accepted Answer

An episode of chest pressure is a symptom, not a mechanism of injury. Mechanisms of injury describe how the injury occurred, such as a fall, collision, or gunshot wound.

Question 20

Your patient is a 75-year-old man who is alert and responds to your questions. Which of the following is the best source of information about this patient?
A) Family or friends
B) The medical record
C) The patient
D) The physician

Accepted Answer

The patient is the best source of information as he can provide accurate details about his symptoms, medical history, and current medications. Family or friends may not have complete information or may provide inaccurate information. The medical record and physician can provide valuable information but may not provide insight into the patient's current condition and symptoms.

Quiz 1: Scene Size-Up

When responding to calls involving two-vehicle collisions, you must always suspect:

A paramedic should wear protective eyewear when caring for a patient who is:

A scene size-up is performed for all of the following reasons EXCEPT:

You arrive at a location and begin to read the scene by:

Which of the following is most likely to result in life-threatening hemorrhage?

Which of the following is usually the best source of information about an alert and oriented patient?

Which of the following is a potentially life-threatening patient complaint?

A paramedic should wear a properly fitted HEPA mask when evaluating a patient exhibiting signs and symptoms of:

Which of the following is NOT a consideration when evaluating the mechanism of injury?

When approaching a potential crime scene, you should:

Which of the following factors may influence your index of suspicion of a patient's condition? Select the letter choice with the best combination of the following factors: 1) Age 2) Gender 3) Race 4) Forces involved with the mechanism of injury

You find an adult patient lying supine on the sidewalk after being struck by a vehicle traveling at 10 mph. The patient is alert with stable vital signs. The mechanism of injury and initial patient presentation are most consistent with suspected:

All of the following mechanisms of injury yield a high level of suspicion for life-threatening injury EXCEPT:

Components of a scene size-up include all of the following EXCEPT:

At the scene of a multiple-vehicle collision, which of the following actions should you take first?

Which of the following provides a clue to the nature of an illness?

Which of the following best describes when you should perform a scene size-up?

A car has struck a pedestrian at about 45 mph. While assessing the patient, you note bilateral tibia and fibula fractures. Which of the following best describes why the patient should be transported to a trauma center?

Which of the following is NOT an example of a mechanism of injury?

Your patient is a 75-year-old man who is alert and responds to your questions. Which of the following is the best source of information about this patient?