Deck 22: Emergency Medical Care for Fire Department First Responders

Question 1

Vaccines are available for which types of hepatitis?

A) Hepatitis A and C
B) Hepatitis A and B
C) Hepatitis C and D
D) Hepatitis B and C

Answer 1

B

Question 2

Which of the following individuals would MOST likely have a legitimate need to access a patient's protected medical information without patient consent?

A) Relatives
B) Employers
C) Nearby neighbors
D) Law enforcement personnel

Answer 2

D

Question 3

Which communicable disease is a bacterial infection that primarily affects the respiratory system?

A) MRSA
B) Hepatitis
C) HIV/AIDS
D) Tuberculosis (TB)

Answer 3

D

Question 4

Protected medical information would include:

A) name and birth date of a patient.
B) response time of ambulance calls.
C) number of patients seen at an incident.
D) number of personnel who responded to patients.

Question 5

Which of the following statements about fire departments and EMS services is MOST accurate?

A) Most areas have few fire stations and apparatus and few ambulances.
B) Most areas have the same number of fire stations and ambulances.
C) Most areas have multiple fire stations and apparatus but only a few ambulances.
D) Most areas have multiple ambulances but only a few fire stations and apparatus.

Question 6

Which method of providing ambulance services involves patients being transported to a contracted hospital for treatment?

A) Fire-based EMS
B) Third-service EMS
C) Police-based EMS
D) Hospital-based EMS

Question 7

Noncompliance with the Health Insurance Portability and Accountability Act (HIPAA) (1996) can result in:

A) civil and criminal penalties.
B) mandatory re-training of all department staff.
C) needing to destroy all forms related to the incident.
D) requiring a waiver of liability from all involved patients.

Question 8

Which type of viral hepatitis is an uncommon rare strain of hepatitis?

A) Hepatitis A
B) Hepatitis B
C) Hepatitis C
D) Hepatitis D

Question 9

Which type of viral hepatitis is typically transmitted through blood and other body fluids and can be short-term or long-term?

A) Hepatitis A
B) Hepatitis B
C) Hepatitis C
D) Hepatitis D

Question 10

Which communicable disease is more prevalent in high-density living areas because it is transmitted by airborne droplets?

A) MRSA
B) Hepatitis
C) HIV/AIDS
D) Tuberculosis (TB)

Question 11

Fire departments may be requested to respond to a scene and begin care until EMS personnel arrive because fire department personnel:

A) can provide law-enforcement capabilities.
B) may have down-time and need to log calls.
C) often are better-qualified than EMS in many jurisdictions.
D) often are able to respond faster than EMS in many jurisdictions.

Question 12

Which communicable disease, spread through contact with infected body fluids, weakens the immune system until the body is unable to fight off diseases?

A) MRSA
B) Hepatitis
C) HIV/AIDS
D) Tuberculosis (TB)

Question 13

What was the purpose of the Health Insurance Portability and Accountability Act (HIPAA) (1996)?

A) Institute greater regulations on healthcare training
B) Institute a centralized location for medical information
C) Institute security of protected medical information that is the responsibility of the patient
D) Institute greater regulations on use, distribution, and storage of protected medical information

Question 14

Which type of viral hepatitis is typically caused by consuming food or water that has been contaminated, particularly by fecal matter?

A) Hepatitis A
B) Hepatitis B
C) Hepatitis C
D) Hepatitis D

Question 15

Which communicable disease is an inflammation of the liver and has symptoms including a viral-like illness and yellowish discoloration of eyes and skin?

A) MRSA
B) Hepatitis
C) HIV/AIDS
D) Tuberculosis (TB)

Question 16

Which of the following would be considered protected medical information?

A) Employee positions
B) Departmental budget
C) Number of ambulance runs
D) Medical history of a patient

Question 17

With which type of viral hepatitis may the infected patient go years without exhibiting symptoms?

A) Hepatitis A
B) Hepatitis B
C) Hepatitis C
D) Hepatitis D

Question 18

Which communicable disease is a drug-resistant staph infection?

A) MRSA
B) Hepatitis
C) HIV/AIDS
D) Tuberculosis (TB)

Question 19

Which method of providing ambulance services may be staffed by firefighters who are cross-trained as emergency medical technicians or Paramedics?

A) Fire-based EMS
B) Third-service EMS
C) Police-based EMS
D) Hospital-based EMS

Question 20

Which method of providing ambulance services involves the services provided under a contract by for-profit or not-for-profit organizations?

A) Fire-based EMS
B) Third-service EMS
C) Police-based EMS
D) Hospital-based EMS

Question 21

An annual purified protein derivative (PPD) test may be administered to determine:

A) MRSA exposure.
B) hepatitis exposure.
C) HIV/AIDS exposure.
D) tuberculosis (TB) exposure.

Question 22

Hands should be washed for:

A) at least 20 seconds.
B) no less than 30 seconds.
C) more than two minutes.
D) more than three minutes.

Question 23

Which of the following statements about safety glasses is MOST accurate?

A) They can be interchanged with helmet shields.
B) They cannot be used with prescription glasses.
C) They usually do not provide impact resistance.
D) They are designed to keep fluids away from the eyes.

Question 24

Which of the following statements about decontaminating equipment and personal protective equipment is MOST accurate?

A) Sharps can be placed with other biohazard materials.
B) Contaminated PPE can be decontaminated in the fire station bathroom.
C) Contaminated station uniforms can be taken home and laundered.
D) Equipment should be disinfected in accordance with manufacturer's instructions.

Question 25

In patients that are unresponsive and not breathing, or breathing with irregular gasping breaths, assessment sequence should be rearranged to:

A) airway, breathing, and circulation.
B) airway, circulation, and breathing.
C) breathing, airway, and circulation.
D) circulation, airway, and breathing.

Question 26

Which of the following is the manner in which the majority of patients will be assessed?

A) Airway, breathing, and circulation
B) Airway, circulation, and breathing
C) Breathing, airway, and circulation
D) Circulation, airway, and breathing

Question 27

When tuberculosis is suspected, what type of respirator should be used?

A) N-95 respirator
B) Escape respirator
C) Powered air-purifying respirator
D) Self-contained breathing apparatus

Question 28

Which of the following is the most basic patient assessment?

A) Determine medical history
B) Determine what caused the injuries
C) Determine what the specific illness or problem is in the patient
D) Determine if critical functions of the body are working properly

Question 29

Which of the following can be determined by observing the patient's chest rise and fall or by listening?

A) Airway
B) Breathing
C) Circulation
D) Points of injury

Question 30

Which personal protective equipment item protects against respiratory hazards and airborne pathogens?

A) Gloves
B) Masks
C) Gowns
D) Spare uniforms

Question 31

Chest compressions are done using two hands when performing CPR on:

A) adults.
B) infants.
C) children.
D) patients over 75 pounds.

Question 32

When performing chest compressions for adults, perform at least:

A) 50 compressions per minute.
B) 75 compressions per minute.
C) 100 compressions per minute.
D) 150 compressions per minute.

Question 33

What should be done with gloves soiled with blood or other body fluids?

A) Washed with soap and air dried
B) Disposed of in the regular trash
C) Disposed of in a sealed container
D) Rinsed and then placed in bleach

Question 34

Which statement about taking pulses is MOST accurate?

A) The blood flow needed to feel a pulse is the same for a carotid and radial artery.
B) It typically takes stronger blood flow for pulse to be felt at a carotid artery than at a radial artery.
C) Only the radial artery can be felt with a hand, the carotid artery requires equipment to detect.
D) It typically takes stronger blood flow for pulse to be felt at a radial artery than at a carotid artery.

Question 35

Containers used for the disposal of items contaminated with blood or body fluids are typically:

A) red in color.
B) blue in color.
C) green in color.
D) black and white in color.

Question 36

Which of the following would be the BEST source for information on body substance isolation procedures?

A) Underwriters Laboratories (UL)
B) American Society for Testing and Materials (ASTM)
C) United States Environmental Protection Agency (EPA)
D) United States Centers for Disease Control and Prevention (CDC)

Question 37

Which of the following is the MOST commonly encountered type of pathogen?

A) Airborne pathogens
B) Bloodborne pathogens
C) Solid-state pathogens
D) Mucous discharge pathogens

Question 38

Which of the following should be the first determination upon arrival for a suspected cardiac patient?

A) Determine medical history
B) If patient is conscious or unconscious
C) Whether patient desires medical help
D) If patient is on a hard or soft surface

Question 39

Which of the following vaccines may be required or recommended for fire department first responders?

A) MRSA
B) HIV/AIDS
C) Tuberculosis (TB)
D) Tetanus/diphtheria

Question 40

Which of the following statements about personal protective equipment (PPE) and body substance isolation is MOST accurate?

A) It is better to wear too little than too much.
B) It is better to wear too much than not enough.
C) When PPE is uncomfortable it is best to not wear it.
D) What PPE to wear is up to each individual responder.

Question 41

Which type of external bleeding is bright red in color due to the large amount of oxygen it contains?

A) Arterial
B) Venous
C) Capillary
D) Intramuscular

Question 42

Patients who have internal bleeding may show signs such as:

A) the inability to use the bathroom.
B) becoming very hot and sweaty.
C) an increasingly urgent thirst for cool liquids.
D) vomiting of substance that looks like coffee grounds.

Question 43

During which stage of shock is the body affected by the negative condition and is adjusting functions in order to maintain normal levels?

A) Secondary
B) Pre-emergent
C) Compensated
D) Decompensated

Question 44

When performing chest compressions for infants, perform at least:

A) 50 compressions per minute.
B) 75 compressions per minute.
C) 100 compressions per minute.
D) 150 compressions per minute.

Question 45

Which of the following is a reason for discontinuing CPR?

A) Amount of time that has transpired
B) Another patient requires your assistance
C) You hand over care to a rescuer with higher training
D) Bystanders watching the event ask that CPR be discontinued

Question 46

Which type of shock is caused by a severe infection in the body?

A) Septic shock
B) Cardiogenic shock
C) Neurogenic shock
D) Anaphylactic shock

Question 47

Which type of shock is caused by severe allergic reactions?

A) Septic shock
B) Cardiogenic shock
C) Neurogenic shock
D) Anaphylactic shock

Question 48

Which type of shock is caused by blood loss?

A) Hypovolemic shock
B) Cardiogenic shock
C) Neurogenic shock
D) Anaphylactic shock

Question 49

Which type of shock is caused by overexpansion of blood vessels due to damage to the brain, spinal cord, or other nerves?

A) Septic shock
B) Hypovolemic shock
C) Neurogenic shock
D) Anaphylactic shock

Question 50

Which type of external bleeding is a darker red color and usually has a steady flow?

A) Arterial
B) Venous
C) Capillary
D) Intramuscular

Question 51

Which of the following methods to control external bleeding uses the effect of gravity to help slow the amount of blood?

A) Elevation
B) Tourniquets
C) Medications
D) Direct pressure

Question 52

Which type of external bleeding is often difficult to control due to substantial force of the blood and is a true medical emergency?

A) Arterial
B) Venous
C) Capillary
D) Intramuscular

Question 53

Chest compressions are done using only one hand when performing CPR on:

A) adults.
B) children.
C) patients under 75 pounds.
D) patients under 100 pounds.

Question 54

Which of the following is a sign of internal bleeding?

A) Variable heart rate
B) Extremely high fever
C) Yellowing of the skin
D) Painful, swollen, or rigid abdomen

Question 55

Which of the following is the main way of determining whether CPR is working?

A) Coloring of the patient's skin
B) Reassessing periodically for pulse
C) Amount of time that has transpired
D) Patient regains consciousness or begins to move

Question 56

Which of the following is the first and most commonly used method to control external bleeding?

A) Elevation
B) Tourniquets
C) Medications
D) Direct pressure

Question 57

Chest compressions are done with the index and middle fingers of one hand when performing CPR on:

A) infants.
B) children.
C) patients under 40 pounds.
D) patients under 50 pounds.

Question 58

Which type of shock occurs when the heart is unable to pump enough blood?

A) Hypovolemic shock
B) Cardiogenic shock
C) Neurogenic shock
D) Anaphylactic shock

Question 59

When performing chest compressions for children, perform at least:

A) 50 compressions per minute.
B) 75 compressions per minute.
C) 100 compressions per minute.
D) 150 compressions per minute.

Question 60

Which type of external bleeding "oozes" from injuries and is typically of limited quantity?

A) Arterial
B) Venous
C) Capillary
D) Intramuscular

Question 61

In most cases, the best treatment for shock is:

A) avoiding movement.
B) transporting to a hospital.
C) providing fluids intravenously.
D) increasing body temperature.

Question 62

Symptoms such as nausea and/or vomitingand changes to vital signs are most likely seen in:

A) secondary shock.
B) pre-emergent shock.
C) compensated shock.
D) decompensated shock.