Question 1

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 to assess the mechanism of injury, provide information that will guide medical care, and assess the need for additional resources. However, it is not performed to assess a baseline mental status. Baseline mental status is part of the patient assessment, which comes after the scene size-up.

Question 2

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 respiratory disease that can be transmitted through the air. A properly fitted HEPA mask can protect the paramedic from breathing in the contagious aerosols and prevent the spread of the disease. The other conditions (influenza, asthma, and COPD) are not typically spread through the air in the same way as tuberculosis.

Question 3

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 potentially life-threatening complaint as it may be a symptom of a heart attack, which requires immediate medical attention. Fractures of the tibia and radius can be painful and require medical attention but are not typically life-threatening. Asthma and headaches can be serious conditions, but they are not always life-threatening.

Question 4

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 low speed of the vehicle suggest that the patient may have sustained lower extremity trauma. The patient's stable vital signs and alert status indicate that there may not be significant internal injuries like pneumothorax or abdominal trauma. A closed-head injury cannot be ruled out, but the presentation is more consistent with lower extremity trauma.

Question 5

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

The location of the injury (rural or urban) is not a significant factor to consider when evaluating the mechanism of injury. The other choices (mass and velocity of objects involved, type of force involved (blunt or penetrating), and direction of impact) are important factors to consider.

Question 6

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

In two-vehicle collisions, there is a higher likelihood of multiple patients. It is important to always be prepared for the possibility of treating multiple patients at the scene.

Question 7

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 can potentially be life-threatening, a stab wound distal to the knee is less likely to result in significant internal bleeding or organ damage than the other options listed. The other three mechanisms of injury involve high-energy events with significant force, which can result in severe trauma and internal injuries.

Question 8

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

The answer of Which of the following provides a clue...

Question 9

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 and can quickly lead to massive blood loss, which can be life-threatening. The other options may cause bleeding, but are unlikely to result in life-threatening hemorrhage.

Question 10

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 protect the paramedic from potential exposure to infectious respiratory droplets. Complaints of dizziness and an unresponsive patient do not necessarily require the use of protective eyewear.

Question 11

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

Observing the immediate surroundings is the best choice as it allows the responder to assess for any potential hazards or dangers that may pose a threat to both the patient and the responder. This ensures scene safety for both parties and allows for the proper steps to be taken in addressing any threats before approaching the patient or conducting a focused exam.

Question 12

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

The presence of bilateral tibia and fibula fractures indicates a significant force of impact and increases the likelihood of other serious injuries. Transporting the patient to a trauma center will provide access to specialized care and resources that may be necessary for the management of such injuries. While pain control may not be possible in the prehospital setting, this is not the primary reason for transporting the patient to a trauma center. While some fractures may require surgical intervention, it is not always an immediate necessity. Additionally, while some community hospitals may not have the necessary resources to manage complex fractures, this is not always the case.

Question 13

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 or complaint, not a mechanism of injury. The other options are all examples of mechanisms of injury.

Question 14

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

The answer of Which of the following best describes when...

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

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

It is important to park away from the scene until the police arrive and secure the scene so as not to contaminate or disturb any potential evidence. Entering the scene without proper authorization can compromise the investigation and put you and others at risk. Quickly retrieving the victim is also not recommended as they may be a witness or have important evidence on their person. Waiting in front of the scene can also alert potential suspects or interfere with the police investigation.

Question 17

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 other options are components of a scene size-up, but the patient's chief complaint is not. The patient's chief complaint will be addressed during the assessment and treatment phases of patient care.

Question 18

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 himself is the best source of information about himself because he can provide the most accurate and current information about his health, symptoms, and medical history. While family and friends may provide helpful background information, they may not have all the details or the patient's perspective. The medical record and physician's input are also valuable, but may not reflect the patient's current status or concerns.

Question 19

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 20

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 thoughts, feelings, and physical symptoms. They are able to communicate their experiences directly to healthcare providers, which can help guide diagnosis and treatment decisions. While visual cues, diagnostic tests, and input from family members can also be important sources of information, they may not always provide a complete picture of the patient's condition.

Quiz 2: Scene Size-Up

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

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

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

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:

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

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

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

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

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

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

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

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?

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

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

When approaching a potential crime scene, you should:

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

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?

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

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