WorksheetsFirst Responder Review Test
Total questions: 100
Worksheet time: 50mins
________ is expressed consent given by a rational adult after being informed of the provider’s training and what care procedures are to be done.
Informed consent
Implied consent
Minor’s consent
Action consent
________ is a legal position that assumes that an unconscious or badly injured adult patient would consent to receiving emergency care.
Informed consent
Implied consent
Minor’s consent
Actual consent
Negligence usually is a failure to provide the expected standard of care, leading to additional injury.
TRUE
FALSE
If you leave a sick or injured patient before equal or more highly trained personnel arrive you are said to have ________.
Cleared for a call
Aided the patient to the best of your ability
Abandoned your patient
Complied with your First Responder responsibilities
Which of the following may put a First Responder at risk of contracting an infectious disease?
Exposure to a patient’s heavy coughing spells
Exposure to dried blood on equipment
Exposure to body fluids when treating an accident victim
Contact with a person who has minor lacerations on their hands
All of the above
All of the following are PPE except:
Face mask
Gloves
Gown
Eye wash station
The disease which causes swelling in the liver is:
Hepatitis B virus (HBV)
Human immunodeficiency virus (HIV)
Methicillin-resistant staphylococcus aureus (MRSA)
Acquired immunodeficiency syndrome (AIDS)
Which disease is common in jails, prisons, and nursing homes?
Hepatitis
HIV
MRSA
AIDS
The disease known as a “super bug” is:
Hepatitis
HIV
MRSA
AIDS
Unauthorized Practice of Medicine is what class of crime in North Carolina?
Felony
Misdemeanor
Infraction
Moving Violation
When responding to a call where the patient is conscious, the First Responder should state his/her name, that he/she is medically trained, and:
State the nature of the call
Ask if the patient called
Ask the patient if the First Responder may help
Ask the patient if they need to go to the hospital
When is the initial assessment / Primary Survey done?
After speaking to any witnesses on the scene of the call
After speaking to any police officers on the scene
After you speak with the patient
As soon as you reach the patient
The initial way to check for a patient’s responsiveness is to talk to them.
TRUE
FALSE
A patient’s carotid pulse is located in the ________.
Lower body
Upper arm
Neck
Lower arm
To check the airway in an unresponsive patient who is ill with no sign of trauma you would use the:
Head tilt / chin thrust maneuver
Head thrust chin-lift maneuver
Head thrust, chin thrust maneuver
Head tilt, chin-lift maneuver
To check the airway in an unresponsive patient where trauma is present or suspected you would use the:
Jaw thrust maneuver
Head tilt maneuver
Chin-lift maneuver
Head left, jaw lift maneuver
In the ________ survey, the officer makes a detailed ________ evaluation of the patient; systematically looks, feels, listens, and even at times smells for medical problems.
quick / written
historical / extended
speed / license
secondary / head to toe
In judging a patients level of responsiveness, AVPU stands for
Alert, Verbal stimuli, painful stimuli, unresponsive
Alert, verbal stimuli, Patient responds, unconscious
awake, vocal, painful stimuli, unaware
alive, vertical, puking, unkownn
____ is what you see, feel, hear, and smell when examining the patient
Sign
History
virtual sign
symptom
____ is what the patient tells you is wrong such as dizziness, vomiting and chest pain
Sign
history
vital sign
symptom
pulse, respiration, pupils, relative skin color, and temperature are known as ____
signs
physical examinations
vital signs
symptoms
When conducting an initial/primary assessment, you will look for ____
patients name, address, and insurance information.
Life threatening problems, airway, breathing, circulation
how the injury/illness occured
a witness to the incident.
___ occurs when both the heartbeat and respiration have stopped
biological death
clinical death
respiratory distress
brain death
_____ occurs when brain cells die
Biological death
clinical death
respiratory distress
brain death
Which of the following is not a sign of normal breathing
Even effortless rise and fall of the chest
you can feel air moving in and out of the nose or mouth
skin is tinted blue, ashen, or gray
the rate of breathing for an adult is 12-20 breaths per minute
Breathing that is irregular, too rapid, or slow is a sign of inadequate breathing
True
False
When checking for breathing you should look, listen, and feel for air exchange and observe skin color.
True
False
a stoma would be located in a patients ___
nose
ear
neck
stomach
which of the following would a first responder do when a patient has gastric distension caused by artificial ventilation
push on the stomach and increase the force of your ventilation
push on the stomach and reduce the force of your ventilation
increase the force your ventilation and resposition the patients head to provide a better airway
reduce the force of your ventilation and reposition the patients head to provide a better airway
____ shock is an acute allergic reaction to drugs, insect bites, food such as seafood, dust pollens, and other chemicals either ingested, injected, or inhaled
psychogenic
hypoglycemic
septic
Anaphylactic
In what instance would you care for a patient with a partial airway obstruction as if it were a patient with a complete airway obstruction
A conscious patient who can forcefully cough.
a patient who continues to forcefully cough, but has not yet dislodged the obstruction.
a patient who has a poor air exchange and cannot cough
a patient who has some air exchange and who has forceful cough
What type of patient would you position face down on your forearm and give back blows to in order to dislodge an airway obstruction
senior citizen
an infant
a teenager
a 80 lb child
when applying chest thrust to an infant you should use the tips of two or three fingers
TRUE
FALSE
when the heart suddenly stops beating, no oxygen can be pumped to the brain, and the oxygen supply in the brain is used up in about ___
1 to 3 minutes
4 to 6 minutes
7 to 9 minutes
8 to 10 minutes
what are the three signs of cardiac arrest
patient is unresponsive, is not breathing and has a strong carotid pulse
patient is responsive, is not breathing and has a pulse
patient is unresponsive, is breathing and has a pulse
patient is unresponsive, is not breathing, and has no pulse
cardiopulmonary resuscitation is an emergency procedure that provides both chest compressions and ventiliation when heart and lung actions stop.
true
false
what is the ratio of breaths to compressions for an adult during one person CPR?
three breaths to every twenty compressions
three breaths to every fifteen compressions
two breaths to every ten compressions
two breaths to every thirty compressions
what is the ratio of breaths to compressions for a child during one person CPR?
two breaths to every five compressions
one breath for every three compressions
two breaths to every thirty compressions
two breaths for every three compressions
you may stop CPR when;
spontaneous circulation and breathing begins
an equally or more highly trained member of the EMS system or someone certified in CPR takes over for you
you turn responsibility for the patient care over to a physician
you are exhausted and no longer able to continue
any of the above
The CPR sequence under American Heart association guidelines is
Compression, airway, breathing
airway, breathing, compressions
breathing, compressions, airway
the ratio of breaths to compressions for children and infants during two person cpr is
two breaths for fifteen compressions
two breaths for five compressions
one breath for fifteen compressions
two breaths to every thirty compressions
____ carry / carries blood away from the heart
arteries
veins
capillaries
perfusion
___ returns blood to the heart
arteries
veins
capillaries
perfusion
of the three types of external bleed, ____ bleeding is the most serious
perfusion
venous
arterial
capillary
when applying a pressure dressing to a wound, if the bleeding continues, you should remove all the dressing and apply a fresh dressing
True
False
when applying a tourniquet to control life-threatening external bleeding, the tourniquet should be ___ inches above the wound (not over a joint or impaled object)
1/2 - 1
1-2
5-6
2-3
A tourniquet should be tightened until the bleeding stops
true
false
if you have applied a tourniquet to a patient, you must loosen it every 3-5 minutes as needed
True
False
if the first tourniquet applied does not stop the bleeding a second tourniquet can be applied closer to the body
TRUE
FALSE
Field treatment for a penetrating gunshot wound to the head is:
occlusive dressing with a vent or flutter value
use of a tourniquet
there is no real field treatment for this, rapid transport is key
2 large bore IVs and 100% oxygen via non-rebreather
____ should be suspected if the patient coughs up blood
Compound fracture
internal bleeding
external bleeding
gastric distension
____ occurs when there is a failure of the circulatory system to provide enough blood to all the vital parts of the body
hyperthermia
internal bleeding
hemorrhagic shock
respiratory distress
which of the following is not a symptom of shock
the patient is complains they are restless
the patient has profuse external bleeding
the patient is feeling achy
the patient is thirsty
which of the following is not a sign of shock
the patient complains of weakness
the patient has profuse external bleeding
the patients blood pressure is falling
the patients pulse is rapid, weak, and irregular
__ shock results from a severe systemic allergic reaction
Psychogenic
Anaphylactic
Metabolic
Septic
A contusion/bruise is an example of a/an ___
open wound
Closed wound
compound wound
simple wound
A laceration/cut is an example of a/an
open wound
closed wound
compound wound
simple wound
A / An ___ is a wound caused by scraping, rubbing, or shearing away of the outermost layer of skin
Contusion
Hematoma
Abrasions
amputation
A / An ___ occurs when interal organs protrude from an open wound
Abrasions
Contusion
Avulsion
Evisceration
For a patient with an impaled object, the impaled object should never be removed in the field unless it is through the patients cheeks and interfering with airway management or CPR
TRUE
FALSE
to treat a sucking chest wound the officer responder should use an occlusive bandage that is at least 2 inches larger than the wound on all sides, which should be large enough not to be sucked into the wound
TRUE
FALSE
Pupils of unequal size might be a sign of
Upper-arm fracture
a burn injury
a head / brain injury
DWI
A "normal" adult blood pressure would be:
300/100
80/30
120/80
5
An _______ is a syringe with a spring-loaded needle that will release and inject epinephrine into the muscle when the auto-injector is pushed against the thigh?
Whizzy-me-do
Bugout kit
Epinephrine auto-injector
Naloxone (narcan) nasal atomizer
Clear fluid leaking from the ears and/or nose of victim of a traumatic accident is a sign of a possible...
Pulmonary contusions
Myocardial contusions
Fractured skull
Subcutaneous emphysema
About 25% of poisonous snake bites are "dry" bites, or those in which venom is not injected.
True
False
Unequal pupil size with altered mental status is considered a symptom of a head injury.
True
False
Chest pain or discomfort described as heaviness or squeezing that may also radiate to the arms, shoulder, neck, or jaw is a general sign/symptom of a possible heart attack.
True
False
Female patients may not have any of the classic symptoms of a heart attack. They may complain of back pain.
True
False
Naloxone, sometimes referred to as Narcan, is an antidote for opioid overdose for drugs such as Percocet, OxyCotin, and heroin
True
False
Hypogylcemia refers to low blood sugar.
True
False
Heat Stroke is not a medical emergency
True
False
A patient may suffer a stroke when an area of the brain is deprived of blood.
True
False
For wet chemical burns, you should flush with copious amounts of water for at least ___ minutes.
10 to 15
5 to 8
1 to 2
20 to 30
A ____ involves only the top two layers of skin, the epidermis and the dermis. This type of burn is very painful.
Superficial burn of first-degree burn
Partial thickness burn of second-degree burn
full thickness burn of third-degree burn
Minor sunburn
What type of condition involves the overall reduction of body temperature which can be deadly?
Hypoglycemia
Hyperglycemia
Hypothermia
Hypoxemia
The ___ organ is attached to the wall of the uterus that receives nutrients and oxygen from the mother for the fetus and returns waste from the fetus to the mother.
Amniotic sac
Umbilical cord
Placenta
Cervix
The first stage of labor is also known as the expulsion stage.
True
False
A behavioral emergency may be caused by a physical condition such as lack of oxygen or low blood sugar.
True
False
Anaphylactic shock is an allergic reaction to insect bites.stings or food allergies. When severe it is generally...
Non life threatening in nature and has little or no affect on the circulatory system
Non life threatening in nature and has a slow effect on the circulatory system
Life threatening and has a rapid effect on the airway and breathing.
Life threatening and has little or no effect on the airway or breathing
Withdrawal from alcohol can be as serious as an overdose emergency
True
False
Excited Delirium is a combination of delirium, psychomotor agitation (a series of unintentional and purposeless motions), anxiety, hallucinations, speech disturbances, disorientation, violent/bizzare behavior, insensitivity to pain, hyperthermia, and increased strength.
True
False
____ is a common chronic neurological condition that is characterized by recurrent unprovoked seizures.
Migraine Headache
Epilepsy
Shingles
Cardiac Arrest
____ will cause anyone exposed to it to possibly experience tearing of the eyes, runny nose, salivation, coughing, burning of the airways, chest tightness, and difficulty breathing. These symptoms usually begin to subside within 2 hours of exposure
Taser ECD
Straight Baton
.40 Caliber, 180 grain JHP
OC Spray
____ is the sorting multiple casualties into priorities for emergency care or for transportation to definitive care.
Rapid Deployment
Scene Security
Triage
Care under Fire
Under the simple triage and rapid treatment (START) triage method there are __ levels
2
5
3
4
Under the simple triage and rapid treatment (START) triage system a patient with who is unable to walk and has respiration of 12, is alert and oriented and has a radical pulse is what level/color
Dead / Black
Immediate / Red
Delayed / Yellow
Minor / Green
The greatest danger in an emergency move is
Blocking the patients airway
The possibility of making a spine injury worse
Causing an injury to the first responder
None of the above
The first medically trained person arriving at the scene is usually a ___
Paramedics
First Responders
Bystander
None of the above
Privacy of medical patients is governed by HIPAA (Health insurance protability and accountability act)
True
False
Under the simple triage and rapid treatment system, evaluation is intended to be completed in about _____ seconds per victim
20
30
45
60
The recommended means to control major bleeding in a tactical environment while under fire is a rapidly applied _____
Tourniquet
Band-aid
Occlusive Dressing
Pressure Dressing
Usually, the best first step in saving a wounded officer is to control the ____
Low ground
Tactical situation
Tunnel Vision
Water (Go Navy!!!)
The best movement to use for rescuing an injured officer is the _____
Firemans carry
Extremity Carry
2-rescuer assist
bounce and thump method
If an object is impaled in the eye, you should cover both eyes to reduce movement of the injured eye
True
False
The term _____ refers to the circulation of the blood at the capillary and cellular level. Cells are ___ when there is an uninterrupted flow of blood under a more constant pressure. ___ is vital in that it keeps the body cells healthy by providing them with oxygen and other nutrients and removing waste products.
Circulation / Happy/ Circulation
Perfusion / Perfused / perfusion
CPR / Fat / Water
Hypovolemic / Sleepy / Light
The average adult male has approximately ___ pints of blood
4
8
12
None of the above
For the average adult male, a loss of approximately ___ pints of blood lead to moderate shock?
1
2
4
8
For the average adult male, a loss of approximately ___ pints of blood results in severe shock and can be fatal
2
4
8
None of the above
The first priority is the safety of ____
The suspect
The bystanders
Other Officers
Yourself
