WorksheetsMajor Emergency/Incident Knowledge Worksheet
Total questions: 96
Worksheet time: 51mins
The local Authority tabard at a Major Emergency/Incident is coloured
red and white
green and yellow
green and white
blue and white
We use the mnemonic “ASHICE” when giving information to the hospital if we need them on standby. The letter “A” stands for
age of patient
Airway status
Arrival time
address of patient
Of the choices below, which pro word indicates the practitioner has finished the communication and does not expect a reply?
Goodbye
over
out
Wilco
What colour is the inner cordon of a major incident:
silver
gold
black
bronze
VHF frequency on your radio stands for
Vertical Height Frequency
Very High Frequency
Vertical High Frequency
Venetian High Frequency
The letter X displayed on an ADR card indicates that the substance
reacts dangerously with water
is not neutralised by water
does not react dangerously with water
is neutralised by water
When you have sufficient resources to deal with a major emergency but these resources have not arrived yet, this is classified as
Compensated
uncompensated
compound
simple
The forward incident officer at a major emergency operates at which level
frontline
strategic
operational
tactical
Handling, storage and forensic arrangements regarding the dead at a major emergency is the responsibility of the
medical officer
HSE ambulance service
Gardai
local authority
While triaging a patient during a major emergency, you discover that he is unable to walk, has a respiratory rate of 24 and a pulse rate of 110. He is classified as
delayed
urgent
expectant
immediate
While triaging a patient during a major emergency, you find a female walking about, who is approximately 8 months pregnant. She is classified as
immediate
urgent
delayed
expectant
During triage sieve, a capillary refill time above 2 seconds indicates a category of
delayed
urgent
expectant
immediate
The METHANE message from a major emergency should be sent by
second practitioner on scene
first practitioner on scene
forward incident officer
HSE controller of operations
The recent earthquake disaster in Haiti is an example of which type of major emergency
manmade
compensated
simple
natural
Treatment of casualties at a major emergency should be
supervised by the lead clinician
limited to the minimum required prior to transport to treatment facilities
delegated to auxiliary and voluntary services
carried out using all pre-hospital care prodcedures available
Triage sieve is performed
where the casualties are found
at the casualty clearing station
on the way to the hospital
only for casualties with obvious injuries
In the phonetic alphabet, 'N' is denoted by
November
Norway
Nora
Nova
The letter 'P' is given as ________ in the phonetic alphabet
peter
paul
paris
pencil
When giving an ASHICE message, the letter A stands for
address of incident
allergies
arrival time on scene
age of patient
When attending an incident involving a hazardous material the ambulance should be parked
upwind
downhill
downwind
on the side closest to the hospital
The first practitioner on scene at a major emergency should
set up a casualty clearing station
start to triage casualties
stay with the ambulance and act as communications officer
immediately transport the first available patients
In triage, a yellow coloured card represents
dead
urgent
delayed
immediate
In triage, a green label indicates
immediate
urgent
dead
delayed
In triage, a red label indicates
urgent
delayed
dead
immediate
The collapse of the world trade centre in New York was what type of major emergency?
man-made
natural
simple
compensated
The person in charge of the health service activities at a major emergency is called the
controller of operations
medical incident officer
ambulance incident officer
health service manager
During a major emergency you find a male infant who appears to be abandoned. He is conscious and has a large bruise on his left forehead, respiration rate of 26 and a capillary refill of 2 seconds. What category patient is he?
urgent
immediate
dead
delayed
What colour tabard does the controller of operations for the Gardai wear at the scene of a major emergency?
green and white
blue and white
blue and yellow
red and white
When attending a hazardous materials incident the ambulance should be positioned
a. uphill and downwind
b. as close to the scene as possible
c. uphill and upwind
d. downhill and upwind
The letter "E" on a hazchem code indicates
Under the ADR hazard warning code, a truck carrying multiple chemical loads will display:
emergency
reacts dangerously with water
evacuate all rescue personnel
consider evacuation
Which type of civil disorder involves several sites of disturbance?
riot
ambush
running disorder
standard disorder
While triaging, a young man states he cannot feel or move his legs. Pulse 100, resps 14, alert, Cap refill normal. Correct category is:
green
white
red
Yellow
What colour tabard does the controller of operations for the local authority wear at the scene of a major emergency?
red and white
blue and white
green and white
green and yellow
The use of the keyword 'ROGER' when using radio communications indicates:
I heard the message
I want you to repeat the message
send the message again
I understand the message
What colour tabard does the controller of operations for the ambulance service wear at the scene of a major emergency?
green and yellow
blue and white
green and white
red and white
While triaging, a woman in her twenties is unconscious with severe facial wounds. Pulse 40, resps 0 and cap refill delayed. Her category is:
red
green
yellow
white
In radio communications, UHF stands for
ultra hard frequency
ultra home frequency
ultimate high frequency
ultra high frequency
"Over" is an example of a
short message
proword
long message
call sign
In the phonetic alphabet, the letter I is denoted by
indigo
ireland
india
indian
In the phonetic alphabet, the letter Y is denoted by
yvonne
yvette
yankee
yankeaur
Radio communications over short range uses ____________
UHF (ultra high frequency)
AM (amplitude modulation)
FM (frequency modulation)
SW (shortwave)
In an ASHICE message the letter C denotes
condition
cause
clinical status decision
CUPS
In an ASHICE message the letter E denotes
emergency services required
emergency services present at scene
evacuation procedure
estimated time of arrival
The proword that should be used before spelling a word during a radio transmission is
i say
i spell
speaking
wait out
When at the scene of a civil disorder the ambulance should be parked
facing out with back doors open
facing in with back doors open
facing in with back doors closed
facing out with back doors closed
How many digits are there in a UN number
3
1
4
2
The figure "X" when displayed on a HAZCHEM label is listed as part of the:
emergency action code
chemical name
UN number
hazard class
On a HAZCHEM label where is the company logo located?
Emergency Action Code (EAC)
UN number
hazard warning diamond
specialist advice phone number
What is contained on the bottom section of an ADR plate?
bottom right
bottom left
top left
top right
Who is responsible for controlling access to the outer cordon at the scene of a major emergency?
Gardai
fire service
local authority
ambulance officer
Following dispatch to the scene of civil disorder, an ambulance crew should
proceed to the scene of the disorder
report to the rendezvous point
refuse to attend
request a Garda escort
The correct calculations for weight estimation for a 2 year old patient are?
(Age x 3) + 7
(Age x 2) + 8
age x 4
2 x (age + 5)
According to CPG, an infant is aged
4 weeks to one year old
birth to 1 year
For a cardiac arrest how many practitioner/responders should be mobilised as a minimum?
4 - 6
6 - 8
crew of 2
3 - 4
When a patient has a foreign body airway obstruction, but is able to cough, the EMT should:
give the patient a drink of water or milk
Encourage the patient to cough
observe the patient until complete obstruction
Give 1 – 5 back blows followed by 1 – 5 abdominal thrusts
A patient who is bleeding within the skull will most likely produce which of the following sets of vital signs:
Lowering blood pressure, lowering pulse and lowering respiratory rate
Lowering blood pressure, lowering pulse and rising respiratory rate
Rising blood pressure, slowing pulse and slowing respiratory rate
Rising blood pressure, rising pulse and lowering respiratory rate
The most important sign in the evaluation of a head injured patient is:
Tachypnea
pulse rate
loss of consciousness
Blood pressure
A patient with severe bleeding from a wound on their neck is best cared for using a/an
haemostatic dressing
pressure points
ambulance dressing
tourniquet
A condition in which there is progressive loss of elasticity of the lungs, with an over expansion of the alveoli is known as
Asthma
pulmonary embolism
Bronchitis
emphysema
Which of the following statements regarding damage to the spinal cord is true?
the cervical region is the most frequently injured part
When damaged it will cause loss of leg movement only
all neurological effects are permanent
The thoracic region is the most frequently injured part
The most reliable sign that your patient is being adequately ventilated by a bag-valve mask
The patient’s chest rises and falls with each ventilation delivered
the patient begins breathing on their own
The patient regains consciousness
the pulse rate quickens
One cause of acute abdominal pain is an Abdominal Aortic Aneurysm, which is described as
Bleeding from the stomach
An area of weakening and dilation in the wall of an artery
Hematemesis
Coffee ground vomit
Agonal respirations are best defined as
Agonal respirations are abnormal, gasping breaths often seen in dying patients.
Agonal respirations are slow, regular breaths seen during sleep.
Agonal respirations are rapid, shallow breaths seen during exercise.
Agonal respirations are deep, sighing breaths seen in healthy individuals.
Which of the following statements is true concerning the Sino Atrial (SA) Node?
It is the principle pacemaker of the heart
It is located below the AV node
It fires approximately 40 – 60 times
it only controls the ventricles
In addition to ventricular fibrillation, what other rhythm may be shocked by the AED?
Ventricular tachycardia
Premature ventricular contractions
Normal sinus rhythm
Pulseless ventricular tachycardia
Which of the following is most likely to produce hypovolemic shock?
ruptured spleen
Spinal cord injury
laceration to scalp
Pott’s fracture
Which one of the following factors has the greatest influence on kinetic energy?
Increasing oscillation
Increasing density
Increasing mass
Increasing velocity
In what position might a patient with congestive heart failure be most comfortable?
upright
Prone
trendelenburg
Supine
Each ovary is connected to the uterus by
vagina
uterus
urethra
fallopian tube
To prevent supine hypotension, a pregnant patient with history of blood pressure problems should be transported in what position
Lying on the left side
Prone position
Fowler's position
Supine position
In an emergency delivery the amniotic sac has not naturally ruptured, the EMT can
Rush baby and mother to hospital immediately
Puncture the sac with a gloved hand
do nothing as the baby will break the sac
Strip the sac away when the baby is fully delivered
A pregnancy is divided into stages known as
trimesters
months
semesters
weeks
________ shock is a condition caused by a reaction to a drug, bite or sting, which reduces peripheral resistance and venous return
Septic
Cardiogenic
Anaphylactic
Hypovolemic
Meconium staining, a sign of foetal distress, is a result of
a. Hypoxia
b. Hyperoxia
c. Hypovolemia
d. Hypervolemia
A significant difference between paediatric and adult patients is the:
foetal defecation
Post-partum haemorrhage
Mucus from the foetus’s mouth and nose
vaginal bleeding
The most appropriate emergency care for a 3 year old male patient suffering severe respiratory distress should include:
oxygen delivered via non-rebreather mask
oxygen delivered by nasal cannula
Assisted ventilations with supplement oxygen at 4 LPM
Oxygen by the blow by method
Which of the following is a very common cause of seizures in children aged between 6 months and 5 years old?
Accidental poisoning
Accidental head injury
sudden rise in temperature
flashing lights
When examining the fontanelles of an infant, a normal state would be:
2 – 3 inches below the cranial surface
Slightly bulging
Smooth and level
Slightly sunken
In PHECC guidelines, a paediatric patient is aged:
<16 years old
<1 year old
<8 years old
<10 years old
Paediatric defibrillation pads should be used for patients under ___ years of age.
8
10
5
12
The more serious causes of abdominal pain are the internal bleeding, peptic ulcer, diverticulitis, abdominal aneurysm, kidney stones and ________
Flatulence
Menstrual pains
Ectopic pregnancy
Abdominal cramps
In PHECC standards, the paediatric weight estimation of a one to five year old is
Age x 3 +8kg
Age x 3 + 9kg
Age x 2 + 8kg
Age x 3 +7kg
The paediatric weight estimation of a neonate is
6kg
10kg
5kg
3.5Kg
For a paediatric patient, what percentage of the body surface area is given to the head
9%
1%
18%
14.5%
Moderate asthma in a child <5 yrs old should be treated with ____ by the EMT
Salbutamol 5mg NEB
Salbutamol 2.5mg NEB
Oxygen only
Chlorphenamine 4mg PO
The term “haematuria” relates to
Blood in the vomit
Blood in the urine
Blood in the stool
Blood from the nose
You are called to the house of a responsive 65 year old man who complains of sudden chest pain whilst watching television. His vital signs are pulse 88, blood pressure 156/92 and respirations 18 and laboured. He looks very pale and diaphoretic. Which of the following medication/s is/are indicated for this patient?
GTN only
Aspirin only
Aspirin and GTN
Aspirin and salbutamol
A nasal cannula at the proper setting on the flow regulator (1 - 6 litres per minute), can deliver a minimum and maximum oxygen concentration of
a. 28 - 44%
b. 24 - 40%
c. 24 - 44%
d. 24 - 48%
You are assessing a patient with ACS when they suddenly collapse to the floor. The patient is unresponsive, not breathing and has no pulse. The first action you carry out is
Start chest compressions
Attach defibrillation pads
Insert an OPA
Provide two ventilations
There are three main causes of fainting (syncope), one is postural, second is emotional stress and the third is ________
Respiratory in origin
Cardiac in origin
Hypertension
Hyperglycaemia
When dealing with a patient with Epistaxis, digital pressure should be applied for?
15 minutes
10 minutes
5 minutes
20 minutes
Regular contraction, bloody show and rupture of the membranes are all indications of what stage of labour
Third stage
Second stage
First stage
Fourth stage
Of the problems listed below, which should the EMT consider first when treating a patient with severe facial injuries
The lower jaw may also be fractured which will cause extreme pain
Airway compromise
The patient may have brain damage
The patient may have a fractured skull
Under certain circumstances, an impaled object may be removed if it is located in the
(a)
When completing a PCR you make a mistake recording the time, you should
Cross through the mistake, and write correct time
Use correction fluid and inform the receiving nurse when you get to the hospital
start a new PCR
Cross through the mistake, initial and write correct time
