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You are an EMT on the scene of a mass-casualty incident in which there are 50 patients from a bus roll-over.Incident Command has been established and EMS,law enforcement,and rescue sectors are established.You have just discovered that one of the bus passengers was carrying a suspicious package that is now leaking a white powdery substance.Which of the following entities should you contact about this?


A) Incident Commander
B) EMS sector officer
C) Rescue sector officer
D) Dispatch

E) None of the above
F) A) and B)

Correct Answer

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When responding to a multiple-casualty incident,staging refers to which of the following?


A) Setting up a triage center from the back of your ambulance
B) Staying on station until called upon to receive a patient
C) Keeping a log of all patients transported
D) Waiting in a designated location until called upon by the designated sector officer

E) B) and D)
F) None of the above

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EMS operations generally include the Mobile command center and what other six areas?


A) Extrication, Operations, Logistics, Triage, Finance, and Transportation
B) Extrication, Staging, Logistics, Triage, Operations, and Transportation
C) Extrication, Staging, Triage, Treatment, Transportation, and Rehabilitation
D) Extrication, Staging, Triage, Air operations, Transportation, and Rehabilitation

E) A) and C)
F) All of the above

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Which of the following has been shown to actually interfere with the normal grieving and healing process after a multiple-casualty incident?


A) Mental health personnel available on the scene
B) Mental health personnel available during the two months following a major incident
C) EMT engaging in psychoanalysis
D) Critical incident stress debriefing (CISD) sessions

E) None of the above
F) A) and B)

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The senior EMT on the first vehicle that arrived on a scene with multiple patients should assume which of the following roles until relieved by a senior official?


A) Transport sector supervisor
B) Commander of the entire incident
C) Triage sector supervisor
D) Incident Commander of the scene

E) B) and C)
F) A) and D)

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When several agencies work independently but cooperatively,rather than one agency exercising control over the others,this is called:


A) unified command.
B) single incident command.
C) ICS.
D) NIMS.

E) A) and B)
F) A) and C)

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You are on the scene of a riot following a decision in a controversial court case.A large group of people have set fire to vehicles,broken windows,and assaulted people in the area.Which of the following would be the BEST method of incident command?


A) Singular command by EMS
B) Singular command by fire service
C) Unified command
D) Singular command by law enforcement

E) All of the above
F) B) and C)

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Which of the following is a resource for specific actions to be taken by personnel dealing with a hazardous materials incident?


A) Medical protocols
B) Emergency Response Guidebook
C) Medical dictionary
D) Food and Drug Administration (FDA) toll-free hotline

E) A) and D)
F) C) and D)

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Which of the following may help in minimizing the stressful effects of the disruption in circadian rhythms seen in EMS multiple-casualty incidents work?


A) Seek help from a trained professional.
B) Eat a heavy meal just before bedtime.
C) Keep your bedroom light on and warm.
D) Sleep as much as possible on days off.

E) C) and D)
F) A) and B)

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Which of the following is NOT a responsibility of an EMT at the scene of a hazardous materials emergency?


A) Rehabilitating the hazmat team
B) Decontaminating injured victims
C) Treating injured patients
D) Staying in the cold zone

E) A) and C)
F) None of the above

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You are called to a garden center where four shoppers have collapsed after a section of shelving fell and dumped hazardous products on the floor.When you arrive on the scene,you should:


A) think hazmat, secure the scene by limiting access, isolate the possible contaminated from the noncontaminated, and request hazmat response.
B) think hazmat, dress in a Tyvek suit, secure the scene by limiting access, isolate the possible contaminated from the noncontaminated, and request hazmat response.
C) secure the scene quickly, triage each patient, and move to fresh air.
D) think hazmat, dress in a Tyvek suit, access the scene to identify the spilled product, secure the MSDS sheets, and remove victims to fresh air.

E) B) and C)
F) None of the above

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When transporting patients from the scene of a mass-casualty incident,who should be responsible for contacting the receiving hospital?


A) Transporting EMT
B) Incident commander
C) Transportation officer
D) Triage officer

E) A) and B)
F) All of the above

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When informing someone of the death of a loved one due to a multiple-casualty incident,you should use the term:


A) expired.
B) passed away.
C) dead.
D) sickly.

E) A) and B)
F) A) and C)

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You are called to a local hardware store for a male patient complaining of difficulty breathing.As you pull into the parking lot you notice several people in front of the building coughing and in obvious distress.What would be an appropriate course of action at this point?


A) Locate the patient for whom you were requested and begin treatment while another ambulance is en route for the other patients.
B) Request a hazardous materials incident response and begin treating all patients displaying respiratory difficulties.
C) Evaluate the scene further for indications of a hazardous environment and request a hazardous materials response.
D) Move the people with respiratory difficulties to a distant corner of the parking lot and set up a treatment sector.

E) A) and B)
F) C) and D)

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You arrive on the scene where a school bus has been hit by a train.The bus was in its early stages of picking up students and you only have 5 patients.Your closest unit is 30 minutes away.Triage this patient based on this scenario: Patient #2 is an 8-year-old male with the following vital signs: respirations 10,pulse 102,and alert mental status with warm dry skin.


A) Priority 1, red tag
B) Priority 3, green tag
C) Priority 2, yellow tag
D) Priority 4, black tag

E) None of the above
F) B) and C)

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You arrive on the scene where a school bus has been hit by a train.The bus was in its early stages of picking up students and you only have 5 patients.Your closest unit is 30 minutes away.Triage this patient based on this scenario: Patient #3 is a 38-year-old female with the following vital signs: respirations 0,pulse 0,and nonresponsive.


A) Priority 4, black tag
B) Priority 1, red tag
C) Priority 2, yellow tag
D) Priority 3, green tag

E) A) and B)
F) A) and C)

Correct Answer

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An area near a hazardous materials incident that is upwind from the incident and on higher ground is a good location for a:


A) danger zone.
B) hot zone.
C) safe zone.
D) treatment zone.

E) None of the above
F) A) and B)

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Using START triage guidelines,a patient on the scene of a mass-causality incident who has no pulse is deemed a ________ patient.


A) Priority 0
B) Priority 1
C) Priority 2
D) Priority 3

E) None of the above
F) A) and D)

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You are on the scene of a church bus roll-over collision.There are 30 passengers involved.As triage officer,which one of the following patients should you assign the highest priority?


A) 30-year-old man with multiple lower extremity fractures who is awake, has a strong radial pulse, and is complaining of severe pain
B) 35-year-old pregnant woman with a cut on her head, neck pain, and numbness and tingling in her arms
C) 70-year-old woman who is awake but having difficulty breathing and has absent lung sounds on the right side
D) Unresponsive 9-year-old male with an open skull fracture who is in cardiac arrest

E) All of the above
F) None of the above

Correct Answer

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You are beginning triage at the scene of a mass-casualty incident in which a commuter train has derailed.Which of the following should you do first?


A) Do a quick pulse check on all patients at the scene.
B) Identify all Priority 1 patients.
C) Announce that everyone who can get up and walk needs to go to the parking lot of a nearby building.
D) Check the airway status of all patients who do not appear to be moving.

E) C) and D)
F) A) and B)

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