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Regarding "burnout" and the Emergency Medical Services, which statement is most accurate?


A) Employers are required to have a written plan addressing EMT burnout.
B) Burnout can diminish an EMT's ability to provide competent care.
C) Research indicates that burnout affects all EMS personnel within a five-year period.
D) Burnout often tends to resolve on its own over time.

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

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As EMTs leave a house where the patient refused care, a panicked boy approaches them and states that some men just shot his friend in a house two doors up the street. Their immediate action would be:


A) instruct the boy to carry the patient from the house to the yard.
B) gather basic equipment and go to the home to care for the patient.
C) notify dispatch and proceed to the home to care for the patient.
D) contact the police and move the ambulance from the immediate area.

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

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As an EMT, you would recognize which of the following as holding the greatest potential for causing emotional stress?


A) Lifting and moving an obese patient from a second-floor bedroom
B) Being required to show up for a shift 15 minutes prior to its start
C) Caring for a child whose parents have appeared to have neglected him
D) Providing care for many patients over the course of a shift

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

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You and your partner were among several rescuers on a call involving a house fire in which a 4-year-old girl died. That night, your partner states that he did not sleep well and is extremely bothered by the little girl's death. The next day he calls you and states that he is so upset that he is now having chest pain. Your response would be:


A) "Why don't you request a week off of work to get things sorted out."
B) "Maybe you should get an appointment with a behavioral health professional."
C) "Perhaps we need to have a critical incident stress debriefing so we can all talk."
D) "You really need to get yourself to the emergency department to get checked out."

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

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You are attempting to increase your cardiovascular endurance in an effort to better perform your job as an EMT. Which of the following would be most appropriate in working toward this goal?


A) Increasing sleep to 8 to 10 hours a day
B) Weight lifting with attention to the upper body
C) Walking on a treadmill 3 to 4 times a week
D) Stretching exercises every 4 hours while awake

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

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Which one of the following organisms is classified as multi-drug resistant?


A) Methicillin/oxacillin-resistant Staphylococcus aureus
B) Hepatitis B and hepatitis C viruses
C) Human Immunodeficiency virus (HIV)
D) Acquired immunodeficiency syndrome (AIDS)

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

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You are transporting a 58-year-old female suffering from terminal breast cancer. While in the ambulance, she becomes tearful and repeatedly asks, "Why me?" As a knowledgeable EMT, you recognize that she is in what stage of grieving?


A) Anger
B) Denial
C) Bargaining
D) Depression

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

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A coworker is suffering from post-traumatic stress. Which one of the following statements is most appropriate and beneficial to the coworker?


A) "It would be best to take a few weeks off from work."
B) "Maybe you can get the medical director to write a prescription for some medication."
C) "I think that it would be best if you saw a mental health professional."
D) "How about taking a Benadryl before bed to promote restful sleep?"

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

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C

A coworker is constantly tired and asks you for advice on how to better sleep after a busy night shift. Which of the following responses would best address this situation?


A) "A small amount of alcohol can be relaxing and effective in helping you to sleep."
B) "Try to make your bedroom dark and keep the temperature cool."
C) "Research has shown that exercising prior to bed helps you fall asleep faster."
D) "Try eating a meal before going to bed since digestion makes you drowsy."

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

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The hospital staff has just returned the long spine board you used to immobilize a patient from a minor motor vehicle collision. There is no blood on the board, but your service policy states that all equipment is to be disinfected any time that it is used. To properly disinfect the long spine board, what should you use?


A) Soap and water
B) Sterilizing solution
C) Germicidal solution
D) Superheated steam

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

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C

Organisms that cause diseases are correctly called:


A) pathogens.
B) toxins.
C) antigens.
D) antibodies.

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

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A patient with terminal lung cancer has called EMS for shortness of breath. At the request of your paramedic partner, you are getting the patient's blood pressure. While inflating and then deflating the blood pressure cuff, the patient angrily shouts, "That thing is too tight … what are you trying to do, send me to the funeral home a couple of weeks early!" Your best reply would be:


A) "I have to get your blood pressure. The paramedic needs it."
B) "Why are you so mad at me? I am just trying to help you."
C) "I know that this is tight. I am just about done now."
D) "Do not yell at me. There is no need for yelling and I do not appreciate it."

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

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For your safety and that of your crew, you should:


A) request police assistance on all calls.
B) search each and every patient for weapons.
C) evaluate every scene for dangers before entering.
D) ensure the availability of a paramedic for most medical calls.

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

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The major primary threat to a person with acquired immune deficiency syndrome (AIDS) is:


A) infection.
B) organ damage.
C) heart failure.
D) weight loss.

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

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You have been called to transport a patient from one medical facility to another. The patient has vancomycin-resistant enterococci (VRE) , but does not have any open wounds and is medically stable. Which one of the following is most appropriate?


A) Place a surgical mask on the patient.
B) Place a surgical mask on the patient and yourself.
C) Use an N-95 respirator or HEPA mask.
D) Use the appropriate personal protective equipment (PPE) .

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

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If you have questions regarding the steps to take when exposed to an infectious disease, your best resource would be:


A) The department of Health and Human Services.
B) Your service's written exposure control plan.
C) Your service's medical director.
D) Your primary care physician or ED physician.

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

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An EMT is correct when he describes a communicable disease as:


A) any of a number of diseases that are deadly once contracted.
B) a disease that can be spread from one person to another.
C) any disease that is caused and spread by a viral agent.
D) a disease for which no immunization or treatment exists.

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

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A patient informs you that he was recently diagnosed with the human immunodeficiency virus (HIV) , but has yet to develop AIDS. Which one of the following statements is true?


A) Until the patient develops AIDS, he is not infectious.
B) Family members should not share his hand towels or utensils.
C) The hepatitis B and C vaccines provide the EMT limited protection from transmission.
D) Gloves will be enough protection unless body fluids are present.

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

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D

Which one of the following statements made by an EMT shows that he has an accurate understanding of hepatitis C?


A) "It is important to get the hepatitis C vaccine to decrease my chance of contracting the disease if exposed."
B) "Wearing gloves and washing hands are the best means by which to prevent the transmission of hepatitis C to health care workers."
C) "Since hepatitis C is primarily transmitted in the spring and summer, more precautions are needed during that time."
D) "Respiratory droplets are the primary means by which hepatitis C is transmitted, making a mask necessary."

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

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A tornado ripped through a small town, killing five and seriously injuring 21, including several young children. At a defusing session, which one of the following is most appropriate?


A) Allow the rescuers to vent their emotions.
B) Evaluate and critique the rescue effort.
C) Provide information on stress reduction techniques.
D) Have a mental heath professional talk with the rescuers.

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

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