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33) Who assumes the ultimate responsibility for patient care rendered by the EMT?
A) EMS supervisor
B) EMT
C) Director of quality assurance
D) Medical Director
Objective: 1.12
34) The application of oxygen for a patient who is short of breath without having to contact the
physician in the emergency department is an example of which of the following?
A) On-line medical direction
B) Standards of care
C) Standing orders
D) Breach of duty
Objective: 1.12
17
35) Which of the following BEST describes a list of steps the EMT should perform while
assessing and managing emergency medical situations?
A) Standing orders
B) On-line medical direction
C) Protocols
D) Standard operating procedures
Objective: 1.12
36) A written authorization for an EMS provider to perform a particular skill in a specific
situation is a(n):
A) on-line protocol.
B) standard of care.
C) direct medical order.
D) standing order.
Objective: 1.12
18
37) You and another new EMT are studying your local protocols. The other EMT notices that
you may give oral glucose without utilizing on-line medical control, but you must get an on-line
order from a physician before assisting a patient in taking his nitroglycerin for chest pain. The
EMT asks you why some drugs require on-line medical control while others do not. What is the
best answer to give him?
A) Glucose is only sugar so it cannot hurt the patient.
B) The physician does not trust EMTs.
C) The patient's nitroglycerin might be expired.
D) The physician wants to be sure it is appropriate for the patient.
Objective: 1.12
38) You respond to a 35-year-old male patient who fell 50 feet from a bluff. Your authority to
provide emergency care is an extension of the Medical Director's license to practice medicine.
You are acting as a(n) ________ of the Medical Director.
A) subordinate
B) employee
C) designated agent
D) extension
Objective: 1.12
19
39) A fellow EMT is talking with the Medical Director at a staff meeting. The EMT states that
the neighboring ambulance service is carrying special clotting bandages for serious bleeding
wounds. The special bandages cost five times as much as the regular bandages, but the EMT
claims they work ten times better. The EMT wants the Medical Director to approve the bandages
for use in their ambulances. The Medical Director responds to the EMT by saying he will not
approve the bandages until he can prove they are worth the additional cost. How can the EMT
best prove the worth of the special bandages?
A) Have a member of the other ambulance service call the Medical Director to provide firsthand
information on how the special bandages are much better.
B) Call the manufacturer of the special bandage and request literature to give to the Medical
Director.
C) Perform a literature search to see what studies have been done on the special bandages and
report the findings to the Medical Director.
D) Order a small number of the special bandages and compare them side-by-side to the regular
bandages.
Objective: 1.13
40) You and your EMT partner are assigned to spend a day at the senior center where you are to
inspect the rooms and common areas for fall hazards. Your partner is upset that he is not in the
ambulance where the "action is." He complains that "looking for loose rugs" is a waste of his
time. What would be the best response to his complaints?
A) It is good practice for the next emergency call.
B) It makes the taxpayers happy.
C) Injury prevention in the community is an important component of EMS.
D) It minimizes the number of 911 calls late at night.
Objective: 1.14
20
41) You and your new EMT partner arrive first on the scene of a single car rollover on the
shoulder of a busy highway. You pull off in a safe location and just as you stop the ambulance,
your partner throws the passenger door open, steps out of the truck, and begins jogging through
the scattered debris toward the overturned car. You shout for him to stop and he looks back at
you, but then continues to the vehicle and begins assessing the driver. Later, as you are
restocking in the ambulance bay of the local trauma center your partner tells you that he thinks
you acted unprofessionally by shouting at him. What is the best way to respond?
A) Shouting was an attempt to protect the EMT from a potentially unsafe scene.
B) New EMTs should expect partners to yell at them occasionally.
C) The On-Duty Supervisor should be called.
D) An EMT should never hurry to assist a patient.
Objective: 1.15
21
