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42) 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
Objective: 37.10
43) ICS systems recognize that the manageable span of control is:
A) 6 people.
B) 12 people.
C) 18 people.
D) 24 people.
Objective: 37.10
21
44) 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.
Objective: 37.10
45) 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
Objective: 37.11
22
46) You are on the scene of a mass-casualty incident in which the grandstand at a race track has
collapsed. As the triage officer, you have encountered a 14-year-old male whose leg has been
amputated above the knee. He is responsive to verbal stimuli, and he has an open airway, shallow
rapid breathing, and a weak, rapid carotid pulse. This patient would be classified as a Priority
________ for treatment and transport.
A) 2
B) 3
C) 1
D) 4
Objective: 37.11
47) Simple Triage and Rapid Treatment (START) is a system that relies on some simple
commands and what three physiologic parameters?
A) Respiration, pain, and mental status
B) Circulation, sensory, and motor status
C) Respiration, sensory, and motor status
D) Respiration, pulse, and mental status
Objective: 37.11
23
48) With START triage, when you arrive on the scene you ask all the patients who can walk to
move to one area. These patients are categorized as:
A) yellow tagged.
B) Priority 3 walking wounded.
C) red tagged.
D) Priority 4 walking wounded.
Objective: 37.11
49) 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 have 5 patients. Your closest unit is 30 minutes away.
Triage this patient based on this scenario:
Patient #1 is a 16-year-old female with the following vital signs: respirations 28, pulse 132, and
altered mental status with cool clammy skin.
A) Priority 3, green tag
B) Priority 4, black tag
C) Priority 1, red tag
D) Priority 2, yellow tag
Objective: 37.11
24
50) 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
Objective: 37.11
51) 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
Objective: 37.11
25
52) 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 #4 is a 13-year-old female with the following vital signs: respirations 8, pulse 124, and
nonresponsive with blood from the ears and nose.
A) Priority 3, green tag
B) Priority 4, black tag
C) Priority 1, red tag
D) Priority 2, yellow tag
Objective: 37.11
53) 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 #5 is a 17-year-old male with the following vital signs: respirations 18, pulse 104, alert,
crying, and wanting his mother; he is ambulatory.
A) Priority 2, yellow tag
B) Priority 3, green tag
C) Priority 1, red tag
D) Priority 4, black tag
Objective: 37.11
26
