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42) Which safety device prevents car doors from opening during a collision?
A) Safety lock
B) Nader jam
C) Nader pin
D) Safety pin
Objective: 38.6
43) You are managing a patient who is being extricated from a vehicle by a rescue crew using
hydraulic tools. Which of the following items should you use in order to protect your patient
during the extrication process?
A) Short spine board to prevent debris from contacting the patient
B) Wool blanket to protect the patient from broken glass
C) Oxygen mask to prevent inhalation of noxious fumes
D) Aluminized rescue blanket to protect the patient from sharp edges
Objective: 38.6
19
44) You are assessing a patient in the front seat of a vehicle that was involved in a head-on
collision. As you examine the interior of the vehicle, you notice the air bags have not deployed.
What action should you take in order to render the scene safe to work?
A) Disconnect the battery and wait 2 minutes before entering the vehicle.
B) Disconnect the battery and continue assessing the patient.
C) Turn the ignition to the "off" position and wait 2 minutes before entering the vehicle.
D) Use a long spine board to shield yourself from the undeployed air bag.
Objective: 38.6
45) Stabilizing a vehicle is unnecessary when a vehicle is on its roof with:
A) all roof supports collapsed.
B) the trunk lid in contact with the ground.
C) the front edge of the hood in contact with the ground.
D) the vehicle horizontal and resting entirely on the roof.
Objective: 38.6
20
46) You respond to the scene of a motor vehicle collision involving a small pickup truck that
struck the rear of a moving tractor-trailer. The driver of the tractor-trailer is walking around and
complains of neck pain. The driver of the pickup truck is conscious, but cannot exit the vehicle
because the door is stuck and the steering wheel is displaced onto his lap. The passenger of the
pickup truck is sitting upright in the passenger seat, is unconscious, but has radial pulses. Access
to the passenger is not obstructed. A fourth patient, who was sitting in the pickup truck bed, is
found about 10 feet away and responds to commands appropriately. Assuming your ambulance is
the only emergency vehicle on the scene currently, which of the following patients should be
packaged for transport first by the next arriving ambulance?
A) Tractor trailer driver
B) Pickup truck driver
C) Passenger in the pickup truck's front seat
D) Passenger ejected from the pickup truck bed
Objective: 38.6
47) Which of the following is a reason that the vehicle doors are removed to extricate the patient
rather than pulling the patient through an open window?
A) To avoid criticism from bystanders
B) To avoid being cut by glass
C) To allow for proper spinal immobilization
D) To make the interior of the vehicle less accessible
Objective: 38.6
21
48) An unresponsive patient is found sitting in the front seat of a vehicle with his legs pinned
under the dash. Once his legs have been freed, which of the following methods should be used
for removal of the patient?
A) Rapid take-down
B) Rapid extrication technique
C) Scoop stretcher
D) Quick extraction
Objective: 38.6
49) Which of the following is an advantage of removing the roof of a vehicle that has sustained
major damage in a collision?
A) It makes the entire interior of the vehicle accessible.
B) The EMT can better access the patients.
C) It creates a large exit through which to remove the patient.
D) All of the above
Objective: 38.6
22
50) Once access to the patient is gained, which of the following is the next goal during an auto
extrication?
A) Disentanglement of the patient
B) Primary assessment and rapid trauma exam
C) Stabilization of the vehicle
D) Extrication of the patient from the vehicle
Objective: 38.6
51) Which of the following is the EMT's key role at the scene of an auto extrication?
A) Rescue technician
B) Patient advocate
C) Safety officer
D) Incident commander
Objective: 38.6
23
52) Upon arrival at the scene of a motor vehicle collision, you find a vehicle that is on fire. The
fire is confined to the engine compartment and the hood is tightly closed. Of the following,
which is the BEST course of action?
A) Use a long-handled pry-bar to open the hood and put out the fire with a fire extinguisher.
B) Let the fire burn and concentrate on extricating the patient.
C) Wet the interior of the vehicle to keep the fire from spreading.
D) Discharge a dry chemical fire extinguisher onto the patient's clothing to protect him from the
fire.
Objective: 38.6
53) Which of the following is the rule of thumb for determining the stability of a vehicle that has
been involved in a collision?
A) It should only be considered stable after assessment by trained rescue personnel.
B) It is stable if the transmission is in "Park" or the parking brake is on.
C) It is stable if it is upright on all four wheels.
D) It is stable if the ignition is turned off.
Objective: 38.6
24
54) Which of the following methods should the EMT use first to attempt to access a patient in a
vehicle while awaiting arrival of a rescue crew?
A) Use a pry-bar to release the Nader pin in the door latch.
B) Try all of the vehicle's doors to see if they will open.
C) Use a heavy tool to break the window closest to the patient.
D) Use a spring-loaded punch to break the rear window.
Objective: 38.6
55) Which of the following describes vehicle glass that is designed to break into small pieces
rather than shattering into sharp fragments?
A) Tempered glass
B) Plexiglas
C) Leaded glass
D) Alloy glass
Objective: 38.6
25
56) On arrival at a vehicle collision, you observe a small fire in the engine compartment. A
bystander is attempting to smother the fire with a jacket as you approach with an A-B-C
extinguisher from your ambulance. Which of the following is the BEST method of extinguishing
the fire?
A) Sweep the nozzle of the extinguisher left and right using short bursts until you are out of
extinguishing agent.
B) Aim at the base of the fire and use short bursts until the fire is out.
C) Close the hood to contain the fire within the engine compartment.
D) Aim the nozzle to the side of the fire and, with a sweeping motion, push the fire at its base.
Objective: 38.6
57) When attempting to extinguish a fire inside the passenger compartment, it is important to:
A) use the extinguishing agent sparingly to avoid creating a cloud of powder.
B) apply the extinguishing agent liberally to speed up the extinguishing process.
C) aim the nozzle of the extinguisher away from the patient to avoid hitting the patient.
D) resist the urge to extinguish the fire and focus on extricating any patients.
Objective: 38.6
26
