2013 Integrity Ambulance Service, LLC
Standing Orders EMT-Basic (EMT) Pretest
Note: The pretest is not inclusive of the questions and content of the written test. You as the provider
are responsible for all material contained within the appropriate Standing Orders Training Manual.
Name:
Date:
Airway Management:
1. Intubation is no longer in the Scope of Practice for EMT-Basics.
A. True
B. False
2. Supraglottic airways, which includes Laryngeal Mask Airways (LMAs) are acceptable airway
management devices for EMT-Bs.
A. True
B. False
3. List the following O2 stipulations for Airway Maintenance:
A. Patient with COPD:
B. Other patients:
C. Severe trauma patients, distressed cardiac patients, patients with respiratory distress,
and other patients who need high flow O2:
4. If a foreign body is seen in the mouth you should:
Medication Administration and Drug Bag
5. Any EMS provider; including First Responders, can witness drug wastage.
A. True
B. False
Pediatrics
6. When assessing pediatric patients, how should you determine what the child’s “normal” vital
sign ranges should be?
Trauma Triage and Trauma Care
7. Describe updated procedures for bleeding control:
1.
2. ___________________________________
8. List who can initiate Selective Spinal Immobilization Protocol
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9. What information is the receiving trauma center expecting to get from an EMS provider
when giving verbal report on a trauma patient?
A.
B.
C.
D.
E.
10. The only procedures that should take precedence to transport of major trauma patients
are:
1.
2.
3.
4.
Cardiac Emergencies, BLS and Advanced Directives
11. An AED should only be used if it is programmed for AHA guidelines
1. True
2. False
12-25. Fill in the following chart per the 2010 AHA CPR Guidelines:
ADULTS
CHILDREN
At Least
Inches
½ Depth
Of Chest
(About ”)
INFANTS
NEWBORNS
CPR ORDER
COMPRESSION
DEPTH
COMPRESSION
RATE
COMPRESSION
NOTES
COMPRESSION TO
BREATHS RATIO
ADVANCED AIRWAY
RESCUE
BREATHING
at least
Depth Of Chest
(About
“)
per minute
/MIN
Minimize interruptions in chest compressions
Attempt to limit interruptions to <
seconds
:
:
1 Person CPR
1 OR 2
:
2 Person CPR
Person CPR
breath every
seconds
( breaths/min.)
About 1 sec per breath duration
No interruptions for compressions
1 breath every
seconds
( breaths/min)
1 breath every seconds
( - breaths/min)
:
breaths /min.
-
breaths/min
2
Chest Pain, MI, CVA
26. What is the aspirin dose for an adult? (Over 25 years) _______________
27. What is the aspirin dose for an adolescent? (Between 18 and 25 years) ____________
28. How is Nitro supplied in the drug bag? ____________
29. Describe nitro dosing, precautions and restrictions per the protocols:
OB, GYN, Newborn Resuscitation
30. APGAR is to be completed at ____ and ____ minutes after birth.
31. When transporting a pregnant patient, what are the guidelines for deciding whether to transport to
the ED or to a maternity department?
Other Medical
32. You are called for a 22 year old male who has a hx sting reactions. He was cleaning out gutters
and was stung on his hand several times by wasps. His hand is markedly swollen and he has
developed severe respiratory distress. He says has a prescription for an “injector” but never had it
filled. Describe your interventions:
33. List the H’s and T’s of Trauma/Cardiac Arrest and possible ways to manage such in the pre-hospital
environment:
34. Field Termination may be initiated for any age patient
True _____ False _____
35. If no ALS is available, the EMT may call Med Control to request field termination orders, even if
the transport is less than 5 minutes
True _____ False _____
36. You are dispatched for a 48 year old male. His wife states that she went to the grocery, and upon
return, found him to have left sided weakness and slurred speech. His pupils are equal and
reactive to light. He follows commands, but cannot grip with his left hand. He is aphasic
(abnormal) and drooling. Wife denies allergies. His only history is HTN. What items must
accompany the patient to the hospital?
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37. Which of the following DNR orders can you accept?
a. Hospital-based form with physician signature
b. Ohio DNR form (with logo) without patient address/signature
c. DNR form drafted by patient’s lawyer and notarized
d. Tattoo on chest “Do Not Resuscitate”
38. In the Integrity Protocol books, pediatric guidelines are:
a. Bulleted with a “P”
b. Written in Pink
c. Highlighted in Gray
d. A and C
39. Integrity Protocols are only to be used during transports to the ER/ED
True _____ False _____
40. When accepting a Newborn under Safe Harbor guidelines, what history should be obtained?
41. You MUST fully immobilize any patient that has had a traumatic event inside of how many hours?
42. The portions of the C.H.A.R.T. method are what?
C–
H–
A–
R–
T–
43. You should place the Green seal from the drug bag back in the bag before resealing after use:
True _____ False _____
44. How many NTG can an EMT assist the patient administering without medical control direction?
45. For pediatric patients, how does ventilation change in the presence of signs of cerebral herniation?
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