Firefighter I
Basic Pre-Hospital Emergency Medical Care for Firefighters
Chapter 21 Test
Name:
Date:
Directions: Write the correct letter on the blank before each question.
Objective 1:
Discuss the importance of body substance isolation (BSI).
________
1.
Which body fluids must be considered infectious? (1004)
A.
B.
C.
D.
________
2.
All body fluids
Those from known drug users
Those from patients with hepatitis or AIDS
Those from patients at a high risk for diseases
Which of the following is a requirement of employers regarding BSI?
(1004)
A.
B.
C.
D.
Employers must develop a written exposure control plan.
Employers must compensate employees who are exposed to
dangerous diseases.
Employers must ensure that employees are notified when a
patient is confirmed to be infectious.
Employers must do their best to keep their employees from
being exposed to pathogens.
Objective 2:
Describe the components of personal protective equipment.
________
3.
Which of the following types of gloves are NOT considered safe
whenever there is the potential for contact with blood or other body
fluids? (1005)
A.
B.
C.
D.
Fire Protection Publications
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Vinyl
Latex
Leather
Synthetic
Chapter Test
21-1
Firefighter I
________
Basic Pre-Hospital Emergency Medical Care for Firefighters
4.
In which of the following situations are alcohol-based hand cleaners
NOT considered effective? (1005-1006)
A.
B.
C.
D.
________
5.
After patient contact
After contact with blood
When hands are visibly soiled
After contact with body fluids of any kind
In cases where ___ is suspected, an N-95 or HEPA respirator should
be used. (1006)
A.
B.
C.
D.
HIV
AIDS
hepatitis
tuberculosis
Objective 3:
Discuss diseases of concern.
________
6.
Which disease of concern is an infection that causes an inflammation
of the liver? (1007)
A.
B.
C.
D.
________
7.
Which disease of concern results from the immune system being
attacked by HIV? (1008)
A.
B.
C.
D.
________
8.
AIDS
Hepatitis
West Nile
Tuberculosis
AIDS
SARS
Hepatitis
West Nile
Which disease of concern is a respiratory virus with symptoms that
include fever, dry cough, and difficulty breathing? (1009)
A.
B.
C.
D.
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SARS
AIDS
West Nile
Hepatitis
Chapter Test
21-2
Firefighter I
________
Basic Pre-Hospital Emergency Medical Care for Firefighters
9.
Which type of hepatitis is acquired through contact with stool?
(1007)
A.
B.
C.
D.
________ 10.
A
B
C
Delta
Which type of hepatitis has been found to live for many days in dried
blood spills? (1007)
A.
B.
C.
D.
________ 11.
Hepatitis
Hepatitis
Hepatitis
Hepatitis
Hepatitis
Hepatitis
Hepatitis
Hepatitis
A
B
C
Delta
Which of the following diseases of concern causes the LEAST risk to
health-care workers? (1008)
A.
B.
C.
D.
AIDS
Hepatitis A
Hepatitis B
Tuberculosis
Objective 4:
Describe laws that relate to infection control.
________ 12.
Which law mandates a procedure by which emergency response
personnel can seek to find out if they have been exposed to
potentially life-threatening diseases while providing patient care?
(1010-1011)
A.
B.
C.
D.
________ 13.
Ryan White CARE Act
Hepatitis Exposure Requirement
Tuberculosis Compliance Mandate
Occupational Exposure to Bloodborne Pathogens
Which of the following is NOT required of employers by the
Occupational Exposure to Bloodborne Pathogens standard? (1010)
A.
B.
C.
D.
Fire Protection Publications
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Training
Vaccinations
Protective equipment
Post-traumatic stress counseling
Chapter Test
21-3
Firefighter I
________ 14.
Basic Pre-Hospital Emergency Medical Care for Firefighters
The Ryan White CARE Act requires every state’s public health officer
to designate an official within every emergency response
organization to act as a: (1011)
A.
B.
C.
D.
________ 15.
safety officer.
health officer.
designated officer.
accountability officer.
Which of the following is NOT a sign and symptom of tuberculosis?
(1013)
A.
B.
C.
D.
Weight loss
Bloody stool
Productive cough
Lethargy and weakness
Objective 5:
Explain the importance of immunizations.
________ 16.
Which of the following does NOT currently have an immunization?
(1014)
A.
B.
C.
D.
________ 17.
Mumps
Measles
Hepatitis B
Tuberculosis
Which of the following immunizations is usually made available
through the fire department or local health department? (1014)
A.
B.
C.
D.
West Nile
Hepatitis B
Hepatitis C
Tuberculosis
Objective 6:
Describe the physiological aspects of stress.
________ 18.
Which is the first stage of the body’s response to stress? (1015)
A.
B.
C.
D.
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Exhaustion
Completion
Alarm reaction
Stage of resistance
Chapter Test
21-4
Firefighter I
________ 19.
Basic Pre-Hospital Emergency Medical Care for Firefighters
In which stage of general adaptation syndrome does the sympathetic
nervous system increase in activity in what is known as the “fight or
flight” syndrome? (1015)
A.
B.
C.
D.
________ 20.
Exhaustion
Completion
Alarm reaction
Stage of resistance
At which stage of general adaptation syndrome does the body’s
systems return to normal functioning? (1015)
A.
B.
C.
D.
Exhaustion
Completion
Alarm reaction
Stage of resistance
Objective 7:
Describe types of stress reactions.
________ 21.
Which type of stress reaction is often linked to catastrophes? (1015)
A.
B.
C.
D.
________ 22.
Acute stress reaction
Delayed stress reaction
Cumulative stress reaction
Cataclysmic stress reaction
Which type of stress reaction is not triggered by a single critical
incident, but from sustained, recurring low-level stressors? (1016)
A.
B.
C.
D.
Acute stress reaction
Delayed stress reaction
Cumulative stress reaction
Cataclysmic stress reaction
Objective 8:
Summarize causes of stress.
________ 23.
Which of the following statements about the causes of stress is
LEAST accurate? (1017)
A.
B.
C.
D.
Fire Protection Publications
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Stress is often caused by no reason at all.
Multiple-casualty incidents can cause stress.
Personal problems can lead to stress on the job.
Stress does not occur after one incident, only from a
combination of factors.
Chapter Test
21-5
Firefighter I
Basic Pre-Hospital Emergency Medical Care for Firefighters
Objective 9:
List signs and symptoms of stress.
________ 24.
Which type of stress is a positive form that helps people work under
pressure? (1017)
A.
B.
C.
D.
________ 25.
Eustress
Distress
Acute stress
Delayed stress
Which type of stress is negative and can happen when the stress of a
scene becomes overwhelming? (1017-1018)
A.
B.
C.
D.
Eustress
Distress
Acute stress
Delayed stress
Objective 10:
Explain various ways to deal with stress.
________ 26.
Which of the following is NOT a way to deal with stress? (1018)
A.
B.
C.
D.
Exercise.
Devote time to relaxing.
Increase consumption of alcohol and caffeine.
Avoid fatty foods and increase carbohydrate intake.
Objective 11:
Describe scene safety considerations at hazardous materials
incidents and rescue operations.
________ 27.
What is the primary rule at a hazardous materials incident? (1018)
A.
B.
C.
D.
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Maintain a safe distance from the source of the hazardous
material.
Take whatever actions are necessary to stop the leak of the
hazardous material.
Do not respond to hazardous materials incidents until a haz mat
team is on scene.
Maintain close contact with the source of the hazardous material
in order to determine what is inside.
Chapter Test
21-6
Firefighter I
________ 28.
Basic Pre-Hospital Emergency Medical Care for Firefighters
Which of the following provides important information about the
properties of dangerous substances and should be placed in every
vehicle that responds to a hazardous materials incident? (1018)
A.
B.
C.
D.
Emergency Response Guidebook
Introduction to Hazardous Materials
Hazardous Materials for First Responders
Managing the Hazardous Materials Incident
Objective 12:
Describe actions required when responding to scenes involving
violent or dangerous situations.
________ 29.
Which of the following is NOT an action required when responding to
a scene involving violent or dangerous situations? (1019)
A.
B.
C.
D.
________ 30.
Which of the following should be observed at a scene involving
violent or dangerous situations? (1020-1021)
A.
B.
C.
D.
________ 31.
Act
Plan
React
Observe
Number of pedestrians
Small children
The neighborhood
The ethnicity of bystanders
Which of the following is NOT one of the three “R’s” of reacting to a
scene involving violent or dangerous situations? (1021)
A.
B.
C.
D.
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Radio
Retreat
Respond
Reevaluate
Chapter Test
21-7
Firefighter I
Basic Pre-Hospital Emergency Medical Care for Firefighters
Objective 13:
Discuss the circulatory system.
________ 32.
Which of the following is the purpose of the circulatory system?
(1022)
A.
B.
C.
D.
________ 33.
Which parts of the circulatory system allow for the exchange of
gases and nutrients between the blood and the cells of the body?
(1023)
A.
B.
C.
D.
________ 34.
left
right
upper
lower
A pulse is an indication of the wave of blood sent through the ___
when the heart pumps. (1024)
A.
B.
C.
D.
________ 36.
Veins
Arteries
Capillaries
Blood vessels
The ___ side of the heart receives oxygenated blood from the lungs
and pumps it to all parts of the body. (1023)
A.
B.
C.
D.
________ 35.
It removes wastes from the organs.
It delivers oxygen and nutrients to the body’s tissues.
It circulates oxygenated air between the upper and lower
airways.
It is responsible for delivering electronic responses from the
brain through the spinal cord.
veins
arteries
capillaries
blood vessels
If a patient is clinically dead for ___ minutes, brain cells begin to die.
(1024)
A.
B.
C.
D.
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1
2
4
8
to
to
to
to
2
4
6
10
Chapter Test
21-8
Firefighter I
Basic Pre-Hospital Emergency Medical Care for Firefighters
Objective 14:
List the links in the chain of survival.
________ 37.
Which of the following is NOT a link in the chain of survival? (1024)
A.
B.
C.
D.
Early
Early
Early
Early
CPR
access
basic care
defibrillation
Objective 15:
Explain actions to be taken before resuscitation.
________ 38.
Which of the following is NOT a part of the assessment of a patient?
(1025-1027)
A.
B.
C.
D.
________ 39.
Jaw-thrust
Head-thrust
Head-tilt, chin-lift
Chin-tilt, head-lift
After activating EMS, what should be done next? (1027)
A.
B.
C.
D.
________ 41.
pulselessness.
breathlessness.
unresponsiveness.
pulmonary responsiveness.
Which maneuver is most commonly used to open the airway of an
unconscious patient with suspected head, neck, or spinal injuries?
(1029)
A.
B.
C.
D.
________ 40.
Determine
Determine
Determine
Determine
Open the airway.
Assess the patient.
Position the patient.
Perform rescue breathing.
When performing the head-tilt, chin-lift maneuver, tilt the head by
applying gentle pressure to the patient’s: (1028)
A.
B.
C.
D.
Fire Protection Publications
Oklahoma State University
chin.
ears.
jaw.
forehead.
Chapter Test
21-9
Firefighter I
Basic Pre-Hospital Emergency Medical Care for Firefighters
Objective 16:
Discuss rescue breathing.
________ 42.
What is the ventilation duration on an adult patient? (1030)
A.
B.
C.
D.
________ 43.
What is the ventilation rate on a child patient? (1030)
A.
B.
C.
D.
________ 44.
1/second
2/second
3/second
4/second
6-10 breaths/minute
10-12 breaths/minute
12-20 breaths/minute
15-25 breaths/minute
Improper rescue breathing can cause: (1030)
A.
B.
C.
D.
internal bleeding.
gastric distention.
tracheal disturbance.
pulmonary expansion.
Objective 17:
Describe the steps of cardiopulmonary resuscitation (CPR).
________ 45.
Which of the following is the FIRST step of CPR? (1031)
A.
B.
C.
D.
________ 46.
Check for circulation.
Perform rescue breathing.
Provide chest compressions.
Check for airway obstructions.
You should NEVER initiate CPR on any adult who has: (1032)
A.
B.
C.
D.
Fire Protection Publications
Oklahoma State University
a pulse.
a head trauma.
irregular breathing.
spontaneous circulation.
Chapter Test
21-10
Firefighter I
________ 47.
Basic Pre-Hospital Emergency Medical Care for Firefighters
Which of the following is NOT a rule for providing chest
compressions? (1032)
A.
B.
C.
D.
________ 48.
Keep your elbows bent.
Deliver compressions straight down.
Place shoulders directly over your hands.
Fully release pressure on the patient’s sternum without lifting
hands from patient.
When joining CPR in progress, allow the first rescuer to complete a
cycle of: (1033)
A.
B.
C.
D.
15
15
30
30
compressions
compressions
compressions
compressions
and
and
and
and
1
2
1
2
ventilation.
ventilations.
ventilation.
ventilations.
Objective 18:
Describe the CPR techniques for an infant patient.
________ 49.
What ages are considered an infant patient? (1035)
A.
B.
C.
D.
________ 50.
What is the compression rate for a newborn? (1036)
A.
B.
C.
D.
________ 51.
Birth-1 year
Birth-2 years
1-2 years
1-3 years
80/minute
100/minute
120/minute
150/minute
What is the compressions-to-ventilations ratio for a newborn? (1036)
A.
B.
C.
D.
Fire Protection Publications
Oklahoma State University
3:1
15:2
30:1
30:2
Chapter Test
21-11
Firefighter I
Basic Pre-Hospital Emergency Medical Care for Firefighters
Objective 19:
Describe the CPR techniques for a child patient.
________ 52.
What ages are considered a child patient? (1036)
A.
B.
C.
D.
________ 53.
What is the compression depth for a child patient? (1036)
A.
B.
C.
D.
________ 54.
Birth-1 year
1-3 years
1-8 years
1 year - puberty
1/3 to ½ depth of chest
½ to ¾ depth of chest
1½ to 2 inches
2 to 4 inches
When working alone on a child patient, call 9-1-1 after: (1036)
A.
B.
C.
D.
2 minutes of resuscitation.
5 minutes of resuscitation.
determining pulselessness.
determining unresponsiveness.
Objective 20:
Describe the CPR techniques for an adult patient.
________ 55.
What is the compression depth for an adult patient? (1036)
A.
B.
C.
D.
________ 56.
What is the compression rate for an adult patient? (1036)
A.
B.
C.
D.
________ 57.
1/3 to ½ depth of chest
½ to ¾ depth of chest
1½ to 2 inches
2 to 4 inches
80/minute
100/minute
120/minute
150/minute
Where is the pulse check location for an adult patient? (1036)
A.
B.
C.
D.
Fire Protection Publications
Oklahoma State University
Radial artery
Brachial artery
Carotid artery
Femoral artery
Chapter Test
21-12
Firefighter I
Basic Pre-Hospital Emergency Medical Care for Firefighters
Objective 21:
Discuss indications of effective CPR and when CPR may be
interrupted.
________ 58.
Which of the following is NOT an indication of effective CPR? (10351036)
A.
B.
C.
D.
________ 59.
Carotid pulse
Dilated pupils
Exhalation of air
Spontaneous heartbeat
Which of the following is NOT a reason to interrupt CPR? (1036)
A.
B.
C.
D.
To
To
To
To
allow for defibrillation
move patient onto a stretcher
suction vomitus or airway obstructions
move patient to a more convenient location
Objective 22:
Summarize when not to begin or to terminate CPR.
________ 60.
Which of the following is a reason not to begin or to terminate CPR?
(1037)
A.
B.
C.
D.
________ 61.
Pulselessness
Constricted pupils
Obvious mortal wounds
Apnea
Which of the following is NOT a reason to stop CPR once you have
already started? (1037)
A.
B.
C.
D.
Fire Protection Publications
Oklahoma State University
Spontaneous circulation occurs
Another trained rescuer can take over
You receive a “no CPR” order from a physician
If you have been working alone for more than 10 minutes
Chapter Test
21-13
Firefighter I
Basic Pre-Hospital Emergency Medical Care for Firefighters
Objective 23:
Summarize actions taken when clearing an airway obstruction.
________ 62.
Which type of airway obstruction occurs if the patient can speak or
cough? (1038)
A.
B.
C.
D.
________ 63.
Which procedure should be used for an unconscious adult or child
with an airway obstruction? (1039)
A.
B.
C.
D.
________ 64.
Total
Partial
Severe
Complete
Chest thrusts
Perform CPR
Head-tilt, jaw-thrust
Series of 5 back blows and 5 chest thrusts
What procedure should be used for a conscious infant with an airway
obstruction? (1039)
A.
B.
C.
D.
Chest thrusts
Perform CPR
Abdominal thrusts
Series of 5 back blows and 5 chest thrusts
Objective 24:
Describe the main components of the circulatory system.
________ 65.
Which component of the circulatory system pumps blood? (1041)
A.
B.
C.
D.
________ 66.
Vein
Heart
Artery
Capillary
Which component of the circulatory system takes blood from the
arteries? (1041)
A.
B.
C.
D.
Fire Protection Publications
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Vein
Heart
Capillary
Blood vessel
Chapter Test
21-14
Firefighter I
Basic Pre-Hospital Emergency Medical Care for Firefighters
Objective 25:
Differentiate between arterial, venous, and capillary bleeding.
________ 67.
Which type of bleeding is bright red in color? (1042)
A.
B.
C.
D.
________ 68.
Which type of bleeding is usually somewhere between bright red and
dark red? (1043)
A.
B.
C.
D.
________ 69.
Arterial bleeding
Venous bleeding
Capillary bleeding
Pulmonary bleeding
Arterial bleeding
Venous bleeding
Capillary bleeding
Pulmonary bleeding
Which type of bleeding has a steady flow and is usually easy to
control? (1042)
A.
B.
C.
D.
Arterial bleeding
Venous bleeding
Capillary bleeding
Pulmonary bleeding
Objective 26:
Describe the steps for controlling external bleeding.
________ 70.
Which is the most common and effective way to control external
bleeding? (1044)
A.
B.
C.
D.
________ 71.
Elevation
Direct pressure
Pressure points
Prompt transport
When should pressure points be used? (1045)
A.
B.
C.
D.
Fire Protection Publications
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Only in cases of head injury
Only if alone and EMS services are not nearby
Before attempting direct pressure and elevation
Only after direct pressure and elevation have failed
Chapter Test
21-15
Firefighter I
________ 72.
Basic Pre-Hospital Emergency Medical Care for Firefighters
What should be done if cerebrospinal fluid is leaking from a patient’s
ears or nose? (1047-1048)
A.
B.
C.
D.
Allow the drainage to flow freely.
Provide suction of the leaking fluid.
Stop the leaking and bleeding immediately.
Apply direct pressure to the fleshy portion around the nostrils.
Objective 27:
Discuss internal bleeding.
________ 73.
Which of the following is NOT a sign of internal bleeding? (1049)
A.
B.
C.
D.
________ 74.
A tender or rigid abdomen
Painful or swollen extremities
Bruising or swelling over vital organs
Leaking of clear fluid from the nose or ears
Which of the following statements about internal bleeding is MOST
accurate? (1048)
A.
B.
C.
D.
Internal
Internal
Internal
Internal
bleeding
bleeding
bleeding
bleeding
most often occurs to the extremities.
is bleeding that occurs outside the body.
can easily be seen by trained professionals.
can be caused by blunt or penetrating trauma.
Objective 28:
Describe types of shock.
________ 75.
Which type of shock is the type most commonly seen by EMT-Bs?
(1051)
A.
B.
C.
D.
________ 76.
Shock
Cardiogenic shock
Hypovolemic shock
Neurogenic/vasodilatory shock
Which type of shock results from the uncontrolled dilation of blood
vessels due to nerve paralysis caused by spinal cord injuries? (1051)
A.
B.
C.
D.
Fire Protection Publications
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Shock
Cardiogenic shock
Hypovolemic shock
Neurogenic/vasodilatory shock
Chapter Test
21-16
Firefighter I
________ 77.
Basic Pre-Hospital Emergency Medical Care for Firefighters
Which type of shock may be caused by burns or crush injuries?
(1051)
A.
B.
C.
D.
Shock
Cardiogenic shock
Hypovolemic shock
Neurogenic/vasodilatory shock
Objective 29:
Describe the signs of shock.
________ 78.
Which sign of shock is caused by deprivation of oxygen? (1052)
A.
B.
C.
D.
________ 79.
Vital sign changes
Nausea and vomiting
Altered mental status
Pale, cool, clammy skin
When in shock, what will happen to vital signs? (1052)
A.
B.
C.
D.
Pulse and respirations decrease.
Respirations and blood pressure increase.
Blood pressure increases while the pulse decreases.
The pulse will increase while blood pressure decreases.
Objective 30:
Describe the steps for managing shock.
________ 80.
Which of the following is a step for managing shock? (1053)
A.
B.
C.
D.
Fire Protection Publications
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Maintain an open airway.
Administer IV drugs if trained to do so.
Control internal bleeding as well as possible.
Decrease body heat by applying cool compresses.
Chapter Test
21-17