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EDUCATION
WRITTEN EXAM
FINAL EXAM
Please do not write your answers in this questionnaire. Use the answer sheet
6. In understanding reactions to death, the TUM-B
should:
MODULE 1
2. What is the level of preparedness of the person a. assumed to exist when a patient is
who typically initially responds to the scene and unconscious
whose emphasis is on activating the EMS system b. is defined by local protocols for certain
and providing immediate care for life-threatening types of emergencies
injuries:
c. assumed to exist when emergency care is
required
a. First responder
d. obtained from a conscious, competent,
b. TUM-Basic adult patient
c. TUM-Intermediate
d. Health assistant 8. When a patient is informed of the treatment they
require and the associated risks, the TUM-B is
3. Delegating patient care to the TUM-B by a doctor requesting a:
legally responsible for the SM system is known as:
a. informed consent
a. implied consent
b. mutual consent
b. medical address
c. implied consent
c. medical guideline
d. emancipated consent
d. quality improvement
9. Consent based on the theory that the unconscious
4. The orders given to the TUM-B via telephone or patient would have accepted life-saving treatment
radio are known as: is called:
5. The family's reactions to a dying patient can be: 10. Treating or touching a person without proper
consent can be considered as:
a. wanting to pray with the patient when
dying a. waiver of consent
b. cry, scream, or release other emotions b. negligence
verbally
c. implied consent
c. wanting to stay with the patient during
resuscitation maneuvers d. assault, assault or abuse
d. all of the above 19. Normally the pupils are of intermediate size. When
you shine a light into the patient's pupil, it:
13. The anatomical term that means “forward” is:
a. dilates
a. former
b. gets bigger
b. later
c. constrains
c. superior
d. stays the same size
d. lower
20. Whenever possible, when carrying a patient down
14. The term “medial” means: stairs, you should:
16. The left atrium or atrium: d. push from a level below the waist
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a. receives blood from the veins of the body
b. receives blood from the pulmonary veins MODULE 2
c. pumps blood into the lungs
22. Which of the following structures is NOT
d. pumps blood to the body considered part of the respiratory system:
a. 70%
b. a neutral position and it is not necessary
to position the airway
b. 90%
c. the same position as when performed
c. 80% mouth to mouth, with the mandibular lift
method
d. 95%
d. the extended position, using the neck lift
35. When two TUMs are ventilating a patient with a method
bag-valve-mask:
36. The most reliable sign that your patient is being 41. If a gag reflex occurs when inserting an
adequately ventilated with a bag-valve-mask is: oropharyngeal cannula into a patient, you should:
cannulas b. 60 to 70%
c. keep the patient's head in a neutral c. 80 to 95%
position
d. 20 to 30%
d. place the bevel of the cannula towards the
nasal septum 48. You should use a nasal cannula to administer
oxygen only if:
43. To select the appropriate size nasopharyngeal
cannula for your patient, you must measure:
a. your patient requires a high concentration
of O2
a. from the corner of the mouth to the angle
b. your patient cannot tolerate a mask
of the jaw
b. from the earlobe to the corner of the jaw
c. your patient suffers from chest pain
d. from the chin to the “Adam's apple” 49. The oxygen flow through a nasal cannula should
not exceed:
44. An oxygen cylinder when full maintains a pressure
of:
a. 1-2 liters per minute
d. about 3,200 pounds per square inch (psi) 50. When opening an infant's airway, you should:
b. aluminum gray
c. do not move your head
c. lemon yellow
d. move head to a “sniffing” position
a. a nasal cannula at a flow of 6 liters per a. possible harm to him, other team
minute members, patients and bystanders.
b. a nasal cannula at a flow of 15 liters per b. the reason why the emergency team was
minute called to the scene.
c. a mask with a non-recirculating reservoir c. injuries that threaten the patient's life.
at a flow of 6 liters per minute
d. the need for additional help.
d. a mask with a non-recirculating reservoir
at a flow of 15 liters per minute
52. Among the external signs of vehicle impact that
a. Focus your assessment on the patient's
the TUM-B must look for and document at the
neck.
scene of a car crash are:
b. performing a rapid trauma assessment.
a. vehicle deformity greater than 25 cm. c. focusing their evaluation on the patient's
neck and spine.
b. displacement of the vehicle axle.
c. deformity of the front or rear bumper.
d. moving the patient to the ambulance
before fully evaluating the patient.
d. all of the above.
57. You have restrained a 66-year-old male patient
53. A 32-year-old female patient complains of leg pain. who is unconscious after a vehicle rollover. When
Be alert and oriented with 16 breaths. There are no you put him in the ambulance, what is done is:
obvious injuries visible to the naked eye. What
should you do next?:
a. make a SAMPLE history
d. continue initial evaluation 58. The mnemonic “DCAP-BLS” helps you remember:
lift maneuver
60. While performing the focused physical
b. apply in-line stabilization and open your examination, your trauma patient begins to
airway breathe rapidly. You must :
c. start high concentration oxygen with non-
recirculating mask a. take note (mentally) and continue with the
physical exam
d. open your airway and start high
concentration oxygen b. stop your exam and give appropriate
treatment
c. reevaluate it starting from the head
56. You arrive at the scene of a vehicle crash. The
driver is a conscious 18-year-old male who d. reassess the mechanism of injury
complains of pain in his neck. The passenger has
died. You must proceed:
61. Your patient complains of chest pain. He has no
previous history of this type of pain. Which of the MODULE 4
following questions should you ask? :
66. A 32-year-old woman has amputated her index
finger in an accident with a saw. You have
a. Is your pain crushing and heavy?
bandaged your hand. The best way to transport the
b. Is it a dull pain you feel? amputated finger is:
c. How would you describe your pain?
d. All of the above
a. placing finger directly on ice
b. wrapping the finger tightly in an occlusive
62. During the evaluation of a responding medical dressing
patient, you use the mnemonic “OPQRST.” What
c. placing the finger directly in saline
does the “P” mean? :
solution
a. symptom provocation
d. wrapping the finger in gauze, placing it in
a plastic bag and keeping it as cool as
b. pulse possible
c. previous relevant illnesses
67. A 54-year-old man has been involved in a car
d. pain accident. The glass fragments have caused an
open neck injury. You must cover this injury with:
63. A 63-year-old male complains of general weakness,
nausea and vomiting. The mechanism of injury is
a. an occlusive dressing
unknown. During the detailed physical
examination, you inspect and palpate for firmness b. a sterile gauze covering
and distension of:
c. a covering of moistened gauze
a. The thorax
d. butterfly bandages
64. Young female who fell from a tractor while b. pressure point
plowing. Doesn't respond. During the detailed
c. occlusive dressing
physical examination you should look for drainage
of clear fluid from: d. ice pack
b. blisters
c. shoulder and chin
a. seal the wound with a gloved hand a. The child breathes through the nose and
then through the mouth.
b. cover the wound with plastic wrap or bags
c. Seal the wound with 7.5 cm adhesive
b. Chest and abdomen move in opposite
directions
cloth. Wide
d. place your gloved finger on the wound
c. The muscles pull between the ribs inward
and then push outward.
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and then push out.
MODULE 5 A
87. Your patient complains of chest pain. He has a
82. The three medications that you will bring on board weak, thready pulse of 140 beats per minute. His
the ambulance are: respirations are 15 per minute. You must
immediately:
a. lidocaine, naloxone (Narcanti) and
atropine. a. administer oxygen via nasal cannula.
b. activated carbon, oral glucose and oxygen. b. administer oxygen through a non-
recirculating mask.
c. diazepam, ibuprofen and 50% dextrose.
d. prescribed inhalers, nitroglycerin and
c. Give positive pressure ventilations and
supplemental oxygen.
epinephrine.
d. give nitroglycerin.
83. You can help the patient to take:
88. An important consideration in the management of
any patient with chest pain is that you can:
a. Prescribed medications of any kind.
b. medications for HTN.
a. deteriorate to cardiac arrest.
c. medications for heart rhythm disorders.
b. need automatic external defibrillation.
d. medications to control depression.
c. require positive pressure ventilation.
84. 6-year-old female complaining of respiratory d. need administration of oxygen and chest
distress. Which of the following signs and compressions.
symptoms would help you verify this condition? :
89. When treating patients with cardiac involvement,
you must be prepared to:
a. respiratory rate of 26 per minute
b. the chest moves down while the abdomen
a. require the help of a First Responder.
moves up
c. bilateral chest expansion
b. transport them before starting CPR.
95. Glucose is administered by placing the gel: d. Irrigate with weak acid solution
100. 7-year-old female who ingested drain
d. Elevate the mother's hips to reduce
cleaner. He has burns in his mouth. Your breathing
pressure on the cord
is adequate. Treatment includes all of the
following EXCEPT
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