First Responder Practice Quiz

Question 1 of 67

1. Question

True or False: The oversight of Emergency Health Services in British Columbia is a provincial responsibility.

True
False

Question 2 of 67

2. Question

Place the following steps of the Patient Assessment Model in the correct order.

Scene Assessment
Primary Assessment
Transport Decision
Secondary Assessment
Treatments & Documentation Completion

Question 3 of 67

3. Question

Why is it important to determine the Mechanism of Injury?

To better suspect potential injuries
To determine how well the patient is breathing
Because it tells you how many patients there are on the scene

Question 4 of 67

4. Question

What is the first thing you do when you arrive at a scene?

Primary Assessment
Transport Decision
Scene Assessment

Question 5 of 67

5. Question

Applying Personal Protective Equipment is part of the:

Scene Assessment
Primary Assessment
Transport Decision
Secondary Assessment
Treatments and Documentation

Question 6 of 67

6. Question

You have completed the Scene Assessment. What is the next action you would take?

Obtain the patient's medical history
Start the Primary Assessment
Apply O2

Question 7 of 67

7. Question

Place these Primary Survey steps in the correct order.

LOC
Delicate Spine
Airway
Breathing
Circulation
Rapid Body Survey
Skin
SPO2 / O2

Question 8 of 67

8. Question

Which technique should you use to open the airway of an unconscious NON trauma patient?

Head Tilt Chin Lift
Jaw Thrust

Question 9 of 67

9. Question

How do you open the airway of an unconscious patient who fell 20′ onto concrete?

Head Tilt Chin Lift
Jaw Thrust

Question 10 of 67

10. Question

On inspection the patient’s mouth is full of blood and liquify vomitus. Now what?

Insert an Oral Airway
Suction the fluid out
Tilt the head further back
Apply O2

Question 11 of 67

11. Question

You are providing first response as a single responder, when you are called for a head injury. Upon arrive you find an unconscious 22 year old male who fell 30′ onto concrete. When you examine their airway you find it full of chunky vomit. You are alone with this patient, so your next step should be to:

Attempt to scoop out the vomit as best as you can with the patient supine.
Wait for helpers, then roll the patient lateral using spinal precautions.
Roll the patient 3/4 prone as quickly and safely as you can, and finger sweep / suction out the vomit with the patient on their side.

Question 12 of 67

12. Question

How far into the patient’s mouth do you insert the suction catheter?

Just past the lips
3"
The full length of the catheter
As far as you can see

Question 13 of 67

13. Question

How long do you suction for?

Until the patient states they are ok
15 seconds
Until the fluid is removed
20 seconds

Question 14 of 67

14. Question

A patient requires an oral airway when they are unresponsive to verbal stimuli.

True
False

Question 15 of 67

15. Question

How do you measure an Oral Airway?

All sizes will fit, use the first one you remove from your jump kit
Measure the entire airway from the corner of the mouth to the corner of the jaw
Measure just the curve of the airway from the corner of the mouth to the corner of the jaw
Red airways are for male patients, yellow are for female

Question 16 of 67

16. Question

If the Oral Airway measured is too short the tongue can still fall back and obstruct the upper airway.

True
False

Question 17 of 67

17. Question

You have attempted to insert an Oral Airway and the patient gags. What do you do next?

Suction the patient's airway
You measured the airway incorrectly, try to insert a smaller airway
Remove the airway, but constantly monitor the patient and be prepared to re-insert
You measured the airway incorrectly, try to insert a larger airway

Question 18 of 67

18. Question

Under normal circumstances what triggers your body to breath?

Low levels of carbon dioxide
High levels of carbon dioxide
Low levels of oxygen
High levels of oxygen

Question 19 of 67

19. Question

During the primary survey we assess the patient’s breathing for an approximation of the rate and for the quality.

True
False

Question 20 of 67

20. Question

During the primary assessment your adult patient’s breathing rate is found to be 4/minute. The breaths are shallow and the patient is blueish at the lips. What should you do?

Ventilate the patient with a BVM/O2 at 12-20 breaths per minute
Apply low flow O2 via nasal cannula
Ventilate the patient with a BVM/O2 at 10-12 breaths per minute
Apply high flow O2 via simple face mask

Question 21 of 67

21. Question

While bagging the patient you note good chest rise just below the patient’s clavicles, and there is good compliance in the bag when squeezing in the air (no resistance). True or False: These are signs of effective ventilations.

True
False

Question 22 of 67

22. Question

Sort these ventilatory rates into the correct order for adult patients, and for pediatric patients.

10-12 breaths per minute (1 breath every 5-6 seconds)
12-20 breaths per minute (1 breath every 3-5 seconds)

Question 23 of 67

23. Question

Sort the following choices into the correct order for which pulse we use on the following patients:

Conscious adult patient
Unconscious adult patient
Baby

Radial Pulse
Carotid Pulse
Brachial Pulse

Question 24 of 67

24. Question

True or false: You have assessed for the radial pulses in a conscious person, and they are absent. Your next step should be to check for the carotid pulse.

True
False

Question 25 of 67

25. Question

The textbook definition of cardiac arrest is unconscious with no breathing and no pulse.

True
False

Question 26 of 67

26. Question

What is the correct Compression : Ventilation ratio for one rescuer CPR?

30:2
15:2
5:1
30:1

Question 27 of 67

27. Question

What is the correct Compression : Ventilation Ratio for Two Rescuer CPR on a 6 year child?

10:1
15:1
30:2
15:2

Question 28 of 67

28. Question

The encircling thumb technique, if it can be correctly performed, is the preferred compression method for two rescuer CPR on an infant.

True
False

Question 29 of 67

29. Question

What patient ages can we use an AED on? Check all that apply.

Adult
Child
Infant (other than neonates from 0-28 days old)

Question 30 of 67

30. Question

Who is the best person to operate the AED?

Compressor
Ventilator

Question 31 of 67

31. Question

We should compress the chest of the patient when the AED is analyzing.

True
False

Question 32 of 67

32. Question

The AED you are using on a cardiac arrest call automatically reads and interprets the patient’s cardiac rhythm, then directs you to analyze and push shock if it is indicated. This type of AED is known as:

A manual defibrillator
A semi-automatic defibrillator
A fully automatic defibrillator

Question 33 of 67

33. Question

After the initial pulse check confirming cardiac arrest, when should you re-assess the pulse?

Once every 5 cycles
Every minute
Only if the patient shows signs of life
Every few minutes

Question 34 of 67

34. Question

What do we do immediately after delivering a shock, or immediately after receiving a “no shock advised” from the AED?

Resume CPR
Check the patient's pulse

Question 35 of 67

35. Question

What types of injuries are we looking for during the Rapid Body Survey? Check all that may apply.

Major angulated fractures
Minor pain
Major burns
Major bleeding
Penetrating chest wounds
Minor abrasions

Question 36 of 67

36. Question

What is the first step in controlling bleeding?

Elevate the bleeding wound
Expose the wound and apply direct pressure with sterile gauze
Apply a tourniquet
Apply a pressure point

Question 37 of 67

37. Question

A patient has a significant bleed to his left lower leg. You have applied direct pressure with gauze and bandaged it in place. A few minutes later you see the bandage is now soaking through. What is your next action?

Remove the original layer and apply fresh gauze
The original attempt at direct pressure clearly isn't working. Apply a tourniquet
Apply additional gauze and bandage in place to apply more direct pressure
Apple cold to the bandage to help control the bleeding through vasoconstriction

Question 38 of 67

38. Question

When do we apply a tourniquet to control bleeding?

Immediately for all bleeds. Tourniquets are very effective at hemmorhage control
If the original attempt at direct pressure does not control the bleed
Never. If you apply a tourniquet the patient is sure to lose the limb the tourniquet is applied to
Usually after two attempts at direct pressure fail to control the bleed (unless the bleeding is catastrophic upon approach, in which case you could apply it immediately)

Question 39 of 67

39. Question

The correct definition of shock is inadequate tissue perfusion.

True
False

Question 40 of 67

40. Question

What do we do for a patient showing signs of shock (i.e. pale, cool, clammy skin, elevated heart rate, lower blood pressure, thirst, anxiety)? Tick all that apply.

Give the patient small sips of water to comfort them
Control hemmorhage with direct pressure, and with a tourniquet if required
Place the patient in the position of comfort
Cover the patient with blankets
Place the patient supine
Give nothing by mouth

Question 41 of 67

41. Question

Arrange the following oxygen flow rates in the following order:

Nasal Cannula
Simple Face Mask
Non Rebreather Face Mask
Bag Valve Mask

1-4lpm
10lpm
10-15lpm
15lpm

Question 42 of 67

42. Question

When should you change an O2 tank?

When it is completely empty
Before it completely empties (when it gets below 500psi)

Question 43 of 67

43. Question

You should always place an unconscious person in the recovery position by the end of the primary assessment except for when which two conditions are present:

The patient's airway is open and clear when assessed in the primary assessment
The patient is being ventilated
The patient is under spinal precautions
The patient's respiratory rate is 16 and regular when assessed in the primary assessment

Question 44 of 67

44. Question

Place the steps of the Secondary Survey in the correct order.

History Taking (Interview)
Vital Signs
Head to Toe

Question 45 of 67

45. Question

SAMPLE is used to remember the main questions in your history taking. True or False, SAMPLE stands for:

Signs and Symptoms
Allergies
Medications
Past Medical History
Last Oral Intake
Events leading up to the injury or illness

True
False

Question 46 of 67

46. Question

OPQRST is used to investigate pain complaints. True or False, OPQRST stands for:

Onset
Provocation
Quality
Region / Radiate / Relief
Severity
Timing

True
False

Question 47 of 67

47. Question

During the head to toe we expose and examine the distal end of each extremity for what three things? Choose the answer that best applies.

Pulse, motor, colour
Pulse, Motor, Sensory
Reflexes
Motor, Sensory, Reflexes

Question 48 of 67

48. Question

True or False: It is a legal requirement that First Responders working within the 911 system fill out a complete patient care report on ALL patients they treat.

True
False

Question 49 of 67

49. Question

The First Responder’s PCR would normally go with the paramedics and the patient to the hospital. If this cannot happen for whatever reason how long do you have to get it to the receiving hospital?

12 hours
24 Hours
36 Hours
48 Hours

Question 50 of 67

50. Question

What are Battles Signs?

Post Traumatic Stress from being involved in a battle
Bruising found behind the ears post head trauma
The name given to any large bruise sustained during a physical confrontation
Bruising around the eyes post head trauma

Question 51 of 67

51. Question

What is a flail chest?

A heavily bruised chest resulting from blunt trauma
A broken rib
The name given to a specific mechanism of injury
Two or more ribs broken in two or more places

Question 52 of 67

52. Question

True or false: To treat a flail segment you need to stabilize the area with a pad folded to the size of the flail segment.

True
False

Question 53 of 67

53. Question

What is the primary treatment for a patient with major burns?

Apply a cold pack or ice directly to the burn site
Cool the burn for a maximum of 10 minutes with cold running water
Submerge the burned part in a tub of cool water
Cool the burn for a maximum of 5 minutes with cold running water

Question 54 of 67

54. Question

Define the rule of 9s below:

Head (9)

Chest & Abdomen (18)

Back (18)

Groin (1)

Left Leg (18)

Right Leg (18)

Left Arm (9)

Right Arm (9)

Question 55 of 67

55. Question

True or False: Mildly hypothermic patients will shiver, but the shivering will stop as the patient becomes more moderately and severely hypothermic.

True
False

Question 56 of 67

56. Question

True or false: We should attempt to aggressively re-warm severely hypothermic patients?

True
False

Question 57 of 67

57. Question

If a patient is hypothermic, how long should you check the pulse for before initiating CPR?

10 Seconds
20 Seconds
60 Seconds
40 Seconds

Question 58 of 67

58. Question

How many shocks can you apply to a hypothermic patient in cardiac arrest (with the AED):

One every 2 minutes until EMS arrives
Maximum one shock
Maximum three shocks

Question 59 of 67

59. Question

What is the skin of a heat stroke patient like?

Cool, pale, clammy
Hot, red, dry

Question 60 of 67

60. Question

You are called to a roadside construction site in August, where a traffic controller has collapsed. On arrive the controller is found supine, unresponsive, wearing multiple layers of clothing. The airway is clear, the breathing is effective, the radial pulse is weak and rapid, and the skin is hot, red, and dry. There is no history of trauma.

Tick all the steps that you would perform for this patient:

Manage the airway with a head tilt chin lift and an oral airway
Leave the airway alone, it is fine
Ventilate the patient with a BVM and O2 at 15lpm
Apply high flow O2 via a simple or non re-breather mask
Provide shade if possible to block the sun from hitting the patient
Remove all excessive clothing
Leave the patient supine
Position the patient 3/4 prone
Cool with ice packs only
Cool the patient aggressively in as rapid a manner as possible

Question 61 of 67

61. Question

What is the main treatment for a patient in heat stroke? Tick all that apply.

Don't move the patient as rapid movement can injure them more
Cut off the patients clothing and rapidly cool them with cold water
Manage the ABCs and Apply O2
Cool the patient slowly and gradually with fanning and small sips of cool water
Remove the patient from the hot environment as soon as possible

Question 62 of 67

62. Question

The Emergency Medical Assistants Licensing Board is responsible for what items? Select all that apply:

Examining emergency medical assistants (i.e. First Responders and Paramedics)
Issuing licenses to those who successfully complete board exams
Maintaining a registry of all license holders in BC
Proving training at the various license levels
Directly supplying first responder services in municipalities
Directly providing ambulance services in British Columbia
Investigates complaints against license holders
Revoking licenses or imposing conditions on licenses as required

Question 63 of 67

63. Question

A patient on scene is suicidal and refusing your assistance. Under what law can the police arrest this person and transport them to the hospital for help?

The Emergency Health Act
The Mental Health Act
The Good Samaritan Act
The Coroner's Act

Question 64 of 67

64. Question

True or False: The Gunshot and Stab Wound Disclosure Act mandates the reporting of all accidental knife wounds.

True.
False.

Question 65 of 67

65. Question

You are called for an assault, a stabbing with a knife. While this may be a crime scene, it is always your main priority as a first responder to ensure the scene is safe and provide high quality patient care, and leave it to the police to determine if the mechanism of injury involved a criminal act. On this scene the preservation of any evidence would be governed by what Act?

The Coroner's Act
The Mental Health Act
The Law Enforcement Evidence Collection Act
The Health Emergency Act

Question 66 of 67

66. Question

You are on a call with another licensed first responder when you witness inappropriate conduct (inappropriate communication with family members, poor patient care, mistruths being spoken, and an attempt to exceed the first responder’s license level).

True or False: You are obligated under the EMALB Code of Ethics to report this conduct?

True
False

Question 67 of 67

67. Question

True or False: When you file your complaint under the Code of Ethics regarding the conduct of the first responder described in the previous question they will be notified by a letter from the Licensing Board. At that point they will have an opportunity to both tell their side of the story, and also seek out third party representation to defend themselves.

True
False

Priority Care First Aid