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Fire Department Exam

Aug 23rd, 2014
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  1. [quote][center][img]http://i.imgur.com/ioKUhkA.png[/img][/center]
  2. [u][size=200][center][b]EMT-Basic Examination[/b][/center][/size][/u]
  3.  
  4. [center][b]Information[/b][/center]
  5. [list]This is the EMT-Basic Medical Examination. There are a total of 31 questions with a pass mark of 70% needed to pass the examination (35/50 minimum). All questions within this examination are associated with the EMT-Basic Skills Overview manual you were provided with upon being accepted as an LSFD applicant. Please ensure you read all questions carefully and re-read all your answers. Once you have completed the examination please send your completed exam to the whole Training Division department. Your exam will be marked within 48 hours of your completed exam being submitted with further instructions regarding your next step in become part of the Los Santos Fire Department. Good luck.[/list]
  6.  
  7. [b]Name:[/b] Rocky Smith Goodwin
  8. [b]Date Submitted:[/b] 23rd of August, 2014
  9.  
  10. - For multiple choice questions, mark your choice with an X in the box, e.g. [ X ]
  11. - Keep an eye on how many marks each question is worth by looking at the number in the ( ) at the end of each question. If a question has two marks more than likely we are expecting more than one answer.
  12.  
  13. [b]Part I: General Procedures[/b] (/10)
  14.  
  15. [list][b]1) [/b]What is the first step in DR CAB? (1)
  16.  
  17. [i][ ] Breathing
  18. [ ] Circulation
  19. [ ] Response
  20. [ ] Airway
  21. [X] Danger[/i]
  22.  
  23. [b]2) [/b] Name a suspicious injury. (1)
  24.  
  25. [i]Collision/Accident, I’d suspect a spinal injury or a cervical injury.[/i]
  26.  
  27. [b]3) [/b] Name two additional resources available to yourself. (2)
  28.  
  29. [i]Well, if I’m the only one facing more than the amount of patients I can handle, I’d call for another ambulance. Moreover, if the place is crowd or so, I’ll either use the departmental radio and contact PD/SD, or ask the dispatch to do it for me. Also, if cones are needed to block or so.[/i]
  30.  
  31. [b]4) [/b] What is the normal pulse rate for a normal adult? (1)
  32.  
  33. [i][ ] 100-150
  34. [ ] 80-120
  35. [X] 60-100
  36. [ ] 40-60[/i]
  37.  
  38. [b]5) [/b] You've arrived on a scene and the patient is laid in the middle of the road, what do you do? (1)
  39.  
  40. [i][ ] Stand in front of the patient with your arm out to direct traffic
  41. [X] Ask for PD/SD on the radio for traffic assistance.
  42. [ ] Just use own ambulance for blocking the road off and ask OCD for another unit to help.
  43. [ ] Drag/carry the patient to the side of the pavement.[/i]
  44.  
  45. [b]6) [/b] What does BSI stand for? (1)
  46.  
  47. [i][ ] Blood Saturation Index
  48. [ ] Basic Safety Idicator
  49. [X] Body Substance Isolation
  50. [ ] Broad Spectrum Index[/i]
  51.  
  52. [b]7) [/b]You have arrived on-scene and there has been a substantial crowd gathered around your patient. What do you do? (1)
  53.  
  54. [i][ ] Physically clear the crowd out yourself
  55. [ ] Drive into the crowd
  56. [X] Notify PD/SD for crowd control through department radio or OCD
  57. [ ] Keeping driving[/i]
  58.  
  59. [b]8) [/b] You arrive on the scene and have checked for [b]D[/b]anger, [b]R[/b]esponse, and [b]C[/b]irculation, and the patient is bleeding from the chest region. What do you do next? (1)
  60.  
  61. [i][ ] Transport the patient to ASGH
  62. [ ] Start CPR
  63. [ ] Continue with DR CAB by checking the airways.
  64. [X] Begin D.E.A.T.H to treat the bleeding wound.[/i]
  65.  
  66. [b]9) [/b]What does LOC stand for? (1)
  67.  
  68. [i][ ] Look Out Circular
  69. [ ] Life Orientation Course
  70. [ ] Listen Out Carefully
  71. [X] Level of Consciousness[/i]
  72. [/list]
  73.  
  74. [b]Part II: Fractures[/b] (/5)
  75.  
  76. [list][b]10) [/b] Which of the following is a closed fracture? (1)
  77.  
  78. [i][X] When the bone has broken underneath the skin
  79. [ ] The bone is only slightly fractured
  80. [ ] Bone has broken through the skin
  81. [ ] Feels like a fracture but is just bruised[/i]
  82.  
  83. [b]11) [/b] What could you use to treat a broken arm? (2)
  84.  
  85. [i] Either triangular bandage or vacuum splint. [/i]
  86.  
  87. [b]12) [/b] What type of equipment would you use to immobilize a closed leg fracture to the lower leg? (1)
  88.  
  89. [i][ ] C-collar
  90. [ ] Vacuum splint
  91. [ ] Backboard
  92. [X] Traction splint[/i]
  93.  
  94. [b]13) [/b] You arrive on-scene to a Motor Vehicle Accident (MVA). What type of equipment would you use to reduce further injury to your patient? (1)
  95.  
  96. [i][ ] Traction splint
  97. [ ] Tourniquet
  98. [X] C-collar
  99. [ ] Ambulance Bandages[/i][/list]
  100.  
  101. [b]Part III: Bleeding, Burns & Amputation[/b] (/7)
  102.  
  103. [list][b]14) [/b] You arrive on-scene to a stabbing, and the knife is still inside the victim. Would you attempt to remove the knife? (1)
  104.  
  105. [i][ ] Yes
  106. [X] No
  107. [ ] Depends on the situation[/i]
  108.  
  109. [b]15) [/b] What is the second step in the D.E.A.T.H. procedure? (1)
  110.  
  111. [i][X] Elevation
  112. [ ] Direct pressure
  113. [ ] Transport to hospital
  114. [ ] Tourniquet
  115. [ ] Artery pressure[/i]
  116.  
  117. [b]16) [/b] Your patient has an amputated limb. What do you use to preserve the limb? (1)
  118.  
  119. [i][ ] Duct Tape
  120. [ ] Plastic bag
  121. [X] Moist sterile dressings
  122. [ ] Trauma dressing[/i]
  123.  
  124. [b]17) [/b] Name two things you could do to aid in stopping the bleeding if it persists? (2)
  125.  
  126. [i]Well, I would then apply another dressing over the old one. If it’s still bleeding, I will elevate the extremity above the heart and apply a tourniquet. [/i]
  127.  
  128. [b]18)[/b] A patient has a burn on their hand. The skin is red, and the patient is experiencing mild discomfort. What degree of burn is this? (1)
  129.  
  130. [i][X] First degree
  131. [ ] Second degree
  132. [ ] Third degree
  133. [ ] Forth degree[/i]
  134.  
  135. [b]19)[/b] Where would you place an amputated body part to preserve it? (1)
  136.  
  137. [i][ ] You wouldn't, it's impossible to preserve.
  138. [ ] Place it in a container with warm packs.
  139. [ ] Ask your partner to wrap it in a dressing and hold it.
  140. [X] Place in a container with ice/cold packs.[/i][/list]
  141.  
  142. [b]Part IV: AED[/b] (/4)
  143.  
  144. [list][b]20) [/b] What does AED stand for? (1)
  145.  
  146. [i][ ] Automatic External Decanter
  147. [X] Automated External Defibrillator
  148. [ ] Anhidrotic ectodermal dysplasia
  149. [ ] Accident and Emergency Department[/i]
  150.  
  151. [b]21) [/b] Your AED registers VF. Would the AED recommend a shock to your patient? (1)
  152.  
  153. [i][ ] No
  154. [X] Yes [/i]
  155.  
  156. [b]22) [/b] What are the conditions of a cardiac arrest?(1)
  157.  
  158. [i][X] Pulse, no breathing.
  159. [ ] No pulse, no breathing.
  160. [ ] No pulse, breathing.
  161. [ ] Pulse and breathing.[/i]
  162.  
  163. [b]23) [/b] Which of the following is the correct process of using the AED? (1)
  164.  
  165. [quote][b]KEY[/b]
  166. A - Power the AED up.
  167. B - Press 'ANALYZE'.
  168. C - Collect the AED from the back of the ambulance.
  169. D - Check the patients heartrate.
  170. E - Place the two pads on the patients bare chest.
  171. F - If shock is needed shout "CLEAR" and press 'SHOCK'[/quote]
  172.  
  173. [i][ ] A, B, C, D, E, F
  174. [ ] F, B, C, A, D, E
  175. [ ] C, E, A, B, F, D
  176. [X] C, A, B, E, F, D[/i][/list]
  177.  
  178. [b]Part V: CPR[/b] (/3)
  179.  
  180. [list][b]24) [/b] What does CPR stand for? (1)
  181.  
  182. [i][ ] Conservatives for Patients' Rights
  183. [ ] Chicago Public Radio
  184. [ ] Code Poor Response
  185. [X] Cardiopulmonary Resuscitation [/i]
  186.  
  187. [b]25) [/b] What is the main purpose of CPR? (1)
  188.  
  189. [i][ ] To restore life.
  190. [] Re-gain a pulse.
  191. [X] Maintain some brain functions.
  192. [ ] To aid the breathing of the patient.[/i]
  193.  
  194. [b]26) [/b] Which of the following is the correct way of performing CPR? (1)
  195.  
  196. [quote][b]KEY[/b]
  197. A - Place the BVM over the patients mouth and nose.
  198. B - Squeeze the BVM twice.
  199. C - Place your hands on the patients sternum.
  200. D - Check the pulse.
  201. E - Begin 30 compression's.[/quote]
  202.  
  203. [i][ ] A, B, C, D, E
  204. [ ] C, D, E, A, B
  205. [] A, C, E, B, D
  206. [X] C, E, A, B, D[/i][/list]
  207.  
  208. [b]Part VI: Apparatus[/b] (/3)
  209.  
  210. [list][b]27)[/b] Which of the following is the correct way to move a patient from the ground to a long spine board? (1)
  211.  
  212. [quote][b]KEY[/b]
  213. A - Roll the patient on side, towards the EMT.
  214. B - Position an EMT/Paramedic at head of the patient and at least one at the patient's side.
  215. C - Slide the long spine board beneath the patient.
  216. D - Position long spine board on far side of patient.
  217. E - Place a cervical collar around patient's neck.
  218. F - Attach straps, securing patient to the board.
  219. G - Gently lower patient to the ground, atop the spine board.[/quote]
  220.  
  221. [i][X] D, B, A, C, G, F, E.
  222. [ ] E, D, B, A, C, G, F.
  223. [ ] B, A, D, C, G, F, E.
  224. [ ] E, B, A, D, C, G, F.[/i][/i]
  225.  
  226. [b]28) [/b] When should the backboard be used? (1)
  227.  
  228. [i][ ] When the patient requests
  229. [ ] When the patient is tired
  230. [X] When the patient has suspected spinal or cervical injuries[/i]
  231.  
  232. [b]29) [/b] Which of the following would be the correct way of placing a stretcher inside the ambulance? (1)
  233.  
  234. [quote][b]KEY[/b]
  235. A - Use the (-) button on the side to collapse the legs on the stretcher.
  236. B - Wheel the stretcher to the back of the ambulance, attaching it to the Power-Load.
  237. C - Roll the stretcher into the back at the ambulance's floor level.
  238. D - Leave in an collapsed status while your colleague sits on the bench.
  239. E - Press the red button to attach the arms of the Power-Load to the stretcher.[/quote]
  240.  
  241. [i][ ] C, D, E, A, B
  242. [X] B, E, A, C, D
  243. [ ] A, C, E, B, D
  244. [ ] C, E, A, B, D[/i][/list]
  245.  
  246. [b]Part VII: Scenes[/b] (/16)
  247.  
  248. [b][color=#FF0000]Please take your time on these questions and provide as much detail as possible, using all of your knowledge gained thus far to fully explain how you would progress through these trauma scenes. (By every step this includes scene assessment, DRCAB etc)[/color][/b]
  249.  
  250. [list][b]30) [/b] You have arrived to a trauma scene and the patient is unconscious and bleeding from a gunshot wound to the shoulder. Explain the full process you would take in as much detail as possible. (9)
  251.  
  252. [i] Well, first of all, I’d go and park the ambulance correctly and grab my BLS/ALS Kit. Then, I would check DR CAB. I will see the surrounding and how it is. If it’s crowded with cars and people, I’d contact the Police Department or the Sheriff Department for assistance and a road block. As well as protection for myself from the other citizens. Now that I got my protection, I’m ready to start. I will start by checking his vitals, pulse and respiratory rate. I will then grind my hands against his chest and see if he’s responsive or no, which will be no because he’s unconscious. I will then open the kit and reach for the trauma scissors and cut the fabric around the GSW, exposing it in order to work properly. If the bullet is still inside, I wouldn’t try to remove it a single inch. I would then grab the trauma dressing and place it over the wound with great pressure. After that, I may take a look on his body suspecting any other wounds. If there aren’t, I’d call for someone from the PD or SD to help me getting the patient on the stretcher while sliding it out of the ambulance. Finally, I would transport the patient immediately to All Saints General Hospital for further treatment. [/i]
  253.  
  254. [b]31) [/b] You have arrived to a trauma scene and the patient is unconscious in the middle of the road. A severe compound fracture is visible on the patient's left leg. Explain the full process you would take in as much detail as possible. (9)
  255.  
  256. [i]First of all, I can’t leave the patient like this, in the middle of the road. A car or so may run him over. So I will call Police Department and/or Sheriff’s Department for a roadblock. In the meanwhile, I will somehow block the way infront of him until they arrive. I’ll immediately sprint to the patient with my BLS/ALS kit checking for the vitals. Before anything, I should control the bleeding using dressings. After controlling it, I will loosely cover the bone with gauze pads. I will then ask for assistance from the PD/SD to help me get the patient on the stretcher. As soon as the patient is loaded in the ambulance, I’ll instantly drive to All Saints General Hospital for a better and more accurate treatment. [/i]
  257. [/list]
  258. Result: XX/50- XX%
  259. [/quote]
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