Circle the correct answer:

1. Medical Control is provided:

1. Indirectly through the protocols
2. Indirectly through your agency's physician medical director
3. Directly through on-line communication with a Medical Control physician at an on-line Medical Control facility
4. All of the above

2. If ordered to give a fluid bolus by Medical Control, the appropriate amount and fluid would be:

1. 500 cc NS
2. 500 cc LR
3. 250 cc NS
4. 250 cc LR

3. Approved secondary confirmation devices for confirming proper placement of an ET tube include:

1. Bulb style Esophageal Detector Device; Colorimetric end tidal CO2 detector
2. Auscultating lung sounds with stethoscope; condensation visible in ET tube
3. Esophageal Detector Device; Non–Colorimetric end tidal CO2 detector
4. Syringe style Esophageal Detector Device only

4. Which of the following would NOT cause a patient to meet Major Trauma Criteria?

1. Glasgow Coma Scale of less than 14
2. Motorcycle crash
3. Fall of 15 feet
4. Bilateral humerus fractures

5. According to the Obstructed Airway protocol, after all other attempts to clear an obstruction have failed, you may use an ET tube to push the obstruction into the right mainstem bronchus.

1. True
2. False

6. Transport should never be delayed to initiate ALS procedures.

1. True
2. False

7. Treatment for low blood glucose in a pediatric patient occurs when BG levels fall below:

1. 90
2. 80
3. 70
4. 60

8. An AEMT may contact Medical Control via:

1. Telephone
2. EMS radio
3. Private dispatch radio
4. All of the above

9. A Combitube can be used in place of endotracheal intubation anytime the provider thinks it's necessary.

1. True
2. False

10. Which of the following is NOT considered an accurate indicator of poor perfusion in an infant?

1. Blood Pressure
2. Capillary refill > 2 seconds
3. Altered Mental status
4. Cyanotic distal extremities

11. A 34 year old female patient presents with a GCS of 12 and a blood glucose of 43. The most appropriate treatment for this patient includes:

1. Requesting ALS if not already en route
2. Contacting Medical Control for a D5W bolus
3. Monitoring Airway carefully
4. All the above

12. A length-based tape should be used to determine appropriate equipment and fluid volumes for pediatric patients.

1. True
2. False

13. A blood glucose check should be done on EVERY seizure patient with a GCS under 15.

1. True
2. False

14. When treating a pediatric patient, the following apply;

1. Avoid separating the patient from caregivers
2. Airway management and Oxygen therapy are of primary importance
3. Transport should occur early and treatment done en route
4. All the above

15. Endotracheal meconium aspiration can be performed on a neonate up to ____ times.

1. 1
2. 2
3. 3
4. 4

16. ALS may not turn over care of a patient to BLS if:

1. the mechanism of injury warrants ALS care
2. the chief complaint warrants ALS care
3. ALS intervention may be required
4. All the above

17. The Southern Tier Regional EMS Pediatric Protocols apply to patients under the age of:

1. 8
2. 17
3. 18
4. 21

18. The modified GCS for pediatrics includes assessing the following;

1. Eye opening, facial droop, verbal response
2. Verbal response, eye opening, motor response
3. Crying, AVPU, eye opening
4. Motor response, facial droop, verbal response

19. An Intermediate may transport a handcuffed patient if the law enforcement officer agrees to meet them at the hospital within the hour.

1. True
2. False

20. A patient with suspected acute stroke may have which of the following signs:

1. Facial droop
2. Arm drift
3. Abnormal speech
4. Any of the above

Fax completed test to 607-732-2661 or Mail to:
STREMS
315 W Water St
Elmira NY 14901

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