RMFA / REFRESHER MEDICAL FIRST AID EXIT EXAM QUESTIONS AND ANSWERS 4.0

  1. Which one of the following is not crucial in cases of abdominal distress:
    A) Establish the cause of the pain
    B) Monitor the patient for signs of hypovolemic shock.
    C) Be prepared to deal with vomiting
    D) Give oxygen by non-rebreather mask
  2. In the case of abdominal evisceration, the emergency responder should:
    A) Irrigate the wound before dressing it.
    B) Give oxygen by nasal cannula.
    C) Dress the wound with a moist, sterile dressing
    D) Gently reposition the organs in the abdominal cavity.
  3. “Referred pain”:
    A) Occurs when the sensation of pain is delayed.
    B) Results when the two nervous systems come into contact.
    C) Is the symptomatic description of pain by the patient.
    D) Is the description of pain as recorded on the patient care report.
  4. Trauma to male and female genitalia:
    A) Often involves significant bleeding
    B) is not usually painful because of protected nerve endings.
    C) Usually results in sterility
    D) Often results in post-traumatic infection.
  5. The priorities of MCIs include all but one of the following.
    A) Overestimating the resources that may be required.
    B) Comprehensive care of all patients.
    C) Planning for the positioning of all vehicles.
    D) Arranging for advanced level care providers at the scene.
  6. at the scene of a MCI:
    A) All patients are assessed quickly and triaged.
    B) Only conscious patients are assessed.
    C) Patients without a detectable pulse are given the highest priority.
    D) All patients are transported immediately.
  7. the most knowledgeable responder in the first ambulance is generally assigned to role of:
    A) Incident manager.
    B) Triage officer.
    C) Staging officer.
    D) Communications officer.
  8. Of the following casualties, which would you care for first? The casualty who is:
    A) In shock without apparent injuries, but conscious.
    B) Unconscious and lying on his back.
    C) Bleeding from the forehead, but conscious.
    D) Unconscious and lying on his stomach.
  9. Typically in a triage system:
    A) Those whose survival requires immediate care are classified level 3.
    B) Those with minor injuries but suffering extreme pain are classified level 1.
    C) Those in cardiac arrest or not breathing are classified level 2.
    D) Those who will survive if care is somewhat delayed are classified level 2.
  10. The factor which indicates a drug related emergency is life-threatening is:
    A) Altered mental status.
    B) Dilated pupils slow to respond to light.
    C) Lack of coordination and slurred speech.
    D) High, low or irregular pulse.
  11. Constant monitoring of the patient in a drug- related emergency is important because:
    A) The patient will likely try to take more of the drug.
    B) These patients are more likely to sue.
    C) The patient’s condition may change quickly.
    D) The patient is more likely to become violent.
  12. An essential element of a responder’s verbal report includes:
    A) The name of the patient.
    B) The patient’s telephone number.
    C) The time of the incident.
    D) The patient’s response to the care given
  13. Which one of the following is the best way to assess dehydration in the elderly?
    A) Check the mucous membranes in the eyes and mouth.
    B) Check skin condition.
    C) Take an oral temperature.
    D) Assess the pulse rate.
  14. The most accurate source of time for reporting purposes is:
    A) The responder’s watch.
    B) The dispatch unit.
    C) The local radio station.
    D) The patient’s watch.
  15. A ninety-five year old lady has fallen down a flight of stairs. You suspect spinal injury and decide to put the patient on a spine board. You should be aware that:
    A) It may be difficult to fit a cervical collar.
    B) Spinal curvature may make it difficult and uncomfortable to put the patient on the board.
    C) AK.E.D. is better for this patient.
    D) Because of her age, she may be more prone to vomitting.
  16. Which of the following is NOT a special consideration when assessing elderly patients?
    A) Geriatric patients often have a reduced gag reflex.
    B) Radial pulse may be weakened by peripheral vascular disease.
    C) Patients may not show signs of fever even in cases of serious infection.
    D) Mental status often reflects a fear of emergency responders.
  17. To help control bleeding after the baby is born:
    A) Pack the vagina with pads.
    B) Massage the mother’s uterus.
    C) Elevate the mother’s legs above heart level.
    D) Place the mother on her right side.
  18. Crowning occurs:
    A) In the first stage of labour.
    B) In the second stage of labour.
    C) In the third stage of labour.
    D) In the fourth stage of pregnancy.
  19. When suctioning a new born you should use:
    A) a bulb syringe.
    B) A V-Vac suction device.
    C) A straw.
    D) A battery powered suction device.
  20. One of the most difficult things to assess in infants and young children is:
    A) Blood pressure.
    B) Pain.
    C) Adequate perfusion.
    D) Level of consciousness.
  21. The onset of shock in infants and children:
    A) Maybe sudden and severe.
    B) Is no different than adults.
    C) Usually progresses slowly.
    D) Usually results from cardiac problems.
  22. Assessments of children should tak C into consideration:
    A) No splints should be used in call are designed for adult patients.
    B) Abdominal injuries are less serious since muscles are less developed.
    C) The skull has not completely fused, so head injuries are uncommon.
    D) Chest injury is likely to involve organs without damage to ribs.
  23. The responder who suspects a child to be the victim of abuse should:
    A) Question parents immediately.
    B) Focus on management of injuries to the child.
    C) Gather evidence and question bystanders.
    D) Immediately remove the child from parents or caregivers.
  24. A child with history of a sore throat, fever and painful swallowing, has breathing difficulties. You should:
    A) Arrange for immediate transport to a medical facility.
    B) Start mouth-to-mouth artificial respiration.
    C) Stand by and encourage coughing.
    D) Begin abdominal thrusts.
  25. The mammalian reflex refers to:
    A) An increase in heart rate and respiration.
    B) A decrease in heart rate and dilation of blood vessels.
    C) An increase in heart rate and constriction of pupils.
    D) A decrease in heart rate and constriction of blood vessels.
  26. Three common scuba related emergencies are:
    A) Air embolism, decompression sickness and mammalian reflex.
    B) Air embolism, decompression sickness and baro trauma.
    C) Decompression sickness, the bends and baro trauma.
    D) Air embolism, baro trauma and the squeeze.
  27. in cases of near drowning:
    A) The lungs are often filled with water and require deep suctioning.
    B) Laryngo spasm prevents water from entering the lungs.
    C) Abdominal thrusts should always be performed before ventilating the patient.
    D) Manual suction devices are not powerful enough to remove water and fluids from the Airway.
  28. To reduce the risk of respiratory infection and pneumonia where medical care is delayed, responders should:
    A) Have the patient breathe deeply and cough.
    B) Provide the patient with adequate hydration.
    C) Position the patient in the position of comfort.
    D) Ensure the patient is kept warm and at rest.
  29. You have been helping ingrate water rescue when one of the divers begins to have problems. You suspect air embolism. This patient should receive:
    A) Oxygen at 15lpm.
    B) Oxygen at 6lpm.
    C) Epinephrine.
    D) Inhaled steroids.
  30. To reduce the risk of respiratory infection and pneumonia where medical care is delayed, responders should:
    A) Have the patient breathe deeply and cough.
    B) Provide the patient with adequate hydration.
    C) Position the patient in the position of comfort.
    D) Ensure the patient is kept warm and at rest.
  31. When positioning a patient, responders should consider that:
    A) Raising arms and legs will produce swelling.
    B) Semi-sitting will improve blood flow to the heart.
    C) Knees raised will reduce pressure on the abdomen.
    D) Recovery position will often improve breathing.
  32. When caring for wounds over extended periods,always:
    A) Remove dressings and bandages regularly to check the wound.
    B) Clean wounds with antiseptic before applying dressings.
    C) Apply a tourniquet to prevent excessive bleeding.
    D) Check regularly for signs of infection or reduced circulation.
  33. When administering medication, responders should consider that:
    A) Right medication, right amount, right person, right time, and right method.
    B) Right nutrition, right method, right time, right person, right amount

C) Right medication, right action, right person, right time, right responsibility
D) Right medication, right amount, right person, right responsibility, right action

  1. To give ear drops to an adult, the ear should be pulled:
    A) Downward and backward.
    B) Downward and forward.
    C) Upward and backward.
    D) Upward and forward.
  2. Tolerate the intake.
    A) Giving fluids and food to all patients regardless of MOI.
    B) Use small amounts of liquids and foods to determine whether the patient can
    C) Allow the patient to consume any foods they would like to make them feel more Comfortable.
    D) Even if the patient is not thirsty or hungry the responder must insist on intake.
  3. Provincial first aid legislation prescribes the contents of:
    A) First aid boxes, first aid room sand first aid manuals.
    B) First aid stations, training programs and equipment manufacturers.
    C) First aid boxes, first aid reports and record keeping.
    D) First aid boxes, first aid rooms and training.
  4. First aid stations must:
    A) Be easily accessible to workers
    B) Have a shower
    C) Beat least 6squaremeters in size
    D) Have oxygen available
  5. Footprints can best be described as:
    A) The area of contact between the road surface and the tires.
    B) The type of tread on the tire.
    C) Footsteps used to get into the back of the ambulance.
    D) Skid patterns on dry pavement.
  6. Ground guides or spotters should be situated:
    A) Behind the vehicle on the driver side.
    B) On the front left side of the vehicle.
    C) Front and centre of the vehicle.
    D) On the front right side of the vehicle.
  7. When completing the patient narrative:
    A) Try to establish an accurate diagnosis.
    B) Record the signs and symptoms as accurately as possible.
    C) Do not include negative data.
    D) Always use medical terminology.

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