Question 1
Question
Which of the following incidents would be classified as a "closed incident"?
Question 2
Question
Which of the following incidents would be classified as an "open incident"?
Answer
-
A collapse of a grocery store roof in a heavy rain
-
People shot by a coworker at a factory
-
A three-vehicle collision on a highway
-
A gas pipeline explosion along a stretch of rural road
Question 3
Question
Which of the following is the best definition of a multiple-casualty incident?
Answer
-
Any incident with more than one patient
-
A situation in which more than one ambulance is needed
-
Any incident in which situational demands overwhelm resources
-
A situation in which there are more than three patients
Question 4
Question
Which of the following scenarios would benefit from pre-incident planning in anticipation of a possible MCI?
Answer
-
Outdoor music festival with expected attendance of 10,000
-
Major road closure due to construction
-
Increasing incidence of national terrorist activity
-
The first winter storm of the season
Question 5
Question
The Incident Command System was initially developed as a management tool for:
Answer
-
natural disasters.
-
large-scale fires
-
urban violent crimes
-
rural EMS agencies.
Question 6
Question
The major functional areas of the National Incident Management System include all of the following EXCEPT:
Answer
-
command
-
logistics
-
planning
-
execution
Question 7
Question
Which of the following is TRUE regarding incident commanders?
Answer
-
They make decisions in conjunction with the medical director.
-
They hold full legal authority for decision making.
-
They must clear all decisions with the logistics coordinator
-
They are not liable for decisions made during an MCI
Question 8
Question
Span of control refers to:
Answer
-
the number of individuals a supervisor can safely manage.
-
the geographical area an incident covers
-
how many incident commanders are needed for a given MCI.
-
how many division leaders an incident commander appoints.
Question 9
Question
You and your EMT partner arrive at the scene of a vehicle collision and find that the collision involved a large van and a school bus full of children. Your first action should be to:
Answer
-
begin triaging patients.
-
declare an MCI and establish yourself as incident commander.
-
call for an air ambulance.
-
inform dispatch that you may need additional resources.
Question 10
Question
Which of the following BEST describes the National Incident Management System?
Answer
-
A uniform, yet flexible, system
-
A rigid set of protocols
-
The minimum acceptable standard for MCI operations
-
A recommended list of job tasks for MCIs
Question 11
Question
The site from which civil government officials exercise direction and control in an
emergency or disaster is called the:
Answer
-
mutual aid coordination center (MACC).
-
emergency aid and operations center (EAOC)
-
Incident command center (ICC).
-
mobile dispatch coordination center (MDCC).
Question 12
Question
Under the Incident Command System, who is responsible for monitoring all on-scene actions and ensuring that they do not create any potentially harmful conditions?
Answer
-
Incident commander
-
Safety officer
-
Tactical liaison
-
OSHA representative
Question 13
Question
During an MCI, which section is responsible for procuring and distributing equipment and supplies?
Answer
-
Operations
-
Equipment
-
Logistics
-
Finance
Question 14
Question
During an MCI, which section collects information such as weather reports, documents
incident actions, and develops contingency plans?
Answer
-
Operations
-
Logistics
-
Finance
-
Planning
Question 15
Question
Which of the following is NOT a functional unit of the EMS branch during a multiple casualty incident
Answer
-
Triage
-
Treatment
-
Morgue
-
Staging
Question 16
Question
Which of the following is NOT a stage of typical disaster management?
Answer
-
Planning
-
Response
-
Recovery
-
Investigation
Question 17
Question
Which of the following supervisors is responsible for coordinating placement of ambulances waiting to transport patients?
Question 18
Question
You are responsible for leading the triage team at the scene of an explosion at a local
shopping mall. Which of the following should be your FIRST action when beginning the triage process?
Answer
-
Tag all deceased patients as Black.
-
Task two responders with triaging all children.
-
Ask anyone who can walk to come to you
-
Ask the treatment officer to prepare to receive patients.
Question 19
Question
While triaging patients at a MCI, you find a 19-year-old female patient who is awake and breathing 32 times/minute. She has a rapid radial pulse and what appears to be partial thickness burns on both legs. According to the START triage system, how should this patient be categorized?
Question 20
Question
While triaging patients at a MCI, you find a 22-year-old man who is not breathing. After you open the airway, the patient takes a breath. You should:
Question 21
Question
A 56-year-old man is breathing 20 times per minute and has a weak radial pulse. He is
confused but able to follow commands. According to the START triage system, how should this patient be categorized?
Answer
-
Minor
-
Delayed
-
Immediate
-
Urgent
Question 22
Question
Which of the following best describes scene size-up for an MCI?
Answer
-
Constructing a diagram of the scene for use by incident command
-
An assessment of how many patients are in need of priority care
-
A quick assessment of the incident type and any immediately obvious hazards
-
The exact description of the incident and how many resources are needed to mitigate it
Question 23
Question
Which of the following would NOT be an appropriate decision for the transportation unit
supervisor?
Answer
-
Placing two critical patients in one ambulance
-
Sending a less critical patient to hospital in another county
-
Communicating directly with staged ambulance crews
-
Tracking the number of patients sent to each hospital
Question 24
Question
When transferring incident command, which of the following must be done?
Answer
-
Signed handover of command.
-
All sector commanders must agree on the transfer.
-
Approval must be obtained from the medical director.
-
A face-to-face transfer.
Question 25
Question
You have responded to an explosion on a subway train. Because you are a paramedic, the incident commander tells you to report to the treatment unit. Which of the following treatment areas would be the most appropriate location for you to report to?
Answer
-
Immediate, "red" area
-
Delayed, "yellow" area
-
Critical, "black" area
-
Non-urgent, "green" area
Question 26
Question
How long should it take you to triage one patient during an MCI?
Question 27
Question
You are the first to arrive on the scene of a collapse of a balcony at an apartment building. You are met by a man whose arm is nearly severed, and you can see exposed bone and muscle tissue. Bleeding seems to be minimal. What is your next course of action?
Answer
-
This is a life-threating injury, so treat it immediately and call for additional resources
-
This is an "open incident," so using START he is a "green" patient. Have him sit in a safe area, apply a basic dressing to control bleeding, and, if possible, find someone to monitor him. Perform the scene size-up and triage.
-
This is a "closed incident." Perform a scene size-up and treat this patient. Any other incoming units can continue treating people as they are found.
-
Take him to the ambulance.
Question 28
Question
Which of the following patients would be tagged "red" using the START system?
Answer
-
A 43-year-old who has a respiratory rate of 28 and a radial pulse, who is screaming to get her to the hospital
-
A 36-year-old displaying no respirations with manual airway techniques, with a weak carotid pulse
-
A 30-year-old with respirations of 24 and a radial pulse, who cannot follow commands
-
A 16-year-old with a patent airway and a radial pulse, who is able to walk
Question 29
Question
You have been assigned the job of staging officer at a multiple-casualty incident. This
means:
Answer
-
you are responsible for staging all supplies and equipment needed by the treatment unit.
-
you must work directly with incident command to ensure the financial needs of the operation are met.
-
you must organize and prepare all waiting ambulances to transport patients.
-
you are responsible for determining which patients go to which hospitals.
Question 30
Question
Which specialized unit, designed to support on-scene responders, may be established at
large-scale incidents?
Answer
-
Debriefing unit
-
CISD unit
-
Fatigue unit
-
Rehab unit
Question 31
Question
Which of the following is the most important goal to achieve in the initial minutes of an
MCI?
Question 32
Question
Which of the following is TRUE of MCI drills?
Answer
-
You should never tell anyone they are going to a drill, because they won't take it seriously.
-
They are not necessary for small, rural departments.
-
They are effective only if you can provide real-life moulage and props.
-
All agencies should drill, and never say, "It will never happen here."
Question 33
Question
You and your partner have just been relieved of duty at the scene of a school bus rollover. You feel fatigued and emotionally "blank." Which of the following actions would be most helpful to you?
Answer
-
Detailed debriefing with a supervisor
-
Replaying the incident in your mind
-
Discussing the patients you cared for with your family
-
Resting and ensuring that your basic needs are met
Question 34
Question
Disaster mental health services should be available:
Question 35
Question
In a multiple-casualty incident (MCI), which person has full legal authority to lead the situation?
Question 36
Question
Which division of incident command support is responsible for ensuring that resource sharing between involved departments is fulfilled?
Question 37
Question
What is the START system in terms of emergency medical services (EMS)?
Answer
-
A mutual aid assignment system
-
A triage system
-
A casualty incident response system
-
The mass casualty incident staging plan
Question 38
Question
The optimal span of control for an incident commander involves how many people?
Question 39
Question
Which incident would typically be termed a low-impact incident?
Question 40
Question
Which incident would typically be termed a high-impact incident?
Answer
-
A shooting incident wounding three people
-
A tornado that destroys a shopping center
-
A motocross race accident involving multiple drivers
-
A four-car accident
Question 41
Question
Which incident would typically be termed disaster related?
Question 42
Question
Which statement most accurately defines a multiple-casualty incident (MCI)?
Answer
-
Any incident that depletes the available on-scene resources at any given time
-
Any incident that involves three or more victims
-
Any incident that requires both law enforcement and an ambulance
-
Any incident that involves seven or more victims
Question 43
Question
Where did the initial plans for how to respond to large-scale emergencies first take place?
Answer
-
Southern California
-
At the National Transportation Safety Board (NTSB)
-
Northern Washington State
-
Within Federal Emergency Management Agency (FEMA)
Question 44
Question
In which service or agency did the origin of incident management have its roots?
Question 45
Question
What is the management system or philosophy that takes the basic tenets of good, sound management and adapts them to the needs of the emergency scene?
Answer
-
Scene-authority management
-
The national consensus standard
-
The Incident Command System (ICS)
-
The Simple Triage and Rapid Transport (START) system
Question 46
Question
On what initial system for responding to a major incident has contributed the most to the subsequently developed Incident Commnand System (ICS)?
Answer
-
FIRE SCOPE
-
START
-
FEMA
-
NIMS
Question 47
Question
Which of the following is the site from which civil government officials exercise direction and control in an emergency or a disaster?
Answer
-
MAST
-
Incident Command System (ICS)
-
The emergency operations center (EOC)
-
The National Wildland Coordinating Group (NWCG)
Question 48
Question
Which of the following descriptions best reflects the primary purpose of an emergency operations center (EOC)?
Answer
-
For providing a collection point for additional supplies
-
To exercising direction and control in an emergency or disaster
-
To providing mutual aid from surrounding systems
-
For providing a staging area for emergency vehicles to ensure prompt dispatch
Question 49
Question
Which of the following incidents would not typically require the activation of a emergency operations center (EOC)?
Question 50
Question
The emergency operations center (EOC) should be located:
Question 51
Question
On arrival, the incident commander (IC) will:
Answer
-
transmit a preliminary report to dispatch.
-
do a windshield survey of the scene.
-
create an incident command post (ICP).
-
Identify the radio frequency channel that will be used during the event.
Question 52
Question
The acronym that will help you remember the functional areas of NIMS is:
Question 53
Question
Past, present, and future information about an incident is provided by which functional area of National Incident Management System (NIMS)?
Answer
-
Logistics
-
Finance/administration
-
Planning/intelligence
-
Operations
Question 54
Question
What key element of National Incident Management System (NIMS) carries out tactical objectives, directs front-end activities, participates in planning, modifies the action plan, maintains discipline, and accounts for personnel?
Answer
-
Logistics
-
Staffing
-
Operations
-
Administration
Question 55
Question
Triage personnel report directly to the:
Question 56
Question
The flexibility of the Incident Management System (IMS) as a whole and the emergency medical services (EMS) branch as a portion of the system is based on:
Answer
-
planning for all eventualities.
-
organization of all resources within a single command.
-
bringing all functional areas to bear on every incident.
-
implementation of only those areas necessary to address the incident.
Question 57
Question
What is the fundamental objective of the emergency medical services (EMS) provider at an multiple-casuality incident (MCI)?
Answer
-
Operate the triage area efficiently so as to transport the patients as soon as possible.
-
Do the most good for the most people.
-
Maintain the rehabilitation area.
-
Manage the food and water supplies.
Question 58
Question
The transport functional group of the emergency medical services (EMS) branch in an Incident Management System (IMS) is responsible for:
Answer
-
staging
-
medical communications.
-
medical equipment.
-
delayed treatment.
Question 59
Question
In accordance with the Simple Triage and Rapid Transport (START) triage system, which victim would be transported from a multiple-casualty incident (MCI) in a delayed capacity?
Answer
-
A conscious, well-oriented 22-year-old male with a respiratory rate of 36 and a radial pulse of 88
-
An unconscious 42-year-old female with no spontaneous respirations after opening her airway
-
A conscious and well-oriented 30-year-old male with a respiratory rate of 28 and a radial pulse of 100 who cannot walk
-
A conscious, disoriented 54-year-old female with a respiratory rate of 26 and a radial pulse of 96
Question 60
Question
In accordance with the Simple Triage and Rapid Transport (START) triage system, which victim would be transported last from a multiple-casualty incident (MCI) to the Emergency Department?
Answer
-
A conscious and well-oriented 28-year-old female with a respiratory rate of 28 and a radial pulse of 100 who is able to walk
-
An unconscious 37-year-old male with no spontaneous respirations after opening his airway
-
A conscious, well-oriented 25-year-old female with a respiratory rate of 36 and a radial pulse of 87
-
A conscious but disoriented 48-year-old male with a respiratory rate of 28 and a radial pulse of 97
Question 61
Question
What should be the first question you ask patients at a multiple-casualty incident (MCI) in accordance with the Simple Triage and Rapid Transport (START) triage system?
Question 62
Question
When performing JumpSTART triage, for a pediatric patient who is found not breathing and who does not begin to breathe after positioning the airway, how is this pediatric classified according to JumpSTART triage?
Answer
-
Apneic
-
Immediate
-
Deceased
-
Delayed
Question 63
Question
In developing an understanding of multiple-casualty incident (MCI), which statement is most accurate regarding the response phase of a disaster?
Answer
-
A disaster is an event that overwhelms regional emergency response resources.
-
A properly trained incident commander can prevent the overwhelming of response resources in a disaster.
-
A well-conceived MCI plan prevents the overwhelming of response resources in a disaster.
-
Response resources shouldn't be overwhelmed at an MCI if the emergency management plan is activated early.
Question 64
Question
If a disaster-level multiple-casualty incident (MCI) results in a regional failure of communications systems, should be done as a response to this loss?
Answer
-
Await a portable radio system.
-
Use message runners.
-
Gather victims into small groups and await rescue.
-
Call for satellite phones.
Question 65
Question
Which statement is most accurate regarding the Incident Management System (IMS) response stage of a disaster?
Answer
-
Outside assistance is almost always required.
-
There is typically only a brief recovery period necessary to return to station and restock your unit.
-
Casualties can be promptly cared for by existing resources.
-
A proper IMS plan provides for adequate resources.
Question 66
Question
What does disaster mitigation refer to?
Answer
-
The return of your department to normal as soon as possible
-
The prevention or limiting of disasters
-
The return of your community to normal as soon as possible
-
Setting up an IMS plan for your community
Question 67
Question
In preplanning for disaster response, what should the initial activity include?
Answer
-
Inventory of all regional resources
-
Assessment of potential hazards
-
Evaluation of local community resources
-
Training of response personnel
Question 68
Question
Evacuation and/or relocation of uninjured victims of a disaster should be conducted with the primary goal of:
Answer
-
maintaining proximity to the disaster site.
-
transportation to medical centers for evaluation.
-
maintaining social groupings.
-
retaining individuals who may be beneficial to the emergency response.
Question 69
Question
What is the best way to mitigate common problems that may occur during an multiple-casualty incident (MCI)?
Answer
-
Anticipate their occurrence as best possible and plan for them.
-
Formulate a disaster response plan for every type of disaster.
-
Inventory additional equipment available at a community and regional level.
-
Develop a redundant infrastructure.
Question 70
Question
Development of a disaster plan that outlines the standard operating procedures (SOPs) and protocols should be developed following what event.
Answer
-
A review of available resources
-
The occurrence of a large-scale disaster
-
An assessment of potential hazards
-
An evaluation of average hospital capacity
Question 71
Question
Which statement is most reflective of current research about critical incident stress management (CISM)?
Answer
-
CISM is recommended for minor or major MCI events.
-
CISM is most effective immediately after the incident.
-
CISM is most effective if administered during the incident.
-
CISM does not appear to mitigate the effects of traumatic stress.
Question 72
Question
During a mass casualty incident, mental health personnel should:
Answer
-
initiate a critical incident stress management (CISM) plan immediately after the incident.
-
be available on-site for rescuers and victims.
-
initiate critical incident stress management (CISM) plan during the incident.
-
stay out of the area until the recovery phase.
Question 73
Question
How long may it take for abnormal signs and symptoms associated with traumatic stress from an multiple-casualty incident (MCI) to develop?
Answer
-
Up to three days
-
No more than a day
-
Up to one week
-
Up to two months
Question 74
Question
Which of the following is not part of providing psychological first aid at an multiple-casualty incident (MCI)?
Answer
-
Critical incident stress debriefing
-
Encouraging, but not forcing, social support
-
Conveying compassion
-
Ensuring that basic physical needs are met
Question 75
Question
You are dispatched to a motor vehicle accident. On arrival, you discover four victims, all of whom require advanced life support (ALS). Dispatch indicates that will take another 10 minutes to get additional ambulances to your location. This incident typically be categorized as:
Answer
-
a START incident.
-
a disaster.
-
a low-impact incident.
-
a high-impact incident.
Question 76
Question
Which variable can typically change at any time during an open incident?
Answer
-
The number of triage levels
-
The number of destination hospitals
-
The amount of available resources
-
The number of patients
Question 77
Question
Which functional areas of the National Incident Management System (NIMS) system is ultimately responsible for dealing with an incident?
Answer
-
Command
-
Operations
-
Logistics
-
Administration
Question 78
Question
What role does psychological debriefing or diffusing provide within the scope of an multiple-casualty incident (MCI)?
Question 79
Question
What functional area of the National Incident Management System (NIMS) emergency medical services (EMS) branch is activated when there are not enough ambulances to transport the injured?
Answer
-
Planning
-
Logistics
-
Treatment
-
Operations
Question 80
Question
Which of the following disaster resource people would you not likely find at the emergency operations center (EOC)?
Answer
-
Triage personnel
-
Information officer
-
Government officials
-
Incident commander
Question 81
Question
What procedure should be pursued when a multiple-casualty incident (MCI) responder is not adapting to the disaster normally?
Answer
-
Refer the responder to a mental health professional.
-
No action is necessary.
-
Assist the responder in rationalizing the situation.
-
Provide critical incident stress management.
Question 82
Question
Which statement regarding incident impact is most accurate?
Answer
-
Motor vehicle collisions are always considered low-impact incidents.
-
The techniques and tools used to respond to an multiple casuality incedent (MCI) could also be used when managing a multiple-patient motor vehicle collision (MVC).
-
A hurricane is typically considered to be a high-impact incident.
-
The typical low-impact incident involves a single patient.
Question 83
Question
What is the critical responsibility of the logistics section of National Incident Management System (NIMS)?
Question 84
Question
In which type of multiple-casualty incident (MCI) have the injuries usually already occurred by the time you arrive on scene?
Question 85
Question
In accordance with the Simple Triage and Rapid Transport (START) triage system, what should the disposition be for patients who respond to your request to come to you?
Answer
-
They should be asked to assist.
-
They should be transported to the emergency department (ED) by bus.
-
They should be tagged yellow.
-
They should be confined to one area.
Question 86
Question
When faced with a potential disaster such as a hurricane, how can the impact on resources best be reduced?
Answer
-
By removing as many people to hospitals as possible
-
By advising people of safe routes out of the area to appropriate destinations
-
By beginning an immediate forced evacuation of the area
-
By removing resources from the area until after the disaster
Question 87
Question
Which of the following disaster resource coordination personnel would you least likely find at the emergency operations center (EOC)?
Answer
-
Incident commander
-
Operations section chief
-
Unit leaders
-
Jurisdictional officials
Question 88
Question
Which incident management concept is the comprehensive standard currently utilized for large-scale events since 9/11?
Answer
-
FIRE SCOPE
-
Incident Management System (IMS)
-
National Incident Management System (NIMS)
-
Incident Command System (ICS)
Question 89
Question
What is not part of the basic Incident Management System (IMS) emergency medical services (EMS) Branch at a multiple-casuality incident (MCI) incident?
Answer
-
Treatment
-
Triage
-
Transport
-
Timing
Question 90
Question
In accordance with the Simple Triage and Rapid Transport (START) triage system, which victim would be transported first from an MCI?
Answer
-
A conscious 44-year-old male with a respiratory rate of 28 and a radial pulse of 97 who is capable of following commands but who cannot walk
-
A conscious and well-oriented 32-year-old female with a respiratory rate of 28 and a radial pulse of 100 who can walk
-
An unconscious 47-year-old male with no spontaneous respirations after opening her airway
-
A conscious 59-year-old male with a respiratory rate of 37 and a radial pulse of 95 who is capable of following commands
Question 91
Question
In a disaster, if operations have begun to return people who have been evacuated to their homes and communities, then you are in which phase?
Answer
-
Recovery
-
Mitigation
-
Response
-
Planning
Question 92
Question
The original Incident Command System (ICS) was developed for use:
Question 93
Question
During an multiple-casualty incident (MCI) event, who has the greatest influence on the overall course of events?
Question 94
Question
What should the training goal be for each person involved in emergency medical services (EMS) disaster response?