Preparatory: 1 Concepts and Components: 1 Concepts and Components Module Quiz 1) Which of the following best defines the goal of critical care transport? a) Continuous intensive care bed-to-bed providing the same or higher level of service offered in intensive care units b) Rapid transport of critical patients to trauma centers c) Providing physician-level care to patients outside of the hospital d) Providing care that exceeds the ability of local EMS services 2) There exists a standardized curriculum for providing continuing education credits to critical care transport providers. a) True b) False 3) Failure to ensure that transfer paperwork is complete prior to transferring a patient from one hospital to another may result in an EMTALA violation. a) True b) False 4) The majority of ambulance accidents occur when the vehicle is traveling without lights and sirens. a) True b) False 5) Federal law requires that all emergency personnel working on roadways must wear fluorescent and retro-reflective vests. a) True b) False 6) The critical care transport providers must always assume responsibility and accountability for his or her actions. a) True b) False 1 ©2015 University of Maryland, Baltimore County Preparatory: 1 Transport Physiology: 2 Transport Physiology Module Quiz 1) Which of the following is an accurate measurement of barometric pressure at sea level? a) 670 mmHg b) 760 mmHg c) 147 mmHg d) 14.7 mmHg 2) List the layers of the atmosphere in order from the earth’s surface to outer space: a) Troposphere b) Stratosphere c) Mesosphere d) Thermosphere 3) Which of the following gases are of concern in aviation medicine (may be more than one correct answer) a) Oxygen b) Carbon monoxide c) Nitrogen d) Nitrous oxide 4) This gas law states, “Gas molecules will move from an area of higher concentration to an area of lower concentration” a) Ideal gas law b) Boyle’s law c) Newton’s law d) Universal gas law 1 ©2011 University of Maryland, Baltimore County Preparatory: 1 Transport Physiology: 2 5) This gas law states, “The amount of a gas is determined by its pressure, volume, and temperature” a) Ideal gas law b) Boyle’s law c) Newton’s law d) Universal gas law 6) Barotitis media is example of the manifestation of which of the following gas laws? a) Charles’ law b) Dalton’s law c) Boyle’s law d) Henry’s law 7) This gas law states, “The total pressure of a gas mixture is the sum of the individual partial pressures of all the gases in the mixture” a) Charles’ law b) Dalton’s law c) Boyle’s law d) Henry’s law 8) Barometric pressure decreases with altitude and atmospheric molecules move farther away from one another. This is example of which gas law? a) Charles’ law b) Dalton’s law c) Boyle’s law d) Henry’s law 9) Decompression sickness (i.e. “the bends”), is an example of which of the following gas laws? a) Charles’ law b) Dalton’s law c) Boyle’s law d) Henry’s law 2 ©2011 University of Maryland, Baltimore County Preparatory: 1 Transport Physiology: 2 10) For every increase of 1000 feet in altitude, temperature will: a) Decrease by 2° F b) Decrease by 2° C c) Increase by 2° F d) Increase by 2° C 11) Which of the following statements regarding Gay-Lussac’s law is correct? a) As temperature increases, pressure decreases b) As temperature decreases, pressure increases c) As pressure increases, temperature increases d) As pressure decreases, temperature increases 12) Night vision is lost at what altitude? a) 2500 feet b) 5000 feet c) 7500 feet d) 10,000 feet 13) Inadequate tissue oxygenation secondary to reduced oxygen-carrying capacity of blood is the definition of which of the following? a) Hypoxic hypoxia b) Hypemic (anemic) hypoxia c) Stagnant hypoxia d) Histoxic hypoxia 14) Drinking alcohol can cause the cellular inability to utilize oxygen in the blood. This is an example of which form of hypoxia? a) Hypoxic hypoxia b) Hypemic (anemic) hypoxia c) Stagnant hypoxia d) Histoxic hypoxia 3 ©2011 University of Maryland, Baltimore County Preparatory: 1 Transport Physiology: 2 15) Your heart failure patient is becoming hypoxic at altitude. This is most likely due to which of the following forms of hypoxia? a) Hypoxic hypoxia b) Hypemic (anemic) hypoxia c) Stagnant hypoxia d) Histoxic hypoxia 16) Write the oxygen-adjustment calculation needed for transporting oxygen-dependent patient’s at altitude: (%FiO2 X BP1) / BP2 = %FiO2 for altitude %FiO2 = concentration of inspired oxygen BP1 = barometric pressure prior to ascent BP2 = barometric pressure at altitude 17) The time from exposure to an oxygen-deficient environment to the point at which a useful level of consciousness is lost, is the definition of which of the following: a) Time of useless consciousness (TUC) b) Time of useful consciousness (TUC) c) Ineffective performance time (IFP) d) Effective performance time (EFP) 18) A pressurized aircraft cabin simulates which of the following altitudes? a) 1,000 – 4,000 ft b) 5,000 – 8,000 ft c) 9,000 – 12,000 ft d) 13,000 – 15,000 ft 19) List each of the factors that make up the acronym “DEATH” D = drugs E = exhaustion A = alcohol 4 ©2011 University of Maryland, Baltimore County Preparatory: 1 Transport Physiology: 2 T = tobacco H = hypoglycemia 20) Most patients are loaded along the long axis of the aircraft a) True b) False 5 ©2011 University of Maryland, Baltimore County Preparatory: 1 Air Medical Considerations: 3 Air Medical Considerations Module Quiz 1) Although debated by historians, the first air medical transport could have occurred in which of the following military conflicts? a) Vietnam War b) Civil War c) Prussian Siege of Paris d) World War I 2) The first helicopter evacuation of a wounded soldier occurred in which of the following military conflicts? a) World War I b) World War II c) Korean War d) Vietnam War 3) Rotor-wing transport is typically used for transports less than ____ nautical miles: a) 50 b) 100 c) 150 d) 200 4) Air medical accidents are usually caused by a single event. a) True b) False 5) List the four major contributing factors to a HEMS crash as identified by the NTSB: a) Human error b) Weather c) Mechanical failure d) Obstacle strikes 1 ©2011 University of Maryland, Baltimore County Preparatory: 1 Air Medical Considerations: 3 6) Weather has been frequently found to be the primary causes of HEMS accidents. a) True b) False 7) Briefly describe the “cardinal sin” of requesting air medical transport: a) The cardinal sin of air medical transport is having the patient transported by air when they could have reach an appropriate hospital quicker by ground transport 8) ___ minutes or ____ minute ground transport time is considered to be the minimum to which air medical transport is beneficial to the patient (with few exceptions such as extended extrication, weather, traffic, etc.) a) 20, 20 b) 30, 30 c) 40, 40 d) 50, 50 9) Which of the following is a DEBATABLE criteria for the use of HEMS? a) Death of an occupant in the vehicle b) Ejection from a vehicle c) GCS <10 d) Fracture with vascular compromise 10) Which of the following best describes the term “helicopter shopping”? a) When a program views different helicopters to upgrade their current aircraft fleet b) When rotor wing flight teams call around to find a fixed-wing aircraft to transport a patient a long distance c) When a hospital contacts numerous air medical vendors to find one that will manage the flight program at the hospital d) When sequential calls are made to numerous air medical providers in an attempt to find one to take a mission when it has been declined by others 2 ©2011 University of Maryland, Baltimore County Preparatory: 1 Air Medical Considerations: 3 11) Briefly describe the “51% rule” a) The 51% rule allows any crew member the right to decline a flight without fear of repercussion from administration or other crew members 12) What is the ideal size for a helicopter landing zone? a) 50’ x 50’ b) 100’ x 100’ c) 150’ x 150’ d) 200’ x 200’ 13) The slope of the landing zone cannot exceed ___ degrees a) 1 b) 5 c) 10 d) 15 14) Most aircraft are designed to approach the aircraft from a ____ degree angle to the doors a) 25 b) 45 c) 90 d) 180 15) Describe the “SLOW” acronym used to establish a landing zone: a) S= Size of landing zone should be 100 feet by 100 feet b) L= Landing area c) O= Obstacles d) W= Wind 3 ©2011 University of Maryland, Baltimore County Preparatory: 1 Air Medical Considerations: 3 16) CAMTS standards require “following by a communicator for both flight and ground transports. Aviation need to report position every ___ minutes, and ground needs to report positions every ___ minutes a) 5, 15 b) 10, 30 c) 15, 45 d) 30, 60 17) CAMTS standards require that a post-accident incident plan (PAIP) needs to be implemented __ minutes after a transport vehicle fails to give a position report, or is overdue to arrive a) 10 b) 15 c) 20 d) 25 18) CAMTS standards require that a pilot have ____ flight hours with _____ rotorcraft hours and ____ as pilot in charge. a) 2000, 1200, 1000 b) 1500, 1000, 100 c) 1000, 500, 50 d) 1000, 250, 50 4 ©2011 University of Maryland, Baltimore County Preparatory: 1 Medical Legal: 4 Medical Legal Module Quiz 1) A verdict in a civil trial only require proof by preponderance of evidence (proof greater than 50%) a) True b) False 2) Concern over patient dumping, refusing to treat patients and premature discharge of patients led to the creation of which of the following laws? a) HIPAA b) COBRA c) US Medical Malpractice Act d) Social Security Act of 1987 3) Failure to maintain EMTALA compliance can result in personal civil liability for the critical care transport provider.