NCM 121 Lecture Midterm Examination

1. A Semiconscious patient pushes your hand away when you pinch his earlobe. You should
describe his level of consciousness as:
a. Alert
b. Unresponsive
c. Responsive to Painful Stimuli
d. Responsive to Verbal Stimuli

2. Assessment of an unconscious patient’s breathing begins by:

a. Inserting an oro-pharyngeal adjunct
b. Manually positioning the head
c. Assessing respiratory rate and depth
d. Clearing the mouth with suction as needed

3. When assessing your patient’s pain, he says it started in his chest but has spread to his
legs. This is an example of what part of the OPQRST mnemonic?
a. Onset
b. Quality
c. Region/radiation
d. Severity

4. During the scene size-up, you should routinely determine all of the following, EXCEPT:
a. The mechanism of injury or nature of illness.
b. The ratio of pediatric patients to adult patients.
c. Whether or not additional resources are needed.
d. If there are any hazards that will jeopardize safety.

5. You arrive at the scene of an “injured person.” As you exit the ambulance, you see a man
lying on the front porch of his house. He appears to have been shot in the head and is
lying in a pool of blood. You should:
a. Immediately assess the patient
b. Proceed to the patient with caution
c. Quickly assess the scene for a gun
d. Retreat to a safe place and wait for law enforcement to arrive

6. Findings such as inadequate breathing or an altered level of consciousness should be

identified in the:
a. Primary assessment
b. Full-body Scan
c. Secondary Assessment
d. Reassessment
7. Which of the following would you NOT detect while determining your initial general
impression of a patient?
a. Cyanosis
b. Gurgling respirations
c. Severe bleeding
d. Rapid heart rate

8. Your primary assessment of an elderly woman who fell reveals an altered level of
consciousness and a large hematoma to her forehead. After protecting her spine and
administering oxygen, you should:
a. Reassess your interventions
b. Perform a rapid scan
c. Transport the patient immediately
d. Perform an exam focusing on her head

9. Which of the following statements BEST describes a mass-casualty incident?

a. At least half of the patients are dead.
b. Either a bus or an airplane has crashed.
c. You have more than two critical patients.
d. The patient count exhausts your resources.

10. How does a disaster differ from a mass-casualty incident?

a. Disasters may not involve personal injuries.
b. In a disaster, EMS may be on the scene for days or weeks.
c. Only an elected official can declare a disaster.
d. All the above

11. You can survive for 3 ___________ without oxygen or in ice cold water before
Hypothermia kicks in
a. 3 minutes
b. 3 hours
c. 3 days
d. 3 seconds

12. You can survive for 3 _______ without shelter in a harsh environment like a super
typhoon ravaging an isolated island
a. 3 minutes
b. 3 hours
c. 3 days
d. 3 weeks

13. You can survive for 3 ___________ without drinking water for rehydration
a. 3 minutes
b. 3 days
c. 3 weeks
 d. 3 months

14. You can survive 3 _____________ without eating any solid food
a. 3 months
b. 3 days
c. 3 weeks
d. 3 years

15. In the event of an emergency that requires you to evacuate, everyone in your household
should have a Go Bag packed and ready to go, it is recommended to you by your Clinical
Instructor that you should have supplies that can last atleast _______________.
a. 36 hours
b. 64 hours
c. 72 hours
d. 24 hours

16. During Triage, you are triaging a victim that is moaning, what do you do next?
a. Count respirations for 15 seconds
b. Open airway
c. Ask him why is he moaning
d. Check the capillary refill

17. You are at a Mass Casualty Incident, a victim has heavy bleeding. What do you do if
there are far more victims to attend to
a. Ask them to put their hand on the bleeding and squeeze
b. Ask their spouse sitting next to him to place hand on bleeding and squeeze
c. Ask a walking wounded to assist you by controlling the bleeding
d. All of the above

18. When performing a Capillary Refill Test with your patient during Triage, the victim will
pass if,
a. They refill within one tenth of a second
b. They refill within two seconds
c. They refill within three seconds
d. They think it has refilled

19. You are on Triage, upon arrival to the victim, you notice there is no breathing. What do
you do next?
a. Try repositioning the head for a repositioned airway
b. Check Carotid Pulse
c. Check Capillary Refill
d. Tag Patient as Red

20. In memorizing the rhyme of Triage, which is 30 related to?

a. Respiration
 b. Perfusion
c. Mental Status
d. Pulse Rate
21. Since we can only survive for ______days without __________. It should be one the top
priorities if we are in Survival Mode.
a. 4, Food
b. 4, Water
c. 3, Shelter
d. 3, Water

22. During survival mode, it is the best solution here in our country examples of it are to
gather Rain Water and sterilize, learn edible wild foods and how to clean and cook them.
a. Firing
b. Foraging
c. Hunting
d. Shooting

23. Navigation during day without a compass, is that you may use the Sun, which,
a. Rises in the West, Sets in the East
b. Rises in the North, Sets in the West
c. Rises in the East, Sets in the West
d. Rises in the East, Sets in the East

24. In making a Preparedness Plan, you should NOT:

a. Be familiar with the Natural Risk Disasters in your community
b. Consult your BDRRMC & DRRMO for tips in preparing for and responding to
c. Consider how you can help in responding to emergencies
d. Consider to shelter in place during a Fire

25. In practicing the Preparedness Plan you have done, it is recommended that you should
practice it atleast,
a. Thrice a year
b. Once a year
c. Twice a year
d. Once a month

26. A type of Triage used to minimize the patients in the field because you are letting the
walking wounded move towards you
a. Jump Triage
b. Voice Triage
c. Simple Triage
d. Rapid Triage

27. Used to identify the Triage Colour of a victim. It can be a simple ribbon or a coloured
tape. It is usually left in the extremity or chest of the patient
 a. Triage Note
b. Triage Colour
c. Triage Tag
d. Triage State

28. Interventions allowed to be done in the Field if you are a Triage Officer is the following,
EXCEPT:
a. Head Tilt, Chin Lift Manoeuvre
b. Elevation of Feet to treat for shock
c. Provide Bulky dressing for profuse bleeding wound and placing Pressure bandage
d. Cardio-Pulmonary Resuscitation

29. After triage, the extrication team spots and loads the patient on to the board to transfer to
where, for further management
a. Incident Command Post
b. Triage Area
c. Treatment Area
d. Command Area

30. It is an incident where the number of patients exceeds the amount of healthcare resources
available, thus requiring additional help at the area of incident.
a. Mass Casualty Incident
b. Mass Complication Incident
c. Mass Collision Incident
d. Mass Covid Incident

31. What does START stand for in START Triage?

a. Simple Treatment And Rapid Transport
b. Simple Triage And Rapid Treatment
c. Simple Triage And Rapid Transport
d. Simple Transport And Rapid Treatment

32. Your patient is not breathing, after you have repositioned the airway, the patient began
breathing. What is your tag for this patient?
a. Yellow
b. Green
c. Red
d. Black

33. In History Taking, SAMPLE is being used for interviewing your patient. The meaning of
P in this mnemonic is,
a. Pertinent Drug Information
b. Palpable Pulse Rate
c. Past Medical History
d. Persistent Coughing Episode
34. The V in AVPU stands for,
a. Venous Pressure
b. Venous Bleeding
c. Verbal Response
d. Very Rapid Breathing

35. In describing Pulse Quality, it is described as stronger and normal pulse

a. Pounding
b. Bounding
c. Stronger
d. Rapid

36. When blood is not properly saturated with oxygen, the skin appears bluish. This is called?
a. Jaundice
b. Cyanosis
c. Flushed
d. Reddish

37. In doing a reassessment, we recheck the vital signs of the patient. It is apparent to check
every _______ minutes if your patient is in an unstable state
a. 7 minutes
b. 3 minutes
c. 5 minutes
d. 15 minutes

38. It is performed to assist in prioritizing time and mode of transport. Any life threats are
being identified here before moving to the next step of the assessment
a. Rapid Body Scan
b. Detailed Patient Scan
c. Patient Assessment
d. Focused Assessment

39. It is performed on the back of an ambulance, before going to the hospital, because it
helps us to determine what we have missed and what further actions are to be done
a. History Taking
b. Re-assessment
c. Secondary Assessment
d. Triage

40. The colour Red Tag in Triage is also known as,

a. Immediate
b. Delayed
c. Minor
d. Deceased