1. Which component of personal protective equipment is required for ALL patient contacts, regardless of the chief complaint?

2. What is the primary purpose of determining the mechanism of injury (MOI) during scene size-up?

3. You are called to a residence for a 34-year-old male with cough and fever. He recently returned from international travel. As you approach, you observe the patient is wearing a surgical mask and mentions his sister was diagnosed with tuberculosis last week. What PPE is most appropriate?

4. You respond to a motorcycle collision. The rider was not wearing a helmet and was thrown approximately 30 feet from the motorcycle, landing on pavement. Which injury pattern should you anticipate based on this mechanism?

5. You are treating a patient who is actively vomiting bright red blood. The emesis is projecting onto your uniform. What should you do immediately after this exposure?

6. You respond to a two-story residential home for a fall. Family reports the 72-year-old female patient fell down a flight of 14 stairs. She is now at the bottom of the stairs, alert but complaining of right hip pain. Based on this mechanism, which additional injuries should you have a high index of suspicion for?

7. You are called to assist a patient with a large, weeping wound on his leg. The wound is producing significant drainage. As you prepare to dress the wound, which PPE combination is most appropriate?

8. You respond to a bicycle versus motor vehicle collision. The 28-year-old cyclist was struck from behind by a car traveling approximately 40 mph. Witnesses report the cyclist was thrown over the handlebars and landed on the pavement, striking their head. They were wearing a helmet. The patient is now unconscious with a deformed helmet and a visible crack in the helmet’s outer shell. Based on this mechanism and presentation, what is your index of suspicion?

9. You are dispatched to an assault at a bar. Upon arrival, police have secured the scene. A 45-year-old male was struck in the head and face multiple times with a baseball bat. He is conscious but combative, with visible swelling and deformity to the left side of his face. His left eye is swollen shut, and you note clear fluid draining from his left ear. He is agitated and trying to stand despite your instructions. What do these findings indicate, and what is your priority?

10. You respond to a homeless shelter for a patient with fever, night sweats, and a productive cough lasting three weeks. The patient mentions he was recently diagnosed with HIV and has not started treatment. He is coughing frequently in a small, poorly ventilated room with other residents present. As the first arriving unit, what is your immediate priority?

11. What is the FIRST priority upon arrival at any emergency scene?

12. Which of the following best describes the principle of early resource activation?

13. You are dispatched to a residential address for a “psychiatric emergency.” Dispatch reports the patient has a history of violence and police are en route. Upon arrival, you see a man standing on the porch holding what appears to be a baseball bat. What is the MOST appropriate action?

14. You respond to a two-vehicle collision on a rural highway. As you approach, you note that one vehicle is on its side in a ditch and the other has moderate front-end damage on the roadway. Traffic is still flowing past the scene. What should be your INITIAL action?

15. Dispatch sends you to a reported structure fire with possible entrapment. As you approach, you see heavy smoke and flames coming from a two-story home. A neighbor reports two people may still be inside. Fire department has a 15-minute ETA. What is your BEST course of action?

16. You are called to an industrial site for a worker who collapsed. Upon arrival, a supervisor reports the patient collapsed near a chemical storage area and there is a strong odor in the air. Several other workers are complaining of headache and nausea. What is your FIRST action?

17. You respond to a single-vehicle crash on a remote mountain road. The vehicle has gone down a steep embankment and is approximately 100 feet from the roadway. You can see one patient motionless in the driver’s seat. The vehicle appears stable, but access requires specialized equipment. What resources should you immediately request?

18. You are dispatched to a residence for a “difficulty breathing” call. As you approach the address, you notice an unusual number of emergency vehicles – two police cars are parked with lights off, officers are positioned behind their vehicles with weapons drawn, and a SWAT vehicle is staging nearby. A police officer waves you forward. What is your BEST response?

19. You arrive at a nursing home for a reported fall. Staff report that a visitor became aggressive when told he couldn’t take a patient home, and is now threatening staff with a knife in the common area. The patient from the fall is in a different wing of the facility. What is the MOST appropriate sequence of actions?

20. You respond to a motor vehicle collision involving a minivan and a tanker truck. The tanker displays a placard with the number 1993. The driver of the tanker is ambulatory and states the tank is about half full. The minivan has three passengers, one of whom is complaining of back pain. There is no visible leak or spill. What resources should you request?