Question 1

A patient with a suspected STEMI (ST-Elevation Myocardial Infarction) benefits most from transport to a STEMI center because:

STEMI centers have the largest emergency departments STEMI centers have 24-hour PCI capability, which is the definitive treatment to reopen the blocked artery STEMI centers are required to accept all cardiac patients by law Only STEMI centers can administer aspirin and nitroglycerin

Question 2

Mobile Integrated Healthcare/Community Paramedicine (MIH/CP) is best described as:

A faster response model for critical emergencies A proactive EMS model where providers make planned visits to high-utilization patients to address healthcare gaps and prevent unnecessary 911 calls A hospital-based program for discharging patients more quickly A training program for EMTs to become paramedics more rapidly

Question 3

A trauma center designated as Level I is distinguished from a Level III center primarily by:

Level I centers only accept adult patients Level I centers have surgeon and specialist availability around the clock and conduct trauma research Level I centers are located only in rural areas Level I centers are staffed exclusively by paramedics

Question 4

The phrase "time is brain" in stroke care refers to:

The difficulty of assessing neurological status in the field The rate at which neurons are lost during a stroke, making rapid treatment essential The cognitive demands placed on EMTs during stroke assessment The amount of time a stroke patient can wait before EMS is needed

Question 5

Which of the following best exemplifies professional integrity for an EMT?

Documenting that an assessment step was completed even if it was skipped, to avoid appearing incompetent Accurately documenting all findings — including errors or omissions — because the quality improvement process and patient safety depend on truthful data Performing interventions slightly outside of scope when you believe they are necessary Contacting the receiving hospital only when you have performed advanced interventions