1. Last week, on a computer-generated report, you accidentally documented that a patient suffered from hypertension when, in fact, he did not. Unfortunately, the report has been locked by the computer and cannot be changed; however, it can be printed. Your first action would be to:

2. You are reviewing a prehospital care report (PCR) and note the following entry: 'Pt. took PCN TID PO for 5 days.' You would interpret this as the patient took:

3. After oxygen therapy, the patient's SpO2 improves from 90% to 99%. Using the CHEATED method of documentation, this information would be placed in which category?

4. A pertinent negative would be illustrated by:

5. Which statement regarding a PCR is accurate?

6. You have been called to the house of a patient with altered mental status. You encounter a 41-year-old male who exhibits slurred speech, an unsteady gait, and an odor resembling that of alcohol on his breath. His wife states that he is an alcoholic and needs help to get better. When documenting this information, which statement would be best?

7. Consider the following narrative from a patient care report: 'pt. transported 3 days ago for suspected STEMI; pt. currently denies CP and SOB; PMH of HTN and CAD; pt. currently in NAD.' Which of these interpretations is most accurate?

8. A patient care report reads: 'c/o chest pain with associated DOE; PMH of IDDM.' Regarding this description, which interpretation is most accurate?

9. You are involved in a lawsuit over a stabbing that occurred six months ago. Since you work in a busy EMS system and some time has passed, your recollection of the incident in spotty. In this situation, your best means of remembering what occurred would be to:

10. A patient states that he has had a headache located in his forehead for three days. The EMT should recognize and document this piece of information as a(n):

11. When asked, an alert and oriented 44-year-old male tells you that he called 911 because 'my chest is hurting.' The man is also sweating and feels as if he is going to vomit. He has a history of high blood pressure and states that this pain 'feels just like my heart attack two years ago.' His pulse is 88 beats per minute, respirations are 18 breaths per minute, and blood pressure is 156/92 mmHg. On room air, he has an oxygen saturation level of 95 percent. Based on this information, how would you document his chief complaint on the patient care report?

12. A patient tells you that he has been feeling 'very weak' for the past three days. Using the SOAP charting format, this information would be included under which heading?

13. Just before the end of their shift, EMTs transported a young male who bystanders state 'passed out' and then had a seizure. Now, an hour later, the patient has been stabilized and the physician asks the nurse if she knows what the seizure looked like. To easily answer this question, she would:

14. Your protocol reads: 'O2 via NC prn if symptomatic for CP / SOB and SpO2 < 94%.' To follow this order, you should do perform which action?

15. What would be the best reason for a policy that requires all crew members to synchronize their watches with dispatch at the beginning of each shift?

16. Your partner states that he is the 'world's worst speller' and has great difficulty using medical terms. How would you respond to this statement?

17. A patient care report reads: 'PMH includes ESRF and (+) DNR; (+) ASA pta of EMS.' Regarding this description, which interpretation is most accurate?

18. You have placed a 67-year-old female patient on low-concentration oxygen with a nasal cannula. Under which section of the prehospital care report (PCR) would you document this information?

19. A patient with asthma is using his inhaler TID and prn. You would recognize that:

20. Which patient who refuses treatment should still be transported to the hospital?

21. Which statement shows an accurate understanding of the legal aspects of the prehospital care report (PCR)?

22. The medical director states that it seems as if the number of patients suffering from shortness of breath with a history of congestive heart failure (CHF) has increased. She adds that she is thinking about modifying the protocols, but first must know the number of patients seen with this condition over the past year. To best determine the number of patients treated for this condition, you would:

23. The medical director for your service has put you in charge of designing a new prehospital care report form. He states that it must contain the 'minimum data set' as set forth by the U.S. Department of Transportation. In completing this task, you realize that incorporating these data into your report form will:

24. When completing a paper-based prehospital care report, you accidentally write that a laceration was on the left side of a patient's face when it was actually on the right side of the face. Correcting this mistake would include which step?

25. When getting a refusal from a patient who does not want the services of EMS providers, it is critical for the EMT to complete which step?