1) You are on the scene of a bus rollover on a rural interstate. A person states that he is a volunteer at an out-of-state fire department and that the worst patient is “over there.” He insists that you follow him to this person. You can see that there are other people in and around the bus who could be injured. Which of the following best describes your role and your actions at this point? A) Give the first responder your aid bag and tell him or her to provide care until more units arrive. Quickly assess the scene, then return to the patient. B) If you have not done so, radio a size-up. Then, you and your partner triage all persons needing care and/or rescue. Pay particular attention to the need for specialized rescue companies. C) You are overwhelmed at this point. It is not prudent for you to take action, because you will undoubtedly be unable to care for all situations that will come upon you. Do a size-up and remain in the unit until you have more resources. D) Follow the first responder; to neglect the patient after he has told you he or she needs care is negligence. 2) Which of the following best describes the role of the safety officer in the incident management system? A) Monitor all on-scene actions for potential hazards B) Coordinate operations with outside agencies C) Collect data about the incident and release it to the public D) Support incident operations 3) What basic medical supplies should triage officers always carry? A) An aid bag and O2 B) Triage tags and O2 C) Gloves, airways, and hemorrhage-control supplies D) disaster plan guidelines 4) Which of the following is the legal doctrine that gives command to a specific agency during an MCI? A) NFPA National Incident Command Law B) Disaster Command Designation Law C) Scene-Authority Law D) The Federal Guideline for Incident Command 5) Which of the following best describes the importance of using multiple radio channels for an MCI? A) So commanders can have their own channels B) To make it easier on the dispatchers handling the incident C) To decrease the amount of radio traffic on primary channels so command requests can be processed without confusion D) To accommodate multiple jurisdictions that are involved, which may not have the same channels 6) What is your top priority at a multiple-casualty incident? A) Requesting the right amount of resources early B) Life safety C) Scene size-up D) Victim safety 7) You are a paramedic assigned to a nontransporting ALS unit for a rural fire department. You are the only paramedic on duty in the county. You are dispatched and first on the scene of a crash along a two-lane road. A van carrying a family was turning in the family’s driveway when it was struck from behind by a tractor-trailer. There were nine people in the van and two in the tractor. A neighbor, who is also a nurse in the local ER, lives next door and is on scene doing CPR on one of the children. What would be a prudent action for you to take and why? A) Use the START system and tag the patients. Do not commit to CPR and request appropriate resources. B) Quickly do a scene size-up and begin triage using START. Try to use the nurse by simply explaining that you need her to assist you with those patients who can benefit from her knowledge and training and that you will be unable to sustain CPR on one patient. C) Tell the nurse to stop CPR immediately and assist you with the rest of the victims. D) Do a scene size-up. Quickly triage the rest of the victims, then assist the nurse with CPR. Intubate the child and give her a BVM, then continue with START. If no other patients need ALS, go back and perform further interventions. 8) You have arrived on the scene of a motor vehicle collision with multiple patients. You are the fourth-due unit. You are given an assignment to establish a triage sector for the 10-plus patients who have been identified. You find one person you believe must be transported immediately. What is the most prudent action you should take? A) Tell your partner to go tell incident command that you are leaving. B) Perform the proper stabilizing techniques that are allowed during triage. Tag the patient and notify incident command of your needs. C) Notify incident command that you have a priority patient and that you will be transporting immediately. D) Stop triage and treat the patient accordingly. 9) Which of the following may result if incident command is not established early in an incident? A)  Most MCI sectors would form spontaneously without direction from IC. B) Arriving crews would clearly understand all staging instructions. C) Units may lack good directions to the scene. D) Units may “freelance” and deprioritize patients. 10) You arrive on a first-due engine company to a school van rollover collision. In the van were 13 children from ages 6 to 10. Of those, four were ejected and laying about the scene. Of the remaining, five are ambulatory and four are trapped. The driver of the van is also trapped. What do you know immediately with regards to triage? A) You have eight critical patients. B) You will need an extrication sector. C) You have sufficient resources. D) At least five patients are “green.”