EMT Practice Test ver. 3/25/16

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Common barbiturates, sedatives, and hypnotic substances include all of the following except:
1. Ethyl alcohol
2. Butabarbital
3. Phentermine
4. Diazepam
A gastrostomy tube is a tube used for what purpose?
1. Draining fluid from the lungs
2. Draining fluid off the brain
3. Gastrosting a patient
4. Feeding a patient
Blood that is unoxygenated moves into the lungs through the?
1. Pulmonary vein
2. Aortic arch
3. Pulmonary valve
4. Pulmonary artery
You arrive on scene to find an 11 year old girl who was struck by a truck while riding her bike.
She is unresponsive to painful stimuli and has a large abrasion on her left side. She is breathing at 24
respirations per minute and regular. Your next course of action would be?
1. C-spine precautions and Administer high flow O2 with an NRB
2. Start Positive pressure ventilation with a BVM
3. Initiate CPR
4. Splint any fractured extremities
Which best describes an oblique fracture?
1. A fracture that occurs straight across the bone
2. A fracture in which the bone is broken at an angle across the bone
3. An incomplete fracture that passes only partway through the shaft of a bone
4. A fracture in which the bone is broken into more than two pieces
What four things is BURP supposed to help you remember?
1. Rhythmic - uninterrupted - respiratory - paradoxes
2. Bilateral - uvula - replacement - policy
3. Back - up - right - pressure
4. Blue - unconscious - resuscitate - provide O2
The arterioles connect to?
1. Venuoles
2. Neurons
3. Capillaries
4. Veins
The ____________ receives blood returned from the body and then the ___________ pumps it into the lungs.
1. left atria / left ventricle
2. right ventricle / left atrium
3. left ventricle / right atrium
4. right atrium / right ventricle
You are assessing a patient who is complaining of severe chest pain. They are sweating and
their BP is 96/55. You have their medications with you and they include a prescription for nitroglycerin. You
contact medical control and they order you to give the patient 1 nitro tablet sublingually. What would you do?
1. Instruct medical control to get out their protocol books and look under contraindications for nitro
  administration
2. Give the patient 1 nitro tablet as instructed
3. Repeat the blood pressure and administer 1 nitro tablet
4. Repeat the blood pressure and ask again what they would like you to do
You are assessing a patient with an arm injury. You believe they are competent, but they are
refusing treatment and transport for an injury that you know needs medical attention. This patient?
1. Has to do what the hospital says
2. Has not made a choice that shows they are competent
3. Has the right to refuse treatment
4. None of the above
All of the following are reasons to request that resources be sent to the scene except:
1. Getting the patient to the hospital safely and quickly
2. Ensuring use of common protocols
3. Making decisions about proper patient care
4. Traffic issues
Your patient is a 77-year-old female who is complaining of dyspnea, nausea, weakness, and
you notice that she is sweating profusely. What medication is indicated?
1. Oral glucose
2. Benadryl
3. Albuterol
4. Nitroglycerin
You are the Incident Commander at the scene of a bus rollover. A tourist group of approximately 25 senior citizens was on the bus when it overturned on a sharp corner. Which of the following actions would be appropriate?
1. Call for fire suppression from the fire department and traffic control from law enforcement, then establish a
  red zone
2. None of the actions would be appropriate
3. Assigning a triage officer, treatment officer, and a transportation officer
4. Help with extrication of the patients from the bus and set up a triage area
When a patient's body temperature drops below ______, he or she will stop shivering. This is a sign of _________________.
1. 90 degrees / severe hypothermia
2. 92 degrees / acute hypothermia
3. 94 degrees / compensated hypothermia
4. 96 degrees / mild hypothermia
You and your partner Grimes are called to the scene of a stabbing. There are two patients
reported. A woman with a stab wound to the URQ and a man with a stab wound to the LRQ. The woman
with the wound in the URQ is having problems breathing, has a pulse of 103, respirations of 35, and they are
shallow. The patient with the stab wound to the LRQ is complaining of severe abdominal pain and has a
pulse of 48 and a respiration rate of 24. Which patient is most likely to have a low blood pressure? Why?
1. Neither will have a low blood pressure, they will both be high
2. The woman, because if she cannot breathe well her BP will drop
3. The man, because of the nature and location of the injury, he may be losing blood internally. His pulse is
  too slow as well
4. The man, because a respiration rate of 24 is indicative of low blood pressure
What will not be included in management of shock?
1. Attempt to control internal bleeding
2. Airway management as needed
3. Keep patient warm, try to maintain normal body temperature
4. Treat additional injuries that are present
The most common route of exposure for a hazardous materials incident is?
1. Inhalation
2. Ingestion
3. Injection
4. Absorption
When assessing a patient's orientation and level of mentation, they should be able to answer 3 questions related to?
1. Pain, verbal, and eye movement
2. Verbal, denial of pain, and time
3. Place, person, and thing
4. Place, time, and person
Which of the following is considered a sign?
1. There is blood in the vomit of the patient
2. The patient says they took their insulin
3. The patient states they are dizzy
4. The patient states they have a headache
You and your partner Nhabib have been dispatched to a home for an unknown illness of a
6-year-old girl. Of the following choices of vital signs, which would you hope to find in this patient?
1. 14 breaths per minute, pulse 75, systolic BP 80
2. 24 breaths per minute, pulse 120, systolic BP 98
3. 20 breaths per minute, pulse 141, systolic BP 125
4. 31 breaths per minute, pulse 64, systolic BP 90
You are assessing the vital signs of a 7-year-old child. Which of the following sets of vitals would you hope to find?
1. BP 100/58, respirations of 14 per minute and a pulse of 125
2. BP 104/60, respirations of 16 per minute and a pulse of 98
3. BP 108/64, respirations of 20 per minute and a pulse of 100
4. BP 116/70, respirations of 27 per minute and a pulse of 130
An EMT would use the AVPU scale to evaluate_______________ and an EMT would use the GCS scale in order to see_____________.
1. What reaction is given from a stimulus/ what stimulus was given for the reaction
2. Where the patient is on the alertness scale / where the patient is on the stability scale
3. What stimulus it takes to get a reaction / what response is given for each different stimulus
4. What level of responsiveness the patient has to pain / what that response achieves
Medications can be administered through a number of different routes. Which answer choice
is NOT one of them?
1. Sublingual
2. Intramuscular
3. Inhalation
4. Interstitial
You are transporting a 32 year old pregnant woman who is in the 32nd week. She is
complaining of stomach pain and is pale. How would you transport her?
1. Modified Trendelenburg
2. Supine with feet elevated
3. Left lateral recumbent
4. Prone with a pillow under her belly
The brain is located______to the heart.
1. Lateral
2. Proximal
3. Anterior
4. Superior
You have a responsive patient who is able to answer your questions. What do you do?
1. History, secondary assessment, vitals
2. History, vitals, and secondary assessment
3. Secondary assessment, baseline vitals, and history
4. Baseline vitals, history, and secondary assessment
Assessment findings and symptoms for Cannabis include all of the following except:
1. Depression
2. Anxiety
3. Heightened memory
4. Altered perception of time
An upper airway obstruction may produce sounds like:
1. Eronchli Ventalotis
2. High pitched sounds like stridor on inspiration
3. Biots breathing
4. Crackles
It's 7:30 a.m. and you arrive on scene of a two car collision involving at least 6 patients on a
foggy corner of a fairly busy country road. The fire department is not there yet and there is smoke and
flames showing from both cars. You can hear people crying and cars are already driving around the
wreckage to get past the scene. What steps should you take?
1. Triage the most critically injured first and then extricate them in order of severity
2. Get the fire department en route, establish a safety zone and assist in keeping traffic a safe distance away
3. Begin extrication of the patients while your partner calls for more ambulances
4. Inform the patients that you are not allowed by law to enter the zone until it is made safe by law
  enforcement
The mnemonic DCAPBTLS is used for remembering what to look for during a physical exam. What does the letter D stand for?
1. Deformity
2. Document
3. Dehydration
4. Distal
The cricothyroid membrane is ___________ to the ______________.
1. A solid ring connected / esophagus
2. Anterior / thyroid cartilage
3. Superior / cricoid cartilage
4. Inferior to the cricoid cartilage
Who decides what the minimum data set is for a PCR?
1. ADC
2. NIMDA
3. OSHA
4. NEMSES
A reaction to events that interferes with the activities of daily living is known as:
1. Psychiatric disorder
2. Functional disorder
3. Behavioral emergency
4. Altered mental state
A 57 year old man was in a car accident. He is complaining of severe chest pain. He has a
history of cardiac problems and has a prescription for Nitro spray but it is empty. His first blood pressure is
119/74. His second blood pressure is 109/88 and his respirations have increased from 16 to 22 per minute.
This man has ________________________ and it was most likely caused by __________________.
1. A narrowing pulse pressure / impact to the steering wheel
2. Likely suffered a ruptured aorta / disease processes
3. Had a heart attack / a weakened right atrium
4. Agood chance of survival if nitro is administered / his previous cardiac history
Pulmonary veins return blood to the ____________.
1. Lungs
2. Left atrium
3. Right atrium
4. Left ventricle
Which of the following would be contraindicated in a 9 year old child who has suffered a skull fracture after being thrown from a horse?
1. Extremity assessment
2. Airway assessment
3. Nasopharyngeal airway
4. Oropharyngeal airway
CPR is in progress on an 80 year old man who has fallen from a ladder. He has no pulse and
chest compressions are being initiated. Current AHA guidelines specify that this man should receive
approximately how many compressions over a period of 2 minutes?
1. 120 compressions
2. 100 compressions
3. 180 compressions
4. 220 compressions
Which type of history and physical examination would be appropriate for a patient who is having trouble breathing with no signs of physical injury?
1. Rapid: Focused
2. Detailed: Detailed
3. Rapid: Detailed
4. Focused: Focused
Which of the following is an intervention?
1. Oral glucose
2. Transportation
3. All of the above
4. C collar application
When you are determining a patient's level of consciousness/responsiveness, you use GCS to
determine _____________, but would use an AVPU scale to check_______________.
1. What level of responsiveness the patient has to pain / what that response achieves
2. What reaction is gotten from a stimulus/ what stimulus was given for the reaction
3. Where the patient is on the alertness scale / where the patient is on the stability scale
4. What response is given for each different stimulus /What stimulus it takes to get a reaction
  b. What level of responsiveness the patient has to pain / what that response achieves
  c. What reaction is gotten from a stimulus/ what stimulus was given for the reaction
  d. What response is given for each different stimulus /What stimulus it takes to get a reaction
Your chest pain patient asks you how many chambers are in the heart. You reply?
1. There are 4. The right and left atrium, and the right and left ventricle.
2. The heart doesn't contain any chambers.
3. There are 5. The apex, the right and left atrium, and the right and left ventricle.
4. There are 3. The Mitral, Biscupid, and Tricuspid
The root word encephal- refers to what?
1. Brain
2. Head
3. Neck
4. Bone
Your patient was in a head-on collision. In order to open their airway you would use the?
1. Laryngoscope
2. Trendelenburg tilt
3. Head tilt chin lift
4. Jaw thrust
The AVPU mnemonic is used to assess a patient's level of responsiveness. What does the letter V represent?
1. Vasodilation
2. Visceral
3. Veins
4. Responds to verbal
Which of the following would be the best indication that a patient is suffering from hypoxia?
1. They are cool and moist
2. They are breathing shallow and fast
3. Their pulse is rapid and their skin is pale
4. Their oxygen saturation is 87% while you have them on O2 at 15 LPM
With regard to the SAMPLE history, the question "Has anything unusual happened today or is it
a normal day?" would relate to which letter?
1. L
2. E
3. M
4. P
Amputation is?
1. The traumatic removal of a body part
2. Done in the prehospital setting
3. Painless if all the nerves are severed
4. A very deep cut that does not go all the way through
You arrive on scene with your partner Giovanni to find an 84 year old woman. She tells you a
long colorful story about how she twisted her ankle while walking around the block. What is the first thing you
should do?
1. Ask her if she is experiencing pain anywhere else
2. Do a detailed physical exam of the ankle
3. Do a rapid trauma assessment
4. Make sure she has a patent airway
Insulin is released from the ______________.
1. Pancreas
2. Gallbladder
3. Brain
4. Spleen
While assessing a patient, you hear snoring and stridor sounds with every breath the patient
takes. What would this be an indicator of?
1. Pneumonia
2. Sleep apnea
3. Bronchitis
4. Airway obstruction
Which of the following is not an enteral route of drug administration?
1. PO
2. OG
3. Nasal
4. SL
Disposable medical equipment, other than sharps, that becomes contaminated should be?
1. Sterilized
2. Put in a red biohazard bag
3. Thrown in the trash
4. Sanitized with antiseptic
What is one technique used to assist in Endotracheal Intubation?
1. Selte Maneuver
2. Cricothyrotomy
3. Cricoid Pressure
4. Vagal Maneuver
An improvised explosive device has detonated and 3 members of the SWAT team were
injured during the secondary phase of the blast. You know from that fact that they were?
1. Not doing their job
2. Thrown through the air
3. Hit by an energy wave and have organ damage
4. Hit by flying shrapnel
You are dispatched to an accident involving two semi trucks and several cars that have
collided under an overpass. The reporting party says that there are several people in the road and nobody is
helping them. Your unit is the first to arrive on scene. After performing a thorough scene size-up, what
should you do?
1. Triage the patients
2. Call for more ambulances
3. Assume command of the scene
4. Establish a safety officer
You arrive on scene to find a man in his 20's lying in a pool of vomit. You can see that he is
breathing at about 16 breaths per minute and the depth of respiration is adequate. He has a small laceration
on his forehead. You try getting a response by calling "Hey man can you hear me?" but he does not answer.
Your partner gives him a quick sternal rub and his eyes pop open along with a whimper under his breath and
then they close again. You ask him to perform several motor functions but he does not comply. He does not
answer any of your questions. This man has a GCS of what?
1. 14
2. 7
3. 9
4. 4
Medical control is responsible for all of the following EXCEPT:
1. Overseeing patient care
2. Making decisions about proper patient care
3. Getting the patient to the hospital safely and quickly
4. Ensuring use of common protocols
You arrive at the home of a 32 year old male with a nosebleed. He is conscious and there is
no other medical emergency. Techniques to stop the bleeding include all of the following except:
1. Have patient sit up and lean forward
2. Pinch nostrils firmly together
3. Tell the patient not to sniffle or blow nose
4. Have patient sit up and lean back
A person with cyanosis around the neck will?
1. Have yellowing of the jugular veins
2. Likely be mentating correctly
3. Not be hypoxic
4. Be hypoxic
What position is preferred when transporting a person who is unconscious from a non trauma emergency?
1. Trendelenburg
2. Recovery
3. Prone
4. Supine
You are dispatched to the scene of a bee sting that has initiated anaphylaxis in a 7 year old
boy. While swatting the bees away, the boy's father was stung multiple times and is allergic to bees as well.
What dosage of epinephrine should you give the boy in an auto injector? What about the dosage for his father?
1. .5/2.0
2. 0.15/.3
3. .1/.5
4. .8/1.6
The amount of air that can be forcibly expelled from the lungs after breathing deeply is called:
1. Minute volume
2. Residual volume
3. Vital capacity
4. Dead space
The integumentary system:
1. Is responsible for digestion and hormone regulation
2. Regulates urinary and kidney function
3. Receives sensory input from the epidermis
4. Helps regulate body temperature as well as providing the body protection from the environment
You are called to the scene of a one car rollover involving a 17 year old male driver. When
you arrive on scene a first responder is already there as well as the police who had been trying to catch the
driver for speeding. The patient is standing on the road talking to police and the vehicle is off the road in the
trees laying on its side. The driver has small abrasions on both arms and both legs, but other than that he denies any pain anywhere. You should...?
1. Have him sign a denial of transport form
2. Put a collar on this patient and immobilize to a backboard
3. Release the patient into the custody of his parents
4. Bandage the abrasions at the scene and leave
Which of the following could be considered an allergen?
1. All of the above
2. Food
3. Pollen
4. Dust
You and your partner arrive at a nursing home and find a 73 year old male patient with a
stoma. He is not breathing. What course of action is indicated?
1. Use a Nasopharygeal airway to ventilate.
2. Use a Tracheostomy mask to ventilate
3. Use a Venturi mask to ventilate
4. Use a Nasal Cannulas to ventilate.
You arrive on scene to find a 78 year old man who is sitting in a chair and staring off into
space. His breathing is labored and you can hear wet lung sounds. You get no answer when you try to get
his name. Your requests for him to move his toes go without response. Immediate treatment for this patient
would include ________________.
1. Aggressive IV therapy
2. High flow O2
3. Administration of epinephrine
4. Transporting in a supine position
During secondary assessment, all of the following are aspects of blood pressure monitoring that should be addressed except:
1. methods of measurement
2. methods of palpitation
3. position of arm
4. relation to perfusion
Cardiac arrest is not very common in children, but when it does occur, it is most often the result of?
1. Seizures
2. SID's
3. Trauma
4. Respiratory arrest
A child has just had a seizure and is lying still in his parent's arms. This state is known as?
1. Pariatial
2. Prone
3. Prenatal
4. Postictal
The majority of cardiac medical emergencies are the result of what?
1. Old age
2. Reduced blood supply to the myocardium
3. Embolism and thrombosis
4. Poor diet
The windshield in the ambulance is made of what material?
1. Plexiglas
2. Bullet resistant glass
3. Unbreakable plastic
4. Safety glass
If a patient has given you expressed consent to treat them it means that?
1. They are conscious
2. They are unconscious
3. They understand the treatment as you have explained
4. None of the above
Respiratory physiology includes cellular respiration, the process that exchanges oxygen and
carbon dioxide within the lungs. Oxygen that is inhaled________________________________________.
Carbon dioxide _______________________________________________.
1. diffuses from the alveoli into the capillaries where it moves into the arterioles and arteries / diffuses from
  the capillaries into the alveoli and is expelled from the lungs during exhalation
2. moves by osmosis from the alveoli into the lungs where it is absorbed into the blood stream / moves by
  osmosis through the cell wall of the alveoli and into the veins where it is transported to the heart
3. is diffused through the capillary cell wall and into the venules where it moves into the alveoli / is diffused
  from the alveoli into the veins where it is cleaned
4. d. is actively transported by the arteries to the alveoli the capillaries into the alveoli and is expelled from the lungs during exhalation
Inhalers with various medications are prescribed to patients who suffer from
1. History, vitals, and secondary assessment
2. Baseline vitals, history, and secondary assessment
3. Secondary assessment, baseline vitals, and history
4. Bronchodilation
The indications of a medication are ________________.
1. What can happen to a patient as a result of using a medication
2. What the drug is to be used for and under what circumstances
3. Based on what medical control tells you
4. Not reliable
Another word for thorax is the ______.
1. Chest
2. Abdomen
3. Buttocks
4. Pelvis
You are attempting to get a blood pressure on a 62 year old female in the back of the
ambulance. All you are able to hear through the stethoscope is background noise from the traffic outside.
What are you going to do now?
1. Auscultate the pressure in the femoral
2. Auscultate the pressure in the brachial
3. Palpate the pressure in the radial
4. Palpate the pressure in the carotid
You arrive on scene with your partner Wayne to find a man at a bowling alley in respiratory
distress. He is walking around looking pale and acting agitated. Audible wheezing sounds can be heard as
he breathes in. His cousin says he was just getting ready to bowl when he started coughing and now it's like
this. You ask the man if he is choking and he wheezes "yes". What should you do for this patient?
1. Transport and encourage him to cough
2. Wait until he passes out from choking then do compressions to dislodge the food
3. Heimlich maneuver
4. Use a pair of Magill forcepts to remove the blockage
Your patient is a 69 year old female who has a history of diabetes. She is breathing very
deeply and very rapidly in a state of respiratory acidosis. Her husband said he woke up to her breathing like
this and she would not wake up. You know that this woman is most likely in?
1. A diabetic coma
2. Respiratory alkalosis
3. Diabetic shock
4. Respiratory rebound stage
What type of lung sounds would you expect to hear in a patient that is healthy?
1. Moist lung sounds
2. Vesicular lung sounds
3. Bronchovesicular lung sounds
4. Bronchial lung sounds
You and your partner Abner are called to the scene of a man who is having trouble
breathing. When you arrive on scene, you notice several other men and women standing around the front
porch and inside the house. The scene appears safe and you ask where the patient is located. One of the
men points into the back bedroom. You enter to find a man doubled over and breathing very rapid. He says
that his stomach hurts after being struck in the stomach by a baseball bat swung by his wife. You should...?
1. Leave the scene and call law enforcement
2. Call the husband out for getting beat up by a woman
3. Treat the patient if the situation appears safe. Inform law enforcement if it was assault, when the time is
  appropriate
4. Inform the man that he will have to go to the hospital if he wants to get medical attention as this scene is
  not safe
Headache is a side effect of ________________.
1. Oxygen
2. Nitroglycerin
3. Blunt head trauma
4. Car wrecks
Assessment findings and symptoms for barbiturate, sedative and hypnotic substances may include all of the following except:
1. Sharp mental acuity
2. Peacefulness
3. Drowsiness
4. Appearance of intoxication
You arrive on scene with your partner to find a woman who has suffered a fall from a deck. She landed on her feet after falling approximately 9 feet to a rocky embankment. This patient likely has
suffered an injury to what part of her body?
1. Radius
2. Epigastrum
3. Ulna
4. Calcaneus
How many cc's of blood does the average man have per kilogram of body weight?
1. 60 cc
2. 90 cc
3. 80 cc
4. 70 cc
You are transporting a 19 yr old pregnant woman who is in the 37th week of her 3rd
pregnancy. She is breathing rapidly and is cool to the touch. She says that her contractions are 12 minutes
apart. In what position would you transport her?
1. Modified Trendelenburg
2. Left lateral recumbent
3. Prone with a pillow under her belly
4. Supine with feet elevated
With regard to the SAMPLE history, the question "What have you eaten today?" would relate
to which of the letters?
1. P
2. A
3. L
4. M
The pediatric assessment triangle is composed of three elements:
1. Circulation, Appearance, Work of Breathing
2. Muscle Tone, Respiratory depth and rate, Perfusion
3. Level of Consciousness, Quality of Respirations, General Appearance
4. Blood pressure, Pulse rate, Respiratory Rate
Alcohol abuse may present in all of the following ways except:
1. Increased resistance to infection
2. Nausea
3. Sedation
4. Respiratory depression
You are called to the scene of a structure fire. Upon arrival you notice several people
staggering down the block away from the fire with soot marks around their mouths. You should?
1. Tell them to stay where they are and wait until you come back
2. Get ready for the building to explode because it could be a meth lab
3. Call for additional ambulances and continue to assess the scene
4. Treat them immediately and find out if there are others in the building
Nitroglycerin should _____________________.
1. Increase cardiac output
2. Relax the vessels
3. Maintain the pulse rate
4. Constrict the vessels
You arrive on scene to find a 5 year old boy who has suffered a fall running up the stairs. His
mother states he was unconscious for approximately 20-30 seconds. She is holding him in her arms and he
has a small laceration and swelling on the edge of his jaw. He answers your questions as a five year old
should and both eyes are PEARRL - BP is 130/80. Which would be the most appropriate treatment and action?
1. Check his CMS and have the mother sign a transport refusal form
2. O2, c collar, backboard, and low priority transport
3. Bandage the jaw and monitor him for 15 minutes before leaving
4. C-spine precautions, O2, and rapid transport
You are called to a home where a 90 year old woman has been found unresponsive by her
caregiver. You arrive to find the woman lying supine on the couch snoring heavily. What are you going to
do?
1. Execute a head tilt chin lift maneuver to raise the tongue off the pharynx.
2. Suction the patient's airway to remove the secretions causing the snoring respirations.
3. Insert an oropharyngeal to make the airway patent and begin assisted ventilations.
4. Put her on high flow O2 at 15 lpm via NRB, initiate transport, and perform further assessment en route.
The second layer of skin tissue is called?
1. Subcutaneous
2. Preepidermis
3. The dermis
4. The epidermis
A 6 year old girl was found outside in her yard unconscious. She is breathing 6 breaths a
minute and her pulse is 58 bpm with poor systematic perfusion. What should you do?
1. Use an epinephrine auto injector to increase her heart rate
2. Initiate chest compressions and assist ventilations with high flow O2
3. Assist ventilations with high flow O2 and transport rapidly
4. Transport with high flow O2 and assist respirations if needed
Blunt trauma includes ___________________ and can be caused by
__________________________.
1. Heavy bleeding trauma; multiple forces and conditions
2. Non-bleeding trauma; multiple forces and conditions
3. Non-bleeding trauma; sharp instruments
4. Heavy bleeding trauma; sharp instruments
Which factor can lower the seizure threshold and possibly lead to a seizure?
1. Core hypothermia
2. Fish oil
3. Lactose intolerance
4. Long bone fracture
Which of the following is a primary location for abnormal ambient air?
1. Near water
2. In a vehicle
3. High altitude
4. Low altitude
Most violent injuries to EMT's occur?
1. At motor vehicle accidents
2. In the homes of gang members
3. When a patient has a sudden behavioral change
4. At crime scenes
Which of the following choices correctly describes abruptio placenta?
1. A premature detachment of a normally situated placenta that causes abdominal pain and bleeding.
2. A placenta that abruptly detaches from an abnormally low position on the uteran wall when contractions begin.
3. An abnormally low positioning of the placenta in the uterus that begins to detach when the cervix dilates.
4. A placenta that is not fully developed causing hypoxia and poor blood flow to the fetus from the umbilical
  cord.
The P in OPQRST stands for?
1. Pulse
2. Provocation
3. Pertinent medical history
4. Present illness
All of the following factors are part of setting the stage to successfully obtain a patient's history
except:
1. EMT demeanor and appearance
2. Patient's demeanor and appearance
3. Respecting a patient's personal space
4. Note-taking
Male reproductive system structures include: ____________ and ________________. The
Reproductive system performs these functions: ________________, __________________, and
________________.
1. Penis, testes / reproduction, urination, and production of hormones
2. Testes, ureter / urination, production of hormones, and paristalsis
3. Penis, prostate / reproduction, peristalsis, and production of adrenalin
4. Penis, testes / reproduction, urination, and production of adrenalin
Fractures of the tibia and fibula commonly include?
1. No eccymosis
2. Very little pain
3. Damage to the vessels
4. Damage to the brachial artery
Eclampsia is characterized by ________________.
1. Hypotension and fluid loss
2. Seizures
3. Protrusion of a limb from the vagina
4. Vaginal bleeding
You and your partner Abraham arrive on scene to a one-car collision with a cow. Your patient
was driving about 45 MPH around a corner when the cow leaped from the roadside in front of the car. After
doing your initial scene size up, which of the following would you proceed to?
1. Perform a detailed physical examination
2. C spine and SAMPLE history with focused physical examination
3. Get a general impression of the patient
4. Baseline vitals
You are the driver of the ambulance responding to a call of a cardiac arrest. While driving, you should always..?
1. Drive offensively
2. Use sirens and lights
3. Drive without lights and sirens to avoid confusing other drivers
4. Obey traffic laws and drive with due regard for others
A motor vehicle accident has occurred right in front of your ambulance and requires the
patients to be extricated. Your first choice of location to accomplish the rapid extrication should be the?
1. Broken window
2. Open broken windshield
3. Cut off roof
4. The door
You and your partner Juan arrive on scene to a possible drowning. Coming through the back
gate of the house you see two men doing CPR on a child of 8 or 9 years of age. When you and Juan begin
CPR, what rate and depth of compressions will you use?
1. 30:2 / one third to one half the depth of the chest
2. 15:2 / 2 to 2.5 inches
3. 15:2 / at least one third the depth of the chest
4. 30:2 / enough to give adequate chest rise
You are dispatched for a report of breathing difficulty. Upon arrival you find an 80 year old
male being held upright in a chair at the table. Family members relate that he began coughing, then couldn't
talk after that. The patient is breathing normally when you assess him. He is unable to speak, and appears
to be unable to stand. What would you consider as causes of his condition?
1. Acute Stroke
2. Foreign Body Airway Obstruction
3. Sudden Onset of Congestive Heart Failure
4. Bronchospasms
When must you have consent in order to treat a patient?
1. If they are mentally capable of giving it
2. Unless it is life threatening
3. Always
4. When the patient is combative
What would someone who is hyperventilating benefit from?
1. Holding their breath for 15 seconds
2. O2 from a nasal canula
3. Rebreathing in a paper bag
4. Hypoventilating
You are treating a patient who was involved in a vehicle accident. The patient's head struck the steering wheel causing trauma to the face. What is your primary concern with this patient when considering the airway?
1. Basic airway management will not be affected by facial trauma.
2. Blood, teeth, and tissue can obstruct the airway.
3. A patient with head trauma can stop breathing spontaneously.
4. Assisting with bag-mask ventilations will be difficult due to facial trauma.
The Adam's apple is also known as?
1. The cricoid cartilage
2. The mastoid cartilage
3. The thyroid cartilage
4. The vallecula
The question: Do you take any vitamins or use any recreational drugs? ------ Is related to which letter in the SAMPLE history?
1. L
2. P
3. A
4. M
You arrive on scene to find a 34 year old male laying on the ground in a pool of blood. Bright
red blood is spurting from a large cut in his shirt sleeve and he is clutching a knife between his teeth. What
should you do first?
1. Inform the patient you will not hurt him and treat the injury
2. Leave the scene until police arrive to make the scene safe
3. Have your partner distract the patient while you take the knife from him
4. Call for police backup and then treat the wound
Which of the following aspects of a patient's appearance and behavior would not be observed during a secondary assessment.
1. Posture and motor behavior
2. Nervousness
3. Facial expressions
4. Assess the level of consciousness
On which side is the radius located?
1. The little toe side of the leg
2. The thumb side of the arm
3. The big toe side of the leg
4. The little finger side of the arm
Assault is used to describe behavior that?
1. Causes fear of offensive physical contact
2. Is threatening
3. All of the above
4. Attempts offensive physical contact
The patient is a 6 year old girl whose mother says has been sick for a few days and then
started having breathing problems this morning. Upon assessment, you notice the child is flaring her nostrils
and has a hoarse voice when talking. What is she most likely suffering from and what should you do?
1. She could have tonsillitis and will require transport to the hospital in a position of comfort
2. She could have croup and needs to be transported with a nasal cannula at 4 lpm
3. She could have SARS and should be transported wearing a HEPA mask
4. She could have epiglottitis and needs to be transported with high flow O2 on an NRB
  She could have epiglottitis and needs to be transported with high flow O2 on an NRB
You have just arrived at the scene to find a 27-year-old female complaining of anxiety and
breathing difficulties. Which of the following questions would be most appropriate to ask first?
1. How long have you been having trouble breathing?
2. What day is today?
3. Do you have a history of panic attacks?
4. What is your name?
Your patient has a GCS of 14. This would be an indication that your patient?
1. Is in a very serious medical emergency
2. Is having a Stroke
3. Could be doing a lot worse
4. Is in perfect health
All of the following are infectious agents except:
1. Protozoa
2. Benzodiazepines
3. Fungi
4. Bacteria
Which of the two lower leg bones is the largest?
1. Fibula
2. Tibia
3. Femur
4. Ulna
Respirations in a preschool aged child would be considered normal at ___________.
1. 16 breaths per minute
2. 24 breaths per minute
3. 35 breaths per minute
4. 32 breaths per minute
When a person has an ischemic stroke it is caused by?
1. Laying down too fast
2. Late ventricular stimulation
3. A blood clot in the vena cava
4. The blood not reaching parts of the brain
Your patient is feeling sick to their stomach and is bradycardic. What type of response is this?
1. Sympathetic
2. Emotional
3. Parasympathetic
4. Vagal
The primary purpose of the Secondary Assessement is:
1. To double check the validity of the initial assessment
2. To identify any signs or symptoms of illness that may not have been revealed during the initial
  assessment
3. To make sure no mistakes were made during initial assessment
4. To make sure the person doing the initial assessment was thorough and professional
Which of the following choices would you include in a detailed physical exam?
1. Precipitation
2. Emaciating the arms
3. Auscultating the lungs
4. Cavitating the abdomen
Transporting a woman who is 36 weeks pregnant on her left side should be done because of what?
1. It will help prevent hypotension
2. It will help increase the chances of a cephalic birth
3. It will help prevent hypertension
4. It gives you better access from the bench side of the ambulance
Of the following answer choices, which is not part of the airway?
1. Teeth
2. Tongue
3. Sclera
4. Trachea
Your patient is a 58 year old female. She called 911 complaining of difficulty breathing.
During your initial assessment, you find that she is using accessory muscles to breath at a rate of 20 shallow
breaths per minute, and her SpO2 is 98% on room air. She has high pitched inspiratory stridor and is slightly
cyanotic around her mouth. When you kneel down beside her you notice an ash tray piled high with cigarette
butts. Which of the following is the most likely cause of her breathing difficulty, and what would be the most
appropriate treatment?
1. She likely has COPD and the swelling of her lower airway passages are causing the stridor. High flow O2
  or nebulizer with rapid transport.
2. She has an upper airway obstruction. Do abdominal thrusts until the obstruction is free and then apply
  high flow O2 and transport
3. She has CHF and the fluid backing up into her lungs is causing the obstruction of her lower airway. The
  smoking likely worsened the condition. High flow 02 via NRB and transport
4. She has a foreign body obstruction in her upper airway. You should encourage her to cough in an attempt to dislodge it. Give high flow O2 and rapid transport
When assessing the breathing of an infant or child, you should look for_________________?
1. Inadequate breathing
2. Presence or absence of breathing
3. Normal breathing
4. Adequate breathing
Unique management considerations of rattlesnake bites include all of the following except:
1. Keep patient calm
2. Cut bite site and suck out poison
3. Position extremity
4. Identify snake if possible
Considerations that should be addressed during a Neurological examination in spinal cord
injuries include all of the following except:
1. Speech and language
2. Respiratory ability
3. Vital signs
4. Sensation
You and your partner are called to a residence for a welfare check on an elderly patient who is
terminally ill. You should be very conscious of all those around you, but your actions should be dictated by the?
1. Wife
2. Patient
3. Family
4. Attorney
Management of suspected brain injury patients should include all of the following expect:
1. Use of a "rapid out" extrication on all patients
2. Consider rapid transport
3. Position - elevate head of backboard 30 degrees
4. Assist ventilation if indicated
You are assessing an 83 year old woman who has COPD and CHF. She is sitting upright in
her chair and appears to understand that you are an EMT here to help her. You should?
1. Call the patient something endearing like honey
2. Be honest with the patient about her conditions
3. Stand in front of her to facilitate communication
4. Never break eye contact
Which list contains the fundamental elements of the Life Support Chain?
1. Oxygenation, aerobic metabolism, and perfusion
2. Cell environment, aerobic metabolism, and anaerobic metabolism
3. Oxygenation, perfusion, and cell environment
4. Perfusion, anaerobic metabolism, and cell environment
Oxygenation includes which two processes?
1. exchange and low ATP production
2. High ATP production and low ATP production
3. Cell/capillary gas exchange and high ATP production
4. Alveolar/capillary gas exchange and cell/capillary gas exchange
Signs of child abuse can often be deceptive. One sign that should lead you to suspect child abuse is a child...
1. With a screaming mother at the scene
2. With several injuries at different states of healing
3. With a broken leg from falling down the stairs
4. Telling you she fell on her bike
Signs and symptoms of rattlesnake bites include all of the following except:
1. Seizures
2. Progressive weakness
3. Signs of allergic reaction
4. Pain at site
A fracture caused by a twisting force is known as a (an) ________________ fracture.
1. Spiral
2. Greenstick
3. Comminuted
4. Transverse
With regard to maintaining a child's airway which of the following would be true?
1. A towel under the shoulders will help put the airway in alignment
2. Never use a towel under the shoulders
3. It takes up less of the mouth in proportion to an adult
4. Use an OPA measured from the corner of the nose to the ear lobe
You and your partner Amy arrive on scene to find a woman with hives over much of her
body. She is wheezing and complaining of difficulty breathing. Her husband says she was stung by a hornet
and has no prior history of allergies. What would be the best course of action?
1. Use an autoinject epinephrine pen and administer to the patient's thigh. Obtain signed transport refusal.
2. Make sure blood pressure is above 100 mmHg and inject her with epinephrine 1/1000.
3. Get her BP, pulse, and respirations and then inject her with epinephrine only if her vitals are within normal
  limits.
4. High flow O2 and rapid transportation if the patient appears to be going into anaphylaxis.
Shock is:
1. Having too much blood forming in the bones
2. Having the lymph system dumping too much waste into the circulatory system
3. A state of inadequate removal of waste from the circulatory system
4. A state of inadequate perfusion of the body and its systems
Which statement best describes an advantage of supplemental oxygen therapy?
1. Supplemental oxygen therapy replaces all of the inert gas with oxygen and can improve external respiration
2. Supplemental oxygen therapy replaces some of the inert gas with oxygen and can improve internal respiration
3. Supplemental oxygen therapy replaces some of the inert gas with oxygen and can improve external
  respiration
4. Supplemental oxygen therapy replaces all of the inert gas with oxygen and can improve internal
  respiration
Oxygen is used for treating __________________.
1. All of the above
2. Hypoglycemia
3. Hypoxia
4. Hyperglycemia
Which of the following is an appropriate situation in which to use an emergency move?
1. All of the above
2. When there is potential for violence
3. hen a non-critical patient is blocking access to a critical patient
4. The patient is in danger of fire
All of the following are functions of the nervous system except:
1. Perfusion
2. Motor function
3. Consciousness
4. Fight-or-flight response
A man of average size and weight has approximately how much blood per kilo of body weight?
1. 70 ml
2. 60 ml
3. 50 ml
4. 100 ml
A patient with increased fluids in their tissues would be said to have:
1. Eczema
2. Anemia
3. Hyperglycemia
4. Edema
You and your partner Joe are called to the scene of a family BBQ where a woman with an
altered LOC is calling people names as they walk by. During her assessment you learn that she is a diabetic
and her blood sugar reading is 40. What would be the most appropriate question to ask related to this
incident?
1. Did she hurt anyone physically
2. What is her medical history
3. Has she eaten recently
4. Is she allergic to anything
Risk factors, signs, or symptoms for suicide may include all of the following except:
1. Hoplessness
2. History of abuse
3. Purposefulness
4. Easy access to lethal means
You and your partner Meagan are the first to arrive on scene of a 3 vehicle collision on a busy
section of a state highway. All three vehicles are blocking the east bound lane and a few of the patients have
gotten out of their cars. Cars and semi trucks are continuing to pass the wreckage using the east bound lane. What are you going to do next?
1. Check the patients walking around for spinal injury
2. Call for additional medical help and traffic control assistance
3. Check the cars for patients who are not able to get out
4. Triage the patients and treat the most seriously injured first
You are transporting a 68 year old male who is complaining of breathing difficulties and
dizziness. What would be the most appropriate transportation position for this patient?
1. Prone
2. Fowler's
3. Recovery
4. Supine
Signs and symptoms of Anaphylactic shock include all of the following except:
1. Mild itching
2. Vomiting
3. Vascular dilation
4. Burning skin
Which of the following is NOT indicated in a 7 year old child who has suffered a basilar
fracture after falling from a bicycle?
1. Palpation of the extremities
2. C-spine stabilization
3. Airway assessment
4. Nasopharyngeal airway
During inhalation the __________ contracts and draws air into the lungs with____________ pressure.
1. Trachea / high
2. Lungs / positive
3. Diaphragm / negative
4. Stomach / positive

EMT Practice Test ver. 3/25/16

Practice Questions