EMT Practice Test ver. 3/25/16

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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. 0.15/.3
2. .1/.5
3. .8/1.6
4. .5/2.0
Which of the following is considered a sign?
1. The patient says they took their insulin
2. The patient states they have a headache
3. There is blood in the vomit of the patient
4. The patient states they are dizzy
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. Blood, teeth, and tissue can obstruct the airway.
2. Basic airway management will not be affected by facial trauma.
3. A patient with head trauma can stop breathing spontaneously.
4. Assisting with bag-mask ventilations will be difficult due to facial trauma.
A child has just had a seizure and is lying still in his parent's arms. This state is known as?
1. Postictal
2. Prenatal
3. Pariatial
4. Prone
Eclampsia is characterized by ________________.
1. Vaginal bleeding
2. Hypotension and fluid loss
3. Seizures
4. Protrusion of a limb from the vagina
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 not made a choice that shows they are competent
2. Has the right to refuse treatment
3. None of the above
4. Has to do what the hospital says
Risk factors, signs, or symptoms for suicide may include all of the following except:
1. Easy access to lethal means
2. Purposefulness
3. Hoplessness
4. History of abuse
An EMT would use the AVPU scale to evaluate_______________ and an EMT would use the GCS scale in order to see_____________.
1. What stimulus it takes to get a reaction / what response is given for each different stimulus
2. What level of responsiveness the patient has to pain / what that response achieves
3. Where the patient is on the alertness scale / where the patient is on the stability scale
4. What reaction is given from a stimulus/ what stimulus was given for the reaction
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. Never break eye contact
3. Be honest with the patient about her conditions
4. Stand in front of her to facilitate communication
What type of lung sounds would you expect to hear in a patient that is healthy?
1. Bronchial lung sounds
2. Bronchovesicular lung sounds
3. Vesicular lung sounds
4. Moist lung sounds
Which of the two lower leg bones is the largest?
1. Tibia
2. Fibula
3. Femur
4. Ulna
Signs and symptoms of Anaphylactic shock include all of the following except:
1. Vascular dilation
2. Mild itching
3. Vomiting
4. Burning skin
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. Make sure blood pressure is above 100 mmHg and inject her with epinephrine 1/1000.
2. High flow O2 and rapid transportation if the patient appears to be going into anaphylaxis.
3. Use an autoinject epinephrine pen and administer to the patient's thigh. Obtain signed transport refusal.
4. Get her BP, pulse, and respirations and then inject her with epinephrine only if her vitals are within normal
  limits.
During secondary assessment, all of the following are aspects of blood pressure monitoring that should be addressed except:
1. relation to perfusion
2. methods of palpitation
3. methods of measurement
4. position of arm
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. Albuterol
2. Oral glucose
3. Benadryl
4. Nitroglycerin
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. Airway obstruction
3. Sleep apnea
4. Bronchitis
Which factor can lower the seizure threshold and possibly lead to a seizure?
1. Fish oil
2. Core hypothermia
3. Long bone fracture
4. Lactose intolerance
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
Insulin is released from the ______________.
1. Pancreas
2. Gallbladder
3. Brain
4. Spleen
All of the following factors are part of setting the stage to successfully obtain a patient's history
except:
1. Respecting a patient's personal space
2. Patient's demeanor and appearance
3. EMT demeanor and appearance
4. Note-taking
Which of the following is a primary location for abnormal ambient air?
1. Low altitude
2. High altitude
3. In a vehicle
4. Near water
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. 180 compressions
2. 100 compressions
3. 120 compressions
4. 220 compressions
Alcohol abuse may present in all of the following ways except:
1. Sedation
2. Respiratory depression
3. Nausea
4. Increased resistance to infection
When a patient's body temperature drops below ______, he or she will stop shivering. This is a sign of _________________.
1. 92 degrees / acute hypothermia
2. 90 degrees / severe hypothermia
3. 94 degrees / compensated hypothermia
4. 96 degrees / mild hypothermia
Your patient is feeling sick to their stomach and is bradycardic. What type of response is this?
1. Parasympathetic
2. Emotional
3. Vagal
4. Sympathetic
Blood that is unoxygenated moves into the lungs through the?
1. Pulmonary vein
2. Pulmonary artery
3. Pulmonary valve
4. Aortic arch
All of the following are reasons to request that resources be sent to the scene except:
1. Traffic issues
2. Ensuring use of common protocols
3. Getting the patient to the hospital safely and quickly
4. Making decisions about proper patient care
The root word encephal- refers to what?
1. Head
2. Neck
3. Brain
4. Bone
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. Transporting in a supine position
2. High flow O2
3. Aggressive IV therapy
4. Administration of epinephrine
Who decides what the minimum data set is for a PCR?
1. OSHA
2. NIMDA
3. ADC
4. NEMSES
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. Heavy bleeding trauma; sharp instruments
4. Non-bleeding trauma; sharp instruments
What is one technique used to assist in Endotracheal Intubation?
1. Cricoid Pressure
2. Selte Maneuver
3. Cricothyrotomy
4. Vagal Maneuver
With regard to maintaining a child's airway which of the following would be true?
1. Use an OPA measured from the corner of the nose to the ear lobe
2. Never use a towel under the shoulders
3. It takes up less of the mouth in proportion to an adult
4. A towel under the shoulders will help put the airway in alignment
The primary purpose of the Secondary Assessement is:
1. To make sure the person doing the initial assessment was thorough and professional
2. To make sure no mistakes were made during initial assessment
3. To double check the validity of the initial assessment
4. To identify any signs or symptoms of illness that may not have been revealed during the initial
  assessment
How many cc's of blood does the average man have per kilogram of body weight?
1. 70 cc
2. 60 cc
3. 90 cc
4. 80 cc
Management of suspected brain injury patients should include all of the following expect:
1. Consider rapid transport
2. Position - elevate head of backboard 30 degrees
3. Use of a "rapid out" extrication on all patients
4. Assist ventilation if indicated
The majority of cardiac medical emergencies are the result of what?
1. Embolism and thrombosis
2. Poor diet
3. Reduced blood supply to the myocardium
4. Old age
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. 24 breaths per minute, pulse 120, systolic BP 98
2. 14 breaths per minute, pulse 75, systolic BP 80
3. 31 breaths per minute, pulse 64, systolic BP 90
4. 20 breaths per minute, pulse 141, systolic BP 125
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
With regard to the SAMPLE history, the question "What have you eaten today?" would relate
to which of the letters?
1. A
2. P
3. M
4. L
The cricothyroid membrane is ___________ to the ______________.
1. Anterior / thyroid cartilage
2. Inferior to the cricoid cartilage
3. A solid ring connected / esophagus
4. Superior / cricoid cartilage
Assault is used to describe behavior that?
1. Causes fear of offensive physical contact
2. All of the above
3. Is threatening
4. Attempts offensive physical contact
Male reproductive system structures include: ____________ and ________________. The
Reproductive system performs these functions: ________________, __________________, and
________________.
1. Testes, ureter / urination, production of hormones, and paristalsis
2. Penis, testes / reproduction, urination, and production of adrenalin
3. Penis, prostate / reproduction, peristalsis, and production of adrenalin
4. Penis, testes / reproduction, urination, and production of hormones
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. Supine with feet elevated
3. Left lateral recumbent
4. Prone with a pillow under her belly
Headache is a side effect of ________________.
1. Nitroglycerin
2. Blunt head trauma
3. Car wrecks
4. Oxygen
What position is preferred when transporting a person who is unconscious from a non trauma emergency?
1. Supine
2. Trendelenburg
3. Prone
4. Recovery
Your patient was in a head-on collision. In order to open their airway you would use the?
1. Jaw thrust
2. Laryngoscope
3. Trendelenburg tilt
4. Head tilt chin lift
Which of the following could be considered an allergen?
1. Pollen
2. Food
3. Dust
4. All of the above
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. Get a general impression of the patient
2. C spine and SAMPLE history with focused physical examination
3. Perform a detailed physical examination
4. Baseline vitals
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 / enough to give adequate chest rise
2. 15:2 / at least one third the depth of the chest
3. 30:2 / one third to one half the depth of the chest
4. 15:2 / 2 to 2.5 inches
When assessing a patient's orientation and level of mentation, they should be able to answer 3 questions related to?
1. Place, time, and person
2. Pain, verbal, and eye movement
3. Verbal, denial of pain, and time
4. Place, person, and thing
Pulmonary veins return blood to the ____________.
1. Lungs
2. Left ventricle
3. Right atrium
4. Left atrium
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. Foreign Body Airway Obstruction
2. Acute Stroke
3. Bronchospasms
4. Sudden Onset of Congestive Heart Failure
What four things is BURP supposed to help you remember?
1. Back - up - right - pressure
2. Rhythmic - uninterrupted - respiratory - paradoxes
3. Blue - unconscious - resuscitate - provide O2
4. Bilateral - uvula - replacement - policy
Of the following answer choices, which is not part of the airway?
1. Tongue
2. Teeth
3. Trachea
4. Sclera
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. Hit by flying shrapnel
2. Hit by an energy wave and have organ damage
3. Thrown through the air
4. Not doing their job
Which of the following choices would you include in a detailed physical exam?
1. Emaciating the arms
2. Cavitating the abdomen
3. Auscultating the lungs
4. Precipitation
A gastrostomy tube is a tube used for what purpose?
1. Gastrosting a patient
2. Draining fluid off the brain
3. Draining fluid from the lungs
4. Feeding a patient
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. Heimlich maneuver
2. Use a pair of Magill forcepts to remove the blockage
3. Wait until he passes out from choking then do compressions to dislodge the food
4. Transport and encourage him to cough
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. Have your partner distract the patient while you take the knife from him
2. Call for police backup and then treat the wound
3. Leave the scene until police arrive to make the scene safe
4. Inform the patient you will not hurt him and treat the injury
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. Oropharyngeal airway
4. Nasopharyngeal airway
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 croup and needs to be transported with a nasal cannula at 4 lpm
2. She could have tonsillitis and will require transport to the hospital in a position of comfort
3. 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
4. She could have SARS and should be transported wearing a HEPA mask
Amputation is?
1. The traumatic removal of a body part
2. Done in the prehospital setting
3. A very deep cut that does not go all the way through
4. Painless if all the nerves are severed
If a patient has given you expressed consent to treat them it means that?
1. They understand the treatment as you have explained
2. They are conscious
3. They are unconscious
4. None of the above
Another word for thorax is the ______.
1. Abdomen
2. Chest
3. Pelvis
4. Buttocks
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. Do you have a history of panic attacks?
3. What day is today?
4. What is your name?
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. Put her on high flow O2 at 15 lpm via NRB, initiate transport, and perform further assessment en route.
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. Execute a head tilt chin lift maneuver to raise the tongue off the pharynx.
The P in OPQRST stands for?
1. Provocation
2. Pertinent medical history
3. Present illness
4. Pulse
You have a responsive patient who is able to answer your questions. What do you do?
1. History, secondary assessment, vitals
2. Baseline vitals, history, and secondary assessment
3. History, vitals, and secondary assessment
4. Secondary assessment, baseline vitals, and history
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. Inform the patients that you are not allowed by law to enter the zone until it is made safe by law
  enforcement
4. Begin extrication of the patients while your partner calls for more ambulances
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. Release the patient into the custody of his parents
2. Bandage the abrasions at the scene and leave
3. Put a collar on this patient and immobilize to a backboard
4. Have him sign a denial of transport form
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. Family
2. Patient
3. Wife
4. Attorney
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
A reaction to events that interferes with the activities of daily living is known as:
1. Psychiatric disorder
2. Altered mental state
3. Functional disorder
4. Behavioral emergency
The ____________ receives blood returned from the body and then the ___________ pumps it into the lungs.
1. left ventricle / right atrium
2. right atrium / right ventricle
3. right ventricle / left atrium
4. left atria / left ventricle
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. Fowler's
2. Prone
3. Recovery
4. Supine
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 116/70, respirations of 27 per minute and a pulse of 130
4. BP 108/64, respirations of 20 per minute and a pulse of 100
The most common route of exposure for a hazardous materials incident is?
1. Injection
2. Absorption
3. Inhalation
4. Ingestion
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. E
2. P
3. L
4. M
You are the driver of the ambulance responding to a call of a cardiac arrest. While driving, you should always..?
1. Obey traffic laws and drive with due regard for others
2. Drive without lights and sirens to avoid confusing other drivers
3. Use sirens and lights
4. Drive offensively
When assessing the breathing of an infant or child, you should look for_________________?
1. Inadequate breathing
2. Presence or absence of breathing
3. Adequate breathing
4. Normal breathing
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. O2, c collar, backboard, and low priority transport
2. C-spine precautions, O2, and rapid transport
3. Bandage the jaw and monitor him for 15 minutes before leaving
4. Check his CMS and have the mother sign a transport refusal form
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. The man, because of the nature and location of the injury, he may be losing blood internally. His pulse is
  too slow as well
2. Neither will have a low blood pressure, they will both be high
3. The woman, because if she cannot breathe well her BP will drop
4. The man, because a respiration rate of 24 is indicative of low blood pressure
The windshield in the ambulance is made of what material?
1. Bullet resistant glass
2. Safety glass
3. Plexiglas
4. Unbreakable plastic
Oxygen is used for treating __________________.
1. All of the above
2. Hypoglycemia
3. Hyperglycemia
4. Hypoxia
Medications can be administered through a number of different routes. Which answer choice
is NOT one of them?
1. Inhalation
2. Sublingual
3. Intramuscular
4. Interstitial
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. Assume command of the scene
2. Call for more ambulances
3. Establish a safety officer
4. Triage the patients
What would someone who is hyperventilating benefit from?
1. O2 from a nasal canula
2. Hypoventilating
3. Holding their breath for 15 seconds
4. Rebreathing in a paper bag
Signs of child abuse can often be deceptive. One sign that should lead you to suspect child abuse is a child...
1. Telling you she fell on her bike
2. With a screaming mother at the scene
3. With a broken leg from falling down the stairs
4. With several injuries at different states of healing
Respiratory physiology includes cellular respiration, the process that exchanges oxygen and
carbon dioxide within the lungs. Oxygen that is inhaled________________________________________.
Carbon dioxide _______________________________________________.
1. 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
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. 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
4. d. is actively transported by the arteries to the alveoli the capillaries into the alveoli and is expelled from the lungs during exhalation
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. Pinch nostrils firmly together
2. Tell the patient not to sniffle or blow nose
3. Have patient sit up and lean forward
4. Have patient sit up and lean back
Your chest pain patient asks you how many chambers are in the heart. You reply?
1. There are 5. The apex, the right and left atrium, and the right and left ventricle.
2. There are 4. The right and left atrium, and the right and left ventricle.
3. The heart doesn't contain any chambers.
4. There are 3. The Mitral, Biscupid, and Tricuspid
On which side is the radius located?
1. The thumb side of the arm
2. The little finger side of the arm
3. The little toe side of the leg
4. The big toe side of the leg
The indications of a medication are ________________.
1. Based on what medical control tells you
2. What the drug is to be used for and under what circumstances
3. What can happen to a patient as a result of using a medication
4. Not reliable
Common barbiturates, sedatives, and hypnotic substances include all of the following except:
1. Ethyl alcohol
2. Diazepam
3. Phentermine
4. Butabarbital
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. Get ready for the building to explode because it could be a meth lab
2. Call for additional ambulances and continue to assess the scene
3. Treat them immediately and find out if there are others in the building
4. Tell them to stay where they are and wait until you come back
The amount of air that can be forcibly expelled from the lungs after breathing deeply is called:
1. Vital capacity
2. Dead space
3. Minute volume
4. Residual volume
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. Respiratory alkalosis
2. Diabetic shock
3. A diabetic coma
4. Respiratory rebound stage
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. 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
2. Leave the scene and call law enforcement
3. Treat the patient if the situation appears safe. Inform law enforcement if it was assault, when the time is
  appropriate
4. Call the husband out for getting beat up by a woman
Which best describes an oblique fracture?
1. A fracture that occurs straight across the bone
2. An incomplete fracture that passes only partway through the shaft of a bone
3. A fracture in which the bone is broken at an angle across the bone
4. A fracture in which the bone is broken into more than two pieces
Considerations that should be addressed during a Neurological examination in spinal cord
injuries include all of the following except:
1. Speech and language
2. Vital signs
3. Respiratory ability
4. Sensation
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. Palpate the pressure in the radial
3. Auscultate the pressure in the brachial
4. Palpate the pressure in the carotid
An upper airway obstruction may produce sounds like:
1. Eronchli Ventalotis
2. Crackles
3. Biots breathing
4. High pitched sounds like stridor on inspiration
A person with cyanosis around the neck will?
1. Likely be mentating correctly
2. Not be hypoxic
3. Be hypoxic
4. Have yellowing of the jugular veins
Which of the following is not an enteral route of drug administration?
1. PO
2. SL
3. Nasal
4. OG
All of the following are infectious agents except:
1. Benzodiazepines
2. Protozoa
3. Fungi
4. Bacteria
Fractures of the tibia and fibula commonly include?
1. Damage to the vessels
2. No eccymosis
3. Very little pain
4. Damage to the brachial artery
Assessment findings and symptoms for Cannabis include all of the following except:
1. Altered perception of time
2. Anxiety
3. Depression
4. Heightened memory
Shock is:
1. A state of inadequate removal of waste from the circulatory system
2. A state of inadequate perfusion of the body and its systems
3. Having too much blood forming in the bones
4. Having the lymph system dumping too much waste into the circulatory system
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. Is she allergic to anything
2. What is her medical history
3. Has she eaten recently
4. Did she hurt anyone physically
During inhalation the __________ contracts and draws air into the lungs with____________ pressure.
1. Diaphragm / negative
2. Lungs / positive
3. Trachea / high
4. Stomach / positive
What will not be included in management of shock?
1. Airway management as needed
2. Treat additional injuries that are present
3. Keep patient warm, try to maintain normal body temperature
4. Attempt to control internal bleeding
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. 9
2. 14
3. 7
4. 4
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. Make sure she has a patent airway
2. Ask her if she is experiencing pain anywhere else
3. Do a rapid trauma assessment
4. Do a detailed physical exam of the ankle
A patient with increased fluids in their tissues would be said to have:
1. Edema
2. Hyperglycemia
3. Eczema
4. Anemia
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 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
2. What level of responsiveness the patient has to pain / what that response achieves
3. Where the patient is on the alertness scale / where the patient is on the stability scale
4. What reaction is gotten from a stimulus/ what stimulus was given for the reaction
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 Nasal Cannulas to ventilate.
2. Use a Nasopharygeal airway to ventilate.
3. Use a Venturi mask to ventilate
4. Use a Tracheostomy mask to ventilate
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. Triage the patients and treat the most seriously injured first
2. Call for additional medical help and traffic control assistance
3. Check the cars for patients who are not able to get out
4. Check the patients walking around for spinal injury
Your patient has a GCS of 14. This would be an indication that your patient?
1. Is in perfect health
2. Could be doing a lot worse
3. Is in a very serious medical emergency
4. Is having a Stroke
Disposable medical equipment, other than sharps, that becomes contaminated should be?
1. Sanitized with antiseptic
2. Thrown in the trash
3. Sterilized
4. Put in a red biohazard bag
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 has an upper airway obstruction. Do abdominal thrusts until the obstruction is free and then apply
  high flow O2 and transport
2. 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
3. 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
4. She likely has COPD and the swelling of her lower airway passages are causing the stridor. High flow O2
  or nebulizer with rapid transport.
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. Likely suffered a ruptured aorta / disease processes
2. A narrowing pulse pressure / impact to the steering wheel
3. Agood chance of survival if nitro is administered / his previous cardiac history
4. Had a heart attack / a weakened right atrium
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. Repeat the blood pressure and ask again what they would like you to do
2. Give the patient 1 nitro tablet as instructed
3. Instruct medical control to get out their protocol books and look under contraindications for nitro
  administration
4. Repeat the blood pressure and administer 1 nitro tablet
Respirations in a preschool aged child would be considered normal at ___________.
1. 16 breaths per minute
2. 32 breaths per minute
3. 24 breaths per minute
4. 35 breaths per minute
Unique management considerations of rattlesnake bites include all of the following except:
1. Position extremity
2. Identify snake if possible
3. Keep patient calm
4. Cut bite site and suck out poison
Assessment findings and symptoms for barbiturate, sedative and hypnotic substances may include all of the following except:
1. Peacefulness
2. Sharp mental acuity
3. Appearance of intoxication
4. Drowsiness
Which of the following is an appropriate situation in which to use an emergency move?
1. hen a non-critical patient is blocking access to a critical patient
2. When there is potential for violence
3. All of the above
4. The patient is in danger of fire
The mnemonic DCAPBTLS is used for remembering what to look for during a physical exam. What does the letter D stand for?
1. Dehydration
2. Distal
3. Deformity
4. Document
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. Focused: Focused
2. Detailed: Detailed
3. Rapid: Detailed
4. Rapid: Focused
The second layer of skin tissue is called?
1. Preepidermis
2. Subcutaneous
3. The epidermis
4. The dermis
Which of the following is an intervention?
1. All of the above
2. C collar application
3. Transportation
4. Oral glucose
Cardiac arrest is not very common in children, but when it does occur, it is most often the result of?
1. Seizures
2. Trauma
3. Respiratory arrest
4. SID's
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. Ulna
2. Calcaneus
3. Epigastrum
4. Radius
The arterioles connect to?
1. Veins
2. Venuoles
3. Neurons
4. Capillaries
Oxygenation includes which two processes?
1. exchange and low ATP production
2. Cell/capillary gas exchange and high ATP production
3. Alveolar/capillary gas exchange and cell/capillary gas exchange
4. High ATP production and low ATP production
Medical control is responsible for all of the following EXCEPT:
1. Making decisions about proper patient care
2. Overseeing patient care
3. Getting the patient to the hospital safely and quickly
4. Ensuring use of common protocols
Which of the following choices correctly describes abruptio placenta?
1. An abnormally low positioning of the placenta in the uterus that begins to detach when the cervix dilates.
2. A placenta that is not fully developed causing hypoxia and poor blood flow to the fetus from the umbilical
  cord.
3. A premature detachment of a normally situated placenta that causes abdominal pain and bleeding.
4. A placenta that abruptly detaches from an abnormally low position on the uteran wall when contractions begin.
All of the following are functions of the nervous system except:
1. Fight-or-flight response
2. Motor function
3. Perfusion
4. Consciousness
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. Transport with high flow O2 and assist respirations if needed
2. Use an epinephrine auto injector to increase her heart rate
3. Initiate chest compressions and assist ventilations with high flow O2
4. Assist ventilations with high flow O2 and transport rapidly
The question: Do you take any vitamins or use any recreational drugs? ------ Is related to which letter in the SAMPLE history?
1. M
2. P
3. L
4. A
When a person has an ischemic stroke it is caused by?
1. Laying down too fast
2. A blood clot in the vena cava
3. The blood not reaching parts of the brain
4. Late ventricular stimulation
The brain is located______to the heart.
1. Proximal
2. Lateral
3. Superior
4. Anterior
Most violent injuries to EMT's occur?
1. At crime scenes
2. In the homes of gang members
3. At motor vehicle accidents
4. When a patient has a sudden behavioral change
Which of the following aspects of a patient's appearance and behavior would not be observed during a secondary assessment.
1. Nervousness
2. Posture and motor behavior
3. Assess the level of consciousness
4. Facial expressions
Inhalers with various medications are prescribed to patients who suffer from
1. Baseline vitals, history, and secondary assessment
2. History, vitals, and secondary assessment
3. Bronchodilation
4. Secondary assessment, baseline vitals, and history
The Adam's apple is also known as?
1. The vallecula
2. The thyroid cartilage
3. The cricoid cartilage
4. The mastoid cartilage
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. Airway assessment
2. C-spine stabilization
3. Nasopharyngeal airway
4. Palpation of the extremities
The AVPU mnemonic is used to assess a patient's level of responsiveness. What does the letter V represent?
1. Responds to verbal
2. Visceral
3. Vasodilation
4. Veins
A man of average size and weight has approximately how much blood per kilo of body weight?
1. 70 ml
2. 50 ml
3. 60 ml
4. 100 ml
A fracture caused by a twisting force is known as a (an) ________________ fracture.
1. Transverse
2. Greenstick
3. Spiral
4. Comminuted
Nitroglycerin should _____________________.
1. Increase cardiac output
2. Constrict the vessels
3. Relax the vessels
4. Maintain the pulse rate
When must you have consent in order to treat a patient?
1. If they are mentally capable of giving it
2. When the patient is combative
3. Always
4. Unless it is life threatening
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. Left lateral recumbent
2. Modified Trendelenburg
3. Supine with feet elevated
4. Prone with a pillow under her belly
The pediatric assessment triangle is composed of three elements:
1. Blood pressure, Pulse rate, Respiratory Rate
2. Circulation, Appearance, Work of Breathing
3. Level of Consciousness, Quality of Respirations, General Appearance
4. Muscle Tone, Respiratory depth and rate, Perfusion
The integumentary system:
1. Is responsible for digestion and hormone regulation
2. Regulates urinary and kidney function
3. Helps regulate body temperature as well as providing the body protection from the environment
4. Receives sensory input from the epidermis
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. None of the actions would be appropriate
2. Call for fire suppression from the fire department and traffic control from law enforcement, then establish a
  red zone
3. Help with extrication of the patients from the bus and set up a triage area
4. Assigning a triage officer, treatment officer, and a transportation officer
Transporting a woman who is 36 weeks pregnant on her left side should be done because of what?
1. It will help prevent hypertension
2. It will help increase the chances of a cephalic birth
3. It will help prevent hypotension
4. It gives you better access from the bench side of the ambulance
Which of the following would be the best indication that a patient is suffering from hypoxia?
1. Their pulse is rapid and their skin is pale
2. They are cool and moist
3. They are breathing shallow and fast
4. Their oxygen saturation is 87% while you have them on O2 at 15 LPM
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. Splint any fractured extremities
2. Start Positive pressure ventilation with a BVM
3. Initiate CPR
4. C-spine precautions and Administer high flow O2 with an NRB
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

EMT Practice Test ver. 3/25/16

Practice Questions