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A comprehensive set of multiple-choice questions and answers covering various aspects of emergency medical technician (emt) knowledge. It is designed to help students prepare for their final exam, covering topics such as bleeding control, medical emergencies, trauma, and patient assessment. The questions are presented in a clear and concise format, making it easy for students to review and understand the material.
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In which of the following circumstances would external bleeding be the LEAST difficult to control? A) Lacerated brachial artery; BP of 140/90 mm Hg B) Lacerated jugular vein; BP of 100/60 mm Hg C) Lacerated carotid artery; BP of 90/50 mm Hg D) Lacerated femoral vein; BP of 70/40 mm Hg Answer: D
A 29 - year-old man with abdominal pain tells the EMT that he has hemophilia A. This means that: A) his red blood cells break down rapidly. B) he will lose blood at a much faster rate. C) his risk for a pulmonary embolism is high. D) he will bleed for a longer period of time. Answer: D
The chest pain associated with an acute coronary syndrome is often described as: A) sharp. B) stabbing. C) pressure. D) cramping. Answer:
A young woman reports significant weight loss over the last month, persistent fever, and night sweats. When you assess her, you note the presence of dark purple lesions covering her trunk and upper extremities. You should suspect: A) HIV infection. B) tuberculosis. C) rheumatic fever. D) end-stage cancer. Answer: A
A 7 - year-old child has an altered mental status, high fever, and a generalized rash. You perform your assessment and administer supplemental oxygen. En route to the hospital, you should be MOST alert for: A) hypotension. B) convulsions. C) combativeness. D) respiratory distress. Answer: B
Which of the following statements regarding the high-efficiency particulate air (HEPA) respirator is correct? A) HEPA respirator should be placed on any patient with tuberculosis. B) Long sideburns or a beard will prevent the proper fit of a HEPA respirator. C) A surgical mask provides better protection against tuberculosis than a HEPA respirator. D) A HEPA respirator is necessary only if the patient with suspected tuberculosis is coughing. Answer: B
Which of the following signs or symptoms would you MOST likely encounter in a patient with an inflamed gallbladder? A) Vomiting dark red blood B) Pain in the right shoulder C) Bruising around the umbilicus D) Pain to the right lower quadrant Answer: B
Assessment of a 40 - year-old patient reveals respiratory distress, tachycardia, audible expiratory wheezing, and an oxygen saturation of 88%. The EMT should suspect: A) fluid in the lower airways. B) diffuse bronchoconstriction. C) swelling in the laryngeal area. D) infection of the lower airway. Answer: B
The bite of a brown recluse spider is characterized by: A) immediate pain, swelling at the site, and painful muscle spasms. B) delayed onset of pain, swelling, and blister formation at the site. C) two small puncture marks, swelling, and delayed onset of pain. D) rapid swelling within 30 minutes and a decline in mental status. Answer: B
With regard to the ECG, what is artifact? A) significant abnormality discovered by the paramedic
B) The complete absence of electrical activity on the ECG C) Electrical interference that can make diagnosis difficult D) Improper lead placement, resulting in misdiagnosis Answer: C
A 50-year-old man with a history of hypertension began experiencing chest pressure while mowing his lawn. After taking a baby aspirin and resting for approximately 10 minutes, the pressure in his chest completely resolved. Which of the following would BEST explain this? A) The patient's blood pressure increased after he ceased exertion, causing his chest pressure to resolve B) The cessation of exertion decreased the workload of the heart and blood flow around a coronary clot improved C) The aspirin dissolved a small clot in a coronary artery and reestablished blood flow to that part of the heart D) Blood flow to a part of the myocardium was restored because of constriction of a diseased coronary artery Answer: B
A 42 - year-old man has a large knife impaled in the center of his chest. He is unresponsive, pulseless, and apneic. You should: A) carefully remove the knife, control the bleeding, and begin CPR. B) carefully remove the knife, control the bleeding, and apply the AED. C) secure the knife in place with a bulky dressing and transport immediately. D) stabilize the knife with bulky dressings, begin CPR, and transport at once. Answer: A
Which of the following statements regarding the AED is correct?
Answer: A
A 72-year-old female complains of dyspnea that woke her from her sleep. Her feet and ankles are swollen, and auscultation of her lungs reveals crackles to both lung bases. She has a history of hypertension, type II diabetes, and a heart attack 2 years ago. Her BP is 170/94 mm Hg, her pulse is 110 beats/min and irregular, her respirations are 24 breaths/min and labored, and her oxygen saturation is 85% on room air. What should you suspect? A) Acute asthma attack B) Congestive heart failure C) Acute hypertensive crisis D) Emphysema exacerbation Answer: B
If a vehicle strikes a tree at 60 mph, the unrestrained driver would likely experience the MOST severe injuries during the: A) first collision. B) second collision. C) third collision. D) fourth collision. Answer: C
The MOST obvious way to reduce heat loss from radiation and convection is to: A) move away from a cold object. B) wear a thick wind-proof jacket. C) move to a warmer environment. D) increase metabolism by shivering.
Answer: C
A 40 - year-old man is conscious, but has an increased rate of breathing. You should: A) apply 100% oxygen via nonrebreathing mask. B) immediately insert a nasopharyngeal airway. C) assess the regularity and quality of breathing. D) ventilate him with a bag-mask device. Answer: C
Which of the following would MOST likely occur in conjunction with a breech presentation? A) Vertex presentation B) Prolapsed umbilical cord C) Maternal hypertension D) Premature rupture of the amniotic sac Answer: B
A patient who overdosed on an opioid would be expected to present with: A) tachycardia. B) dilated pupils. C) bradypnea. D) hyperpnea. Answer: C
D) that the pupils are unequal. Answer: C
If the EMT could initially only take two pieces of equipment to the side of a patient in cardiac arrest, which of the following should he or she select? A) AED and suction device B) AED and oxygen cylinder C) Pocket mask and oxygen cylinder D) Bag-valve-mask and suction devices Answer: A
Which of the following would MOST likely cause a rapid drop in a patient's blood glucose level? A) Mild exertion after eating a meal B) Eating a meal after taking insulin C) Taking too much prescribed insulin D) Forgetting to take prescribed insulin Answer: C
Your partner is ventilating an apneic woman at a rate of 24 breaths/min while you reassess her vital signs. You notice that her systolic BP has decreased by 20 mm Hg and her heart rate has increased by 25 beats/min. Which of the following is the MOST likely cause of these vital sign changes? A) The patient is being ventilated to fast B) The patient is in a supine position C) The patient overdosed on cocaine D) The patient has an intracranial hemorrhage
Answer: A
Snoring respirations in an unresponsive patient are MOST often the result of: A) foreign body airway obstruction. B) upper airway obstruction by the tongue. C) collapse of the trachea during breathing. D) swelling of the upper airway structures. Answer: B
Which of the following conditions would place the patient at greatest risk for complications after receiving epinephrine? A) Asthma B) Bradycardia C) Hypovolemia D) Heart disease Answer: D
Prior to being reoxygenated in the lungs, blood passes through the: A) mitral and tricuspid valves. B) aortic and tricuspid valves. C) aortic and pulmonic valves. D) tricuspid and pulmonic valves. Answer: D
Which of the following patients obviously needs positive-pressure ventilation assistance? A) Combative; respiratory rate of 24 breaths/min and deep B) Semiconscious; respiratory rate of 14 breaths/min and good chest rise C) Restless; respiratory rate of 12 breaths/min with adequate tidal volume D) Responsive to pain only; respiratory rate of 8 breaths/min and shallow Answer: D
A 60 - year-old male complains of a sudden tearing sensation in his abdomen. He is conscious and alert with a blood pressure of 148/88 mm Hg, a pulse of 120 beats/min, and respirations of 22 breaths/min. You should: A) auscultate over his epigastrium to assess for bowel sounds. B) vigorously palpate his abdomen to assess for a pulsating mass. C) transport at once and be prepared to treat him for severe shock. D) perform a rapid head-to-toe assessment and prepare for transport. Answer: C
Following the initial steps of resuscitation, a newborn remains apneic and cyanotic. You should: A) immediately resuction its mouth and nose. B) begin ventilations with a bag-valve-mask. C) gently flick the soles of its feet for up to 60 seconds. D) start CPR if the heart rate is less than 80 beats/min. Answer: B
You are called to treat a 55 - year-old man who is experiencing difficulty breathing. After making contact with your patient, he extends his arm out to allow you to take his blood pressure. This is an example of: A) actual consent. B) informed consent. C) implied consent. D) formal consent. Answer: A
In which position should you place an uninjured, unresponsive patient with a respiratory rate of 14 breaths/min and adequate tidal volume? A) Supine B) Full Fowler's C) Semi-Fowler's D) Lateral recumbent Answer: D
The EMT is auscultating an adult patient's breath sounds after the paramedic has inserted an endotracheal (ET) tube. Which of the following would indicate that the ET tube was advanced too far into the trachea? A) Absent breath sounds over the left chest. B) A gurgling sound over the epigastric region. C) Crackles over the lower lobe of the left lung. D) Weak breath sounds over the right lung apex. Answer: A
Hypoxia-induced unresponsiveness during a submersion injury is usually the result of:
Answer: B
When treating a patient with chest pain, pressure, or discomfort, you should FIRST: A) administer supplemental oxygen. B) place the patient in a position of comfort. C) request an ALS ambulance response to the scene. D) assess the blood pressure and give nitroglycerin. Answer: B
Upon assessing a newborn, you note that the infant is breathing spontaneously and has a heart rate of 80 beats/min. What should you do? A) Initiate positive-pressure ventilations B) Provide blow-by oxygen with oxygen tubing C) Assess the newborn's skin condition and color D) Start chest compressions and contact medical control Answer: A
Which of the following structures is the primary pacemaker, which sets the normal rate for the heart? A) Bundle of His B) Purkinje fibers C) Sinoatrial node D) Atrioventricular node
Answer: C
The coronary arteries fill with blood when the: A) aortic valve closes. B) left ventricle contracts. C) aortic valve opens. D) right ventricle contracts. Answer: A
What type of injury occurs when a joint is twisted or stretched beyond its normal range of motion, resulting in swelling but no deformity? A) Sprain B) Strain C) Fracture D) Dislocation Answer: A
Which of the following is considered a severe burn in a pediatric patient? A) Partial thickness burns to 15% of the body surface area B) Any full-thickness burn, regardless of body surface coverage C) Any partial-thickness burn that involves the lower extremities D) Superficial burns that cover 5% to 10% of the body surface area Answer: B
Answer: B
A patient reports pain in the upper midabdominal area. This region of the abdomen is called the: A) peritoneum. B) epigastrium. C) mediastinum. D) retroperitoneum. Answer: B
Failure of the EMT to obtain consent from a responsive patient before taking his or her blood pressure may constitute: A) battery. B) negligence. C) abandonment. D) assault. Answer: A
Which of the following devices is contraindicated in patients with blunt thoracic trauma? A) Oral airway B) Nasal airway C) Bag-valve-mask device D) Oxygen-powered ventilator Answer: D
Chest compression effectiveness is MOST effectively assessed by: A) listening for a heartbeat with each compression. B) carefully measuring the depth of each compression. C) palpating for a carotid pulse with each compression. D) measuring the systolic blood pressure during compressions. Answer: C
A 57 - year-old male presents with flu-like symptoms. He is conscious and alert; his skin is pink, warm, and dry; and he denies chest pain or respiratory distress. During your assessment, you cannot feel radial or carotid pulses, and are unable to obtain a blood pressure. Which of the following would MOST likely explain this? A) He is in the advanced stages of shock B) He has a left ventricular assist device C) He has a dissecting aortic aneurysm D) He recently had a coronary artery bypass Answer: B
In most states, the EMT is required to report which of the following occurrences? A) Animal bite B) Drug overdose C) Injury to a minor D) Motor-vehicle crash Answer: A