NYS EMT-B State Exam (Written exam) with accurate detailed
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solutions
An EMS Provider responds to a call and finds an 8- yr old female with no pulse or respirations.
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The patient has a history of terminal brain cancer. The family states the last time she as seen alive
|| || || || || || || || || || || || || || || || || || ||
was 5 mins prior to EMS being called. They also state patient has a DNR oder. In NYS, EMS
|| || || || || || || || || || || || || || || || || || ||
personnel may accept which of the following DNR instruments as valid?
|| || || || || || || || || ||
Verbal request from family || || ||
A. Written non-hospital B. DNR or MOLST form
|| || || || || || ||
C. Written healthcare proxy
|| || ||
D. Written living will - ✔✔Written out-of-hospital DNR
|| || || || || || ||
OR MOLST FORM || ||
Implied Consent exists when a patient is suffering from a life-threatening injury or illness and is:
|| || || || || || || || || || || || || || ||
a. Under police custody
|| || ||
b. A threat to himself and others
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c. Under age of 18
|| || || ||
d. Unconscious - ✔✔D. unconscious
|| || || ||
The opposite of distal is
|| || || ||
a. Superior
||
b. Medial
||
c. Lateral
||
d. Proximal - ✔✔D. Proximal
|| || || ||
The chamber of the heart that is most muscular and that pumps the most blood into the aorta is the
|| || || || || || || || || || || || || || || || || || ||
a. Right atrium
|| ||
b. Left ventricle
|| ||
,c. Right ventricle
|| ||
d. Left atrium - ✔✔B. LEFT VENTRICLE
|| || || || || ||
In correct sequence
|| ||
(VERTEBRAE SECTIONS) ||
and number in each section - ✔✔cervical (7), thoracic (5), lumbar (12), sacral (5), and coccygeal
|| || || || || || || || || || || || || || || ||
(4)
The purpose of the first set of vital signs is to: - ✔✔A. establish a baseline for additional
|| || || || || || || || || || || || || || || || || ||
evaluations
PCR has how many spots for writing vital signs? - ✔✔3 spots
|| || || || || || || || || || ||
When you take the pulse of a patient, you are really
|| || || || || || || || || ||
a. Counting pressure waves of blood that the heart sends through an artery
|| || || || || || || || || || || ||
b. Feeling the swelling of the vein as each wave of blood passes back to the heart
|| || || || || || || || || || || || || || || ||
c. Noting the heartbeats in the column of blood in a large vein
|| || || || || || || || || || || ||
d. Feeling the vibrations of the heart muscles as they push the blood through - ✔✔A. counting the
|| || || || || || || || || || || || || || || || || ||
pressure waves of blood that the heart sends through an artery
|| || || || || || || || || ||
In people whose skin is darkly pigmented, cyanosis is BEST seen by observing
|| || || || || || || || || || || ||
a. Mucosal membranes
|| ||
b. Earlobes
||
c. Scalp
||
d. Face - ✔✔A. mucosal membranes
|| || || || ||
You are treating an alert 35-year old trauma patient. You palpate a strong radial pulse of 100. Your
|| || || || || || || || || || || || || || || || ||
partner has taken the patient's blood pressure and advised you that it is 68/32. You should:
|| || || || || || || || || || || || || || || ||
,a. Suspect the accuracy of the pressure reading and reevaluate it
|| || || || || || || || || ||
b. Accept the reading as accurate
|| || || || ||
c. Ask you partner to retake BP reading again in 15 min
|| || || || || || || || || || ||
d. Treat patient for hypertension immediately - ✔✔A. suspect the accuracy of the pressure
|| || || || || || || || || || || || || ||
reading and reevaluate it yourself || || || ||
A correct statement about diastolic blood pressure is that it is the pressure
|| || || || || || || || || || || ||
a. Exists when heart left ventricle is refilling
|| || || || || || ||
b. Due to the contraction of the ventricles of the heart
|| || || || || || || || || ||
c. Caused by contraction of the atria of heart
|| || || || || || || ||
d. Caused by relaxation of the walls of the major arteries - ✔✔d. Caused by relaxation of the
|| || || || || || || || || || || || || || || || || ||
walls of the major arteries || || || ||
All of the following are symptoms EXCEPT?
|| || || || || ||
a. Headache
||
b. Weak pulse
|| ||
c. Chest pain
|| ||
d. Nausea - ✔✔B. weak pulse
|| || || || ||
sign vs symptom - ✔✔a sign is a physical manifestation (objective)- something you can measure
|| || || || || || || || || || || || || ||
|| symptom is what the patient tells you about the disease (subjective) || || || || || || || || || ||
For a patient with a suspected lumbar spinal injury, the BEST device for moving the patient as a
|| || || || || || || || || || || || || || || || || ||
single unit over uneven terrain is the: || || || || || ||
A. wheeled stretcher
|| ||
B. long spine board
|| || ||
C. flexible stretcher
|| ||
, D. short spine board - ✔✔B. long spine board
|| || || || || || || ||
Which of the following is the best indicator of the quality of ventilations
|| || || || || || || || || || || ||
A. chest expansion
|| ||
B. pupil size
|| ||
C. blood pressure
|| ||
D. skin color - ✔✔A. CHEST EXPANSION
|| || || || || ||
What is the best measure of respiration? - ✔✔skin color
|| || || || || || || || ||
ventilation vs respiration - ✔✔ventilation- the simple movement of air into and out of the lungs
|| || || || || || || || || || || || || || ||
respiration- the exchange of gases between the lungs, the blood, and the tissues of the body
|| || || || || || || || || || || || || || ||
Unless additional suctioning time is necessary to clear the airway, an adult patient should be
|| || || || || || || || || || || || || || ||
suctioned for NO LONGER THAN || || || ||
A. 5 sec
|| ||
B. 10 sec
|| ||
C. 15 sec
|| || ||
D. 20 sec - ✔✔15 seconds
|| || || || ||
During single-rescuer CPR, which of the following ventilation devices would be MOST effective
|| || || || || || || || || || || || ||
for ventilating a patient
|| || ||
A. NRB
||
B. Pocket mask w/ oxygen
|| || || ||
C. Flow-restricted, oxygen-powered ventilation device (FROPVD)
|| || || || ||
D. BVM w/o oxygen - ✔✔B. Pocket mask with Oxygen
|| || || || || || || || ||
because you can maintain a better seal || || || || || ||
|| || || || || || || || ||
solutions
An EMS Provider responds to a call and finds an 8- yr old female with no pulse or respirations.
|| || || || || || || || || || || || || || || || || || ||
The patient has a history of terminal brain cancer. The family states the last time she as seen alive
|| || || || || || || || || || || || || || || || || || ||
was 5 mins prior to EMS being called. They also state patient has a DNR oder. In NYS, EMS
|| || || || || || || || || || || || || || || || || || ||
personnel may accept which of the following DNR instruments as valid?
|| || || || || || || || || ||
Verbal request from family || || ||
A. Written non-hospital B. DNR or MOLST form
|| || || || || || ||
C. Written healthcare proxy
|| || ||
D. Written living will - ✔✔Written out-of-hospital DNR
|| || || || || || ||
OR MOLST FORM || ||
Implied Consent exists when a patient is suffering from a life-threatening injury or illness and is:
|| || || || || || || || || || || || || || ||
a. Under police custody
|| || ||
b. A threat to himself and others
|| || || || || ||
c. Under age of 18
|| || || ||
d. Unconscious - ✔✔D. unconscious
|| || || ||
The opposite of distal is
|| || || ||
a. Superior
||
b. Medial
||
c. Lateral
||
d. Proximal - ✔✔D. Proximal
|| || || ||
The chamber of the heart that is most muscular and that pumps the most blood into the aorta is the
|| || || || || || || || || || || || || || || || || || ||
a. Right atrium
|| ||
b. Left ventricle
|| ||
,c. Right ventricle
|| ||
d. Left atrium - ✔✔B. LEFT VENTRICLE
|| || || || || ||
In correct sequence
|| ||
(VERTEBRAE SECTIONS) ||
and number in each section - ✔✔cervical (7), thoracic (5), lumbar (12), sacral (5), and coccygeal
|| || || || || || || || || || || || || || || ||
(4)
The purpose of the first set of vital signs is to: - ✔✔A. establish a baseline for additional
|| || || || || || || || || || || || || || || || || ||
evaluations
PCR has how many spots for writing vital signs? - ✔✔3 spots
|| || || || || || || || || || ||
When you take the pulse of a patient, you are really
|| || || || || || || || || ||
a. Counting pressure waves of blood that the heart sends through an artery
|| || || || || || || || || || || ||
b. Feeling the swelling of the vein as each wave of blood passes back to the heart
|| || || || || || || || || || || || || || || ||
c. Noting the heartbeats in the column of blood in a large vein
|| || || || || || || || || || || ||
d. Feeling the vibrations of the heart muscles as they push the blood through - ✔✔A. counting the
|| || || || || || || || || || || || || || || || || ||
pressure waves of blood that the heart sends through an artery
|| || || || || || || || || ||
In people whose skin is darkly pigmented, cyanosis is BEST seen by observing
|| || || || || || || || || || || ||
a. Mucosal membranes
|| ||
b. Earlobes
||
c. Scalp
||
d. Face - ✔✔A. mucosal membranes
|| || || || ||
You are treating an alert 35-year old trauma patient. You palpate a strong radial pulse of 100. Your
|| || || || || || || || || || || || || || || || ||
partner has taken the patient's blood pressure and advised you that it is 68/32. You should:
|| || || || || || || || || || || || || || || ||
,a. Suspect the accuracy of the pressure reading and reevaluate it
|| || || || || || || || || ||
b. Accept the reading as accurate
|| || || || ||
c. Ask you partner to retake BP reading again in 15 min
|| || || || || || || || || || ||
d. Treat patient for hypertension immediately - ✔✔A. suspect the accuracy of the pressure
|| || || || || || || || || || || || || ||
reading and reevaluate it yourself || || || ||
A correct statement about diastolic blood pressure is that it is the pressure
|| || || || || || || || || || || ||
a. Exists when heart left ventricle is refilling
|| || || || || || ||
b. Due to the contraction of the ventricles of the heart
|| || || || || || || || || ||
c. Caused by contraction of the atria of heart
|| || || || || || || ||
d. Caused by relaxation of the walls of the major arteries - ✔✔d. Caused by relaxation of the
|| || || || || || || || || || || || || || || || || ||
walls of the major arteries || || || ||
All of the following are symptoms EXCEPT?
|| || || || || ||
a. Headache
||
b. Weak pulse
|| ||
c. Chest pain
|| ||
d. Nausea - ✔✔B. weak pulse
|| || || || ||
sign vs symptom - ✔✔a sign is a physical manifestation (objective)- something you can measure
|| || || || || || || || || || || || || ||
|| symptom is what the patient tells you about the disease (subjective) || || || || || || || || || ||
For a patient with a suspected lumbar spinal injury, the BEST device for moving the patient as a
|| || || || || || || || || || || || || || || || || ||
single unit over uneven terrain is the: || || || || || ||
A. wheeled stretcher
|| ||
B. long spine board
|| || ||
C. flexible stretcher
|| ||
, D. short spine board - ✔✔B. long spine board
|| || || || || || || ||
Which of the following is the best indicator of the quality of ventilations
|| || || || || || || || || || || ||
A. chest expansion
|| ||
B. pupil size
|| ||
C. blood pressure
|| ||
D. skin color - ✔✔A. CHEST EXPANSION
|| || || || || ||
What is the best measure of respiration? - ✔✔skin color
|| || || || || || || || ||
ventilation vs respiration - ✔✔ventilation- the simple movement of air into and out of the lungs
|| || || || || || || || || || || || || || ||
respiration- the exchange of gases between the lungs, the blood, and the tissues of the body
|| || || || || || || || || || || || || || ||
Unless additional suctioning time is necessary to clear the airway, an adult patient should be
|| || || || || || || || || || || || || || ||
suctioned for NO LONGER THAN || || || ||
A. 5 sec
|| ||
B. 10 sec
|| ||
C. 15 sec
|| || ||
D. 20 sec - ✔✔15 seconds
|| || || || ||
During single-rescuer CPR, which of the following ventilation devices would be MOST effective
|| || || || || || || || || || || || ||
for ventilating a patient
|| || ||
A. NRB
||
B. Pocket mask w/ oxygen
|| || || ||
C. Flow-restricted, oxygen-powered ventilation device (FROPVD)
|| || || || ||
D. BVM w/o oxygen - ✔✔B. Pocket mask with Oxygen
|| || || || || || || || ||
because you can maintain a better seal || || || || || ||
