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Emergency Medical Dispatch (EMD) – Final Exam Prep Test Bank 2 | 2026/2027 Update | Complete Questions and Verified Detailed Answers

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This document contains the newest EMD Final Exam Prep Test Bank 2 with complete actual exam questions and fully verified, detailed answers. It covers determinant codes, protocol application, priority symptoms, PDIs/PAIs, legal principles, and scenario-based dispatch decision-making in line with current MPDS standards. The material is already graded A+ and structured for efficient exam preparation, recertification review, and mastery of Medical Priority Dispatch System procedures for the 2026/2027 update.

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Instelling
Emergency Medical Dispatch
Vak
Emergency Medical Dispatch

Voorbeeld van de inhoud

EMD Final Exam Prep Test Bank 2 Newest Actual Exam With Complete Questions
And Correct Detailed Answers (Verified Answers) |Already Graded A+

Question 1
Which of the following complaints represents a situation that, without obtaining any further
information, could be properly categorized by an EMD into one of the MPDS Chief Complaint
Protocols?
A) "He's just laying on the couch looking miserable. I think he's dying. Come quick!"
B) "Something's wrong with my Mom. She needs an ambulance right away."
C) "My baby just swallowed a marble and it's stuck in her throat. She can't breathe at all!"
D) "He's been acting really sick since yesterday, and now he's getting even worse."
E) "I think my neighbor is having some kind of medical emergency in his yard."
Correct Answer: C) "My baby just swallowed a marble and it's stuck in her throat. She
can't breathe at all!"
Rationale: This statement provides both a clear mechanism of injury/illness (choking) and a
critical status (not breathing), which allows for immediate protocol selection without
further interrogation.

Question 2
Immediately after initiating an ECHO response, you should:
A) Provide applicable Case Entry Post-Dispatch instructions.
B) Provide applicable Post-Dispatch Instructions from the corresponding Chief Complaint
Protocol.
C) Return to the questioning sequence.
D) Wait for the responder to acknowledge the radio transmission.
E) Shunt to the nearest trauma protocol.
Correct Answer: A) Provide applicable Case Entry Post-Dispatch instructions.
Rationale: ECHO responses are designed for life-threats. Once the response is initiated, the
EMD must immediately provide Case Entry PDIs (like "stay on the line") before moving
forward.

Question 3
It is clearly a waste of time to ask additional Case Entry Questions and Chief Complaint Key
Questions after initiating a 7-ECHO-1 response and providing PDI-a and PDI-f for a person on
fire.
A) True
B) False
C) Only true if the caller is hysterical
D) Only true if the fire department has arrived
E) Only true if the patient is unconscious
Correct Answer: B) False
Rationale: Completing the interrogation ensures all safety issues are addressed and provides
responders with updated information regarding the patient's condition.

, 2



Question 4
The ECHO send point under Case Entry Question 3 for 9-E-1, "Obviously NOT BREATHING
and Unconscious (non-traumatic)," applies only to:
A) Non-traumatic situations when a caller reports that a patient is OBVIOUSLY dead.
B) Traumatic-injury situations in which a patient is in desperate need of SPECIALIZED rescue
equipment.
C) Non-traumatic MEDICAL arrest situations where the caller spontaneously provides
information indicating that the patient is not breathing and is also unconscious.
D) Patients who are breathing fitfully or gasping for air.
E) Any situation where the caller is crying and cannot confirm breathing.
Correct Answer: C) non-traumatic MEDICAL arrest situations where the caller
spontaneously provides information indicating that the patient is not breathing and is also
unconscious.
Rationale: The 9-E-1 code is specifically for medical arrests discovered early in the call
through spontaneous caller information.

Question 5
An INEFFECTIVE BREATHING situation, when volunteered during Case Entry, always
warrants an ECHO-level response.
A) True
B) False
C) Only for pediatric patients
D) Only for geriatric patients
E) Only if the patient is also unconscious
Correct Answer: B) False
Rationale: Ineffective breathing (agonal breathing) is often a DELTA-level response unless
specifically categorized under an ECHO-level condition like a hanging or drowning.
Question 6
For cases where a patient is currently hanging by the neck, and it is not an OBVIOUS DEATH
situation, you should first initiate a 9-E-3 response, provide Case Entry PDI-a, then:
A) Ask if the patient is changing color and if s/he is still warm to try to determine if the patient is
still alive.
B) Instruct the caller not to move or touch anything at the scene in order to preserve evidence.
C) Instruct the caller: "Cut him down immediately, loosen the noose, then tell me if s/he's
breathing."
D) Ask the caller to wait for the police to arrive before touching the body.
E) Ask if the patient has a history of depression.
Correct Answer: C) Instruct the caller: "Cut him down immediately, loosen the noose, then
tell me if s/he's breathing."

, 3



Rationale: In hanging situations, life-saving intervention (cutting the patient down) takes
precedence over all other instructions to provide a chance for resuscitation.

Question 7
A caller tells you that she just found her 2-year-old son in their backyard swimming pool and he
is still under the water. After initiating a 14-E-2 response and providing Case Entry PDI-a, you
should:
A) Ask the caller about the size and depth of the pool to determine safety.
B) Instruct the caller to immediately get the child out of the water.
C) Instruct the caller not to go in the water unless it's safe to do so.
D) Tell the caller to find a long pole to reach the child.
E) Ask the caller if she knows how to perform CPR.
Correct Answer: C) Instruct the caller not to go in the water unless it's safe to do so.
Rationale: Scene safety is paramount; an EMD must not instruct a caller to enter a
dangerous situation (like water) without a safety caveat.

Question 8
You have just initiated a 9-E-5 response in a suffocation case where the patient may still have
something covering her face. After providing Case Entry PDI-a, you should immediately tell the
caller:
A) "Remove anything covering the face or in the mouth, then tell me if she's breathing."
B) "Loosen anything around the neck, then tell me if she's breathing."
C) "Turn her on her side and check to see if there is anything in her mouth then tell me if she's
breathing."
D) "Cut her down immediately, loosen the noose, then tell me if she's breathing."
E) "Do not touch the patient until help arrives."
Correct Answer: A) "Remove anything covering the face or in the mouth, then tell me if
she's breathing."
Rationale: This is the specific life-saving instruction for suffocation to clear the airway
immediately.

Question 9
In response to, "Okay, tell me exactly what happened," the caller reports that her dad's pants are
on fire. What should you do next?
A) Continue with the Case Entry interrogation.
B) Instruct the caller to "Tell him to stop running, drop to the ground, cover his face, and roll
around."
C) Initiate a 7-ECHO-1 response.
D) Instruct the caller to immediately, "Get away and call us from somewhere safe."
E) Ask if he has any history of heart problems.
Correct Answer: C) Initiate a 7-ECHO-1 response.

, 4



Rationale: A person on fire is a 7-ECHO-1 situation and requires immediate response
initiation before giving instructions.

Question 10
After an ECHO response, completing all Case Entry and Chief Complaint Key Questions ensures
that appropriate warnings and advice are passed on to responders.
A) True
B) False
C) Only if the patient is conscious
D) Only if the caller is calm
E) Only if the scene is a trauma scene
Correct Answer: A) True
Rationale: The full interrogation provides critical safety data and clinical updates that may
change the priority or safety precautions for responders.

Question 11
If the correct Chief Complaint Protocol for an ECHO-level case is Protocol 9 (Cardiac Arrest),
then:
A) You always know it should be coded as 9-ECHO-1.
B) You can refer to the list on the Case Entry Additional Information Protocol to help you
determine the correct Determinant Code.
C) You should not initiate a response until you have completed the Key Questions.
D) You must check for a DNR before sending help.
E) You should shunt to Protocol 10.
Correct Answer: B) you can refer to the list on the Case Entry Additional Information
Protocol to help you determine the correct Determinant Code.
Rationale: Case Entry includes a list of ECHO-level conditions to ensure the EMD selects
the most accurate code for the specific arrest scenario.

Question 12
When you discover during Case Entry that a patient is in full arrest from anaphylactic shock after
having been stung by a wasp, you should code the case as:
A) 2-E-1
B) 2-E-2
C) 6-E-1
D) 6-E-2
E) 9-E-1
Correct Answer: A) 2-E-1
Rationale: Protocol 2 is Allergies/Stings. An arrest resulting from this mechanism is
specifically coded as 2-E-1.

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