[HAADEMTIntermediate] HAAD
EMTIntermediate DOH Licensureination for
EMT Intermediate Certification Review
Guide
**Question 1.** Which of the following is the first step in the primary survey for an adult
patient?
A) Assess circulation
B) Check airway patency
C) Obtain SAMPLE history
D) Perform a rapid trauma assessment
**Answer:** B
**Explanation:** The primary survey follows the ABC sequence; airway assessment is
performed first to ensure the patient can breathe.
**Question 2.** A 55‑year‑old male presents with wheezing, accessory muscle use, and a peak
flow of 150 L/min. Which medication is the most appropriate initial treatment?
A) Intravenous nitroglycerin
B) Nebulized albuterol with ipratropium
C) Oral prednisone tablets
D) Subcutaneous epinephrine
**Answer:** B
**Explanation:** Acute asthma exacerbations are treated first with short‑acting β2‑agonists;
adding ipratropium provides additional bronchodilation.
**Question 3.** During ECG interpretation, which rhythm is characterized by a regular,
narrow‑complex QRS at a rate of 150 bpm with a saw‑tooth appearance?
A) Ventricular tachycardia
B) Atrial fibrillation
, [HAADEMTIntermediate] HAAD
EMTIntermediate DOH Licensureination for
EMT Intermediate Certification Review
Guide
C) Atrial flutter
D) Supraventricular tachycardia (SVT)
**Answer:** C
**Explanation:** Atrial flutter produces a “saw‑tooth” pattern with a regular rate, typically
around 250‑350 bpm atrial but ventricular response often around 150 bpm.
**Question 4.** Which of the following is a sign of decompensated (hypovolemic) shock?
A) Warm, flushed skin
B) Bounding pulse
C) Decreased urine output < 0.5 mL/kg/hr
D) Elevated capillary refill time < 2 seconds
**Answer:** C
**Explanation:** In decompensated shock, perfusion is inadequate, leading to oliguria; skin
becomes cool and clammy, not warm.
**Question 5.** A patient with a known severe allergy to bees is stung and develops hives,
wheezing, and hypotension. Which medication and route should be administered first?
A) Intramuscular epinephrine 0.3 mg
B) Intravenous diphenhydramine 50 mg
C) Subcutaneous albuterol 2.5 mg
D) Oral prednisone 50 mg
**Answer:** A
**Explanation:** Intramuscular epinephrine is the first‑line treatment for anaphylaxis because
it rapidly reverses airway edema and hypotension.
, [HAADEMTIntermediate] HAAD
EMTIntermediate DOH Licensureination for
EMT Intermediate Certification Review
Guide
**Question 6.** Which of the following best describes the purpose of a King LT airway device?
A) To replace a definitive endotracheal tube
B) To provide a supraglottic airway for ventilation when intubation fails
C) To suction secretions from the lower airway
D) To measure end‑tidal CO₂ directly
**Answer:** B
**Explanation:** The King LT is a supraglottic airway used as an alternative when endotracheal
intubation is not possible or is delayed.
**Question 7.** A 30‑year‑old female presents with sudden onset of unilateral facial droop,
arm weakness, and slurred speech. Which pre‑hospital stroke scale is most appropriate for rapid
assessment?
A) GCS
B) AVPU
C) FAST‑ED
D) MIST
**Answer:** C
**Explanation:** FAST‑ED is an expanded stroke scale that includes facial droop, arm weakness,
speech changes, eye deviation, and denial, useful for EMS.
**Question 8.** Which medication is contraindicated in a patient with a known history of
narrow‑angle glaucoma?
A) Nebulized albuterol
, [HAADEMTIntermediate] HAAD
EMTIntermediate DOH Licensureination for
EMT Intermediate Certification Review
Guide
B) Intravenous nitroglycerin
C) Sublingual nitroglycerin
D) Inhaled epinephrine
**Answer:** C
**Explanation:** Sublingual nitroglycerin can increase intra‑ocular pressure and worsen
narrow‑angle glaucoma.
**Question 9.** During a secondary survey, you obtain the OPQRST history for chest pain.
Which component assesses “What makes the pain better?”
A) Onset
B) Provocation/Palliation
C) Quality
D) Severity
**Answer:** B
**Explanation:** “Provocation/Palliation” specifically asks what aggravates or relieves the
symptom.
**Question 10.** A 4‑year‑old child is found unresponsive with a GCS of 6. Which airway
maneuver should you perform first?
A) Insert a King LT airway
B) Perform a jaw‑thrust maneuver
C) Apply a nasopharyngeal airway
D) Conduct a cricothyrotomy
**Answer:** B
EMTIntermediate DOH Licensureination for
EMT Intermediate Certification Review
Guide
**Question 1.** Which of the following is the first step in the primary survey for an adult
patient?
A) Assess circulation
B) Check airway patency
C) Obtain SAMPLE history
D) Perform a rapid trauma assessment
**Answer:** B
**Explanation:** The primary survey follows the ABC sequence; airway assessment is
performed first to ensure the patient can breathe.
**Question 2.** A 55‑year‑old male presents with wheezing, accessory muscle use, and a peak
flow of 150 L/min. Which medication is the most appropriate initial treatment?
A) Intravenous nitroglycerin
B) Nebulized albuterol with ipratropium
C) Oral prednisone tablets
D) Subcutaneous epinephrine
**Answer:** B
**Explanation:** Acute asthma exacerbations are treated first with short‑acting β2‑agonists;
adding ipratropium provides additional bronchodilation.
**Question 3.** During ECG interpretation, which rhythm is characterized by a regular,
narrow‑complex QRS at a rate of 150 bpm with a saw‑tooth appearance?
A) Ventricular tachycardia
B) Atrial fibrillation
, [HAADEMTIntermediate] HAAD
EMTIntermediate DOH Licensureination for
EMT Intermediate Certification Review
Guide
C) Atrial flutter
D) Supraventricular tachycardia (SVT)
**Answer:** C
**Explanation:** Atrial flutter produces a “saw‑tooth” pattern with a regular rate, typically
around 250‑350 bpm atrial but ventricular response often around 150 bpm.
**Question 4.** Which of the following is a sign of decompensated (hypovolemic) shock?
A) Warm, flushed skin
B) Bounding pulse
C) Decreased urine output < 0.5 mL/kg/hr
D) Elevated capillary refill time < 2 seconds
**Answer:** C
**Explanation:** In decompensated shock, perfusion is inadequate, leading to oliguria; skin
becomes cool and clammy, not warm.
**Question 5.** A patient with a known severe allergy to bees is stung and develops hives,
wheezing, and hypotension. Which medication and route should be administered first?
A) Intramuscular epinephrine 0.3 mg
B) Intravenous diphenhydramine 50 mg
C) Subcutaneous albuterol 2.5 mg
D) Oral prednisone 50 mg
**Answer:** A
**Explanation:** Intramuscular epinephrine is the first‑line treatment for anaphylaxis because
it rapidly reverses airway edema and hypotension.
, [HAADEMTIntermediate] HAAD
EMTIntermediate DOH Licensureination for
EMT Intermediate Certification Review
Guide
**Question 6.** Which of the following best describes the purpose of a King LT airway device?
A) To replace a definitive endotracheal tube
B) To provide a supraglottic airway for ventilation when intubation fails
C) To suction secretions from the lower airway
D) To measure end‑tidal CO₂ directly
**Answer:** B
**Explanation:** The King LT is a supraglottic airway used as an alternative when endotracheal
intubation is not possible or is delayed.
**Question 7.** A 30‑year‑old female presents with sudden onset of unilateral facial droop,
arm weakness, and slurred speech. Which pre‑hospital stroke scale is most appropriate for rapid
assessment?
A) GCS
B) AVPU
C) FAST‑ED
D) MIST
**Answer:** C
**Explanation:** FAST‑ED is an expanded stroke scale that includes facial droop, arm weakness,
speech changes, eye deviation, and denial, useful for EMS.
**Question 8.** Which medication is contraindicated in a patient with a known history of
narrow‑angle glaucoma?
A) Nebulized albuterol
, [HAADEMTIntermediate] HAAD
EMTIntermediate DOH Licensureination for
EMT Intermediate Certification Review
Guide
B) Intravenous nitroglycerin
C) Sublingual nitroglycerin
D) Inhaled epinephrine
**Answer:** C
**Explanation:** Sublingual nitroglycerin can increase intra‑ocular pressure and worsen
narrow‑angle glaucoma.
**Question 9.** During a secondary survey, you obtain the OPQRST history for chest pain.
Which component assesses “What makes the pain better?”
A) Onset
B) Provocation/Palliation
C) Quality
D) Severity
**Answer:** B
**Explanation:** “Provocation/Palliation” specifically asks what aggravates or relieves the
symptom.
**Question 10.** A 4‑year‑old child is found unresponsive with a GCS of 6. Which airway
maneuver should you perform first?
A) Insert a King LT airway
B) Perform a jaw‑thrust maneuver
C) Apply a nasopharyngeal airway
D) Conduct a cricothyrotomy
**Answer:** B
