AAOS EMT UPDATED 2026 EXAM SCRIPT QUESTIONS
AND SOLUTIONS RATED A+
✔✔A 45-year-old male was working on his roof when he fell approximately 12′,landing
on his feet. He is conscious and alert and complains of an ache in his lower back. He is
breathing adequately and has stable vital signs. You should:
A. perform a rapid head-to-toe exam and immobilize his spine.
B. allow him to refuse transport if his vital signs remain stable.
C. obtain a Glasgow Coma Score value and give him oxygen.
D. immobilize his spine and perform a focused secondary exam. - ✔✔D. immobilize his
spine and perform a focused secondary exam.
✔✔If you properly assess and stabilize a patient at the scene, driving to the hospital
with excessive speed:
A. increases the patient's chance for survival.
B. is allowable according to state law.
C. is often necessary if the patient is critical.
D. will decrease the driver's reaction time. - ✔✔D. will decrease the driver's reaction
time.
✔✔Which patient is breathing adequately?
a. 43 year old male, respirations are 15/min, regular chest motions
b. 18 year old male, respirations are 28/min, shallow chest movements
c. 7 year old female, respirations are 12/min, irregular rhythm, using diaphragm
primarily
d. 3 month old male; Respirations 62/min, using diaphragm and muscles in chest and
neck - ✔✔a. 43 year old male, respirations are 15/min, regular chest motions
✔✔A 19-year-old male was stung multiple times by fire ants. He is experiencing obvious
signs and symptoms of anaphylactic shock. You administer 100% oxygen and give him
epinephrine via subcutaneous injection. Upon reassessment, you determine that his
condition has not improved. You should:
A. request a paramedic unit that is stationed approximately 15 miles away.
B. consider that he may actually be experiencing an acute asthma attack.
C. repeat the epinephrine injection after consulting with medical control.
D. transport him immediately and provide supportive care while en route. - ✔✔C. repeat
the epinephrine injection after consulting with medical control.
✔✔A 37-year-old male is having a severe allergic reaction to penicillin. He does not
have an epinephrine auto-injector and your protocols do not allow you to carry
,epinephrine on the ambulance. How should you proceed with the treatment of this
patient?
A. Administer oxygen, transport at once, and request a paramedic intercept.
B. Remain at the scene with the patient and request a paramedic ambulance.
C. Quickly determine if there are any bystanders who may carry epinephrine.
D. Ask the patient if he has any diphenhydramine (Benadryl) tablets that you can
administer. - ✔✔A. Administer oxygen, transport at once, and request a paramedic
intercept.
✔✔A 71-year-old female slipped on a rug and fell. She is conscious and alert and
complains of severe pelvic pain. Her respirations are 22 breaths/min with adequate
depth and her heart rate is 120 beats/min. Which of the following would NOT be
appropriate for this patient?
A. 100% supplemental oxygen
B. treating her for possible shock
C. gentle palpation of the pelvis
D. performing a full-body scan - ✔✔C. gentle palpation of the pelvis
✔✔An IO needle is inserted into the:
A. distal femur.
B. proximal fibula.
C. proximal tibia.
D. distal humerus. - ✔✔C. proximal tibia.
✔✔You are dispatched to a residence for a 56-year-old male with an altered mental
status. Upon arrival at the scene, the patient's wife tells you that he complained of chest
pain the day before, but would not allow her to call EMS. The patient is semiconscious;
has rapid, shallow respirations; and has a thready pulse. You should:
A. apply a nonrebreathing mask.
B. begin ventilatory assistance.
C. obtain baseline vital signs.
D. attach the automated external defibrillator (AED) immediately. - ✔✔B. begin
ventilatory assistance.
✔✔The body's natural cooling mechanism, in which sweat is converted to a gas, is
called:
A. convection.
B. radiation.
C. conduction.
D. evaporation. - ✔✔D. evaporation.
, ✔✔After recognizing that an incident involves a hazardous material, you should contact
the hazardous materials team and then:
A. not allow anyone within 25′ to 50′ of the incident scene.
B. take measures to ensure the safety of yourself and others.
C. identify the chemical using the Emergency Response Guidebook.
D. don standard equipment before gaining access to any patients. - ✔✔B. take
measures to ensure the safety of yourself and others.
✔✔After intubating a 44-year-old unconscious, apneic male, you place him on the
ambulance stretcher and prepare to load him into the ambulance. After he is placed into
the ambulance, you should:
A. continue ventilations with an automatic ventilator.
B. reconfirm that the ET tube is still correctly positioned.
C. hyperventilate the patient for approximately 30 seconds.
D. reassess the patient's vital signs and attach an AED. - ✔✔B. reconfirm that the ET
tube is still correctly positioned.
✔✔You have inserted an oral airway and are ventilating an apneic woman with a bag-
mask device. She suddenly begins regurgitating large amounts of vomit. You should:
A. ask your partner to apply cricoid pressure.
B. remove the oral airway and suction her oropharynx.
C. roll her onto her side and remove the oral airway.
D. perform a finger sweep of her mouth. - ✔✔C. roll her onto her side and remove the
oral airway.
✔✔A 17-year-old male was shot in the right anterior chest during an altercation with a
gang member. As your partner is applying 100% oxygen, you perform a rapid
secondary assessment and find an open chest wound with a small amount of blood
bubbling from it. You should:
A. apply an occlusive dressing to the wound and continue your assessment.
B. control the bleeding from the wound and prepare to transport at once.
C. direct your partner to assist the patient's ventilations with a bag-mask device.
D. place a sterile dressing over the wound and apply direct pressure. - ✔✔A. apply an
occlusive dressing to the wound and continue your assessment.
✔✔Acute coronary syndrome (ACS) is a term used to describe:
A. the warning signs that occur shortly before a heart attack.
B. a severe decrease in perfusion caused by changes in heart rate.
C. a group of symptoms that are caused by myocardial ischemia.
AND SOLUTIONS RATED A+
✔✔A 45-year-old male was working on his roof when he fell approximately 12′,landing
on his feet. He is conscious and alert and complains of an ache in his lower back. He is
breathing adequately and has stable vital signs. You should:
A. perform a rapid head-to-toe exam and immobilize his spine.
B. allow him to refuse transport if his vital signs remain stable.
C. obtain a Glasgow Coma Score value and give him oxygen.
D. immobilize his spine and perform a focused secondary exam. - ✔✔D. immobilize his
spine and perform a focused secondary exam.
✔✔If you properly assess and stabilize a patient at the scene, driving to the hospital
with excessive speed:
A. increases the patient's chance for survival.
B. is allowable according to state law.
C. is often necessary if the patient is critical.
D. will decrease the driver's reaction time. - ✔✔D. will decrease the driver's reaction
time.
✔✔Which patient is breathing adequately?
a. 43 year old male, respirations are 15/min, regular chest motions
b. 18 year old male, respirations are 28/min, shallow chest movements
c. 7 year old female, respirations are 12/min, irregular rhythm, using diaphragm
primarily
d. 3 month old male; Respirations 62/min, using diaphragm and muscles in chest and
neck - ✔✔a. 43 year old male, respirations are 15/min, regular chest motions
✔✔A 19-year-old male was stung multiple times by fire ants. He is experiencing obvious
signs and symptoms of anaphylactic shock. You administer 100% oxygen and give him
epinephrine via subcutaneous injection. Upon reassessment, you determine that his
condition has not improved. You should:
A. request a paramedic unit that is stationed approximately 15 miles away.
B. consider that he may actually be experiencing an acute asthma attack.
C. repeat the epinephrine injection after consulting with medical control.
D. transport him immediately and provide supportive care while en route. - ✔✔C. repeat
the epinephrine injection after consulting with medical control.
✔✔A 37-year-old male is having a severe allergic reaction to penicillin. He does not
have an epinephrine auto-injector and your protocols do not allow you to carry
,epinephrine on the ambulance. How should you proceed with the treatment of this
patient?
A. Administer oxygen, transport at once, and request a paramedic intercept.
B. Remain at the scene with the patient and request a paramedic ambulance.
C. Quickly determine if there are any bystanders who may carry epinephrine.
D. Ask the patient if he has any diphenhydramine (Benadryl) tablets that you can
administer. - ✔✔A. Administer oxygen, transport at once, and request a paramedic
intercept.
✔✔A 71-year-old female slipped on a rug and fell. She is conscious and alert and
complains of severe pelvic pain. Her respirations are 22 breaths/min with adequate
depth and her heart rate is 120 beats/min. Which of the following would NOT be
appropriate for this patient?
A. 100% supplemental oxygen
B. treating her for possible shock
C. gentle palpation of the pelvis
D. performing a full-body scan - ✔✔C. gentle palpation of the pelvis
✔✔An IO needle is inserted into the:
A. distal femur.
B. proximal fibula.
C. proximal tibia.
D. distal humerus. - ✔✔C. proximal tibia.
✔✔You are dispatched to a residence for a 56-year-old male with an altered mental
status. Upon arrival at the scene, the patient's wife tells you that he complained of chest
pain the day before, but would not allow her to call EMS. The patient is semiconscious;
has rapid, shallow respirations; and has a thready pulse. You should:
A. apply a nonrebreathing mask.
B. begin ventilatory assistance.
C. obtain baseline vital signs.
D. attach the automated external defibrillator (AED) immediately. - ✔✔B. begin
ventilatory assistance.
✔✔The body's natural cooling mechanism, in which sweat is converted to a gas, is
called:
A. convection.
B. radiation.
C. conduction.
D. evaporation. - ✔✔D. evaporation.
, ✔✔After recognizing that an incident involves a hazardous material, you should contact
the hazardous materials team and then:
A. not allow anyone within 25′ to 50′ of the incident scene.
B. take measures to ensure the safety of yourself and others.
C. identify the chemical using the Emergency Response Guidebook.
D. don standard equipment before gaining access to any patients. - ✔✔B. take
measures to ensure the safety of yourself and others.
✔✔After intubating a 44-year-old unconscious, apneic male, you place him on the
ambulance stretcher and prepare to load him into the ambulance. After he is placed into
the ambulance, you should:
A. continue ventilations with an automatic ventilator.
B. reconfirm that the ET tube is still correctly positioned.
C. hyperventilate the patient for approximately 30 seconds.
D. reassess the patient's vital signs and attach an AED. - ✔✔B. reconfirm that the ET
tube is still correctly positioned.
✔✔You have inserted an oral airway and are ventilating an apneic woman with a bag-
mask device. She suddenly begins regurgitating large amounts of vomit. You should:
A. ask your partner to apply cricoid pressure.
B. remove the oral airway and suction her oropharynx.
C. roll her onto her side and remove the oral airway.
D. perform a finger sweep of her mouth. - ✔✔C. roll her onto her side and remove the
oral airway.
✔✔A 17-year-old male was shot in the right anterior chest during an altercation with a
gang member. As your partner is applying 100% oxygen, you perform a rapid
secondary assessment and find an open chest wound with a small amount of blood
bubbling from it. You should:
A. apply an occlusive dressing to the wound and continue your assessment.
B. control the bleeding from the wound and prepare to transport at once.
C. direct your partner to assist the patient's ventilations with a bag-mask device.
D. place a sterile dressing over the wound and apply direct pressure. - ✔✔A. apply an
occlusive dressing to the wound and continue your assessment.
✔✔Acute coronary syndrome (ACS) is a term used to describe:
A. the warning signs that occur shortly before a heart attack.
B. a severe decrease in perfusion caused by changes in heart rate.
C. a group of symptoms that are caused by myocardial ischemia.
