EMD V13.0A Recertification Exam OUTEC Official
Exam 2026/2027 Actual Exam Complete
Questions and Answers Detailed Rationales Pass
Guaranteed - A+ Graded
TABLE OF CONTENTS
Section 1 | Emergency Dispatch Protocols | Q1 – Q10
Section 2 | Case Entry and Key Questions | Q11 – Q20
Section 3 | Dispatch Life Support (DLS) Instructions | Q21 – Q30
Section 4 | Post-Dispatch and Post-Processing Instructions | Q31 – Q40
Section 5 | Quality Assurance and Recertification Standards | Q41 – Q50
Instructions: Choose the single best answer. Pass: 80% in 90 minutes.
══════════════════════════════════════
SECTION 1: EMERGENCY DISPATCH PROTOCOLS Q1 – Q10
══════════════════════════════════════
Question 1 of 50
A 911 call comes in at 2:17 AM from a frantic mother who says her 3-year-old son is
"not breathing right." The child had a fever earlier in the day and now has stridor at rest,
is drooling, and sitting in a tripod position. The EMD recognizes this presentation and
must select the appropriate Chief Complaint Protocol.
A. Protocol 6 — Breathing Problems
B. Protocol 12 — Convulsions / Seizures
C. Protocol 27 — Sick Person
D. Protocol 11 — Choking ✓ CORRECT
Correct Answer: D
Rationale: The combination of stridor at rest, drooling, tripod positioning, and sudden
onset in a febrile child is classic for epiglottitis or a foreign body airway obstruction,
,which falls under Protocol 11 (Choking). Many dispatchers default to Protocol 6 for any
respiratory complaint, but stridor with drooling indicates upper airway compromise
rather than lower respiratory distress. The tripod position is the body's attempt to
maximize airway patency and should trigger immediate airway protocol selection.
Question 2 of 50
A call is received from a 45-year-old man who reports crushing chest pain radiating to
his left arm and jaw that started 20 minutes ago while he was mowing the lawn. He is
diaphoretic and nauseated. The EMD must determine which Chief Complaint Protocol to
use.
A. Protocol 18 — Headache
B. Protocol 10 — Chest Pain / Chest Discomfort ✓ CORRECT
C. Protocol 6 — Breathing Problems
D. Protocol 26 — Sick Person
Correct Answer: B
Rationale: Classic cardiac chest pain with radiation, diaphoresis, and nausea in a
middle-aged male is the textbook presentation for Protocol 10, which provides specific
key questions and DLS instructions for potential acute coronary syndrome. Many new
dispatchers hesitate to use Protocol 10 when the patient is still conscious and talking,
but the protocol is designed for exactly this presentation. Delay in selecting the correct
protocol can delay pre-arrival aspirin instructions and appropriate response level
assignment.
Question 3 of 50
A caller reports that her 78-year-old father with a known history of COPD is "confused
and breathing funny." He is on home oxygen at 2 liters per minute. His wife says his lips
look blue and he keeps asking the same question every few minutes. The EMD must
select the appropriate protocol.
,A. Protocol 26 — Sick Person
B. Protocol 31 — Unconscious / Fainting (Near)
C. Protocol 6 — Breathing Problems ✓ CORRECT
D. Protocol 28 — Stroke (CVA)
Correct Answer: C
Rationale: Altered mental status with cyanosis and known respiratory disease in a
patient on home oxygen indicates respiratory failure, which is managed under Protocol
6 with specific questions about breathing difficulty and consciousness level. Many
dispatchers are distracted by the confusion and select Protocol 28 for stroke or
Protocol 31 for unconsciousness, but the primary problem is hypoxic respiratory failure.
The cyanosis and repetitive questioning are signs of cerebral hypoxia, not isolated
neurologic events.
Question 4 of 50
A 911 call comes from a convenience store clerk who says a customer in his 30s just
collapsed and is lying on the floor shaking all over. The clerk says the man's body went
stiff for a few seconds, then started jerking, and now he is not responding. The event
lasted about a minute and the patient is now breathing but unresponsive. The EMD
should select:
A. Protocol 12 — Convulsions / Seizures ✓ CORRECT
B. Protocol 31 — Unconscious / Fainting (Near)
C. Protocol 2 — Allergies (Reactions) / Envenomations
D. Protocol 21 — Hemorrhage / Lacerations
Correct Answer: A
Rationale: The witnessed tonic-clonic activity with post-ictal unresponsiveness is the
defining presentation for Protocol 12, which includes specific key questions about
seizure history, duration, and current status. Many dispatchers select Protocol 31 when
the patient is unresponsive after the event, but the seizure protocol provides more
, appropriate DLS instructions for airway protection and recovery positioning. The
post-ictal state is expected and does not change the chief complaint from seizure to
unconsciousness.
Question 5 of 50
A call is received from a 16-year-old girl who says she took "a bunch of pills" about an
hour ago because she was upset about a breakup. She is now nauseated, dizzy, and
scared. She refuses to name the pills. The EMD must select the appropriate protocol.
A. Protocol 7 — Burns (Scalds) / Explosion
B. Protocol 23 — Overdose / Poisoning (Ingestion) ✓ CORRECT
C. Protocol 26 — Sick Person
D. Protocol 32 — Unknown Problem (Man Down)
Correct Answer: B
Rationale: Intentional ingestion of an unknown quantity of medication with current
symptoms of toxicity is the specific indication for Protocol 23, which provides key
questions about substance identification, time of ingestion, and current symptoms.
Many dispatchers default to Protocol 26 or Protocol 32 when the substance is unknown,
but the ingestion event itself defines the chief complaint. The patient's emotional state
and the intentional nature of the ingestion require specific DLS instructions and
appropriate response level.
Question 6 of 50
A caller reports that a 55-year-old man was working on his roof when he slipped and fell
approximately 12 feet onto concrete. He is awake, complaining of severe back pain, and
says he cannot feel or move his legs. The EMD must select the appropriate protocol.
A. Protocol 17 — Falls
B. Protocol 30 — Traumatic Injuries (Specific) ✓ CORRECT
C. Protocol 26 — Sick Person
Exam 2026/2027 Actual Exam Complete
Questions and Answers Detailed Rationales Pass
Guaranteed - A+ Graded
TABLE OF CONTENTS
Section 1 | Emergency Dispatch Protocols | Q1 – Q10
Section 2 | Case Entry and Key Questions | Q11 – Q20
Section 3 | Dispatch Life Support (DLS) Instructions | Q21 – Q30
Section 4 | Post-Dispatch and Post-Processing Instructions | Q31 – Q40
Section 5 | Quality Assurance and Recertification Standards | Q41 – Q50
Instructions: Choose the single best answer. Pass: 80% in 90 minutes.
══════════════════════════════════════
SECTION 1: EMERGENCY DISPATCH PROTOCOLS Q1 – Q10
══════════════════════════════════════
Question 1 of 50
A 911 call comes in at 2:17 AM from a frantic mother who says her 3-year-old son is
"not breathing right." The child had a fever earlier in the day and now has stridor at rest,
is drooling, and sitting in a tripod position. The EMD recognizes this presentation and
must select the appropriate Chief Complaint Protocol.
A. Protocol 6 — Breathing Problems
B. Protocol 12 — Convulsions / Seizures
C. Protocol 27 — Sick Person
D. Protocol 11 — Choking ✓ CORRECT
Correct Answer: D
Rationale: The combination of stridor at rest, drooling, tripod positioning, and sudden
onset in a febrile child is classic for epiglottitis or a foreign body airway obstruction,
,which falls under Protocol 11 (Choking). Many dispatchers default to Protocol 6 for any
respiratory complaint, but stridor with drooling indicates upper airway compromise
rather than lower respiratory distress. The tripod position is the body's attempt to
maximize airway patency and should trigger immediate airway protocol selection.
Question 2 of 50
A call is received from a 45-year-old man who reports crushing chest pain radiating to
his left arm and jaw that started 20 minutes ago while he was mowing the lawn. He is
diaphoretic and nauseated. The EMD must determine which Chief Complaint Protocol to
use.
A. Protocol 18 — Headache
B. Protocol 10 — Chest Pain / Chest Discomfort ✓ CORRECT
C. Protocol 6 — Breathing Problems
D. Protocol 26 — Sick Person
Correct Answer: B
Rationale: Classic cardiac chest pain with radiation, diaphoresis, and nausea in a
middle-aged male is the textbook presentation for Protocol 10, which provides specific
key questions and DLS instructions for potential acute coronary syndrome. Many new
dispatchers hesitate to use Protocol 10 when the patient is still conscious and talking,
but the protocol is designed for exactly this presentation. Delay in selecting the correct
protocol can delay pre-arrival aspirin instructions and appropriate response level
assignment.
Question 3 of 50
A caller reports that her 78-year-old father with a known history of COPD is "confused
and breathing funny." He is on home oxygen at 2 liters per minute. His wife says his lips
look blue and he keeps asking the same question every few minutes. The EMD must
select the appropriate protocol.
,A. Protocol 26 — Sick Person
B. Protocol 31 — Unconscious / Fainting (Near)
C. Protocol 6 — Breathing Problems ✓ CORRECT
D. Protocol 28 — Stroke (CVA)
Correct Answer: C
Rationale: Altered mental status with cyanosis and known respiratory disease in a
patient on home oxygen indicates respiratory failure, which is managed under Protocol
6 with specific questions about breathing difficulty and consciousness level. Many
dispatchers are distracted by the confusion and select Protocol 28 for stroke or
Protocol 31 for unconsciousness, but the primary problem is hypoxic respiratory failure.
The cyanosis and repetitive questioning are signs of cerebral hypoxia, not isolated
neurologic events.
Question 4 of 50
A 911 call comes from a convenience store clerk who says a customer in his 30s just
collapsed and is lying on the floor shaking all over. The clerk says the man's body went
stiff for a few seconds, then started jerking, and now he is not responding. The event
lasted about a minute and the patient is now breathing but unresponsive. The EMD
should select:
A. Protocol 12 — Convulsions / Seizures ✓ CORRECT
B. Protocol 31 — Unconscious / Fainting (Near)
C. Protocol 2 — Allergies (Reactions) / Envenomations
D. Protocol 21 — Hemorrhage / Lacerations
Correct Answer: A
Rationale: The witnessed tonic-clonic activity with post-ictal unresponsiveness is the
defining presentation for Protocol 12, which includes specific key questions about
seizure history, duration, and current status. Many dispatchers select Protocol 31 when
the patient is unresponsive after the event, but the seizure protocol provides more
, appropriate DLS instructions for airway protection and recovery positioning. The
post-ictal state is expected and does not change the chief complaint from seizure to
unconsciousness.
Question 5 of 50
A call is received from a 16-year-old girl who says she took "a bunch of pills" about an
hour ago because she was upset about a breakup. She is now nauseated, dizzy, and
scared. She refuses to name the pills. The EMD must select the appropriate protocol.
A. Protocol 7 — Burns (Scalds) / Explosion
B. Protocol 23 — Overdose / Poisoning (Ingestion) ✓ CORRECT
C. Protocol 26 — Sick Person
D. Protocol 32 — Unknown Problem (Man Down)
Correct Answer: B
Rationale: Intentional ingestion of an unknown quantity of medication with current
symptoms of toxicity is the specific indication for Protocol 23, which provides key
questions about substance identification, time of ingestion, and current symptoms.
Many dispatchers default to Protocol 26 or Protocol 32 when the substance is unknown,
but the ingestion event itself defines the chief complaint. The patient's emotional state
and the intentional nature of the ingestion require specific DLS instructions and
appropriate response level.
Question 6 of 50
A caller reports that a 55-year-old man was working on his roof when he slipped and fell
approximately 12 feet onto concrete. He is awake, complaining of severe back pain, and
says he cannot feel or move his legs. The EMD must select the appropriate protocol.
A. Protocol 17 — Falls
B. Protocol 30 — Traumatic Injuries (Specific) ✓ CORRECT
C. Protocol 26 — Sick Person
