EME 105 EXAM Actual Exam Complete Questions
and Answers Detailed Rationales Pass Guaranteed -
A+ Graded
TABLE OF CONTENTS
Section 1 | Foundations of EMS Systems | Q1 – Q10
Section 2 | Medical Terminology & Anatomy/Physiology | Q11 – Q20
Section 3 | Patient Assessment & Vital Signs | Q21 – Q30
Section 4 | Basic Life Support & Airway Management | Q31 – Q40
Section 5 | Medical & Trauma Emergencies | Q41 – Q50
Instructions: Choose the single best answer. Pass: 80% in 90 minutes.
══════════════════════════════════════
SECTION 1: FOUNDATIONS OF EMERGENCY MEDICAL SERVICES (EMS) SYSTEMS Q1 –
Q10
══════════════════════════════════════
Question 1 of 50
You are dispatched to a motor vehicle collision at 0200 hours. Upon arrival, you find a
34-year-old male driver trapped in his vehicle with significant front-end damage. Fire
department extrication will take approximately 20 minutes. The patient is conscious but
has a deformed right femur and is complaining of severe pain. Local trauma center is
15 minutes away, community hospital is 5 minutes away.
A. Transport the patient immediately to the community hospital because extrication
delays exceed the golden hour
B. Wait on scene for full extrication, then transport directly to the trauma center ✓
CORRECT
C. Request air medical transport to bypass ground transport entirely
D. Have the patient self-extricate and walk to the ambulance to save time
,Correct Answer: B
Rationale: Trauma patients with significant mechanism of injury and suspected serious
injuries should be transported to the highest appropriate level of care once extricated,
as the trauma center provides definitive surgical capabilities the community hospital
lacks. Option A is tempting because proximity seems safer, but community hospitals
may lack trauma surgery and blood products, potentially worsening outcomes. Scene
time should be minimized but never at the expense of proper extrication and packaging.
Question 2 of 50
A 45-year-old female calls 911 from her residence stating she has chest pain. You arrive
to find her sitting upright in a chair, alert and oriented, with stable vital signs. She insists
on walking to the ambulance. Her home has a narrow staircase with no obstacles.
A. Allow her to walk to the ambulance to maintain her autonomy and comfort
B. Carry her down the stairs using a firefighter's carry to prevent any exertion
C. Have her slide down the stairs on a stair chair without securing straps
D. Assist her onto a stretcher and use a stair chair with proper securing for transport ✓
CORRECT
Correct Answer: D
Rationale: Even ambulatory patients with potential cardiac complaints should be moved
on appropriate equipment with proper securing to prevent injury during movement and
to allow immediate intervention if condition deteriorates. Option A seems respectful but
places the patient at risk of syncope or dysrhythmia during exertion. Stair chairs with
straps prevent falls and keep the patient in a position where vital signs and monitoring
can be maintained.
Question 3 of 50
During a mass casualty incident involving a building collapse, the incident commander
assigns you to the treatment area. You encounter a 52-year-old male with a closed head
,injury who is unresponsive but breathing, a 28-year-old female with an open femur
fracture and radial pulse present, and a 19-year-old male with multiple abrasions who is
ambulatory and asking to help.
A. Tag the unresponsive male as immediate (red), the female as delayed (yellow), and
the male as minor (green) ✓ CORRECT
B. Tag all three patients as immediate because the scene involves structural collapse
C. Tag the ambulatory male as immediate since he may have occult internal injuries
D. Tag the unresponsive male as deceased since he has altered mental status
Correct Answer: A
Rationale: START triage prioritizes patients based on immediate life threats using
respiration, perfusion, and mental status criteria, with the unresponsive patient meeting
red tag criteria and the ambulatory patient appropriately green-tagged. Option B reflects
a common error of over-triage in mass casualty incidents, which overwhelms transport
and treatment resources. Green-tagged patients can assist with evacuation and care,
maximizing limited responder capacity.
Question 4 of 50
You are working a standby event at a high school football game when a spectator
approaches you reporting that a 67-year-old man in the stands is slumped over and
unresponsive. Bystanders are attempting to shake him awake. The nearest AED is 200
feet away in the athletic training room.
A. Perform a full secondary assessment before moving the patient or applying the AED
B. Send a bystander for the AED while you begin two-rescuer CPR immediately
C. Direct someone to retrieve the AED immediately and begin high-quality CPR ✓
CORRECT
D. Load the patient onto a stretcher and transport to the AED location
Correct Answer: C
, Rationale: Cardiac arrest requires immediate CPR and early defibrillation, so delegating
AED retrieval while starting compressions addresses the two interventions with the
greatest survival impact. Option A delays critical care; in cardiac arrest, the primary
assessment confirms arrest and CPR begins immediately without waiting for a full
secondary survey. Moving an arrest patient to equipment rather than bringing
equipment to the patient wastes precious minutes of perfusion.
Question 5 of 50
A 38-year-old construction worker falls 20 feet from scaffolding and lands on his side.
He is conscious but confused. His coworkers are gathered around him, and one is
attempting to give him water. The scene appears safe with no ongoing hazards.
A. Allow the coworker to continue giving small sips of water to prevent dehydration
B. Establish cervical spine stabilization, assess for shock, and keep NPO while preparing
for transport ✓ CORRECT
C. Have the patient stand up and walk to the ambulance to assess his gait
D. Remove the patient from the scene immediately without a primary assessment
Correct Answer: B
Rationale: Trauma patients with significant mechanism of injury, altered mental status,
and potential spinal involvement require manual stabilization, NPO status, and
systematic assessment before transport to prevent secondary injury. Option A is a
common bystander mistake that EMS providers must correct, as oral intake increases
aspiration risk if the patient vomits or requires intubation. Moving a patient before
assessment can convert a stable spinal injury into permanent paralysis.
Question 6 of 50
You are dispatched to a residential fire where a 6-year-old child was rescued by
firefighters. The child is coughing, has soot around the nose and mouth, and is crying
and Answers Detailed Rationales Pass Guaranteed -
A+ Graded
TABLE OF CONTENTS
Section 1 | Foundations of EMS Systems | Q1 – Q10
Section 2 | Medical Terminology & Anatomy/Physiology | Q11 – Q20
Section 3 | Patient Assessment & Vital Signs | Q21 – Q30
Section 4 | Basic Life Support & Airway Management | Q31 – Q40
Section 5 | Medical & Trauma Emergencies | Q41 – Q50
Instructions: Choose the single best answer. Pass: 80% in 90 minutes.
══════════════════════════════════════
SECTION 1: FOUNDATIONS OF EMERGENCY MEDICAL SERVICES (EMS) SYSTEMS Q1 –
Q10
══════════════════════════════════════
Question 1 of 50
You are dispatched to a motor vehicle collision at 0200 hours. Upon arrival, you find a
34-year-old male driver trapped in his vehicle with significant front-end damage. Fire
department extrication will take approximately 20 minutes. The patient is conscious but
has a deformed right femur and is complaining of severe pain. Local trauma center is
15 minutes away, community hospital is 5 minutes away.
A. Transport the patient immediately to the community hospital because extrication
delays exceed the golden hour
B. Wait on scene for full extrication, then transport directly to the trauma center ✓
CORRECT
C. Request air medical transport to bypass ground transport entirely
D. Have the patient self-extricate and walk to the ambulance to save time
,Correct Answer: B
Rationale: Trauma patients with significant mechanism of injury and suspected serious
injuries should be transported to the highest appropriate level of care once extricated,
as the trauma center provides definitive surgical capabilities the community hospital
lacks. Option A is tempting because proximity seems safer, but community hospitals
may lack trauma surgery and blood products, potentially worsening outcomes. Scene
time should be minimized but never at the expense of proper extrication and packaging.
Question 2 of 50
A 45-year-old female calls 911 from her residence stating she has chest pain. You arrive
to find her sitting upright in a chair, alert and oriented, with stable vital signs. She insists
on walking to the ambulance. Her home has a narrow staircase with no obstacles.
A. Allow her to walk to the ambulance to maintain her autonomy and comfort
B. Carry her down the stairs using a firefighter's carry to prevent any exertion
C. Have her slide down the stairs on a stair chair without securing straps
D. Assist her onto a stretcher and use a stair chair with proper securing for transport ✓
CORRECT
Correct Answer: D
Rationale: Even ambulatory patients with potential cardiac complaints should be moved
on appropriate equipment with proper securing to prevent injury during movement and
to allow immediate intervention if condition deteriorates. Option A seems respectful but
places the patient at risk of syncope or dysrhythmia during exertion. Stair chairs with
straps prevent falls and keep the patient in a position where vital signs and monitoring
can be maintained.
Question 3 of 50
During a mass casualty incident involving a building collapse, the incident commander
assigns you to the treatment area. You encounter a 52-year-old male with a closed head
,injury who is unresponsive but breathing, a 28-year-old female with an open femur
fracture and radial pulse present, and a 19-year-old male with multiple abrasions who is
ambulatory and asking to help.
A. Tag the unresponsive male as immediate (red), the female as delayed (yellow), and
the male as minor (green) ✓ CORRECT
B. Tag all three patients as immediate because the scene involves structural collapse
C. Tag the ambulatory male as immediate since he may have occult internal injuries
D. Tag the unresponsive male as deceased since he has altered mental status
Correct Answer: A
Rationale: START triage prioritizes patients based on immediate life threats using
respiration, perfusion, and mental status criteria, with the unresponsive patient meeting
red tag criteria and the ambulatory patient appropriately green-tagged. Option B reflects
a common error of over-triage in mass casualty incidents, which overwhelms transport
and treatment resources. Green-tagged patients can assist with evacuation and care,
maximizing limited responder capacity.
Question 4 of 50
You are working a standby event at a high school football game when a spectator
approaches you reporting that a 67-year-old man in the stands is slumped over and
unresponsive. Bystanders are attempting to shake him awake. The nearest AED is 200
feet away in the athletic training room.
A. Perform a full secondary assessment before moving the patient or applying the AED
B. Send a bystander for the AED while you begin two-rescuer CPR immediately
C. Direct someone to retrieve the AED immediately and begin high-quality CPR ✓
CORRECT
D. Load the patient onto a stretcher and transport to the AED location
Correct Answer: C
, Rationale: Cardiac arrest requires immediate CPR and early defibrillation, so delegating
AED retrieval while starting compressions addresses the two interventions with the
greatest survival impact. Option A delays critical care; in cardiac arrest, the primary
assessment confirms arrest and CPR begins immediately without waiting for a full
secondary survey. Moving an arrest patient to equipment rather than bringing
equipment to the patient wastes precious minutes of perfusion.
Question 5 of 50
A 38-year-old construction worker falls 20 feet from scaffolding and lands on his side.
He is conscious but confused. His coworkers are gathered around him, and one is
attempting to give him water. The scene appears safe with no ongoing hazards.
A. Allow the coworker to continue giving small sips of water to prevent dehydration
B. Establish cervical spine stabilization, assess for shock, and keep NPO while preparing
for transport ✓ CORRECT
C. Have the patient stand up and walk to the ambulance to assess his gait
D. Remove the patient from the scene immediately without a primary assessment
Correct Answer: B
Rationale: Trauma patients with significant mechanism of injury, altered mental status,
and potential spinal involvement require manual stabilization, NPO status, and
systematic assessment before transport to prevent secondary injury. Option A is a
common bystander mistake that EMS providers must correct, as oral intake increases
aspiration risk if the patient vomits or requires intubation. Moving a patient before
assessment can convert a stable spinal injury into permanent paralysis.
Question 6 of 50
You are dispatched to a residential fire where a 6-year-old child was rescued by
firefighters. The child is coughing, has soot around the nose and mouth, and is crying
