NYS EMT Exam Comprehensive Review,
Complete Verified Solution
Your patient responds to your voice with incomprehensible murmurers. Using the
AVPU scale, he is classifed as responsive to:
Verbal stimuli
Do vitals signs have to be taken on-scene in every situation?
No. Vitals should be taken enroute for patients idenitified as high priority for immediate
transport for definitive care .
What does SAMPLE stand for?
Signs and symptoms, allergies, medications, past medical history, last meal, events
lead to current state.
What forms of abuse are EMS providers mandated to report?
Child, Spouse, and Elder Abuse must be reported on the PCR/E-PCR and verbally at
transfer of care. Child abuse must also be reported according to NYS Bureau of EMS
Policy #02-01.
Does a PCR/E-PCR have to be completed when no patient contact is made?
Yes, even for stand-bys, calls where no patients are located, cancellations, and events.
What does HIPAA stand for?
Health Insurance Portability and Accountability Act of 1996.
When reporting responsiveness, EMS providers should use _______________ to
avoid less clear descriptors.
AVPU
For a hypoglycemic patient, when is it appropriate to give oral glucose, juice, or
non-diet soda?
If the patient is alert enough to sit unsupported, follow commands, and drink without
assistance.
When is aspirin contraindicted for an MI patient?
Recent GI bleed and known allergy.
According to NYS BLS protocol, the administration of nitroglycerin for chest pain
is indicated if the adult patient's BP is than _____mmHg.
120
According to NYS BLS protocol, a maximum of ____ total doses of nitroglycerin
can be given without medical direction to adult chest pain patients.
3
When is it appropriate to actively rewarm frostbite in the field?
The patient does not need to walk further and there will be a transport greater than 30
minutes,
For a genrealized hypothermia patient, pulse checks should last at least _____
before CPR is started.
30-45 seconds
If severe hypothermia is present, can defibrillation be performed?
Give a mximum of three shocks, but withhold drugs.
, Your patient acutely developed a high grade fever, has a muffled voice, stridor,
and drooling. You should suspect:
Epiglottitis (bacterial)
Your patient has been ill for the last few days with coldlike symptoms, a barky
cough, and a low grade fever. He woke at 3:00am with severe symptoms. You
suspect:
Croup (viral)
Ideally, a BVM used for emergency situations should:
Be self-inflating, have no a pop-off valve, and have an anatomically shaped, clear mask.
List signs of respiratory failure in children:
Increased respiratory effort with retractions, breathing less than 10 per minute, head
bobbing, grunting, accessory muscle use, absent or shallow chest wall movement, limp
muscle tone, altered mental status, slow or absent heart rate, poor skin perfusion, and
altered mental status.
Signs of impending cardiac arrest in a pediatric patient are:
Altered mental status, bradycardia, and cyanosis.
For a heat exhaustion patient, when is it appropriate to give fluids orally?
Consious and not nauseated, and able to drink without assistance.
What position should a nauseated patient be transported in?
left lateral recumbent.
If your choking patient becomes unconsious, you should:
Begin CPR
Your pediatric patient choked on a small toy piece. He is conscious and crying,
but has labored breathing and stridor. You should:
Monitor closely and transport in the position of comfort with blowby oxygen
administration as tolerated.
For a patient who has ingested a poison, you should contact:
Medical Direction (Poison Control can not give treatment orders to EMS providers.)
Before an advanced airway is placed, during CPR the adult patient should be
ventilated every ____-____ seconds to a rate of _____-_____ breaths per minute.
5-6 seconds (10-12 bpm)
After an advanced airway is placed, the adult patient should be ventilated every
____-____ seconds to a rate of _____ - _____ breaths per minute.
6-8 seconds (8-10 bpm)
During rescue breathing, each breath should be given over:
1 second.
The primary advantage of a nasopharyngeal airway is:
that it can be used in a patient who has an intact gag reflex.
BVM's must have a volume of at least _____mL for newborns and infants.
500 (Child BVM)
For infants and children, ventilations should be delivered every ____-____
seconds once an advanced airway is in place.
2-3 (20-30 breaths per minute)
When an advanced airway is in place you should not pause compressions for
ventilations.
True or False
Complete Verified Solution
Your patient responds to your voice with incomprehensible murmurers. Using the
AVPU scale, he is classifed as responsive to:
Verbal stimuli
Do vitals signs have to be taken on-scene in every situation?
No. Vitals should be taken enroute for patients idenitified as high priority for immediate
transport for definitive care .
What does SAMPLE stand for?
Signs and symptoms, allergies, medications, past medical history, last meal, events
lead to current state.
What forms of abuse are EMS providers mandated to report?
Child, Spouse, and Elder Abuse must be reported on the PCR/E-PCR and verbally at
transfer of care. Child abuse must also be reported according to NYS Bureau of EMS
Policy #02-01.
Does a PCR/E-PCR have to be completed when no patient contact is made?
Yes, even for stand-bys, calls where no patients are located, cancellations, and events.
What does HIPAA stand for?
Health Insurance Portability and Accountability Act of 1996.
When reporting responsiveness, EMS providers should use _______________ to
avoid less clear descriptors.
AVPU
For a hypoglycemic patient, when is it appropriate to give oral glucose, juice, or
non-diet soda?
If the patient is alert enough to sit unsupported, follow commands, and drink without
assistance.
When is aspirin contraindicted for an MI patient?
Recent GI bleed and known allergy.
According to NYS BLS protocol, the administration of nitroglycerin for chest pain
is indicated if the adult patient's BP is than _____mmHg.
120
According to NYS BLS protocol, a maximum of ____ total doses of nitroglycerin
can be given without medical direction to adult chest pain patients.
3
When is it appropriate to actively rewarm frostbite in the field?
The patient does not need to walk further and there will be a transport greater than 30
minutes,
For a genrealized hypothermia patient, pulse checks should last at least _____
before CPR is started.
30-45 seconds
If severe hypothermia is present, can defibrillation be performed?
Give a mximum of three shocks, but withhold drugs.
, Your patient acutely developed a high grade fever, has a muffled voice, stridor,
and drooling. You should suspect:
Epiglottitis (bacterial)
Your patient has been ill for the last few days with coldlike symptoms, a barky
cough, and a low grade fever. He woke at 3:00am with severe symptoms. You
suspect:
Croup (viral)
Ideally, a BVM used for emergency situations should:
Be self-inflating, have no a pop-off valve, and have an anatomically shaped, clear mask.
List signs of respiratory failure in children:
Increased respiratory effort with retractions, breathing less than 10 per minute, head
bobbing, grunting, accessory muscle use, absent or shallow chest wall movement, limp
muscle tone, altered mental status, slow or absent heart rate, poor skin perfusion, and
altered mental status.
Signs of impending cardiac arrest in a pediatric patient are:
Altered mental status, bradycardia, and cyanosis.
For a heat exhaustion patient, when is it appropriate to give fluids orally?
Consious and not nauseated, and able to drink without assistance.
What position should a nauseated patient be transported in?
left lateral recumbent.
If your choking patient becomes unconsious, you should:
Begin CPR
Your pediatric patient choked on a small toy piece. He is conscious and crying,
but has labored breathing and stridor. You should:
Monitor closely and transport in the position of comfort with blowby oxygen
administration as tolerated.
For a patient who has ingested a poison, you should contact:
Medical Direction (Poison Control can not give treatment orders to EMS providers.)
Before an advanced airway is placed, during CPR the adult patient should be
ventilated every ____-____ seconds to a rate of _____-_____ breaths per minute.
5-6 seconds (10-12 bpm)
After an advanced airway is placed, the adult patient should be ventilated every
____-____ seconds to a rate of _____ - _____ breaths per minute.
6-8 seconds (8-10 bpm)
During rescue breathing, each breath should be given over:
1 second.
The primary advantage of a nasopharyngeal airway is:
that it can be used in a patient who has an intact gag reflex.
BVM's must have a volume of at least _____mL for newborns and infants.
500 (Child BVM)
For infants and children, ventilations should be delivered every ____-____
seconds once an advanced airway is in place.
2-3 (20-30 breaths per minute)
When an advanced airway is in place you should not pause compressions for
ventilations.
True or False
