Exam review Questions with Answers
you are managing a patient in extreme pain from a sickle cell crisis. the vitals are stable and the patient
can communicate properly. following oxygen administration and placing the patient in a position of
comfort, what is the next best intervention an EMT can provide?
a. placement of the AED
b. verbal reassurance
c. positive pressure ventilation
d. aspirin - correct answers b. verbal reassurance
the muscle tissue of the heart receives its blood supply from the:
a. carotid arteries
b. pulmonary artery
c. oxygenated blood passing through it
d. coronary arteries - correct answers d. coronary arteries
a patient presents with a history of bilateral pneumonia, respiratory distress, and a persistent cough. you
note that the patient has mild wheezing with loud ronchi. the blood pressure is 168/90 with a heart rate
of 120, and a respiratory rate of 28/min. the patient is still speaking full sentences. the pulse ox is
reading 87% on room air and did not increase with the addition of high flow oxygen. given this
presentation, what is the most important finding of impaired oxygenation?
a. rapid respiratory rate with coughing
b. heart rate of 120/min
c. pulse oximetry reading of 87%
d. abnormal breath sounds - correct answersc. pulse oximetry reading of 87%
most laws regarding emergency driving refer to " due to regard for the safety of others". this would
mean:
,a. you need to account for other drivers as you drive the ambulance
b. other drivers have to be careful to avoid you as you drive
c. you can drive as fast a you want too
d. you do not have to stop at red lights - correct answersa. you need to account for other drivers as you
drive the ambulance
an 11-year-old male has fallen from a tree onto the rails of a fence. he complains of abdominal pain, but
is ambulatory and otherwise uninjured. his vital signs are pulse 118, respiration 24, blood pressure
110/74. you should suspect:
a. internal bleeding and compensated shock
b. a soft-tissue injury in the abdomen
c. minor injuries and vital signs related to fear
d. abdominal discomfort due to anxiety - correct answersa. internal bleeding and compensated shock
when evaluating blood pressure, the systolic measurement represents the:
a. constant pressure in distal arteries
b. pressure created by the ventricles contracting
c. pressure of the venous blood returning to the heart
d. pressure created as the ventricles relax - correct answersb. pressure created by the ventricles
contracting
after arriving at the scene of a "man down" you determine your patient is the victim of an assault. as you
perform your interventions the assailant returns with a gun and orders you to quit treating the patient
and leave. in this situation, you should:
a. try to reason with the assailant so he relinquishes his gun
b. attempt to move the patient with an "emergency move"
c. comply with the wishes of the gunman and depart the scene
, d. grab your portable radio and immediately notify dispatch about the gunman - correct answersc.
comply with the wishes of the gunman and depart the scene
a 59-year-old male is found semiconscious by his wife. she tells you the patient has a left ventricular
assist device. you note that the device appears to be running, but you cannot feel a carotid pulse. you
should:
a. disconnect the device and reassess
b. ask his wife what the normal findings should be
c. attach an AED
d. begin CPR - correct answersb. ask his wife what the normal findings should be
the U.S department of transportation's emergency response guide is primarily used to:
a. determine the most appropriate medical treatment for specific illness
b. identify placards associated with hazardous materials
c. design protocols and standard operating guidelines
d. outline emergency driving laws and statues - correct answersb. identify placards associated with
hazardous materials
your medical director has advised all personal to administer oxygen based on the pulse oximetry
readings and patient presentation. based on this statement, which of the following patient scenarios has
oxygen administered appropriately?
a. an alert 12-year-old patient with a fractured arm and oxygen saturation of 99% receiving 15lpm via
non-rebreather mask
b. a 24-year-old male patient who is unresponsive and breathing shallowly receiving oxygen via non-
rebreather mask at 12lmp
c. an alert 78-year-old male COPD patient with slight distress and oxygen saturation of 96% receiving
oxygen at 15lpm by non-rebreather mask
d. an alert 56-year-old man with chest tightness and oxygen saturation of 98% receiving oxygen at 4lmp
via cannula - correct answersd. an alert 56-year-old man with chest tightness and oxygen saturation of
98% receiving oxygen at 4lmp via cannula
you are managing a patient in extreme pain from a sickle cell crisis. the vitals are stable and the patient
can communicate properly. following oxygen administration and placing the patient in a position of
comfort, what is the next best intervention an EMT can provide?
a. placement of the AED
b. verbal reassurance
c. positive pressure ventilation
d. aspirin - correct answers b. verbal reassurance
the muscle tissue of the heart receives its blood supply from the:
a. carotid arteries
b. pulmonary artery
c. oxygenated blood passing through it
d. coronary arteries - correct answers d. coronary arteries
a patient presents with a history of bilateral pneumonia, respiratory distress, and a persistent cough. you
note that the patient has mild wheezing with loud ronchi. the blood pressure is 168/90 with a heart rate
of 120, and a respiratory rate of 28/min. the patient is still speaking full sentences. the pulse ox is
reading 87% on room air and did not increase with the addition of high flow oxygen. given this
presentation, what is the most important finding of impaired oxygenation?
a. rapid respiratory rate with coughing
b. heart rate of 120/min
c. pulse oximetry reading of 87%
d. abnormal breath sounds - correct answersc. pulse oximetry reading of 87%
most laws regarding emergency driving refer to " due to regard for the safety of others". this would
mean:
,a. you need to account for other drivers as you drive the ambulance
b. other drivers have to be careful to avoid you as you drive
c. you can drive as fast a you want too
d. you do not have to stop at red lights - correct answersa. you need to account for other drivers as you
drive the ambulance
an 11-year-old male has fallen from a tree onto the rails of a fence. he complains of abdominal pain, but
is ambulatory and otherwise uninjured. his vital signs are pulse 118, respiration 24, blood pressure
110/74. you should suspect:
a. internal bleeding and compensated shock
b. a soft-tissue injury in the abdomen
c. minor injuries and vital signs related to fear
d. abdominal discomfort due to anxiety - correct answersa. internal bleeding and compensated shock
when evaluating blood pressure, the systolic measurement represents the:
a. constant pressure in distal arteries
b. pressure created by the ventricles contracting
c. pressure of the venous blood returning to the heart
d. pressure created as the ventricles relax - correct answersb. pressure created by the ventricles
contracting
after arriving at the scene of a "man down" you determine your patient is the victim of an assault. as you
perform your interventions the assailant returns with a gun and orders you to quit treating the patient
and leave. in this situation, you should:
a. try to reason with the assailant so he relinquishes his gun
b. attempt to move the patient with an "emergency move"
c. comply with the wishes of the gunman and depart the scene
, d. grab your portable radio and immediately notify dispatch about the gunman - correct answersc.
comply with the wishes of the gunman and depart the scene
a 59-year-old male is found semiconscious by his wife. she tells you the patient has a left ventricular
assist device. you note that the device appears to be running, but you cannot feel a carotid pulse. you
should:
a. disconnect the device and reassess
b. ask his wife what the normal findings should be
c. attach an AED
d. begin CPR - correct answersb. ask his wife what the normal findings should be
the U.S department of transportation's emergency response guide is primarily used to:
a. determine the most appropriate medical treatment for specific illness
b. identify placards associated with hazardous materials
c. design protocols and standard operating guidelines
d. outline emergency driving laws and statues - correct answersb. identify placards associated with
hazardous materials
your medical director has advised all personal to administer oxygen based on the pulse oximetry
readings and patient presentation. based on this statement, which of the following patient scenarios has
oxygen administered appropriately?
a. an alert 12-year-old patient with a fractured arm and oxygen saturation of 99% receiving 15lpm via
non-rebreather mask
b. a 24-year-old male patient who is unresponsive and breathing shallowly receiving oxygen via non-
rebreather mask at 12lmp
c. an alert 78-year-old male COPD patient with slight distress and oxygen saturation of 96% receiving
oxygen at 15lpm by non-rebreather mask
d. an alert 56-year-old man with chest tightness and oxygen saturation of 98% receiving oxygen at 4lmp
via cannula - correct answersd. an alert 56-year-old man with chest tightness and oxygen saturation of
98% receiving oxygen at 4lmp via cannula
