NYS EMT-B STATE EXAM WRITTEN
QUESTIONS AND ANSWERS UPDATED
(2024/2025) (VERIFIED ANSWERS)
You are treating an alert 35-year old trauma patient. You palpate a strong
radial pulse of 100. Your partner has taken the patient's blood pressure
and advised you that it is 68/32. You should:
a. Suspect the accuracy of the pressure reading and re-evaluate it
b. Accept the reading as accurate
c. Ask you partner to retake BP reading again in 15 min
d. Treat patient for hypertension immediately - ANS ✓A. suspect the accuracy
of the pressure reading and re-evaluate it yourself
A correct statement about diastolic blood pressure is that it is the pressure
a. Exists when heart left ventricle is refilling
b. Due to the contraction of the ventricles of the heart
c. Caused by contraction of the atria of heart
d. Caused by relaxation of the walls of the major arteries - ANS ✓d. Caused
by relaxation of the walls of the major arteries
All of the following are symptoms EXCEPT?
a. Headache
b. Weak pulse
c. Chest pain
d. Nausea - ANS ✓B. weak pulse
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sign vs symptom - ANS ✓a sign is a physical manifestation (objective)-
something you can measure
symptom is what the patient tells you about the disease (subjective)
For a patient with a suspected lumbar spinal injury, the BEST device for
moving the patient as a single unit over uneven terrain is the:
A. wheeled stretcher
B. long spine board
C. flexible stretcher
D. short spine board - ANS ✓B. long spine board
Which of the following is the best indicator of the quality of ventilations
A. chest expansion
B. pupil size
C. blood pressure
D. skin color - ANS ✓A. CHEST EXPANSION
What is the best measure of respiration? - ANS ✓skin color
ventilation vs respiration - ANS ✓ventilation- the simple movement of air into
and out of the lungs
respiration- the exchange of gases between the lungs, the blood, and the
tissues of the body
Unless additional suctioning time is necessary to clear the airway, an adult
patient should be suctioned for NO LONGER THAN
A. 5 sec
B. 10 sec
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C. 15 sec
D. 20 sec - ANS ✓15 seconds
During single-rescuer CPR, which of the following ventilation devices would
be MOST effective for ventilating a patient
A. NRB
B. Pocket mask w/ oxygen
C. Flow-restricted, oxygen-powered ventilation device (FROPVD)
D. BVM w/o oxygen - ANS ✓B. Pocket mask with Oxygen
because you can maintain a better seal
While performing ventilations on an infant or child in respiratory arrest,
you should ventilate every
A. 5-6 seconds
B. 3-5 seconds
C. 1-2 seconds - ANS ✓B. 3-5 seconds
The oropharyngeal airway will help keep the tongue away from the
a. Posterior pharyngeal wall
b. Nasal passage
c. Epiglottis
d. Posterior larynx - ANS ✓a. Posterior pharyngeal wall
You are called to the home of a patient who is on physician prescribed low-
concentration oxygen and who is NOT in acute respiratory distress. Which
type of oxygen delivery device should you use during transport?
A. NRB
B. Flow-restricted, oxygen-powered ventilation device (FROPVD)
C. BVM w/ supplemental oxygen
D. Nasal cannula - ANS ✓D. Nasal cannula
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Used specifically for someone not in respiratory distress and prescribed O2
from doctor
An EMS provider is treating a patient who has a head injury resulting from
a blow by a baseball bat. What other problem are likely to be present?
A. Hypothermia
B. Hypertensive shock due to blood loss
C. Spinal injuries
D. Lung collapse - ANS ✓C. Spinal injuries
biggest risk for someone with a massive injury is? - ANS ✓Airway problem
In a HEALTHY person, respiration is controlled by level
A. carbon dioxide
B. blood sugar
C. oxygen
D. carbon monoxide - ANS ✓A. carbon dioxide
- normal stimulus to breathe: HIGH CO2
In patients with COPD respiration is controlled by? - ANS ✓Low O2 levels
called hypoxic breathing
In conducting the Primary Assessment of a conscious patient, the EMS
provider must attend to the patient's emergency needs in the order of:
A. Respiration, Pulse, Bleeding
B. Pulse, Bleeding, Respiration
C. Pulse, Respiration, Bleeding - ANS ✓A. Respiration, Pulse, Bleeding
A patient with acute respiratory distress requiring oxygen therapy is LEAST
likely to exhibit:
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