EMT 2024/2025 FINAL EXAM (200-250) QUESTIONS WITH CORRECT ANSWERS, Exams of Advanced Education

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EMT 2024/2025 FINAL EXAM (200-

250) QUESTIONS WITH CORRECT

ANSWERS

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250. What action does an organ undergo to best describe the term hypertrophy? a-changing b-absence c-wasting d-enlargement - CORRECT-ANSWERSd
251. What are the three ways to take blood pressure? A) Auscultation, palpation, and osculation B) Sphygmomanometer, auscultation, and blood pressure monitor C) Palpation, auscultation, and blood pressure monitor D) Sphygmomanometer, blood pressure monitor, and heart monitor - CORRECT- ANSWERSc
252. Your patient is a 60-year-old woman who stepped off a curb and injured her ankle. Your exam shows that her left ankle is swollen and painful. Which of the following should you do? A) Explain to the patient that her ankle is sprained and transport her with her ankle elevated on a pillow and a cold pack applied to the injury. B) Transport the patient immediately to a trauma center, applying high- concentration oxygen en route. C) Explain to the patient that her ankle is fractured and you must splint her ankle to prevent further injury and reduce pain.

D) Explain to the patient that you cannot tell if her ankle is sprained or fractured until she is X-rayed at the emergency department, then splint the ankle. - CORRECT-ANSWERSd

247. Which of the following BEST defines adenosine triphosphate (ATP)? A) It is the form of energy produced in the endoplasmic reticulum and is the cell's engine responsible for all cell function. B) It is the form of energy that is produced in the nucleus from glucose and other nutrients. C) It is the form of energy produced in the mitochondria and is the cell's engine responsible for all cell function. D) It is the form of energy that is produced in the mitochondria from glucose and DNA. - CORRECT-ANSWERSc
248. Which of the following is true regarding proper hand cleaning? A) If the EMT's hands are visibly dirty, an alcohol-based hand cleaner is not sufficient. B) Soap and water should be used following any patient contact if the EMT does not wear gloves. C) Following patient contact, the EMT should soak his hands in warm soapy water for at least 30 seconds and then shake them vigorously. D) In cases where soap and water and alcohol-based hand cleaners are not immediately available, bleach wipes should be used. - CORRECT-ANSWERSa
249. Which of the following describes Fowler's position? A) Lying flat on the back C) Lying on the side B) Lying on the stomach

D) Sitting upright with the legs straight - CORRECT-ANSWERSd

244. A family member who keeps pleading with a deceased loved one to "wake up" is experiencing 244) which reaction to death and dying? A) Denial B) Anger C) Rejection D) Projection - CORRECT-ANSWERSa
245. The wrist is ________ to the elbow. A) medial B) distal C) inferior D) dorsal - CORRECT-ANSWERSb
246. You are called to a residence for a 60-year-old male complaining of chest pain. You find the patient 242) seated in bed. His past medical history includes hypertension and high cholesterol. The patient presents with hives over the chest, stridor, a swollen tongue, and wheezing in the upper fields. He denies any shortness of breath or respiratory distress, but does so in short two to three word statements. What condition do you suspect? A) Angina pectoris C) Anaphylaxis B) Asthma D) Acute myocardial infarction - CORRECT-ANSWERSc 241- Which of the following are the components of the nervous system?A) Spinal cord and sensory nerves C) Brain, spinal cord, and nerves B) Spinal cord and motor nerves D) Brain and autonomic nerves - CORRECT- ANSWERSc
247. The muscular organ in which a baby develops during pregnancy is called the: A) fetal membrane. B) uterus.

C) placenta. D) amniotic sac. - CORRECT-ANSWERSb

239. Which of the following situations are frequently problematic for patients who have tracheostomy tubes? A) Tube malplacement B) Mucus buildup C) Air embolism D) Tracheal tears - CORRECT-ANSWERSb
240. Which of the following BEST describes the delivery of oxygen and nutrients at the body's cellular level? A) Circulation B) Perfusion C) Osmosis D) Hydrostatic pressure - CORRECT-ANSWERSb
241. At which point may manual stabilization of the cervical spine be terminated? A) When the patient is secured to a long backboard B) After a cervical collar has been applied C) Only when directed to do so by medical control D) After a short immobilization device has been applied - CORRECT-ANSWERSa
242. Which of the following techniques of physical examination must an EMT master? A) Auscultation, observation, and percussion B) Percussion, inspection, and palpation C) Visualization, percussion, and auscultation D) Observation, palpation, and auscultation - CORRECT-ANSWERSd
243. You have just arrived on the scene of an agricultural business and see three men coming out of a building, choking and holding their heads. One of the men tells you there are two workers still inside. What should you do next?

A) Get the assistance of the men who made it out of the building to prevent delay in finding the workers inside. B) Cover your nose and mouth with a wet towel and check on the status of the two workers inside the building. C) Evaluate the three men and administer high-concentration oxygen, then help them get a safe distance away from the scene. D) Call for properly trained assistance and stay a safe distance away from the scene. - CORRECT-ANSWERSd

234. Which of the following must be kept in mind when considering the severity of external bleeding? A) The amount of blood loss is easily estimated by the amount of blood visible on the ground. B) Signs of shock do not appear until a large amount of blood has been lost. C) A younger person can tolerate more blood loss than an adult. D) All of the above - CORRECT-ANSWERSb
235. When taking blood pressure, the cuff should be inflated to what point? A) Until the gauge reads 200 mmHg B) Until the patient says it hurts C) Until the Velcro starts to crackle D) 30 mmHg beyond the point where the pulse disappears - CORRECT-ANSWERSd
236. Which of the following is classified as an open head injury? A) Contusion without a skull fracture B) Laceration with a skull fracture C) Laceration without a skull fracture D) Both A and B - CORRECT-ANSWERSb
237. You are assessing a 67-year-old male patient who is experiencing a dissecting abdominal 231) aneurysm. Typically, such a patient will describe the pain as: A) dull. B) sharp. C) tearing. D) achy. - CORRECT-ANSWERSc

230. Which of the following is NOT a classification of localized cold injury? A) Frostnip B) Frostbite C) Hypothermia D) All of the above - CORRECT-ANSWERSc
231. In which of the following circumstances is manual stabilization of the cervical spine ALWAYS necessary? A) Penetrating trauma B) Blunt trauma C) Trauma to the lower extremities D) Trauma above the level of the clavicles - CORRECT-ANSWERSd
232. Which of the following statements is true regarding helicopter transport? A) Patient care is seldom affected during the flight. B) Pressure changes do not affect equipment such as PASG, ET tubes, and so on. C) Helicopter transport is relatively inexpensive. D) Most treatment should be done prior to loading the patient. - CORRECT- ANSWERSd
233. Smoke inhalation can result in all of the following except: A) cardiac arrest. B) airway swelling and obstruction. C) respiratory arrest. D) lung contusion. - CORRECT-ANSWERSd
234. An EMT's assessment differs from an assessment made in the emergency department in which way? A) The emergency physician is concerned with scene safety. B) The EMT is working with limited resources. C) An EMT's focus is on life threats first. D) Time is available in the emergency department to make a diagnosis. - CORRECT- ANSWERSb

225. You are on the scene where a 23-year-old female has attempted suicide by cutting her forearms with a razor. She is sitting in the front yard and has lost a large amount of blood. She is conscious and holding a small razor blade, and tells you to get away from her. Which of the following should NOT be done? A) Take the razor blade away from her by force. B) Call law enforcement for assistance. C) Use Body Substance Isolation (BSI). D) Keep bystanders away from the patient. - CORRECT-ANSWERSc
226. While interviewing your patient, she tells you that her husband will be back from the store shortly and can get you a list of her medications. Her daughter tells you that the patient's husband died 15 years ago. This situation is known as: A) contemplation. B) hallucination. C) confabulation. D) imagination. - CORRECT-ANSWERSc
227. Which of the following is a component of patient advocacy? A) Immobilizing the neck of a patient with a possible spinal injury B) Providing oxygen to a patient that is short of breath C) Building rapport with the patient during transport to the hospital D) Granting patient wishes and not reporting spousal abuse to the authorities - CORRECT-ANSWERSa
228. Which of the following is NOT advisable following complete birth of the infant? A) Hold the infant by the ankles to allow the airway to drain. B) Place the infant on his side with his head slightly lower than his body. C) Dry the infant and wrap him in a blanket.

D) Keep the infant at the level of the mother's vagina until the cord is clamped and cut. - CORRECT-ANSWERSb

221. Which of the following is NOT likely to be a cause of respiratory distress in a 2- year-old child? A) Epiglottitis B) Emphysema C) A cold D) Foreign body airway obstruction - CORRECT-ANSWERSb
222. You are aggressively ventilating an adult patient with a bag-valve mask when you notice that his previously strong pulse is getting weaker. You should: A) reduce the volume of the ventilations. B) begin chest compressions. C) increase the concentration of oxygen. D) reduce the concentration of oxygen. - CORRECT-ANSWERSa
223. You are assessing an 83-year-old female who is having hip pain. When you count her pulse you notice that the rate is irregularly irregular. What is your treatment for this patient? A) The irregularity is not a reason for concern in itself. B) Alert paramedics to respond for a possible cardiac patient. C) Check distal circulation, sensory, and motor sensation, apply a pelvic wrap, place on a traction splint, and transport the patient. D) Contact medical control for permission to have the patient transported by helicopter from the scene. - CORRECT-ANSWERSa
224. Which of the following techniques is used when formulating the general impression? A) Looking for visual clues B) Detecting odors C) Listening for unusual sounds D) All of the above - CORRECT-ANSWERSd

216. Which of the following does NOT have an impact on the behavior of a chemical in a mass-casualty incident? A) Physical state of the agent B) Whether it was an intentional or accidental exposure C) Route of entry into the body D) Volatility of the agent - CORRECT-ANSWERSb
217. At what point is the scene size-up complete? A) Upon stabilization of the c-spine B) When the number of patients has been determined C) When crashed vehicles have been stabilized D) At the end of the call - CORRECT-ANSWERSd
218. In 1966 the National Highway Safety Act charged which of the following agencies with the development of emergency medical service standards? A) U.S. Department of Health Services C) U.S. Department of Homeland Security B) U.S. Department of the Interior D) U.S. Department of Transportation - CORRECT-ANSWERSd
219. Your patient is a 16-year-old centerfielder on his high school baseball team. He was injured when he and the left fielder collided trying to catch a fly ball. He is disoriented and is unable to tell you what happened. His vital signs are pulse 88, blood pressure 132/86, respiratory rate 16, and pupils equal. As you assess his head, you do not see any cuts or bleeding, but you feel a spongy, depressed area over his left ear. You should suspect a(n): A) closed head injury. B) direct injury. C) open head injury. D) skull injury. - CORRECT-ANSWERSc

212. The elderly population is at least ________ times as likely to use the EMS system as patients in other age groups. A) 0.5 B) 5 C) 10 D) 2 - CORRECT-ANSWERSd
213. What is the minimum level of certification required of ambulance personnel responsible for direct patient care? A) Emergency Medical Responder B) Emergency Ambulance Driver C) Advanced EMT D) Emergency Medical Technician - CORRECT-ANSWERSd
214. Most cases of accidental poisoning involve which of the following? A) Adults B) Young children C) Adolescents D) Infants - CORRECT-ANSWERSb
215. Seizures due to complications of pregnancy generally occur during which of the following time 209) periods? A) In the second trimester B) Late in pregnancy C) Before the mother even knows she is pregnant D) In the first trimester - CORRECT-ANSWERSb
216. Which of the following increases a scuba diver's risk of decompression sickness? A) Diving on a full stomach B) Taking cold or sinus medications before a dive C) Breathing 100% oxygen before a dive D) Flying within several hours after a dive - CORRECT-ANSWERSd
217. Where might you find a patient's medical alert identification jewelry?

A) Ankle bracelet B) Necklace C) Bracelet D) All of the above - CORRECT-ANSWERSd

206. You have just come on duty. The EMT on the previous shift complains to you that the QI manager was giving him grief because he did not document three sets of vital signs on the patient record. The EMT is angry and does not understand why documenting three sets of vital signs is so important. What is the best answer you could give him? A) Vital signs are something you have to fill out because the state requires it. B) It is important you show the QI manager that you are a team player. C) The report looks better when all the boxes are filled out. D) The recording of three sets of vital signs demonstrates that you were trending the patient's condition. - CORRECT-ANSWERSd
207. Which of the following statements provides reasons for the disruption of respiratory control? A) A structural reason that has caused collapse of the upper and lower airways to block the flow of oxygen to the alveoli can interrupt this control. B) Medical reasons, infections, trauma, toxins, and drugs, along with neurologic disorders, can interrupt this control. C) A medical, structural, and mechanical failure that has initiated the cascade of life-threatening problems will interrupt this control. D) Mechanical failure, soft-tissue damage, obstruction, and lack of perfusion will interrupt this control. - CORRECT-ANSWERSb

204. A diastolic blood pressure over ________ mmHg is considered hypertensive. A) 50 B) 65 C) 80 D) 90 - CORRECT-ANSWERSd
205. While transporting a patient to the hospital, the EMT repeats his reassessment including vital signs every 15 minutes until he arrives at the emergency department. According to this information, which of the following BEST describes your patient's current status? A) Unstable B) Stable C) Poor D) Not enough information was given to answer this question. - CORRECT- ANSWERSb
206. Your patient is an infant who has just been delivered 3 weeks before her due date. She is breathing adequately, has a heart rate of 140 beats per minute, and has cyanosis of her face and chest. Which of the following interventions should be done first? A) Place a neonatal nonrebreather mask on the infant's face. B) Begin CPR with a compression rate of 120/minute. C) Perform ventilations with a bag-valve-mask device and supplemental oxygen. D) Place oxygen tubing near the infant's face at a flow rate of 10 to 12 liters per minute. - CORRECT-ANSWERSd
207. Mr. Green is complaining of severe difficulty breathing after being stung by a bee. His wife states he has had reactions to bee stings before, but not quite this severe. Which medications should you specifically ask him about? A) Epinephrine auto-injector B) Inhaler C) Nitroglycerine tablets D) Antihistamines - CORRECT-ANSWERSa
208. Which of the following types of bandages should NOT be used by the EMT providing wound care?

A) Self-adherent roller gauze B) Triangular bandage C) Adhesive tape D) Tourniquet

• CORRECT-ANSWERSd