Download EMT Old Final Exam Questions & answers 100% correctly/verified latest update 2023 rated + and more Exams Nursing in PDF only on Docsity! EMT Old Final Exam Questions & answers 100% correctly/verified latest update 2023 rated + • A 59-year-old male with a history of emphysema complains of an acute worsening of his dyspnea and pleuritic chest pain following a forceful cough. Your assessment reveals that he has a barrel-shaped chest, unilaterally diminished breath sounds, and tachycardia. What is the MOST likely cause of this patient's condition? A) Rupture of the diaphragm B) Exacerbation of his COPD C) Acute pulmonary embolism • You respond to the residence of a 55-year-old female with a possible allergic reaction to peanuts that she ate approximately 30 minutes ago. The patient is conscious and alert, but has diffuse urticaria and the feeling that she has a lump in her throat. As your partner applies oxygen to the patient, you should: A) ask her if she has prescribed epinephrine. B) obtain a complete set of baseline vital signs. C) ascertain if she has a family history of allergies. D) ask her when her last allergic reaction occurred. • A drug is contraindicated for a patient when it: A) is used to treat a multitude of conditions. B) may cause harm or have no positive effect. C) produces actions other than the desired ones. D) is used to treat a specific medical condition. • Braxton-Hicks contractions are characterized by: A) regular contractions of progressively increasing intensity. B) alleviation of pain with movement or changing positions. C) pink or red bloody show in conjunction with the contractions. D) a rupture of the amniotic sac just before the contractions begin. D) Spontaneous pneumothorax EMT Old Final Exam Questions & answers 100% correctly/verified latest update 2023 rated + EMS FINAL EXAM • A young female presents with costovertebral angle tenderness. She is conscious and alert with stable vital signs. Which of the following organs is MOST likely causing her pain? A) Liver B) Kidney C) Pancreas D) Gallbladder • A patient whose speech is slurred and difficult to understand is experiencing: A) aphasia. B) dysarthria. C) dysphagia. D) paraplegia. • Which of the following questions would you ask a patient to ascertain the “M” in the SAMPLE history? A) “Have you ever had any major surgeries?” B) “How long have you had your chest pain?” C) “How much Tylenol do you take each day?” D) “When was the last time that you ate a meal?” • When palpating a patient's pulse, you note that it is grossly irregular. You should: A) count the pulse rate for at least 30 seconds to ensure accuracy. B) count the number of pulsations in 15 seconds and multiply by 4. C) count the number of pulsations in 30 seconds and multiply by 2. D) count the pulse rate for a full minute to obtain an accurate reading. EMT Old Final Exam Questions & answers 100% correctly/verified latest update 2023 rated + EMT Old Final Exam Questions & answers 100% correctly/verified latest update 2023 rated + C) carry advanced life support equipment approved by the EMS medical director. D) contain anything that you might need during the first 5 minutes of patient care. • Infection should be considered as a possible cause of an airway obstruction in an infant or child, especially if he or she presents with: A) severe restlessness. B) drooling or congestion. C) skin that is cool and dry. D) acute respiratory distress. EMT Old Final Exam Questions & answers 100% correctly/verified latest update 2023 rated + EMT Old Final Exam Questions & answers 100% correctly/verified latest update 2023 rated + • Pain felt at a location other than its origin is called: A) referred pain. B) radiating pain. C) visceral pain. D) remote pain. • While using lights and siren, most state laws permit an ambulance to: A) disregard all traffic control signals. B) drive as fast as the department allows. C) carefully exceed the posted speed limit. D) proceed through red lights without stopping. • The officer is responsible for notifying area hospitals and determining their availability and capabilities. A) triage B) medical C) treatment D) transportation • Erosion of the stomach or duodenum secondary to overactivity of digestive juices results in: A) ileus. B) an ulcer. C) appendicitis. D) cholecystitis. • Which of the following statements regarding the incident command system (ICS) is MOST correct? A) The ICS is only activated if a natural disaster occurs. B) The ICS is designed for use in daily EMS operations. C) The EMS system developed and implemented the ICS. D) The ICS is only effective during a mass casualty incident. • Your BEST protection against legal liability when a competent patient refuses EMS care and transport is to: A) advise medical control of the situation. EMT Old Final Exam Questions & answers 100% correctly/verified latest update 2023 rated + EMT Old Final Exam Questions & answers 100% correctly/verified latest update 2023 rated + A) an acute appendicitis. B) an intrapelvic infection. C) a spontaneous abortion. D) an ectopic pregnancy. • Botulinum is: A) an acute viral infection. B) a disease of the leukocytes. C) rarely associated with death. EMT Old Final Exam Questions & answers 100% correctly/verified latest update 2023 rated + EMT Old Final Exam Questions & answers 100% correctly/verified latest update 2023 rated + D) a potent bacterial neurotoxin. • The largest portion of the brain, which is commonly referred to as the “gray matter,” is called the: A) cerebrum. B) cerebellum. C) brain stem. D) diencephalon. • You are transporting a 49-year-old male with “tearing” abdominal pain. You are approximately 30 miles away from the closest hospital. During your ongoing assessment, you determine that the patient's condition has deteriorated significantly. You should: A) begin ventilatory assistance with a BVM device. B) immediately perform a detailed physical examination. C) continue transporting and alert the receiving hospital. D) consider requesting a rendezvous with an ALS unit. • In which of the following patients should you remove an impaled object? A) A semiconscious patient with an ice pick impaled in the chest. B) An apneic patient with a shard of glass impaled in the abdomen. C) A pulseless and apneic patient with a knife impaled in the back. D) A conscious and alert patient with a fishhook impaled in the eye. • The body's functions that occur without conscious effort are regulated by the nervous system. A) sensory B) somatic C) autonomic D) voluntary • You are transporting a 54-year-old male in cardiac arrest. A first responder is driving the ambulance as you and your partner attempt to resuscitate the patient. What is the MOST logical way of notifying the hospital? A) Call the receiving hospital with your cellular phone as you attempt resuscitation. EMT Old Final Exam Questions & answers 100% correctly/verified latest update 2023 rated + EMT Old Final Exam Questions & answers 100% correctly/verified latest update 2023 rated + B) Have the driver contact dispatch and relay the patient information to the hospital. C) Request that a police officer respond to the hospital to apprise them of your arrival. D) Wait until you arrive at the hospital and then quickly apprise them of the situation. • In order to facilitate a safe and coordinated move, the team leader should: A) be positioned at the feet so the team can hear. B) use preparatory commands to initiate any moves. C) speak softly but clearly to avoid startling the patient. D) never become involved in the move, just direct the move. EMT Old Final Exam Questions & answers 100% correctly/verified latest update 2023 rated + EMT Old Final Exam Questions & answers 100% correctly/verified latest update 2023 rated + D) let the hospital staff retrieve the patient's medical records, which should show a list of his or her current medications. • In contrast to a behavioral crisis, a psychiatric emergency occurs when a person: A) demonstrates agitation or violence or becomes a threat to self or others. B) experiences feelings of sadness and despair for greater than one month. C) exhibits impaired functioning due to a chemical or genetic disturbance. D) experiences a sudden attack of panic secondary to a stressful situation. EMT Old Final Exam Questions & answers 100% correctly/verified latest update 2023 rated + EMT Old Final Exam Questions & answers 100% correctly/verified latest update 2023 rated + • Once a cervical collar has been applied to a patient with a possible spinal injury, it should not be removed unless: A) the patient adamantly denies neck pain. B) lateral immobilization has been applied. C) it causes a problem managing the ABCs. D) sensory and motor functions remain intact. • In addition to severe bleeding, the MOST life-threatening complication associated with an open neck injury is: A) an air embolism. B) a spinal fracture. C) an ischemic stroke. D) nerve fiber damage. • It is MOST important for the EMT-B to remember that suicidal patients may: A) inject illicit drugs. B) be self-destructive. C) be homicidal as well. D) have a definitive plan. • You respond to a call for a female pedestrian that has been struck by a car. As your partner maintains manual stabilization of her head, you perform an initial assessment. She is unconscious, has ineffective breathing, and bloody secretions in her mouth. You should: A) assist ventilations with a BVM device. B) quickly insert an oropharyngeal airway. C) assess the rate and quality of her pulse. D) immediately suction her oropharynx. • Points of distribution (PODs) are strategically placed facilities where: A) weapons of mass destruction are distributed. B) chemical and biological weapons are stockpiled. C) antidotes, antibiotics, and vaccines are distributed. D) chemical weapons are manufactured and distributed. EMT Old Final Exam Questions & answers 100% correctly/verified latest update 2023 rated + EMT Old Final Exam Questions & answers 100% correctly/verified latest update 2023 rated + • Which of the following medication routes has the slowest rate of absorption? A) Rectal B) Ingestion C) Inhalation D) Sublingual • The iliac arteries immediately subdivide into the: A) femoral arteries. B) peroneal arteries. EMT Old Final Exam Questions & answers 100% correctly/verified latest update 2023 rated + EMT Old Final Exam Questions & answers 100% correctly/verified latest update 2023 rated + D) obtain a complete list of all of her medications. • A 62-year-old male presents with crushing chest pain, which he describes as being the same kind of pain that he had with a previous heart attack. He has prescribed nitroglycerin, but states that he has not taken any. After administering 100% oxygen and contacting medical control, you should: A) begin immediate transport and request a rendezvous with a paramedic unit. B) assist him with his nitroglycerin unless his systolic BP is less than 100 mm Hg. C) administer up to three doses of nitroglycerin before assessing his blood pressure. D) administer the nitroglycerin unless he has taken Viagra within the past 72 hours. EMT Old Final Exam Questions & answers 100% correctly/verified latest update 2023 rated + EMT Old Final Exam Questions & answers 100% correctly/verified latest update 2023 rated + • The MOST common and significant complication associated with an acute abdomen is: A) peritonitis. B) high fever. C) severe pain. D) internal bleeding. • A 22-year-old female patient is complaining of dyspnea, numbness, and tingling in her hands and feet after an argument with her fiancé. Her respirations are 40 breaths/min. You should: A) have her breathe into a paper or plastic bag. EMT Old Final Exam Questions & answers 100% correctly/verified latest update 2023 rated + EMT Old Final Exam Questions & answers 100% correctly/verified latest update 2023 rated + B) provide reassurance and give oxygen as needed. C) request a paramedic to give her a sedative drug. D) position her on her left side and transport at once. • Insulin shock will MOST likely develop if a patient: A) takes too much of his or her prescribed insulin. B) markedly overeats and misses an insulin dose. C) eats a regular meal followed by mild exertion. D) misses one or two prescribed insulin injections. • Which of the following nerves carry information from the body to the brain via the spinal cord? A) Motor B) Central C) Somatic D) Sensory • What maneuver should be used to open the airway of an unresponsive patient with suspected trauma? A) Tongue-jaw lift B) Jaw-thrust maneuver C) Head-tilt chin-lift D) Head-tilt neck-lift • The MOST significant complication associated with facial injuries is: A) damage to the eyes. B) airway compromise. C) cervical spine injury. D) mandibular immobility. • The nasal cannula is MOST appropriately used in the prehospital setting: A) when the patient cannot tolerate a nonrebreathing mask. B) if the patient's nasopharynx is obstructed by secretions. C) if long-term supplemental oxygen administration is required. D) when the patient breathes primarily through his or her mouth. EMT Old Final Exam Questions & answers 100% correctly/verified latest update 2023 rated + EMT Old Final Exam Questions & answers 100% correctly/verified latest update 2023 rated + • Shock is the result of: A) hypoperfusion to the cells of the body. B) the body's maintenance of homeostasis. C) temporary dysfunction of a major organ. D) widespread constriction of the blood vessels. • The is a prominent bony mass that is located at the base of the skull and posterior to the ear. A) orbital socket B) sphenoid fossa C) zygomatic arch D) mastoid process • Pelvic inflammatory disease (PID) is an infection of the: A) testicles. B) gallbladder. C) urinary bladder. D) fallopian tubes. • Ketone production is the result of: A) acidosis when blood glucose levels are low. B) blood glucose levels higher than 120 mg/dL. C) fat metabolization when glucose is unavailable. D) rapid entry of glucose across the cell membrane. • Your partner, a veteran EMT-B who you have worked with regularly for the past 4 years, seems unusually agitated during a call involving an elderly patient. Upon arrival back at your station, you note the obvious smell of alcohol on his breath. What should you do? A) Remain quiet and simply request another partner. B) Report the incident to your EMS medical director. C) Discreetly report your suspicions to your supervisor. EMT Old Final Exam Questions & answers 100% correctly/verified latest update 2023 rated + EMT Old Final Exam Questions & answers 100% correctly/verified latest update 2023 rated + D) Tell your partner that he must seek professional help. EMT Old Final Exam Questions & answers 100% correctly/verified latest update 2023 rated + EMT Old Final Exam Questions & answers 100% correctly/verified latest update 2023 rated + • You respond to an office building to find a middle-aged male in cardiac arrest. Coworkers are performing CPR and state that the patient has been down for approximately 10 minutes. You attach the AED, push the analyze button, and receive a “shock advised” message. You should: A) ensure that nobody is touching the patient and then defibrillate. B) continue CPR for 1 minute and reanalyze the patient's rhythm. C) transport immediately and request a paramedic unit rendezvous. D) call medical control and request permission to stop resuscitation. • Vesicant agents include all of the following, EXCEPT: A) sarin. B) lewisite. C) sulfur mustard. D) phosgene oxime. • You are dispatched to the county jail for an inmate that is “sick.” When you arrive, you find the patient, a 33-year-old male, unresponsive. His airway is patent and his respirations are rapid and shallow. Your initial action should be to: A) apply a pulse oximeter. B) request a paramedic unit. C) provide assisted ventilation. D) obtain his blood pressure. • A 25-year-old unrestrained female struck the steering wheel with her chest when her car hit a tree while traveling at a high rate of speed. She is experiencing signs and symptoms of shock, which you suspect are the result of intrathoracic bleeding. Which of the following interventions will provide this patient with the greatest chance for survival? A) 100% oxygen administration B) Full immobilization of her spine C) Applying and inflating the PASG D) Rapid transport to a trauma center • Patients with acute abdominal pain should not be given anything by mouth because: A) it will create referred pain and obscure the diagnosis. B) food will rapidly travel through the digestive system. C) a full stomach may make emergency surgery dangerous. EMT Old Final Exam Questions & answers 100% correctly/verified latest update 2023 rated + EMT Old Final Exam Questions & answers 100% correctly/verified latest update 2023 rated + in? A) Gel B) Liquid C) Suspension D) Fine powder • Syrup of ipecac is no longer recommended to treat patients who have ingested a poisonous substance because it: A) has been linked to hypotension. EMT Old Final Exam Questions & answers 100% correctly/verified latest update 2023 rated + EMT Old Final Exam Questions & answers 100% correctly/verified latest update 2023 rated + B) does not effectively induce vomiting. C) may result in aspiration of vomitus. D) has toxic effects on the myocardium. • You have been dispatched to a nearby bar, where a man has been stabbed. As you pull up in front of the bar, a man in an apron yells that he is the bartender and that "the crazy guy inside has a knife." You should: A) enter the bar with your partner and overpower the man with the knife. B) carefully enter the bar and begin caring for the patient who was stabbed. C) remain outside until the scene is secured by law enforcement personnel. D) ask the man inside the bar to drop the knife and slowly exit the building. • An alert patient presents with a regular pattern of inhalation and exhalation and breath sounds that are bilaterally clear and equal. These findings are MOST consistent with: A) an obstructed airway. B) adequate air exchange. C) respiratory difficulty. D) respiratory insufficiency. • Anaphylaxis is MOST accurately defined as a/an: A) moderate allergic reaction that primarily affects the vasculature. B) extreme allergic reaction that may affect multiple body systems. C) severe allergic reaction that typically resolves without treatment. D) allergic reaction that causes bronchodilation and vasoconstriction. • A patient with atherosclerotic heart disease experiences chest pain during exertion because the: A) coronary arteries suddenly spasm and cause a marked reduction in myocardial blood flow. B) lumen of the coronary artery is narrowed and cannot accommodate increased blood flow. C) tissues of the myocardium undergo necrosis secondary to a prolonged absence of oxygen. D) ragged edge of a tear in the coronary artery lumen causes local blood clotting and arterial narrowing. EMT Old Final Exam Questions & answers 100% correctly/verified latest update 2023 rated + EMT Old Final Exam Questions & answers 100% correctly/verified latest update 2023 rated + • The principle clinical difference between a stroke and hypoglycemia is that patients with hypoglycemia: A) always take oral medications to maintain normal blood glucose levels. B) do not present with slurred speech or weakness to one side of the body. C) are typically alert and attempt to communicate with healthcare providers. D) usually have an altered mental status or decreased level of consciousness. • Which of the following is a late sign of shock in a patient with acute abdominal pain? A) Hypotension B) Tachycardia C) Tachypnea