EMT readiness exam Final Exam
2022/2023 (Latest Update)
EMT readiness exam Final Exam
2022/2023 (Latest Update)
36/yo female complains of fever, lower
... [Show More] abdomen pain that moves to lower back when she walks. BP
144, p98, R 16. You should suspect? -answer-Pelvic inflammatory disease
Are administering oral glucose to a known diabetic. What should you be most concerned about? -
answer-The smell of acetone on breath
45 year old is 34 weeks pregnant.she complains of a severe headache, sensitivity to light, and swollen
feet. Vitals signs are BP 130/88, P104, R 24 what should you suspect? -answer-Preeclampsia
A 10 month old is choking, what should you do? -answer-Back blows
First step with a sexually assaulted patient? -answer-Reassure patient
2 year old has been vomiting for 12 hours and has decreased oral intake. She does not track your
movements. What type of shock should you suspect? P150 R 24. Cool skin w/ mottling. -answerHypovolemic
50 year old female states she has "the worst headache of her life". The onest was 20 minutes ago and it
was abrupt. Vitals BP 180/90 P56 and R 20. You should suspect? -answer-Subarachnoid hemorrhage
32 y/o female. 18 weeks pregnant. Lower ab pain w/vaginal bleeding. You should suspect? -answerSpontaneous abortion
70 y/o with SOB "I woke up and felt like i was drowning". He has been recently sleeping with extra
pillows under his head. Bp 160/80 P 98 and irregular. R 24. Spo2 86%. -answer-Left heart failure
Request additional resources for which victim? (couldnt find all the options -answer-Foot wedged in
pedal
56 yo M with severe pain after eating greasy food -answer-Cholecystitis
Newborn is apneic immediately after delivery -answer-Stimulate baby
3 yo F sitting on dads lap, drooling and won't eat or drink -answer-Epiglottis
56 yo F complains of chest pain that is unrelieved after 3 NTG's. Troubled breathing speaking in 2-3 word
sentences. You should? -answer-Provide 02
What is a system of external/internal reviews called? -answer-Quality improvement
EMS displays a "Free BP Check" sign on the window. This is a sign of? -answer-Community relations
Which the following will only occur in the 1st trimester of pregnancy? -answer-Ectopic pregnancy
36 yo M complains of nausea, vomiting and ab pain. Homeless and admits to chronic alcohol use. VS Bp
92/54 P122 R8. You suspect? -answer-Pancreatitis
62 yo M with history of COPD ran out of Home O2. SOB and dry lung nonproductive cough, clear lung
sounds. You suspect? -answer-Emphysema
28 yo F has severe pain after slipping in the shower. 31 wks pregnant has bright red vaginal bleeding.
Suspect? -answer-Abruption placenta
Previous ambulance crew failed to clean backboard properly. Dried blood under the edges. -answerWash board with disinfectant
24 yo F complains of right lower ab pain that radiates to the back with slight vaginal bleeding. Last
period was 2 weeks prior. Suspect? -answer-Ruptured ovarian cyst
When lifting a stretcher into the ambulance using power grip, you should? -answer-Position hands 10
apart
Complications with precipitous delivery -answer-Perineum tearing
54 yo F tells you she drank bleach to kill herself. You should? -answer-Contact poison control
19 yr F is posticial following 10 mins seizures has snoring respirations. You should? -answer-Insert OPA
You have been asked to audit prehospital care reports. Which requires review? -answer-pt sitting on
supine with chest pain on a stretcher right
82 yo F mumbling and throwing clothes, nurse says she's diabetic. You should? -answer-Give oral
glucose
Unresponsive 3yo lying supine in a ditch. VS 60/40 P60 R8. you should? -answer-Assist ventilations
Leading cause of bradycardia in pediatrics -answer-Hypoxia
Delivery of newborn has central cyanosis covered in thick greenish fluid. You should? -answer-Inspect
oropharynx
46 yo F. fever & lower ab pain that moves to lower back when she walks. Abnormal vaginal discharge for
2 days. VS 144/88 P98 R16. you should suspect? -answer-Pelvic inflammatory disease
12 yo M bleeding uncontrollably from deep laceration to palm. He is a hemophiliac -answer-Hemostatic
agent
Which body is responsible for protection, temp, excretion? -answer-Integumentary
An unconscious male is cyanotic and actively vomiting you have been suctioning him for at least a
minute. -answer-Open airway, check pulse
32 yo F was involved in a car crash and complains of a tearing pain in her back. Her left radial pulse is
stronger than her right radial pulse. -answer-Aortic dissection
48 year old male in vehicle responsive to verbal only. You see smoke in the vehicle. -answer-Rapid
extrication
You are delivering a baby and the amniotic sac is still in place. You should? -answer-Tear amniotic sac
54 year old female tells you that she drank bleach to kill herself/. You should? -answer-Contact poison
control
Newborn infant with pink torso and blue extremities, you should? -answer-Dry him off
36 year old ventilator dependent, called 911 because the ventilator warning. What should you do? -
answer-Look for rise and fall
22 year old fem is choking.She is in her 3rd trimester of pregnancy she is standing up leaning over a chair
drooling unable to speak or cough. You should? -answer-Perform chest thrust
8 year old with ecchymosis to ULQ. you should suspect? -answer-Splenic injury
22 year old pregnant choking what do you do? -answer-Chest thrust
21 year old female alert and complains of weakness / dizziness following a syncopal episode. She tells
you she has been working outside all day. What's the most likely cause? -answer-Dehydration
55 year old female fell and struck her head. She now complains of a headache. Which statement is most
concerning? -answer-Im on blood thinners
36 year old female complains of left leg pain after car wreck, when you place her on long spine board,
you see her left leg is shortened and rotated outward? -answer-Femur fracture
You arrive at the factory and see lots of people coughing as they evaluate the building you should? -
answer-Triage upwind
32 y/o complains of rapid heart. You should? -answer-Obtain Vitals
58 year old male complains of general weakness and tells you that he had severe chest pain/ SOB the
day before. You head rales at both lungs. Cool, pale, clammy skin signs. BP 70/40 p110, and R28.
suspect? -answer-Cardiogenic shock
Which part of heart responsible for pulmonary edema? -answer-LV
Unconscious 28 year old male has a puncture wound in his left forearm. You also see multiple scars on
the backs of both his hands. What type of overdose should you suspect? -answer-Narcotic
You have just assisted in the delivery of a newborn. She has central cyanosis and is covered in a thick
greenish fluid. You should. -answer-Inspect the oropharynx
48yo M involved in a car crash is slumped over the steering wheel & unresponsive to loud stimuli. You
smoke inside the vehicle & airbag deployed. You should? -answer-Perform emergency extrication
Which vessels carries oxygenated blood back to the heart? -answer-Pulmonary veins
Which part of the heart is responsible for causing pulmonary edema. -answer-Left ventricle
A 59 year old male complains of distress and crushing chest. He is diaphoretic, pale cool. You should -
answer-Assist with self administer Rex nitro
immediately after the delivery of vigorous newborn, you should. -answer-Suction oropharynx with bulb
19 year old fem is found by her friend staring blankly at the wall. She is awake but slow to answer
questions. What is most likely the cause? -answer-Seizure
23 year is 30 weeks pregnant and complains of abdominal cramps. She tells you that she has had normal
prenatal health care and no vaginal discharge. Vitals signs are Bp 102/74, P 112, R22 and labored. You
should? -answer-Administer oxygen
You have just delivered an infant with a pink torso and blue extremities. He is crying and moving his
arms and legs. You should. -answer-Vigorous dry off with towel
Where in your PCR should you document that you placed the patient on o2 at 15lm by nrb? -answerPlan
Which conditions will only occur during the 1st trimester of pregnancy? -answer-Ectopic pregnancy
A newborn head has just been delivered. You should? -answer-Inspect for meconium
A 66 year old female has regained a pulse after shock with an AED? She is moving her extremities and
has a R 8. You should? -answer-Assis her ventilations
An 8 year old male was hit by a car and is unresponsive. He has ecchymosis to his left upper quadrant.
You should suspect. -answer-Splenic injury
What should you do to prevent the spread of this infection. -answer-Clean your stethoscope with a
germicide
67 yo female is unconscious and her family members are performing poor CPR. You should -answer-2
min CPR
While performing a primary assessment on a Suicidal 35 year old M he becomes verbally abusive. You
should -answer-Calmly attempt to de escalate him
62 Year old complains of chest pain & shortness of breath with a long history of Angina. Vital signs are
BP 90/50 P 100 R22 SPO2 90% what should you do? -answer-Administer 02
Securing pregnant patient to long spine board, you should tilt the board to the left to prevent -answerHypotension
78 yo male tells you "I feel sick & can't walk" bed is dirty w/ urine and feces. He request transport, but
daughter does not want him to be transported to the hospital. What should you do? -answer-Transport
him to hospital
42 year old is apneic. Suddenly grabbed throat while eating and collapsed -answer-Start compressions
A 10 month old F withdraws to painful stimuli. She had an ear infection and fever the passed three days,
and she has a bulging fontanelle. -answer-Meningitis
Which of the following patients have a right to refuse transport. -answer-A 52 year old man with
tightness in the chest and wheezing
Family members poor cpr. You should -answer-Perform 2 minutes of CPR
Bleeding from dialysis shunt you should -answer-Apply direct pressure to the shunt
A 12 year old male was kicked in the chest by a horse. He has distended neck veins and tracheal
deviations. What should you suspect? -answer-Tension pneumothorax
58 Year old with fever and chills. Lung sounds reveals rales and rhonchi in lower right lung -answerPneumonia
24 y F is 23 weeks pregnant and she tells you that she feels weak and been vomiting for the passed 3
days she also tells you that she is scared to go to the hospital in the ambulance. V/S 84/52 P 110 R SPO2
98% on room air temp. You should. -answer-Monitor her vitals signs and transport
A 72-year-old female's family member tells you she had a brief period of slurred speech and left sided
arm weakness prior to EMS arrival. What is the most likely cause -answer-Transient ischemic attack
18 yo M OD'd on unknown medication. RR is 8. Insert OPA, has gag reflex you should? -answer-Insert
NPA
Circumferential burn from elbow to wrist is what % -answer-4.5
28 year old is in active labor. You see umbilical cord protruding from her vagina. Which position should
you place her in? -answer-Knee-chest
A 35 year old male spilled corrosive chemicals on his legs while cleaning an indoor swimming pool. He is
dyspneic and has thickness burns to his legs you should? -answer-Remove him from pool area
Which of the following is an audible, high pitched sound usually results from a blockage of the smaller
air passages -answer-Stidor
Left ankle fracture with tingling sensation in foot. Foot is cool swollen with a faint pulse. You should -
answer-Splint in position of comfort
45 year old is 34 weeks prego. Severe headache and severity to light, swollen feet -answer-Preeclampsia
Daughter of 82yo M called 911 because she thought her father was acting strangely. He has no
complaints and refusing to go to the hospital. Daughter has proof of Medical Power of Attorney. She
tells you to take him to the hospital. You should? -answer-Tell her daughter that she is only legally
allowed to make decisions when her father is incapacitated
What is the leading cause of bradycardia for pediatric patients -answer-Hypoxia
A 36-year-old female complains of fever and lower abdominal pain that moves to the lower back when
she walks. She also mentions that she has had a domino vaginal discharge for the past two days. Vitals
signs are blood pressure 144/88 pulse 98 respirations 16 you should suspect? -answer-Pelvic
inflammatory disease/
53 year old male with a history of coronary artery disease had a sudden onset of tearing abdominal pain
that radiates to back he is ashen and diaphoretic states that he needs to use the bathroom vs bp 110/76
p 100 R20 you should -answer-Explain the need for immediate transport
92 year old female complains of a headache and trouble breathing. She is on home O2. What is the most
important question you should ask -answer-When did SOB Start
A 16 y/o male tripped and landed on his elbow. It is swollen with obvious deformities and he is
screaming in pain. You should: -answer-Splint in position found
A 58 year old male complains of general weakness and tells you that he had severe chest pain and
shortness of breath the day before. You hear rales at the base of both lungs. His skin is pale, cool, and
clammy. Vital signs are BP 70/40, P 110, R 28. You should suspect: -answer-Cardiogenic SK
24 year old female complains of right lower quadrant abdominal pain that radiates to her back with
slight vaginal bleeding -answer-Ruptured ovarian cyst
Cough producing thick mucus in tripod w/barrel chest -answer-Chronic Bronchitis
An alert 62 yo male complains of chest pain, short of breath and long history of angina. Vital signs are BP
90/50, P100, R22, SP02 90%. What should you do? -answer-Administer o2
A 450 lb patient has a 6 inch lacerating to the right upper arm & a fracture left ankles. He is on the 3rd
floor. You should: -answer-Apply a pressure dressing to the arm
A 22 fem was in a bicycle accident and struck her chest on the handlebar. She is short of breath and you
notice small section of her chest move asymmetrically. You should suspect? -answer-Flail segment
What organ is responsible for the exchange of oxygen, food, and waste between the mother and fetus? -
answer-Placenta
After delivering a shock with an AED to an unresponsive 49 year old male you should -answer-Resume
chest compressions
Periumbilical pain radiates to Right Lower Quadrant -answer-Appendicitis
2 year old male had a seizure following the onset of a high fever what should you recommend to the
parent? -answer-Transport to hospital
Your EMS base displays a free blood pressure check sing on the door this is an example of? -answerCommunity relaxations
In which zone would you triage patients during a hazardous materials emergency? -answer-Cold
A 58 year old female has a fever with chills. Lung sounds reveal rales and rhonchi in the lower right lung
field. What should you suspect -answer-Pneumonia
A 45 year old female 34 weeks pregnant she complains of severe headache sensitive to light and swollen
feet vs are blood pressure 130/88 pulse 104 and respirations 24 would you suspect? -answerPreeclampsia
20 year old male has supraclavicular retractions and is slow to respond to questions. He has expiratory
wheezes in all lung fields with minimal chest wall movement. You should -answer-Assist pt. In taking
prescribed (MDI) meter dose inhaler
21 year old female has an open femur fracture after falling off horse, you should -answer-check distal
pulse
An unresponsive 19yo F is supine on the bed next to several empty beer cans, her 3yo son is running
around the house. Vital signs are BP 80/40, P 110, R 6 & shallow. You should -answer-Transport. Her &
her son to the hospital
A 66 year old female complains of shortness of breath. You notice several tissues beside her that contain
bloody sputum. You should -answer-Don an N95 mask and ask her if she has experienced night sweats
or cough
An unresponsive 67 year old male is lying supine with a weak carotid pulse. He has emesis in his
oropharynx and gasping respirations of 6 you should -answer-Suction Airway
Baby/infant Grunting & Intercostal Retractions & Nasal Flaring -answer-Respiratory Distress
What is a system of internal/external reviews called? -answer-Quality improvement
A 52 year old female complains of severe abdominal pain, distention, and black stools. Vital signs are BP
92/40, P 115, R 20. What should you suspect? -answer-Upper intestinal bleed
What is responsible for exchange of oxygen, food and waste between mother and fetus? -answerPlacenta
55 year old female tells you "It feels like something is stuck in my throat and my voice sounds different."
She is hot to the touch. -answer-Inspect her throat for a foreign body
A 24-year-old female is 32 weeks pregnant she tells you that she feels weak and has been vomiting for
the past three days she also tells you that she is scared to go to the hospital in the ambulance. Vital signs
are 84/82 pulse is 110 respirations 16 SPO2 98 you should -answer-Monitor her vital signs and transport
A 23 year old male has a penetrating wound to his right upper chest with a small amount of bubbling
blood. He is alert, plae, and diaphoretic. Vital signs are BP 122/82, P 112, R 24. You should? -answerApply an occlusive dressing
Which patient has the right to refuse treatment and transport? -answer-52 year old male with tightness
in chest with wheezes
A 42 year old was stung by a bee on his left hand and finger are red and swollen, he tells you that he is
allergic to bee stings. Vitals are Bp 112/76 P90 R16 you should? -answer-Scrape stinger
A 12 year old male is prone in a shallow bathtub of water. He is pulseless and apneic. What should you
do? -answer-Dry the patient
Appropriate to say to suicidal patient -answer-Let's bring you to the hospital
36 year old complains of the fever abdominal pain moves to lower back bp 114/88 p 98 R16 -answerKidney stones
An unconscious 28 year old male has a puncture wound in his left forearm. You also see multiple scars
on the backs of both his hands. What type of overdose should you suspect? -answer-Narcotic
What is a system of internal and external reviews called? -answer-Quality improvement
Which part of the heart is responsible for causing pulmonary edema? -answer-Left ventricle
51 Year old male is unresponsive with agonal respirations. You should -answer-Check for pulse
what is the normal breathing rate for a 6 year old? -answer-18-30
A 70 year old male complains of shortness of breath he tells you "I woke up and felt like I was
drowning." He has recently been sleeping with extra pillows under his head. Vital signs are BP 166/80, P
98 and irregular, R 24, SpO2 86%. What should you suspect? -answer-Left side heart failure
Sexually assaulted and bleeding from vagina. -answer-Place sanitary pad over vaginal opening
Which cardiac rhythm prompts you to shock? -answer-V-tach
A 35 year old has shortness of breath after being shot in abdomen and legs. Vital signs are P 122 R 24
and labored -answer-Apply 02 by non rebreather
45 year old male hypothermic after night camping. You should? -answer-Move him to warm
environment
Patient has been shot in the chest after cutting off the patient's blood soaked shirt you should place it in
-answer-Biohazards disposal bag
Which statistic about EMS calls would support a community's request to reduce the speed limit in the
neighborhood? -answer-15% of calls for car crashes have at least one victim dead on scene
A 72 y/o female has a nose bleed after a fall. You should. -answer-Lean forward
54 year old female drank bleach to kill herself.
Psychiatric history/ poison control/activated charcoal/drink milk -answer-Poison control
Lifting a 26 year old male out of crash onto long board. Complaints shortness of breath and anxious. You
should -answer-Apply 02
A confused 22-year-old male weak pulse of 122 distended abdomen pale and clammy -answer-Internal
bleeding
Unresponsive 22 year old is breathing 6/min after motorcycle crash -answer-Begin ventilation with BVM
/
76 Year old female with fever, cough w/green sputum for 3 days. Lung sounds Rhonchi -answerPneumonia
28 year old 31 weeks prego falls in shower. Severe abdominal pain, bright red vaginal bleeding. Suspect -
answer-Abruption placenta
A 25-year-old stabbed in the chest occlusive dressing was applied prior to arrival Vital signs are 90/62
pulse 122 respiration 28 and labor you should -answer-Lift one side of the occlusive dressing
42 yo is apneic suddenly grabbed throat while eating and collapse. You should -answer-Compressions
40 year old with open ankle fracture with blood. Standard Precautions -answer-Gloves and goggle and
surgical mask
An 88 y/o female in hospice care is pulseless and apneic with dependent lividity. Her son says "she died
2 hours ago after I gave her a large dose of pain medication" What should you do? -answer-Notify law
enforcement
When using sirens? -answer-Consider motorist can hear it
an unconscious pt has a partially amputated foot. You should -answer-Control bleeding
A febrile 24 yo female complains of periumbilical pain that radiates to her right lower quadrant. What
should you suspect -answer-Appendicitis's
A 50 yo. Female states, " I'm having the worst headache of my life" and that the headache began
suddenly, 20 min -answer-Migrant headache
A 45 year old has frostbite on both feet. You transport time is 20min. You should? -answer-Rewrap with
blanket
A 19 year old Female jaw is clenched following a 5 min tonic clonic seizure. She is cyanotic and has
gurgling respirations. What should you do? -answer-Insert NPA and suction
An 18 year old female with sickle cell anemia complains of stomach pain and upper leg pain Vitals
130/66 P 96 R 14 you should -answer-Apply o2 and transport a position of comfort
Pencil stuck in cheek and bleeding stopped -answer-Stabilize
Air Medical Landing Zone? -answer-100 x 100
Name the condition for a pregnant patient with placenta covering cervical opening -answer-placenta
previa
62 year old male with COPD history ran out of his o2. He is SOB. He has a dry non-productive cough with
clear lung sound -answer-Chronic bronchitis
72 year old has a nosebleed after a fall -answer-lean her head forward
78 yo M says "Feel sick cant walk" wants to be transported but daughter doesnt want you to. -answertransport to hospital [Show Less]