WorksheetsEMT Practice Questions (Pages 19–23)
Total questions: 101
Worksheet time: 51mins
Which of the following describes the importance of effective communication of patient information in the verbal report?
Changes in the patient’s condition can be communicated.
Additional information that was not given in the radio report can be provided.
Patient treatment can be based on this information.
All of the above
Which of the following is NOT a responsibility of an EMT at the scene of a hazardous materials emergency?
Decontaminating injured victims
Treating injured patients
Staying in the cold zone
Rehabilitating the hazmat team
In which age group do you anticipate seeing patients who have less efficient cardiovascular systems and a reduction of previous blood volume?
Middle adulthood
Late adulthood
Infancy
Early adulthood
Which of the following structures receives deoxygenated blood from the body via the venae cavae?
Right ventricle
Right atrium
Left ventricle
Left atrium
Which one of these groups is at greatest risk of contracting and transmitting tuberculosis?
Current and former smokers
Immunosuppressed patients
Healthcare practitioners
Uranium mine workers
You are called for a woman who is about to deliver. During the labor process, your patient’s water breaks. She experiences a rush of warm water and an increase in uterine contractions. The purpose of the amniotic fluid is to:
help maintain a constant fetal body temperature.
provide lubrication during the delivery of the baby.
allow the fetus to float during development.
All of the above
What are three elements of successful trauma care that field practitioners can use which will ultimately translate into greater rates of survival?
Physiological determinants, anatomic criteria, and mechanism of injury
Teamwork, timing, and transport
Ground ambulances, air helicopters, and trauma centers
Lights, sirens, and diesel
Which of the following agencies have developed regulations for dealing with hazardous materials emergencies?
NHTSA and NRC
NAEMT and NHTSA
DOT and FCC
OSHA and EPA
Which of the methods listed below is best described as moving a patient from the floor to a stretcher by having two or more rescuers kneel, curl the patient to their chests, stand, and then reverse the process to place the patient on the stretcher?
Direct ground lift
Direct carry
Power lift
Draw-sheet method
During which age group is the body in peak physical condition?
Early adult
Preschool
Middle adult
Adolescent
Which of the following structures is found in the lower airway?
Tonsils
Bronchi
Uvula
Pharynx
You are on the scene of a riot following a decision in a controversial court case. A large group of people have set fire to vehicles, broken windows, and assaulted people in the area. Which of the following would be the BEST method of incident command?
Singular command by law enforcement
Singular command by fire service
Singular command by EMS
Unified command
You respond to a farm for a possible snake bite. You find a 36-year-old male patient seated against a tree. Bystanders state the patient was bitten on the arm by a rattlesnake and is “really sick.” As you approach, you notice that the patient appears in obvious distress, diaphoretic, and holding his right wrist. Which of the following is your highest priority?
Confirm the location and status of the snake.
Perform a primary assessment and identify any potential life threats.
Immediately apply a constricting band to minimize the spread of the venom.
Confirm the type of snake and contact medical control for specific instructions.
Which of the following would you expect to hear when auscultating the lungs of a patient having an anaphylactic reaction?
Wheezing
Fine, wet crackles or rales
Clear, adequate air movement
Coarse-sounding rhonchi
Which of the following makes up more than half of the volume of blood in the body?
Platelets
Red blood cells
Plasma
White corpuscles
Which of the following describes any substance produced by a living organism that is poisonous to human beings?
Antigen
Antibody
Acid
Toxin
You respond, along with fire department Emergency Medical Responders, to a 48-year-old female having a syncope episode in the bathroom. You find the patient sitting on the commode vomiting into the trash can. The vomitus appears to look like coffee grounds and has a foul smell. The patient is pale and has no weak for the past few days. She has:
hernia.
peritonitis.
GI bleeding.
abdominal aortic aneurysm.
A wound in which the epidermis is scraped away with minimal bleeding, such as commonly occurs when a child falls on his knees on a sidewalk, is called a(n):
evisceration.
abrasion.
contusion.
avulsion.
You are called to the scene of a 45-year-old nonsmoker male with a history of asthma in respiratory distress. You find him lying supine on the couch. The patient is lethargic but can answer all your questions appropriately. He is diaphoretic, and complains of being cold, coughing, and having difficulty breathing for the past 3 days. His vital signs are blood pressure of 110/70, heart rate of 116, respiratory rate of 24, oxygen saturation of 93%, and temperature of 100.6°F. You hear rhonchi in the left lobes and he is coughing up yellow-tinged sputum. What condition do you suspect?
Pneumonia
Silent myocardial infarction
COPD
Asthma
You are called to a residence for a 48-year-old male patient. He is lying in bed, groaning in pain and curled into a fetal position. His blood pressure is 88/50, pulse 136, and respiratory rate of 32. His wife states that he complained of lower right abdominal pain for several days that got progressively worse, until about an hour ago when it became suddenly unbearable. The wife states the husband had been refusing to see a doctor, but she finally called 911. You suspect appendicitis and are concerned about the subsequent onset of:
peritonitis.
renal colic.
toxic shock.
splenic rupture.
The maxillae form which of the following structures?
Upper jaw
Forehead
Lower jaw
Cheek bones
It is often difficult to distinguish a true medical emergency from a psychiatric emergency. You are confronted with a patient experiencing personality changes ranging from irritability to irrational behavior, altered mental status, amnesia or confusion, irregular respirations, elevated blood pressure, and decreasing pulse. It appears to be a psychiatric emergency. What else could also cause this behavior?
Lack of oxygen
Stroke
Head injury
Low blood sugar
When performing chest compressions on a pregnant patient that has gone into cardiac arrest, what change do you need to make in the placement of your hands?
1 to 2 inches lower on the sternum
0.5 to 1 inch lower on the sternum
1 to 2 inches higher on the sternum
0.5 to 1 inch higher on the sternum
You and your partner are en route to a motor vehicle crash involving a tanker truck on a rural road. Dispatch informs you that fluid is leaking from the truck, that there are several bystanders passed out on the ground near the cab of the truck, and that a caller has reported the code that appears on a placard attached to the tanker truck. You should:
remove the bystanders from the scene.
park downwind from the tanker truck.
consult the Emergency Response Guidebook.
park about 50 feet from the truck.
Which of the following is a physiologic effect of the “Stress Triad” as described by the physician Hans Selye?
Hypertrophy of the lymph nodes
Amnesia for stressful events
Bleeding gastric ulcers
Atrophy of the adrenal glands
When managing an electrical burn, the EMT should:
quickly check the pulse, even if the patient is still in contact with the electrical source.
never attempt CPR unless it is within 4 minutes of contact.
check for a source and ground burn injury.
always attempt to remove the patient from the electrical source.
A patient whose mental status can be described as “verbal” is able to:
respond to speaking or shouting by opening the eyes.
respond only to a stimulus such as the EMT rubbing his sternum with his knuckles.
tell you his or her name, his or her location, and what day it is.
talk spontaneously and respond to the EMT’s questions.
What is the best way to communicate with a young pediatric patient?
Do not tell the child that a procedure will hurt beforehand because the child will become terrified.
Tell the child the procedure will hurt much more than it actually will so he or she will be pleasantly surprised when the procedure is over.
Sit at the level of the child, if possible, and always be honest.
Only talk with the parents. The child is too young to know his or her medical history.
When assessing a 14-year-old male patient that has been involved in a bicycle accident, you notice that he has a small amount of blood coming from his left forearm. This observation is known as which of the following?
Symptom
Indication
Clue
Sign
Your patient is a 32-year-old man with a fish hook that has perforated his hand between the thumb and index finger. Which of the following is the best way to manage the situation in the prehospital setting?
Push the hook through the wound to avoid further damage from the barbed end.
Leave the hook in place and try not to disturb it.
Pull the hook out from the same direction in which it entered the hand.
Apply a pressure dressing over the hook.
Which of the following statements regarding syrup of ipecac is NOT true?
It can cause a patient to aspirate stomach contents into the lungs.
It has an immediate action.
It causes emesis in all patients with a single dose.
It removes only about one-third of stomach contents.
Which of the following is a substance that will neutralize a poison or its effects?
Deactivator
Curative
Antidote
Antevort
Which of the following types of radiation emits the most powerful rays?
Delta
Beta
Alpha
Gamma
When the body is in water, how many times faster does it lose heat than when it is in still air?
2
10
100
25
Many factors that cause dizziness and syncope are generally related to the:
nervous system.
kidneys.
lungs.
brain.
Which of the following is NOT a warning sign or physical symptom of stress?
Heart palpitations
Increased salivation
Chest pain
GI distress
Which of the following bones is found in the chest?
Ilium
Sternum
Tarsals
Metacarpals
When managing a patient who may hurt himself or others, you should do all of the following except:
retreat if the patient becomes threatening.
make sure only you and the patient are in the room.
keep bystanders a safe distance away.
watch for sudden changes in the patient’s behavior.
The drug ecstasy is classified as what type of drug?
Barbiturate
Hallucinogen
Tranquilizer
Depressant
You are called to assist a 25-year-old female patient who is in profound respiratory distress. The patient has a history of asthma and severe allergies to peanuts. She has a prescribed albuterol inhaler and an epinephrine auto-injector. The patient states she was working in her garden when she accidentally stirred up a hornets’ nest and was stung multiple times. The patient has wheezing in all fields, and is breathing at 28 times per minute. She states that she triggered her asthma by running across the yard to the safety of her home. As you apply oxygen, you notice that she is now speaking in two- to three-word sentences, her skin has splotches, and her tongue and neck appear to be swelling. Your next action is to call medical control and then do what?
Do not request to give epinephrine. It was prescribed for a peanut reaction, not for asthma.
Request to assist the patient with her Albuterol inhaler for her asthma.
Request to assist the patient with her epinephrine pen for anaphylaxis.
Request to assist the patient with her Albuterol for anaphylaxis.
What is NOT one of the basic parts of a bag-valve-mask system?
15/25 respiratory fitting
Non-jam valve
Self-refilling shell
Be nonrebreathing
Which of the following is a sign of possible brain injury?
Irregular breathing pattern
Deep laceration of the scalp
Projectile vomiting
All of the above
While treating a pregnant trauma patient, which of the following is the BEST way to keep the fetus alive?
Do not put the patient on a spine board to prevent supine hypotensive syndrome.
Transport the patient to the closest pediatric center.
Do an emergency cesarean section of the fetus.
Treat the patient as any other trauma patient.
The patient was a driver in a lateral impact motor vehicle collision. During the assessment of his chest, the EMT notes a segment of the chest wall moving in the opposite direction from the rest of the chest. Which of the following BEST describes this finding?
Tension pneumothorax
Paradoxical movement
Intercostal retractions
Flutter segment
Which of the following is a characteristic of child abusers of special need patients?
They rarely feel guilt or remorse.
They usually identify with the child's pain and suffering.
They usually want the child's injuries treated.
Alcohol and drug abuse is uncommon.
A 36-year-old man has accidentally shot a nail into his thigh while using a nail gun. Under which of the following circumstances should the EMT remove the nail from the injury site?
Bleeding from the wound is minimal.
The patient's distal pulse, motor function, and sensation are intact.
The nail is less than 2 inches in length.
None of the above.
Which of the following is NOT a role of dialysis in a renal failure patient?
Remove waste from the body.
Stimulate blood cell production.
Remove fluid from the body.
Filter and detoxify the blood.
You are examining a 24-year-old female patient with lower quadrant abdominal pain. What is the MOST lethal possibility?
Pelvic inflammatory disease
Cholecystitis
Mittelschmerz
Ectopic pregnancy
The safest way to extinguish a road flare is to:
Pick it up and rub it onto the ground.
Pick it up and snuff it out with a gloved hand.
Douse it with a fire hose.
Let it burn out.
You are called for a sick 2-year-old boy. When you arrive, you see the boy sitting quietly on his mother's lap. You note that he is not crying and has his head tucked against his mother's chest. However, he does lift his head and look at you when you enter. As you approach, he withdraws deeper toward his mother. What have you learned about the patient so far?
He is alert and probably acting appropriately.
His front fontanelle is sunken, likely from dehydration.
His skin is warm and dry.
He probably does not have a fever.
You are dispatched to an industrial plant for a burn. You arrive and find a 60-year-old male who came in contact with a broken steam line and appears to have partial thickness burns on both hands and arms. He is lying on the ground and coworkers are gently spraying him with water from a nearby hose. What should you do?
Call for air transport and continue to pour water on the burns until transport arrives.
Care for the burn and do a complete patient assessment, including cervical spine precautions.
Before doing treatment, call the local burn center for instruction.
Because of his age, immediately put him in your ambulance and transport him to a burn center.
You respond to a 32-year-old female who is having a seizure. You arrive on the scene to find the patient drowsy, confused, and complaining of a headache. This patient is demonstrating the:
Postictal phase
Clonic phase
Tonic phase
Aura phase
Which of the following types of bandages should NOT be used by the EMT providing wound care?
Self-adherent roller gauze
Triangular bandage
Adhesive tape
Tourniquet
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?
Epinephrine auto-injector
Inhaler
Nitroglycerine tablets
Antihistamines
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?
Place a neonatal nonrebreather mask on the infant's face.
Begin CPR with a compression rate of 120/minute.
Perform ventilations with a bag-valve-mask device and supplemental oxygen.
Place oxygen tubing near the infant's face at a flow rate of 10 to 12 liters per minute.
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?
Unstable
Stable
Priority
Not enough information was given to answer this question.
A diastolic blood pressure over ______ mmHg is considered hypertensive.
50
65
80
90
Which of the following statements provides reasons for the disruption of respiratory control?
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.
Medical reasons, infections, trauma, toxins, and drugs, along with neurologic disorders, can interrupt this control.
A medical, structural, and mechanical failure that has initiated the cascade of life-threatening problems will interrupt this control.
Mechanical failure, soft-tissue damage, obstruction, and lack of perfusion will interrupt this control.
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?
Vital signs are something you have to fill out because the state requires it.
It is important you show the QI manager that you are a team player.
The report looks better when all the boxes are filled out.
The recording of three sets of vital signs demonstrates that you were trending the patient's condition.
Where might you find a patient's medical alert identification jewelry?
Ankle bracelet
Necklace
Bracelet
All of the above
Which of the following increases a scuba diver's risk of decompression sickness?
Diving on a full stomach
Taking cold or sinus medications before a dive
Breathing 100% oxygen before a dive
Flying within several hours after a dive
Seizures due to complications of pregnancy generally occur during which of the following time periods?
In the second trimester
Late in pregnancy
Before the mother even knows she is pregnant
In the first trimester
Most cases of accidental poisoning involve which of the following?
Adults
Young children
Adolescents
Infants
What is the minimum level of certification required of ambulance personnel responsible for direct patient care?
Emergency Medical Responder
Emergency Ambulance Driver
Advanced EMT
Emergency Medical Technician
The elderly population is at least ______ times as likely to use the EMS system as patients in other age groups.
0.5
5
10
2
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):
Closed head injury
Direct injury
Open head injury
Skull injury
In 1966 the National Highway Safety Act charged which of the following agencies with the development of emergency medical service standards?
U.S. Department of Health Services
U.S. Department of the Interior
U.S. Department of Homeland Security
U.S. Department of Transportation
At what point is the scene size-up complete?
Upon stabilization of the c-spine
When the number of patients has been determined
When crashed vehicles have been stabilized
At the end of the call
Which of the following does NOT have an impact on the behavior of a chemical in a mass-casualty incident?
Physical state of the agent
Whether it was an intentional or accidental exposure
Route of entry into the body
Volatility of the agent
Which of the following techniques is used when formulating the general impression?
Looking for visual clues
Detecting odors
Listening for unusual sounds
All of the above
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?
The irregularity is not a reason for concern in itself.
Alert paramedics to respond for a possible cardiac patient.
Check distal circulation, sensory, and motor sensation, apply a pelvic wrap, place on a traction splint, and transport the patient.
Contact medical control for permission to have the patient transported by helicopter from the scene.
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:
Reduce the volume of the ventilations.
Begin chest compressions.
Increase the concentration of oxygen.
Reduce the concentration of oxygen.
"If it looks like a duck and quacks like a duck, it must be a duck—except when it isn't" is a way to summarize which of the following?
Illusory correlation
Representativeness
Confirmation bias
Overconfidence
Which of the following is NOT likely to be a cause of respiratory distress in a 2-year-old child?
Epiglottitis
Emphysema
A cold
Foreign body airway obstruction
Which of the following is NOT advisable following complete birth of the infant?
Hold the infant by the ankles to allow the airway to drain.
Place the infant on his side with his head slightly lower than his body.
Dry the infant and wrap him in a blanket.
Keep the infant at the level of the mother's vagina until the cord is clamped and cut.
Which of the following is a component of patient advocacy?
Immobilizing the neck of a patient with a possible spinal injury
Providing oxygen to a patient that is short of breath
Building rapport with the patient during transport to the hospital
Granting patient wishes and not reporting spousal abuse to the authorities
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:
Contemplation
Hallucination
Confabulation
Imagination
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?
Take the razor blade away from her by force.
Call law enforcement for assistance.
Use Body Substance Isolation (BSI).
Keep bystanders away from the patient.
An EMT's assessment differs from an assessment made in the emergency department in which way?
The emergency physician is concerned with scene safety.
The EMT is working with limited resources.
An EMT's focus is on life threats first.
Time is available in the emergency department to make a diagnosis.
Smoke inhalation can result in all of the following except:
Cardiac arrest
Airway swelling and obstruction
Respiratory arrest
Lung contusion
Which of the following statements is true regarding helicopter transport?
Patient care is seldom affected during the flight.
Pressure changes do not affect equipment such as PASG, ET tubes, and so on.
Helicopter transport is relatively inexpensive.
Most treatment should be done prior to loading the patient.
In which of the following circumstances is manual stabilization of the cervical spine ALWAYS necessary?
Penetrating trauma
Blunt trauma
Trauma to the lower extremities
Trauma above the level of the clavicles
Which of the following is NOT a classification of localized cold injury?
Frostnip
Frostbite
Hypothermia
All of the above
You are assessing a 67-year-old male patient who is experiencing a dissecting abdominal aneurysm. Typically, such a patient will describe the pain as:
Dull
Sharp
Tearing
Achy
Which of the following is classified as an open head injury?
Contusion without a skull fracture
Laceration with a skull fracture
Laceration without a skull fracture
Both A and B
When taking blood pressure, the cuff should be inflated to what point?
Until the gauge reads 200 mmHg
Until the patient says it hurts
Until the Velcro starts to crackle
30 mmHg beyond the point where the pulse disappears
Which of the following must be kept in mind when considering the severity of external bleeding?
The amount of blood loss is easily estimated by the amount of blood visible on the ground.
Signs of shock do not appear until a large amount of blood has been lost.
A younger person can tolerate more blood loss than an adult.
All of the above
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?
Get the assistance of the men who made it out of the building to prevent delay in finding the workers inside.
Cover your nose and mouth with a wet towel and check on the status of the two workers inside the building.
Evaluate the three men and administer high-concentration oxygen, then help them get a safe distance away from the scene.
Call for properly trained assistance and stay a safe distance away from the scene.
Which of the following techniques of physical examination must an EMT master?
Auscultation, observation, and percussion
Percussion, inspection, and palpation
Visualization, percussion, and auscultation
Observation, palpation, and auscultation
At what point may manual stabilization of the cervical spine be terminated?
When the patient is secured to a long backboard
After a cervical collar has been applied
Only when directed to do so by medical control
After a short immobilization device has been applied
Which of the following BEST describes the delivery of oxygen and nutrients at the body's cellular level?
Circulation
Perfusion
Osmosis
Hydrostatic pressure
Which of the following situations are frequently problematic for patients who have tracheostomy tubes?
Tube malplacement
Mucus buildup
Air embolism
Tracheal tears
The muscular organ in which a baby develops during pregnancy is called the:
fetal membrane.
uterus.
placenta.
amniotic sac.
Which of the following are the components of the nervous system?
Spinal cord and sensory nerves
Spinal cord and motor nerves
Brain, spinal cord, and nerves
Brain and autonomic nerves
You are called to a residence for a 60-year-old male complaining of chest pain. You find the patient 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?
Angina pectoris
Asthma
Anaphylaxis
Acute myocardial infarction
The wrist is ______ to the elbow.
medial
distal
inferior
dorsal
A family member who keeps pleading with a deceased loved one to "wake up" is experiencing which reaction to death and dying?
Denial
Anger
Rejection
Projection
Which of the following describes Fowler's position?
Lying flat on the back
Lying on the stomach
Lying on the side
Sitting upright with the legs straight
Which of the following is true regarding proper hand cleaning?
If the EMT's hands are visibly dirty, an alcohol-based hand cleaner is not sufficient.
Soap and water should be used following any patient contact if the EMT does not wear gloves.
Following patient contact, the EMT should soak his hands in warm soapy water for at least 30 seconds and then shake them vigorously.
In cases where soap and water and alcohol-based hand cleaners are not immediately available, bleach wipes should be used.
Which of the following BEST defines adenosine triphosphate (ATP)?
It is the form of energy produced in the endoplasmic reticulum and is the cell's engine responsible for all cell function.
It is the form of energy that is produced in the nucleus from glucose and other nutrients.
It is the form of energy produced in the mitochondria and is the cell's engine responsible for all cell function.
It is the form of energy that is produced in the mitochondria from glucose and DNA.
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?
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.
Transport the patient immediately to a trauma center, applying high-concentration oxygen en route.
Explain to the patient that her ankle is fractured and you must splint her ankle to prevent further injury and reduce pain.
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.
