EMR BC PROVINCIAL LATEST
LICENSING EXAM
QUESTIONS AND
ANSWERS 2026 - 2027
What are the indications for the administration of O₂
➢ Decreased LOC
➢ Cardiac or respiratory arrest
➢ Diabetic
➢ Seriously ill patient
➢ Inhalation injury
➢ Short of breath / respiratory distress
➢ Moderate to severe trauma patient (esp. chest trauma)
➢ Patient who may be having internal bleeding (shock)
➢ Smoke and carbon monoxide poisoning patient (maintain high
oxygenation - NRB)
➢ Patient with chest pain, who are SOB or SpO₂ < 94%
( means start with low flow and titrate to 94%)
What must be done before administering any drug?
➢ Baseline vitals (unless ASA)
➢ Indications
➢ History sufficient to rule out contras and cautions
➢ TRAMPD
What is TRAMPD?
END OF
PAGE
1
, EMR BC PROVINCIAL LATEST
LICENSING EXAM
QUESTIONS AND
ANSWERS 2026 - 2027
The acronym for the items that must be done when administering any
drug other than O₂ including subsequent doses.
The six rights:
➢ Time (e.g. when last dose?)
➢ Route (e.g. oral, IM, sublingual, etc.)
➢ Amount (e.g. correct dose, check concentration)
➢ Medication (e.g. correct med for indications, not expired)
➢ Patient (e.g. Pt. has indications and no contras/cautions)
➢ Documentation (e.g. record dose, route, time, effect)
Secondary Survey - Head to Toe
Physical Examination
Head & Face
Neck
Arms
Chest
Back
Abdomen
END OF
PAGE
2
, EMR BC PROVINCIAL LATEST
LICENSING EXAM
QUESTIONS AND
ANSWERS 2026 - 2027
Pelvis
Legs
Secondary Survey - Functional Enquiries
General Health (chronic conds, last visit to Dr.)
Neurological (CNS)
Mental Health
EENT
Endocrine
Respiratory
Cardiovascular
Digestive & Urinary (GI/GU)
Integumentary (Skin)
Reproductive
Musculoskeletal & Mobility
------------------------------
As you think of the person from head-to-toe, query functional systems
associated with each body part.
Rescue Scene Evaluation (HEMPBBC)
Hazards
Environment
END OF
PAGE
3
, EMR BC PROVINCIAL LATEST
LICENSING EXAM
QUESTIONS AND
ANSWERS 2026 - 2027
Mechanism of Injury
Patients (number)
BSI (PPE)
Backup (Police, Fire, ACP, etc.)
Condition of Patient
Steps for diabetic protocol
BEFORE
prepare cot
primary survey
history of diabetes
baseline set of vital signs
signs/symptoms of hyper/hypo-glycemia
signs and symptoms sufficient to suggest hypoglycemia or
hyperglycemia
PROTOCOL
BGL > 4.0 ⇒ load and go
END OF
PAGE
4
LICENSING EXAM
QUESTIONS AND
ANSWERS 2026 - 2027
What are the indications for the administration of O₂
➢ Decreased LOC
➢ Cardiac or respiratory arrest
➢ Diabetic
➢ Seriously ill patient
➢ Inhalation injury
➢ Short of breath / respiratory distress
➢ Moderate to severe trauma patient (esp. chest trauma)
➢ Patient who may be having internal bleeding (shock)
➢ Smoke and carbon monoxide poisoning patient (maintain high
oxygenation - NRB)
➢ Patient with chest pain, who are SOB or SpO₂ < 94%
( means start with low flow and titrate to 94%)
What must be done before administering any drug?
➢ Baseline vitals (unless ASA)
➢ Indications
➢ History sufficient to rule out contras and cautions
➢ TRAMPD
What is TRAMPD?
END OF
PAGE
1
, EMR BC PROVINCIAL LATEST
LICENSING EXAM
QUESTIONS AND
ANSWERS 2026 - 2027
The acronym for the items that must be done when administering any
drug other than O₂ including subsequent doses.
The six rights:
➢ Time (e.g. when last dose?)
➢ Route (e.g. oral, IM, sublingual, etc.)
➢ Amount (e.g. correct dose, check concentration)
➢ Medication (e.g. correct med for indications, not expired)
➢ Patient (e.g. Pt. has indications and no contras/cautions)
➢ Documentation (e.g. record dose, route, time, effect)
Secondary Survey - Head to Toe
Physical Examination
Head & Face
Neck
Arms
Chest
Back
Abdomen
END OF
PAGE
2
, EMR BC PROVINCIAL LATEST
LICENSING EXAM
QUESTIONS AND
ANSWERS 2026 - 2027
Pelvis
Legs
Secondary Survey - Functional Enquiries
General Health (chronic conds, last visit to Dr.)
Neurological (CNS)
Mental Health
EENT
Endocrine
Respiratory
Cardiovascular
Digestive & Urinary (GI/GU)
Integumentary (Skin)
Reproductive
Musculoskeletal & Mobility
------------------------------
As you think of the person from head-to-toe, query functional systems
associated with each body part.
Rescue Scene Evaluation (HEMPBBC)
Hazards
Environment
END OF
PAGE
3
, EMR BC PROVINCIAL LATEST
LICENSING EXAM
QUESTIONS AND
ANSWERS 2026 - 2027
Mechanism of Injury
Patients (number)
BSI (PPE)
Backup (Police, Fire, ACP, etc.)
Condition of Patient
Steps for diabetic protocol
BEFORE
prepare cot
primary survey
history of diabetes
baseline set of vital signs
signs/symptoms of hyper/hypo-glycemia
signs and symptoms sufficient to suggest hypoglycemia or
hyperglycemia
PROTOCOL
BGL > 4.0 ⇒ load and go
END OF
PAGE
4
