EMD V13.0A RECERTIFICATION EXAM OUTEC QUESTIONS &
ANSWERS GRADED A+
SECTION 1: DETERMINANT CODES & PROTOCOL SELECTION
1. A second-party caller reports that a 45-year-old female has been bitten by a
snake. Key Questioning finds: snake is now dead, patient is alert, no difficulty
breathing or swallowing. What is the most appropriate Determinant Code?
A) 2-A-1
B) 2-D-4
C) 2-C-2
D) 2-B-3
Answer: B) 2-D-4
Rationale: For a snakebite with the snake confirmed dead and no difficulty
breathing, the appropriate determinant code is 2-D-4 .
2. An alert, 34-year-old, first-party caller reports that he is having chest pain. Key
Questioning finds: slight difficulty breathing, no difficulty speaking between
breaths, clammy, no history of heart attack or angina, no drugs or medications in
the past 12 hours. What is the most appropriate Determinant Code?
A) 10-A-1
B) 10-B-2
C) 10-C-3
D) 10-D-4
Answer: D) 10-D-4
Rationale: Chest pain with associated symptoms (clammy, slight difficulty
breathing) without history of cardiac issues warrants 10-D-4 .
,3. A second-party caller reports that his 17-year-old friend was stabbed during a
fight. Key Questioning finds: SERIOUS bleeding, completely alert, stabbed in
abdomen, one wound, just happened. What is the most appropriate
Determinant Code?
A) 27-A-2
B) 27-B-3
C) 27-C-4
D) 27-D-4S
Answer: D) 27-D-4S
Rationale: Stabbing with serious bleeding to the abdomen requires a 27-D-4S
determinant code .
4. A second-party caller reports that his nine-month-old daughter just fell 12
feet (3.5 meters) from a balcony. The caller reports no bleeding and that the
patient is completely alert, but he is worried because she hit her head. The
patient has been moved inside. What is the most appropriate Determinant
Code?
A) 17-A-2
B) 17-B-3
C) 17-C-4
D) 17-D-6
Answer: D) 17-D-6
Rationale: A fall from 12 feet (3.5 meters) in a 9-month-old, even with no bleeding
and alert status, requires a 17-D-6 determinant code .
5. A second-party caller reports that her 42-year-old husband is currently having
a seizure. During Case Entry, the caller reports that the patient is not awake and
, is not breathing, but is still seizing. What is the most appropriate Chief
Complaint Protocol to use for this case?
A) Protocol 6: Breathing Problems
B) Protocol 12: Convulsions/Seizures
C) Protocol 31: Unconscious/Fainting
D) Protocol 7: Burns
Answer: B) Protocol 12: Convulsions/Seizures
Rationale: The primary complaint is seizure activity, so Protocol 12 is the
appropriate choice, even with associated breathing issues .
6. A second-party caller reports that a 28-year-old female has just been struck by
lightning. The patient is currently unconscious and not breathing at all. Which
pathway should be selected on Protocol C, Panel 4?
A) CPR (C) 1st
B) Ventilations (V) 1st
C) Obvious Death
D) HAZMAT Protocol
Answer: B) Ventilations (V) 1st
Rationale: For a lightning strike patient who is unconscious and not breathing,
Ventilations (V) 1st pathway should be selected .
7. An alert, 38-year-old, first-party caller reports that she fell six feet (two
meters) from the top of a ladder about two hours ago. She is now experiencing
severe back pain and cannot get out of her bed because of the pain. What is the
most appropriate Chief Complaint Protocol to use for this case?
A) Protocol 30: Traumatic Injuries
B) Protocol 17: Falls
ANSWERS GRADED A+
SECTION 1: DETERMINANT CODES & PROTOCOL SELECTION
1. A second-party caller reports that a 45-year-old female has been bitten by a
snake. Key Questioning finds: snake is now dead, patient is alert, no difficulty
breathing or swallowing. What is the most appropriate Determinant Code?
A) 2-A-1
B) 2-D-4
C) 2-C-2
D) 2-B-3
Answer: B) 2-D-4
Rationale: For a snakebite with the snake confirmed dead and no difficulty
breathing, the appropriate determinant code is 2-D-4 .
2. An alert, 34-year-old, first-party caller reports that he is having chest pain. Key
Questioning finds: slight difficulty breathing, no difficulty speaking between
breaths, clammy, no history of heart attack or angina, no drugs or medications in
the past 12 hours. What is the most appropriate Determinant Code?
A) 10-A-1
B) 10-B-2
C) 10-C-3
D) 10-D-4
Answer: D) 10-D-4
Rationale: Chest pain with associated symptoms (clammy, slight difficulty
breathing) without history of cardiac issues warrants 10-D-4 .
,3. A second-party caller reports that his 17-year-old friend was stabbed during a
fight. Key Questioning finds: SERIOUS bleeding, completely alert, stabbed in
abdomen, one wound, just happened. What is the most appropriate
Determinant Code?
A) 27-A-2
B) 27-B-3
C) 27-C-4
D) 27-D-4S
Answer: D) 27-D-4S
Rationale: Stabbing with serious bleeding to the abdomen requires a 27-D-4S
determinant code .
4. A second-party caller reports that his nine-month-old daughter just fell 12
feet (3.5 meters) from a balcony. The caller reports no bleeding and that the
patient is completely alert, but he is worried because she hit her head. The
patient has been moved inside. What is the most appropriate Determinant
Code?
A) 17-A-2
B) 17-B-3
C) 17-C-4
D) 17-D-6
Answer: D) 17-D-6
Rationale: A fall from 12 feet (3.5 meters) in a 9-month-old, even with no bleeding
and alert status, requires a 17-D-6 determinant code .
5. A second-party caller reports that her 42-year-old husband is currently having
a seizure. During Case Entry, the caller reports that the patient is not awake and
, is not breathing, but is still seizing. What is the most appropriate Chief
Complaint Protocol to use for this case?
A) Protocol 6: Breathing Problems
B) Protocol 12: Convulsions/Seizures
C) Protocol 31: Unconscious/Fainting
D) Protocol 7: Burns
Answer: B) Protocol 12: Convulsions/Seizures
Rationale: The primary complaint is seizure activity, so Protocol 12 is the
appropriate choice, even with associated breathing issues .
6. A second-party caller reports that a 28-year-old female has just been struck by
lightning. The patient is currently unconscious and not breathing at all. Which
pathway should be selected on Protocol C, Panel 4?
A) CPR (C) 1st
B) Ventilations (V) 1st
C) Obvious Death
D) HAZMAT Protocol
Answer: B) Ventilations (V) 1st
Rationale: For a lightning strike patient who is unconscious and not breathing,
Ventilations (V) 1st pathway should be selected .
7. An alert, 38-year-old, first-party caller reports that she fell six feet (two
meters) from the top of a ladder about two hours ago. She is now experiencing
severe back pain and cannot get out of her bed because of the pain. What is the
most appropriate Chief Complaint Protocol to use for this case?
A) Protocol 30: Traumatic Injuries
B) Protocol 17: Falls
