NYS EMT-B State Exam latest Version

NYS EMT -B State Exam latest Version 2023 -2024 Your patient is a 33 -year-old man who has a gunshot wound to his right leg and has active, steady, dark red bleeding. He is awake, pale, and diaphoretic. He has a strong radial pulse of 112 per minute, a respirator y rate of 24 breaths per minute, and a blood pressure of 122/82 mmHg. He has no other injuries or complaints. Which of the following is the BEST sequence of steps in the management of this patient? Select one: a. Cervical spine immobilization, high -concen tration oxygen, direct pressur Correct Answer d. Direct pressure, high -concentration oxygen, and splinting the leg Which of the following patients has the greatest likelihood of being cared for in a burn center? Select one: a. A 16 -year-old female who came into contact with a motorcycle exhaust pipe and has a full thickness burn on her leg about 2 inches in diameter b. A 30 -year-old woman who has deep partial thickness burns on her hand and arm as a result of spilling hot cooking oil on herself c. A 45 -year-old man who has a full thickness burn about 3 inches long by 1/2 inch wide on his posterior arm from b Correct Answer b. A 30 -year-old woman who has deep partial thickness burns on her hand and arm as a result of spilling hot cooking oil on herself In caring for a 27 -year-old male who has a large laceration on his anterior forearm, you have noticed that your pressure dressing has become saturated with blood. Which of the following should you do next? Select one: a. Apply additional dressing materia l over the top of the original dressing and bandage it in place. b. Remove the saturated dressings and apply a large trauma dressing. c. Apply a tourniquet. d. Apply an ice pack over the original dressing. Correct Answer a. Apply additional dressing mat erial over the top of the original dressing and bandage it in place. Your patient is a 40 -year-old man who was burned when he spilled gasoline on his pants as he was standing near the pilot light of his hot water heater. He has partial thickness burns fro m his feet to just above his knees, and circumferentially around both legs. Using the rule of nines, which of the following most accurately represents the extent of body surface area burned? Select one: a. 4.5 percent b. 36 percent c. 18 percent d. 9 percent Correct Answer c. 18 percent You assess a 35 -year-old female patient with a chemical burn to her right forearm and hand. As you assess the burn, you notice a white powder on the burn. What should be your next step? Select one: a. Flush the arm and hand with copious amounts of water. b. Brush the powder off the patient's arm and hand, and then flush with copious amounts of water. c. Transport the patient immediately to the closest burn center. d. Brush off the powder, bandage the arm, and tr ansport the patient to the closest Correct Answer b. Brush the powder off the patient's arm and hand, and then flush with copious amounts of water. You're an off -duty EMT who encounters a patient sitting behind the wheel of a vehicle that ran off the r oad along an isolated county road. It appears the patient was unrestrained, or not wearing a seat belt, and struck the steering wheel with his chest. On assessment, you notice a paradoxical motion to the patient's chest on inspiration and expiration. When you radio for dispatch of an ambulance, which of the following pieces of information would you be sure to include? Select one: a. The patien Correct Answer a. The patient may have a flail chest. For which of the following wounds should the EMT apply an absorbent dressing moistened with sterile saline and then cover it with an occlusive dressing? Select one: a. The stump of an amputated extremity b. A laceration to the neck c. A gunshot wound to the abdomen from which a loop of intestine is protruding d. A stab wound to the chest Correct Answer c. A gunshot wound to the abdomen from which a loop of intestine is protruding The pathophysiology of _________ is one in which the pericardial sac fills with blood to the point where the chambers of the heart no longer fill adequately, usually secondary to trauma. Select one: a. commotio cordis b. pericardial effusion c. cardiac tamponade d. hemopneumothorax Correct Answer c. cardiac tamponade You are on an EMS standby for a boxing tournament. During one of the matches, one of the female boxers delivers a forcible uppercut to the chest of her opponent, who falls to the ground. The match is declared over on the basis of a TKO. However, the oppone nt fails to arise following a 1 -2 minute interval. EMS is summoned to the ring. You find the patient pulseless and breathing agonal gasps. You suspect which of the following traumatic conditions? Select one: a. Tension pneumothorax b. Commotio Correct Answer b. Commotio cordis