NYS EMT CERTIFYING EXAM
A 62 year-old male is complaining of difficulty breathing and left arm pain radiating to the right
jaw. Vital signs are: BP= 90/60, P= 120, R= 24. The patient should be administered:
1. Low-concentration O2, and Placed lying down
2. High-concentration O2, and positioned with legs raised
3. High-concentration O2, placed in position of comfort for ease of breathing
4. Low-concentration O2, Placed in position of comfort for ease of breathing - ANS
-High-concentration O2, placed in position of comfort for ease of breathing
\A 65-year-old male was involved in a two-car vehicle crash. Upon examination, he complains of
chest pain upon breathing and tenderness of the sternum. Your initial care would be to
1. Stabilize to sternum
2. Position the patient on his side
3. Administer high-concentration oxygen
4. Administer the patients prescribed nitroglycerin - ANS -Administer high-concentration oxygen
\A car has crashed into a utility pole. The pole has cracked in half and an electrical wire has
fallen across the top of the car. Upon arrival, the EMT sees three apparently uninjured people in
the car. The EMT's first action should be to:
1. Set up flares around the area
2. Direct the car's occupants not to touch any metal in the car and do not attempt to get out
3. Remove the downed electrical wire with wooden implements
4. Notify the utility company of the downed electrical wires and request that the electrical current
to the area be turned off immediately - ANS -Direct the cars occupants not to touch any metal in
the car
\A characteristic of arterial bleeding is that it
1. Is dark maroon in color
2. Is the easiest of all types pf bleeding to control
3. Flows from the wound in distinct spurts
4. Clots very easily - ANS -Flows from the wound in distinct spurts
\A closed bone or joint injury is best defined as an injury
1. With associated muscle spasms or swelling around a joint
2. In which there is no break in the continuity of the skin
3. Of a long bone with skin discoloration over the affected area
4. With associated ligament involvement - ANS -In which there is no break in the continuity of
the skin
\A correct statement about skeletal muscles is that they
,1. Relax quickly and are voluntary
2. Line the walls of the abdominal organs
3. Contract quickly and are involuntary
4. Contract slowly and are involuntary - ANS -Relax quickly and are voluntary
\A correct statement concerning airway management of a patient who has a suspected spinal
cord injury is that
1. The cord injury takes precedence over the airway; the patient can be ventilated only if this be
done without moving the cord
2. The airway takes precedence over the cord injury; the airway must be opened regardless of
the damage it might do to the cord
3. There is no difference in management; in the presence of a cord injury, the airway is still
opened in the usual way.
4. Special techniques must be employed to open the airway without moving the cord - ANS
-Special techniques must be employed to open the airway without moving the cord
\A driver has crashed into a tree. In what order should you check for the signs of life-threatening
problems in this accident victim?
1. Pulse, respirations, Hemorrhage
2. Respirations, Hemorrhage, and pulse
3. Hemorrhage, Pulse, and Respirations
4. Respirations, Pulse, And hemorrhage - ANS -Respirations, Pulse, And hemorrhage
\A high school football player has received a hard direct blow to the abdomen. Which of the
following may indicate internal bleeding?
1. Profuse bleeding from the bowels, deep slow breathing, slow pulse
2. Weak rapid pulse, tenderness, guarding, or pain in the abdomen
3. Deep slow breathing, normal pulse, warm, dry skin
4. Warm dry skin, rapid pulse, nausea, deep regular breathing - ANS -weak rapid pulse,
tenderness, guarding, or pain in the abdomen
\A painful, swollen, deformed extremity is considered to be a high-priority injury when
A. The injury involves the hip
B. There is a loss of distal pulse
C. There is severe angulations of the joint
D. The patient is unconscious - ANS -There is a loss of distal pulse
\A patient tells you that he was thrown against the dashboard of the car and complains of chest
pain and shortness of breath. Vital Signs: BP: 96/60, P= 120, R= 22. He is cyanotic and has
great difficulty talking to you. The immediate treatment for this patient t should be to
1. Immobilize the injured area with sandbags
2. Administered oxygen via nasal cannula
, 3. Administer high-concentration oxygen
4. Assist him in taking his nitroglycerin pill - ANS -Administer High-Concentration Oxygen
\A patient was pulled from a house fire, and has burns involving arms, chest, and back. You
should FIRST:
A. Determine the percentage of burn area and apply moist dressing
B. Remove burned clothes that adhere to the skin
C. Assess for airway and respiratory distress
D. Cover the burn area with a sterile sheet and treat for shock - ANS -Assess for airway and
respiratory distress
\A patient who has abdominal pain should be assessed
1. Only by a patients physician
2. By deeply palpating the abdomen
3. By observing for guarding
4. By palpating for crepitation - ANS -By observing for guarding
\A patient with a clavicle injury may TYPICALLY exhibit which of the following?
1. Shortening of the injured arm
2. Lengthening of the injured arm
3. Dropped shoulder
4. Dropped wrist - ANS -Dropped shoulder
\A patient with a history of diabetes has an altered mental status due to a diabetic emergency.
The EMS Provider should
1. Administer a sugar concentrate, if there is no danger that the patient will aspirate
2. Encourage the patient to take an insulin solution orally, if there is no danger that the patient
will aspirate
3. Administer a sugar concentrate by mouth to an unconscious patient only
4. Defer all treatment and transport the patient to the hospital - ANS -Administer a sugar
concentrate, if there is no danger that the patient will aspirate
\A previously conscious patient with a partial airway obstruction starts to become unconscious,
and the patient's "crowing" noises have stopped. The EMT should
1. Continue to treat the patient as a partial airway obstruction patient
2. Treat the patient as a complete airway obstruction patient
3. Administer oxygen by a non-rebreather mask
4. Suction the patient's pharynx - ANS -Treat the patient as a complete airway obstruction
patient
\A stoma can be defined as
A 62 year-old male is complaining of difficulty breathing and left arm pain radiating to the right
jaw. Vital signs are: BP= 90/60, P= 120, R= 24. The patient should be administered:
1. Low-concentration O2, and Placed lying down
2. High-concentration O2, and positioned with legs raised
3. High-concentration O2, placed in position of comfort for ease of breathing
4. Low-concentration O2, Placed in position of comfort for ease of breathing - ANS
-High-concentration O2, placed in position of comfort for ease of breathing
\A 65-year-old male was involved in a two-car vehicle crash. Upon examination, he complains of
chest pain upon breathing and tenderness of the sternum. Your initial care would be to
1. Stabilize to sternum
2. Position the patient on his side
3. Administer high-concentration oxygen
4. Administer the patients prescribed nitroglycerin - ANS -Administer high-concentration oxygen
\A car has crashed into a utility pole. The pole has cracked in half and an electrical wire has
fallen across the top of the car. Upon arrival, the EMT sees three apparently uninjured people in
the car. The EMT's first action should be to:
1. Set up flares around the area
2. Direct the car's occupants not to touch any metal in the car and do not attempt to get out
3. Remove the downed electrical wire with wooden implements
4. Notify the utility company of the downed electrical wires and request that the electrical current
to the area be turned off immediately - ANS -Direct the cars occupants not to touch any metal in
the car
\A characteristic of arterial bleeding is that it
1. Is dark maroon in color
2. Is the easiest of all types pf bleeding to control
3. Flows from the wound in distinct spurts
4. Clots very easily - ANS -Flows from the wound in distinct spurts
\A closed bone or joint injury is best defined as an injury
1. With associated muscle spasms or swelling around a joint
2. In which there is no break in the continuity of the skin
3. Of a long bone with skin discoloration over the affected area
4. With associated ligament involvement - ANS -In which there is no break in the continuity of
the skin
\A correct statement about skeletal muscles is that they
,1. Relax quickly and are voluntary
2. Line the walls of the abdominal organs
3. Contract quickly and are involuntary
4. Contract slowly and are involuntary - ANS -Relax quickly and are voluntary
\A correct statement concerning airway management of a patient who has a suspected spinal
cord injury is that
1. The cord injury takes precedence over the airway; the patient can be ventilated only if this be
done without moving the cord
2. The airway takes precedence over the cord injury; the airway must be opened regardless of
the damage it might do to the cord
3. There is no difference in management; in the presence of a cord injury, the airway is still
opened in the usual way.
4. Special techniques must be employed to open the airway without moving the cord - ANS
-Special techniques must be employed to open the airway without moving the cord
\A driver has crashed into a tree. In what order should you check for the signs of life-threatening
problems in this accident victim?
1. Pulse, respirations, Hemorrhage
2. Respirations, Hemorrhage, and pulse
3. Hemorrhage, Pulse, and Respirations
4. Respirations, Pulse, And hemorrhage - ANS -Respirations, Pulse, And hemorrhage
\A high school football player has received a hard direct blow to the abdomen. Which of the
following may indicate internal bleeding?
1. Profuse bleeding from the bowels, deep slow breathing, slow pulse
2. Weak rapid pulse, tenderness, guarding, or pain in the abdomen
3. Deep slow breathing, normal pulse, warm, dry skin
4. Warm dry skin, rapid pulse, nausea, deep regular breathing - ANS -weak rapid pulse,
tenderness, guarding, or pain in the abdomen
\A painful, swollen, deformed extremity is considered to be a high-priority injury when
A. The injury involves the hip
B. There is a loss of distal pulse
C. There is severe angulations of the joint
D. The patient is unconscious - ANS -There is a loss of distal pulse
\A patient tells you that he was thrown against the dashboard of the car and complains of chest
pain and shortness of breath. Vital Signs: BP: 96/60, P= 120, R= 22. He is cyanotic and has
great difficulty talking to you. The immediate treatment for this patient t should be to
1. Immobilize the injured area with sandbags
2. Administered oxygen via nasal cannula
, 3. Administer high-concentration oxygen
4. Assist him in taking his nitroglycerin pill - ANS -Administer High-Concentration Oxygen
\A patient was pulled from a house fire, and has burns involving arms, chest, and back. You
should FIRST:
A. Determine the percentage of burn area and apply moist dressing
B. Remove burned clothes that adhere to the skin
C. Assess for airway and respiratory distress
D. Cover the burn area with a sterile sheet and treat for shock - ANS -Assess for airway and
respiratory distress
\A patient who has abdominal pain should be assessed
1. Only by a patients physician
2. By deeply palpating the abdomen
3. By observing for guarding
4. By palpating for crepitation - ANS -By observing for guarding
\A patient with a clavicle injury may TYPICALLY exhibit which of the following?
1. Shortening of the injured arm
2. Lengthening of the injured arm
3. Dropped shoulder
4. Dropped wrist - ANS -Dropped shoulder
\A patient with a history of diabetes has an altered mental status due to a diabetic emergency.
The EMS Provider should
1. Administer a sugar concentrate, if there is no danger that the patient will aspirate
2. Encourage the patient to take an insulin solution orally, if there is no danger that the patient
will aspirate
3. Administer a sugar concentrate by mouth to an unconscious patient only
4. Defer all treatment and transport the patient to the hospital - ANS -Administer a sugar
concentrate, if there is no danger that the patient will aspirate
\A previously conscious patient with a partial airway obstruction starts to become unconscious,
and the patient's "crowing" noises have stopped. The EMT should
1. Continue to treat the patient as a partial airway obstruction patient
2. Treat the patient as a complete airway obstruction patient
3. Administer oxygen by a non-rebreather mask
4. Suction the patient's pharynx - ANS -Treat the patient as a complete airway obstruction
patient
\A stoma can be defined as
