EMD 197 FINAL EXAM 2025 / (EVERYTHING
ON EMERGENCY MEDICAL DISPATCH
COVERED) EMD FINAL EXAM QUESTIONS
AND CORRECT ANSWERS/ VERIFIED
EDITION ALREADY GARDED A+
An 86-year-old female who has a history of emphysema complains of chest pain.
Her initial SpO2 was 92% on home
oxygen by nasal cannula, 3 L/minute. You administered oxygen by non-rebreather, 12 L/minute. Her SpO2 is
now 100%,
and her chest pain is resolved after aspirin and nitroglycerin administration. You should next: > ANSWER:
Switch to a simple face mask.
Which of the following prevents the over-inflation of the lungs during normal respiration? > ANSWER:
Stretch receptors.
Which of the following sounds indicates an upper airway obstruction in a child who is in respiratory distress?
> ANSWER: Stridor.
A 65-year-old male who has a history of congestive heart failure is slumped in a chair not responding to you.
His wife tells
you that his difficulty breathing started an hour ago and has been getting worse. He is tachypneic, and you
auscultate rales
in all fields. You should first: > ANSWER: Assist his ventilation.
Patients who have chronic bronchitis may have which of the following? > ANSWER: Persistent productive
cough, thickening of walls of bronchioles, excessive mucus production.
A 70-year-old male has difficulty breathing. When assessing him, which of the following should influence
your decision to
assist his ventilation with a BVM? > ANSWER: A decrease in his mental status.
You are assisting the ventilation of a 57-year-old female who is in respiratory failure. Her initial vital signs
were P 102, R32,
BP 142/84, and SpO2 was 88% on room air. After five minutes of assisted ventilation, her vital signs are P
96, R 18 assisted
with slight chest rise, BP 108/80, and SpO2 is 95% on oxygen 15 L/minute by BVM. You should: >
ANSWER: Decrease your ventilation rate.
,A 16-year-old female complains of a runny nose and a low-grade fever. She has a burst of rapid coughing
with an
inspiratory whooping sound. While she is coughing her skin becomes cyanotic.
After she stops coughing her skin color
returns to normal. You should suspect: > ANSWER: Pertussis.
What causes the prolonged expiratory phase of the respiratory cycle in a patient who is having an asthma
attack? > ANSWER: Bronchiole constriction.
A 64-year-old male is having an asthma attack. Which class of medication can help improve his alveolar
ventilation? > ANSWER: Beta2 Agonist.
,Which of the following respiratory conditions in children over 2 years old has similar lung sounds to an infant
who has
bronchiolitis? > ANSWER: Asthma
A 47-year-old male complains of difficulty breathing, and he cannot stop coughing.
His conjunctivae are pale and moist. He
has a 40 pack-year smoking history. You should first: > ANSWER: Administer oxygen.
A 77-year-old female complains of difficulty breathing. She tells you she has had a productive cough for
several years. You
auscultate coarse rhonchi in the bases of her lungs. You observe her mucous membranes are cyanotic. Her
vital signs are
P 96, R 26 and labored, BP 148/92, and SpO2 is 88% on home oxygen 3 L/minute by nasal cannula. You
should: > ANSWER: Administer oxygen by non-rebreather mask.
A febrile 69-year-old male complains of body aches and decreased appetite. He tells you he has had the flu
for a week.
His skin is cyanotic and diaphoretic. You auscultate rhonchi and decreased lung sounds over his left lower
lung. His vital
signs are P 102, R 26, BP 116/90, and SpO2 is 91% on room air. You should suspect: > ANSWER:
Pneumonia.
, Why can pulmonary embolisms cause a V/Q mismatch? > ANSWER: They block pulmonary arterial blood
flow.
Why would a 46-year-old male who inhaled steam from a malfunctioning boiler have stridor in his upper
airway and
wheezes in his lower airway? > ANSWER: Steam can burn both upper and lower airways causing edema.
An unresponsive 88-year-old male was found by nursing home staff having difficulty breathing. His skin is
pale and febrile.
You auscultate diminished lung sounds throughout his chest and faint rhonchi in his upper chest. His vital
signs are P 104,
R 26 and shallow, BP 112/86, and SpO2 is 89 % on room air. You should: > ANSWER: Assist his
ventilation.
A 70-year-old male who has a history of emphysema complains of difficulty breathing. He has four-word
dyspnea, and you
auscultate a slight wheeze in his lower lung fields. His vital signs are P 102, R 22, and BP 152/88. His SpO2
is 92% on
home oxygen 2 L/minute by nasal cannula attached to 100 feet of extension tubing. You should: > ANSWER:
Increase his home oxygen flow rate to 4 L/minute.
A 25-year-old female complains of difficulty breathing. She tells you she took her inhaler without relief. Her
mucous
membranes are pale. You auscultate decreased lung sounds in the bases and wheezes in her upper lungs. Her
vital signs
ON EMERGENCY MEDICAL DISPATCH
COVERED) EMD FINAL EXAM QUESTIONS
AND CORRECT ANSWERS/ VERIFIED
EDITION ALREADY GARDED A+
An 86-year-old female who has a history of emphysema complains of chest pain.
Her initial SpO2 was 92% on home
oxygen by nasal cannula, 3 L/minute. You administered oxygen by non-rebreather, 12 L/minute. Her SpO2 is
now 100%,
and her chest pain is resolved after aspirin and nitroglycerin administration. You should next: > ANSWER:
Switch to a simple face mask.
Which of the following prevents the over-inflation of the lungs during normal respiration? > ANSWER:
Stretch receptors.
Which of the following sounds indicates an upper airway obstruction in a child who is in respiratory distress?
> ANSWER: Stridor.
A 65-year-old male who has a history of congestive heart failure is slumped in a chair not responding to you.
His wife tells
you that his difficulty breathing started an hour ago and has been getting worse. He is tachypneic, and you
auscultate rales
in all fields. You should first: > ANSWER: Assist his ventilation.
Patients who have chronic bronchitis may have which of the following? > ANSWER: Persistent productive
cough, thickening of walls of bronchioles, excessive mucus production.
A 70-year-old male has difficulty breathing. When assessing him, which of the following should influence
your decision to
assist his ventilation with a BVM? > ANSWER: A decrease in his mental status.
You are assisting the ventilation of a 57-year-old female who is in respiratory failure. Her initial vital signs
were P 102, R32,
BP 142/84, and SpO2 was 88% on room air. After five minutes of assisted ventilation, her vital signs are P
96, R 18 assisted
with slight chest rise, BP 108/80, and SpO2 is 95% on oxygen 15 L/minute by BVM. You should: >
ANSWER: Decrease your ventilation rate.
,A 16-year-old female complains of a runny nose and a low-grade fever. She has a burst of rapid coughing
with an
inspiratory whooping sound. While she is coughing her skin becomes cyanotic.
After she stops coughing her skin color
returns to normal. You should suspect: > ANSWER: Pertussis.
What causes the prolonged expiratory phase of the respiratory cycle in a patient who is having an asthma
attack? > ANSWER: Bronchiole constriction.
A 64-year-old male is having an asthma attack. Which class of medication can help improve his alveolar
ventilation? > ANSWER: Beta2 Agonist.
,Which of the following respiratory conditions in children over 2 years old has similar lung sounds to an infant
who has
bronchiolitis? > ANSWER: Asthma
A 47-year-old male complains of difficulty breathing, and he cannot stop coughing.
His conjunctivae are pale and moist. He
has a 40 pack-year smoking history. You should first: > ANSWER: Administer oxygen.
A 77-year-old female complains of difficulty breathing. She tells you she has had a productive cough for
several years. You
auscultate coarse rhonchi in the bases of her lungs. You observe her mucous membranes are cyanotic. Her
vital signs are
P 96, R 26 and labored, BP 148/92, and SpO2 is 88% on home oxygen 3 L/minute by nasal cannula. You
should: > ANSWER: Administer oxygen by non-rebreather mask.
A febrile 69-year-old male complains of body aches and decreased appetite. He tells you he has had the flu
for a week.
His skin is cyanotic and diaphoretic. You auscultate rhonchi and decreased lung sounds over his left lower
lung. His vital
signs are P 102, R 26, BP 116/90, and SpO2 is 91% on room air. You should suspect: > ANSWER:
Pneumonia.
, Why can pulmonary embolisms cause a V/Q mismatch? > ANSWER: They block pulmonary arterial blood
flow.
Why would a 46-year-old male who inhaled steam from a malfunctioning boiler have stridor in his upper
airway and
wheezes in his lower airway? > ANSWER: Steam can burn both upper and lower airways causing edema.
An unresponsive 88-year-old male was found by nursing home staff having difficulty breathing. His skin is
pale and febrile.
You auscultate diminished lung sounds throughout his chest and faint rhonchi in his upper chest. His vital
signs are P 104,
R 26 and shallow, BP 112/86, and SpO2 is 89 % on room air. You should: > ANSWER: Assist his
ventilation.
A 70-year-old male who has a history of emphysema complains of difficulty breathing. He has four-word
dyspnea, and you
auscultate a slight wheeze in his lower lung fields. His vital signs are P 102, R 22, and BP 152/88. His SpO2
is 92% on
home oxygen 2 L/minute by nasal cannula attached to 100 feet of extension tubing. You should: > ANSWER:
Increase his home oxygen flow rate to 4 L/minute.
A 25-year-old female complains of difficulty breathing. She tells you she took her inhaler without relief. Her
mucous
membranes are pale. You auscultate decreased lung sounds in the bases and wheezes in her upper lungs. Her
vital signs
