EMT Intermediate Final Exam Questions d d d d d
With Verified Solutions d d
You respond to a nursing home's call regarding an older patient who fell. During your
d d d d d d d d d d d d d d d
assessment, you note injuries that are not consistent with the mechanism described. You
d d d d d d d d d d d d d
should: - d d
transport the patient and report your suspicions
d d d d d d d d d d d d d d d
When treating an anxious and uncooperative patient with chest pain, you state, "If you don't
d d d d d d d d d d d d d d d
settle down, I am going to put a large IV in your arm." What is this an example of? -
d d d d d d d d d d d d d d d d d d d d
Assault
d d d d d d d d d
You respond to a call for an 16-year-old boy who injured his arm. As you are assessing the
d d d d d d d d d d d d d d d d d d
child, he tells you that he does not want you to touch him. His mother tells you to begin
d d d d d d d d d d d d d d d d d d d
treatment and transport the child to the hospital if necessary. What should you do? -
d d d d d d d d d d d d d d d
Continue your assessment and transport if necessary
d d d d d d d d d d d d d d d
The concept of standard precautions assumes that: -
d d d d d d d d
every patient is potentially infected or can spread an organism that could be transmitted
d d d d d d d d d d d d d d d d d d d d d d d
in the health care setting
d d d d
After several years in EMS, you begin to experience chronic stress. An effective way to deal
d d d d d d d d d d d d d d d d
with this is to: -
d d d d d
sustain friends or activities outside of EMS
d d d d d d d d d d d d d d d
You respond to a call for an older woman who has fallen. Upon arrival at the scene, you
d d d d d d d d d d d d d d d d d d
assess the patient, who is responsive and alert to person, place, time, and event. She states
d d d d d d d d d d d d d d d d
that she does not want to go to the hospital; however, her son requests that you take her. What
d d d d d d d d d d d d d d d d d d
dshould you do? - d d d d
Ensure the patient is fully aware of the consequences of refusing treatment
d d d d d d d d d d d d d d d d d d d d
A self-motivated AEMT should be able to: -
d d d d d d d d
discover problems and solve them without someone else's direction
d d d d d d d d d d d d d d d d d
Which of the following is NOT a typical warning sign of stress? -
d d d d d d d d d d d d d
Increased appetite
d d d d d d d d d d
Physical signs that indicate an emotionally disturbed patient may become violent include all
d d d d d d d d d d d d d
of the following, EXCEPT: -
d d d d d
large physical stature
d d d d d d d d d d d
Which of the following statements regarding HIV is correct? -
d d d d d d d d d d
HIV cannot enter the bloodstream through intact skin
d d d d d d d d d d d d d d d d
Which of the following foods provides the safest, most reliable source for long-term energy
d d d d d d d d d d d d d d
production? - d d
1|Page
,d d d d d d d d d Pasta
Under which of the following situations would the AEMT NOT have a legal duty to act? -
d d d d d d d d d d d d d d d d d
You are off duty and encounter a man in cardiac arrest
d d d d d d d d d d d d d d d d d d d
Continuous quality improvement (CQI) involves all of the following components, EXCEPT:
d d d d d d d d d d d
- d
negative feedback to those who make mistakes while on a call
d d d d d d d d d d d d d d d d d d d
All of the following are roles and responsibilities of the AEMT, EXCEPT: -
d d d d d d d d d d d d d
providing definitive care for the patient's condition
d d d d d d d d d d d d d d d
You arrive at the scene of an overturned semi-trailer truck. There is an odd odor in the air and
d d d d d d d d d d d d d d d d d d
you can see material leaking from the truck. After ensuring that fire department and law
d d d d d d d d d d d d d d d d
enforcement personnel are notified, you should: - d d d d d d d
use binoculars to try to read the placard
d d d d d d d d d d d d d d d d
The function of the National Registry of EMTs is to: -
d d d d d d d d d d d
assess competence through a valid testing process
d d d d d d d d d d d d d d d
You have just established an IV on a critically injured patient. As you prepare to dispose of
d d d d d d d d d d d d d d d d d
the needle in the appropriate container, you get stuck with the needle. You should: -
d d d d d d d d d d d d d d d
report the incident to your supervisor as soon as possible
d d d d d d d d d d d d d d d d d d
En route to the hospital, a diabetic patient regains partial consciousness. He tells you that he
d d d d d d d d d d d d d d d d
feels fine and that he does not want to go to the hospital. Under these circumstances, you
d d d d d d d d d d d d d d d d d
should: - d d
assess whether the patient's mental condition is impaired
d d d d d d d d d d d d d d d d
For consent to be informed, the AEMT must: -
d d d d d d d d d
explain the risks and benefits of treatment
d d d d d d d d d d d d d d d
An AEMT administers 1,000 mL of IV fluid to a patient with severe pulmonary edema and a
d d d d d d d d d d d d d d d d d
stable blood pressure. The patient then develops profound respiratory distress and becomes
d d d d d d d d d d d d
apneic. What is this situation an example of? - d d d d d d d d d
Gross negligence
d d d d d d d d d d
While triaging patients at a multiple-casualty incident, you encounter a 40-year-old female
d d d d d d d d d d d d
with an obvious fracture of her right forearm and multiple abrasions to her face and arms. She
d d d d d d d d d d d d d d d d
is responsive and alert and does not appear to have any airway or breathing problems. You
d d d d d d d d d d d d d d d d d
note that she is wearing an organ donor bracelet. You should: -
d d d d d d d d d d d d
assign her an appropriate triage category and move to the next patient
d d d d d d d d d d d d d d d d d d d d
Which of the following defines your scope of practice within your local response area? -
d d d d d d d d d d d d d d d
Local protocols and standing orders
d d d d d d d d d d d d d
A direct relationship between a patient's injury and the AEMT's actions or inactions is called:
d d d d d d d d d d d d d d d
- d
proximate cause
d d d d d d d d d d
2|Page
,Which of the following patients has the legal right to refuse treatment? -
d d d d d d d d d d d d d
Responsive and alert 45-year-old male with chest pressure
d d d d d d d d d d d d d d d d
Molecules that bind to a cell's receptor and trigger a response by that cell are called: -
d d d d d d d d d d d d d d d d d
agonists
d d d d d d d d d
The olfactory nerve (cranial nerve I) is responsible for: -
d d d d d d d d d d
smell
d d d d d d d d d
The semilunar valves of the heart function by: -
d d d d d d d d d
preventing backflow of blood into the ventricles
d d d d d d d d d d d d d d d
Which two pairs of cranial nerves do NOT exit from the brainstem? -
d d d d d d d d d d d d d
Optic and olfactory
d d d d d d d d d d d
The __________ nerve innervates the muscles that cause motion of the eyeballs and upper lid
d d d d d d d d d d d d d d
-
d d
oculomotor
d d d d d d d d d
Which of the following is NOT a lymphatic organ? -
d d d d d d d d d d
Liver
d d d d d d d d d
The primary waste product of metabolism is: -
d d d d d d d d
carbon dioxide
d d d d d d d d d d
To prevent the tissues from becoming edematous, the __________ system must absorb
d d d d d d d d d d d d
excess fluid and return it to the central venous circulation -
d d d d d d d d d d d
lymphatic
d d d d d d d d d
The myocardium is the only muscle that can generate its own electrical impulses. This
d d d d d d d d d d d d d d
process is called: - d d d d
automaticity
d d d d d d d d d
The chemical neurotransmitter of the parasympathetic nervous system is: -
d d d d d d d d d d
acetylcholine
d d d d d d d d d
In the pregnant patient, the secretion of oxytocin causes: -
d d d d d d d d d d
uterine smooth muscle contraction
d d d d d d d d d d d d
The aorta divides into the two common iliac arteries at the level of the: -
d d d d d d d d d d d d d d d
fifth lumbar vertebra
d d d d d d d d d d d
The most common solvent in the body, in which solutes or other substances will dissolve, is:
d d d d d d d d d d d d d d d d
- d
water
d d d d d d d d d
How many milliliters per kilogram (mL/kg) of blood are contained within the average adult
d d d d d d d d d d d d d d
male's body? - d d d
70
d d d d d d d d d
3|Page
, With regard to the heart, ejection fraction is defined as the: -
d d d d d d d d d d d d
percentage of blood ejected from the heart
d d d d d d d d d d d d d d d
Afterload is defined as the: - d d d d d d
degree of pressure against which the left ventricle pumps
d d d d d d d d d d d d d d d d d
What part of the brain regulates a person's level of consciousness? -
d d d d d d d d d d d d
Reticular activating system
d d d d d d d d d d d
The movement of a substance against a concentration or gradient, such as the cell membrane,
d d d d d d d d d d d d d d d
is called: -
d d d
active transport
d d d d d d d d d d
Which layer of the heart would be penetrated during an emergent medical procedure in order
d d d d d d d d d d d d d d d
to remove fluid? -
d d d d
Pericardium
d d d d d d d d d
What is the cardiac output of a person with a stroke volume of 60 mL and a heart rate of 90
d d d d d d d d d d d d d d d d d d d d d
beats/min? - d d
5.4 L
d d d d d d d d d d
The thick fibrous sac that surrounds the heart is called the: -
d d d d d d d d d d d d
pericardium
d d d d d d d d d
During an allergic reaction, basophils release histamines and heparin. What respective roles
d d d d d d d d d d d d
do these chemicals play? -
d d d d d
Increase tissue inflammation and inhibit blood clotting
d d d d d d d d d d d d d d d
The sebaceous glands of the skin secrete sebum, which: -
d d d d d d d d d d
keeps the skin soft and prevents cracking
d d d d d d d d d d d d d d d
Stimulation of alpha receptors of the sympathetic nervous system result in: -
d d d d d d d d d d d d
peripheral vasoconstriction
d d d d d d d d d d
During an infection, white blood cells consume bacteria and foreign particles. This process is
d d d d d d d d d d d d d d
called: - d d
phagocytosis
d d d d d d d d d
The point where the first cervical vertebra (C1) articulates with the base of the skull is called
d d d d d d d d d d d d d d d d d
the: - d d
atlanto-occipital joint
d d d d d d d d d d
After the aorta arises from the left ventricle, it first: -
d d d d d d d d d d d
ascends and branches into the coronary arteries
d d d d d d d d d d d d d d d
Nonfunctional erythrocytes are destroyed in the spleen by cells called: - d d d d d d d d d d d
macrophages
d d d d d d d d d
A patient was struck in the right lower anterior chest with a baseball bat. In addition to
d d d d d d d d d d d d d d d d d
fractured ribs, you should be suspicious of injury to the: -
d d d d d d d d d d d
4|Page
With Verified Solutions d d
You respond to a nursing home's call regarding an older patient who fell. During your
d d d d d d d d d d d d d d d
assessment, you note injuries that are not consistent with the mechanism described. You
d d d d d d d d d d d d d
should: - d d
transport the patient and report your suspicions
d d d d d d d d d d d d d d d
When treating an anxious and uncooperative patient with chest pain, you state, "If you don't
d d d d d d d d d d d d d d d
settle down, I am going to put a large IV in your arm." What is this an example of? -
d d d d d d d d d d d d d d d d d d d d
Assault
d d d d d d d d d
You respond to a call for an 16-year-old boy who injured his arm. As you are assessing the
d d d d d d d d d d d d d d d d d d
child, he tells you that he does not want you to touch him. His mother tells you to begin
d d d d d d d d d d d d d d d d d d d
treatment and transport the child to the hospital if necessary. What should you do? -
d d d d d d d d d d d d d d d
Continue your assessment and transport if necessary
d d d d d d d d d d d d d d d
The concept of standard precautions assumes that: -
d d d d d d d d
every patient is potentially infected or can spread an organism that could be transmitted
d d d d d d d d d d d d d d d d d d d d d d d
in the health care setting
d d d d
After several years in EMS, you begin to experience chronic stress. An effective way to deal
d d d d d d d d d d d d d d d d
with this is to: -
d d d d d
sustain friends or activities outside of EMS
d d d d d d d d d d d d d d d
You respond to a call for an older woman who has fallen. Upon arrival at the scene, you
d d d d d d d d d d d d d d d d d d
assess the patient, who is responsive and alert to person, place, time, and event. She states
d d d d d d d d d d d d d d d d
that she does not want to go to the hospital; however, her son requests that you take her. What
d d d d d d d d d d d d d d d d d d
dshould you do? - d d d d
Ensure the patient is fully aware of the consequences of refusing treatment
d d d d d d d d d d d d d d d d d d d d
A self-motivated AEMT should be able to: -
d d d d d d d d
discover problems and solve them without someone else's direction
d d d d d d d d d d d d d d d d d
Which of the following is NOT a typical warning sign of stress? -
d d d d d d d d d d d d d
Increased appetite
d d d d d d d d d d
Physical signs that indicate an emotionally disturbed patient may become violent include all
d d d d d d d d d d d d d
of the following, EXCEPT: -
d d d d d
large physical stature
d d d d d d d d d d d
Which of the following statements regarding HIV is correct? -
d d d d d d d d d d
HIV cannot enter the bloodstream through intact skin
d d d d d d d d d d d d d d d d
Which of the following foods provides the safest, most reliable source for long-term energy
d d d d d d d d d d d d d d
production? - d d
1|Page
,d d d d d d d d d Pasta
Under which of the following situations would the AEMT NOT have a legal duty to act? -
d d d d d d d d d d d d d d d d d
You are off duty and encounter a man in cardiac arrest
d d d d d d d d d d d d d d d d d d d
Continuous quality improvement (CQI) involves all of the following components, EXCEPT:
d d d d d d d d d d d
- d
negative feedback to those who make mistakes while on a call
d d d d d d d d d d d d d d d d d d d
All of the following are roles and responsibilities of the AEMT, EXCEPT: -
d d d d d d d d d d d d d
providing definitive care for the patient's condition
d d d d d d d d d d d d d d d
You arrive at the scene of an overturned semi-trailer truck. There is an odd odor in the air and
d d d d d d d d d d d d d d d d d d
you can see material leaking from the truck. After ensuring that fire department and law
d d d d d d d d d d d d d d d d
enforcement personnel are notified, you should: - d d d d d d d
use binoculars to try to read the placard
d d d d d d d d d d d d d d d d
The function of the National Registry of EMTs is to: -
d d d d d d d d d d d
assess competence through a valid testing process
d d d d d d d d d d d d d d d
You have just established an IV on a critically injured patient. As you prepare to dispose of
d d d d d d d d d d d d d d d d d
the needle in the appropriate container, you get stuck with the needle. You should: -
d d d d d d d d d d d d d d d
report the incident to your supervisor as soon as possible
d d d d d d d d d d d d d d d d d d
En route to the hospital, a diabetic patient regains partial consciousness. He tells you that he
d d d d d d d d d d d d d d d d
feels fine and that he does not want to go to the hospital. Under these circumstances, you
d d d d d d d d d d d d d d d d d
should: - d d
assess whether the patient's mental condition is impaired
d d d d d d d d d d d d d d d d
For consent to be informed, the AEMT must: -
d d d d d d d d d
explain the risks and benefits of treatment
d d d d d d d d d d d d d d d
An AEMT administers 1,000 mL of IV fluid to a patient with severe pulmonary edema and a
d d d d d d d d d d d d d d d d d
stable blood pressure. The patient then develops profound respiratory distress and becomes
d d d d d d d d d d d d
apneic. What is this situation an example of? - d d d d d d d d d
Gross negligence
d d d d d d d d d d
While triaging patients at a multiple-casualty incident, you encounter a 40-year-old female
d d d d d d d d d d d d
with an obvious fracture of her right forearm and multiple abrasions to her face and arms. She
d d d d d d d d d d d d d d d d
is responsive and alert and does not appear to have any airway or breathing problems. You
d d d d d d d d d d d d d d d d d
note that she is wearing an organ donor bracelet. You should: -
d d d d d d d d d d d d
assign her an appropriate triage category and move to the next patient
d d d d d d d d d d d d d d d d d d d d
Which of the following defines your scope of practice within your local response area? -
d d d d d d d d d d d d d d d
Local protocols and standing orders
d d d d d d d d d d d d d
A direct relationship between a patient's injury and the AEMT's actions or inactions is called:
d d d d d d d d d d d d d d d
- d
proximate cause
d d d d d d d d d d
2|Page
,Which of the following patients has the legal right to refuse treatment? -
d d d d d d d d d d d d d
Responsive and alert 45-year-old male with chest pressure
d d d d d d d d d d d d d d d d
Molecules that bind to a cell's receptor and trigger a response by that cell are called: -
d d d d d d d d d d d d d d d d d
agonists
d d d d d d d d d
The olfactory nerve (cranial nerve I) is responsible for: -
d d d d d d d d d d
smell
d d d d d d d d d
The semilunar valves of the heart function by: -
d d d d d d d d d
preventing backflow of blood into the ventricles
d d d d d d d d d d d d d d d
Which two pairs of cranial nerves do NOT exit from the brainstem? -
d d d d d d d d d d d d d
Optic and olfactory
d d d d d d d d d d d
The __________ nerve innervates the muscles that cause motion of the eyeballs and upper lid
d d d d d d d d d d d d d d
-
d d
oculomotor
d d d d d d d d d
Which of the following is NOT a lymphatic organ? -
d d d d d d d d d d
Liver
d d d d d d d d d
The primary waste product of metabolism is: -
d d d d d d d d
carbon dioxide
d d d d d d d d d d
To prevent the tissues from becoming edematous, the __________ system must absorb
d d d d d d d d d d d d
excess fluid and return it to the central venous circulation -
d d d d d d d d d d d
lymphatic
d d d d d d d d d
The myocardium is the only muscle that can generate its own electrical impulses. This
d d d d d d d d d d d d d d
process is called: - d d d d
automaticity
d d d d d d d d d
The chemical neurotransmitter of the parasympathetic nervous system is: -
d d d d d d d d d d
acetylcholine
d d d d d d d d d
In the pregnant patient, the secretion of oxytocin causes: -
d d d d d d d d d d
uterine smooth muscle contraction
d d d d d d d d d d d d
The aorta divides into the two common iliac arteries at the level of the: -
d d d d d d d d d d d d d d d
fifth lumbar vertebra
d d d d d d d d d d d
The most common solvent in the body, in which solutes or other substances will dissolve, is:
d d d d d d d d d d d d d d d d
- d
water
d d d d d d d d d
How many milliliters per kilogram (mL/kg) of blood are contained within the average adult
d d d d d d d d d d d d d d
male's body? - d d d
70
d d d d d d d d d
3|Page
, With regard to the heart, ejection fraction is defined as the: -
d d d d d d d d d d d d
percentage of blood ejected from the heart
d d d d d d d d d d d d d d d
Afterload is defined as the: - d d d d d d
degree of pressure against which the left ventricle pumps
d d d d d d d d d d d d d d d d d
What part of the brain regulates a person's level of consciousness? -
d d d d d d d d d d d d
Reticular activating system
d d d d d d d d d d d
The movement of a substance against a concentration or gradient, such as the cell membrane,
d d d d d d d d d d d d d d d
is called: -
d d d
active transport
d d d d d d d d d d
Which layer of the heart would be penetrated during an emergent medical procedure in order
d d d d d d d d d d d d d d d
to remove fluid? -
d d d d
Pericardium
d d d d d d d d d
What is the cardiac output of a person with a stroke volume of 60 mL and a heart rate of 90
d d d d d d d d d d d d d d d d d d d d d
beats/min? - d d
5.4 L
d d d d d d d d d d
The thick fibrous sac that surrounds the heart is called the: -
d d d d d d d d d d d d
pericardium
d d d d d d d d d
During an allergic reaction, basophils release histamines and heparin. What respective roles
d d d d d d d d d d d d
do these chemicals play? -
d d d d d
Increase tissue inflammation and inhibit blood clotting
d d d d d d d d d d d d d d d
The sebaceous glands of the skin secrete sebum, which: -
d d d d d d d d d d
keeps the skin soft and prevents cracking
d d d d d d d d d d d d d d d
Stimulation of alpha receptors of the sympathetic nervous system result in: -
d d d d d d d d d d d d
peripheral vasoconstriction
d d d d d d d d d d
During an infection, white blood cells consume bacteria and foreign particles. This process is
d d d d d d d d d d d d d d
called: - d d
phagocytosis
d d d d d d d d d
The point where the first cervical vertebra (C1) articulates with the base of the skull is called
d d d d d d d d d d d d d d d d d
the: - d d
atlanto-occipital joint
d d d d d d d d d d
After the aorta arises from the left ventricle, it first: -
d d d d d d d d d d d
ascends and branches into the coronary arteries
d d d d d d d d d d d d d d d
Nonfunctional erythrocytes are destroyed in the spleen by cells called: - d d d d d d d d d d d
macrophages
d d d d d d d d d
A patient was struck in the right lower anterior chest with a baseball bat. In addition to
d d d d d d d d d d d d d d d d d
fractured ribs, you should be suspicious of injury to the: -
d d d d d d d d d d d
4|Page
