New York State EMT-B Written Review Exam with Solutions

NYS EMT-B WRITTEN b b




REVIEW TEST WITH b b b




COMPLETE SOLUTIONS
b b




An bEMS bProvider bresponds bto ba bcall band bfinds ban b8- byr bold bfemale bwith bno
b b b b b b b b b b b b b b b




bpulse bor brespirations. bThe bpatient bhas ba bhistory bof bterminal bbrain bcancer. bThe
b b b b b b b b b b b b b




bfamily bstates bthe blast btime bshe bas bseen balive bwas b5 bmins bprior bto bEMS bbeing
b b b b b b b b b b b b b b b b




bcalled. bThey balso bstate bpatient bhas ba bDNR boder. bIn bNYS, bEMS bpersonnel bmay
b b b b b b b b b b b b b b




baccept bwhich bof bthe bfollowing bDNR binstruments bas bvalid? b- bcorrect banswer-
b b b b b b b b b b b b




Written bout-of-hospital bDNR
b b




Implied bConsent bexists bwhen ba bpatient bis bsuffering bfrom ba blife-threatening binjury
b b b b b b b b b b b




bor billness band bis: b- bcorrect banswer-unconscious
b b b b b b b




The bopposite bof bdistal bis b- bcorrect banswer-Proximal
b b b b b b b




The bchamber bof bthe bheart bthat bis bmost bmuscular band bthat bpumps bthe bmost
b b b b b b b b b b b b b




bblood binto bthe baorta bis bthe b- bcorrect banswer-LEFT bVENTRICLE
b b b b b b b b b b




In bcorrect bsequence
b b

,(VERTEBRAE bSECTIONS) b- bcorrect banswer-cervical, bthoracic, blumbar, bsacral, b b b b b b b




band bcoccygeal
b b




**The bpurpose bof bthe bfirst bset bof bvital bsigns bis bto: b- bcorrect banswer-establish ba
b b b b b b b b b b b b b b




bbaseline bfor badditional bevaluations
b b b b




When byou btake bthe bpulse bof ba bpatient, byou bare breally b- bcorrect banswer-counting
b b b b b b b b b b b b b




bthe bpressure bwaves bof bblood bthat bthe bheart bsends bthrough ban bartery
b b b b b b b b b b b b




In bpeople bwhose bskin bis bdarkly bpigmeneted, bcyanosis bis bBEST bseen bby
b b b b b b b b b b b




bobserving b- bcorrect banswer-under bthe btongue
b b b b b b




You bare btreating ban balert b35-year bold btrauma bpatient. bYou bpalpate ba bstrong
b b b b b b b b b b b b




bradial bpulse bof b100. bYour bpartner bhas btaken bthe bpatient's bblood bpressure band
b b b b b b b b b b b b b




badvised byou bthat bit bis b68/32. bYou bshould: b- bcorrect banswer-a- bsuspect bthe
b b b b b b b b b b b b b




baccuracy bof bthe bpressure breading band breevaluate bit byourself
b b b b b b b b b




**A bcorrect bstatement babout bdiastolic bblood bpressure bis bthat bit bis bthe bpressure b-
b b b b b b b b b b b b b




bcorrect banswer-a-exists bwhen bthe bheart's bleft bventricle bis brefilling
b b b b b b b b b




(OR bheart b




Which bof bthe bfollowing bis ban bexample bof ba bsymptom?
b b b b b b b b b




-Cyanosis
-Chest bpain b




-Dilated bpupils b




-Low bBP b- bcorrect banswer-CHEST bPAIN
b b b b b




For ba bpatient bwith ba bsuspected blumbar bspinal binjury, bthe bBEST bdevice bfor
b b b b b b b b b b b b




bmoving bthe bpatient bas ba bsingle bunit bover buneven bterrain bis bthe:
b b b b b b b b b b b b




-wheeled bstretcher b




-long bspine bboard b b




-flexible bstretcher b




-short bspine bboard b- bcorrect banswer-*fleixble bstretcher?
b b b b b b




Which bof bthe bfollowing bis bthe bbest bindicator bof bthe bquality bof bventilations
b b b b b b b b b b b b




-chest bexpansion b




-pupil bsize b




-blood bpressure b




-skin bcolor b- bcorrect banswer-CHEST bEXPANSION
b b b b b




Unless badditional bsuctioning btime bis bnecessary bto bclear bthe bairway, ban badult
b b b b b b b b b b b




bpatient bshould bbe bsuctioned bfor bNO bLONGER bTHAN b- bcorrect banswer-15
b b b b b b b b b b b




bseconds
b




**During bsingle-rescuer bCPR, bwhich bof bthe bfollowing bventilation bdevices bwould
b b b b b b b b b




bbe bMOST beffective bfor bventilating ba bpatient
b b b b b b b




- bNRB
b




- bPocket bmask bw/ boxygen
b b b b




- bFlow-restricted, boxygen-powered bventilation bdevice b(FROPVD)
b b b b b




- bBVM bw/o boxygen b- bcorrect banswer-BVM bw/o boxygen
b b b b b b b b

, **While bperforming bventilations bon ban binfant bor bchild bin brespiratory barrest, byou
b b b b b b b b b b b




bshould bventilate bevery b- bcorrect banswer-3-5 bseconds
b b b b b b b




**The boropharyngeal bairway bwill bhelp bkeep bthe btongue baway bfrom bthe b- bcorrect
b b b b b b b b b b b b




banswer-epiglottis
b




You bare bcalled bto bthe bhome bof ba bpatient bwho bis bon bphysician bprescribed blow-
b b b b b b b b b b b b b b




concentration boxygen band bwho bis bNOT bin bacute brespiratory bdistress. bWhich btype b b b b b b b b b b b




bof boxygen bdelivery bdevice bshould byou buse bduring btransport?
b b b b b b b b b




- bNRB
b




- bFlow-restricted, boxygen-powered bventilation bdevice b(FROPVD)
b b b b b




- bBVM bw/ bsupplemental boxgyen
b b b b




- bNasal bcannula b- bcorrect banswer-Non-rebreathing bmask
b b b b b b




**An bEMS bprovider bis btreating ba bpatient bwho bhas ba bhead binjury bresulting bfrom ba
b b b b b b b b b b b b b b




bblow bby ba bbaseball bbat. bWhat bother bproblem bare blikely bto bbe bpresent?
b b b b b b b b b b b b b




- bHypothermia
b




- bHypertensive bshock bdue bto bblood bloss
b b b b b b




- bSpinal binjuries
b b




- bLung bcollapse b- bcorrect banswer-Spinal binjuries
b b b b b b




In ba bHEALTHY bperson, brespiration bis bcontrolled bby blevel
b b b b b b b b




- bcarbon bdioxide
b b




- bblood bsugar
b b




- boxygen
b




- bcarbon bmonoxide b- bcorrect banswer-carbon bdioxide
b b b b b b




- bnormal bstimulus bto bbreathe: bHIGH bCO2
b b b b b b




could bbe boxygen bif btalking bab bprocess bof brepsiration
b b b b b b b b




In bconducting bthe bPrimary bAssessment bof ba bconscious bpatient, bthe bEMS
b b b b b b b b b b




bprovider bmust battend bto bthe bpatient's bemergency bneeds bin bthe border bof: b-
b b b b b b b b b b b b b




bcorrect banswer-Respiration, bPulse, bBleeding
b b b b




A bpatient bwith bacute brespiratory bdistress brequiring boxygen btherapy bis bLEAST
b b b b b b b b b b




blikely bto bexhibit:
b b b




- ba bslow bpulse brate
b b b b




- banxiety
b




- bnasal bflaring
b b




- bintercostal bmuscle bretractions b- bcorrect banswer-a bslow bpulse brate
b b b b b b b b b




After byou bhave bdetermined bthat bthe bscene bis bsafe, bthe bFIRST bstep bin bcaring bfor
b b b b b b b b b b b b b b




ba bpatient bis bto:
b b b b




- bcheck bfor ba bcarotid bpulse
b b b b b




- bopen bthe bairway
b b b




- bdetermine bunresponsiveness
b b




- bcheck bfor bbreathing b- bcorrect banswer-Determine bunresponsiveness
b b b b b b b




(GEN bIMP, bLOC, bCC) b b b