MARYLAND Emergency Medical Technician (EMT)
EXAM 2026/2027 COMPLETE ACCURATE EXAM
QUESTIONS WITH WELL ELABORATED ANSWERS
AND RATIONALES (100% CORRECT VERIFIED
SOLUTIONS)
1. What is the first step in patient assessment?
A. Secondary survey
B. Scene size-up
C. Vital signs
D. History taking
Answer: B. Scene size-up
Rationale: Ensures scene safety and identifies hazards before patient contact.
2. What is the primary purpose of the primary assessment?
A. Identify life-threatening conditions
B. Take detailed history
C. Document findings
D. Assess pain
Answer: A. Identify life-threatening conditions
Rationale: Rapid assessment ensures immediate intervention for airway, breathing,
circulation.
3. Which airway adjunct is used in unconscious patients with intact gag reflex?
A. Oropharyngeal airway
B. Nasopharyngeal airway
C. Endotracheal tube
D. Laryngeal mask
Answer: B. Nasopharyngeal airway
Rationale: Can be inserted safely without triggering gag reflex.
4. Which is the correct compression-to-ventilation ratio for adult CPR with two rescuers?
A. 30:2
, B. 15:2
C. 30:1
D. 15:1
Answer: A. 30:2
Rationale: Standard guideline for effective chest compressions and ventilations.
5. What is the normal adult respiratory rate?
A. 12–20 breaths per minute
B. 8–10
C. 20–30
D. 25–35
Answer: A. 12–20 breaths per minute
Rationale: Standard range indicating adequate ventilation in adults.
6. Which is the first step in managing a choking adult who is conscious?
A. Abdominal thrusts (Heimlich maneuver)
B. Back blows
C. CPR
D. Finger sweep
Answer: A. Abdominal thrusts (Heimlich maneuver)
Rationale: Dislodges obstruction and restores airway patency.
7. What is the normal systolic blood pressure range for an adult?
A. 90–120 mmHg
B. 70–90
C. 120–140
D. 80–100
Answer: A. 90–120 mmHg
Rationale: Ensures adequate perfusion without hypertension.
8. Which of the following indicates shock?
A. Cool, clammy skin and rapid pulse
B. Warm, dry skin
, C. Slow pulse
D. Normal vitals
Answer: A. Cool, clammy skin and rapid pulse
Rationale: Compensatory mechanism to maintain perfusion during hypoperfusion.
9. What is the proper position for a patient with suspected shock?
A. Supine with legs elevated
B. Sitting upright
C. Prone
D. Standing
Answer: A. Supine with legs elevated
Rationale: Promotes blood flow to vital organs.
10. Which type of burn affects only the epidermis?
A. First-degree burn
B. Second-degree burn
C. Third-degree burn
D. Fourth-degree burn
Answer: A. First-degree burn
Rationale: Redness and pain occur without blistering or full-thickness damage.
11. Which is the correct action for a patient with suspected spinal injury?
A. Manual inline stabilization
B. Rapid movement
C. Place pillow under head
D. Apply traction
Answer: A. Manual inline stabilization
Rationale: Prevents further spinal cord injury during assessment and transport.
12. What is the primary goal when treating external bleeding?
A. Control hemorrhage
B. Reduce pain
C. Provide oxygen
D. Immobilize limb
EXAM 2026/2027 COMPLETE ACCURATE EXAM
QUESTIONS WITH WELL ELABORATED ANSWERS
AND RATIONALES (100% CORRECT VERIFIED
SOLUTIONS)
1. What is the first step in patient assessment?
A. Secondary survey
B. Scene size-up
C. Vital signs
D. History taking
Answer: B. Scene size-up
Rationale: Ensures scene safety and identifies hazards before patient contact.
2. What is the primary purpose of the primary assessment?
A. Identify life-threatening conditions
B. Take detailed history
C. Document findings
D. Assess pain
Answer: A. Identify life-threatening conditions
Rationale: Rapid assessment ensures immediate intervention for airway, breathing,
circulation.
3. Which airway adjunct is used in unconscious patients with intact gag reflex?
A. Oropharyngeal airway
B. Nasopharyngeal airway
C. Endotracheal tube
D. Laryngeal mask
Answer: B. Nasopharyngeal airway
Rationale: Can be inserted safely without triggering gag reflex.
4. Which is the correct compression-to-ventilation ratio for adult CPR with two rescuers?
A. 30:2
, B. 15:2
C. 30:1
D. 15:1
Answer: A. 30:2
Rationale: Standard guideline for effective chest compressions and ventilations.
5. What is the normal adult respiratory rate?
A. 12–20 breaths per minute
B. 8–10
C. 20–30
D. 25–35
Answer: A. 12–20 breaths per minute
Rationale: Standard range indicating adequate ventilation in adults.
6. Which is the first step in managing a choking adult who is conscious?
A. Abdominal thrusts (Heimlich maneuver)
B. Back blows
C. CPR
D. Finger sweep
Answer: A. Abdominal thrusts (Heimlich maneuver)
Rationale: Dislodges obstruction and restores airway patency.
7. What is the normal systolic blood pressure range for an adult?
A. 90–120 mmHg
B. 70–90
C. 120–140
D. 80–100
Answer: A. 90–120 mmHg
Rationale: Ensures adequate perfusion without hypertension.
8. Which of the following indicates shock?
A. Cool, clammy skin and rapid pulse
B. Warm, dry skin
, C. Slow pulse
D. Normal vitals
Answer: A. Cool, clammy skin and rapid pulse
Rationale: Compensatory mechanism to maintain perfusion during hypoperfusion.
9. What is the proper position for a patient with suspected shock?
A. Supine with legs elevated
B. Sitting upright
C. Prone
D. Standing
Answer: A. Supine with legs elevated
Rationale: Promotes blood flow to vital organs.
10. Which type of burn affects only the epidermis?
A. First-degree burn
B. Second-degree burn
C. Third-degree burn
D. Fourth-degree burn
Answer: A. First-degree burn
Rationale: Redness and pain occur without blistering or full-thickness damage.
11. Which is the correct action for a patient with suspected spinal injury?
A. Manual inline stabilization
B. Rapid movement
C. Place pillow under head
D. Apply traction
Answer: A. Manual inline stabilization
Rationale: Prevents further spinal cord injury during assessment and transport.
12. What is the primary goal when treating external bleeding?
A. Control hemorrhage
B. Reduce pain
C. Provide oxygen
D. Immobilize limb
