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CORE DOMAINS
Airway Management and Ventilation
Cardiology and Resuscitation
Trauma Assessment and Care
Medical Emergencies
EMS Operations and Patient Transport
Pharmacology Basics
Neurological Emergencies
OB/GYN and Pediatric Emergencies
Scene Safety and Infection Control
Legal, Ethical, and Professional Standards
INTRODUCTION
This examination is designed to evaluate competency in Emergency Medical Technician
(EMT) foundational and advanced operational knowledge. It assesses the ability to apply
prehospital care principles in both routine and high-acuity environments. Candidates will
encounter scenario-based and knowledge-based multiple-choice questions covering
trauma care, medical emergencies, airway management, and EMS operations. Emphasis is
,placed on clinical judgment, patient safety, legal considerations, and rapid decision-
making under pressure. The exam reflects real-world prehospital conditions requiring
accurate prioritization, assessment, and intervention aligned with current EMT standards of
practice.
SECTION ONE: QUESTIONS 1–50
Question 1
A 56-year-old patient presents with chest pain, diaphoresis, and shortness of breath. What
is the EMT’s priority action?
A. Obtain full medical history
B. Administer oral glucose
C. Apply oxygen and prepare for transport
D. Perform detailed neurological exam
🟢 Correct Answer: C. Apply oxygen and prepare for transport
🔴 Explanation: Suspected cardiac ischemia requires rapid oxygen support and transport;
delaying care for detailed assessment is inappropriate.
Question 2
Which airway maneuver is most appropriate for an unresponsive trauma patient with
,suspected cervical spine injury?
A. Head tilt-chin lift
B. Jaw thrust maneuver
C. Finger sweep
D. Heimlich maneuver
🟢 Correct Answer: B. Jaw thrust maneuver
🔴 Explanation: The jaw thrust opens the airway without moving the cervical spine.
Question 3
A patient is breathing at 6 breaths per minute. What is the most appropriate intervention?
A. Encourage coughing
B. Assist ventilations with bag-valve mask
C. Administer oral fluids
D. Place in recovery position only
🟢 Correct Answer: B. Assist ventilations with bag-valve mask
🔴 Explanation: Severe bradypnea requires assisted ventilation to maintain oxygenation.
, Question 4
Which sign is most indicative of shock?
A. Bradycardia and hypertension
B. Warm, dry skin
C. Tachycardia and pale, cool skin
D. Slow respiratory rate
🟢 Correct Answer: C. Tachycardia and pale, cool skin
🔴 Explanation: Shock commonly presents with compensatory tachycardia and poor
perfusion signs.
Question 5
What is the correct first step when arriving at a multi-casualty incident?
A. Begin CPR immediately
B. Perform triage
C. Transport first patient found
D. Wait for police arrival
🟢 Correct Answer: B. Perform triage
🔴 Explanation: Triage ensures prioritization of care in mass casualty events.