GUIDE | EMT PRACTICE QUESTIONS &
ANSWERS
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Updated 2026 Questions and Answers
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,Types of distributive shock Septic shock caused by severe infections; neurogenic shock caused by damage
to the spinal cord (bradycardia, low BP, warm skin); anaphylactic shock caused by
allergic reaction; psychogenic shock
Hypovolemic shock The type of shock that results from an inadequate amount of fluid or volume in the
system
-15% of blood volume
How do you treat for shock? Keep the patient warm, control bleeding, put the patient in a position of comfort,
and administer high-flow oxygen
brain damage without oxygen -without enough oxygen, cardiac arrest or brain damage occurs within about 4
minutes
-permanent brain damage within 6 minutes
-death likely within 10 minutes
FBAO -signs of blockage include inability to cough or speak or inability to ventilate
patient
-bending patient forward at the waist, support chest with one hand, use heel of
hand to give 5 back blows between shoulder blades
-then 5 abdominal thrusts
-alternate between the two until object is dislodged
-if patient loses consciousness, give CPR starting with chest compressions
-given even if patient has a pulse, so don't check
-before giving breaths, look inside mouth for any visible objects
FBAO in children -using thigh for support, lay facing down along forearm; ensure head is lower than
the body
-give 5 firm back blows between blades
-5 chest thrusts; place 2 to 3 fingers in the middle of the chest just below the
nipples. push down 1.5 inches.
-alternate, unless lose consciousness, then CPR
mouse to mouth/mouth to nose -mouth to mouth performed when patient does not have adequate breathing and
artificial ventilation not available
-open airway
-place barrier device
-pinch nose and form seal around patient's mouth
-check for FBAO if you do not see chest rise and fall
-give 1 breath every 5 to 6 seconds for adults and 1 every 3 for peds
Steps of CPR Determine unresponsiveness. Check for breathing for up to 10 seconds. Check
carotid pulse for up to 10 seconds. Begin CPR until AED is available. Give 30
compressions at 100 beats/min and then 2 breaths over the course of 1 second.
Once an advanced airway is inserted, ventilate at a rate of 8-10 breaths/min and
do not stop compressions.
This is exactly the same for children, except two-rescuer CPR is 15:2. If patient
experiences a return of spontaneous circulation, ventilate at a rate of 10-12
breaths/min.
, compression to breath ratios under 8 years old:
-2 provider: 15:2
-1 provider: 30:2
-one third of chest diameter
older:
-30:2 always
-2 inches
AED procedure -if cardiac arrest was not seen by EMS, give 5 cycles of 30:2 before defibrillating
-if cardiac arrest was seen, one EMT begins compressions and the other applies
AED
-if only one EMT available, apply AED immediately
-check for pulse 2 minutes after defib
-if no shockable rhythm, wait 2 minutes and re-analyze
When to place left lateral If patient has adequate breathing and is uninjured. To maintain a patent airway in
an unresponsive patient.
What to do if you fail to ventilate If the breath doesn't go in successfully, reposition the patient and try again. If
there is still nothing, assume there is a foreign body obstruction and begin CPR on
an unresponsive apneic patient. Continue to attempt ventilations and open the
mouth and look in every time.
Pneumothorax signs -dyspnea, pleuritic chest pain that worsens during inspiration and expiration,
absent or decreased breath sounds
-rupture of visceral lining
Pulmonary embolism signs -dyspnea, acute chest pain, hemoptysis, cyanosis, tachypnea, hypoxia,
tachycardia?**
GCS Eye Opening Spontaneous = 4
To voice = 3
To pain = 2
None = 1
GCS Verbal Response Oriented = 5
Confused = 4
Inappropriate words = 3
Incomprehensible words = 2
None = 1