AAOS EMT UPDATED TEST PAPER QUESTIONS
AND ANSWERS SURE A+
✔✔A 27-year-old male was stabbed in the chest during a disagreement at a poker
game. As you approach him, you see that a knife is impaled in his chest. Before you
make physical contact with the patient, it is MOST important to:
A. ask bystanders what happened.
B. call for an ALS ambulance.
C. follow standard precautions.
D. form a general impression. - ✔✔C. follow standard precautions.
✔✔Your EMS team is performing CPR on a 60-year-old male in cardiac arrest. You
connect the AED, push the analyze button, and receive a "no shock advised" message.
You should:
A. immediately assess the patient's airway.
B. reanalyze the patient's cardiac rhythm.
C. determine if a palpable pulse is present.
D. perform CPR for 2 minutes and reassess. - ✔✔D. perform CPR for 2 minutes and
reassess.
✔✔A history of pelvic inflammatory disease or tubal ligations increases a woman's risk
for:
A. placenta previa.
B. preeclampsia.
C. an ectopic pregnancy.
D. gestational diabetes. - ✔✔C. an ectopic pregnancy.
✔✔You have assessed an unresponsive middle-aged female and determined that she
is in cardiac arrest. When you apply the AED pads, you note that she has a medication
patch over the same area where one of the AED pads will be placed. You should:
,A. continue CPR until you can determine the name of the medication contained in the
patch.
B. apply the AED pad at least 1″ away from the medication patch to avoid skin burns.
C. remove the medication patch, wipe away any medication residue, and apply the AED
pads.
D. move the patch to another area of the patient's chest and then properly apply the
AED pads. - ✔✔C. remove the medication patch, wipe away any medication residue,
and apply the AED pads.
✔✔A 30-year-old woman with a history of alcoholism presents with severe upper
abdominal pain and is vomiting large amounts of bright red blood. Her skin is cool, pale,
and clammy; her heart rate is 120 beats/min and weak; and her blood pressure is 70/50
mm Hg. Your MOST immediate action should be to:
A. protect her airway from aspiration.
B. keep her supine and elevate her legs.
C. give her high-flow supplemental oxygen.
D. rapidly transport her to the hospital. - ✔✔A. protect her airway from aspiration.
✔✔A 19-year-old male complains of "not feeling right." His insulin and a syringe are on
a nearby table. The patient says he thinks he took his insulin and cannot remember
whether he ate. He is also unable to tell you the time or what day it is. The glucometer
reads "error" after several attempts to assess his blood glucose level. In addition to
administering oxygen, you should:
A. transport only with close, continuous monitoring en route.
B. assist him with his insulin injection and reassess him.
C. contact medical control and administer oral glucose.
D. request a paramedic ambulance to administer IV glucose. - ✔✔C. contact medical
control and administer oral glucose.
✔✔A 29-year-old male with a head injury opens his eyes when you speak to him, is
confused as to the time and date, and is able to move all of his extremities on
command. His Glasgow Coma Scale (GCS) score is:
A. 10.
B. 12.
C. 13.
D. 14. - ✔✔C. 13.
✔✔You respond to a local lake where a diver complains of difficulty breathing that
occurred immediately after rapidly ascending from a depth of approximately 30′. On
assessment, you note that he has cyanosis around his lips and has pink froth coming
from his nose and mouth. You should:
, A. position him supine with his head elevated 30°, suction his mouth and nose,
hyperventilate him with a bag-mask device, and contact medical control for further
guidance.
B. suction his mouth and nose, apply high-flow oxygen, position him on his left side with
his head down, and contact medical control regarding transport to a recompression
facility.
C. suction his mouth and nose, keep him supine and elevate his legs to prevent air
bubbles from entering his brain, administer high-flow oxygen, and transport to a
hyperbaric chamber.
D. place him in a semi-sitting position, suction his mouth and nose, apply a continuous
positive airway pr - ✔✔B. suction his mouth and nose, apply high-flow oxygen, position
him on his left side with his head down, and contact medical control regarding transport
to a recompression facility.
✔✔The EMT must assume that any unwitnessed water-related incident is accompanied
by:
A. possible spinal injury.
B. alcohol intoxication.
C. cold water immersion.
D. an air embolism. - ✔✔A. possible spinal injury.
✔✔A 39-year-old male sustained a stab wound to the groin during an altercation at a
bar. As you approach the patient, you note that he is conscious, is screaming in pain,
and is attempting to control the bleeding, which is bright red and spurting from his groin
area. You should:
A. administer 100% supplemental oxygen.
B. apply direct pressure to the wound.
C. elevate his legs and keep him warm.
D. ensure that his airway is patent. - ✔✔B. apply direct pressure to the wound.
✔✔Signs of late heatstroke include:
A. a change in behavior.
B. a weak, rapid pulse.
C. hot, moist skin.
D. nausea and vomiting. - ✔✔B. a weak, rapid pulse.
✔✔A 60-year-old male presents with acute respiratory distress. He is conscious and
alert, has pink and dry skin, and has respirations of 24 breaths/min with adequate
depth. Which of the following treatment modalities is MOST appropriate for this patient?
A. oxygen via nonrebreathing mask and a focused secondary assessment
AND ANSWERS SURE A+
✔✔A 27-year-old male was stabbed in the chest during a disagreement at a poker
game. As you approach him, you see that a knife is impaled in his chest. Before you
make physical contact with the patient, it is MOST important to:
A. ask bystanders what happened.
B. call for an ALS ambulance.
C. follow standard precautions.
D. form a general impression. - ✔✔C. follow standard precautions.
✔✔Your EMS team is performing CPR on a 60-year-old male in cardiac arrest. You
connect the AED, push the analyze button, and receive a "no shock advised" message.
You should:
A. immediately assess the patient's airway.
B. reanalyze the patient's cardiac rhythm.
C. determine if a palpable pulse is present.
D. perform CPR for 2 minutes and reassess. - ✔✔D. perform CPR for 2 minutes and
reassess.
✔✔A history of pelvic inflammatory disease or tubal ligations increases a woman's risk
for:
A. placenta previa.
B. preeclampsia.
C. an ectopic pregnancy.
D. gestational diabetes. - ✔✔C. an ectopic pregnancy.
✔✔You have assessed an unresponsive middle-aged female and determined that she
is in cardiac arrest. When you apply the AED pads, you note that she has a medication
patch over the same area where one of the AED pads will be placed. You should:
,A. continue CPR until you can determine the name of the medication contained in the
patch.
B. apply the AED pad at least 1″ away from the medication patch to avoid skin burns.
C. remove the medication patch, wipe away any medication residue, and apply the AED
pads.
D. move the patch to another area of the patient's chest and then properly apply the
AED pads. - ✔✔C. remove the medication patch, wipe away any medication residue,
and apply the AED pads.
✔✔A 30-year-old woman with a history of alcoholism presents with severe upper
abdominal pain and is vomiting large amounts of bright red blood. Her skin is cool, pale,
and clammy; her heart rate is 120 beats/min and weak; and her blood pressure is 70/50
mm Hg. Your MOST immediate action should be to:
A. protect her airway from aspiration.
B. keep her supine and elevate her legs.
C. give her high-flow supplemental oxygen.
D. rapidly transport her to the hospital. - ✔✔A. protect her airway from aspiration.
✔✔A 19-year-old male complains of "not feeling right." His insulin and a syringe are on
a nearby table. The patient says he thinks he took his insulin and cannot remember
whether he ate. He is also unable to tell you the time or what day it is. The glucometer
reads "error" after several attempts to assess his blood glucose level. In addition to
administering oxygen, you should:
A. transport only with close, continuous monitoring en route.
B. assist him with his insulin injection and reassess him.
C. contact medical control and administer oral glucose.
D. request a paramedic ambulance to administer IV glucose. - ✔✔C. contact medical
control and administer oral glucose.
✔✔A 29-year-old male with a head injury opens his eyes when you speak to him, is
confused as to the time and date, and is able to move all of his extremities on
command. His Glasgow Coma Scale (GCS) score is:
A. 10.
B. 12.
C. 13.
D. 14. - ✔✔C. 13.
✔✔You respond to a local lake where a diver complains of difficulty breathing that
occurred immediately after rapidly ascending from a depth of approximately 30′. On
assessment, you note that he has cyanosis around his lips and has pink froth coming
from his nose and mouth. You should:
, A. position him supine with his head elevated 30°, suction his mouth and nose,
hyperventilate him with a bag-mask device, and contact medical control for further
guidance.
B. suction his mouth and nose, apply high-flow oxygen, position him on his left side with
his head down, and contact medical control regarding transport to a recompression
facility.
C. suction his mouth and nose, keep him supine and elevate his legs to prevent air
bubbles from entering his brain, administer high-flow oxygen, and transport to a
hyperbaric chamber.
D. place him in a semi-sitting position, suction his mouth and nose, apply a continuous
positive airway pr - ✔✔B. suction his mouth and nose, apply high-flow oxygen, position
him on his left side with his head down, and contact medical control regarding transport
to a recompression facility.
✔✔The EMT must assume that any unwitnessed water-related incident is accompanied
by:
A. possible spinal injury.
B. alcohol intoxication.
C. cold water immersion.
D. an air embolism. - ✔✔A. possible spinal injury.
✔✔A 39-year-old male sustained a stab wound to the groin during an altercation at a
bar. As you approach the patient, you note that he is conscious, is screaming in pain,
and is attempting to control the bleeding, which is bright red and spurting from his groin
area. You should:
A. administer 100% supplemental oxygen.
B. apply direct pressure to the wound.
C. elevate his legs and keep him warm.
D. ensure that his airway is patent. - ✔✔B. apply direct pressure to the wound.
✔✔Signs of late heatstroke include:
A. a change in behavior.
B. a weak, rapid pulse.
C. hot, moist skin.
D. nausea and vomiting. - ✔✔B. a weak, rapid pulse.
✔✔A 60-year-old male presents with acute respiratory distress. He is conscious and
alert, has pink and dry skin, and has respirations of 24 breaths/min with adequate
depth. Which of the following treatment modalities is MOST appropriate for this patient?
A. oxygen via nonrebreathing mask and a focused secondary assessment
