68W EMT COMPREHENSIVE EXAM PREP
QUESTIONS AND ANSWERS STUDY GUIDE
●● Which of the following can result in the occlusion of a coronary
artery?
a.) Reduced cardiac output
b.) Increased systemic vascular resistance
c.) Atherosclerosis of a coronary artery
d.) Pulmonary artery embolism
Answer: c.) Atherosclerosis of a coronary artery
●● Which of the following allows EMTs to give certain medications or
perform certain procedures w/o speaking to a physician?
a.) National EMT certification
b.) State EMT licensure
c.) Off-line medical direction
d.) National EMS Scope of Practice
Answer: c.) Off-line medical direction
●● Diffusion is defined as:
,a.) the process of gas exchange between the alveoli and the capillaries
b.) the ability of the lungs to expand equally during respiration
c.) maintaining enough positive pressure in the pleural space to keep the
lungs from collapsing
d.) the exchange of gasses in the bronchi
Answer: a.) the process of gas exchange between the alveoli and the
capillaries
●● An unresponsive 51 y/o male was stabbed in the fourth intercostal
space of his left chest an inch lateral to his sternum. His skin was pale,
cool, and diaphoretic. His lungs are clear to auscultation, and you
observe his neck veins are subtended. You should suspect:
a.) hemothorax
b.) hemopneumothorax
c.) cardiac tamponade
d.) tension pneumothorax
Answer: c.) cardiac tamponade
●● You are resuscitating an unresponsive 90 y/o male who is in cardiac
arrest. After the AED analyzes his rhythm, it advises you to shock him.
What cardiac rhythm should you suspect his is in?
, a.) Paroxysmal supraventricular tachycardia
b.) Ventricular fibrillation
c.) Wolff-Parkinson-White syndrome
d.) Atrial fibrillation
Answer: b.) Ventricular fibrillation
●● Using START triage guidelines, a patient on the scene of a mass-
causality incident who is not breathing initially, but begins breathing
when the airway is open, is deemed a:
a.) priority 0
b.) priority 1
c.) priority 2
d.) priority 3
Answer: b.) priority 1
●● An 11 y/o male passed out while playing soccer. When you arrive, he
is conscious and tells you he had dizziness and sharp chest pain before
he passed out. He points to his mid-sternum when you ask him the
location of the pain. He denies any pain currently. His vital signs are P
66, R 18, BP 114/72, and SP02 is 95% on room air. You should:
a.) administer oxygen by nasal cannula
b.) administer oxygen by non-rebreather mask
QUESTIONS AND ANSWERS STUDY GUIDE
●● Which of the following can result in the occlusion of a coronary
artery?
a.) Reduced cardiac output
b.) Increased systemic vascular resistance
c.) Atherosclerosis of a coronary artery
d.) Pulmonary artery embolism
Answer: c.) Atherosclerosis of a coronary artery
●● Which of the following allows EMTs to give certain medications or
perform certain procedures w/o speaking to a physician?
a.) National EMT certification
b.) State EMT licensure
c.) Off-line medical direction
d.) National EMS Scope of Practice
Answer: c.) Off-line medical direction
●● Diffusion is defined as:
,a.) the process of gas exchange between the alveoli and the capillaries
b.) the ability of the lungs to expand equally during respiration
c.) maintaining enough positive pressure in the pleural space to keep the
lungs from collapsing
d.) the exchange of gasses in the bronchi
Answer: a.) the process of gas exchange between the alveoli and the
capillaries
●● An unresponsive 51 y/o male was stabbed in the fourth intercostal
space of his left chest an inch lateral to his sternum. His skin was pale,
cool, and diaphoretic. His lungs are clear to auscultation, and you
observe his neck veins are subtended. You should suspect:
a.) hemothorax
b.) hemopneumothorax
c.) cardiac tamponade
d.) tension pneumothorax
Answer: c.) cardiac tamponade
●● You are resuscitating an unresponsive 90 y/o male who is in cardiac
arrest. After the AED analyzes his rhythm, it advises you to shock him.
What cardiac rhythm should you suspect his is in?
, a.) Paroxysmal supraventricular tachycardia
b.) Ventricular fibrillation
c.) Wolff-Parkinson-White syndrome
d.) Atrial fibrillation
Answer: b.) Ventricular fibrillation
●● Using START triage guidelines, a patient on the scene of a mass-
causality incident who is not breathing initially, but begins breathing
when the airway is open, is deemed a:
a.) priority 0
b.) priority 1
c.) priority 2
d.) priority 3
Answer: b.) priority 1
●● An 11 y/o male passed out while playing soccer. When you arrive, he
is conscious and tells you he had dizziness and sharp chest pain before
he passed out. He points to his mid-sternum when you ask him the
location of the pain. He denies any pain currently. His vital signs are P
66, R 18, BP 114/72, and SP02 is 95% on room air. You should:
a.) administer oxygen by nasal cannula
b.) administer oxygen by non-rebreather mask
