JB LEARNING: EMT COMPREHENSIVE
PRACTICE EXAM (ADVANCED)
QUESTIONS AND ANSWERS 100%
VERIFIED 2026/2027
1. A 68-year-old male presents with sudden onset of sharp chest pain that radiates to his back
between the shoulder blades. He has a history of hypertension. His blood pressure is 160/90
mmHg in the right arm and 130/70 mmHg in the left arm. What should you suspect?
A. Aortic Dissection
B. Acute Myocardial Infarction
C. Pulmonary Embolism
D. Pneumothorax
Answer: A
Conceptual Explanation: Aortic dissection typically presents with a tearing or sharp pain
radiating to the back and a significant difference in blood pressure between arms.
2. When assessing an adult patient’s breathing, you note the rate is 24 breaths/min with
shallow depth and accessory muscle use. What is the most appropriate initial intervention?
A. Apply oxygen via non-rebreather mask at 15 L/min
B. Place the patient in a prone position
,C. Apply a nasal cannula at 4 L/min
D. Assist ventilations with a bag-valve mask
Answer: D
Conceptual Explanation: Shallow breathing indicates inadequate tidal volume. Even with
a normal or high rate, inadequate volume requires assisted ventilation.
3. A 24-year-old female was involved in a high-speed motor vehicle collision. She is conscious
but confused. You note jugular venous distention, muffled heart sounds, and a narrowing
pulse pressure. These signs are known as:
A. Cushing’s Triad
B. Beck’s Triad
C. Whipple’s Triad
D. The Lethal Triad
Answer: B
Conceptual Explanation: Beck’s Triad (JVD, muffled heart sounds,
hypotension/narrowing pulse pressure) is indicative of cardiac tamponade.
4. You are treating a patient with suspected carbon monoxide poisoning. What would you
expect to see regarding their pulse oximetry (SpO2) reading?
A. A falsely low reading
B. A falsely high or normal reading
, C. A reading of 0%
D. An accurate oxygen saturation reading
Answer: B
Conceptual Explanation: Pulse oximeters cannot distinguish between hemoglobin
saturated with oxygen and hemoglobin saturated with carbon monoxide, leading to falsely
high readings.
5. A 45-year-old male is found unresponsive in an alleyway. He has pinpoint pupils, cyanosis,
and a respiratory rate of 4 breaths/min. Which medication is most likely indicated?
A. Albuterol
B. Naloxone
C. Epinephrine
D. Oral Glucose
Answer: B
Conceptual Explanation: The triad of pinpoint pupils, respiratory depression, and
unconsciousness is classic for an opioid overdose, treated with Naloxone.
6. Which of the following describes the correct technique for suctioning the oropharynx of an
adult patient?
A. Suction only when the patient is inhaling
B. Apply suction while inserting the catheter for up to 30 seconds
PRACTICE EXAM (ADVANCED)
QUESTIONS AND ANSWERS 100%
VERIFIED 2026/2027
1. A 68-year-old male presents with sudden onset of sharp chest pain that radiates to his back
between the shoulder blades. He has a history of hypertension. His blood pressure is 160/90
mmHg in the right arm and 130/70 mmHg in the left arm. What should you suspect?
A. Aortic Dissection
B. Acute Myocardial Infarction
C. Pulmonary Embolism
D. Pneumothorax
Answer: A
Conceptual Explanation: Aortic dissection typically presents with a tearing or sharp pain
radiating to the back and a significant difference in blood pressure between arms.
2. When assessing an adult patient’s breathing, you note the rate is 24 breaths/min with
shallow depth and accessory muscle use. What is the most appropriate initial intervention?
A. Apply oxygen via non-rebreather mask at 15 L/min
B. Place the patient in a prone position
,C. Apply a nasal cannula at 4 L/min
D. Assist ventilations with a bag-valve mask
Answer: D
Conceptual Explanation: Shallow breathing indicates inadequate tidal volume. Even with
a normal or high rate, inadequate volume requires assisted ventilation.
3. A 24-year-old female was involved in a high-speed motor vehicle collision. She is conscious
but confused. You note jugular venous distention, muffled heart sounds, and a narrowing
pulse pressure. These signs are known as:
A. Cushing’s Triad
B. Beck’s Triad
C. Whipple’s Triad
D. The Lethal Triad
Answer: B
Conceptual Explanation: Beck’s Triad (JVD, muffled heart sounds,
hypotension/narrowing pulse pressure) is indicative of cardiac tamponade.
4. You are treating a patient with suspected carbon monoxide poisoning. What would you
expect to see regarding their pulse oximetry (SpO2) reading?
A. A falsely low reading
B. A falsely high or normal reading
, C. A reading of 0%
D. An accurate oxygen saturation reading
Answer: B
Conceptual Explanation: Pulse oximeters cannot distinguish between hemoglobin
saturated with oxygen and hemoglobin saturated with carbon monoxide, leading to falsely
high readings.
5. A 45-year-old male is found unresponsive in an alleyway. He has pinpoint pupils, cyanosis,
and a respiratory rate of 4 breaths/min. Which medication is most likely indicated?
A. Albuterol
B. Naloxone
C. Epinephrine
D. Oral Glucose
Answer: B
Conceptual Explanation: The triad of pinpoint pupils, respiratory depression, and
unconsciousness is classic for an opioid overdose, treated with Naloxone.
6. Which of the following describes the correct technique for suctioning the oropharynx of an
adult patient?
A. Suction only when the patient is inhaling
B. Apply suction while inserting the catheter for up to 30 seconds
