499 AEMT Test Questions with Correct Answers, 2022/2023 updates. Rated A

499 AEMT Test Questions with Correct Answers, 2022/2023 updates. Rated A Document Content and Description Below A patient with congenital anisocoria would be expected to have pupils that: A. are unequal size B. dilate when exposed to light C. do not respond to light D. are constricted and nonreactive >>>A The focused assessment of a responsive medical patient is guided by: A. your general impression B. information obtained from the dispatcher C. your perception of the pt's problem D. The pt's reason for calling EMS >>>D Which of the following injuries or conditions would have the lowest treatment priority during the primary survey? A. Secretions in the upper airway and an irregular pattern of breathing B. Open deformity to the left lower leg with moderate venous bleeding C. Impressive amount of dried blood in the hair but no active bleeding D. Respirations of 26 breaths/min with markedly reduced tidal volume >>>C Which of the following questions would allow you to assess the "S" in the SAMPLE history? A. Do you take any prescription medications? B. Has this ever happened to you before? C. Can you describe to me what you are feeling? D. What were you doing when this episode began? >>>C Which of the following questions would allow you to assess the "A" in the SAMPLE history? A. Do you take any prescription medications? B. Has this ever happened to you before? C. Are you allergic to any medications? D. What were you doing when this episode began? >>>C Which of the following questions would allow you to assess the "M" in the SAMPLE history? A. Do you take any prescription medications? B. Has this ever happened to you before?C. Are you allergic to any medications? D. What were you doing when this episode began? >>>A Which of the following questions would allow you to assess the "P" in the SAMPLE history? A. Do you take any prescription medications? B. Has this ever happened to you before? C. Are there any medications you cannot take? D. What were you doing when this episode began? >>>B Which of the following questions would allow you to assess the "L" in the SAMPLE history? A. Do you take any prescription medications? B. When was the last time you ate or drank something? C. Are there any medications you cannot take? D. What were you doing when this episode began? >>>B Which of the following questions would allow you to assess the "E" in the SAMPLE history? A. Do you take any prescription medications? B. Has this ever happened to you before? C. Are there any medications you cannot take? D. What happened leading up to this episode? >>>D Which of the following statements regarding clinical decision making is correct? A. The treatment plan that you formulate for a give pt is based on clinical findings in the primary assessment. B. Irrelevant or extraneous data can skew your interpretation of a pt's condition, potentially leading to inappropriate care. C. Recalling bad experiences is dangerous and can interfere with your ability to manage the current situation. D. Effective clinical decision making is based solely on your ability to gather and evaluate pt information >>>B You are assessing the pupils of a pt who was struck in the back of the head. You note that his pupils differ in size by slightly less than 1mm. The pt is conscious, alert, and oriented to person, place, time and event. You should suspect: A. physiologic anisocoria B. injury to the pons or medulla C. increased intracranial pressure D. the he ingested an opiate drug >>>AYou are assessing a pt who has had severe trauma the the base of their skull. The pt is unconscious and does not respond to any sensation to their extremities and is breathing slowly and shallowly. Both of his pupils are equal and slightly dilated. You should suspect: A. physiologic anisocoria B. injury to the pons or medulla C. increased intracranial pressure D. the he ingested an opiate drug >>>B You are assessing a pt who is disoriented and confused and is complaining of a headache and blurred vision. The pt's BP is very high and he is on blood thinners for "heart issues". You should suspect: A. physiologic anisocoria B. injury to the pons or medulla C. increased intracranial pressure D. the he ingested an opiate drug >>>C You are assessing a pt who is unconscious and not breathing. The pt's pupils are pinpoint. You should suspect: A. physiologic anisocoria B. injury to the pons or medulla C. increased intracranial pressure D. the he ingested an opiate drug >>>D Which of the following structures in not a part of the lower airway? A. Bronchi B. Larynx C. Trachea D. Alveoli >>>B While assessing a semiconscious 22yo female's respirations, you notes that they are 16 breaths/min. You should: A. apply supplemental oxygen with a nonrebreathing mask B. conclude the the pt's respirations are adequate C. assess the regularity and depth of the pt's breathing D. begin assisting her ventilations with a bag-mask device >>>C If a child does not appear to be critically ill or injured, you should: A. spend an equal amount of time with the parents.B. allow him or her to sit on a caregiver's lap. C. professionally dismiss the parents from the room. D. begin your assessment by taking vital signs. >>>B In which of the following situations should you perform CPR? A. A 5yo unconscious male with severely labored breathing and tachycardia. B. A 2yo unconscious, apneic female with a heart rate of 90 beats/min C. A 3yo unconscious, apneic male with a rapid, irregular pulse D. A 10mo unconscious male with weak breathing and a heart rate of 50 beats/min >>>D Infants and children are highly susceptible to hypothermia because: A. they have limited stores of glycogen. B. of their overall smaller body size. C. of their smaller absolute blood volume. D. their hypothalamus us underdeveloped. >>>A Signs of increased work of breathing in a child include all of the following, except: A. bradypnea B. tracheal tugging C. preferential positioning D. sternal retractions >>>A The nasopharyngeal airway is: A. not well tolerated in children with a gag reflex B. typically used in children in cardiac arrest C. not used in children with an altered mental status D. rarely used in infants younger than 1 year of age >>>D Thoracic barotrauma can occur in an infant or small child when: A. the AEMT provides overzealous ventilatory assistance. B. positive-pressure breaths are delivered over 1 second. C. his or her respiratory muscles fatigue and he or she tires. D. tidal volume is markedly reduced during ventilations. >>>A When assessing a child in compensated shock, you would most likely find: A. severe bradycardia B. central cyanosis C. weak central pulses D. pallor or mottling >>>DWhich of the following statements regarding vision in the older pt is correct? A. Excess tear production is a normal art of the aging process. B. The pupils require more time to adjust to changes in light. C. The pupils of an older person are normally asymmetrical D. The majority of older people have cataracts or glaucoma >>>B Because hearing-impaired pts typically have more difficulty hearing high-frequency sounds, it is important for you to: A. lower the pitch of your voice B. try basic sign language first C. speak in a monotone voice D. increase the volume of your voice >>>A Common associated conditions in pts with spina bifida include all of the following, except: A. loss of bladder control B. hydrocephalus C. spastic limb movement D. extreme latex allergy >>>C The purpose of a ventricular peritoneum shunt is to: A. prevent excess cerebrospinal fluid from accumulating in the brain. B. monitor pressure within the skull in pts with a head injury C. remove fluid from the abdomen of pts with right heart failure D. divert excess cerebrospinal fluid from accumulating in the brain >>>A When caring for a pt who is visually impaired, it is important to: A. stand to the side of the pt when speaking if his or her peripheral vision is impaired. B. tell him or her what is happening, identify noises, and describe the situation and surroundings C. allow a service dog to remain with the pt at all times, even if the pt is critically ill D. leave items such as canes and walkers at the residence if the pt will be carried on a gurney >>>B When caring for pts with cerebral palsy, it is important to remember that: A. hearing aids are usually ineffective for pts with hearing loss. B. their limbs are often underdeveloped and are prone to injury C. they are unable to walk and are totally depend upon you D. most pts have the ability to walk, but have an unsteady gate >>>BWhen interacting with a developmentally disabled patient, the best approach is to: A. speak primarily with the pt's family to establish the degree of disability B. position yourself slightly above the pt's level to reduce his or her anxiety C. approach the pt as a team to reassure him or her that you are there to help D. ask your team members to wait until you can establish a rapport with the pt >>>D Which of the following conditions would most likely cause a pt to slur words, speak very slowly, or speak monotone? A. Advanced age B. Visual impairment C. Parkinson disease D. Cerebral palsy >>>C Which of the following statement regarding autism is correct? A. Most cases of autism are diagnosed by 3 years of age B. Impairment of motor activity is a classic sign of autism C. The majority of pts with autism do not speak at all D. Autism affects females four times more often than males >>>A Which of the following statements regarding gastrostomy (gastric) tubes is correct? A. Most gastrostomy tubes are temporary and are not sutured in place B. Gastrostomy tubes are used for pts who cannot digest food C. Pts with a gastrostomy tube may still be at risk for aspiration D. Gastrostomy tubes are placed directly into the small intestine. >>>C A 70yo male presents with an acute onset of difficulty breathing that woke him from his sleep. He has a history of hypertension, atrial fibrillation, and several heart attacks. During your assessment, you note dried blood around his mouth. The pt tells you that he cannot lie down because he will "smother". What additional assessment finding will you most likely discover? A. Slow respiratory rate B. Pulmonary rales C. Diffuse wheezing D. Fever and chills >>>B Definitive treatment to reduce acute respiratory distress in a pt with pleural effusion involves: A. a fluid thoracentesis B. antibiotic therapyC. endotracheal intubation D. needle decompression >>>A When treating a pt who complains of dyspnea, it is important for the AEMT to: A. be prepared to treat the pt's anxiety as well B. give oxygen via nasal cannula to minimize anxiety C. closely monitor the pt's cardiac rhythm D. routinely request that a paramedic unity respond to the scene >>>A Which of the following injuries or conditions would be least likely to result in hypovolemic shock? A. Blunt abdominal trauma B. Widespread vasodilation C. Nausea and vomiting D. Severe thermal burns >>>B Your pt is a 29yo male who presents with signs and symptoms of shock. However, your assessment reveals no obvious external signs of injury. You should suspect: A. an infectious condition B. a severe closed head injury C. bleeding within the chest D. intraabdominal bleeding >>>D When cellular perfusion is diminished: A. the precapillary sphincters constrict in response to lactic acid buildup and vasomotor failure B. the cells convert to aerobic metabolism, the byproducts of which are carbon dioxide and water C. the postcapillary sphincters remain constricted, causing the capillaries to engorge with fluid D. decreased lactic acid production causes the pH to fall significantly, resulting in alkalosis >>>C When injury occurs to tissues in the healthy human body: A. the breakdown of fibrinogen forms a clot. B. blood vessels near the injury site dilate. C. red blood cells are less able to clump. D. platelets aggregate at the site of the injury. >>>D Which of the following assessment findings would be the least reliable indicator of inadequate perfusion?A. Diaphoresis and pallor B. Altered mental status C. BP of 104/60 mmHg D. Weak radial pulses >>>C Which of the following organs is the most tolerant of low blood flow? A. Skin B. Brain C. Heart D. Lungs >>>A Which of the following physiologic responses occurs during irreversible shock? A. Arterial blood pressure is maintained by constriction of the vasculature B. The sympathetic nervous system vigorously compensates C. Blood is shunted from the liver and kidneys to the brain and heart. D. Respiratory rate and depth markedly increase to maintain oxygenation >>>C You are dispatched to a football game, where a spectator fell approximately 20ft from the stands. As you approach the pt, you can see that he has obvious bilateral femur fractures and is not moving, your initial action should be to: A. open his airway and assess his breathing. B. begin assisting his ventilations. C. stabilize his legs to prevent further injury. D. apply 100% oxygen via nonrebreathing mask. >>>A You receive a call for a 66yo female who was found unresponsive by her husband. Your primary survey reveals that the pt is responsive to painful stimuli and has rapid, shallow respirations. Her blood pressure is 70/50 mmHg and her pulse rate is 120 beats/min and irregular. The pt's husband tells you that she complained of chest pressure the previous day, but would not allow him to call EMS. This pt is: A. significantly hypovolemic and requires 100% oxygen via nonrebreathing mask as well as sever crystalloid fluid boluses. B. experiencing cardiogenic shock and requires assisted ventilation, IV therapy, and rapid transport. C. in shock due to a cardiac dysrhythmia and requires assisted ventilation as well as 2 liter bolus of isotonic crystalloid D. likely experiencing an acute myocardial infarction. She requires 100% oxygen via nonrebreathing mask and rapid transport. >>>B After blood diffuses across the capillary membrane and perfuses the cells, it:A. returns waste products to the right side of the heart, starting with the venules B. drops off carbon dioxide and returns oxygenated blood to the heart C. forms lactic and pyruvic acids, which are used by the cells to form energy D. returns carbon dioxide to the left side of the heart, starting with the veins >>>A Hemostasis is a natural response of the body in which: A. bleeding spontaneously clots through vasoconstriction and platelet aggregation. B. all body systems work together to maintain stability of the internal environment. C. blood is diverted away from the skin to areas where it is needed the most D. platelets lose their ability to aggregate due to severe internal bleeding >>>A If a pt is hemorrhaging, he or she is: A. bleeding externally B. bleeding internally C. in severe shock D. bleeding >>>D The ability of a person to effectively compensate for acute blood loss is most directly related to the: A. location of the injury B. pt's weight C. rate of blood loss D. pt's total blood volume >>>C During your assessment of a 48yo female with localized blunt abdominal trauma, you should: A. palpate the most painful area first B. vigorously palpate the entire abdomen C. immobilize her spinal column D. be prepared for the pt to vomit >>>D In an attempt to minimize the pain associated with abdominal trauma, the pt will typically: A. draw his or her knees into the abdomen and breathe deeply B. prefer to extend his or her legs and relax the muscles of the abdomen C. take deep breaths to relieve pressure of the diaphragm D. draw his or her knees into the abdomen and tense the abdominal muscles >>>D The absence of pain when palpating a trauma pt's abdomen does not rule out the possibility of intraabdominal bleeding because:A. most cases of intraabdominal hemorrhage occur in the retroperitoneal space B. the strong abdominal musculature becomes tense following blunt trauma C. blood within the peritoneal cavity does not provoke an inflammatory response D. the liver and spleen are both well protected by the lower ribcage >>>C The presence of gastric juices and bacteria in the abdominal cavity causes an intense inflammatory reaction called: A. gastritis B. appendicitis C. diverticulitis D. peritonitis >>>D When caring for any pt who was sexually assaulted and experiences injury to the external genitalia, you should: A. treat any injuries and provide privacy and reassurance B. transport only and provide support and reassurance C. treat any injuries and question the pt about the even D. limit your examination to a secondary assessment only >>>A Which of the following organs lie in the right upper quadrant of the abdomen? A. Liver and gallbladder B. Pancreas and liver C. Gallbladder and spleen D. Spleen and liver >>>A Kehr sign is defined as: A. bruising around the umbilicus secondary to intraabdominal bleeding B. pain that radiates from the flank to the groin following a kidney injury C. the presence of flank bruising secondary to intraabdominal bleeding D. referred pain to the shoulder following injury to the liver or spleen >>>D Testicular torsion is a(n): A. spontaneous event in the majority of cases B. time-sensitive injury and requires rapid transport C. life-threatening injury that requires surgery D. irreversible injury that leads to impotence >>>B The two processes that occur during respiration are: A. oxygenation and ventilation B. inspiration and expirationC. diffusion and perfusion D. ventilation and diffusion >>>B An organ or tissue that is _______ is better able to resist damage from hypoperfusion. A. large B. small C. warm D. cold >>>D During your rapid assessment of an unconscious 67yo female, you note signs of shock and the presence of hematochezia. You should be most suspicious for: A. bleeding within the retroperitoneum B. lower gastrointestinal bleeding C. a leaking abdominal aortic aneurysm D. upper gastrointestinal bleeding >>>B Following severe maxillofacial trauma, a 16yo male presents with oropharyngeal bleeding and poor respiratory effort. You should: A. suction the oropharynx B. assist his ventilations at once C. insert a nasopharyngeal airway D. pack the mouth with sterile gauze >>>A Prior to applying a tourniquet to a profusely bleeding injury, you should take standard precautions and then: A. elevate the pt's legs 6-12 inches B. apply pressure over a proximal artery C. hold direct pressure over the bleeding site D. apply oxygen via a nonrebreathing mask >>>C Under which of the following conditions would external bleeding be least difficult to control? A. Lacerated antecubital vein and a BP of 130/70 mmHg B. Lacerated brachial artery and a BP of 84/56 mmHg C. Lacerated carotid artery and a BP of 140/90 mmHg D. Lacerated femoral vein and a BP of 88/60 mmHg >>>D When managing a pt with severe bleeding, it is most important to: A. take standard precautions B. control the bleedingC. obtain frequent vital signs D. administer high-flow oxygen >>>A Signs of peripheral vasoconstriction in children under 6yrs of age include: A. weak central pulses B. bounding radial pulses C. cyanotic extremities D. delayed capillary refill >>>D The AEMT should suspect meningitis when caring for a 3mo infant who: A. has a low-pitched cry and signs of dehydration B. has bulging fontanelles when crying C. cannot bend his neck forward without pain D. has a low-grade fever and a cough >>>C Tracheal tugging, a sign of respiratory distress, is more prominent in children because the: A. large tracheal diameter makes it easily collapsible B. trachea is poorly supported by the neck muscles C. trachea is very narrow and is easily collapsible D. cricoid cartilage is the narrowest part of the airway >>>C You are dispatched to the city park for a 9yo female with difficulty breathing. When you arrive at the scene and assess the child, you note that she is anxious and that she has generalized rash, facial swelling, and marked respiratory distress. Her radial pulses are weak and rapid. You should: A. assist ventilation and request a paramedic unit to administer epinephrine 1:1,000 B. insert a supraglottic airway device before her airway sells, and transport at once C. administer 100% oxygen, establish vascular access, and administer epinephrine D. start an IV administer diphenhydramine, and give her oxygen via nasal cannula >>>C You respond to a motor-vehicle crash in which a child is apparently injured. Upon arrival, you assess the child, a 2yo male who is still restrained in his car seat. he is conscious and has a small abrasion to his forehead, but is otherwise uninjured. You should: A. immobilize him in his car seat B. remove him from the car seat at once C. immobilize him on a short board D. allow his mother to hold him >>>AYour primary survey of a 5yo male reveals that he has a decreased level of consciousnes