EMT STATE EXAM NC Questions & Answers
1. FIRST STAGE OF LABOR: The first stage occurs from onset of true labor
contractions till dilation and effacement of the uterus.
2. 2nd stage of labor: The hallmark finding in the second stage of labor is the
complete delivery of the baby.
3. 3rd stage of labor: The third stage occurs when the placenta delivers.
4. Ligaments connect....: Bone to Bone
5. Tendons connect: Bone to Muscle
6. START Triage 1st Step: START triage begins by asking patients to get up and
walk to a collection point
7. START Triage 2nd step: respirations are assessed
8. START Triage 3rd Step: if the patient is not breathing, the airway is opened.
9. START Triage 4th Step: Pulse is then assessed
10. START Triage 5th Step: Check mental status.
11. Rule of 9's:Child:BACK: child's back represents 18% of his body surface area
12. Rule of 9's:Child: Both Legs (Front & Back): the front and back of both legs
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each represent 7%
13. Rule of 9's:Child:Torso (Front & Back): child's anterior and posterior torso
would represent 36%
14. Primary blast stage: also known as the pressure wave), damages hollow, gas
containing organs of the body such as the lungs, GI system, inner ears, and sinuses.
15. Secondary blast: The secondary phase causes cause blunt and penetration
injuries from flying debris.
16. Tertiary phase of blast: tertiary phase are injuries sustained from the patient
being thrown back and impacting something (wall, ground, etc.).
17. A 71-year-old female has fallen and complains of left hip pain. On examina-
tion you note her left foot is rotated laterally. This finding most likely indicates a:
femur fracture
18. "5 Rights" of medication administration.: right patient, right medication, right
route, right dose, and right time.
19. If you are responsible for establishing the landing zone for the helicopter,
what is the minimum size of the LZ you should prepare assuming the rescue
efforts are occurring at night?: The minimum size of the landing zone at night is
100' by 100'. During daylight, the minimum LZ zone is 60' by 60'. In either situation
the LZ should be square, with a marker indicating the direction of wind travel
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20. Which one of the following is a sign of Cushing's triad (Cushing's re- flex)
that occurs with traumatic brain injury?: The vital signs are an increased blood
pressure, slowing pulse rate, and irregular respirations (classically seen as Cheyne-
Stokes).
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21. Classes of hemorrhage: A Class III hemorrhage is said to occur when the patient
has lost 30-40% of their circulating blood volume. This is a significant bleed due to
the fact that the body's compensatory mechanisms are maximized, and any
additional blood loss will now create significant disturbances in hemodynamic
stability. In Class I and II hemorrhage, blood pressure remains acceptable, in Class IV
hemorrhage the blood pressure drops dangerously low.
22. APGAR SCORE: Appearance: 0=blue/pale; 1=blue & pink; 2=no cyanosis-all
pink
Pulse Rate: 0=Absent; 1=<100; 2=>100
Reflex: 0=no response to stimuli; 1=grimace; 2=cry or pull away Activity:
0=None; 1=some flexion,2=flexed arms/legs resisting extension
Respiratory: 0=Absent; 1=weak, irregular; 2=strong, lusty cry
23. Organs in Upper Right Quadrant of Abs: The liver is found primarily within the
boundaries of the upper right quadrant.
24. Organs in Upper Left Quadrant of Abs: The stomach and spleen are typically
found in the upper left quadrant.
25. Bladder location: The bladder is found on the midline between the lower two
quadrants.
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