EMT Medical Exam
A 22 year old female patient is complaining of dyspnea and numbness and tingling in her hands
and feed after an argument with her fiance. Her respirations are 40 breaths/min. You should:
A. provide reassurance and give oxygen as needed
B. have her breath into a paper or plastic bag
C. position her on her left side and transport at once
D. request a paramedic to give her a sedative - ANS -A. provide reassurance and give oxygen
as needed
ch 15 treatment of specific conditions pg 617
hyperventilation caused this; breathing into a bag could cause hypoxia
\A 40 year old man is in cardiac arrest. Your partner is performing CPR. You are attaching the
AED when the patient's wife tells you that he has an automatic implanted cardiac defibrillator
(AICD). The AED advises that a shock is indicated. What should you do?
A. avoid defibrillation as this will damage the patient's AICD
B. Contact medical control and request permission to defibrillate
C. continue CPR and transport the patient to the closest appropriate hospital
D. deliver the shock followed by immediate resumption of CPR - ANS -D. deliver the shock
followed by immediate resumption of CPR
ch 16 heart surgeries and cardiac assistive devices pg 654
\A 50-year-old man with diabetes has an altered mental status and is unable to tell you when he
last ate or took his insulin. Your glucometer keeps malfunctioning and you are unable to
determine his blood glucose level. Which of the following clinical signs would MOST likely lead
you to the correct diagnosis?
Select one:
A. Restlessness and irritability
B. Hypotension and tachycardia
C. Deep and rapid breathing
D. Rapid and weak pulse - ANS -C. Deep and rapid breathing
Ch 19 Endocrine Emergencies pg 730
\A 58 year old man complains of chest discomfort and nausea. He is conscious and alert; his
blood pressure is 140/90 mmHg his pulse is 104 BPM and his respirations are 16 breaths/min.
your partner has applied supplemental oxygen. Prior to assisting the patient with one of his
prescribed nitroglycerin tablets, you ask him if he takes medication to treat erectile dysfunction
(ED) and he tells you that he does. You should:
A. avoid giving him nitroglycerin and transport him at once.
, B. administer his nitroglycerin and then reassess his blood pressure
C. recall that erectile ED drugs can cause significant HTN
D. ask him what he takes, how much, and when he last took it - ANS -D. ask him what he takes,
how much, and when he last took it
ch 14 patient assessment pg 565
\A 60-year-old man complains of chest pain. He is conscious and alert and denies shortness of
breath. Which of the following questions would be the MOST appropriate to ask him?
A) "Does the pain in your chest feel like a stabbing sensation?"
B) "Does the pain in your chest move to either of your arms?"
C) "Were you exerting yourself when the chest pain began?"'
D) "Do you have any heart problems or take any medications?" - ANS -D) "Do you have any
heart problems or take any medications?"
Ch 4 Therapeutic Communication pg 116-117
\A 62 year old man with a history of CHF presents with severe respiratory distress and with an
oxygen saturation of 82%. When you auscultate his lungs, you hear widespread rales. He is
conscious and alert, is able to follow simple commands, and can only speak in two-to-three
word sentences at a time. You should:
A. apply a CPAP device, monitor his BP, and observe him for sings of improvement or
deterioration
B. force fluid from his alveoli by hyperventilating him with a bag-valve mask at a rate of at least
20 breaths/min
C. place him in a position of comfort, deliver oxygen via nasal cannula, and closely monitor his
breathing
D. place him in a supine position and assist his ventilations with bag-valve mask and high-flow
oxygen - ANS -A. apply a CPAP device, monitor his BP, and observe him for sings of
improvement or deterioration
ch 15 treatment of specific conditions pg 615
\A 70 year old female was recently discharged from the hospital following a total hip
replacement. Today, she presents with restlessness, tachycardia, and a BP of 100/64 mmHg.
Her skin is hot and moist. You should be MOST suspicious that she is experiencing:
A. pump failure
B. septic shock
C. a local infection
D. decompensated shock - ANS -B. septic shock
ch 12 types of shock pg 493
\A 71-year-old male is semiconscious following a sudden, severe headache. There is vomitus
around his mouth and his respirations are slow and shallow. The EMT must immediately:
A) apply oxygen via a nonrebreathing mask.
A 22 year old female patient is complaining of dyspnea and numbness and tingling in her hands
and feed after an argument with her fiance. Her respirations are 40 breaths/min. You should:
A. provide reassurance and give oxygen as needed
B. have her breath into a paper or plastic bag
C. position her on her left side and transport at once
D. request a paramedic to give her a sedative - ANS -A. provide reassurance and give oxygen
as needed
ch 15 treatment of specific conditions pg 617
hyperventilation caused this; breathing into a bag could cause hypoxia
\A 40 year old man is in cardiac arrest. Your partner is performing CPR. You are attaching the
AED when the patient's wife tells you that he has an automatic implanted cardiac defibrillator
(AICD). The AED advises that a shock is indicated. What should you do?
A. avoid defibrillation as this will damage the patient's AICD
B. Contact medical control and request permission to defibrillate
C. continue CPR and transport the patient to the closest appropriate hospital
D. deliver the shock followed by immediate resumption of CPR - ANS -D. deliver the shock
followed by immediate resumption of CPR
ch 16 heart surgeries and cardiac assistive devices pg 654
\A 50-year-old man with diabetes has an altered mental status and is unable to tell you when he
last ate or took his insulin. Your glucometer keeps malfunctioning and you are unable to
determine his blood glucose level. Which of the following clinical signs would MOST likely lead
you to the correct diagnosis?
Select one:
A. Restlessness and irritability
B. Hypotension and tachycardia
C. Deep and rapid breathing
D. Rapid and weak pulse - ANS -C. Deep and rapid breathing
Ch 19 Endocrine Emergencies pg 730
\A 58 year old man complains of chest discomfort and nausea. He is conscious and alert; his
blood pressure is 140/90 mmHg his pulse is 104 BPM and his respirations are 16 breaths/min.
your partner has applied supplemental oxygen. Prior to assisting the patient with one of his
prescribed nitroglycerin tablets, you ask him if he takes medication to treat erectile dysfunction
(ED) and he tells you that he does. You should:
A. avoid giving him nitroglycerin and transport him at once.
, B. administer his nitroglycerin and then reassess his blood pressure
C. recall that erectile ED drugs can cause significant HTN
D. ask him what he takes, how much, and when he last took it - ANS -D. ask him what he takes,
how much, and when he last took it
ch 14 patient assessment pg 565
\A 60-year-old man complains of chest pain. He is conscious and alert and denies shortness of
breath. Which of the following questions would be the MOST appropriate to ask him?
A) "Does the pain in your chest feel like a stabbing sensation?"
B) "Does the pain in your chest move to either of your arms?"
C) "Were you exerting yourself when the chest pain began?"'
D) "Do you have any heart problems or take any medications?" - ANS -D) "Do you have any
heart problems or take any medications?"
Ch 4 Therapeutic Communication pg 116-117
\A 62 year old man with a history of CHF presents with severe respiratory distress and with an
oxygen saturation of 82%. When you auscultate his lungs, you hear widespread rales. He is
conscious and alert, is able to follow simple commands, and can only speak in two-to-three
word sentences at a time. You should:
A. apply a CPAP device, monitor his BP, and observe him for sings of improvement or
deterioration
B. force fluid from his alveoli by hyperventilating him with a bag-valve mask at a rate of at least
20 breaths/min
C. place him in a position of comfort, deliver oxygen via nasal cannula, and closely monitor his
breathing
D. place him in a supine position and assist his ventilations with bag-valve mask and high-flow
oxygen - ANS -A. apply a CPAP device, monitor his BP, and observe him for sings of
improvement or deterioration
ch 15 treatment of specific conditions pg 615
\A 70 year old female was recently discharged from the hospital following a total hip
replacement. Today, she presents with restlessness, tachycardia, and a BP of 100/64 mmHg.
Her skin is hot and moist. You should be MOST suspicious that she is experiencing:
A. pump failure
B. septic shock
C. a local infection
D. decompensated shock - ANS -B. septic shock
ch 12 types of shock pg 493
\A 71-year-old male is semiconscious following a sudden, severe headache. There is vomitus
around his mouth and his respirations are slow and shallow. The EMT must immediately:
A) apply oxygen via a nonrebreathing mask.
