EMT STATE EXAM
106) You are the first EMS Provider to arrive on the scene of a head-on automobile accident
where you find the following:
Patient #1 appears to be intoxicated has pain in his right shoulder, and is belligerent toward the
rescuers
Patient #2 also appears to be intoxicated and is very slow in responding to questions. He has
burns on his lower legs and feet from the car heater and complains 0f a pain in his back
Patient #3 has an open wound to the brain, which is not bleeding, He has no pulse or
respiration, and his chest pinned between the steering wheel and the seat
Patient #4 has a laceration across the abdomen that is bleeding profusely, and a portion of the
colon is protruding
Which patient should be treated and transported FIRST? - ANS -Patient #4
\A 25-year-old woman is in active labor. The umbilical cord is presenting through the vagina.
You would: - ANS -Place the mother in a supine position with the hips elevated, administer
oxygen, and transport
\A 28-year-old patient presents supine on the floor, unconscious, unresponsive, and with
snoring respirations at a rate of 6 per minute. Bystanders report that the patient is diabetic,
takes no medications, and may have ingested heroin half an hour prior to the EMS Providers
arrival. After opening the patients airway, the EMS provider should: - ANS -Insert an airway
adjunct and ventilate with 100% oxygen using a bag-valve-mask
\A 52-year-old male is complaining of breathing difficulty and left arm pain radiating to the right
jaw. Vital signs are BP < 90/60 P = 120, R = 24. The patient should be administered - ANS
-High concentration oxygen and should be placed in a position of comfort for ease of breathing
\A 65 year-old male was involved in a two-car motor vehicle crash. Upon examination, he
complains of chest pain upon breathing and tenderness of the sternum. Your INITIAL care
would be to: - ANS -Administer high-concentration oxygen
\A 65-year-old male was involved in a two-car motor vehicle crash. Upon examination, he
complains of chest pain when breathing and tenderness of the sternum. Your INITIAL care
should include: - ANS -Administering high-concentration oxygen
\A car hit a utility pole and an electrical wire fell on top of the car. Upon arrival, the EMS Provider
see three apparently uninjured people in the car. The EMS providers first action should be to: -
ANS -Tell the car's occupants to stay in the car
\A chest injury may interfere mechanically with the functioning of the: - ANS -Lungs
\A child drank some unknown fluid. You arrive at the scene and note the following signs: the
child's mouth and lips are a reddish color, and the child is coughing and gagging. You assess
, and manage the ABC's and begin transport. What should you do next? - ANS -Contact medical
control for direction
\A closed bone or joint injury is BEST defined as an injury: - ANS -In which there is no break in
the continuity of the skin
\A correct statement concerning airway management of a patient who has a suspected spinal
cord injury is that: - ANS -The airway always takes precedence over the cord injury; the airway
must be opened regardless of the damage it might do to the cord
\A diabetic emergency with a rapid onset is due to: - ANS -Too much insulin
\A female patient with chest pain tells you that she regularly takes nitroglycerin and "water pills,"
and that she has to sleep propped up on three pillows. Your treatment should include: - ANS
-Administering oxygen via non-rebreather
\A high school football player has received a hard direct blow to the abdomen. Which of the
following may indicate internal bleeding? - ANS -Weak rapid pulse, tenderness, guarding, or
pain in the abdomen
\A machine shop operator injured his hand while using a drill press. If the injured hand is to be
splinted, the EMS Provider should splint it: - ANS -In the position of function
\A man has received on his chest, abdomen and his entire left arm during a house fire. What
percentage of the body surface will the EMS Provider estimate to determine the severity of the
burn? - ANS -27%
\A patient is found lying supine along a roadside. There are no witnesses to describe what
happened. Which of the following steps should be done FIRST? - ANS -Asset for
unresponsiveness
\A patient is lying unconscious, face down in a swimming pool, with a possible neck injury. After
scene size-up, the EMS provider should: - ANS -Stabilize the neck with his/her arms while
rolling the patient over and securing a patent airway
\A patient m severe pain due to an abdominal injury should be placed in which of the following
positions? - ANS -In a position of comfort
\A patient suffering from a diabetic emergency (hypoglycemia) will exhibit which of the following
signs and/or symptoms? - ANS -Rapid pulse and cool clammy skin
\A patient was struck in the head with a pipe during a fight. The patient is unresponsive and
bleeding from within the ear. You should: - ANS -Apply a loose sterile dressing to the ear
\A patient with a history of diabetes has an altered mental status due to a diabetic emergency.
The EMS Provider should: - ANS -Administer a sugar concentrate, if there is no danger that the
patient will aspirate
\A patient with a history of diabetes has an altered mental status due to diabetic emergency. The
EMS provider should: - ANS -Administer a sugar concentrate, if there is no danger that the
patient will aspirate
\A patient with a severe head injury and increasing pressure within the skull will often present
with: - ANS -Elevated blood pressure and slow pulse
\A patient with acute respiratory distress requiring oxygen therapy is LEAST likely to exhibit: -
ANS -A slow pulse rate
\A sign or symptom of decreased oxygen to the heart muscle is: - ANS -Chest pain
\A sign or symptom of decreased oxygen to the heart muscle is: - ANS -Chest pain
\A soft pillow splint can be used to splint an injury to the: - ANS -Ankle
106) You are the first EMS Provider to arrive on the scene of a head-on automobile accident
where you find the following:
Patient #1 appears to be intoxicated has pain in his right shoulder, and is belligerent toward the
rescuers
Patient #2 also appears to be intoxicated and is very slow in responding to questions. He has
burns on his lower legs and feet from the car heater and complains 0f a pain in his back
Patient #3 has an open wound to the brain, which is not bleeding, He has no pulse or
respiration, and his chest pinned between the steering wheel and the seat
Patient #4 has a laceration across the abdomen that is bleeding profusely, and a portion of the
colon is protruding
Which patient should be treated and transported FIRST? - ANS -Patient #4
\A 25-year-old woman is in active labor. The umbilical cord is presenting through the vagina.
You would: - ANS -Place the mother in a supine position with the hips elevated, administer
oxygen, and transport
\A 28-year-old patient presents supine on the floor, unconscious, unresponsive, and with
snoring respirations at a rate of 6 per minute. Bystanders report that the patient is diabetic,
takes no medications, and may have ingested heroin half an hour prior to the EMS Providers
arrival. After opening the patients airway, the EMS provider should: - ANS -Insert an airway
adjunct and ventilate with 100% oxygen using a bag-valve-mask
\A 52-year-old male is complaining of breathing difficulty and left arm pain radiating to the right
jaw. Vital signs are BP < 90/60 P = 120, R = 24. The patient should be administered - ANS
-High concentration oxygen and should be placed in a position of comfort for ease of breathing
\A 65 year-old male was involved in a two-car motor vehicle crash. Upon examination, he
complains of chest pain upon breathing and tenderness of the sternum. Your INITIAL care
would be to: - ANS -Administer high-concentration oxygen
\A 65-year-old male was involved in a two-car motor vehicle crash. Upon examination, he
complains of chest pain when breathing and tenderness of the sternum. Your INITIAL care
should include: - ANS -Administering high-concentration oxygen
\A car hit a utility pole and an electrical wire fell on top of the car. Upon arrival, the EMS Provider
see three apparently uninjured people in the car. The EMS providers first action should be to: -
ANS -Tell the car's occupants to stay in the car
\A chest injury may interfere mechanically with the functioning of the: - ANS -Lungs
\A child drank some unknown fluid. You arrive at the scene and note the following signs: the
child's mouth and lips are a reddish color, and the child is coughing and gagging. You assess
, and manage the ABC's and begin transport. What should you do next? - ANS -Contact medical
control for direction
\A closed bone or joint injury is BEST defined as an injury: - ANS -In which there is no break in
the continuity of the skin
\A correct statement concerning airway management of a patient who has a suspected spinal
cord injury is that: - ANS -The airway always takes precedence over the cord injury; the airway
must be opened regardless of the damage it might do to the cord
\A diabetic emergency with a rapid onset is due to: - ANS -Too much insulin
\A female patient with chest pain tells you that she regularly takes nitroglycerin and "water pills,"
and that she has to sleep propped up on three pillows. Your treatment should include: - ANS
-Administering oxygen via non-rebreather
\A high school football player has received a hard direct blow to the abdomen. Which of the
following may indicate internal bleeding? - ANS -Weak rapid pulse, tenderness, guarding, or
pain in the abdomen
\A machine shop operator injured his hand while using a drill press. If the injured hand is to be
splinted, the EMS Provider should splint it: - ANS -In the position of function
\A man has received on his chest, abdomen and his entire left arm during a house fire. What
percentage of the body surface will the EMS Provider estimate to determine the severity of the
burn? - ANS -27%
\A patient is found lying supine along a roadside. There are no witnesses to describe what
happened. Which of the following steps should be done FIRST? - ANS -Asset for
unresponsiveness
\A patient is lying unconscious, face down in a swimming pool, with a possible neck injury. After
scene size-up, the EMS provider should: - ANS -Stabilize the neck with his/her arms while
rolling the patient over and securing a patent airway
\A patient m severe pain due to an abdominal injury should be placed in which of the following
positions? - ANS -In a position of comfort
\A patient suffering from a diabetic emergency (hypoglycemia) will exhibit which of the following
signs and/or symptoms? - ANS -Rapid pulse and cool clammy skin
\A patient was struck in the head with a pipe during a fight. The patient is unresponsive and
bleeding from within the ear. You should: - ANS -Apply a loose sterile dressing to the ear
\A patient with a history of diabetes has an altered mental status due to a diabetic emergency.
The EMS Provider should: - ANS -Administer a sugar concentrate, if there is no danger that the
patient will aspirate
\A patient with a history of diabetes has an altered mental status due to diabetic emergency. The
EMS provider should: - ANS -Administer a sugar concentrate, if there is no danger that the
patient will aspirate
\A patient with a severe head injury and increasing pressure within the skull will often present
with: - ANS -Elevated blood pressure and slow pulse
\A patient with acute respiratory distress requiring oxygen therapy is LEAST likely to exhibit: -
ANS -A slow pulse rate
\A sign or symptom of decreased oxygen to the heart muscle is: - ANS -Chest pain
\A sign or symptom of decreased oxygen to the heart muscle is: - ANS -Chest pain
\A soft pillow splint can be used to splint an injury to the: - ANS -Ankle
