EMT PASS Final Exam
A 10 year old boy was hit in the ear with a baseball. He is able to hear but you see a large
hematoma developing in the soft tissue of the ear. You should - ANS-apply ice and transport
routinely.
\A 10 year old boy was pitching a baseball game when a batter struck him in the sternum
with a baseball. He immediately collapsed and parents called you. On arrival you see
bystanders doing chest compression only CPR. You should first - ANS-attach the AED.
\A 12 year old girl with a history of asthma has audible wheezes when you arrive. You
immediately provide 100% oxygen via non-rebreather mask. After 1 minute of oxygenation
you see her relax, become sleepy and her wheezes are no longer audible. You should
suspect - ANS-she is in respiratory failure.
\A 19 year old male was playing basketball when he "ran out of gas." You find him sitting on
a bench in the gym sweating and in a tripod position. His vital signs are BP 128/84, P 118, R
24 and shallow. You hear increased breath sounds over his right lung. You should suspect -
ANS-spontaneous pneumothorax.
\A 19 year old male was stabbed in the right chest. You've managed the wound and about
10 minutes later he is in respiratory distress, has cyanosis in capillary beds and has jugular
vein distention. His vital signs are BP 96/88, P 108, R 24 and labored. You should suspect -
ANS-tension pneumothorax.
\A 19 year old male was stabbed just lateral to the sternum in his left chest about 25 minutes
ago. When you arrive the wound has stopped bleeding. You apply a non-porous dressing
and begin transport. En route he becomes more short of breath and develops jugular vein
distention. You auscultate clear breath sounds. His vital signs are BP 98/74, P 104, R 20.
You should suspect - ANS-cardiac tamponade.
\A 19 year old unbelted male was involved in a car crash. He complains of pain near a scalp
laceration. His vital signs are BP 108/82, P 112, R 16 and his SpO2 is 98% on room air.
Physical exam reveals a scalp laceration, fractures of ribs 8, 9 and 10 on his right lower
chest and a fractured right upper leg. Your management should focus on -
ANS-hypoperfusion
\A 19 year old was stabbed multiple times. You find puncture wounds in his chest, abdomen
and upper left leg. At the scene there is moderate blood and no wounds are hemorrhaging.
His breath sounds are clear at the bases. His vital signs are BP 94/78, P 118 and R 16. His
skin is pale and capillary beds are empty. You should suspect - ANS-solid organ abdominal
hemorrhage.
\A 2 year old girl has a loud, frequent cough and is exhibiting stridor. You see suprasternal
retractions. She appears anxious and has no history of asthma. You should suspect -
ANS-laryngotracheobronchitis.
\A 20 year old male has a gunshot wound to the left chest. You manage the wound and
begin transport. His initial vital signs are BP 96/palp, P 108, and R 6 and shallow. You begin
to assist his ventilations and your partner reports he has no blood pressure. You suspect the
loss of his BP to be due to - ANS-the loss of venous return to the heart.
\A 20 year old male overdosed on a hallucinogenic drug and is fighting with law enforcement
when you arrive. They "hog tie" him with his face down and his hands and feet tied behind
his back. He remains combative. You should report this patient has - ANS-agitated delirium.
, \A 21 year old female says she was raped and beaten 15 minutes ago by a man who ran
away. You see facial swelling, human bites and a hematoma on her head. Her vital signs are
BP 134/82, P 96, R 16. You should - ANS-place ice on her edema and dress the bite marks.
\A 21 year old female with a history of asthma has taken "multiple doses" from her inhaler
without relief. After arrival you see her head slump to her chest and she appears to be
sleeping. Your partner reports her SpO2 is 84% on 15 Lpm non-rebreather mask. You should
- ANS-ventilate her with a BVM.
\A 21 year old male was at a picnic when he was stung by a bee. On arrival he is short of
breath, wheezing and has urticaria. His vital signs are BP 104/84, P 102, R 20 and his SpO2
is 95% on room air. What is the first question you should ask him? - ANS-"Do you have an
EpiPen with you?"
\A 23 year old man was slashed across the abdomen with a knife. His wound has small
bowel protruding from it. His vital signs are BP 126/82, P 92 and R 16. You should first -
ANS-cover the bowel with moist, sterile saline gauze.
\A 24 year old grabbed a family valuable from flames and suffered a full thickness burn of his
right hand and partial thickness burns of his right lower arm. His scalp hair is slightly burned.
You should consider this a - ANS-critical burn.
\A 26 year old female collapsed at a youth football game. When you arrive she is cold,
clammy and diaphoretic. She does not answer your questions appropriately. You find a
diabetic bracelet. Her vital signs are BP 116/82, P 90, R 16 and her SpO2 is 95% on room
air. You should suspect - ANS-hypoglycemia.
\A 26 year old female runner has right side flank pain. She is unable to lay in a comfortable
position. The pain is severe and intermittent in nature. You should suspect - ANS-renal
calculi.
\A 26 year old male tells you his heart feels like, "it's pounding so hard it's going to burst
through my chest." You suspect he is having - ANS-palpitations.
\A 26 year old male was playing soccer and collapsed. When you arrive he is on a bench
complaining of weakness. His vital signs are BP 102/82, P 164 and weak and R 18. His
SpO2 is 95% on room air. You should first - ANS-lay him flat.
\A 26 year old male who is wearing a necklace that indicates he has epilepsy had a seizure
at a shopping mall. When you arrive he is unconscious, breathing deeply and is incontinent
of urine. You should suspect he - ANS-is postictal.
\A 26 year old man calls you because he is too sick to drive. He is anxious, hot and has dry
skin. He tells you "I've been drinking many sodas and eating all kinds of food for days. I don't
think I have the flu!" His vital signs are BP 108/82, P 88, R 24 with deep respirations. You
detect a sweet smell on his breath. You should suspect - ANS-hyperglycemia.
\A 26 year old man crashed his motorcycle. He was not wearing a helmet. When you arrive
he is unconscious and responds to painful stimuli. You hear snoring respirations. You should
first - ANS-insert a nasopharyngeal airway.
\A 26 year old man ran from a burning building carrying his baby. You assess the man and
he has facial burns and tachypnea. You apply oxygen and - ANS-monitor his airway for
edema.
\A 29 year old gravida 6, para 2 is in the third trimester of pregnancy. She has gained a lot of
weight, has evidence of edema in her ankles, and shortness of breath. Her vital signs are BP
186/96, P 96, R 20 and her SpO2 is 96% on room air. You should suspect -
ANS-pre-eclampsia.
A 10 year old boy was hit in the ear with a baseball. He is able to hear but you see a large
hematoma developing in the soft tissue of the ear. You should - ANS-apply ice and transport
routinely.
\A 10 year old boy was pitching a baseball game when a batter struck him in the sternum
with a baseball. He immediately collapsed and parents called you. On arrival you see
bystanders doing chest compression only CPR. You should first - ANS-attach the AED.
\A 12 year old girl with a history of asthma has audible wheezes when you arrive. You
immediately provide 100% oxygen via non-rebreather mask. After 1 minute of oxygenation
you see her relax, become sleepy and her wheezes are no longer audible. You should
suspect - ANS-she is in respiratory failure.
\A 19 year old male was playing basketball when he "ran out of gas." You find him sitting on
a bench in the gym sweating and in a tripod position. His vital signs are BP 128/84, P 118, R
24 and shallow. You hear increased breath sounds over his right lung. You should suspect -
ANS-spontaneous pneumothorax.
\A 19 year old male was stabbed in the right chest. You've managed the wound and about
10 minutes later he is in respiratory distress, has cyanosis in capillary beds and has jugular
vein distention. His vital signs are BP 96/88, P 108, R 24 and labored. You should suspect -
ANS-tension pneumothorax.
\A 19 year old male was stabbed just lateral to the sternum in his left chest about 25 minutes
ago. When you arrive the wound has stopped bleeding. You apply a non-porous dressing
and begin transport. En route he becomes more short of breath and develops jugular vein
distention. You auscultate clear breath sounds. His vital signs are BP 98/74, P 104, R 20.
You should suspect - ANS-cardiac tamponade.
\A 19 year old unbelted male was involved in a car crash. He complains of pain near a scalp
laceration. His vital signs are BP 108/82, P 112, R 16 and his SpO2 is 98% on room air.
Physical exam reveals a scalp laceration, fractures of ribs 8, 9 and 10 on his right lower
chest and a fractured right upper leg. Your management should focus on -
ANS-hypoperfusion
\A 19 year old was stabbed multiple times. You find puncture wounds in his chest, abdomen
and upper left leg. At the scene there is moderate blood and no wounds are hemorrhaging.
His breath sounds are clear at the bases. His vital signs are BP 94/78, P 118 and R 16. His
skin is pale and capillary beds are empty. You should suspect - ANS-solid organ abdominal
hemorrhage.
\A 2 year old girl has a loud, frequent cough and is exhibiting stridor. You see suprasternal
retractions. She appears anxious and has no history of asthma. You should suspect -
ANS-laryngotracheobronchitis.
\A 20 year old male has a gunshot wound to the left chest. You manage the wound and
begin transport. His initial vital signs are BP 96/palp, P 108, and R 6 and shallow. You begin
to assist his ventilations and your partner reports he has no blood pressure. You suspect the
loss of his BP to be due to - ANS-the loss of venous return to the heart.
\A 20 year old male overdosed on a hallucinogenic drug and is fighting with law enforcement
when you arrive. They "hog tie" him with his face down and his hands and feet tied behind
his back. He remains combative. You should report this patient has - ANS-agitated delirium.
, \A 21 year old female says she was raped and beaten 15 minutes ago by a man who ran
away. You see facial swelling, human bites and a hematoma on her head. Her vital signs are
BP 134/82, P 96, R 16. You should - ANS-place ice on her edema and dress the bite marks.
\A 21 year old female with a history of asthma has taken "multiple doses" from her inhaler
without relief. After arrival you see her head slump to her chest and she appears to be
sleeping. Your partner reports her SpO2 is 84% on 15 Lpm non-rebreather mask. You should
- ANS-ventilate her with a BVM.
\A 21 year old male was at a picnic when he was stung by a bee. On arrival he is short of
breath, wheezing and has urticaria. His vital signs are BP 104/84, P 102, R 20 and his SpO2
is 95% on room air. What is the first question you should ask him? - ANS-"Do you have an
EpiPen with you?"
\A 23 year old man was slashed across the abdomen with a knife. His wound has small
bowel protruding from it. His vital signs are BP 126/82, P 92 and R 16. You should first -
ANS-cover the bowel with moist, sterile saline gauze.
\A 24 year old grabbed a family valuable from flames and suffered a full thickness burn of his
right hand and partial thickness burns of his right lower arm. His scalp hair is slightly burned.
You should consider this a - ANS-critical burn.
\A 26 year old female collapsed at a youth football game. When you arrive she is cold,
clammy and diaphoretic. She does not answer your questions appropriately. You find a
diabetic bracelet. Her vital signs are BP 116/82, P 90, R 16 and her SpO2 is 95% on room
air. You should suspect - ANS-hypoglycemia.
\A 26 year old female runner has right side flank pain. She is unable to lay in a comfortable
position. The pain is severe and intermittent in nature. You should suspect - ANS-renal
calculi.
\A 26 year old male tells you his heart feels like, "it's pounding so hard it's going to burst
through my chest." You suspect he is having - ANS-palpitations.
\A 26 year old male was playing soccer and collapsed. When you arrive he is on a bench
complaining of weakness. His vital signs are BP 102/82, P 164 and weak and R 18. His
SpO2 is 95% on room air. You should first - ANS-lay him flat.
\A 26 year old male who is wearing a necklace that indicates he has epilepsy had a seizure
at a shopping mall. When you arrive he is unconscious, breathing deeply and is incontinent
of urine. You should suspect he - ANS-is postictal.
\A 26 year old man calls you because he is too sick to drive. He is anxious, hot and has dry
skin. He tells you "I've been drinking many sodas and eating all kinds of food for days. I don't
think I have the flu!" His vital signs are BP 108/82, P 88, R 24 with deep respirations. You
detect a sweet smell on his breath. You should suspect - ANS-hyperglycemia.
\A 26 year old man crashed his motorcycle. He was not wearing a helmet. When you arrive
he is unconscious and responds to painful stimuli. You hear snoring respirations. You should
first - ANS-insert a nasopharyngeal airway.
\A 26 year old man ran from a burning building carrying his baby. You assess the man and
he has facial burns and tachypnea. You apply oxygen and - ANS-monitor his airway for
edema.
\A 29 year old gravida 6, para 2 is in the third trimester of pregnancy. She has gained a lot of
weight, has evidence of edema in her ankles, and shortness of breath. Her vital signs are BP
186/96, P 96, R 20 and her SpO2 is 96% on room air. You should suspect -
ANS-pre-eclampsia.
