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EMT Final Exam - Chapters 1-41 Questions and Answers Summary

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Key Topics Covered: Patient Assessment and Management Glasgow Coma Scale (GCS) scoring. Blood pressure cuff sizing and its impact on readings. Techniques for assessing airway, breathing, and circulation (ABCs). Importance of secondary assessments to identify less obvious injuries. Medical Emergencies Recognition and treatment of conditions like anaphylaxis, diabetes, and seizures. Administration of medications such as epinephrine and oral glucose. Management of respiratory distress, including asthma and COPD. Trauma Care Spinal injury management and immobilization techniques. Treatment for fractures, bleeding control, and shock. Handling of burns, including chemical burns and thermal injuries. Special Populations Pediatric assessments and common emergencies like febrile seizures. Geriatric considerations, including polypharmacy and atypical presentations of illness. Obstetric and gynecologic emergencies, such as preterm labor and ectopic pregnancy. Operational and Legal Aspects Proper use of ambulance equipment and safety during transport. Legal responsibilities, including consent and documentation. Communication techniques for effective handoff reports and patient interaction. Environmental and Toxicological Emergencies Heat and cold-related illnesses. Poisoning and overdose management, including use of activated charcoal and naloxone. Hazardous materials incidents and decontamination procedures. Cardiac Emergencies Recognition of acute coronary syndrome (ACS) and myocardial infarction (MI). Use of AEDs and CPR guidelines. Differentiating between cardiac and non-cardiac chest pain. Neurological Emergencies Stroke assessment using tools like the Cincinnati Prehospital Stroke Scale. Management of seizures and status epilepticus. Differentiating between stroke and hypoglycemia. Psychiatric and Behavioral Emergencies Techniques for de-escalation and patient safety. Legal considerations in involuntary holds and patient rights. Recognizing signs of substance abuse and withdrawal. Anatomy and Physiology Key structures and functions of the respiratory, cardiovascular, and nervous systems. Pathophysiology of common conditions like diabetes and hypertension.

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,EMT final exam - Chapters 1-41 QUESTIONS AND ANSWERS 2024-
2025 GRADE A 100% VERIFIED
A 29-year-old male with a head injury opens his eyes when you speak to him, is confused as to the time
and date, and is able to move all of his extremities on command. His "Glasgow coma scale" (GCS) score
is:
a. 10
b. 12
c. 14
d. 13- ANS>>>> d. 13


A blood pressure cuff that is too small for a patient's arm will give a:
a. Falsely low systolic but high diastolic reading
b. Falsely low systolic and diastolic reading
c. Falsely high systolic but low diastolic reading
d. Falsely high systolic and diastolic reading- ANS>>>> d. Falsely high systolic and diastolic reading


A patient's short-term memory is MOST likely intact if they correctly answer questions regarding:
a. Person and place
b. Time and place
c. Event and person
d. Day and event- ANS>>>> d. Day and event


A properly sized blood pressure cuff should cover:
a. One third length from the armpit to the crease at the elbow
b. The entire upper arm between the armpit and the crease of the elbow
c. One half the length between the armpit and the crease at the elbow
d. Two thirds the length from the armpit to the crease at the elbow- ANS>>>> d. Two thirds the length
from the armpit to the crease at the elbow


After performing a primary assessment, a rapid exam of the body should be performed to:
a. Determine the need for a spinal motion restriction precaution

,b. Identify less obvious injuries that require immediate treatment
c. Find and treat injuries or conditions that do not pose a threat to life
d. Look specifically for signs and symptoms of inadequate perfusion- ANS>>>> b. Identify less obvious
injuries that require immediate treatment


As you assess the head of a patient with a suspected spinal injury, your partner should:
a. Prepare the immobilization equipment
b. Look into the ears for gross bleeding
c. Assess the rest of the body
d. Maintain stabilization of the head- ANS>>>> d. Maintain stabilization of the head


Capnography is used to:
a. Determine how much carbon dioxide is being exhaled
b. Assess how much oxygen is reaching the body's tissues
c. Trend a patient's blood pressure and assess for shock
d. Assess how much oxygen is bound to the hemoglobin- ANS>>>> a. Determine how much carbon
dioxide is being exhaled


Cyanosis of the skin is cause by:
a. Increase in blood oxygen
b. Decrease of blood oxygen
c. Peripheral vasodilation
d. Venous vasoconstriction- ANS>>>> b. Decrease of blood oxygen


In responsive patients who are older than 1 year of age, you should palpitate the pulse at the ______
artery:
a. Radial
b. Femoral
c. Brachial
d. Carotid- ANS>>>> a. Radial

, In the adult, bradycardia is defined as a pulse rate less than _____ BPM. And tachycardia is defined as a
heart rate greater than _______ BPM.
a. 40, 120
b. 60, 100
c. 30, 130
d. 50, 110- ANS>>>> b. 60, 100


The goal of oxygenation for most patients is an oxygen saturation of:
a. 90% to 94%
b. 88% to 90%
c. 94% to 99%
d. 100%- ANS>>>> c. 94% to 99%


The goal of the systematic head to toe exam that is performed during the secondary assessment is to:
a. Locate injuries not found in the primary assessment
b. Definitively rule out significant internal injuries
c. Assess only the parts of the body that are injured
d. Detect and treat all non-life-threatening injuries- ANS>>>> a. Locate injuries not found in the primary
assessment


The systematic head-to-toe assessment should be performed on:
a. All patients with traumatic injuries who will require EMS transport
b. Responsive medical patients and patients without significant MOI
c. Stable patients who are able to tell you exactly what happened
d. Patients with a significant MOI and unresponsive medical patients- ANS>>>> d. Patients with a
significant MOI and unresponsive medical patients


Treatment and transport priorities at the scene of a mass casualty incident should be determined after:
a. All the patients have been triaged
b. A physician arrives at the scene
c. Area hospitals have been notified

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