EMD UPDATED Exam Questions and
CORECT Answers
The Academy does not consider aspirin to be a blood thinner in response to Key Question 5 on
Protocol 21: "Does s/he have a bleeding disorder or is s/he on blood thinners?"
A.) True
B.) False - CORRECT ANSWER A.) True
Both ECHO- and DELTA-level Determinant Codes imply potentially critical, time-sensitive
situations.
A.) True
B.) False - CORRECT ANSWER A.) True
ECHO Determinant Codes were created to encourage agencies to send:
A.) The most cost-efficient response
B.) All available responders
C.) The absolute closest response of any trained crew
D.) Their most highly trained paramedic - CORRECT ANSWER C.) The absolute closest
response of any trained crew
ECHO codes only exist on Chief Complaint Protocols without DELTA codes.
,A.) True
B.) False - CORRECT ANSWER B.) False
As a general rule, ECHO Codes are included on Chief Complaint Protocols that involve
significant scene safety risks.
A.) True
B.) False - CORRECT ANSWER B.) False
You will sometimes have enough information after hearing the caller's response to, "Okay, tell
me exactly what happened," to immediately initiate an ECHO response for the patient.
A.) True
B.) False - CORRECT ANSWER A.) True
Which of the following complaints represents a situation that, without obtaining any further
information, could be properly categorized by an EMD into one of the MPDS Chief Complaint
Protocols?
A.) "He's just laying on the couch looking miserable. I think he's dying. Come quick!
B.) "Something's wrong with my Mom. She needs an ambulance right away."
C.) "My baby just swallowed a marble and it's stuck in her throat. She can't breathe at all!"
,D.) "He's been acting really sick since yesterday, and now he's getting even worse." - CORRECT
ANSWER C.) "My baby just swallowed a marble and it's stuck in her throat. She can't breathe
at all!"
Immediately after initiating an ECHO response, you should:
A.) Provide applicable Case Entry Post-Dispatch instructions.
B.) Provide applicable Post-Dispatch Instructions from the corresponding Chief Complaint
Protocol.
C.) Return to the questioning sequence. - CORRECT ANSWER A.) Provide applicable Case
Entry Post-Dispatch instructions.
It is clearly a waste of time to ask additional Case Entry Questions and Chief Complaint Key
Questions after initiating a 7-ECHO-1 response and providing PDI-a and PDI-f for person on
fire.
A.) True
B.) False - CORRECT ANSWER B.) False
The ECHO send point under Case Entry Question 3 for 9-E-1, "Obviously NOT BREATHING
and Unconscious (non-traumatic)," applies only to:
A.) non-traumatic situations when a caller reports that a patient is OBVIOUSLY dead.
B.) traumatic-injury situations in which a patient is in desperate need of SPECIALIZED rescue
equipment.
, C.) non-traumatic MEDICAL arrest situations where the caller spontaneously provides
information indicating that the patient is not breathing and is also unconscious. - CORRECT
ANSWER C.) non-traumatic MEDICAL arrest situations where the caller spontaneously
provides information indicating that the patient is not breathing and is also unconscious.
An INEFFECTIVE BREATHING situation, when volunteered during Case Entry, always
warrants an ECHO-level response.
A.) True
B.) False - CORRECT ANSWER B.) False
For cases where a patient is currently hanging by the neck, and it is not an OBVIOUS DEATH
situation, you should first initiate a 9-E-3 response, provide Case Entry PDI-a, then:
A.) ask if the patient is changing color and if s/he is still warn to try to determine if the patient is
still alive.
B.) instruct the caller not to move or touch anything at the scene in order to preserve evidence.
C.) Instruct the caller: "Cut him down immediately, loosen the noose, then tell me if s/he's
breathing." - CORRECT ANSWER C.) Instruct the caller: "Cut him down immediately,
loosen the noose, then tell me if s/he's breathing."
A caller tells you that she just found her 2-year-old son in their backyard swimming pool and he
is still under the water. After initiating a 14-E-2 response and providing Case Entry PDI-a, you
should:
A.) ask the caller about the size and depth of the pool and how good of a swimmer they are to
determine if it is safe to tell the caller to go in the water.
B.) Instruct the caller to immediately get the child out of the water.
CORECT Answers
The Academy does not consider aspirin to be a blood thinner in response to Key Question 5 on
Protocol 21: "Does s/he have a bleeding disorder or is s/he on blood thinners?"
A.) True
B.) False - CORRECT ANSWER A.) True
Both ECHO- and DELTA-level Determinant Codes imply potentially critical, time-sensitive
situations.
A.) True
B.) False - CORRECT ANSWER A.) True
ECHO Determinant Codes were created to encourage agencies to send:
A.) The most cost-efficient response
B.) All available responders
C.) The absolute closest response of any trained crew
D.) Their most highly trained paramedic - CORRECT ANSWER C.) The absolute closest
response of any trained crew
ECHO codes only exist on Chief Complaint Protocols without DELTA codes.
,A.) True
B.) False - CORRECT ANSWER B.) False
As a general rule, ECHO Codes are included on Chief Complaint Protocols that involve
significant scene safety risks.
A.) True
B.) False - CORRECT ANSWER B.) False
You will sometimes have enough information after hearing the caller's response to, "Okay, tell
me exactly what happened," to immediately initiate an ECHO response for the patient.
A.) True
B.) False - CORRECT ANSWER A.) True
Which of the following complaints represents a situation that, without obtaining any further
information, could be properly categorized by an EMD into one of the MPDS Chief Complaint
Protocols?
A.) "He's just laying on the couch looking miserable. I think he's dying. Come quick!
B.) "Something's wrong with my Mom. She needs an ambulance right away."
C.) "My baby just swallowed a marble and it's stuck in her throat. She can't breathe at all!"
,D.) "He's been acting really sick since yesterday, and now he's getting even worse." - CORRECT
ANSWER C.) "My baby just swallowed a marble and it's stuck in her throat. She can't breathe
at all!"
Immediately after initiating an ECHO response, you should:
A.) Provide applicable Case Entry Post-Dispatch instructions.
B.) Provide applicable Post-Dispatch Instructions from the corresponding Chief Complaint
Protocol.
C.) Return to the questioning sequence. - CORRECT ANSWER A.) Provide applicable Case
Entry Post-Dispatch instructions.
It is clearly a waste of time to ask additional Case Entry Questions and Chief Complaint Key
Questions after initiating a 7-ECHO-1 response and providing PDI-a and PDI-f for person on
fire.
A.) True
B.) False - CORRECT ANSWER B.) False
The ECHO send point under Case Entry Question 3 for 9-E-1, "Obviously NOT BREATHING
and Unconscious (non-traumatic)," applies only to:
A.) non-traumatic situations when a caller reports that a patient is OBVIOUSLY dead.
B.) traumatic-injury situations in which a patient is in desperate need of SPECIALIZED rescue
equipment.
, C.) non-traumatic MEDICAL arrest situations where the caller spontaneously provides
information indicating that the patient is not breathing and is also unconscious. - CORRECT
ANSWER C.) non-traumatic MEDICAL arrest situations where the caller spontaneously
provides information indicating that the patient is not breathing and is also unconscious.
An INEFFECTIVE BREATHING situation, when volunteered during Case Entry, always
warrants an ECHO-level response.
A.) True
B.) False - CORRECT ANSWER B.) False
For cases where a patient is currently hanging by the neck, and it is not an OBVIOUS DEATH
situation, you should first initiate a 9-E-3 response, provide Case Entry PDI-a, then:
A.) ask if the patient is changing color and if s/he is still warn to try to determine if the patient is
still alive.
B.) instruct the caller not to move or touch anything at the scene in order to preserve evidence.
C.) Instruct the caller: "Cut him down immediately, loosen the noose, then tell me if s/he's
breathing." - CORRECT ANSWER C.) Instruct the caller: "Cut him down immediately,
loosen the noose, then tell me if s/he's breathing."
A caller tells you that she just found her 2-year-old son in their backyard swimming pool and he
is still under the water. After initiating a 14-E-2 response and providing Case Entry PDI-a, you
should:
A.) ask the caller about the size and depth of the pool and how good of a swimmer they are to
determine if it is safe to tell the caller to go in the water.
B.) Instruct the caller to immediately get the child out of the water.
