EMD v13.0A Recertification Exam (OUTEC)
— Complete Questions & Answers
2025/2026
SECTION 1 — Exam Overview (2025/2026 Update)
The EMD v13.0A Recertification Exam for OUTEC assesses dispatchers' proficiency in
Emergency Medical Dispatching under the latest version 13.0A protocols, effective for
the 2025/2026 cycle. This exam emphasizes updated call-taking procedures, priority
symptom recognition, determinant coding, and pathway selection to ensure accurate,
efficient emergency response. It covers 2025/2026 enhancements, including refined
sepsis screening, opioid overdose protocols, and improved integration with regional
systems, with a focus on safety, compliance, and rapid decision-making for 25–40
multiple-choice items, scenario-based applications, and coding exercises.
SECTION 2 — Multiple-Choice Questions (with Answers)
Here are 30 original multiple-choice questions aligned with EMD v13.0A standards for
2025/2026. Each includes the question, options, correct answer, and a brief explanation.
In EMD v13.0A, what is the primary goal of the pre-arrival instructions for a caller
reporting chest pain?
A. To diagnose the condition
B. To gather medical history
C. To provide immediate life-saving guidance
D. To confirm the location
Correct Answer: C — To provide immediate life-saving guidance
1. Explanation: Pre-arrival instructions focus on stabilizing the caller and patient
(e.g., aspirin for chest pain) to support emergency response, per 2025/2026
protocol updates emphasizing rapid intervention.
For a caller reporting a 45-year-old with sudden severe headache, which determinant
code is assigned in the Stroke Protocol?
A. Delta
B. Charlie
C. Bravo
D. Alpha
Correct Answer: B — Charlie
, 2. Explanation: Sudden severe headache in the Stroke Protocol (2025/2026) codes as
Charlie, indicating potential hemorrhagic stroke risk, prompting priority dispatch
and pre-arrival questions on onset and weakness.
What is the first action in the Breathing Problems Protocol when the caller reports
labored breathing in a 30-year-old?
A. Ask for medical history
B. Instruct the caller to have the patient sit upright
C. Confirm the address
D. Query about allergies
Correct Answer: B — Instruct the caller to have the patient sit upright
3. Explanation: The 2025/2026 Breathing Problems Protocol prioritizes positioning to
ease breathing, reducing respiratory distress before further interrogation.
In EMD v13.0A, which symptom in the Abdominal Pain Protocol warrants an Echo
priority?
A. Mild nausea
B. Vomiting blood
C. Gas pains
D. Indigestion
Correct Answer: B — Vomiting blood
4. Explanation: Vomiting blood indicates potential gastrointestinal bleeding, coded
as Echo for high priority in 2025/2026 updates, requiring immediate EMS
response.
A caller reports a 60-year-old diabetic with confusion and sweating. What is the initial
pre-arrival instruction?
A. Administer aspirin
B. Check for a medical alert bracelet
C. Give the patient sugar if conscious
D. Elevate the patient's legs
Correct Answer: C — Give the patient sugar if conscious
5. Explanation: Confusion and sweating suggest hypoglycemia; 2025/2026 Diabetic
Emergencies Protocol directs providing sugar (e.g., glucose gel) to conscious
patients for rapid correction.
Which determinant in the Falls Protocol for a 75-year-old with a hip injury codes as
Charlie?
A. No pain
B. Unable to stand
C. Minor bruise
, D. Walks with assistance
Correct Answer: B — Unable to stand
6. Explanation: Inability to stand after a fall in the 2025/2026 Falls Protocol codes as
Charlie, indicating potential fracture or internal injury requiring urgent transport.
For a caller reporting a 25-year-old with a bee sting and difficulty breathing, what is the
priority determinant?
A. Alpha
B. Bravo
C. Charlie
D. Delta
Correct Answer: C — Charlie
7. Explanation: Difficulty breathing from a bee sting in the Allergic Reaction Protocol
(2025/2026) codes as Charlie, signaling anaphylaxis risk and high-priority
dispatch.
In EMD v13.0A, what is the role of the determinant coding system?
A. To assign ambulance colors
B. To prioritize response based on severity
C. To track call times
D. To log caller information
Correct Answer: B — To prioritize response based on severity
8. Explanation: Determinant coding in 2025/2026 protocols categorizes calls (Alpha
to Echo) to guide resource allocation and response times based on medical
urgency.
A caller reports a 50-year-old with sudden vision loss in one eye. Which protocol is
initiated?
A. Chest Pain
B. Stroke
C. Falls
D. Diabetic Emergencies
Correct Answer: B — Stroke
9. Explanation: Sudden unilateral vision loss is a stroke symptom, initiating the
Stroke Protocol under 2025/2026 updates for rapid identification.
What is the first question in the Cardiac Arrest Protocol for a 40-year-old?
A. Is the patient breathing normally?
B. What is the patient’s medical history?
C. Confirm the location
D. Ask about allergies
Correct Answer: A — Is the patient breathing normally?
— Complete Questions & Answers
2025/2026
SECTION 1 — Exam Overview (2025/2026 Update)
The EMD v13.0A Recertification Exam for OUTEC assesses dispatchers' proficiency in
Emergency Medical Dispatching under the latest version 13.0A protocols, effective for
the 2025/2026 cycle. This exam emphasizes updated call-taking procedures, priority
symptom recognition, determinant coding, and pathway selection to ensure accurate,
efficient emergency response. It covers 2025/2026 enhancements, including refined
sepsis screening, opioid overdose protocols, and improved integration with regional
systems, with a focus on safety, compliance, and rapid decision-making for 25–40
multiple-choice items, scenario-based applications, and coding exercises.
SECTION 2 — Multiple-Choice Questions (with Answers)
Here are 30 original multiple-choice questions aligned with EMD v13.0A standards for
2025/2026. Each includes the question, options, correct answer, and a brief explanation.
In EMD v13.0A, what is the primary goal of the pre-arrival instructions for a caller
reporting chest pain?
A. To diagnose the condition
B. To gather medical history
C. To provide immediate life-saving guidance
D. To confirm the location
Correct Answer: C — To provide immediate life-saving guidance
1. Explanation: Pre-arrival instructions focus on stabilizing the caller and patient
(e.g., aspirin for chest pain) to support emergency response, per 2025/2026
protocol updates emphasizing rapid intervention.
For a caller reporting a 45-year-old with sudden severe headache, which determinant
code is assigned in the Stroke Protocol?
A. Delta
B. Charlie
C. Bravo
D. Alpha
Correct Answer: B — Charlie
, 2. Explanation: Sudden severe headache in the Stroke Protocol (2025/2026) codes as
Charlie, indicating potential hemorrhagic stroke risk, prompting priority dispatch
and pre-arrival questions on onset and weakness.
What is the first action in the Breathing Problems Protocol when the caller reports
labored breathing in a 30-year-old?
A. Ask for medical history
B. Instruct the caller to have the patient sit upright
C. Confirm the address
D. Query about allergies
Correct Answer: B — Instruct the caller to have the patient sit upright
3. Explanation: The 2025/2026 Breathing Problems Protocol prioritizes positioning to
ease breathing, reducing respiratory distress before further interrogation.
In EMD v13.0A, which symptom in the Abdominal Pain Protocol warrants an Echo
priority?
A. Mild nausea
B. Vomiting blood
C. Gas pains
D. Indigestion
Correct Answer: B — Vomiting blood
4. Explanation: Vomiting blood indicates potential gastrointestinal bleeding, coded
as Echo for high priority in 2025/2026 updates, requiring immediate EMS
response.
A caller reports a 60-year-old diabetic with confusion and sweating. What is the initial
pre-arrival instruction?
A. Administer aspirin
B. Check for a medical alert bracelet
C. Give the patient sugar if conscious
D. Elevate the patient's legs
Correct Answer: C — Give the patient sugar if conscious
5. Explanation: Confusion and sweating suggest hypoglycemia; 2025/2026 Diabetic
Emergencies Protocol directs providing sugar (e.g., glucose gel) to conscious
patients for rapid correction.
Which determinant in the Falls Protocol for a 75-year-old with a hip injury codes as
Charlie?
A. No pain
B. Unable to stand
C. Minor bruise
, D. Walks with assistance
Correct Answer: B — Unable to stand
6. Explanation: Inability to stand after a fall in the 2025/2026 Falls Protocol codes as
Charlie, indicating potential fracture or internal injury requiring urgent transport.
For a caller reporting a 25-year-old with a bee sting and difficulty breathing, what is the
priority determinant?
A. Alpha
B. Bravo
C. Charlie
D. Delta
Correct Answer: C — Charlie
7. Explanation: Difficulty breathing from a bee sting in the Allergic Reaction Protocol
(2025/2026) codes as Charlie, signaling anaphylaxis risk and high-priority
dispatch.
In EMD v13.0A, what is the role of the determinant coding system?
A. To assign ambulance colors
B. To prioritize response based on severity
C. To track call times
D. To log caller information
Correct Answer: B — To prioritize response based on severity
8. Explanation: Determinant coding in 2025/2026 protocols categorizes calls (Alpha
to Echo) to guide resource allocation and response times based on medical
urgency.
A caller reports a 50-year-old with sudden vision loss in one eye. Which protocol is
initiated?
A. Chest Pain
B. Stroke
C. Falls
D. Diabetic Emergencies
Correct Answer: B — Stroke
9. Explanation: Sudden unilateral vision loss is a stroke symptom, initiating the
Stroke Protocol under 2025/2026 updates for rapid identification.
What is the first question in the Cardiac Arrest Protocol for a 40-year-old?
A. Is the patient breathing normally?
B. What is the patient’s medical history?
C. Confirm the location
D. Ask about allergies
Correct Answer: A — Is the patient breathing normally?
