EMT FINAL EXAM QUESTIONS WITH 100% ACCURATE
SOLUTIONS
1) An extreme, life- threatening, systemic reaction that may include shock and
respiratory failure is known as what?
A) Urticaria
B) Allergic reaction
C) Anaphylaxis
D) Angioedema -- Correct Answer ✔✔ Anaphylaxis
2) You are treating a child with a bee sting. The stinger is still embedded in the child's
skin. What should you do?
A) Scrape the skin with the edge of a stiff object.
B) Leave the stinger in place.
C) Remove the stinger with tweezers.
D) Squeeze the area around the stinger. -- Correct Answer ✔✔ Scrape
the skin with the edge of a stiff object.
3) You have responded to a scene where the 33- year- old male patient is in obvious
respiratory distress, breathing rapidly with audible wheezing. The patient's skin is
flushed, red, and covered in hives. When you attempt to question the patient, you
, find he can speak in only two- to three- word sentences. Respirations are 28
breaths/min and labored. Pulse is 120 beats/min. Skin is pale and cool with
widespread urticaria and angioedema of the lips. Blood pressure is 88/60 mm Hg,
and SpO2 is 88%. Which of the following interventions should you administer first?
A) Give the patient a nonsteroidal anti- inflammatory drug (NSAID).
B) Administer epinephrine.
C) Give the patient an antihistamine.
D) Provide high- concentration oxygen. -- Correct Answer ✔✔
Provide high- concentration oxygen.
4) When assessing a patient's breathing, you hear wheezing in all lung fields. What are
you hearing?
A) Crackling, moist breath sounds
B) A coarse, low- pitched breath sound heard in patients with chronic
mucus in the upper airways
C) A high- pitched whistling sound caused by bronchoconstriction
D) A high- pitched noise heard primarily on inspiration -- Correct
Answer ✔✔ A high- pitched whistling sound caused by
bronchoconstriction
5) What is a wheal?
A) Swelling of the tongue
B) A poison or harmful substance
C) A raised, swollen, well- defined area on the skin
, D) Widespread areas of generalized itching and/or burning that appear
as multiple raised areas on the skin -- Correct Answer ✔✔ A
raised, swollen, well- defined area on the skin
6) Which of the following patients has the most significant chance of having a
contraindication to epinephrine?
A) A teenager with no history of allergies
B) A 6- year- old with significant peanut allergies
C) An 80- year- old male with a history of acute coronary syndrome
D) A 47- year- old female with bronchospasms -- Correct Answer ✔✔
An 80- year- old male with a history of acute coronary syndrome
7) What is the common dose of epinephrine contained in an adult EpiPen?
A) 3 mg
B) 0.3 mg
C) 0.15 mg
D) 1 mg -- Correct Answer ✔✔ 0.3 mg
8) The stinger from a honeybee should be:
A) squeezed with tweezers and removed.
B) scraped away from the skin.
C) left in place and covered.
D) irrigated with copious amounts of water. -- Correct Answer ✔✔
scraped away from the skin.
, 9) A 37- year- old male is having a severe allergic reaction to penicillin. He does not
have an epinephrine auto- injector and your protocols do not allow you to carry
epinephrine on the ambulance. How should you proceed with the treatment of this
patient?
A) Administer oxygen, transport at once, and request a paramedic
intercept.
B) Remain at the scene with the patient and request a paramedic
ambulance.
C) Ask the patient if he has any diphenhydramine tablets that you can
administer.
D) Quickly determine if there are any bystanders who may carry
epinephrine. -- Correct Answer ✔✔ Administer oxygen, transport
at once, and request a paramedic intercept.
10) When a foreign substance invades the body, the body will __________.
A) protect itself
B) go on alert
C) attempt to inactivate the foreign substance
D) All of these answers are correct. -- Correct Answer ✔✔ All of
these answers are correct.
11) Epinephrine stimulates the ________ response, increasing blood pressure and
relieving bronchospasm.
A) parasympathetic
B) respiratory
SOLUTIONS
1) An extreme, life- threatening, systemic reaction that may include shock and
respiratory failure is known as what?
A) Urticaria
B) Allergic reaction
C) Anaphylaxis
D) Angioedema -- Correct Answer ✔✔ Anaphylaxis
2) You are treating a child with a bee sting. The stinger is still embedded in the child's
skin. What should you do?
A) Scrape the skin with the edge of a stiff object.
B) Leave the stinger in place.
C) Remove the stinger with tweezers.
D) Squeeze the area around the stinger. -- Correct Answer ✔✔ Scrape
the skin with the edge of a stiff object.
3) You have responded to a scene where the 33- year- old male patient is in obvious
respiratory distress, breathing rapidly with audible wheezing. The patient's skin is
flushed, red, and covered in hives. When you attempt to question the patient, you
, find he can speak in only two- to three- word sentences. Respirations are 28
breaths/min and labored. Pulse is 120 beats/min. Skin is pale and cool with
widespread urticaria and angioedema of the lips. Blood pressure is 88/60 mm Hg,
and SpO2 is 88%. Which of the following interventions should you administer first?
A) Give the patient a nonsteroidal anti- inflammatory drug (NSAID).
B) Administer epinephrine.
C) Give the patient an antihistamine.
D) Provide high- concentration oxygen. -- Correct Answer ✔✔
Provide high- concentration oxygen.
4) When assessing a patient's breathing, you hear wheezing in all lung fields. What are
you hearing?
A) Crackling, moist breath sounds
B) A coarse, low- pitched breath sound heard in patients with chronic
mucus in the upper airways
C) A high- pitched whistling sound caused by bronchoconstriction
D) A high- pitched noise heard primarily on inspiration -- Correct
Answer ✔✔ A high- pitched whistling sound caused by
bronchoconstriction
5) What is a wheal?
A) Swelling of the tongue
B) A poison or harmful substance
C) A raised, swollen, well- defined area on the skin
, D) Widespread areas of generalized itching and/or burning that appear
as multiple raised areas on the skin -- Correct Answer ✔✔ A
raised, swollen, well- defined area on the skin
6) Which of the following patients has the most significant chance of having a
contraindication to epinephrine?
A) A teenager with no history of allergies
B) A 6- year- old with significant peanut allergies
C) An 80- year- old male with a history of acute coronary syndrome
D) A 47- year- old female with bronchospasms -- Correct Answer ✔✔
An 80- year- old male with a history of acute coronary syndrome
7) What is the common dose of epinephrine contained in an adult EpiPen?
A) 3 mg
B) 0.3 mg
C) 0.15 mg
D) 1 mg -- Correct Answer ✔✔ 0.3 mg
8) The stinger from a honeybee should be:
A) squeezed with tweezers and removed.
B) scraped away from the skin.
C) left in place and covered.
D) irrigated with copious amounts of water. -- Correct Answer ✔✔
scraped away from the skin.
, 9) A 37- year- old male is having a severe allergic reaction to penicillin. He does not
have an epinephrine auto- injector and your protocols do not allow you to carry
epinephrine on the ambulance. How should you proceed with the treatment of this
patient?
A) Administer oxygen, transport at once, and request a paramedic
intercept.
B) Remain at the scene with the patient and request a paramedic
ambulance.
C) Ask the patient if he has any diphenhydramine tablets that you can
administer.
D) Quickly determine if there are any bystanders who may carry
epinephrine. -- Correct Answer ✔✔ Administer oxygen, transport
at once, and request a paramedic intercept.
10) When a foreign substance invades the body, the body will __________.
A) protect itself
B) go on alert
C) attempt to inactivate the foreign substance
D) All of these answers are correct. -- Correct Answer ✔✔ All of
these answers are correct.
11) Epinephrine stimulates the ________ response, increasing blood pressure and
relieving bronchospasm.
A) parasympathetic
B) respiratory
