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CIEMT Toxicology & Environmental Emergency
EXAM CORRECT FINAL EXAM ALL COMPLETE
300 QUESTIONS WITH DETAILED SOLUTIONS
JUST RELEASED THIS YEAR
CIEMT Toxicology & Environmental Emergency Exam
Complete Practice Examination – Questions 1–300
EXAM COVERAGE SUMMARY
This comprehensive practice examination covers the full scope of the CIEMT Toxicology and
Environmental Emergency curriculum. Topics include toxicology scene response and patient
assessment (initial questions for poisoning patients, identifying routes of exposure); specific
poisonings and overdoses (aspirin, acetaminophen, narcotics, depressants, stimulants,
hallucinogens, inhalants, cannabis, organophosphates, food poisoning, plant poisoning);
decontamination procedures (absorbed, splash, and injected poisons); activated charcoal
indications and contraindications; environmental emergencies (hypothermia, hyperthermia,
heat cramps, heat exhaustion, heat stroke, drowning/near-drowning, diving emergencies,
altitude illness); hazardous materials awareness; and envenomations (snake bites, spider bites,
scorpion stings, marine life injuries). The exam emphasizes scene safety, rapid assessment,
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appropriate interventions, and transport decisions based on current CIEMT protocols and the
2025–2026 national emergency medical standards.
INSTRUCTIONS
This examination consists of 300 multiple-choice questions
Select the single best answer for each question
Each question is worth 1 point
Total examination time: 3 hours
All questions are randomized and do not follow subtopic domains
Read each question carefully before selecting your answer
Mark your answers on the provided answer sheet
SECTION I: QUESTIONS 1–100
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1. You arrive on scene to find a patient who may have been poisoned. What is the FIRST
question you should ask the patient?
A. "How much did you take?"
B. "What did you take?"
C. "Was it intentional?"
D. "When did you take it?"
Answer: B
The immediate response to a toxicology scene begins with asking "What did you take?" to
identify the substance, followed by "How much?", "How did you take it?", "Was it intentional?",
and for children, the patient's weight.
2. A patient has been exposed to an absorbed poison. What is the correct decontamination
procedure?
A. Brush, brush, brush! Flush, flush, flush!
B. Flush only
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C. Brush only
D. Apply activated charcoal to the skin
Answer: A
For absorbed poisons, the correct procedure is to brush the substance off the skin first, then flush
with water. Splash poisons ONLY need to be flushed.
3. A patient has been exposed to a splash poison. What is the correct decontamination
procedure?
A. Brush, brush, brush! Flush, flush, flush!
B. Flush, flush, flush!
C. Brush only
D. Apply a neutralizing agent
Answer: B
Splash poisons ONLY need to be flushed with water. Brushing is not necessary for splash
exposures.
4
SUCCESS!
CIEMT Toxicology & Environmental Emergency
EXAM CORRECT FINAL EXAM ALL COMPLETE
300 QUESTIONS WITH DETAILED SOLUTIONS
JUST RELEASED THIS YEAR
CIEMT Toxicology & Environmental Emergency Exam
Complete Practice Examination – Questions 1–300
EXAM COVERAGE SUMMARY
This comprehensive practice examination covers the full scope of the CIEMT Toxicology and
Environmental Emergency curriculum. Topics include toxicology scene response and patient
assessment (initial questions for poisoning patients, identifying routes of exposure); specific
poisonings and overdoses (aspirin, acetaminophen, narcotics, depressants, stimulants,
hallucinogens, inhalants, cannabis, organophosphates, food poisoning, plant poisoning);
decontamination procedures (absorbed, splash, and injected poisons); activated charcoal
indications and contraindications; environmental emergencies (hypothermia, hyperthermia,
heat cramps, heat exhaustion, heat stroke, drowning/near-drowning, diving emergencies,
altitude illness); hazardous materials awareness; and envenomations (snake bites, spider bites,
scorpion stings, marine life injuries). The exam emphasizes scene safety, rapid assessment,
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SUCCESS!
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appropriate interventions, and transport decisions based on current CIEMT protocols and the
2025–2026 national emergency medical standards.
INSTRUCTIONS
This examination consists of 300 multiple-choice questions
Select the single best answer for each question
Each question is worth 1 point
Total examination time: 3 hours
All questions are randomized and do not follow subtopic domains
Read each question carefully before selecting your answer
Mark your answers on the provided answer sheet
SECTION I: QUESTIONS 1–100
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1. You arrive on scene to find a patient who may have been poisoned. What is the FIRST
question you should ask the patient?
A. "How much did you take?"
B. "What did you take?"
C. "Was it intentional?"
D. "When did you take it?"
Answer: B
The immediate response to a toxicology scene begins with asking "What did you take?" to
identify the substance, followed by "How much?", "How did you take it?", "Was it intentional?",
and for children, the patient's weight.
2. A patient has been exposed to an absorbed poison. What is the correct decontamination
procedure?
A. Brush, brush, brush! Flush, flush, flush!
B. Flush only
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C. Brush only
D. Apply activated charcoal to the skin
Answer: A
For absorbed poisons, the correct procedure is to brush the substance off the skin first, then flush
with water. Splash poisons ONLY need to be flushed.
3. A patient has been exposed to a splash poison. What is the correct decontamination
procedure?
A. Brush, brush, brush! Flush, flush, flush!
B. Flush, flush, flush!
C. Brush only
D. Apply a neutralizing agent
Answer: B
Splash poisons ONLY need to be flushed with water. Brushing is not necessary for splash
exposures.
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SUCCESS!
