EMT COMPREHENSIVE FINAL EXAM
QUESTIONS AND ANSWERS 100%
VERIFIED 2026/2027
1. A 68-year-old male presents with sudden onset of tearing chest pain radiating to the back,
a blood pressure of 160/90 mmHg in the right arm and 130/70 mmHg in the left arm. Which
condition should you suspect?
A. Acute Myocardial Infarction
B. Pulmonary Embolism
C. Aortic Dissection
D. Tension Pneumothorax
Answer: C
Conceptual Explanation: Aortic dissection typically presents with a sudden, tearing
sensation radiating to the back and a significant difference in blood pressure between
arms.
,2. During the delivery of a newborn, you notice the umbilical cord is wrapped tightly around
the neck. Your initial action should be:
A. Immediately clamp and cut the cord
B. Attempt to gently slip the cord over the head
C. Instruct the mother to stop pushing
D. Apply high-flow oxygen to the mother
Answer: B
Conceptual Explanation: The first step for a nuchal cord is to attempt to gently slip it over
the head. If it is too tight, then clamping and cutting is necessary.
3. A patient exhibiting Cullen’s sign and Grey Turner’s sign most likely has which of the
following conditions?
A. Ruptured Ectopic Pregnancy
B. Liver Cirrhosis
C. Acute Pancreatitis
D. Appendicitis
Answer: C
Conceptual Explanation: Cullen’s sign (periumbilical bruising) and Grey Turner’s sign
(flank bruising) indicate retroperitoneal hemorrhage, often associated with severe acute
pancreatitis.
, 4. When performing the GCS assessment, a patient opens their eyes to pain, uses
inappropriate words, and withdraws from pain. What is their score?
A. 8
B. 10
C. 9
D. 11
Answer: C
Conceptual Explanation: Eyes: Pain (2); Verbal: Inappropriate words (3); Motor:
Withdraws (4). Total = 9.
5. Which of the following is a late sign of compensated shock in a pediatric patient?
A. Tachycardia
B. Delayed capillary refill
C. Hypotension
D. Altered mental status
Answer: C
Conceptual Explanation: Pediatric patients compensate very well for shock; therefore,
hypotension is a very late and ominous sign indicating decompensation.
QUESTIONS AND ANSWERS 100%
VERIFIED 2026/2027
1. A 68-year-old male presents with sudden onset of tearing chest pain radiating to the back,
a blood pressure of 160/90 mmHg in the right arm and 130/70 mmHg in the left arm. Which
condition should you suspect?
A. Acute Myocardial Infarction
B. Pulmonary Embolism
C. Aortic Dissection
D. Tension Pneumothorax
Answer: C
Conceptual Explanation: Aortic dissection typically presents with a sudden, tearing
sensation radiating to the back and a significant difference in blood pressure between
arms.
,2. During the delivery of a newborn, you notice the umbilical cord is wrapped tightly around
the neck. Your initial action should be:
A. Immediately clamp and cut the cord
B. Attempt to gently slip the cord over the head
C. Instruct the mother to stop pushing
D. Apply high-flow oxygen to the mother
Answer: B
Conceptual Explanation: The first step for a nuchal cord is to attempt to gently slip it over
the head. If it is too tight, then clamping and cutting is necessary.
3. A patient exhibiting Cullen’s sign and Grey Turner’s sign most likely has which of the
following conditions?
A. Ruptured Ectopic Pregnancy
B. Liver Cirrhosis
C. Acute Pancreatitis
D. Appendicitis
Answer: C
Conceptual Explanation: Cullen’s sign (periumbilical bruising) and Grey Turner’s sign
(flank bruising) indicate retroperitoneal hemorrhage, often associated with severe acute
pancreatitis.
, 4. When performing the GCS assessment, a patient opens their eyes to pain, uses
inappropriate words, and withdraws from pain. What is their score?
A. 8
B. 10
C. 9
D. 11
Answer: C
Conceptual Explanation: Eyes: Pain (2); Verbal: Inappropriate words (3); Motor:
Withdraws (4). Total = 9.
5. Which of the following is a late sign of compensated shock in a pediatric patient?
A. Tachycardia
B. Delayed capillary refill
C. Hypotension
D. Altered mental status
Answer: C
Conceptual Explanation: Pediatric patients compensate very well for shock; therefore,
hypotension is a very late and ominous sign indicating decompensation.
