JB LEARNING: EMT COMPREHENSIVE
FINAL EXAM PREP QUESTIONS AND
ANSWERS 100% VERIFIED 2026/2027
1. A 68-year-old male with a history of CHF presents with severe respiratory distress, audible
rales, and pink frothy sputum. His blood pressure is 180/100 mmHg and his SpO2 is 82%.
Which of the following is the most appropriate initial treatment?
A. Provide oxygen via non-rebreather mask at 15 L/min
B. Administer albuterol via nebulizer
C. Begin bag-valve-mask ventilations at 12 breaths/min
D. Initiate Continuous Positive Airway Pressure (CPAP)
Answer: D
Conceptual Explanation: CPAP is highly effective for patients with pulmonary edema and
CHF as it forces fluid out of the alveoli and improves oxygenation, provided the patient is
conscious and has adequate blood pressure.
2. Which of the following is the hallmark sign of a tension pneumothorax that differentiates it
from a simple pneumothorax?
A. Absent breath sounds on the affected side
B. Sharp chest pain upon inspiration
,C. Shortness of breath and tachycardia
D. Jugular venous distension and hypotension
Answer: D
Conceptual Explanation: While absent breath sounds occur in both, a tension
pneumothorax causes obstructive shock, leading to JVD, hypotension, and tracheal
deviation (late sign).
3. A patient exhibits a heart rate of 50 bpm, a blood pressure of 190/100 mmHg, and irregular
respirations. This triad of symptoms is indicative of:
A. Beck’s Triad
B. Cushing’s Triad
C. The Lethal Triad
D. Virchow’s Triad
Answer: B
Conceptual Explanation: Cushing’s Triad (bradycardia, hypertension/widening pulse
pressure, and irregular respirations) indicates increased intracranial pressure.
4. Calculate the Glasgow Coma Scale for a patient who opens their eyes to painful stimuli,
utters incomprehensible sounds, and withdraws from pain.
A. GCS 6
B. GCS 12
, C. GCS 10
D. GCS 8
Answer: D
Conceptual Explanation: Eyes: 2 (to pain), Verbal: 2 (incomprehensible), Motor: 4
(withdraws) = 8.
5. When assessing a pediatric patient, you observe a barking cough and stridor. The patient is
afebrile. You should suspect:
A. Epiglottitis
B. Bronchiolitis
C. Croup
D. Foreign body airway obstruction
Answer: C
Conceptual Explanation: Croup (laryngotracheobronchitis) is characterized by a seal-like
barking cough and stridor, often seen in children.
6. Which medication is a selective beta-2 agonist used to dilate the bronchioles in patients
with asthma?
A. Albuterol
B. Atropine
C. Epinephrine
FINAL EXAM PREP QUESTIONS AND
ANSWERS 100% VERIFIED 2026/2027
1. A 68-year-old male with a history of CHF presents with severe respiratory distress, audible
rales, and pink frothy sputum. His blood pressure is 180/100 mmHg and his SpO2 is 82%.
Which of the following is the most appropriate initial treatment?
A. Provide oxygen via non-rebreather mask at 15 L/min
B. Administer albuterol via nebulizer
C. Begin bag-valve-mask ventilations at 12 breaths/min
D. Initiate Continuous Positive Airway Pressure (CPAP)
Answer: D
Conceptual Explanation: CPAP is highly effective for patients with pulmonary edema and
CHF as it forces fluid out of the alveoli and improves oxygenation, provided the patient is
conscious and has adequate blood pressure.
2. Which of the following is the hallmark sign of a tension pneumothorax that differentiates it
from a simple pneumothorax?
A. Absent breath sounds on the affected side
B. Sharp chest pain upon inspiration
,C. Shortness of breath and tachycardia
D. Jugular venous distension and hypotension
Answer: D
Conceptual Explanation: While absent breath sounds occur in both, a tension
pneumothorax causes obstructive shock, leading to JVD, hypotension, and tracheal
deviation (late sign).
3. A patient exhibits a heart rate of 50 bpm, a blood pressure of 190/100 mmHg, and irregular
respirations. This triad of symptoms is indicative of:
A. Beck’s Triad
B. Cushing’s Triad
C. The Lethal Triad
D. Virchow’s Triad
Answer: B
Conceptual Explanation: Cushing’s Triad (bradycardia, hypertension/widening pulse
pressure, and irregular respirations) indicates increased intracranial pressure.
4. Calculate the Glasgow Coma Scale for a patient who opens their eyes to painful stimuli,
utters incomprehensible sounds, and withdraws from pain.
A. GCS 6
B. GCS 12
, C. GCS 10
D. GCS 8
Answer: D
Conceptual Explanation: Eyes: 2 (to pain), Verbal: 2 (incomprehensible), Motor: 4
(withdraws) = 8.
5. When assessing a pediatric patient, you observe a barking cough and stridor. The patient is
afebrile. You should suspect:
A. Epiglottitis
B. Bronchiolitis
C. Croup
D. Foreign body airway obstruction
Answer: C
Conceptual Explanation: Croup (laryngotracheobronchitis) is characterized by a seal-like
barking cough and stridor, often seen in children.
6. Which medication is a selective beta-2 agonist used to dilate the bronchioles in patients
with asthma?
A. Albuterol
B. Atropine
C. Epinephrine
