ADVANCED EMERGENCY MEDICAL RESPONSE
SCENARIOS INSIDER ACCESS OF 2025/2026 EXAM
QUESTIONS WITH 100% SUCCESS RATE
Gurgling respirations - Fluid obstruction; always clear airway before ventilating.
Asthma with wheezing - Wheezing with adequate effort = bronchodilator first.
AVPU level Verbal - Responds to voice.
GCS 12 - Indicates moderate brain dysfunction.
Chest pain radiating to left arm - First-line EMS action for ACS is to administer aspirin.
Shockable rhythm - Ventricular fibrillation and pulseless VT are the only shockable rhythms.
Arterial extremity bleed - Tourniquet first.
Unconscious with snoring respirations - Suspected trauma = jaw thrust, not head tilt.
BGL 42 mg/dL - Unresponsive hypoglycemic patients need IV Dextrose or IM Glucagon.
DKA symptoms - Classic DKA picture includes Kussmaul breathing, dry skin, fruity odor, BGL 412.
Stroke priority - Stroke = time-dependent; rapid transport is key.
Postictal state - Classic postictal findings include confusion and drowsiness.
,Pregnant woman >32 weeks dizziness - Place her in left lateral position to prevent compression
of inferior vena cava.
Ectopic pregnancy signs - Classic red-flag triad includes lower abdominal pain, missed period,
and signs of shock.
Peaked T waves in dialysis patient - Most life-threatening dialysis complication is hyperkalemia.
Opioid overdose - Administer naloxone (Narcan).
Heat stroke symptoms - AMS + hot/dry skin = heat stroke.
Carbon monoxide poisoning treatment - Most important treatment is oxygen therapy.
Epinephrine - A medication used in anaphylaxis.
High-flow oxygen - Displaces CO from hemoglobin.
CPAP - Continuous Positive Airway Pressure, used to keep airways open.
Albuterol - A bronchodilator used to relieve bronchospasm.
EpiPen IM - An intramuscular injection of epinephrine for anaphylaxis.
Sepsis - A life-threatening condition caused by the body's response to infection.
, Scene safety - The priority to ensure the safety of responders at an emergency scene.
MVC - Motor Vehicle Collision.
NPA - Nasopharyngeal Airway, used when OPA is contraindicated.
Capnography - A monitoring tool that measures the concentration of CO₂ in exhaled air.
AED - Automated External Defibrillator, used to treat cardiac arrest.
Unstable bradycardia - A condition where the heart rate is slow and accompanied by low blood
pressure and altered mental status.
Compensated shock - A state where the body maintains blood pressure but shows signs like
tachycardia.
Tension pneumothorax - A life-threatening condition where air trapped in the pleural space
causes lung collapse.
SLUDGE symptoms - Signs of cholinergic toxicity including salivation, lacrimation, urination,
diarrhea, gastrointestinal distress, and emesis.
Anticholinergics - Medications that block the action of acetylcholine, used to treat cholinergic
toxicity.
APGAR score - A quick test performed on a newborn to assess their physical condition.
SCENARIOS INSIDER ACCESS OF 2025/2026 EXAM
QUESTIONS WITH 100% SUCCESS RATE
Gurgling respirations - Fluid obstruction; always clear airway before ventilating.
Asthma with wheezing - Wheezing with adequate effort = bronchodilator first.
AVPU level Verbal - Responds to voice.
GCS 12 - Indicates moderate brain dysfunction.
Chest pain radiating to left arm - First-line EMS action for ACS is to administer aspirin.
Shockable rhythm - Ventricular fibrillation and pulseless VT are the only shockable rhythms.
Arterial extremity bleed - Tourniquet first.
Unconscious with snoring respirations - Suspected trauma = jaw thrust, not head tilt.
BGL 42 mg/dL - Unresponsive hypoglycemic patients need IV Dextrose or IM Glucagon.
DKA symptoms - Classic DKA picture includes Kussmaul breathing, dry skin, fruity odor, BGL 412.
Stroke priority - Stroke = time-dependent; rapid transport is key.
Postictal state - Classic postictal findings include confusion and drowsiness.
,Pregnant woman >32 weeks dizziness - Place her in left lateral position to prevent compression
of inferior vena cava.
Ectopic pregnancy signs - Classic red-flag triad includes lower abdominal pain, missed period,
and signs of shock.
Peaked T waves in dialysis patient - Most life-threatening dialysis complication is hyperkalemia.
Opioid overdose - Administer naloxone (Narcan).
Heat stroke symptoms - AMS + hot/dry skin = heat stroke.
Carbon monoxide poisoning treatment - Most important treatment is oxygen therapy.
Epinephrine - A medication used in anaphylaxis.
High-flow oxygen - Displaces CO from hemoglobin.
CPAP - Continuous Positive Airway Pressure, used to keep airways open.
Albuterol - A bronchodilator used to relieve bronchospasm.
EpiPen IM - An intramuscular injection of epinephrine for anaphylaxis.
Sepsis - A life-threatening condition caused by the body's response to infection.
, Scene safety - The priority to ensure the safety of responders at an emergency scene.
MVC - Motor Vehicle Collision.
NPA - Nasopharyngeal Airway, used when OPA is contraindicated.
Capnography - A monitoring tool that measures the concentration of CO₂ in exhaled air.
AED - Automated External Defibrillator, used to treat cardiac arrest.
Unstable bradycardia - A condition where the heart rate is slow and accompanied by low blood
pressure and altered mental status.
Compensated shock - A state where the body maintains blood pressure but shows signs like
tachycardia.
Tension pneumothorax - A life-threatening condition where air trapped in the pleural space
causes lung collapse.
SLUDGE symptoms - Signs of cholinergic toxicity including salivation, lacrimation, urination,
diarrhea, gastrointestinal distress, and emesis.
Anticholinergics - Medications that block the action of acetylcholine, used to treat cholinergic
toxicity.
APGAR score - A quick test performed on a newborn to assess their physical condition.
