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1. Choose the BEST completion for this sentence: On-scene safety is the
responsibility of:
d. the police.
2. Disposable gloves, eye shields, masks, and gowns are known as:
a. duty to act.
b. scope of practice.
c. advanced directives.
d. medical direction.
a. expressed
b. mutual
c. implied
d. emancipated
b. a family member tells you that the patient did not want
resuscitation.
c. the family shows you a handwritten DNR statement they attest was
written by the patient.
a. mandible.
b. zygomatic.
c. maxillae.
d. mastoid.
7. The type of muscle tissue that controls the flow of materials through the
gastrointestinal system is:
a. voluntary.
b. involuntary.
c. cardiac.
d. skeletal.
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b. blood vessels.
c. forehead.
d. heart.
a. carotid.
b. femoral.
c. radial.
d. brachial.
13. The pressure on the walls of the artery when the left ventricle contracts
is the __________ pressure.
a. systolic
b. arterial
c. diastolic
d. residual
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16. If a patient has an altered mental status, you should consider a(n)
__________ move.
a. emergency
b. urgent
c. non-urgent
d. immediate
c. sitting up.
18. When treating a patient with signs of shock, the EMT-B may elevate the
foot end of the backboard 8 to 12 inches. This is called the __________ position.
a. Fowler's
b. Supine
c. Trendelenburg
d. Prone
19. The structures that branch off from the trachea, leading to the lungs, are
called right and left mainstem:
a. alveoli.
b. bronchi.
c. cricoids.
d. arterioles.
20. Which of the following signs would indicate your patient has inadequate
breathing?
21. The most reliable sign that your patient is being adequately ventilated by
a bag-valve mask is:
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a. 2,000 to 2,200
b. 1,000 to 1,200
c. 1,500 to 1,700
d. 3,000 to 3,500
23. A patient suffering COPD may have developed a "hypoxic drive" in which low
oxygen levels stimulate the body to breathe. In the prehospital setting, for a
COPD patient who is suffering chest pain or breathing difficulty:
25. Scenario: You are treating a 28-year-old female who fell 20 feet while
roofing a house. After determining that she is unresponsive, you would
immediately:
26. When performing the initial assessment of a responsive adult patient, you
should assess the _______ pulse.
a. carotid
b. femoral
c. radial
d. brachial
27. Scenario: You arrive at the scene of a fall. You find a 42-year-old woman
lying on the ground under a ladder. She says she only fell a couple of feet. She
is complaining of pain in her ankle. Which of the following components of the
initial assessment are you not able to determine from the information given?
a. general impression
b. airway
c. breathing
d. transport priority
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28. Scenario: You are assessing a patient's respirations. You find that the
respirations are 18, normal, and regular. The word "normal" is used to reflect the
__________ of the respirations.
a. quality
b. rate
c. rhythm
d. time
b. at the wrist
c. in the neck
d. in the groin
30. Lack of oxygen in blood cells and tissues resulting from inadequate
breathing or heart function will cause the skin to be:
a. green.
b. cyanotic.
c. red.
d. jaundiced.
31. When taking a patient's blood pressure, the bladder in the cuff should be
centered over the __________ artery.
a. radial
b. carotid
c. brachial
d. femoral
32. In the blood pressure reading 120 over 70, "70" represents the __________
pressure.
a. systolic
b. active
c. diastolic
d. pulse
33. A patient may lose consciousness before arriving at the hospital. This is
one reason why it is important, at the scene, to:
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34. Scenario: Your 40-year-old female patient is conscious and alert. She fell
out of bed and is complaining of right hip pain. She should receive:
c. a head-to-toe "DCAP-BTLS."
d. all of the above.
35. Scenario: While performing a focused physical exam, your trauma patient
begins breathing very rapidly. You should:
36. When responding to the patient who has no significant mechanism of injury,
you should:
a. focus your assessment on the areas that the patient tells you are
painful.
38. Scenario: A 25-year-old female patient fell off of a ski lift. She is
responsive and complains of head pain. During the detailed physical exam, you
should evaluate her face looking for:
c. softness or rigidity.
b. a head injury.
c. a mandible injury.
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40. Scenario: Your patient complains of chest pain but says he cannot explain
how his pain feels. Which of the following questions would be most appropriate?
41. Scenario: Your patient is a 78-year-old male with a history of chest pain.
You should find out which medications he takes during the:
a. SAMPLE history.
b. OPQRST exam.
c. ongoing assessment.
d. initial assessment.
42. Scenario: After you have helped a 53-year-old female patient with the
administration of her inhaler, she denies any breathing difficulty. You should:
a. have a family member stay and observe her for any side effects.
d. give her instructions on the use of the inhaler and leave her with
a family member.
43. While conducting an ongoing assessment, you should check your patient
interventions and:
44. You should repeat the ongoing assessment to establish trends in the
condition of a stable patient every _____ minutes.
a. 30
b. 15
c. 5
d. 10
45. Scenario: A 46-year-old male patient has a deformed and painful jaw
following a motor-vehicle crash. He has an altered mental status and inadequate
breathing. You also suspect severe internal bleeding. You should trend this
patient's condition every _____ minutes.
a. 15
b. 10
c. 5
d. 30
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48. Scenario: At the emergency scene, you discover that neither the patient
nor his family speak English. All of the following are appropriate ways to aid
communication with this family EXCEPT:
49. The elements of a prehospital care report include all of the following
EXCEPT:
a. run data.
b. patient data.
c. computer data.
d. narrative.
50. You should write the patient's mechanism of injury in which part of the
patient care report?
51. Your patient has an altered mental status and declines to sign your
patient refusal form. You should:
a. advise him he is required to sign the release form.
52. Your intoxicated medical patient refuses treatment. You should do all of
the following EXCEPT:
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53. Using the times given by the dispatcher when you write your report is
important for all of the following reasons EXCEPT:
b. medical direction.
c. the family.
56. Scenario: A 50-year-old female patient has chronic bronchitis. The initial
assessment finds her breathing rate is six times per minute and her skin is cool
and clammy to the touch. Your next action should be to:
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b. furosemide
c. albuterol
d. tolbutamide
61. The adequate rate for ventilation of infants and children is _____ breaths
per minute.
a. 25
b. 20
c. 12
d. 30
a. suctioning.
b. rapid breathing
c. wheezing
65. The cardiac conduction system disturbance that most commonly results in
cardiac arrest is:
b. ventricular fibrillation.
c. ventricular tachycardia.
d. asystole.
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a. sinus rhythm
b. asystole
c. ventricular fibrillation
67. Which of the following cardiac arrest patients should you defibrillate?
68. Children:
a. rarely go into a shockable rhythm.
70. What should you do when you are about to defibrillate a patient who has a
nitroglycerin patch?
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72. One characteristic of automated defibrillation as contrasted with manual
defibrillation is that ONLY automated defibrillators:
73. Where should you attach the white cable monitoring-defibrillation pad?
74. Scenario: You are transporting a cardiac arrest patient to the hospital.
Your emergency vehicle is moving at 50 miles per hour. Your medical direction
advises you to deliver three shocks. You should immediately:
75. Scenario: You have delivered three shocks with the semiautomatic
defibrillator. Your cardiac arrest patient is breathing adequately with a pulse.
What should you do next?
a. Alupent.
b. Nipride.
c. Inderol.
d. Glutose.
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78. What should be done to care for the patient who is suffering or has just
suffered a seizure?
79. In caring for the patient suffering a severe allergic reaction, you must
obtain permission from medical direction to:
a. children.
b. the elderly.
a. nausea.
b. chest pain.
c. muscle pain.
d. difficulty breathing.
82. Scenario: Your 2-year-old male patient has ingested an unknown quantity of
aspirin. He is conscious and alert. You will most likely be told by medical
direction to:
a. administer milk.
c. induce vomiting.
83. When you treat a child for a suspected poison ingestion, you should:
84. The single most important treatment for an inhaled poisoning, after airway
management, is to:
a. transport.
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85. All of the following are contraindications for the use of activated
charcoal EXCEPT:
a. aspirin overdose.
a. constipation
b. headache
c. vomiting
88. Treatment of the patient suffering from a drug withdrawal includes all of
the following EXCEPT:
89. Which of the following signs or symptoms might you expect to see in a
patient suffering from severe hypothermia?
a. irrational behavior
b. excessive mucous production
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91. During core rewarming of a hypothermic patient, you apply heat to all the
following areas EXCEPT:
a. head.
c. armpits.
d. lower back.
c. heavy perspiration.
c. ask the patient to sign a release form and return to the station.
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97. Which of the following steps should you take to calm the behavioral
emergency patient?
a. "Play along" with any visual disturbances the patient may describe.
b. Listen to the patient and acknowledge his feelings.
98. All of the following are appropriate methods for treating the suicidal
patient EXCEPT:
d. speaking slowly.
99. The muscular abdominal organ where the fetus develops is called the:
a. placenta.
b. uterus.
c. birth canal.
d. ovarian chamber.
100. The fetal structure containing vessels that carry blood to and from the
placenta is called the:
a. uterus.
b. birth canal.
c. umbilical cord.
d. cervix.
101. The plastic bag contained in the obstetric kit is intended to be used to
carry:
a. sanitary napkins.
c. oxygen tubing.
c. "bloody show"
d. itchy skin
c. in mid-pregnancy.
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104. Uterine contractions are assessed by placing your gloved hand on:
a. limb presentation.
c. breech delivery.
d. cephalic delivery.
106. Scenario: As the baby begins to deliver, you see that the cord is
prolapsed. You should do all of the following EXCEPT:
a. position the mother on her left side with her head up.
b. check the cord for pulses, and wrap the cord with a sterile towel.
c. elevate the mother's hips to help take pressure off of the cord.
d. insert several fingers of a gloved hand into the vagina and gently
push up on the baby's head.
107. All of the following are true regarding the birth of twins EXCEPT:
108. One of the most important steps you can take in caring for the premature
baby is to:
109. Scenario: You and your partner are assessing a 42-year-old male patient who
is on his front lawn. His wife states he was trimming the hedges when she saw him
suddenly fall to the ground. He is wheezing, and the skin of his upper chest is
marked with reddish blotches. His vitals are pulse 120, respirations 28, and BP
100/68. After administering oxygen, what is likely to be your next course of
action?
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110. Scenario: You respond to a call for a 16-year-old who has taken some pills
in an effort to harm herself. Her mental status is alert, and her vitals are
within normal range. She states she took a whole bottle of aspirin because she is
upset about finding out she is pregnant. She also tells you that she is an
emancipated minor. What is the best course of action for this patient?
111. Scenario: You are treating a 28-year-old female patient who has had
abdominal pain for two hours. After obtaining her vital signs, which are pulse
120, respirations 24, and BP 110/72, she decides she does not want to go to the
hospital. What is the highest priority for the treatment of this patient?
b. Let her sign a "release" form since her pain seems to be going
away.
b. electrolyte balance.
113. A steady flow of dark red blood from a wound is bleeding from a/an:
a. artery.
b. vein.
c. capillary.
b. use of a tourniquet.
d. direct pressure.
115. You should use the pressure point at the brachial artery to control
bleeding from:
a. an upper extremity.
b. a lower extremity.
c. the face.
d. a foot.
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116. Body substance isolation (BSI) precautions taken when there is a high
probability of blood splatter should include all of the following EXCEPT:
a. gloves.
b. protective eyewear.
c. masks.
117. The patient with suspected internal bleeding should be given oxygen by:
c. increased respirations.
119. Scenario: A 17-year-old male patient has been involved in a fight. You find
a pencil impaled in his upper arm. Your management would include:
d. cutting the exposed portion of the pencil off to ease bandaging and
transport.
120. Scenario: A 54-year-old male patient has been involved in a car crash.
Window glass has caused an open neck wound. You should dress this wound with:
a. an occlusive dressing.
d. butterfly bandages.
121. Scenario: You are caring for a 24-year-old female patient who accidentally
spilled an alkaline drain cleaner on her forearm. The cleaner has been washed off
but the arm is still painful, red, and blistered. This burn would be classified
as:
a. partial-thickness.
b. severe.
c. superficial.
d. full-thickness.
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122. As an EMT-B, you should be familiar with the various types of dressings and
bandages. As a rule, dressings should:
a. be sterile.
123. In which of the following situations might you remove an impaled object?
124. Scenario: Your patient has been exposed to an unknown chemical that has
soaked his clothing. You should immediately flush the patient with:
a. water.
b. a neutralizing solution.
c. vinegar.
125. The major problem caused by electrical shock is often not the burn itself.
The most serious problem to consider is:
a. shock.
b. hypothermia.
d. brain damage.
126. The collarbones, shoulder blades, arms, wrists, and hands are components of
the:
a. thorax.
b. lower extremities.
c. upper extremities.
d. spinal column.
127. Scenario: Your 35-year-old male patient has fallen while rock climbing.
During your assessment, you find a deformed right lower leg. The distal extremity
is pulseless and the skin is cool and cyanotic. Your emergency treatment for this
injury should include:
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128. Which of the following splinting devices would NOT be appropriate for the
management of a fractured tibia?
c. traction splint
129. Most messages sent from the brain first travel along the:
a. spinal cord.
b. peripheral nerves.
c. sensory nerves.
d. autonomic nerves.
130. Which of the following is the correct sequence for securing a patient to a
long spine board?
131. When caring for a preschool child, it is important to remember that this
age child:
133. Scenario: You are caring for a 10-month-old, crying female patient. She has
swallowed a piece of a hot dog, which is causing a partial airway obstruction.
Your treatment should include:
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134. Scenario: Your 4-year-old male patient has swallowed a marble, which is
causing a complete airway obstruction. Your immediate care should include:
a. CPR.
d. abdominal thrusts.
135. An important concept to understand about shock in infants and children is
that:
a. their bodies cannot compensate for blood loss for very long.
b. flushed skin.
d. over-activity.
137. Which of the following is the most common cause of seizures in infants?
a. epilepsy
b. head injury
c. poisoning
d. fever
a. head
b. upper extremities.
c. abdomen.
d. lower extremities.
139. A device used to carry patients over a long distance through rough terrain
is a:
a. Stokes basket.
b. scoop stretcher.
c. Reeves stretcher.
d. hypothermia thermometer
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141. Of the following devices, which one is NOT an essential item to carry on
the ambulance for prehospital respiratory care?
d. nonrebreather masks.
a. musculoskeletal injuries.
b. abdominal injuries.
c. respiratory illness.
d. cardiac illness.
143. The phases of an ambulance call include all of the following EXCEPT:
a. preparation.
a. use it sparingly.
145. One factor contributing to unsafe driving conditions that the driver can
control is:
b. weather conditions.
d. time of day.
146. When you are on the scene of a collision and have determined that the
patient's status is stable, the call is considered:
a. a true emergency.
b. due regard.
147. Examples of specialty rescue teams include all the following EXCEPT:
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148. Scenario: An unconscious patient is found sitting in the front passenger
seat with his legs pinned by the vehicle's dash. Once he has been freed, the
removal method to use is:
149. When an airbag has deployed, the manufacturer recommends that the EMS
personnel:
a. air out the car for several minutes prior to treating the patient.
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1. a
2. d
3. b
4. a
5. d
6. c
7. b
8. b
9. c
10. c
11. b
12. b
13. a
14. d
15. a
16. b
17. c
18. c
19. b
20. c
21. b
22. a
23. a
24. c
25. b
26. c
27. d
28. a
29. c
30. b
31. c
32. c
33. a
34. b
35. b
36. a
37. a
38. d
39. b
40. b
41. a
42. b
43. d
44. b
45. c
46. d
47. b
48. c
49. c
50. a
51. c
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52. c
53. d
54. b
55. c
56. b
57. b
58. c
59. c
60. d
61. b
62. a
63. c
64. b
65. b
66. c
67. b
68. a
69. d
70. b
71. a
72. b
73. b
74. d
75. c
76. b
77. d
78. b
79. c
80. a
81. a
82. b
83. b
84. c
85. a
86. c
87. a
88. a
89. a
90. d
91. b
92. b
93. d
94. c
95. b
96. a
97. b
98. c
99. b
100. c
101. b
102. b
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103. d
104. c
105. c
106. a
107. d
108. b
109. b
110. c
111. d
112. c
113. b
114. d
115. a
116. d
117. a
118. b
119. b
120. a
121. a
122. a
123. d
124. a
125. c
126. c
127. b
128. c
129. a
130. c
131. d
132. a
133. c
134. d
135. c
136. c
137. d
138. b
139. a
140. c
141. c
142. a
143. b
144. d
145. c
146. c
147. d
148. c
149. c
150. d