EMT Written Knowledge EvaluationTEST

Trinity EMS, Inc. Pre-Employment Evaluation

Emergency Medical Technician (EMT-B)

EMT Exam Page 1

Question 1

Emergency Medical Technicians should wear high-efficiency particulate air (HEPA) respirators when they are in contact with patients who have which of the following conditions:

  • HIV (Human Immunodeficiency Virus)
  • Tuberculosis
  • Open Wounds
  • Hepatitis B

Question 2

You are called to assist a 60-year-old female who complains of a severe headache. Upon entering the home, you smell a strong, unusual odor. What is your first action?

  • Approach the patient. Assess airway, breathing, and circulation first
  • Approach the patient. Insert a nasopharyngeal airway (NPA) to ensure a patent airway
  • Open all of the windows to vent the house, and then approach the patient
  • Leave the home and have the Fire Department ensure that the scene is safe

Question 3

The most common electrical rhythm disturbance that results in sudden cardiac arrest is called:

  • PEA (Pulseless Electrical Activity)
  • V-Fib (Ventricular Fibrillation)
  • Asystole
  • A-Fib (Atrial Fibrillation)

Question 4

You are dispatched to the unresponsive male. You arrive on-scene to find a 21-year-old male who is unresponsive and apneic. You find that he has a weak carotid pulse at 84 per minute and pinpoint pupils which are equal at 2mm and non-reactive. The fire department has administered 2mg of Narcan about 5 minutes prior to your arrival. They have been ventilating the patient via a BVM and they state that there has been no change in the patient's condition. ALS is already en-route. What is your next step?

  • Administer 2mg of Narcan IV
  • Administer 1 Adult Epi-Pen
  • Ventilate the patient, and administer Albuterol (MDI or Nebulized)
  • Administer 2mg of Narcan IN

Question 5

Of the following, which bodily fluid has the most potential to transmit bloodborne pathogens?

  • Nasal Discharge
  • Urine
  • Amniotic Fluid
  • Feces

EMT Exam Page 2

Question 6

Your patient is an 11-month-old female. Which of the following is the best way to determine if she has decreased mental status and is responsive to verbal stimuli?

  • She will be upset when you take her from her mother's arms
  • She will be unable to tell you how old she is if you ask her
  • She will attempt to locate her parents voices when they speak
  • She will try to pull away when you pinch her toe

Question 7

What is the best method to assess circulation in an infant?

  • Palpate the carotid pulse
  • Palpate the brachial pulse
  • Palpate the radial pulse
  • Palpate the femoral pulse

Question 8

You are treating a 68-year-old male who is complaining of chest pain. He asks you to assist him in taking his prescribed nitroglycerine. To assist him, you check his vital signs to ensure that:

  • His systolic blood pressure is above 100 mmHg
  • His systolic blood pressure is above 120 mmHg
  • His pulse is above 100 beats per minute
  • His pulse is above 120 beats per minute

Question 9

The primary benefit to giving Aspirin to a patient experiencing a myocardial infarction is that it acts as:

  • An anti-dysrhythmic
  • A thrombolytic
  • An anti-platelet
  • An analgesic

Question 10

Which of the following is a sign of increased pressure in the circulatory system?

  • Flat neck veins
  • Palpable carotid pulse
  • Distended jugular veins
  • Decreased radial pulse

Question 11

An automatic external defibrillator (AED) will shock which of the following rhythms?

  • Ventricular Tachycardia (V-Tach) and Asystole
  • Ventricular Fibrillation (V-Fib) and Atrial Fibrillation (A-Fib)
  • Sinus Tachycardia and Asystole
  • Ventricular Tachycardia (V-Tach) and Ventricular Fibrillation (V-Fib)

Question 12

To assess motor function in the lower extremities of a responsive adult patient, you would:

  • Ask the patient to bend his knee
  • Ask the patient to wiggle his toes
  • Carefully move the patient's leg up and down
  • Touch the skin of the patient's foot

EMT Exam Page 3

Question 13

Which patient can safely receive only a focused physical examination rather than a rapid trauma assessment?

  • A 10-year-old male with a deformed right lower leg who is responsive after falling off his bicycle
  • A 20-year-old female who complains of severe pain in her ankle after stepping off of a curb
  • A 70-year-old male who complains of neck pain after a moderate speed motor vehicle collision
  • A 30-year-old male who is unresponsive with minor lacerations on his hands

Question 14

You are using the OPQRST acronym to assess a responsive medical patient. What question would you ask the patient to assess the P component?

  • What were you doing when the pain started?
  • Can you describe the character of the pain for me?
  • What makes the pain feel better or worse?
  • On a scale of 1-10, how would you rank the pain?

Question 15

You have determined that a medical patient is unresponsive. What is your next step?

  • Check for a patent airway
  • Check for a carotid pulse
  • Check for a radial pulse
  • Obtain a baseline set of vital signs

Question 16

Which patient requires a detailed physical examination?

  • 48-year-old male with a history of heart disease who is complaining of chest pain
  • 35-year-old female who has been in a single-car-collision and who briefly lost consciousness
  • 28-year-old full-term pregnant female whose water has broken and who is having contractions every two minutes
  • 53-year-old female with a history of smoking who is distressed and short of breath

Question 17

Where is the detailed physical exam typically performed?

  • At the scene of the accident or injury
  • In the hospital emergency department
  • In the ambulance during transport
  • In the triage area of a trauma center

Question 18

The purpose of the on-going assessment is to re-evaluate the patient's condition and to:

  • Find any injuries missed during the initial assessment
  • Reassure the patient that you are still caring for him/her
  • Check the adequacy of each intervention performed
  • Protect the EMT or Paramedic against liability from malpractice lawsuits

EMT Exam Page 4

Question 19

Immediately after delivering a shock with an AED to a patient in cardiac arrest, you should:

  • Check for a carotid pulse and, if needed, begin CPR
  • Check for breathing and provide two rescue breaths if necessary
  • Turn off the AED. You will turn it back on in two minutes.
  • Resume CPR, starting with chest compressions

Question 20

You should apply an AED to which patient?

  • An adult male experiencing chest discomfort
  • An adult female with significant traumatic injuries and a pulse of 60 beats per minute
  • An adult male who has overdosed on heroin, is unresponsive, apneic, and has a weak carotid pulse
  • An adult male who has overdosed on heroin, is unresponsive, apneic, and has no pulse

Question 21

In which of the following situations should you call for immediate additional personnel?

  • You arrive on-scene of a shooting and find two patients in critical condition with multiple gunshot wounds
  • Your patient is a 26-year-old female in active labor
  • Your patient is a young child with a fever who had a brief seizure prior to your arrival
  • Your partner is needed to stabilize the cervical spine

Question 22

What is the structure that prevents food and liquid from entering the trachea during swallowing?

  • Cricoid Cartilage
  • Larynx
  • Epiglottis
  • Diaphragm

Question 23

The air sacs in the lungs where O2/CO2 exchange occurs are the:

  • Bronchioles
  • Bronchi
  • Epiglottis
  • Alveoli

Question 24

Pink or bloody sputum is often seen in patients with:

  • Anaphylaxis
  • Influenza
  • Pulmonary Edema
  • Asthma

Question 25

You are treating an adult patient with a blood sugar of 29 mg/dL who is disoriented but can speak and swallow. Which intervention would be the most appropriate?

  • Administer 1 tube oral glucose by mouth, repeat every 5 minutes if necessary
  • Encourage the patient to consume 1 can of diet soda
  • Assist the patient in administering 30 units of his insulin
  • Administer Dextrose 10% solution IV

EMT Exam Page 5

Question 26

Which of the following is a sign of inadequate breathing

  • Warm, pink, dry skin
  • Equal rise and fall of the chest
  • Accessory muscle use when breathing
  • Speaking in complete sentences without breathing

Question 27

A patient complaining of facial paralysis on one side of his face with tearing, localized pain, and sensitivity may be suffering from the most common form of facial paralysis called:

  • Dystonia
  • Muscular Dystrophy
  • Amyotrophic Lateral Sclerosis (ALS)
  • Bell's Palsy

Question 28

A gurgling sound heard with artificial ventilation is a sign that:

  • The patient must be suctioned immediately
  • Supplemental oxygen should be added to the bag-valve mask
  • The airway is most likely open, patent and clear
  • The patient is trying to communicate with you

Question 29

The first step in artificial ventilation with a bag-valve-mask unit in patients with suspected trauma is to:

  • Place the patient's head in a hyperextended, sniffing position
  • Insert an airway adjunct and select the correct mask size
  • This patient cannot be ventilated with a bag-valve-mask
  • Have an assistant squeeze the bag until the patient's chest rises

Question 30

You take a report from a first responder who states that the patient is "postictal"; based on this report, you would expect to find the patient:

  • Alert and Oriented
  • Confused
  • Unresponsive
  • Hallucinating

Question 31

When suctioning an adult patient, how long should you suction?

  • 20-25 seconds
  • 10 seconds or less
  • At least 30 seconds
  • 30 seconds or less

EMT Exam Page 6

Question 32

What is the correct procedure for a patient who has secretions or emesis that suctioning cannot easily remove?

  • Insert an oropharyngeal or nasopharyngeal airway immediately
  • Suction for 55 seconds, ventilate for two minutes, and then repeat
  • Logroll the patient and clear the oropharynx and nasopharynx
  • Hyperventilate the patient with a bag-valve-mask

Question 33

What is the purpose of the head-tilt/ chin-lift technique?

  • To remove foreign bodies from the upper airway
  • To prevent the patient from vomiting
  • To lift the tongue and epiglottis out of an obstructing position
  • To prepare for suctioning

Question 34

After opening the airway, the next step in patient management is to:

  • Insert an endotracheal tube
  • Assess the adequacy of respirations
  • Begin mouth-to-mouth ventilations
  • Apply a non-rebreather mask

Question 35

When using the two-person bag-valve-mask procedure, one EMT ventilates the patient while the other:

  • Suctions the patient and administers CPR
  • Administers mouth-to-mask ventilation
  • Inserts the oral or nasopharyngeal airway
  • Maintains an adequate mask seal and monitors the patient for chest rise

Question 36

You arrive on-scene for a 25-year-old female in active labor. As you arrive on-scene, a firefighter states "she is G-6 and P-4" (G= Gravidity; P=Parity.) What does this mean?

  • She has been pregnant 4 times, with 6 babies brought to full term
  • She has been pregnant 6 times, with 4 babies brought to full term
  • She has had 6 children, with 4 natural births
  • She has had 6 children, with 4 C-Sections

Question 37

Your patient is awake, confused, and disoriented. Where does your patient fall on the AVPU scale?

  • A
  • V
  • P
  • U

EMT Exam Page 7

Question 38

A condition in pregnant females in which the placenta is formed in an abnormal location that results in excessive pre-birth bleeding is:

  • Breech Presentation
  • Preeclampsia
  • Placenta Previa
  • Abruptio Placentae

Question 39

The right ventricle pumps blood into the:

  • Body and Aorta
  • Lungs via the Pulmonary Vein
  • Left Atrium
  • Lungs via the Pulmonary Artery

Question 40

A patient should receive high-flow oxygen if he/she exhibits:

  • Tachycardia
  • Anisocoria
  • Dehydration
  • Cyanosis

Question 41

You are on-scene with a 20 kg (44 lbs) patient suffering from anaphylaxis who has not improved after one pediatric dose of epinephrine auto-injector. Your next step should be to:

  • Administer a 0.15mg dose of epinephrine via auto-injector by standing order
  • Administer a 0.3mg dose of epinephrine via auto-injector by standing order
  • Contact medical control for orders to administer the patient's diphenhydrramine (Benadryl) orally
  • Contact medical control for orders to administer a 0.15mg dose of epinephrine via auto-injector

Question 42

You are transporting an elderly female from a long-term care facility to a nearby ER. Staff at the facility report that the patient began experiencing left sided facial droop and slurred speech approximately 2 hours ago. You shoud:

  • Administer 1 tube of oral glucose
  • Lay the patient supine and consider an airway device
  • Notify the receiving facility of a "Stroke Alert"
  • Administer aspirin to the patient

Question 43

The correct rate of artificial ventilations for an adult patient is:

  • 22 ventilations per minute
  • 6 ventilations per minute
  • 18 ventilations per minute
  • 10 ventilations per minute

EMT Exam Page 8

Question 44

A 56-year-old female patient complains of mild chest discomfort and upper abdominal pain. You should:

  • Attempt to diagnose a cardiac condition
  • Determine if the patient is suffering from a myocardial infarction
  • Maintain a high index of suspicion for a cardiac etiology
  • Apply the AED, this patient may go into cardiac arrest at any time

Question 45

2nd Degree Thermal burns should be dressed in:

  • Gel-Pak Solution Wrap
  • Moist, sterile dressing
  • Left open to allow for air to assist with cooling the patient
  • Clean, dry sterile dressing

Question 46

A patient has been sprayed in the eye with a chemical irritant pepper spray. Please choose the most appropriate treatment:

  • Flush the eye with copious amounts of sterile water or 0.9% Normal Saline
  • Use a Morgan Lens for eye irrigation
  • Flush the eye with copious amounts of whole milk
  • At my level of training, I cannot flush the eye

Question 47

Your patient is a 29-year-old male who has fallen off a ladder. He has bright red blood spurting profusely from a wound on his right forearm and has severe pain in his left thigh. Which of the following is an appropriate initial treatment for this patient?

  • Perform a quick initial assessment to assess his ABCs
  • Stop the bleeding by applying a tourniquet above the wound
  • Maintain an open airway and ventilate the patient with a bag-valve mask
  • Elevate the patient's legs to treat him for shock

Question 48

Touching the patient when the AED is analyzing the rhythm:

  • Is acceptable with more modern AED's
  • Is indicated to reduce compression fraction
  • Is indicated to maintain artificial ventilation
  • Can cause the AED to misinterpret the patient's rhythm

Question 49

What should you do for a cardiac arrest patient you find in the rain?

  • Perform one rapid defibrillation, then move the patient inside
  • Defibrillate three times, then move the patient inside
  • Move the patient inside, away from the rain
  • Administer CPR normally and apply the AED. There are no changes if the patient is in the rain

EMT Exam Page 9

Question 50

You are presented with a patient of an apparent opioid overdose with agonal respirations and pinpoint pupils. You have just administered 2mg Narcan intra-nasally. Your next step would be to:

  • Stand back, the patient could wake up and become violent or vomit
  • Collect any evidence you or the police deem necessary
  • Place the patient on a non-rebreather at 15LPM and wait for the Narcan to take effect
  • Ventilate the patient with a bag-valve mask