3˚ TEST

Question 1

1. Question 1 of 40
   When dealing with a patient who is experiencing severe chest pain, what is the first medication you should administer if no allergies or contraindications are present? A. Aspirin
   B. Ibuprofen
   C. Acetaminophen
   D. Antacid

Answer 1

Correct Answer: A. Aspirin
Aspirin is typically administered first for patients experiencing severe chest pain, especially if myocardial infarction is suspected.

Question 2

2. Question 2 of 40
   You respond to a home where a patient is having a severe asthma attack. What is the best initial action? A. Provide reassurance and encourage the patient to use their prescribed inhaler.
   B. Lay the patient down to promote relaxation.
   C. Immediately start high-flow oxygen through a mask.
   D. Prepare for intubation due to impending respiratory failure.

Answer 2

Correct Answer: A. Provide reassurance and encourage the patient to use their prescribed inhaler.
Using a prescribed inhaler is the initial management for an asthma attack to alleviate symptoms quickly.

Question 3

3. Question 3 of 40
   What is the proper response when a patient refuses treatment after a minor car accident? A. Persuade the patient to go to the hospital anyway.
   B. Document the refusal and advise the patient to seek care if symptoms worsen.
   C. Insist that the patient must be evaluated by a doctor.
   D. Call the police to report the refusal.

Answer 3

Correct Answer: B. Document the refusal and advise the patient to seek care if symptoms worsen.
Documenting a patient’s refusal of treatment and advising them on future care protects both the patient’s health and the EMT’s legal responsibility.

Question 4

4. Question 4 of 40
   A 22-year-old male has fallen and is complaining of severe back pain with no sensation in his legs. What is the most appropriate course of action? A. Encourage him to try and stand to assess his mobility.
   B. Administer pain medication immediately.
   C. Immobilize his spine on a long board.
   D. Apply heat to the affected area to reduce pain.

Answer 4

Correct Answer: C. Immobilize his spine on a long board.
Spinal immobilization is critical for patients with severe back pain and symptoms indicating potential spinal injuries.

Question 5

5. Question 5 of 40
   During triage at a mass casualty incident, a patient with rapid, shallow breathing should be categorized as: A. Green
   B. Yellow
   C. Red
   D. Black

Answer 5

Correct Answer: C. Red
Patients with rapid, shallow breathing require immediate intervention and are classified as red in triage situations.

Question 6

6. Question 6 of 40
   You arrive at a scene to find a patient who is alert but showing signs of a possible stroke. What is the first assessment tool you should use?
   A. Cincinnati Prehospital Stroke Scale
   B. Glasgow Coma Scale
   C. Pupillary light reaction
   D. Blood pressure measurement

Answer 6

Correct Answer: A. Cincinnati Prehospital Stroke Scale
The Cincinnati Prehospital Stroke Scale is a quick and effective tool for EMS to assess the likelihood of a stroke.

Question 7

7. Question 7 of 40
   What type of consent is assumed when treating an unconscious patient who was involved in a car accident?
   A. Implied consent
   B. Expressed consent
   C. Informed consent
   D. Unconscious consent

Answer 7

Correct Answer: A. Implied consent
Implied consent is assumed for an unconscious patient in an emergency, allowing EMTs to provide necessary medical care.

Question 8

8. Question 8 of 40
   How should an EMT manage a patient with suspected spinal injury?
   A. Move the patient as needed to evaluate further.
   B. Apply a cervical collar and use a backboard for immobilization.
   C. Allow the patient to remain seated until pain subsides.
   D. Encourage the patient to walk it off unless pain worsens.

Answer 8

Correct Answer: B. Apply a cervical collar and use a backboard for immobilization.
This procedure is standard for managing suspected spinal injuries to prevent further harm.

Question 9

9. Question 9 of 40
   For a patient experiencing severe hypoglycemia and confusion, what is the best initial treatment? A. Oral glucose
   B. Intravenous glucose
   C. Subcutaneous insulin
   D. Fruit juice

Answer 9

Correct Answer: B. Intravenous glucose
For severe hypoglycemia and confusion, intravenous glucose is the fastest way to raise blood sugar levels.

Question 10

10. Question 10 of 40
    Which is an indicator for immediate defibrillation? A. Pulseless ventricular tachycardia
    B. Severe bradycardia
    C. Hypertension
    D. Respiratory arrest

Answer 10

Correct Answer: A. Pulseless ventricular tachycardia
Immediate defibrillation is indicated for pulseless ventricular tachycardia to restore a normal heart rhythm.

Question 11

11. Question 11 of 40
    When dealing with a chemical eye burn, what is the first step in treatment? A. Close the eyes and apply an ice pack.
    B. Flush the eyes with low-pressure clean water for at least 20 minutes.
    C. Immediately apply an antibiotic ointment.
    D. Cover both eyes with sterile gauze to prevent further contamination.

Answer 11

Correct Answer: B. Flush the eyes with low-pressure clean water for at least 20 minutes.
Prompt and sustained flushing is essential in chemical eye burns to dilute and remove the caustic substance.

Question 12

12. Question 12 of 40
    What should be your first action if you suspect a patient is suffering from carbon monoxide poisoning? A. Administer 100% oxygen via a non-rebreather mask.
    B. Ventilate the environment.
    C. Perform chest compressions.
    D. Give the patient fluids to prevent dehydration.

Answer 12

Correct Answer: A. Administer 100% oxygen via a non-rebreather mask.
High concentrations of oxygen are crucial for patients suffering from carbon monoxide poisoning to displace CO from hemoglobin.

Question 13

13. Question 13 of 40
    How should you assess a patient with a potential fracture to the arm? A. Attempt to realign the limb to its natural position.
    B. Check for distal pulse, motor, and sensory functions.
    C. Apply a heat pack to reduce swelling.
    D. Encourage the patient to move the arm to evaluate the range of motion.

Answer 13

Correct Answer: B. Check for distal pulse, motor, and sensory functions.
This assessment helps determine the extent of the injury and potential complications in limb fractures.

Question 14

14. Question 14 of 40
    In cases of suspected drowning, what is the priority in managing the patient? A. Immediate CPR if the patient is not breathing.
    B. Full neurological assessment on the scene.
    C. Transport to a hospital with a hyperbaric chamber.
    D. Warm the patient as quickly as possible to prevent hypothermia.

Answer 14

Correct Answer: A. Immediate CPR if the patient is not breathing.
Providing immediate CPR is critical for suspected drowning victims who are not breathing to increase chances of survival.

Question 15

15. Question 15 of 40
    What is the most important consideration when administering nitroglycerin to a chest pain patient? A. The patient must be sitting down.
    B. The patient’s heart rate must be below 100 bpm.
    C. The patient has not taken erectile dysfunction medication in the past 48 hours.
    D. The patient should drink a full glass of water with the medication.

Answer 15

Correct Answer: C. The patient has not taken erectile dysfunction medication in the past 48 hours.
Ensuring the patient has not taken erectile dysfunction medication is vital as it can dangerously interact with nitroglycerin.

Question 16

16. Question 16 of 40
    What is the first step in caring for a patient with a major burn injury? A. Apply cool, wet compresses.
    B. Determine the percentage of body surface area affected.
    C. Ensure the scene is safe from the source of the burn.
    D. Administer pain medication.

Answer 16

Correct Answer: C. Ensure the scene is safe from the source of the burn.
Safety is the first priority before beginning treatment for major burns to prevent further injuries.

Question 17

17. Question 17 of 40
    How should an EMT handle a patient who is aggressive and threatening violence? A. Restrain the patient immediately.
    B. Request police assistance and maintain a safe distance.
    C. Use calming words to de-escalate the situation.
    D. Both B and C.

Answer 17

Correct Answer: D. Both B and C.
Requesting police assistance and using de-escalation techniques are both essential when managing an aggressive patient.

Question 18

18. Question 18 of 40
    Which protocol should be followed for a patient exhibiting signs of acute alcohol withdrawal? A. Immediate restraint to prevent harm.
    B. Administer an IV fluid with thiamine.
    C. Provide a quiet and dark environment.
    D. Monitor vital signs and prepare for possible seizures.

Answer 18

Correct Answer: D. Monitor vital signs and prepare for possible seizures.
Monitoring and preparation are crucial in managing acute alcohol withdrawal, which can lead to severe and life-threatening seizures.

Question 19

19. Question 19 of 40
    For a patient experiencing acute abdominal pain, what is the preferred position for transport? A. Supine with legs straight.
    B. Left lateral recumbent with knees bent.
    C. Sitting upright.
    D. Prone to relieve pressure.

Answer 19

Correct Answer: B. Left lateral recumbent with knees bent.
This position can help alleviate pain and discomfort for patients experiencing acute abdominal pain.

Question 20

20. Question 20 of 40
    What is the first line of action for an EMT when arriving on the scene of a suspected drug overdose? A. Search for drug paraphernalia for evidence.
    B. Perform a rapid assessment to check for responsiveness and breathing.
    C. Immediately administer naloxone without further assessment.
    D. Contact law enforcement before approaching the patient.

Answer 20

Correct Answer: B. Perform a rapid assessment to check for responsiveness and breathing.
Initial rapid assessment is vital in managing a suspected drug overdose to determine the patient’s immediate needs for life-saving interventions.

Question 21

21. Question 21 of 40
    What is the correct procedure for an EMT when encountering a patient with a suspected tension pneumothorax?
    A. Administer high-flow oxygen and prepare for rapid transport.
    B. Perform needle decompression after confirming with ultrasound.
    C. Apply a cold pack to the chest to reduce swelling.
    D. Encourage the patient to cough to relieve pressure.

Answer 21

Correct Answer: A. Administer high-flow oxygen and prepare for rapid transport.
High-flow oxygen and rapid transport are critical for managing a patient with a suspected tension pneumothorax to stabilize breathing and pressure in the chest.

Question 21

22. Question 22 of 40
    If a patient is having a seizure, what is the most important thing to do?
    A. Place a spoon in the mouth to prevent biting the tongue.
    B. Restrain the patient to prevent injury.
    C. Protect the patient from injury without restraining their movements.
    D. Immediately administer anticonvulsant medication orally.

Answer 21

Correct Answer: C. Protect the patient from injury without restraining their movements.
Protecting the patient during a seizure involves ensuring safety without using restraints, which can cause injury.

Question 22

24. Question 24 of 40
    How should you treat a patient who has a deep wound from a power tool and is bleeding profusely?
    A. Apply direct pressure and elevate the limb.
    B. Clean the wound with hydrogen peroxide.
    C. Apply a tourniquet above the wound if bleeding cannot be controlled.
    D. Give the patient aspirin to prevent clotting.

Answer 22

Correct Answer: A. Apply direct pressure and elevate the limb.
Direct pressure and elevation are the first steps in controlling severe bleeding from a wound.

Question 22

23. Question 23 of 40
    You arrive at a scene where a patient appears to have overdosed. What is the first action you should take?
    A. Administer naloxone immediately.
    B. Check for responsiveness and breathing.
    C. Search the area for drug paraphernalia.
    D. Call law enforcement for a suspected overdose.

Answer 22

Correct Answer: B. Check for responsiveness and breathing.
Initial assessment of responsiveness and breathing is crucial in managing a suspected overdose to prioritize life-saving interventions.

Question 23

25. Question 25 of 40
    In the event of a multi-vehicle accident, how should you approach triaging patients?
    A. Treat patients closest to the road first for quick access.
    B. Begin with the most severely injured patient visible.
    C. Assess walking wounded first to clear the scene.
    D. Use the START triage method to quickly categorize patients.

Answer 23

Correct Answer: D. Use the START triage method to quickly categorize patients.
The START triage method efficiently categorizes patients based on the severity of their injuries during a multi-vehicle accident.

Question 24

26. Question 26 of 40
    What is the recommended procedure for a patient suspected of having a stroke and is conscious?
    A. Administer aspirin immediately to reduce clotting.
    B. Transport immediately to a hospital with a stroke center.
    C. Perform a detailed neurological exam before deciding on transport.
    D. Give them fluids to prevent dehydration.

Answer 24

Correct Answer: B. Transport immediately to a hospital with a stroke center.
Immediate transportation to a stroke center is essential for a patient showing signs of a stroke to ensure prompt treatment and the best possible outcome.

Question 25

27. Question 27 of 40
    When you suspect a patient has ingested a poisonous substance, what is the first step in treatment?
    A. Induce vomiting to remove the substance from the stomach.
    B. Administer activated charcoal to absorb toxins.
    C. Give the patient milk or water to dilute the substance.
    D. Contact poison control for specific guidance.

Answer 25

Correct Answer: D. Contact poison control for specific guidance.
Contacting poison control provides specific, critical guidance on how to proceed with a patient who has ingested a poisonous substance.

Question 25

29. Question 29 of 40
    What is the best course of action when treating a burn from boiling water?
    A. Immediately apply ice to the burn area.
    B. Cover the burn with butter or a greasy substance.
    C. Cool the burn under tepid running water for at least 20 minutes.
    D. Break any blisters that form to prevent infection.

Answer 25

Correct Answer: C. Cool the burn under tepid running water for at least 20 minutes.
Cooling a burn with tepid water helps reduce the temperature of the burn area and minimizes skin damage.

Question 26

28. Question 28 of 40
    How should an EMT handle a patient who becomes verbally aggressive during transport?
    A. Restrain the patient for safety.
    B. Ignore the comments and continue monitoring vital signs.
    C. Use de-escalation techniques to calm the patient.
    D. Stop the ambulance and wait for law enforcement.

Answer 26

Correct Answer: C. Use de-escalation techniques to calm the patient.
De-escalation techniques are effective in managing a verbally aggressive patient, ensuring safety and reducing stress for both the patient and EMS personnel.

Question 27

30. Question 30 of 40
    For a patient experiencing severe allergic reaction with difficulty breathing, what is the immediate treatment?
    A. Administer an oral antihistamine.
    B. Give a corticosteroid injection.
    C. Administer epinephrine as soon as possible.
    D. Provide oxygen and wait for advanced medical support.

Answer 27

Correct Answer: C. Administer epinephrine as soon as possible.
Epinephrine is the first line of treatment for severe allergic reactions with difficulty breathing, as it quickly counteracts the symptoms.

Question 28

31. Question 31 of 40
    What is the primary concern when dealing with a patient experiencing hypothermia?
    A. Re-warming the patient too quickly.
    B. Ensuring the patient is hydrated.
    C. Monitoring for signs of frostbite.
    D. Protecting the patient’s airway.

Answer 28

Correct Answer: A. Re-warming the patient too quickly.
In hypothermia treatment, the primary concern is avoiding rapid re-warming, which can lead to dangerous heart rhythms and other complications.

Question 29

32. Question 32 of 40
    During a response to a suspected heart attack, what is essential to determine before administering medication?
    A. If the patient has had anything to eat in the last hour.
    B. The patient’s history with diabetes.
    C. Whether the patient is allergic to aspirin.
    D. If the patient is currently on blood thinners.

Answer 29

Correct Answer: C. Whether the patient is allergic to aspirin.
Before administering medication like aspirin, it’s crucial to confirm that the patient does not have allergies to the medication.

Question 30

33. Question 33 of 40
    What is the initial step in caring for a patient with a possible spinal injury at a swimming pool?
    A. Ask bystanders to help move the patient out of the pool immediately.
    B. Immobilize the patient on a backboard while still in the water.
    C. Allow the patient to float until additional help arrives.
    D. Encourage the patient to tread water to maintain mobility.

Answer 30

Correct Answer: B. Immobilize the patient on a backboard while still in the water.
For suspected spinal injuries in a swimming pool, immobilizing the patient on a backboard in the water prevents further injury during extraction.

Question 31

34. Question 34 of 40
    How should an EMT respond to an elderly patient who has fallen and is unable to get up but has no apparent injuries?
    A. Help the patient up and allow them to walk.
    B. Assess for potential hip fractures or head injuries before moving.
    C. Call for additional personnel to lift the patient.
    D. Transport the patient immediately to prevent shock.

Answer 31

Correct Answer: B. Assess for potential hip fractures or head injuries before moving.
Assessing for potential injuries before moving an elderly patient who has fallen helps prevent worsening any undiagnosed injuries.

Question 32

35. Question 35 of 40
    What action should be taken first when arriving at the scene of an electrical injury?
    A. Check for entry and exit wounds.
    B. Ensure the power source is disconnected.
    C. Begin CPR if the patient is unresponsive.
    D. Apply burn cream to the affected areas.

Answer 32

Correct Answer: B. Ensure the power source is disconnected.
Before treating an electrical injury, ensuring the power source is disconnected is critical to prevent further injury.

Question 33

36. Question 36 of 40
    What is the protocol for a child who has taken an overdose of medication and is drowsy but breathing?
    A. Induce vomiting to clear the stomach of medication.
    B. Monitor the child and wait for paramedics.
    C. Administer activated charcoal if available.
    D. Give the child coffee to keep them awake.

Answer 33

Correct Answer: C. Administer activated charcoal if available.
Activated charcoal can help absorb the medication in the stomach, reducing absorption and mitigating the effects of an overdose in a child.

Question 34

37. Question 37 of 40
    For a patient showing early signs of labor and no complications, what should an EMT do?
    A. Prepare for immediate delivery in the ambulance.
    B. Transport to the nearest hospital quickly.
    C. Administer pain relief as necessary.
    D. Conduct a field delivery only if the head is crowning.

Answer 34

Correct Answer: B. Transport to the nearest hospital quickly.
If a patient is showing early signs of labor without complications, quick transport to a hospital ensures they receive necessary care in a controlled environment.

Question 35

38. Question 38 of 40
    When encountering a patient with severe abdominal pain, what is the most effective position for transport?
    A. Supine with legs elevated.
    B. Left lateral decubitus with knees bent.
    C. Sitting upright to ease discomfort.
    D. Prone to relieve abdominal pressure.

Answer 35

Correct Answer: B. Left lateral decubitus with knees bent.
This position helps relieve abdominal pain during transport by reducing intra-abdominal pressure.

Question 36

39. Question 39 of 40
    What is the correct response to a patient experiencing a migraine with photophobia?
    A. Expose them to bright light to assess the severity of photophobia.
    B. Administer a strong pain reliever immediately.
    C. Provide a dark and quiet environment.
    D. Encourage the patient to keep their eyes open to adjust to light.

Answer 36

Correct Answer: C. Provide a dark and quiet environment.
For a patient experiencing a migraine with photophobia, a dark and quiet environment can help alleviate symptoms and reduce discomfort.

Question 37

40. Question 40 of 40
    In treating a patient with severe dehydration, what is the priority?
    A. Administer oral rehydration solutions if the patient can swallow.
    B. Give intravenous fluids immediately.
    C. Have the patient drink large quantities of water quickly.
    D. Wait for advanced life support to administer fluids.

Answer 37

Correct Answer: A. Administer oral rehydration solutions if the patient can swallow.
For severe dehydration, oral rehydration solutions are preferred if the patient can swallow, as they provide electrolytes and fluids needed to recover.