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1. The bones of the fingers and toes are called the: A) carpals. B) tarsals.
C) phalanges.
D) cuneifomls.
2. The nomlal skin condition of a patient should feel: A) hot. B) dry. C) wet.
D) moist.
3. The topographic term used to describe the location of an injury that is toward the midline or center of the body is:
A) lateral. B) medial.
C) midaxi1lary .
D) midclavicular.
4. You and two other EMT - Bs are loading a wheeled stretcher into an ambulance. Lifting at the end of the stretcher
may:
A) be done whenever possible. B) help balance the weight.
C) help reduce the load on the other two EMT -Bs.
D) unbalance the stretcher and injure the other two EMT-Bs.
5. What is one of the most difficult emotional problems that may affect an EMT-B? A) Grief
B) Denial
C) Euphoria
D) Acceptance
6. When you inspect a patient's pupils with a flashlight, the pupils should normally react to the light by: A) dilating.
B) fluttering.
C) constricting.
D) not responding.
7. How many pairs of ribs are attached anteriorly to the sternum? A) 6 B) 8
C) 10 D) 12
8. What information should be noted when you asses a patients pulse? A) Depth, rate, clarity
B) Difficulty in finding
C) Rate, regularity, volume
D) If the patient can feel his own pulse
9. What system combines community agencies and professional personnel to provide prehospital medical care to the
sick and injured.
A) Enhanced 9-1-1 systems.
B) Emergency medical services
C) Hospital emergency departments. .
D) Ambulance-to-hospital communications
10. The spinal column has how many vertebrae? A) 24 B) 28 C) 33 D) 36
11. Topographically, the term distal means: A) near the trunk.
B) near a point of reference. .
C) nearer to the free end of the extremity. D) toward the center of the body.
12. The only movable bone in the skull is the: A) maxilla. B) mastoid. C) zygoma.
D) mandible.
13. What structure contracts and sends a wave of blood into the aorta and then through the arteries? A) Left atrium
B) Left ventricle C) Right atrium
D) Right ventricle
14. To obtain a patient's blood pressure by the palpation method, you should:
A) listen for the presence of a pulse sound after deflating the blood pressure cuff. B) compare the pulses of the arm and
the neck and take an average.
C) find the brachial pulse with two fingers and inflate the blood pressure cuff, noting the measurement when the pulse
is gone.
D) inflate the blood pressure cuff while monitoring the radial pulse of the arm until the pulse is gone; then deflate the
cuff, noting the measurement when the pulse returns.
15. A response such as anger or denial by a family member is a common reaction to: A) pain.
B) death.
C) paranoia.
D) depression.
16. Systolic blood pressure is defined as the measurement of the pressure exerted against the walls of the: A) veins
while the heart is at rest.
B) veins during contraction of the heart. C) arteries while the heart is at rest.
D) arteries during contraction of the heart.
17. Which of the following pulses can normally be felt on the adult patient? A) Jugular, facial B) Facial, carotid
C) Carotid, femoral D) Femoral, patellar
18. The large, flat, triangular bone that forms part of the shoulder girdle is called the: A) rib.
B) scapula. C) clavicle.
D) humerus.
19. The pressure exerted against the walls of the artery when the left ventricle is at rest is called: A) stroke pressure.
B) systolic pressure.
C) diastolic pressure..
D) cardiac output pressure.
20. Which of the following components are needed to prove negligence? A) Duty to act, abandonment, breach of duty,
and causation
B) Duty to act, breach of duty, injury/damages, and causation C) Abandonment, breach of duty, damages, and
causation
D) Breach of duty, injury/damages, abandonment, and causation
21. Rapid extrication of a patient sitting in a vehicle should NOT be considered when there is: A) cardiac arrest.
B) fire or danger of fire.
C) moderate external bleeding from an extremity.
D) a presence of explosives or other hazardous materials.
22. Which of the following statements about a portable stretcher is FALSE? A) It is lightweight.
B) It is easy to carry.
C) It requires little storage space. D) It has wheels.
23. When you shine a light into one pupil, the normal reaction of the other pupil should be to: A) dilate.
B) not react.
C) become larger.
D) become smaller.
24. Which of the following systems is responsible for releasing chemicals that regulate body activities? A) Skeletal B)
Nervous
C) Endocrine
D) Cardiovascular
25. En route to the emergency department, a patient states that he may have lost consciousness because he took some
"drugs" before lunch. He also tells you that he had four drinks with his low-calorie luncheon special. This information
on alcohol and drug use should be: A) recorded in your medical records. B) radioed to the dispatcher.
C) relayed to the physician in private. D) passed on to the state police.
26. The radial pulse is found:
A) near the patient's leg, close to the hip. B) underneath the arm, near the shoulder.
C) on the underside of the wrist, on the same side as the thumb.
D) on the underside of the wrist, on the same side as the little finger.
27. Which of the following is a good device to use to immobilize a patient with a suspected spinal injury? A) Long
backboard B) Scoop stretcher
C) Portable stretcher D) Wheeled stretcher
28. In which of the following situations would a direct ground lift be used? A) A pedestrian with multiple abrasions
B) A patient complaining of pain in the left hip area C) An unconscious patient with a possible CV A
D) An oriented patient complaining of abdominal pain
29. Vessels in the circulatory system that contain one-way valves are called: A) veins.
B) arteries.
C) arterioles.
D) capillaries.
30. You arrive at the scene of an automobile accident where a car has been struck by a semitrailer truck. The truck is
displaying a placard and there appears to be a haze around the rear doors of the trailer. Which of the following steps is
NOT considered proper procedure? A) Clear the area and secure the scene.
B) Contact law enforcement for assistance.
C) Obtain MSDS sheets from the driver of the truck.
D) Do nothing and continue the normal assessment process.
31. What is your most important consideration during an emergency move? A) Use a long backboard.
B) Protect the patient's spine.
C) Keep the patient's airway open.
D) Perform the move as quickly as possible.
32. What skin color is associated with cyanosis? A) Pale
B) Jaundice
C) Bluish tint
D) Reddish complexion
33. The final stage of death and dying is displayed as: A) anger. B) denial.
C) depression. D) acceptance.
34. The systolic blood pressure is a measurement of: A) atrial relaxation.
B) atrial contraction.
C) ventricular relaxation.
D) ventricular contraction.
35. Patients showing signs of impending hypovolemic shock should lie with: A) their knees bent.
B) their legs elevated.
C) their heads elevated.
D) a long backboard under them.
36. A person trained with the necessary skills to save a life, using a minimum of equipment, is called: A) a First
Responder.
B) an EMT-B (Basic).
C) an EMT-I (Intermediate). D) an EMT-P (Paramedic).
37. The major goal in quality improvement is to ensure that the public receives: A) basic life support training. B)
approved first aid training.
C) quarterly audits of EMS systems.
D) the highest quality of prehospital care.
38. A patient complaining of weakness should be carried down stairs on a: A) stair chair.
B) portable cot.
C) long backboard.
D) wheeled stretcher.
39. How do you assess the respirations of an adult patient?
A) Count each inhalation as one breath, each exhalation as one breath, and multiply by two.
B) Ask the patient what his or her normal respirations are and then have him or her breathe normally
while you count. .
C) Observe the rise and fall of the chest and note the rate of breathing over 30 seconds.
D) Observe the rise and fall of the chest, note the rate of breathing in 30 seconds, and multiply by two.
40. What is the most commonly used patient transfer device? A) Auxiliary cot
B) Long backboard C) Stokes stretcher
D) Wheeled stretcher
41. F or at least how many seconds should you palpate an adult's pulse to determine the rate, volume, and regularity of
the pulse? A) 6
B) 15 C) 30 D) 60
42. Short spine boards are used: A) when it is easier for you.
B) when weakness or paralysis is present.
C) for patients with possible spinal injuries.
D) for patients in a sitting position who need spinal immobilization.
43. What fluid carries the blood cells and nutrients? A) Plasma
B) Colloids C) Platelets
D) Red blood cells
44. What should you do before attempting to access a patient trapped in a vehicle? A) Check for other patients.
B) Check the vehicle's stability. C) Question the bystanders.
D) Establish communications with medical control.
45. When communicating with family members, you should avoid: A) giving false hope.
B) the words "death" or "dead." C) emotional communication. D) nonverbal communication.
46. There has been a one-car accident. One patient is sitting behind the steering wheel. Which of the
following conditions requires rapid extrication? A) Cardiac arrest
B) Unconsciousness
C) Severe bleeding from the thigh
D) Inability to move the arms and legs
47.
What is labored breathing? A) Absence of breathing
B) Shallow, slow breathing
C) An occasional deep breath D) Increased effort to breathe
48. The bones that make up the base of each of the fingers are called: A) carpals.
B) metacarpals.
C) carpometacarpals. D) phalanges.
49. The left ventricle pumps blood to the: A) body. B) lungs.
C) left atrium.
D) pulmonary artery.
50. An EMT trained in a limited number of advanced skills is called: A) a First Responder.
B) an EMT-B (Basic).
C) an EMT-I (Intermediate). D) an EMT-P (Paramedic).
51. What set of nerves is responsible for carrying information from the body to the brain? A) Motor
B) Cranial C) Sensory
D) Vertebral
52. A 72-year-old woman is in bed and complaining of fullness in her chest. She states she has had two previous heart
attacks. She has a blood pressure of 146/102 mm Hg, a pulse of 108/min, and respirations of 28/min. Which device
would be best for transporting her? A) Long backboard B) Scoop stretcher
C) Portable stretcher D) Wheeled stretcher
53. A patient needs to be moved quickly when there is an immediate threat to the patient's life. Which of the following
signs or symptoms would NOT require an urgent move? A) Shock
B) Altered level of consciousness
C) Inadequate breathing or ventilation D) Paralysis from a suspected spinal injury
54. What type of muscle has its own rich supply of blood? A) Cardiac B) Skeletal
C) Voluntary
D) Musculogenic
55. When critical incident stress becomes worse, you may: A) have an increase in appetite.
B) become more open to discussion.
C) become more active in off-duty interests.
D) lose the ability to function at an emergency scene.
56. The process of moving a patient to a long board or stretcher, and then positioning and securing the patient for
transport is called: A) triage.
B) packaging. C) extrication.
D) body mechanics.
57. As the bronchus divides into smaller air passages, the terminal ends of these smaller passages form the: A) pleura.
B) alveoli.
C) bronchi.
D) capillaries.
58. A pulse that feels like it has a consistent pattern to it is considered to be: A) weak.
B) strong.
C) regular.
D) irregular.
59. Your primary responsibility at the scene of a call is: A) patient care.
B) personal safety.
C) notification of the proper authorities. D) communication with medical control.
60. Which of the following types of medical control involves communicating with the physician and then providing
patient care? A) On-line B) Off-line C) Protocol
D) Standing orders
61. At the scene of an automobile accident, a utility pole has been broken and power lines are lying across the car. The
patients inside the car are conscious. You should: A) proceed with normal extrication procedures.
B) remove the wires from the car and continue the extrication.
C) advise the patients to get out of the car and walk to the ambulance. D) mark off a danger zone around the downed
lines.
62. The three basic types of muscles are: A) skeletal, smooth, and striated. B) skeletal, smooth, and cardiac.
C) ligaments, tendons, and cardiac.
D) voluntary, involuntary, and fascia.
63. A patient who has difficulty breathing is usually transported in what position? A) On the left side to prevent
aspiration of vomitus
B) With the legs elevated 8" to 12" to prevent shock C) With the head elevated to a position of comfort
D) With the head of the stretcher elevated to a position of 60°
64. The largest joint in the body is the: A) hip.
B) knee.
C) elbow.
#
D) acromioclavicular.
65. Which of the following is NOT a sign of respiratory distress? A) Stridor
B) Cyanosis
C) Swollen eyes
D) Accessory muscle use
66. A 42-year-old woman is complaining of abdominal pain. She states it feels like a gallbladder attack she had last
year. You should transport this patient: A) in a position of comfort.
B) on her side in case she vomits.
C) on her right side to reduce her pain.
D) with her legs elevated to prevent shock.
67. You think a pregnant 16-year-old girl has a broken leg after she is hit by a car. You suspect that the girl may have
run away from home. You explain that you plan to splint her leg, and she agrees to treatment. Her agreement would be
considered what type of consent? A) Expressed B) Informed C) Implied D) Prenatal
68. The firm cartilaginous ring that forms the inferior portion of the larynx is called the: A) costal cartilage.
B) cricoid cartilage. C) thyroid cartilage. D) laryngo cartilage.
69. In most states, a minor can be treated as an adult for the purpose of consenting to medical treatment if the minor is:
A) pregnant.
B) intoxicated.
C) 15 years old. D) able to drive.
70. You and your partner are the first to arrive at a potential crime scene with a patient involved. The scene is safe.
Your first priority is to: A) notify medical control.
B) wait for the police to arrive.
C) contact dispatch for instructions.
D) give emergency care to the patient.
71. You are examining a patient who is complaining of chest pain and difficulty breathing. You take his radial pulse,
noting that it is irregular in rate. This is most likely being caused by: A) irregular contractions of the heart.
B) the pulse not being taken correctly.
C) an occasional blockage of the radial artery.
D) the patient's arm not being straight enough while taking the pulse.
72. Normal respirations for an adult patient should be between: A) 6 and 20 breaths per minute. B) 6 and 30 breaths per
minute.
C) 12 and 20 breaths per minute. D) 12 and 30 breaths per minute.
74. Physician involvement in supervising and assisting within the EMS system is an example of: A) accreditation.
B) standardization.
C) medical direction.
D) system incorporation.
75. Another name for the ankle bone is the: A) calcaneus.
B) metatarsus. C) talus.
D) tarsus.
76. The heart, great vessels, and esophagus all lie in the: A) hemithorax.
B) pleural space. C) lower airway.
D) thorax.
77. Which of the following structures are responsible for the exchange of nutrients and waste in the cells? A) Venules
B) Capillaries C) Arteries
D) Arterioles
78. Which of the following vessels does NOT carry blood back to the heart? A) Pulmonary vein
B) Pulmonary artery
C) Inferior venae cavae D) Superior venae cavae
79. Which of the following body parts can you use to assess skin color in an adult? A) Cheeks and tongue
B) Earlobes and eyelids
C) Nail beds and oral mucosa
D) Conjunctiva and nasal bridge
80. You respond to the home of 75-year-old man who is unconscious and appears to be dying. The family states that the
patient is terminally ill and wishes no resuscitative measures be taken to save his life. No written orders are available but the
family states the doctor has written them. How should you handle this situation?
A) Immediately contact medical control for advice.
B) Inform the medical examiner and return to service.
C) Ignore the family's statement, start CPR, and transport the patient.
D) Give the family time to locate the written order, and then decide on further actions.
81. Diastolic blood pressure is defined as the measurement of the pressure exerted against the walls of the: A) veins while the
heart is at rest.
B) veins during contraction of the heart.
C) arteries while the left ventricle is at rest. D) arteries during contraction of the heart.
82. The normal breathing rate for an adult is how many breaths per minute? A) 8 to 12
B) 12 to 20 C) 15 to 30 D) 20 to 40
83. Which of the following groups is responsible for the national standard curriculum of the EMT -B course? A) National
Registry of EMTs
B) National Association of EMTs
C) National Board of EMT Educators D) Department of Transportation
84. Which of the following is considered to be personal protective equipment? A) Gloves and eye protection B) Preventive
antibiotics C) Reusable latex gloves
D) HEP A respirator for the patient
85. When you assess the capillary refill of an infant, the return of color to the tested area should take how many seconds? A)
Less than 1 B) Less than 2
C) More than 2 D) More than 5
86. The largest, strongest bone in the body is the: A) spine. B) femur. C) radius.
D) humerus.
87. Proper body mechanics means lifting the patient: A) safely.
B) in the easiest way.
C) using techniques of weight lifters.
D) in the most efficient way to prevent injuries to yourself.
88. What is the single most important thing you should do routinely to help prevent transmission of infectious disease?
A) Undergo a yearly health examination. B) Maintain up-to-date immunizations.
C) Undergo pre-employment and follow-up tuberculosis (PPD) tests.
D) Wash your hands before and immediately after each patient contact.
89. What type of medical direction do standing orders and protocols describe? A) Radio
B) On-line C) Off-line
D) Face-to-face
90. For informed consent to be valid, it must be: A) notarized.
B) administered by law enforcement.
C) given by a mentally competent adult.
D) written and witnessed by a family member.
91. The leaf-shaped flap of tissue that prevents food and liquid from entering the trachea is called the: A) uvula.
B) epiglottis.
C) laryngopharynx.
D) cricothyroid membrane.
92. Skill maintenance, continuing education, and gathering feedback from patients and hospital staff are all part of the EMTB's role in: A) documentation. B) job satisfaction.
C) quality improvement.
D) maintaining certification.
93. Which of the following types of consent allows a patient to give verbal or written consent for treatment and transport? A)
Mature B) Implied
C) Informed
D) Expressed
94. Two EMT -Bs witnessed a call where a co-worker gave adequate physical care but ignored the patient's emotional needs.
Also, the co-worker was deliberately rude solely because the patient was thought to be infected with the human immunodeficiency virus (HIV). The EMT -Bs ignored the co-worker's treatment of this patient, and took no steps to prevent this
behavior from happening again. This lack of action, on the part of the two EMT -Bs, is considered: A) legal and ethical.
B) legal but unethical. C) illegal but ethical.
D) illegal and unethical.
95. Which of the following statements about blood pressure measurement is true? A) The ear pieces of the stethoscope should
be facing rearward in the ears.
B) A blood pressure cuff that is too large will produce falsely high readings.
C) A blood pressure by auscultation should be taken before one is taken by palpation. D) A blood pressure taken in the
antecubital fossa uses the brachial artery.
96. A patient is sitting in a car after an auto accident. He did not have his seat belt on. He is complaining of pain in his arm
and neck. The most appropriate device for this patient is a: A) long backboard. B) short backboard. C) scoop stretcher.
D) wheeled stretcher.
97 . A patient partially regains consciousness en route from Although not totally alert or oriented, the patient tells y the
hospital. Under these circumstances, you should:
A) return the patient to his office. B) assess whether the patient's mental condition is im C) assure the patient that you are
returning him to his
hospital. D) request that the police place the patient under prote
98. Safe lifting of cots should NOT include: A) bending at the waist.
B) using the power-lift position.
C) keeping the back in a locked-in position.
D) using the power grip to get maximum force from your hands.
99. When obtaining a patient's history, the abbreviation SAMPLE is often used to get the most complete
:1
history. SAMPLE is an acronym for:
A) signs, allergies, medications, physical exam, last time of occurrence, evidence of associated problems.
B) signs, allergies, medications, pertinent past history, last oral intake, events leading to the injury or illness.
C) skill, associated couplets, medical physician, physical exam, last oral intake, evaluation.
D) skin color, associated complaints, medical physician, pertinent past history, location of the injury, events leading to the
injury or illness.
100. You are using the direct carry to move a patient from a bed to a wheeled stretcher. You should place the: A) stretcher on
the far side of the patient's bed.
B) head end of the stretcher next to the head end of the bed.
C) head end of the stretcher perpendicular to the foot end of the bed. D) head end of the bed perpendicular to the head end of
the stretcher.