Download 1. A struggling 29 year old male is in custody of police officers. He

1.
A struggling 29 year old male is in custody of police officers. He was
naked and screaming in the neighbor’s yard. Officers confirm that he
used methamphetamine and restrained him. You note that he is very
agitated and wants fight. P130, R22; the skin is hot/wet/flushed; the pupils
are dilated. You should place him the supine position to prevent
a.
pulmonary embolism.
b.
positional asphyxia.
c.
seizures.
d.
vomiting.
2.
Cardiac arrest in children is most often caused by failure of which organ
system?
a.
Nervous
b.
Immune
c.
Respiratory
d.
Endocrine
3.
Emergency vehicles are heavier and have a higher center of gravity than
regular vehicles. This can cause
a.
damage from overhead obstacles.
b.
difficulty handling at high speeds.
c.
poor rearview vision and backing accidents.
d.
failure of the braking system.
4.
A 40 year old male presents with altered mental status. The wife tells you
he has been ill for 3 weeks and has been increasingly lethargic in the past
2 days. He was recently diagnosed with diabetes and takes an oral
medication to control blood sugars. Ketone bodies are absent on his
breath. BP106/70, P110, R28; the skin is warm/dry/pale. You should
suspect
a.
diabetic ketoacidosis.
b.
insulin shock.
c.
metformin overdose.
d.
hyperglycemic hyperosmolar nonketonic syndrome.
5.
A 78 year old male presents with a 2-year history of congestive heart
failure. In performing the physical assessment you are likely to find
a.
pedal edema.
b.
subcutaneous emphysema.
c.
ascites.
d.
atelectasis.
EMT CBT Self-Assessment Examination One, March 2016
Page 1
6.
An 18 year old male was assaulted with a pipe to the head. He responds
to pain by moaning only. His arms are slightly flexed which a sternal rub
causes additional movement. His eyes remain closed throughout your
physical examination. The calculated Glasgow Coma Scale score is
a.
6.
b.
8.
c.
10.
d.
12.
7.
A 3 year old female presents with altered mental status. According to the
parent, she has had vomiting and diarrhea for 2 days. You note sunken
eyes, dry mucosal membranes, and poor skin turgor. You should suspect
a.
meningitis.
b.
diabetic ketoacidosis.
c.
pyloric stenosis.
d.
gastroenteritis.
8.
An 88 year old male presents with facial droop and slurred speech. The
caretaker tells you this is not normal. You estimate that the onset of the
facial droop and slurred speech was 2 hours prior to your arrival. You
should suspect
a.
amyotrophic lateral sclerosis.
b.
Bell’s palsy.
c.
stroke.
d.
partial seizure.
9.
Termination of a pregnancy before the 20th week is called
a.
spontaneous abortion.
b.
ectopic pregnancy.
c.
abruptio placentae.
d.
septic abortion.
10.
A 29 year old male suffered a scalding burn to his hands when he opened
a radiator cap. This burn is considered
a.
topical.
b.
critical.
c.
moderate.
d.
minor.
11.
Which of the following conditions is characterized by loss of lung tissue
elasticity, trapped air within distended alveoli, and destruction of the walls
of the alveoli?
a.
Emphysema
b.
Chronic bronchitis
c.
Respiratory syncytial virus
d.
Asthma
EMT CBT Self-Assessment Examination One, March 2016
Page 2
12.
Which statement concerning burn injuries is least correct?
a.
You should apply a wet sterile dressing to a thermal burn injury.
b.
An inhalation burn can cause swelling and obstruct the airway.
c.
An electrical burn can cause injury to deep tissues.
d.
A chemical burn is caused by a strong acid or alkali.
13.
A 3 month old unexpectedly died and the autopsy failed to determine the
cause of death. This situation is called
a.
failure to thrive.
b.
clinical death.
c.
undetermined demise.
d.
sudden infant death syndrome.
14.
Which condition is likely found in a 94 year old?
a.
Bronchiolitis
b.
Constipation
c.
Epiglottitis
d.
Hydrocephalus
15.
Which bone is unrelated to the skull?
a.
Zygomatic
b.
Maxilla
c.
Parietal
d.
Hyoid
16.
Aspirin
a.
decreases the amount of hemoglobin in the blood.
b.
prevents clots from forming in the blood.
c.
relieves chest pain associated with the acute coronary syndrome.
d.
increases the amount of fibrinogen in the blood.
17.
Deep rapid breathing associated with diabetic ketoacidosis is called
a.
Biot’s respirations.
b.
ataxic respirations.
c.
Kussmaul’s respirations.
d.
central neurogenic hyperventilation syndrome.
18.
Which of the following is characteristic of chronic bronchitis?
a.
Pedal-carpal spasms
b.
Cyanosis
c.
Hemoptysis
d.
Paradoxical chest wall expansion
EMT CBT Self-Assessment Examination One, March 2016
Page 3
19.
You find an apneic and pulseless elderly male lying on a bed. You should
first
a.
start chest compressions.
b.
move the patient onto the floor.
c.
search for and validate advance directives.
d.
attach the AED pads.
20.
Which set of vital signs is considered normal for a 7 year old?
a.
BP94/62, P80, R20
b.
BP130/80, P100, R24
c.
BP70/50, P50, R12
d.
BP110/50, P130, R14
21.
Which device measures oxygen saturation in the blood?
a.
Sphygmomanometer
b.
Spirometer
c.
Pulse oximeter
d.
End-tidal CO2 detector
22.
A 34 year old female is complaining of burning pain in her eyes. She was
splashed in the face with a liquid drain cleaner. You should
a.
cover the eyes with moist dressings.
b.
test her visual acuity every 5 minutes.
c.
cover the eyes with dry dressings.
d.
irrigate the eyes for approximately 60 minutes.
23.
Which of the following is characteristic of an abdominal aortic aneurysm?
a.
Narrowing pulse pressure
b.
Babinski sign
c.
Hematuria
d.
Pulsating mass
24.
Oral glucose
a.
stimulates the pancreas to release insulin.
b.
increases the glucose level in the blood.
c.
inhibits metabolism of insulin.
d.
increases hyperlipidemia.
25.
You should perform rapid extrication when
a.
a patient must be immediately removed from a dangerous
situation.
b.
you find an injured child in a car seat.
c.
severe weather compromises safety at an emergency scene.
d.
you find more 4 or more critical patients in a vehicle.
EMT CBT Self-Assessment Examination One, March 2016
Page 4
26.
The most common factor that contributes to adult deaths by drowning is
a.
failure to follow water safety rules.
b.
drug use.
c.
cold water submersion.
d.
alcohol use.
27.
Which of the following is unrelated to the stages of death and dying?
a.
Denial
b.
Anger
c.
Advocacy
d.
Bargaining
28.
Which organ stores bile from the liver?
a.
Appendix
b.
Pancreas
c.
Gallbladder
d.
Spleen
29.
Which component of blood destroys microorganisms and produces
antibodies?
a.
Plasma
b.
Red blood cells
c.
Platelets
d.
White blood cells
30.
AIDS is unlikely transmitted by
a.
airborne droplets.
b.
intravenous drug use.
c.
unprotected sexual contact.
d.
blood transfusions.
31.
The amount of force exerted against the arteries during systole is called
a.
diastolic pressure.
b.
venous pressure.
c.
systolic pressure.
d.
perfusion pressure.
32.
An infant was intentionally immersed in hot bath water. The anterior and
posterior surfaces of both legs were burned. Based on the rule of nines
you calculate the percentage of total body surface burned to be
a.
9%.
b.
18%.
c.
27%.
d.
38%.
EMT CBT Self-Assessment Examination One, March 2016
Page 5
33.
Which medication binds with and inactivates toxic substances in the
gastrointestinal tract?
a.
Syrup of ipecac
b.
Activated charcoal
c.
Ipratropium bromide
d.
Milk of magnesia
34.
Which of the following is the correct adult dose for the given medication?
a.
Oral glucose 15 grams
b.
Nitroglycerin 4.0 mg
c.
Aspirin 500 mg
d.
Epinephrine 1.0 mg
35.
A 45 year old male is complaining of severe chest pain after falling 20 feet
onto a concrete surface. You note that during breathing part of the chest
moves in the opposite direction from the rest of the chest. This is called
a.
paradoxical movement.
b.
chest wall dysplasia.
c.
costochondritis.
d.
sternal luxation.
36.
A 30 year old female presents with altered mental status after drinking
beer all day. She is verbally abusive to your crew. If you leave her alone
at the scene without turning care over to someone with equal or greater
medical training, you would commit
a.
negligence.
b.
malfeasance.
c.
abandonment.
d.
malpractice.
37.
When performing the primary assessment of a trauma patient you should
a.
establish contact with medical control.
b.
perform triage.
c.
formulate a general impression.
d.
request additional resources.
38.
Jugular venous distention is most likely caused by
a.
changes in intrathoracic pressure.
b.
a hematoma on the neck that disrupts normal blood flow in the
larger veins.
c.
blood backing up into the veins when the heart is not pumping
effectively.
d.
hypovolemic shock that decreases blood flow to the right atrium.
EMT CBT Self-Assessment Examination One, March 2016
Page 6
39.
Which patient requires you to perform compressions by encircling the
chest with your fingers and overlapping the thumbs on the sternum just
below the nipple line?
a.
72 year old with a cardiac pacemaker
b.
10 year old with cystic fibrosis
c.
Newborn
d.
77 year old with kyphosis
40.
A teenage male was shot in the mouth. You immediately note that the
airway is obstructed by blood in the oropharynx. You should first
a.
suction the airway without interruption.
b.
place the patient onto his side.
c.
insert a nasopharyngeal airway.
d.
use direct pressure to stop the bleeding.
41.
Which condition is unlikely found in a 2 year old?
a.
Croup
b.
Epiglottitis
c.
Diverticulitis
d.
Bronchiolitis
42.
As delivery begins, a leg appears from the birth canal. You should
a.
place the mother in a head down position with her pelvis elevated.
b.
massage the uterus to slow delivery.
c.
hold the leg in place to prevent further delivery.
d.
continue the delivery.
43.
An unconscious 83 year old male is found at 6:00 AM in an alley. He was
reported missing from an assisted living facility and was exposed to cold
temperatures overnight. BP70/40, P36, R6/shallow; the skin is
cold/dry/cyanotic; the blood glucose level is 60 mg/dL. You should
suspect
a.
hypoperfusion.
b.
dementia.
c.
stroke.
d.
hypoglycemia.
44.
A 36 year old female overdosed with a narcotic. Her pupils will most likely
appear
a.
dilated.
b.
constricted.
c.
unequal.
d.
dysconjugate.
EMT CBT Self-Assessment Examination One, March 2016
Page 7
45.
Epinephrine is administered by
a.
nasal spray.
b.
buccal application.
c.
aerosolized inhalation.
d.
intramuscular injection.
46.
Which medication name is usually suggested by the pharmaceutical
company and confirmed by the U.S. Adopted Name Council?
a.
Chemical
b.
Official
c.
Trade
d.
Generic
47.
A 29 year old is complaining of a severe headache and blurred vision.
She is 8 months pregnant with her third child. She does not receive
prenatal care. You note swelling in her face. BP170/100, P110, R20.
You should suspect
a.
toxic shock syndrome.
b.
preeclampsia.
c.
endometriosis.
d.
allergic reaction.
48.
A 19 year old is complaining of severe abdominal pain and vaginal
bleeding. The onset occurred 30 minutes prior to your arrival. She tells
you that she missed her menstrual period last month. BP80/40, P130,
R24; the skin is cool/wet/pale. You should suspect
a.
ectopic pregnancy.
b.
renal colic.
c.
bowel obstruction.
d.
urinary tract infection.
49.
A 30 year old female is complaining of difficulty in breathing. She appears
very anxious. You note wheezes in all lung fields. BP150/110, P124,
R30. The patient tells you she took “10 puffs” from her prescribed inhaler
of albuterol. You should not allow any further use of the inhaler because
a.
albuterol is not the correct medication to use for her condition.
b.
the patient has taken more than the maximum prescribed dose.
c.
the medication has lost potency and cannot provide desired
therapeutic effects.
d.
you have not established contact with medical control.
EMT CBT Self-Assessment Examination One, March 2016
Page 8
50.
Which of the following is characteristic of phencyclidine (PCP)?
a.
Hypotension
b.
Aggressive behavior
c.
Hypothermia
d.
Delirium tremens
51.
Side effects of epinephrine include
a.
adrenal insufficiency.
b.
blurred vision.
c.
hallucinations.
d.
hypertension.
52.
Which nervous system controls the heart rate and digestion?
a.
Autonomic
b.
Visceral
c.
Reflex
d.
Somatic
53.
A potential risk of performing rescue breathing for an adult is
a.
gastric distention.
b.
diaphragmatic injury.
c.
esophageal bleeding.
d.
spontaneous pneumothorax.
54.
Which medication is unlikely a narcotic?
a.
Morphine
b.
Codeine
c.
Fentanyl
d.
Methamphetamine
55.
In the second stage of labor
a.
the baby is born.
b.
uterine contractions begin.
c.
the rate of contractions slow.
d.
the placenta is delivered.
56.
Birth that occurs in less than 3 hours of labor is called
a.
precipitous delivery.
b.
premature syndrome.
c.
breech birth.
d.
Apgar syndrome.
EMT CBT Self-Assessment Examination One, March 2016
Page 9
57.
Which of the following conditions is characterized by complete reversal of
signs and symptoms within 24 hours?
a.
Transient ischemic attack
b.
Oculogyric crisis
c.
Angina
d.
Hypertensive encephalopathy
58.
Which of the following is a fundamental principle of extrication?
a.
Extrications often will take 1 to 2 hours to complete.
b.
An extrication requires at least 5 trained professionals.
c.
If possible you should assess and treat a patient before an
extrication.
d.
Extrications most often require deployment of hydraulic cutters.
59.
Which vessel conveys deoxygenated blood from the myocardium to the
right atrium?
a.
Coronary sinus
b.
Fossa ovalis
c.
Anterior cardiac vein
d.
Superior mesenteric vein
60.
When the body is exposed to a cold environment for an extended time
period, it can shunt blood from the peripheral areas to the core. This
physiological mechanism is called the
a.
Korsakoff syndrome.
b.
hypothermal effect.
c.
mammalian diving reflex.
d.
persistence to thrive.
61.
A patient with deep frostbite is at risk for
a.
gangrenous necrosis.
b.
hyperthermia reflex.
c.
gram negative infection.
d.
fasciculations.
62.
A special needs patient has a central venous catheter. It is most likely
placed in the
a.
lateral aspect of the neck.
b.
upper arm.
c.
urethra.
d.
chest.
EMT CBT Self-Assessment Examination One, March 2016
Page 10
63.
A vesicant is a
a.
neurotoxin.
b.
mutagen.
c.
blister agent.
d.
hemotoxin.
64.
Which of the following is an unlikely cause of cerebral palsy?
a.
Postpartum infection
b.
Maternal diabetes
c.
Traumatic brain injury at birth
d.
Damage to the fetal brain while in utero
65.
Which factor least likely affects development of osteoporosis?
a.
Hypertension
b.
Smoking
c.
Level of activity
d.
Alcohol consumption
66.
Chemoreceptors are found in the carotid sinus and in the
a.
aortic arch.
b.
left atrium.
c.
pons.
d.
pneumotaxic center.
67.
Superior to inferior, the structures within the brain stem are
a.
pituitary, midbrain, and pons.
b.
midbrain, pons, and medulla oblongata.
c.
pons, midbrain, and pituitary.
d.
medulla oblongata, pituitary, and pons.
68.
A 71 year old stroke victim presents with dysphasia, difficulty swallowing,
and difficulty chewing. Which cranial nerve is most likely affected?
a.
X
b.
VIII
c.
VI
d.
V
69.
Which condition is characterized by hyperventilation?
a.
Respiratory alkalosis
b.
Anaerobic metabolism
c.
Metabolic syndrome
d.
Benzodiazepine overdose
EMT CBT Self-Assessment Examination One, March 2016
Page 11
70.
Anticholinergic medications can inhibit the function of
a.
parasympathetic nerves.
b.
sympathetic nerves.
c.
adrenergic nerves.
d.
parasympatholytic nerves.
71.
Tinnitus is most likely associated with
a.
chlorine inhalation.
b.
aspirin overdose.
c.
heroin injection.
d.
dieffenbachia ingestion.
72.
Which condition is characterized by the bone marrow producing more
platelets than the body needs?
a.
Hemophilia
b.
Thrombocythemia
c.
Hemochromatosis
d.
Sickle cell anemia
73.
An apnea monitor is used for a patient with
a.
cardiac dysrhythmias.
b.
terminal cancer.
c.
severe gastroesophageal reflux.
d.
asthma.
74.
Light receptors to color vision that are located in the posterior chamber of
the eye are called
a.
conjunctiva.
b.
fovea.
c.
rods.
d.
cones.
75.
A 38 year old is complaining of difficulty in breathing. She tells you the
problem suddenly occurred. This is 2 days after giving birth. You should
suspect
a.
pulmonary fibrosis.
b.
thrombophilia.
c.
pulmonary embolism.
d.
acute coronary syndrome.
76.
The rounded protuberance at the articulation of a bone is called the
a.
trochanter.
b.
condyle.
c.
metaphysis.
d.
fossa.
EMT CBT Self-Assessment Examination One, March 2016
Page 12
77.
Blood glucose levels are measured in
a.
milligrams per deciliter.
b.
micrograms per milliliter.
c.
grams per deciliter.
d.
micrograms per milliliter.
78.
Hypotension in anaphylaxis most likely occurs because of
a.
decreased peripheral resistance.
b.
dysrhythmias.
c.
increased capillary permeability.
d.
sympathetic nervous system activation.
79.
Which condition can cause permanent damage to the aortic valve and the
mitral valve?
a.
Atherosclerosis
b.
Hepatitis C
c.
Addison disease
d.
Rheumatic fever
80.
The number of repetitive cycles per second completed by a radio wave is
called
a.
duplex transmission.
b.
frequency.
c.
amplitude modulation.
d.
audio.
81.
An EMT fails to perform a required act or duty. This is called
a.
nonfeasance.
b.
breach.
c.
malfeasance.
d.
contributory negligence.
82.
Which condition is characterized by carpopedal spasm?
a.
Respiratory acidosis
b.
Metabolic alkalosis
c.
Respiratory alkalosis
d.
Metabolic acidosis
83.
Superior to inferior, the structures within the brain stem are
a.
pituitary, midbrain, and pons.
b.
midbrain, pons, and medulla oblongata.
c.
pons, midbrain, and pituitary.
d.
medulla oblongata, pituitary, and pons.
EMT CBT Self-Assessment Examination One, March 2016
Page 13
84.
Which condition is characterized by a structural problem within the brain?
a.
Apneusis
b.
Amyotropic lateral sclerosis
c.
Polymyelitis
d.
Hydrocephalus
85.
Which condition is characterized by hypersecretion of cortisol which
affects carbohydrate, protein, and lipid metabolism?
a.
Cushing’s syndrome
b.
Addison’s disease
c.
Adrenal insufficiency
d.
Grave’s disease
86.
The SLUDGEM mnemonic can be used to assess a patient with a/an
a.
complication of pregnancy.
b.
phenothiazine overdose.
c.
radiologic exposure.
d.
organophosphate exposure
87.
Which condition is characterized by paralysis, sensitivity to light,
dysrhythmias, and chest pain?
a.
Varicella
b.
Salmonella
c.
Lyme disease
d.
Meningitis
88.
Direct current
a.
causes circumferential burns less often than alternating current.
b.
is less dangerous than alternating current.
c.
causes circumferential burns more often than alternating current.
d.
is more dangerous than alternating current.
89.
Cellular respiration is also called
a.
spirometry.
b.
aerobic metabolism.
c.
catabolism.
d.
anaerobic metabolism.
90.
A patient with a physical impairment of the speech pathways is able to
understand language and form speech patterns, but is unable to express
them properly. This is called
a.
aphasia.
b.
dysarthria.
c.
amentia.
d.
diplopia.
EMT CBT Self-Assessment Examination One, March 2016
Page 14
91.
The EMT should be able to recognize possible issues at an emergency
scene and act proactively to avoid further negative impact. This is called
situational
a.
awareness.
b.
critical thinking.
c.
regard.
d.
sustainability.
92.
In order to protect yourself from a patient with known tuberculosis, you
should
a.
wear a HEPA mask.
b.
place an N-95 respirator on the patient.
c.
wear a surgical mask.
d.
keep at least 10 feet away from the patient.
93.
Following a critical incident, a stress debriefing for EMS personnel should
be held
a.
within 12 hours.
b.
24 to 72 hours.
c.
immediately.
d.
5 to 7 days.
94.
The EMT’s scope of practice is determined by the
a.
National Registry of EMTs.
b.
state in which the EMT practices.
c.
U.S. Department of Transportation.
d.
American Medical Association.
95.
Which of the following is a viral hemorrhagic fever?
a.
Ebola
b.
Anthrax
c.
Dengue
d.
Ricin
96.
Which situation requires mandatory reporting?
a.
Elective abortion
b.
Elder abuse
c.
Pesticide exposure
d.
Recreational drug use
97.
Which of the following is least likely a phase of blast injury?
a.
Detonation
b.
Tertiary
c.
Secondary
d.
Primary
EMT CBT Self-Assessment Examination One, March 2016
Page 15
98.
Bilirubin is converted from
a.
antibodies.
b.
hemoglobin.
c.
leukocytes.
d.
thrombocytes.
99.
Glycolysis releases energy in the form of
a.
covalent bonds.
b.
anaerobic metabolism.
c.
adenosine triphosphate.
d.
the electron transport chain.
100.
A 5 year old presents with head, chest, and lower extremity injuries after
running in front of a moving car. This injury pattern is called
a.
Hendricks’s triad.
b.
Beck’s triad.
c.
Waddell’s triad.
d.
Thorel’s triad.
101.
Which set of vital signs is considered normal for a 9 month old?
a.
BP110/80, P60, R50
b.
BP50/30, P110, R30
c.
BP90/60, P180, R40
d.
BP80/50, P130, R26
102.
Defibrillation
a.
corrects potassium and sodium ion disassociation.
b.
repairs damaged atrial and ventricular electrical pathways
c.
stops chaotic electrical activity in the heart.
d.
temporarily paces the heart.
103.
Which pulse is found at the antecubital fossa?
a.
Dorsalis pedis
b.
Temporal
c.
Popliteal
d.
Brachial
104.
The Sellick maneuver
a.
prevents regurgitation.
b.
is the thumb-encircling technique for performing CPR.
c.
provides axial stabilization for a spinal injury.
d.
is used to open the airway for infants and children.
EMT CBT Self-Assessment Examination One, March 2016
Page 16
105.
Glipizide and metformin are medications prescribed to treat
a.
a bacterial infection.
b.
hypertension.
c.
Type II diabetes.
d.
depression.
106.
An EMS crew is responding to a hazardous materials incident. They
should most likely approach the scene
a.
downhill and downwind.
b.
upwind and downhill.
c.
downwind and uphill.
d.
uphill and upwind.
107.
Insulin
a.
increases the level of glucose in the blood.
b.
stimulates the pancreas to secrete glycogen.
c.
allows glucose to enter the cells.
d.
breaks down lipids.
108.
Which of the following is characteristic of Type I diabetes?
a.
Insulin dependent
b.
Obesity
c.
Onset in adulthood
d.
Non-insulin dependent
109.
A 29 year old male presents with a severe allergic reaction. You should
position the epinephrine auto-injector midway between the patient’s hip
and knee on which aspect of the thigh?
a.
Posterior
b.
Medial
c.
Anterior
d.
Lateral
110.
Which type of cells become crescent-shaped, fragile, and distorted in
sickle cell anemia?
a.
Stem cells
b.
Red blood cells
c.
Beta cells
d.
White blood cells
111.
Which of the following is characteristic of hemophilia?
a.
Swelling in the lower extremities
b.
Persistent infections
c.
Bleeding after minor trauma
d.
Increased risk of dysrhythmias
EMT CBT Self-Assessment Examination One, March 2016
Page 17
112.
The islets of Langerhans produce
a.
lactation.
b.
insulin.
c.
urine.
d.
zygotes.
113.
Dialysis is a treatment for patients who have failure of the
a.
pancreas.
b.
liver.
c.
kidneys.
d.
immune system.
114.
One minute after delivery, you find that the newborn’s fingers and toes
are cyanotic, the heart rate is 140, the arms and legs are flexed, and he is
crying. You calculate the Apgar score to be
a.
7.
b.
8.
c.
9.
d.
10.
115.
Which of the following is a risk associated with the presence of
meconium?
a.
The mother can pass herpes onto the fetus.
b.
Meconium can be aspirated into the fetus’ lungs during delivery.
c.
The unborn fetus may have died.
d.
The fetus may be born blind.
116.
Which condition is characterized by a hypertensive disorder during
pregnancy?
a.
Gynecomastia
b.
Endometriosis
c.
Eclampsia
d.
Menarche
117.
Which condition predisposes a patient to fractures?
a.
Osteoporosis
b.
Spinal bifida
c.
Scoliosis
d.
Cystic fibrosis
EMT CBT Self-Assessment Examination One, March 2016
Page 18
118.
An injured 27 year old male is complaining of difficulty in breathing and
right-sided chest pain. You note that lung sounds are absent on the right
side. You should suspect
a.
pneumothorax.
b.
pericardial tamponade.
c.
emphysema.
d.
bronchiolitis.
119.
The most common finding associated with an injury to the genitourinary
tract is
a.
incontinence.
b.
hematuria.
c.
hemoptysis.
d.
hematemesis.
120.
An unrestrained 21 year old female struck her face against the windshield
during a car crash. Which type of spinal injury is most likely to have
occurred?
a.
Compression
b.
Distraction
c.
Flexion
d.
Extension
121.
A storage facility incident leaked anhydrous ammonia. Several workers
were exposed. Which of the following resources provides you specific
anhydrous ammonia treatment information?
a.
U.S. DOT Emergency Operations Center
b.
Material safety data sheet
c.
U.S. Pharmacopeia
d.
OSHA 1000 Emergency Response Guidebook
122.
A 2 year old female presents with cough and stridor. The parent tells
you the child has had a fever today and woke at 2:00 AM forcefully
coughing with an unusual harsh sound. You should suspect
a.
foreign body airway obstruction.
b.
asthma.
c.
laryngotracheobronchitis.
d.
acute respiratory syndrome.
EMT CBT Self-Assessment Examination One, March 2016
Page 19
123.
A 73 year old male is complaining of difficulty breathing and coughing.
You note wheezes in all lung fields and his feet are swollen. He has a
history of hypertension and takes a “water pill.” BP210/120, P100, R24.
You should suspect
a.
congestive heart failure.
b.
acute coronary syndrome.
c.
pneumonia.
d.
pulmonary embolism.
124.
An 80 year old female presents with altered mental status. The husband
tells you she had a sudden episode of confusion, dizziness, and slurred
speech. She has a history of Type II diabetes and hypertension.
BP150/80, R18; the skin is warm/dry/pink. You should suspect
a.
a hypertensive emergency.
b.
stroke.
c.
diabetic ketoacidosis.
d.
insulin shock.
125.
The purpose of the AED is to treat cardiac arrest caused by
a.
atrial fibrillation.
b.
pulseless electrical activity.
c.
ventricular fibrillation.
d.
asystole.
126.
An elderly adult is unresponsive. He was the driver of a car which was
struck on the driver’s side door by a truck at a high rate of speed. You
note severe bleeding from the forehead and deformity of the left chest. He
has a rapid pulse and agonal respirations. You should
a.
perform a detailed physical examination.
b.
apply the KED.
c.
assist ventilations.
d.
perform rapid extrication.
127.
A 68 year old female is unresponsive. A family member found her in bed
and tells you that she has not been seen in 2 days. The family member
describes the patient’s medications as a “blood thinner” and a “betablocker.” You note a 6” area of bruising on the right side of the head.
BP220/110, P50, R8. You should suspect
a.
transient ischemic attack.
b.
subdural hematoma.
c.
acute coronary syndrome.
d.
spinal subluxation.
EMT CBT Self-Assessment Examination One, March 2016
Page 20
128.
A 39 year old male suffered scalding to the anterior trunk of his body.
Based on the rule of nines, you calculate the percentage of body surface
area to be
a.
18%.
b.
27%.
c.
36%.
d.
45%.
129.
A 3 year old female presents with a fever of 104o F. You should
a.
place the child in a cool water bath.
b.
administer 4 aspirin tablets.
c.
remove the clothing and place her in front of a running fan.
d.
prepare to transport the child with her parent.
130.
You find 3 adults in a basement each complaining of a severe headache
and nausea. They tell you a child with them has been unresponsive for 20
minutes. You should first
a.
begin CPR on the child.
b.
perform START and tag all patients.
c.
call for additional resources.
d.
move yourself out of the basement.
131.
During the inspiratory phase of breathing, the chest cavity increases in
size as the diaphragm moves downward and the ribs are pulled outward
by the
a.
parietal pleura.
b.
intercostal muscles.
c.
vestibular folds.
d.
carina.
132.
Which condition is characterized by prolonged coughing spells and a
“whoop” sound when the patient takes a deep breath after coughing?
a.
Pertussis
b.
Foreign body obstruction
c.
Croup
d.
Epiglottitis
133.
A 14 year old female with cystic fibrosis is complaining of difficulty in
breathing. You find mucous in the airway. R12. You should first
a.
suction with a rigid-tip device.
b.
administer supplemental oxygen.
c.
place her into a comfortable position.
d.
ventilate with a BVM.
EMT CBT Self-Assessment Examination One, March 2016
Page 21
134.
When excessive hydrogen ions buildup in the blood, the body attempts to
shift the acid levels back to normal by buffering with
a.
hemoglobin.
b.
insulin.
c.
bicarbonate.
d.
sodium.
135.
Nitroglycerin
a.
decreases workload of the myocardium.
b.
strengthens myocardial contractility.
c.
equalizes peripheral vascular resistance.
d.
increases the myocardium’s demand for oxygen.
136.
Which condition is characterized by leakage of bacterial toxins from the
vasculature into the surrounding tissue?
a.
Isotonic hemorrhage
b.
Third spacing
c.
Edematous perfusion
d.
Lactic acidosis
137.
A 55 year old male is complaining of severe “tearing” pain between his
shoulder blades and difficulty in breathing. He was lifting heavy furniture
when the pain suddenly occurred. His past medical history includes
hypertension. Pedal pulses are absent. BP80/50, P130, R30; the skin is
cool/wet/pale. You should suspect
a.
pericardial tamponade.
b.
tension pneumothorax.
c.
cardiac contusion.
d.
aortic aneurysm.
138.
Meningitis is commonly spread by
a.
airborne droplets.
b.
E.coli contamination.
c.
blood-borne pathogens.
d.
Giardia-contaminated water.
139.
Following a generalized seizure, a patient can remain unresponsive and
difficult to arouse. This is called the
a.
relative refractory phase.
b.
post ictal period.
c.
neuroleptic phase.
d.
latency period.
EMT CBT Self-Assessment Examination One, March 2016
Page 22
140.
Which membrane lies against the wall of the abdominal cavity?
a.
Visceral
b.
Mesentery
c.
Parietal
d.
Inguinal
141.
Which condition is characterized by hematemesis?
a.
Mallory-Weiss syndrome
b.
Diverticulitis
c.
Congestive heart failure
d.
Renal colic
142.
The most important assessment finding in a hypothermic patient is
a.
capillary refill.
b.
blood glucose.
c.
skin temperature.
d.
mental status.
143.
A 42 year old female is unresponsive. She was found on a bed by the
boyfriend. He tells you she has been depressed and decided to kill
herself. There are empty medication bottles on the bedside table.
R8/shallow; the pupils are dilated. Which medication is most likely
responsible for the condition of her overdose?
a.
Diazepam
b.
Penicillin
c.
Aspirin
d.
Niacin
144.
Which set of vital signs is most likely found in a 21 year old who ingested
6 commercial energy drinks?
a.
BP70/40, P 110, R12
b.
BP130/94, P120, R22
c.
BP 120/80, P40, R30
d.
BP90/50, P140, R40
145.
A 14 year old female presents with altered mental status. She fell down a
steep hillside while hiking. You note lung sounds are diminished over the
right side and there is crepitus when you palpate the chest wall. Her neck
veins are flat. BP70/40, P130, R26; the skin is cool/moist/pale. You
should suspect
a.
pneumothorax.
b.
tension pneumothorax.
c.
hemothorax.
d.
diaphragmatic rupture.
EMT CBT Self-Assessment Examination One, March 2016
Page 23
146.
A teenage male presents with altered mental status. He was the driver of
a car involved in a head-on crash with another vehicle. The steering
column is damaged. You find a large contusion on his sternum, he has
jugular venous distention, and there is equal chest expansion with
breathing. BP110/100, P140, R20; the skin is cool/moist/pale. You
should suspect
a.
aortic aneurysm.
b.
cardiac tamponade.
c.
myocardial contusion.
d.
traumatic asphyxia.
147.
Which of the following is an unlikely characteristic of SIDS?
a.
Dependent lividity
b.
Rigor mortis
c.
Apnea
d.
Constricted pupils
148.
The most common cause of seizures in children is
a.
head injury.
b.
fever.
c.
hypoglycemia.
d.
epilepsy.
149.
Which vessel is unattached to the aorta?
a.
Right subclavian artery
b.
Left common carotid artery
c.
Brachiocephalic artery
d.
Lateral circumflex artery
150.
A 78 year old presents with the acute coronary syndrome. Treatment
include administration of a/an
a.
carbohydrate.
b.
beta-blocker.
c.
antihypertensive.
d.
vasodilator.
EMT CBT Self-Assessment Examination One, March 2016
Page 24
KEY
EMT CBT Self-Assessment Examination, March 2016
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
B
C
B
D
A
A
D
C
A
B
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
A
A
D
B
D
B
C
B
B
A
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
C
A
D
B
A
D
C
C
D
A
31.
32.
33.
34.
35.
36.
37.
C
C
B
A
A
C
C
EMT CBT Self-Assessment Examination One, March 2016
Page 25
38.
39.
40.
C
C
B
41.
42.
43.
44.
45.
46.
47.
48.
49.
50.
C
A
A
B
D
D
B
A
B
B
51.
52.
53.
54.
55.
56.
57.
58.
59.
60.
D
A
A
A
A
A
A
C
A
C
61.
62.
63.
64.
65.
66.
67.
68.
69.
70.
A
B
C
B
A
A
B
D
A
A
71.
72.
73.
74.
75.
76.
77.
78.
B
B
C
D
C
B
A
A
EMT CBT Self-Assessment Examination One, March 2016
Page 26
79.
80.
D
B
81.
82.
83.
84.
85.
86.
87.
88.
89.
90.
A
C
B
D
A
D
C
B
B
B
91.
92.
93.
94.
95.
96.
97.
98.
99.
100.
A
A
B
B
A
B
A
B
C
C
101.
102.
103.
104.
105.
106.
107.
108.
109.
110.
D
C
D
A
C
D
C
A
D
B
111.
112.
113.
114.
115.
116.
117.
118.
119.
120.
C
B
C
C
B
C
A
A
B
D
EMT CBT Self-Assessment Examination One, March 2016
Page 27
121.
122.
123.
124.
125.
126.
127.
128.
129.
130.
B
C
A
B
C
D
B
A
D
D
131.
132.
133.
134.
135.
136.
137.
138.
139.
140.
B
A
C
C
A
B
D
A
B
C
141.
142.
143.
144.
145.
146.
147.
148.
149.
150.
A
D
A
B
C
B
D
B
D
D
EMT CBT Self-Assessment Examination One, March 2016
Page 28