EMT MIDTERM EXAM 3 LATEST VERSIONS
(VERSION A, B AND C) ACTUAL EXAM COMPLETE
400 QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES| ALREADY GRADED A+
EMT MIDTERM VERSION A
You are dispatched to a residence for a 56-year-old male with an altered mental status.
Upon arrival at the scene, the patient’s wife tells you that he complained of chest pain
the day before, but would not allow her to call EMS. The patient is semiconscious; has
rapid, shallow respirations; and has a thready pulse. He has a respiratory rate of 26 and
heart rate of 122. You should:
A. begin ventilatory assistance.
B. obtain baseline vital signs.
C. attach the AED immediately.
D. apply a nonrebreathing mask. – ….ANSWER…A. begin ventilatory assistance.
Which of the following clinical signs would necessitate the administration of naloxone
(Narcan)?
A. Tachycardia
B. Extreme agitation
C. Hypertension
D. Slow respirations – ….ANSWER…D. Slow respirations
You are assessing a 72-year-old man with abdominal pain. The patient is sitting in a
chair; he is conscious, alert, and calm. As you are talking to the patient, your partner
discreetly directs your attention to a handgun, which is located on a nearby table. You
should:
A. immediately cease all patient care, carefully back out of the residence, and request
law enforcement assistance.
B. direct your partner to move the gun to a safe area and then advise the patient that his
weapon has been secured.
C. document the presence of the weapon, including its specific location, and continue
your assessment of the patient.
D. position yourself in between the patient and the gun and ask your partner to request
law enforcement assistance. – ….ANSWER…D. position yourself in between the patient
and the gun and ask your partner to request law enforcement assistance.
The inferior vena cava returns deoxygenated blood to the right side of the heart from all
of the following areas, EXCEPT the:
A. kidneys.
B. abdomen.
C. legs.
D. brain. – ….ANSWER…D. brain.
While auscultating an elderly woman’s breath sounds, you hear low-pitched “rattling”
sounds at the bases of both of her lungs. This finding is MOST consistent with which of
the following conditions?
A. Widespread atelectasis
B. Acute asthma attack
C. Early pulmonary edema
D. Aspiration pneumonia – ….ANSWER…D. Aspiration pneumonia
Capillary sphincter closure during internal or external bleeding is detrimental because:
A. carbon dioxide and other waste can enter the cells, but oxygen cannot.
B. waste products are not removed and nutrients are not delivered to the cells.
C. available blood is shunted off to another venule while still carrying oxygen.
D. high levels of oxygen remain in the cells and can cause significant damage. –
….ANSWER…B. waste products are not removed and nutrients are not delivered to the
cells.
Which of the following has the weakest transmission signal and, as a result, is LEAST
likely to be heard by the party being called?
A. Mobile repeater station
B. Multiplex base station
C. Land-base repeater station
D. Hand-held portable radio – ….ANSWER…D. Hand-held portable radio
You are assisting an asthma patient with his prescribed metered-dose inhaler. After the
patient takes a deep breath and depresses the inhaler, you should:
A. allow him to breathe room air and assess his oxygen saturation.
B. advise him to exhale forcefully to ensure medication absorption.
C. instruct him to hold his breath for as long as he comfortably can.
D. immediately reapply the oxygen mask and reassess his condition. – ….ANSWER…C.
instruct him to hold his breath for as long as he comfortably can.
Kussmaul respirations are an indication that the body is:
A. trying to generate energy by breathing deeply.
B. severely hypoxic and is eliminating excess CO2.
C. attempting to eliminate acids from the blood.
D. compensating for decreased blood glucose levels. – ….ANSWER…C. attempting to
eliminate acids from the blood.
When the level of arterial carbon dioxide rises above normal:
A. respirations increase in rate and depth.
B. exhalation lasts longer than inhalation.
C. respirations decrease in rate and depth.
D. the brain stem inhibits respirations. – ….ANSWER…A. respirations increase in rate
and depth.
The risk of bleeding in the skull, which increases with age, is MOST directly related to:
A. shrinkage of the brain.
B. a decrease in neurons.
C. blood vessel dilation.
D. meningeal deterioration. – ….ANSWER…A. shrinkage of the brain.
An elderly patient has fallen and hit her head. Your initial care should focus on:
A. obtaining baseline vital signs.
B. providing immediate transport.
C. airway, breathing, and circulation.
D. gathering medical history data. – ….ANSWER…C. airway, breathing, and circulation.
According to the National EMS Scope of Practice Model, an EMT should be able to:
A. interpret a basic (ECG) rhythm and treat accordingly.
B. administer epinephrine via the subcutaneous route.
C. assist a patient with certain prescribed medications.
D. insert a peripheral IV line and infuse fluids. – ….ANSWER…C. assist a patient with
certain prescribed medications.
The proper technique for using the power grip is to:
A. rotate your palms down.
B. hold the handle with your fingers.
C. position your hands about 6² apart.
D. lift with your palms up. – ….ANSWER…D. lift with your palms up.
Worn-out blood cells, foreign substances, and bacteria are filtered from the blood by
the:
A. kidney.
B. pancreas.
C. spleen.
D. liver. – ….ANSWER…C. spleen.
As the bronchus divides into smaller bronchioles, the terminal ends of these smaller
passages form the:
A. capillaries.
B. pleura.
C. alveoli.
D. bronchi. – ….ANSWER…C. alveoli.