EMT-B Section 1 Exam

The nose, chin, umbilicus (navel), and spine are examples of __________ anatomic structures:

A.) Midline.
B.) Proximal.
C.) Superior.
D.) Mid-Axillary.

A.) Midline.

When moving a conscious, weak patient down a flight of stairs, you should:

A.) Secure the patient to a scoop stretcher and carry him or her headfirst down the stairs to the awaiting stretcher.
B.) Place the wheeled stretcher at the bottom of the stairs and carry the patient down the stairs with a stair chair.
C.) Collapse the undercarriage of the wheeled stretcher and carefully carry the patient down the stairs on the stretcher.
D.) Assist the patient in walking down the stairs and place him or her on the wheeled stretcher at the bottom of the stairs.

B.) Place the wheeled stretcher at the bottom of the stairs and carry the patient down the stairs with a stair chair.

Which of the following is NOT considered to be protected health information (PHI)?:

A.) Patient History.
B.) Treatment Rendered.
C.) Location of the Call.
D.) Assessment Findings.

C.) Location of the Call.

General guidelines for carrying a patient on a stretcher include:

A.) Maintaining slight flexion of your back.
B.) Leaning back from your waist when lifting.
C.) Slightly twisting your body when carrying.
D.) Constant communication with your partners.

D.) Constant communication with your partners.

You are transporting a 40-year-old male with respiratory distress. The patient tells you that he recently had a positive tuberculosis (TB) skin test and is currently being evaluated for possible TB. You should:

A.) Apply a non-rebreathing mask on the patient and a high-efficiency particulate air (HEPA) respirator on yourself.
B.) Remain at least 3 feet away from the patient and apply a surgical mask on him.
C.) Apply a sterile surgical mask on yourself and a HEPA respirator on the patient.
D.) Apply a nasal cannula on the patient and a sterile surgical mask on yourself.

A.) Apply a non-rebreathing mask on the patient and a high-efficiency particulate air (HEPA) respirator on yourself.

You are dispatched to an office building for a 49-year-old male with chest pain. When you arrive at the scene, you find the patient to be conscious and alert, but in obvious pain. He tells you that he did not call 9-1-1; a coworker did. He further states that he does not want to be treated or transported to the hospital. You should:

A.) Ensure that he is aware of the risks of refusing medical care.
B.) Err in the best interest of the patient and transport him at once.
C.) Just have him sign a refusal of care form and then return to service.
D.) Tell him that he is having a heart attack and needs medical care.

A.) Ensure that he is aware of the risks of refusing medical care.

The MOST important consideration at the scene of a hazardous material incident is:

A.) Identifying the material.
B.) Calling the hazardous materials team.
C.) Evacuating the bystanders.
D.) Ensuring your personal safety.

D.) Ensuring your personal safety.

When faced with a situation in which a patient is in cardiac arrest, and a valid living will or DNR order cannot be located, you should:

A.) Begin resuscitation at once.
B.) Contact medical control at once.
C.) Determine the patient’s illness.
D.) Notify the coroner immediately.

A.) Begin resuscitation at once.

Your BEST protection against legal liability when a competent patient refuses EMS care and transport is to:

A.) Advise medical control of the situation.
B.) Err on the side of caution and transport.
C.) Ensure that the family is aware of the risks.
D.) Thoroughly document the entire event.

D.) Thoroughly document the entire event.

An intoxicated 40-year-old male is found lying face down. How would you document his body’s position?

A.) Dorsal.
B.) Supine.
C.) Prone.
D.) Recumbent.

C.) Prone.

The final stage of death and dying is MOST commonly displayed as:

A.) Anger.
B.) Denial.
C.) Depression.
D.) Acceptance.

D.) Acceptance.

You arrive at the scene of a domestic violence situation. As you approach the doorway of the apartment, you hear screaming and the statement “He has a gun!” Your MOST appropriate action should be to:

A.) Continue into the apartment using extreme caution.
B.) Proceed into the apartment and apprehend the gunman.
C.) Get in your ambulance and leave the scene immediately.
D.) Seek a safe place and request law enforcement assistance.

D.) Seek a safe place and request law enforcement assistance.

A patient in a semi-reclined position with the head elevated to facilitate breathing is in the __________ position:

A.) Prone.
B.) Supine.
C.) Fowler’s
D.) Recovery.

C.) Fowler’s

While transporting a woman with diabetes, you inadvertently give her oral glucose even though her blood glucose level was high. You reassess the patient and note that her condition did not change; she remained stable. You should:

A.) Document the error and report it to your supervisor.
B.) Contact medical control and notify him or her of the error.
C.) A) and B).
D.) Exclude this from the PCR since it did not harm the patient.

B.) Contact medical control and notify him or her of the error.

While transporting a stable patient with chest pain to the hospital, you come across a major motor vehicle crash involving several critically injured patients. Your MOST appropriate action should be to:

A.) Ask a bystander to remain with your patient as you treat the crash victims.
B.) Remain at the scene until law enforcement and another ambulance arrive.
C.) Stop and triage the patients while your partner remains in the ambulance.
D.) Continue transporting your patient and notify the dispatcher of the crash.

D.) Continue transporting your patient and notify the dispatcher of the crash.

The proper technique for using the power grip is to:

A.) Lift with your palms up.
B.) Rotate your palms down.
C.) Hold the handle with your fingers.
D.) Position your hands about 6″ apart.

A.) Lift with your palms up.

A 5-year-old boy has fallen and has a severe deformity of the forearm near the wrist. He has possibly sustained a fracture of the:

A.) Proximal Forearm.
B.) Superior Forearm.
C.) Dorsal Forearm.
D.) Distal Forearm.

D.) Distal Forearm.

Which of the following statements regarding the NREMT is correct:

A.) The NREMT is a governmental agency that certifies EMTs.
B.) EMS training standards are regulated by the NREMT.
C.) The NREMT is the exclusive certifying body for EMTs.
D.) The NREMT provides a national standard for EMS training.

D.) The NREMT provides a national standard for EMS training.

You arrive at the scene of a motor vehicle versus pedestrian accident. The patient, a 13-year-old male, is unconscious and has multiple injuries. As you are treating the child, a law enforcement officer advises you that the child’s parents will be at the scene in approximately 15 minutes. What should you do?

A.) Transport the child immediately and have the parents meet you at the hospital.
B.) Treat the child at the scene and wait for the parents to arrive and give consent.
C.) Begin transport at once and have the parents meet you en route to the hospital.
D.) Withhold treatment until the parents arrive and give you consent for treatment.

A.) Transport the child immediately and have the parents meet you at the hospital.

Which of the following situations would require an urgent patient move?

A.) Conscious patient with abrasions and a possibly fractured humerus.
B.) Temperature is 68 degrees F with a light wind.
C.) Semiconscious patient with shallow respirations and signs of shock.
D.) Stable patient who is blocking access to another stable injured patient.

C.) Semiconscious patient with shallow respirations and signs of shock.

You are dispatched to a middle school for a 16-year-old female experiencing an asthma attack. She is conscious and alert, but in severe respiratory distress. The school nurse informs you that she has tried several times to contact the patient’s parents but has not been successful. You should:

A.) Provide treatment up to your level of training and transport the child at once.
B.) Recognize that you cannot begin treatment without expressed parental consent.
C.) Transport the child to the closest hospital and let them provide any treatment.
D.) Administer oxygen only until you receive parental consent for further treatment.

A.) Provide treatment up to your level of training and transport the child at once.

The topographic term used to describe the part of the body that is nearer to the feet is:

A.) Dorsal.
B.) Inferior.
C.) Internal.
D.) Superior.

B.) Inferior.

Which of the following types of consent allows treatment of a patient who is unconscious or mentally incapacitated?

A.) Actual.
B.) Implied.
C.) Informed.
D.) Expressed.

B.) Implied.

The FIRST rule of safe lifting is to:

A.) Always lift with your palms facing down.
B.) Spread your legs approximately 20″ apart.
C.) Keep your back in a slightly curved position.
D.) Keep your back in a straight, vertical position.

D.) Keep your back in a straight, vertical position.

Trendelenburg’s position is MOST accurately defined as a:

A.) Recumbent position with the head lower than the legs.
B.) Supine position with the legs elevated approximately 6″ to 12″.
C.) Recumbent position with the head elevated at a 25 degree to 45 degree angle.
D.) Supine position on back board with the legs elevated 6″ to 12″ higher than the head.

D.) Supine position on back board with the legs elevated 6″ to 12″ higher than the head.

The general adaptation syndrome is characterized by which of the following phases?

A.) Alarm response, reaction and resistance, and recovery.
B.) Delayed reaction, alarm response, and physical recovery.
C.) Reaction and resistance, euphoria, and physical exhaustion.
D.) Immediate reaction, psychological exhaustion, and recovery.

A.) Alarm response, reaction and resistance, and recovery.

The person who is responsible for authorizing EMTs to perform emergency medical care in the field is the:

A.) Shift Supervisor.
B.) Medical Director.
C.) EMS Administrator.
D.) Field Training Officer.

B.) Medical Director.

A critical aspect of the rapid extraction technique is to:

A.) Maintain stabilization of the spine at all times.
B.) Move the patient as quickly as you possibly can.
C.) Extricate the patient with one coordinated move.
D.) Apply a vest-style device before moving the patient.

A.) Maintain stabilization of the spine at all times.

In which of the following situations is an emergency patient move indicated?

A.) A patient has an altered mental status or is in shock.
B.) The EMT is unable to protect the patient from scene hazards.
C.) The EMT has to gain access to lesser-injured patients in a vehicle.
D.) A significant mechanism of injury is involved.

B.) The EMT is unable to protect the patient from scene hazards.

Acting in such a way as to make another person fear immediate bodily harm is called:

A.) Libel.
B.) Assault.
C.) Battery.
D.) Negligence.

B.) Assault.

Which of the following statements regarding HIV is correct?

A.) It is far contagious than hepatitis B.
B.) It is easily transmittable in the EMS field.
C.) HIV is transmitted exclusively via blood.
D.) There is no vaccine against HIV infection.

D.) There is no vaccine against HIV infection.

Which of the following anatomic terms is synonymous with the word “dorsal”?

A.) Medial.
B.) Posterior.
C.) Palmar.
D.) Anterior.

B.) Posterior.

When caring for a 65-year-old male with respiratory distress, you place him in a comfortable position but do not apply oxygen. The patient’s condition continues to deteriorate and he develops cardiac arrest and dies at the hospital. This scenario is an example of:

A.) Assault.
B.) Battery.
C.) Negligence.
D.) Abandonment.

C.) Negligence.

The topographic term used to describe the location of body parts that are closer toward the midline or center of the body is:

A.) Lateral.
B.) Medial.
C.) Midaxillary.
D.) Midclavicular.

B.) Medial.

Which of the following scenarios MOST accurately depicts informed consent?

A.) A patient advises an EMT of why he or she is refusing care.
B.) An EMT advises a patient of the risks of receiving treatment.
C.) An EMT initiates immediate care for an unconscious adult.
D.) A patient is advised by an EMT that they should go to the hospital.

B.) An EMT advises a patient of the risks of receiving treatment.

As an EMT, the performance of your duties will be compared to that of:

A.) Another EMT.
B.) The general public.
C.) The medical director.
D.) A paramedic supervisor.

A.) Another EMT.

If an action or procedure that was performed on a patient is not recorded on the written report:

A.) It was not performed in the eyes of the law.
B.) It can be qualified by the EMT in charge.
C.) It cannot be used in establishing negligence.
D.) It was performed haphazardly by the EMT.

A.) It was not performed in the eyes of the law.

In relation to the wrist, the elbow is:

A.) Distal.
B.) Medial.
C.) Lateral.
D.) Proximal.

D.) Proximal.

Which of the following statements regarding an emergency patient move is correct?

A.) The spine must be fully immobilized prior to performing an emergency move.
B.) An emergency move is performed before the primary assessment and treatment.
C.) The patient is dragged against the body’s long axis during an emergency move.
D.) It is not possible to perform an emergency move without injuring the patient.

B.) An emergency move is performed before the primary assessment and treatment.

Situations in which you should use the extrication technique include all of the following EXCEPT:

A.) A patient who can be properly assessed while still in the vehicle.
B.) A patient who blocks access to another seriously injured patient.
C.) A patient who needs immediate care that requires a supine position.
D.) A patient whose condition requires immediate transport to the hospital.

A.) A patient who can be properly assessed while still in the vehicle.

The simplest yet most effective method of preventing the spread of an infectious disease is to:

A.) Undergo an annual physical examination.
B.) Ensure that your immunizations are up-to-date.
C.) Wash your hands in between patient contacts.
D.) Undergo HIV testing at least twice a year.

C.) Wash your hands in between patient contacts.

To minimize the risk of litigation, the EMT should always:

A.) Transport patients to the hospital of their choice.
B.) Provide competent care that meets current standards.
C.) Use universal precautions with every patient encounter.
D.) Utilize at least four personnel when moving a patient.

B.) Provide competent care that meets current standards.

Which of the following components are needed to prove negligence?

A.) Abandonment, breach of duty, damages, and causation.
B.) Duty to act, abandonment, breach of duty, and causation.
C.) Duty to act, breach of duty, injury/damages, and causation.
D.) Breach of duty, injury/damages, abandonment, and causation.

C.) Duty to act, breach of duty, injury/damages, and causation.

Shortly after loading your patient, a 50-year-old man with abdominal pain, into the ambulance, he tells you that he changed his mind and does not want to go to the hospital. He is conscious and alert and has no signs of mental incapacitation. You are suspicious that he man has a significant underlying condition and feel strongly that he should go to the hospital. Which of the following statements regarding this situation is correct?

A.) A mentally competent adult can withdraw his or her consent to treat at any time.
B.) Any patient who refuses EMS treatment must legally sign a patient refusal form.
C.) Because of your suspicions, the best approach is to transport him to the hospital.
D.) Once a patient is in the ambulance, he or she cannot legally refuse EMS treatment.

A.) A mentally competent adult can withdraw his or her consent to treat at any time.

Which of the following statements regarding the hepatitis B vaccine is correct?

A.) Vaccination against hepatitis B provides partial immunity for life.
B.) OSHA requires that your employer offer you the vaccine free of charge.
C.) The hepatitis B vaccine provides protection against the disease for 2 years.
D.) Vaccination with the hepatitis B vaccine confers immunity against hepatitis A.

B.) OSHA requires that your employer offer you the vaccine free of charge.

What type of consent is involved when a 39-year-old mentally competent female with a severe headache asks you to take her to the hospital.

A.) Formal.
B.) Implied.
C.) Informed.
D.) Expressed.

D.) Expressed.

The manner in which the EMT must act or behave when caring for a patient is called the:

A.) EMT oath.
B.) Code of Ethics.
C.) Standard of Care.
D.) Scope of Practice.

C.) Standard of Care.

In most instances, you should move a patient on a wheeled ambulance stretcher by:

A.) Pushing the foot of the stretcher while your partner guides the head.
B.) Pushing the head of the stretcher while your partner guides the foot.
C.) Slightly lifting the stretcher to prevent unnecessary patient movement.
D.) Retracting the undercarriage and carrying the stretcher to the ambulance.

B.) Pushing the head of the stretcher while your partner guides the foot.

You arrive at the scene of an apparent death. When evaluating the patient, which of the following is a definitive sign of death.

A.) Absence of a pulse.
B.) Profound cyanosis.
C.) Dependent lividity.
D.) Absent breath sounds.

C.) Dependent lividity.

When carrying a patient up or down stairs, you should avoid:

A.) Flexing your body at the knees.
B.) The use of more than two EMTs.
C.) Using a wheeled stretcher whenever possible.
D.) The use of a long backboard or scoop stretcher.

C.) Using a wheeled stretcher whenever possible.

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