Emergency Medical Responder
Written Examination
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Begin
How do you take a blood pressure?
With a stethoscope and a b/p cuff
While using a stethoscope and b/p cuff, the cuff is pumped up until the pulse can be heard and then no longer heard. The provider slowly lets out the air and when the pulse starts again thats the top number. When the pulse then stops thats the buttom number.
With the monitor
With a pulse oximeter
What is the normal blood pressure for the adult patient at rest?
130 / 90
120 / 80
100 / 70
140 / 80
What is the normal heart rate for the adult patient at rest?
70 - 110 bpm
80 - 140 bpm
80 - 120 bpm
60 - 100 bpm
What is the normal respiration rate for the adult pt at rest?
14 - 30 bpm
12-20 bpm
20 - 40 bpm
25 - 60 bpm
What is the normal heart rate for the adolesent patient at rest?
60 - 110 bpm
60 - 100 bpm
80 - 140 bpm
80 - 130 bpm
What is the normal respiration rate for the adolescent patient at rest?
30 - 60 bpm
12 - 20 bpm
20 - 40 bpm
14 - 30 bpm
When trying to obtain vitals from an infant / toddler patient, it is important to remember that
You obtain the most accureate vitals
You keep the parents involved in everything
You do not upset the child, as this will cause any issues to be worse, even if that means not taking any vitals
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Next
What best describes Cardiac Chest Pain?
Constant Sharp Stabbing Pain
Constant Dull Aching Pain
Constant Chest Pressure
Patient describes multiple cardiac symptoms, what is the NEXT thing you should do?
Take a set of Vitals
Give the Patient Aspirin after asking for their allergies
Relay information to command
What is the proper full dosage of aspirin to give a cardiac patient?
324mg Tablet
81mg Chewable
324mg of Chewables
81mg Tablet
How many times can you give aspirin to the Patient?
3
2
1
4
When do you withhold giving the patient aspirin?
The patient says they have already taken it, by instruction of the 911 Center
The patient is allergic to aspirin
The patient says they do not want to take it
Option 1 and 2 above
When should you provide oxygen to the Chest Pain Patient?
The oxygen saturation is less then 95%
The patient says they are having trouble breathing
The patient is in obvious distress with labored breathing
All of the above
What will the vitals signs be like, with a patient experiencing a cardiac event?
High B/P and Heart Rate
High B/P, Low Heart Rate
Low B/P, High Heart Rate
Low B/P and Heart Rate
Vitals may not change from normal
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Next
Your Patient presents with slurred speech, confusion, and weakness. What is the NEXT thing you do?
Take Vitals
Check Sugar
SLAMs Scale
Obtain History
Option 4 then 3
What is the time window for TPA administration from Onset of Stroke Symptoms
1 hour
3 hours
8 hours
1 day
When do you provide oxygen to a stroke patient?
When oxygen is below 95%
When the patients SLAMs score is above a 2
When the patient is unresponsive
All of the above
What are important things to obtain from the patient or family with a patient who has an altered mental status? (Select all that apply)
Patients Medical History
Recent traumatic injuries
Last known well time
How much sleep the patient got
Medications / Drugs taken (or not)
You walk in to an unconscious person, and you see a needle on the table next to them. What do you do NEXT?
Give dose of narcan
Check pupils
Begin Rescue Breathes
Start High flow oxygen
How many doses of narcan is the EMR allowed to give?
1
3
4
2
How much time must pass before giving a second narcan dose?
1 minute
5 minutes
10 minutes
3 minutes
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Next
What is the flow rate of oxygen for a nasal cannula?
1-4 LPM
2-6 LPM
6-12 LPM
12-15 LPM
What is the flow rate of oxygen for a Non Rebreather Mask?
1-4 LPM
2-6 LPM
6-12 LPM
10-15 LPM
What is the flow rate of oxygen for a BVM?
1-4 LPM
2-6 LPM
6-12 LPM
12-25 LPM
What is the ideal oxygen saturation in the blood?
90-94%
92-98%
99-100%
95-98%
How long in between each rescue breath via BVM for the Adult Patient?
1-3 seconds
3-6 seconds
5-6 seconds
6-8 seconds
How long in between each rescue breath via BVM for the Pediatric Patient?
1-3 seconds
3-5 seconds
5-6 seconds
6-8 seconds
What maneuver(s) would you do for the Pediatric Patient 2 years old and younger if they were choking?
Heimlich Maneuver
5 Chest thrusts and 5 back blows
Shake upside down
None of the above
How do you measure for an OPA (Oral Airway) insertion?
From corner of mouth to ear
From tip of nose to ear
From chin to ear
How do you measure for NPA (Nasal Airway) insertion?
From corner of mouth to ear
From tip of nose to ear
From chin to ear
How long can you suction a patients airway for?
No longer than 5 seconds
No longer than 10 seconds
No longer than 15 seconds
No longer than 20 seconds
What is the proper suction technique?
Suction on the way into the mouth
Suction on the way out of the mouth
Suction both on the way in and out of the mouth
Whenever you can
Back
Next
You find an adult patient unconscious on the ground. You check for breathing / pulses and find none. What do you do NEXT?
Start CPR with Compressions and Breaths
Apply AED to patients chest
Check pupils
Notify command
What is the compression to breath ratio for Adult CPR
30 : 2
30 : 1
15 : 2
None of the above
What is the compression to breath ratio for the pediatric patient 5 years old or younger with 2 rescuers?
30 : 2
30 : 1
15 : 2
None of the above
What is the compression to breath ratio for a pediatric patient 5 years old or younger with only 1 rescuer?
15 : 2
30 : 2
30 : 1
None of the above
You deliver a shock to the patient with the AED, what do you immediately do NEXT?
Perform 2 minutes of CPR then check for pulses
Check for pulses
Call medical control
Notify command
What is the compression rate for all patients?
80 - 100 BPM
100 - 120 BPM
120 + BPM
None of the above
You arrive on scene to an unconscious patient in bed, face down. You roll the pt over, and the body moves together and is stiff. How do you continue?
Begin CPR
Contact medical control with findings
Contact the police
You arrive and find an unresponsive patient on the couch. The patients family states they have a terrible headache. What do you do NEXT?
Evaluate patient for signs of life
Ask patient family for history
Remove the patient from the residence
Leave the residence and notify command
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Next
What are signs / symptoms of anaphylaxis? (Select all that apply)
Stridor
Swollen Tongue
Yellow skin
Swollen Face
Fatigue
Hives
Difficulty speaking/swallowing
What is the adult (>30kg) dose of Epi?
.3mg
.15mg
3mg
15mg
What is the pediatric (<30kg) dose of Epi?
.15mg
.3mg
3mg
15mg
How many doses of Epi can be given?
1
4
2
3
How much time must pass in between doses?
2 minutes
5 minutes
1 minute
8 minutes
Back
Next
Patient is actively seizing. Family gives you oral medication that the patient has not taken yet. What do you do?
Place it in their mouth and help them swallow
Give the medication back to the family and explain why
Crush the pill and place powder under the tongue
What is the most common cause of seizures in Pediatric Patients?
Lack of sleep
High Fever
Drug overdose
Traumatic injury
You find that the pediatric patients temperature is elevated, what is the next thing you do?
Take the patients vitals
Cool the patient down with ice packs
Have patients parent give them tylenol
You arrive to find a mother holding the pediatric patient who has just stopped seizing. The patient is breathing adequately. What do you do NEXT?
Check sugar
Check temperature
Perform SLAMs Scale
What is the MOST important thing to do for an active seizure patient?
Protect the patients head
Keep the patient from biting their tongue
Ensure they have an adequate airway
Get their medication to stop the seizure
Back
Next
When applying a tourniquet, when do you stop tightening it?
When the patient asks you to stop
When you feel it's tight enough
When all blood and fluids stop oozing
When splinting a patient, where is the placement of the cravats securing the splint in place
1 above and 1 beloved the injury
1 above, 1 below, 1 over the injured area
Ask an EMT
How do you cool a patient who has been exposed to the elements? (Select all that apply)
Cold packs in between groin
Cold packs in armpits and back of the neck
Remove wet clothing
Provide dry blankets and sheets
Leave patient where they were found
How do you warm a patient who has been exposed to the elements? (Select all that apply)
Warm packs in between groin
Warm packs in armpits and back of neck
Remove wet clothing
Provide dry blankets and sheets
Leave patient where they were found
You arrive to find a patient with 2nd degree burns on their chest, abdomen, and front of the right arm. What do you do?
Cool the patient off with sterile irrigation water
Place a dry sterile burn sheet around the patient
Place a moist, cooled burn sheet around the patient
By the rule of 9s, what is the percentage of surface area burned based on the question above?
9%
18%
22.5%
Greater than 30%
A patient has partial thickness burns on their left arm, what do you do?
Apply dry sterile dressings
Apply moist sterile dressings
Apply a full burn sheet
A patient has a foreign object impaled in their right eye. What is your treatment? (select all that apply)
Only cover the right eye with a cup
Cover the right eye with a cup and left eye with gauze
Tell the patient to not look around
Tell the pt to blink as little as possible
When is it appropriate to place a cervical collar on a patient? (Select ALL that apply)
EMS Provider Judgement
Patient reports neck and/or back pain
Mechanism suggests significant injuries possibly present
Patient is walking around with no complaints of injuries after fall from same level
How do you measure the proper fitment of an adjustable C-Collar to a patient?
Measure collar next to patients neck
Use fingers between patients shoulder and patients neck
Use a provided tape measure
You arrive on scene of a motor cycle accident. During your initial evaluation you find the abdomen is not soft, but hard and Ridgid. What do you do NEXT?
Wrap in an abdominal pad
Place ice packs on the area
Notify command to launch a medivac
Continue your initial assessment
During your initial assessment, you find both legs are broken, and one is an open fracture. Where should this patient go?
By ground to the nearest facility
By air to a level 1 trauma center
By ground to a level 2 trauma center
By air to a level 2 trauma center
You're in charge of triage. You have 5 patients. 1 adult that is conscious, breathing, with arterial bleeds, 3 adult patients have a broken bone, and a toddler with no signs of life. Who do you have your crew start care on first?
The child with no signs of life
One of the adults with the broken bones
The adult with the arterial bleed
Search for additional patients
You are dispatched for a multi vehicle collision. You arrive on scene and find 4 cars with a total of 12 patients. What do you do NEXT?
Notify command to declare an MCI
Begin Triage of the patients
Begin treating the first patient you come into contact with
Find the pediatric patient(s)
Back
Next
When should a PCR (Pre-Hospital/Patient Care Report) be filled out?
Only on calls that have patient contact
Only on calls where treatment was provided to the patient
On any and all calls that require EMS response or assistance to any person may have been needed.
None of the above
You are dispatched for a medical alarm with no voice contact. You arrive and the alarm holder is in their garden and in good health. They relate that they did not know they activated their alarm. What is this considered?
An RMA
No Paitnent found
Call is cancelled prior to arrival
Patient contact was made
You are dispatched for a medical call. You arrive on scene, but the family will not let you in the house because they only wanted an ambulance for transport. What do you do?
Argue with the family that you must see the patient
Contact medical control
Calmly explain the possibilities to the family, if they still refuse, standby outside for EMS
Call PD for uncooperative family member (s)
What are required fields on a PCR? (Select all that apply)
Patient demographics
Patient medical history and medications
Patients allergies
Vital signs (with patient care)
Patients belongings taken
Address of the call
Last oral intake
Last known well time
Responding crew including the rig driver
How old must a patient be to sign their own RMA
17
18
19
20
What conditions makes it legally okay for any patient to sign an RMA? (Select ALL that apply)
Patient is 18+ years old
Patient is A+Ox2
Patient clears all capacity assessments
Patient says they are okay
Medical control clears it
EMS Provider Judgement
You are dispatched for a minor School bus accident. Onboard the bus is 40 children (2 per seat). There are no injuries to the children however New York State law says all minors must go to the hospital without a parent/guardian present to sign off on the RMA. Select all statements that must be present for any ONE CHILD to not be transported. (Select ALL that apply)
School Representative is present to sign
Parents have been contacted directly via phone / are on scene
The child is not injured and has been assessed
Medical control has been contacted if needed
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