97. You encounter a patient with electrocution (electric current injury), what will be the first step of management?
a) Apply oxygen
b) Give rescue breaths
c) Ensure scene safety
d) Remove the patient from the scene by metal rod
98. Mark which of the following is correct:
a) Heat exhaustion and heat stroke are the same terminology
b) Heat rash indicates critical heat stroke
c) Heat exhaustion is common among people exposed to more than 35°C
d) Both heat exhaustion and heat stroke require the patient to be moved to a cooler place immediately
99. When the active heat load surpasses the body’s ability to regulate body temperature, heat injury can develop. Which of the following is not a type of heat injury?
a) Heat Stroke
b) Heat Exhaustion
c) Heat Cramp
d) Heat Evaporation
100. The poisons enter the body through all of the following routes except:
a) Inhalation
b) Absorption
c) Ingestion
d) Vision
1. If a patient has epileptic convulsions, immediately:
a) Insert a spoon in the mouth
b) Insert a tongue bite preventer
c) Remove hazardous objects from the surroundings
d) All of the above
2. A patient may go into a coma due to:
a) Cardiac arrest
b) Carbon monoxide poisoning
c) Alcohol abuse
d) All of the above
3. A patient who lost both of their lower limbs in a car accident has:
a) Monoplegia
b) Hemiplegia
c) Quadriplegia
d) Paraplegia
4. The difference between the head-tilt-chin-lift maneuver and the jaw thrust maneuver is:
a) The head tilt is for trauma patients, and the jaw thrust is for medical patients.
b) The mechanism of injury or nature of illness determines which technique is used in opening the airway.
c) The jaw thrust requires two EMTs, whereas the head tilt requires only one.
d) The head tilt opens the airway more than the jaw thrust, allowing for more effective artificial respirations.
5. If a drowned patient is not rescued from the water, it may cause:
a) Atelectasis
b) Tachycardia
c) Diaphoresis
d) All of the above
6. Always examine the placenta in a shallow dish to observe if any part has been retained in the mother after delivery.
a) True
b) False
7. In case of a femur fracture, obvious blood loss is:
a) 150 ml
b) 4500 ml
c) 1500 ml
d) No blood loss
8. The majority of patients may die from:
a) Excessive fluid loss
b) Pain and hypothermia
c) Blister formation
d) All of the above
9. During triage, a lady gives birth to an infant at 36 weeks. As a rescuer, immediately:
a) Place the baby in a polythene bag without drying
b) Wrap the baby in a towel and dry it
c) Manage the baby's C-spine as if considering trauma
d) Handover to the mother for nursing
10. In an incident, you find a patient whose heart rate is 110 bpm and breathing rate is 42 bpm. Categorize the patient as:
a) Red
b) Yellow
c) Green
d) Black
11. You find a fallen patient who is bleeding and unconscious with some powder sprinkled over them. Immediate management would be to:
a) Manage bleeding
b) Elevate the extremities immediately
c) Apply pressure dressing
d) None of the above
12. Pupil reactivity in a head injury will be:
a) One constricted, one dilated
b) Both constricted
c) Both dilated
d) Both fixed dilated
13. Glasgow Coma Scale can be affected by:
a) Sedative drugs
b) Local injuries of limbs or mouth
c) Insertion of an endotracheal tube (ETT)
d) All of the above
14. A rescuer finding a 7-month-old baby with a heart rate of <60 bpm and breathing at 7 bpm should immediately:
a) Start cardiopulmonary resuscitation (CPR)
b) Give high-flow oxygen only
c) Transport in an upright position
d) None of the above
15. If the clamp on the cord is seeping blood after 3 clamps, you should:
a) Cut the cord
b) Apply the 4th clamp
c) Start CPR
d) None of the above
16. When both carotid pulses are palpated simultaneously, it can be:
a) Yes
b) No
c) I don't know
17. If a fire breaks out on the 20th story of a hotel, you need to rescue patients.
a) True
b) False
18. A train crash involving 189 victims was an example of:
a) Major incident
b) Mass incident
c) Catastrophic incident
d) Deliberate incident
19. Always park your car behind an ambulance in a blast scene to follow the ambulance later.
a) True
b) False
20. A 50-year-old man with acute abdominal pain presents confused with pale, diaphoretic skin. After correcting airway, breathing, and circulation issues, your main focus should be on:
a) Immediate transport to the hospital
b) Pain management
c) Monitoring vitals
d) Reassurance
21. Epinephrine can be administered to a patient in cardiac arrest. After administering epinephrine, the patient may present with:
a) Arrhythmia
b) Chest pain
c) Bradycardia
d) Hypotension
22. Entonox is a combination of:
a) Nitroglycerin and paracetamol
b) Nitrous oxide and oxygen
c) Aspirin and paracetamol
d) Oxygen and nitroglycerin
23. Salbutamol is contraindicated in:
a) Bronchoconstriction
b) Known severe allergic reactions
c) Unconscious patients
d) All of the above
24. What is the foremost thing an EMT should do while treating a patient suffering from cardiac arrest?
a) Thump the chest to stimulate the heart
b) Administer oxygen at 15 L/min via non-rebreather mask
c) Begin CPR immediately
d) Administer early defibrillation
25. What are the immediate steps you should take to control bleeding?
a) Disinfect the wound with iodine, apply direct pressure, elevate extremity, occlusion dressing, tourniquet
b) Apply iodine, elevate extremity, apply direct pressure, cold compresses, tourniquet
c) Direct pressure, elevate extremity, pressure point compression, tourniquet
d) Wrap with moistened gauze, apply direct pressure, apply ice, elevate, pressure point compression, tourniquet
26. If you are suspecting a stroke, what will help you assess the stroke?
a) Leg drift, smile droop
b) Unconsciousness, dizziness, and talkativeness
c) Shouting patient complaining of headache
d) Speech, facial droop, arm drift
27. What is considered the normal acceptable range for blood glucose in all adult patients?
a) 4-8 mmol/L
b) 8-10 mmol/L
c) 80-100 mmol/L
d) 80-120 mmol/L
28. What is the correct dose of glucose gel for a 5-year-old patient with blood glucose of 3.1 mmol/L?
a) 5-10g Buccal
b) 10-15g Buccal
c) 15-20g Buccal
d) 25g Buccal
29. If untreated for a long time, it may cause pulmonary embolism.
a) Major trauma
b) Stroke
c) Ulnar fracture
d) All of the above
30. In heat exhaustion, a patient will appear:
a) Red, hot, dry skin
b) Cool, pale, clammy skin
c) Strong pulse, loss of consciousness
d) Hot, weak, pale
12. You are called to transfer a young, 38 weeks pregnant lady to the hospital as she is experiencing regular contractions every 5 minutes along with blood-stained mucoid vaginal discharge. Your next step is to:
a) Prepare the patient for delivery at the scene
b) Transfer the patient to the nearest hospital
c) Counsel the patient that she does not require transportation
d) Establish contact with her primary obstetrician for instruction
13. Control room asked you to respond to a road traffic crash between a motorbike and a car where you find a victim who is lying down on the road with catastrophic bleeding from the distal leg. Which step should you perform first?
a) Initial assessment
b) Check mechanism of injury
c) Control catastrophic bleeding
d) Ensure scene safety and standard precautions
14. You are providing bag mask ventilation in an unresponsive patient with a pulse. Your aim will be to give every breath after:
a) 7 to 8 seconds
b) 5 to 6 seconds
c) 4 to 5 seconds
d) 3 to 4 seconds
15. You arrived at the scene in an electric company office where you find a patient who is experiencing severe sternal pain radiating to the left jaw and both arms with profuse sweating. This patient is likely to have:
a) Brain attack
b) Heart attack
c) Stroke
d) Acute asthma
16. In a water rescue emergency, you find a victim who is unresponsive, pulseless, breathless, and his body is stiff without decomposition. The EMT should:
a) Perform CPR
b) Provide abdominal thrusts to evacuate lungs
c) Start artificial ventilation
d) Elevate the legs and maintain body temperature
17. While eating food at the hotel, you observe an old man whose airway is blocked due to food. He is unable to take a breath and cannot speak. As an EMT, you should:
a) Encourage the patient to cough
b) Deliver up to five back blows and five abdominal thrusts
c) Deliver up to five abdominal thrusts
d) Encourage the patient to take deep breaths
18. You are directed by the control room to respond to a medical emergency. A laborer was working on an extremely hot sunny day. His body temperature is 40°C with flushed dry skin. What is your diagnosis?
a) Heat exhaustion
b) Heat stroke
c) Heat cramps
d) Hypothermia
19. The most frequent initial rhythm found in cardiac arrest is:
a) Asystole
b) Sinus rhythm
c) Ventricular fibrillation
d) Ventricular tachycardia
20. During FAST assessment, S stands for:
a) Severity
b) Speech difficulty
c) Social disturbance
d) Swelling
21. You find an infant of 7 months of age with a heart rate less than 60 and respiratory rate 6/minutes. You should immediately:
a) Start CPR
b) Give high flow O2
c) Transport in upright position
d) Apply AED and start CPR
22. Mr. Kashif met a serious road accident. He is suspected to have bone fractures and had respiratory illness. What is the best way to measure the oxygen saturation of the patient?
a) Auscultation
b) Pulse oximeter
c) Chest rise and fall
d) Peak flow meter
23. Miss Noreen is an asthmatic patient. The doctor advised her to check her peak flow. The first reading came out to be 50, the second was 100, and the third was 150. Which is the exact reading considered?
a) 50 L/min
b) 100 L/min
c) 150 L/min
d) 125 L/min
24. Mr. Kashif met an accident, and his limb has been injured badly after colliding with a car. The capillary refill will be:
a) > 2 seconds
b) 2 seconds
c) < 2 seconds
d) < 1 second
25. Mr. Ahmed is usually hypertensive. The doctor advised him to track his blood pressure. Blood pressure can be obtained by:
a) Sensor into the patient's vein
b) Stethoscope
c) Sphygmomanometer
d) ECG
26. There are ___ pairs of spinal nerves in the human body.
a) 30
b) 31
c) 32
d) 33
27. __ is known as the main pacemaker of the heart that generates impulses:
a) Coronary artery
b) Coronary sinus
c) Sinoatrial node
d) Atrioventricular node
28. Mr. Raza’s heart rate is 75 beats per minute. His one cardiac cycle is expected to complete in:
a) 0.8 seconds
b) 0.1 seconds
c) 60 seconds
d) 0.05 seconds
29. Never share the patient’s information with:
a) Bystanders
b) Media
c) Relatives
d) All of the above
30. A boy had regular jerky bodily movements. He went stiff and fell down. This is an example of:
a) Tonic-clonic
b) Partial convulsions
c) Focal convulsions
31. The assessment should be performed when handling a patient manually to a wheelchair or spine board:
a) ABCDE
b) TILE
c) STABLE
d) OPQRSTA
66. You are in the middle of high-performance CPR in the field when an AED prompts to give a shock to the patient. The next step in the management of this patient is:
a) Immediately push the shock button
b) Wait for the first rescuer to finish chest compressions
c) Charge the AED
d) Ask your senior for help
67. You arrived at a scene where the patient is found unresponsive. On examination, the patient was breathing abnormally but had a palpable pulse. The most appropriate step in the management of this patient is:
a) Start chest compressions
b) Apply supplemental oxygen
c) Apply non-invasive ventilation
d) Start bag mask ventilation
68. The recommended rate of chest compressions during CPR is:
a) 80 to 100 per minute
b) 100 to 120 per minute
c) 100 to 110 per minute
d) 80 to 120 per minute
69. The recommended depth of chest compressions in adult CPR is:
a) 5 to 6 centimeters
b) 4 to 5 centimeters
c) 6 to 7 centimeters
d) 3 to 5 centimeters
70. You are dispatched to a residence of a 45-year-old female patient complaining of chest pain while climbing up the stairs. The pain lasted for 5 minutes only and resolved completely by rest. The most likely diagnosis in this patient is:
a) Gastrointestinal reflux disease
b) Angina Pectoris
c) Myocardial Infarction
d) Acute Heart Failure
71. You arrived at a scene where you found a patient who is unresponsive. After ensuring safety, the first step in the management of this patient is:
a) Check pulse
b) Start CPR
c) Check breathing
d) Both A & C
72. Your patient is a 46-year-old male who was complaining of a severe, crushing feeling in the center of his chest and shortness of breath that began while he was doing his morning walk. On examination, he is drowsy and diaphoretic. His oxygen saturation is 92% on room air. The initial step in the management of this patient is to administer:
a) 12-15 liters Oxygen by rebreather mask
b) Aspirin 325 mg
c) 4-6 liters Oxygen by nasal cannula
d) Sublingual nitroglycerine
73. The artery carrying oxygenated blood is:
a) Pulmonary
b) Inferior Vena Cava
c) Superior Vena Cava
d) Aortic
74. Post-seizure care includes:
a) Maintain supine position
b) Place the patient in the recovery position
c) Place the patient in a sitting position
d) Try the patient to walk a few steps
75. Consider the following before lifting any patient except:
a) The object
b) Your limitations
c) Patient's choice
d) Communication
76. Body substance isolation (BSI) refers to:
a) Concept that treats only blood as potentially infectious
b) Concept that treats all bodily fluids as potentially infectious
c) It is a concept that treats bodily fluids as infectious only when the patient is admitted to a hospital
d) This concept treats bodily fluids as infectious only when you are performing a duty
77. Onset of normal labor usually commences between:
a) 39 to 41 weeks
b) 37 to 40 weeks
c) 40 to 42 weeks
d) 38 to 40 weeks
78. You are performing 2-rescuer CPR on an adult patient with out-of-hospital cardiac arrest. The recommended compression to ventilation ratio is:
a) 30:2
b) 30:1
c) 15:1
d) 15:2
79. How can you improve your interpersonal communication with patients and team members?
a) EMT should evaluate their own communication characteristics and follow the pointers in EMT course
b) Only your instructor can improve your interpersonal communication as it is his responsibility
c) Interpersonal communication is not important for EMS personnel as they work in prehospital settings
d) Interpersonal communication comes into play when you are dealing with young adults
80. Which one of the following is not an Infectious Disease?
a) Diabetes Mellitus
b) Human Immunodeficiency Virus (HIV)
c) Hepatitis B Virus
d) Tuberculosis
81. When pushing or pulling the stretcher/patient:
a) Push, rather than pull
b) Pull, rather than push
c) It does not matter, do as per your comfort
d) If you are muscular, then push; otherwise, pull
82. When moving a patient onto a carrying device with suspected spine injury, always:
a) Immobilize head, neck, and spine before moving
b) Perform manual stabilization
c) Place a rigid cervical collar and maintain manual stabilization until the patient is immobilized to the spine board
d) All of the above
83. You received a call for a road traffic accident, and the patient is unconscious. Upon your arrival at the scene, you must perform some procedures, but there is no one to give consent. You proceed with the provision of:
a) Expressed consent
b) Informed consent
c) Implied consent
d) Auto consent
84. Negligence is:
a) It is not a big deal; EMT has the right to do so
b) Something that should be done when a patient is abusive or aggressive
c) Something done when a superior orders it
d) Something that should have been done but was not done, or was done incorrectly
85. You have responded to a call, and an elderly patient is sitting on a chair. When you try to talk to him, you determine that he has hearing impairment and is unable to understand. You should:
a) Speak as loudly as you can so he can understand
b) Do not talk to him; do whatever you have to
c) Call his caregiver as she/he may understand him
d) Transport him to the hospital and let the hospital staff deal with him
86. While communicating with the patient:
a) Use language the patient can understand
b) Use medical terms for better understanding
c) Don’t call the patient by his/her name; call Uncle or Aunty instead
d) Don’t talk to patients with hearing impairments as they will not respond to you
87. Maintaining privacy and confidentiality is:
a) Not necessary and should be shared with everyone for awareness
b) Only recommended for in-hospital professionals
c) Recommended for everyone who is involved in patient care
d) Only recommended when the patient is critical
89. Although any call can present a potential safety hazard, what types of calls might pose the highest threats of potential violence?
a) Patients fighting or loud voices
b) Weapons visible or in use
c) Signs of alcohol or other drug use
d) All of the above
90. You are called to an unknown emergency in your designated area. As you approach the scene, you see a man lying supine in the parking lot apparently bleeding profusely. Two other men are scuffling, and one seems to have a gun. What action should you not take?
a) Keep a safe distance from the danger and inform the police
b) Jump in and evacuate the patient from the scene and treat him accordingly
c) Keep an escape route in mind if you need to retreat
d) Once the police have secured the scene, take standard precautions to care for the patient
91. Hazardous materials are:
a) Any substance or material commonly available in our surroundings and is not hazardous
b) Any substance or material used by EMS professionals around the globe
c) Any substance or material used in carbon monoxide poisoning
d) Any substance or material that poses an unreasonable risk to health or property
92. In the mnemonic SAMPLE, what does "A" stand for?
a) Allergies
b) Autopsy
c) Anyikanta
93. What is the preferred position for a patient in hypovolemic shock?
a) Supine with head elevated
b) Head below and feet above the level of the heart
c) Left lateral position
d) Sniffing position
94. You are the EMT on duty and you cater to a 56-year-old male, known diabetic, found unresponsive by a family member 10 minutes ago. According to the family, he complained of a headache since morning and suddenly became unresponsive. On arrival, the patient is pale, moist, with cool and clammy skin. You found a rapid pulse with shallow breathing. The patient is suffering from medication-induced hypoglycemia. What will be your next step?
a) Give IV fluids
b) Give instant glucose
c) Give rescue breaths
d) Call 911
95. For patients suffering from a brain attack (stroke), the EMT assessment includes:
a) VAN screening tool (Vision, Aphasia, Neglect)
b) FAST (Facial Droop, Arm Drift, Speech Deficit, Time to call EMS)
c) Los Angeles Prehospital Stroke Scale
d) CSTAT (Cincinnati Stroke Triage Assessment Tool)
96. To provide care to a patient who is actively seizing, which of the following is correct?
a) Restrain all 4 limbs
b) Place an airway in the patient’s mouth
c) Clear the surrounding area to prevent any harm to the patient
d) Remove clothes
97. You encounter a patient with electrocution (electric current injury), what will be the first step of management?
a) Apply oxygen
b) Give rescue breaths
c) Ensure scene safety
d) Remove the patient from the scene by metal rod
98. Mark which of the following is correct:
a) Heat exhaustion and heat stroke are the same terminology
b) Heat rash indicates critical heat stroke
c) Heat exhaustion is common among people exposed to more than 35°C
d) Both heat exhaustion and heat stroke require the patient to be moved to a cooler place immediately
99. When the active heat load surpasses the body’s ability to regulate body temperature, heat injury can develop. Which of the following is not a type of heat injury?
a) Heat Stroke
b) Heat Exhaustion
c) Heat Cramp
d) Heat Evaporation
100. The poisons enter the body through all of the following routes except:
a) Inhalation
b) Absorption
c) Ingestion
d) Vision
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