NYS EMT-B STATE EXAM WRITTEN , EMT-B STATE

NYS EMT-B STATE EXAM WRITTEN , EMT-B STATE

NYS EXAM WRITTEN REAL ACTUAL 2 50+

QUESTION AND ANSWERS A GRADE

A 65-yr old male was involve in a two motor vehicle crash. Upon examination, he complains of chest pain when breathing and tenderness of the sternum. Your INITIAL care should include: A stabilizing the sternum B positioning the patient on his side C administering high-concentration oxygen D administering the patient's prescribed nitroglycerin - ANSWER✔✔C Administering high-conc oxygen When spinal injuries are suspected, the EMS provider should FIRST A hyperextend the neck to secure the airway B determine the extent of the paralysis C apply an extrication collar D apply manual stabilization and secure the airway - ANSWER✔✔D apply manual stabilization and secure the airway For a trauma victim w/ a respiratory rate of 40/min, shallow and irregular, who is pale and has a

history of emphysema, the MOST APPROPRIATE treatment would be to:

• use of a bvm w/ supp oxygen
• administer low-conc oxygen b/c of emphysema history
• administer supp oxygen w/ a high-conc mask
• transport the patient sitting up to ease the patient's dyspnea - ANSWER✔✔A. Use of a BVM w/

supp. oxygen If the EMS provider is unable to find a patient's peripheral pulse during a Primary Assessment, next 1 / 4

step should be to:

• turn on the AED
• palpate the carotid pulse
• open the airway and insert an OPA
• check breathing and begin CPR - ANSWER✔✔b. palpate the carotid pulse

While assessing the MOI of a motor vehicle crash, an EMS provider finds that the airbag has been deployed: The EMS provider should:

• decontaminate the patient
• remove the airbag
• disconnect the battery
• lift the airbag and check underneath for damage - ANSWER✔✔d. lift the airbag and check

underneath for damage If life threatening conditions are identified during the focused history and physical exam, the EMT

should immediately:

• repeat the Primary Assessment
• take vital signs
• begin transportation efforts
• provide life-saving interventions - ANSWER✔✔D. provide life-saving interventions

Which one of the following instructions applies to the performance of mask-to-stoma ventilation on a person who has had a COMPLETE laryngectomy?

• the nose and mouth must be manually sealed off
• perform Head tilt neck lift maneuver to open the airway
• the nose must be sealed off
• neither the nose nor mouth must be sealed off - ANSWER✔✔d. neither the nose nor mouth must

be sealed off 2 / 4

Treating for a complete stoma vs incomplete stoma - ANSWER✔✔COMPLETE: stoma down to lungs, DONT SEAL NOSE OR MOUTH

INCOMPLETE: seal mouth and nose

When a patient is stable, EMS provider should repeat the ongoing assessment every - ANSWER✔✔15 minutes In performing an ongoing assessment on a 10-yr old pedestrian struck by a MV, the EMS provider's first step is to,

• recheck vital signs
• repeat the primary assessment
• check the interventions
• repeat a rapid assessment - ANSWER✔✔b) repeat the primary assessment

The pre-hospital care report PCR is considered to be

• part of patient's hospital chart
• matter of public record
• inadmissible in a court of law
• research document only - ANSWER✔✔A) part of patient's hospital chart

Before assisting patient's in taking their own nitroglycerin, and EMS provider must check the:

• Expiration date
• Physicians name
• Color of tablet
• Prescription date - ANSWER✔✔A. expiration date

40-yr old female has difficulty breathing. You determine she has an open airway nad an altered 3 / 4

mental status. Her respirations are 8 and shallow. The MOST important step for the EMS provider to take is to

• ask family members of the patients if there's a history of COPD
• assist patient's respiratory efforts w/ high conc oxygen using a BVM
• watch patient carefully and obtain vital signs
• assess the use of accessory muscles while breathing - ANSWER✔✔b) assist patient's respiratory

efforts w/ high conc oxygen using a BVM You are assessing a patient who complains of difficulty breathing and of "not getting enough air" Which of the following will quickly CONFIRM that the pt is not getting sufficient oxygen?

• pink nail beds
• smell of nail polish
• use of accessory muscles while breathing - ANSWER✔✔C. the use of accessory muscles while

breathing While carrying concrete blocks at a construction site, a 58 yr old man suddenly develops chest pain and shortness of breath- appears frightened, vomits, and has cool clammy skins. thse are probably signs of a- hiatal hernia b- heat exhaustion c- fatigue d- heart attack - ANSWER✔✔D. heart attack A building contractor, under tremendous pressure to meet a job deadline, experiences diffuse pain in his chest. The pain lasts for several minutes, then disappears w/ rest. The EMS provider should suspect a- angina pectoris b- muscular cramps c- pulmonary edema

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