NYS EMT STATE EXAM Latest Update 2024-2025
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106) You are the first EMS Provider to arrive on the scene of a head-on automobile
accident where you find the following:
Patient #1 appears to be intoxicated has pain in his right shoulder, and is belligerent
toward the rescuers
Patient #2 also appears to be intoxicated and is very slow in responding to questions.
He has burns on his lower legs and feet from the car heater and complains 0f a pain in
his back
Patient #3 has an open wound to the brain, which is not bleeding, He has no pulse or
respiration, and his chest pinned between the steering wheel and the seat
Patient #4 has a laceration across the abdomen that is bleeding profusely, and a portion
of the colon is protruding
Which patient should be treated and transported FIRST? - CORRECT ANSWER:
Patient #4
A 25-year-old woman is in active labor. The umbilical cord is presenting through the
vagina. You would: - CORRECT ANSWER: Place the mother in a supine position with
the hips elevated, administer oxygen, and transport
A 28-year-old patient presents supine on the floor, unconscious, unresponsive, and with
snoring respirations at a rate of 6 per minute. Bystanders report that the patient is
diabetic, takes no medications, and may have ingested heroin half an hour prior to the
EMS Providers arrival. After opening the patients airway, the EMS provider should: -
,CORRECT ANSWER: Insert an airway adjunct and ventilate with 100% oxygen using a
bag-valve-mask
A 52-year-old male is complaining of breathing difficulty and left arm pain radiating to
the right jaw. Vital signs are BP < 90/60 P = 120, R = 24. The patient should be
administered - CORRECT ANSWER: High concentration oxygen and should be placed
in a position of comfort for ease of breathing
A 65 year-old male was involved in a two-car motor vehicle crash. Upon examination,
he complains of chest pain upon breathing and tenderness of the sternum. Your INITIAL
care would be to: - CORRECT ANSWER: Administer high-concentration oxygen
A 65-year-old male was involved in a two-car motor vehicle crash. Upon examination,
he complains of chest pain when breathing and tenderness of the sternum. Your INITIAL
care should include: - CORRECT ANSWER: Administering high-concentration oxygen
A car hit a utility pole and an electrical wire fell on top of the car. Upon arrival, the EMS
Provider see three apparently uninjured people in the car. The EMS providers first
action should be to: - CORRECT ANSWER: Tell the car's occupants to stay in the car
A chest injury may interfere mechanically with the functioning of the: - CORRECT
ANSWER: Lungs
A child drank some unknown fluid. You arrive at the scene and note the following signs:
the child's mouth and lips are a reddish color, and the child is coughing and gagging.
You assess and manage the ABC's and begin transport. What should you do next? -
CORRECT ANSWER: Contact medical control for direction
A closed bone or joint injury is BEST defined as an injury: - CORRECT ANSWER: In
which there is no break in the continuity of the skin
A correct statement concerning airway management of a patient who has a suspected
spinal cord injury is that: - CORRECT ANSWER: The airway always takes precedence
, over the cord injury; the airway must be opened regardless of the damage it might do to
the cord
A diabetic emergency with a rapid onset is due to: - CORRECT ANSWER: Too much
insulin
A female patient with chest pain tells you that she regularly takes nitroglycerin and
"water pills," and that she has to sleep propped up on three pillows. Your treatment
should include: - CORRECT ANSWER: Administering oxygen via non-rebreather
A high school football player has received a hard direct blow to the abdomen. Which of
the following may indicate internal bleeding? - CORRECT ANSWER: Weak rapid pulse,
tenderness, guarding, or pain in the abdomen
A machine shop operator injured his hand while using a drill press. If the injured hand is
to be splinted, the EMS Provider should splint it: - CORRECT ANSWER: In the position
of function
A man has received on his chest, abdomen and his entire left arm during a house fire.
What percentage of the body surface will the EMS Provider estimate to determine the
severity of the burn? - CORRECT ANSWER: 27%
A patient is found lying supine along a roadside. There are no witnesses to describe
what happened. Which of the following steps should be done FIRST? - CORRECT
ANSWER: Asset for unresponsiveness
A patient is lying unconscious, face down in a swimming pool, with a possible neck
injury. After scene size-up, the EMS provider should: - CORRECT ANSWER: Stabilize
the neck with his/her arms while rolling the patient over and securing a patent airway
A patient m severe pain due to an abdominal injury should be placed in which of the
following positions? - CORRECT ANSWER: In a position of comfort
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