EMD Exam Questions With Accurate Answers
2024-2025
The Academy does not categorize aspirin as a blood thinner when considering Key
Question 5 on Protocol 21: "Does s/he have a bleeding disorder or is s/he on blood
thinners?"
A.) True
B.) False - Answer A.) True
Both ECHO- and DELTA-level Determinant Codes are potentially life-threatening, urgent
situations.
A.) True
B.) False - Answer A.) True
ECHO Determinant Codes were created to encourage agencies to dispatch:
A.) The most economical response
B.) All available responders
C.) The absolute closest response of any trained crew
D.) Their most highly trained paramedic - Answer C.) The absolute closest response of
any trained crew
ECHO codes only exist on Chief Complaint Protocols without DELTA codes.
A.) True
B.) False - Answer B.) False
As a general rule, ECHO Codes are included on Chief Complaint Protocols that involve
significant scene safety risks.
A.) True
B.) False - Answer B.) False
You will sometimes have enough information from what the caller answers to, "Okay, tell
me exactly what happened, to immediately begin an ECHO response for the patient.
A.) True
,B.) False - Answer A.) True
Which one of the following complaints would present a situation where, without asking
any further information, could be appropriately placed by an EMD into one of the MPDS
Chief Complaint Protocols?
A.) "He's just laying on the couch looking miserable. I think he's dying. Come quick!
B.) "Something's wrong with my Mom. She needs an ambulance right away."
C.) "My baby just swallowed a marble and it's stuck in her throat. She can't breathe at
all!"
D.) "Since yesterday he has acted real sick and is now worsening". - Response C."My
baby just swallowed a marble and it is lodged in her throat. She can't breathe at all!"
Immediately after initiating an ECHO response you would:
A. Provide appropriate Case Entry Post-Dispatch instructions
B. Provide appropriate Post-Dispatch Instructions from the related Chief Complaint
Protocol.
C.) Continue with the questioning sequence. - Answer A.) Give appropriate Case Entry
Post-Dispatch instructions.
It is obviously a waste of time to continue asking Case Entry Questions and Chief
Complaint Key Questions when a 7-ECHO-1 response has been dispatched and PDI-a
and PDI-f for person on fire has been given.
A.) True
B.) False - Answer B.) False
Case Entry Question 3 for 9-E-1, "Obviously NOT BREATHING and Unconscious
(non-traumatic)," send point ECHO applies only in situations that involve a caller
reporting when a patient is OBVIOUSLY dead from a non-traumatic injury. That is to say,
it does not apply in traumatic-injury situations where the patient is in desperate need of
SPECIALIZED rescue equipment.
C.) non-traumatic MEDICAL arrest situations where caller spontaneously provides
information indicating the patient is not breathing and is also unconscious. - Answer C.)
non-traumatic MEDICAL arrest situations where caller spontaneously provides
information indicating the patient is not breathing and is also unconscious.
An INEFFECTIVE BREATHING situation, when volunteered during Case Entry, always
warrants an ECHO-level response.
A.) True
,B.) False - Answer B.) False
For scenarios where a patient is currently hanging by the neck, and it is not an
OBVIOUS DEATH scenario, you would first call a 9-E-3 response, followed by Case Entry
PDI-a, then:
A.) ask if the pt is changing color and if s/he is still warn to try to determine if the patient
is still alive.
B.) Instruct the caller not to touch or move anything at the scene to avoid destroying
evidence.
C.) Tell the caller, "Cut him down immediately, loosen the noose, then tell me if s/he's
breathing." - Response C.) Instruct the caller, "Cut him down immediately, loosen the
noose, then tell me if s/he's breathing."
A caller states that she has just found her 2-year-old son in their backyard swimming
pool and that he is still submerged. Once a 14-E-2 response is dispatched and Case
Entry PDI-a is provided, the EMD should:
A.) query the caller about the dimensions and depth of the water and their ability to
swim in order to determine if it might be safe to commit the caller into the water.
B.) Instruct the caller to immediately take the child out from the water.
C.) Tell the caller not to get into the water unless safe to do so. -Answer C.) Tell the
caller not to get into the water unless safe to do so.
You have just activated a 9-E-5 response in suffocation case where the patient may still
have something covering her face or in her mouth that obstructs her breathing.
Immediately following Case Entry PDI-a you should instruct the caller: CONTRAST
A) "Remove anything covering the face or in the mouth, then tell me if she's breathing."
B) "Loosen anything around the neck, then tell me if she's breathing."
C.) "Turn her on her side and check to see if there is anything in her mouth then tell me if
she's breathing."
D.) "Cut her down immediately, loosen the noose, then tell me if she's breathing." -
Answer A.) "Remove anything covering the face or in the mouth, then tell me if she's
breathing."
Based on the caller's response to, "Okay, tell me exactly what happened," that her dad's
pants are on fire. Which of the following is the appropriate thing to do?
A.) Continue with the Case Entry interrogation.
B.) Instruct the caller to, "Tell him to stop running, drop to the ground, cover his face,
and roll around. If water is available, douse him with it immediately until the fire is
, completely out."
C.) Initiate a 7-ECHO-1 response.
D.) Have the caller immediately, "Get away and call us from somewhere safe." - Answer
C.) Initiate a 7-ECHO-1 response.
Following an ECHO response, which includes taking all Case Entry and Chief Complaint
Key Questions, as directed, ensures that the relevant information regarding safety
concerns and the correct warnings and/or advisements are always and immediately
delivered to the responders and any possible scene helpers.
A.) True
B.) False - Answer A.) True
If you are using the MPDS cardset and the correct Chief Complaint Protocol for the
ECHO-level case you are processing is Protocol 9: Cardiac or Respiratory Arrest, then:
A.) you would always know it must be coded as 9-ECHO-1 because there is only one
ECHO code in Protocol 9.
B.) you would refer to the list on the Case Entry Additional Information Protocol to assist
you in determining the proper Determinant Code.
C.) you should not start a response until you have completed the Key Questions on
Protocol 9. - Answer B.) you may want to refer to the list on the Case Entry Additional
Information Protocol to aid in choosing the correct Determinant Code.
When you determine at Case Entry that a patient is in full arrest from anaphylactic shock
following a wasp sting and the patient is not breathing, you would code the case as:
A) 2-E-1
B.) 2-E-2
C.) 6-E-1
D.) 6-E-2
E.) 9-E-1 - Answer A) 2-E-1
After dispatching a 7-E-1 (Person On Fire) response, providing Case Entry PDIs and
conducting the Case Entry interrogation you should link to Protocol 7 and ask all of the
applicable Key Questions.
A.) True