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Quizzes > Quizzes for Business > Healthcare

EMT Final Exam Quiz Challenge

Test Your Emergency Medical Skills Today

Difficulty: Moderate
Questions: 20
Learning OutcomesStudy Material
Colorful paper art depicting elements related to an EMT Final Exam Quiz.

Ready to ace your EMT final exam? This interactive EMT Final Exam Quiz offers a real-test experience with 15 multiple-choice questions that cover patient assessment, trauma care, and emergency interventions. Ideal for paramedic students and first responders looking to boost confidence before certification. You can also refine your skills with the EMT Midterm Practice Quiz or brush up fundamentals via the EMT Basic Knowledge Quiz. All questions are fully editable - start tweaking in our quizzes editor now.

What is the first priority in the primary survey following the ABCs of patient assessment?
Airway assessment and management
Disability (neurologic) assessment
Breathing assessment
Circulation assessment
Airway assessment is the first step in the primary survey because an open airway is essential for oxygenation. Without a patent airway, other interventions are ineffective.
Which maneuver is used to open the airway of an unconscious patient without suspected spinal injury?
Head tilt - chin lift
Jaw-thrust maneuver
Sniffing position
Tongue-jaw lift
The head tilt - chin lift moves the tongue away from the posterior pharynx to open the airway if there is no spinal injury. The jaw-thrust is reserved for suspected spinal injury.
What is the recommended compression depth for adult cardiopulmonary resuscitation (CPR)?
4.0 inches (10 cm)
3.0 inches (7.5 cm)
2.0 - 2.4 inches (5 - 6 cm)
1.0 - 1.5 inches (2.5 - 4 cm)
Current guidelines recommend compressing an adult's chest at least 2.0 inches but not more than 2.4 inches to ensure adequate perfusion without causing injury. Shallower or deeper compressions reduce effectiveness or increase risk.
In a patient with suspected cervical spine injury, what device should be applied first to immobilize the neck?
Rigid cervical collar
Kendrick extrication device
Vacuum mattress
Backboard
A rigid cervical collar is the first device applied to limit motion of the cervical spine. Other immobilization tools are added afterward to secure the entire spine properly.
What is the standard adult dose of aspirin for a patient with chest pain suspected of myocardial infarction?
500 mg enteric-coated
50 mg tablet
162 - 324 mg chewable
81 mg chewable
Prehospital guidelines recommend 162 - 324 mg of chewable aspirin to inhibit platelet aggregation in suspected myocardial infarction. Lower or higher doses are not supported in this emergency context.
A patient presents with a Glasgow Coma Scale score of 7. Which airway management is indicated?
Nasal cannula oxygen
Endotracheal intubation
Oropharyngeal airway only
Simple face mask
A GCS of 7 indicates a decreased level of consciousness with high risk of airway compromise and necessitates definitive airway protection via intubation. Less invasive devices are insufficient for an obtunded patient.
How should you size an oropharyngeal airway (OPA) in an adult?
Measure from the chin to the nose
Measure from the corner of the mouth to the angle of the earlobe
Measure from the mastoid to the jawline
Measure from the tip of the nose to the earlobe
Sizing an OPA from the corner of the mouth to the angle of the earlobe ensures it is long enough to keep the tongue off the posterior pharynx. Other measurements do not reliably prevent airway obstruction.
What is the compression-to-ventilation ratio for two-rescuer adult CPR?
15:2
15:1
30:1
30:2
Guidelines specify a 30:2 compression-to-ventilation ratio in two-rescuer adult CPR. This ratio balances chest compressions with ventilations to maximize perfusion and oxygenation.
Which immediate intervention is indicated for a patient showing signs of tension pneumothorax?
Chest tube insertion only
Continuous positive airway pressure
High-flow oxygen alone
Needle decompression
Needle decompression rapidly relieves intrathoracic pressure in tension pneumothorax and is performed before chest tube placement. Oxygen alone does not reverse life-threatening mediastinal shift.
A 70 kg hypoglycemic patient requires D50W at 0.5 g/kg. How many milliliters of D50W are given?
100 mL
140 mL
70 mL
35 mL
The total dextrose needed is 0.5 g/kg × 70 kg = 35 g. Since D50W contains 0.5 g/mL, you divide 35 g by 0.5 g/mL to get 70 mL. Other volumes are incorrect.
Which finding in the NEXUS criteria prevents clearance of the cervical spine?
Midline cervical tenderness
No distracting injury
Normal mental status
Age under 65
Midline cervical tenderness is one of the NEXUS criteria that indicates a possible spine injury requiring immobilization. The absence of other risk factors alone does not clear the spine without this check.
In a limb hemorrhage that is life-threatening and unresponsive to direct pressure, what is the next best step?
Apply a tourniquet proximal to the bleed
Use continuous gel-pack cooling
Apply a pressure dressing over the wound
Elevate the limb above the heart
If direct pressure fails to control severe limb bleeding, a tourniquet should be applied proximal to the injury. Elevation or cooling won't stop arterial bleeding.
Which cardiac arrest rhythm should be treated with immediate unsynchronized defibrillation?
Ventricular fibrillation
Pulseless electrical activity
Asystole
Sinus tachycardia
Ventricular fibrillation is a shockable rhythm requiring immediate unsynchronized defibrillation. Asystole and PEA are non-shockable and require CPR and medications.
What is the first-line medication for anaphylaxis in the prehospital setting?
Inhaled albuterol
Intravenous methylprednisolone
Intravenous diphenhydramine
Intramuscular epinephrine
Intramuscular epinephrine is the first-line treatment for anaphylaxis due to its rapid action on alpha and beta receptors. Antihistamines and steroids are adjuncts and not initial therapy.
During a mass-casualty incident, which triage category is designated by a yellow tag?
Immediate
Expectant
Delayed
Minimal
A yellow tag indicates delayed transport for serious but not immediately life-threatening injuries. Red is immediate, green is minimal, and black is expectant.
Which medication is most commonly used as the induction agent during rapid sequence intubation in the field?
Succinylcholine
Ketamine
Midazolam
Etomidate
Etomidate provides rapid onset sedation with minimal hemodynamic effects, making it the preferred induction agent in many field RSI protocols. Succinylcholine is a paralytic, not an induction sedative.
After three unsuccessful defibrillation attempts for ventricular fibrillation, which drug should be administered next?
Lidocaine
Atropine
Epinephrine
Amiodarone
Epinephrine is given after three defibrillation attempts to improve coronary and cerebral perfusion pressure. Antiarrhythmics like amiodarone follow subsequent shocks.
A patient rescued from a prolonged crush injury is at highest risk for which complication upon reperfusion?
Hypoglycemia
Hyperkalemia
Metabolic alkalosis
Hypocalcemia
Reperfusion of crushed muscle releases intracellular potassium, leading to hyperkalemia. Hypoglycemia, hypocalcemia, and alkalosis are not the primary concerns in crush syndrome.
A 60 kg patient requires a dopamine infusion at 5 mcg/kg/min. Drug concentration is 400 mg in 250 mL D5W. What infusion rate in mL/hr is correct?
11 mL/hr
56 mL/hr
45 mL/hr
75 mL/hr
The dose is 300 mcg/min (5 mcg/kg×60 kg). This equals 0.3 mg/min. With 1.6 mg/mL concentration, the rate is 0.3 mg/min÷1.6 mg/mL=0.1875 mL/min or 11.25 mL/hr, rounded to 11 mL/hr.
A patient in pulseless electrical activity (PEA) arrest requires what immediate action?
Deliver unsynchronized shock
Begin CPR and administer epinephrine
Give atropine
Administer amiodarone
PEA is a non-shockable rhythm managed with high-quality CPR and epinephrine to restore perfusion. Defibrillation and antiarrhythmics like amiodarone are not indicated first.
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Learning Outcomes

  1. Analyse patient assessment findings to prioritise care.
  2. Apply airway management techniques in emergency scenarios.
  3. Demonstrate cardiac life support protocols under pressure.
  4. Evaluate trauma care procedures for varied injury types.
  5. Identify pharmacological interventions and dosage calculations.
  6. Master rapid decision-making skills in high-stress situations.

Cheat Sheet

  1. Master the ABCDEs of Trauma Assessment - Studying the ABCDE approach is like learning a superhero sequence to tackle life-threatening injuries in order. By checking Airway, Breathing, Circulation, Disability, and Exposure, you'll identify the biggest threats in seconds. This structured method helps you keep calm and save lives like a pro. Advanced Trauma Life Support
  2. Perfect the Jaw-Thrust Maneuver - The jaw-thrust is your go-to trick when neck injuries are on the line: it opens the airway without bending the cervical spine. Practicing this technique helps you keep dangerous movement to a minimum and prevents the tongue from shutting down the breath party. Nail this skill to maintain an open airway with confidence. Jaw-Thrust Maneuver
  3. Utilize Oropharyngeal Airways Effectively - Oropharyngeal airways are the friendly doormen that stop the tongue from blocking the airway in unconscious patients. Choosing the right size and inserting it correctly can prevent gagging and ensure smooth airflow. With some practice, you'll place these devices like a boss. Oropharyngeal Airway
  4. Implement Bag-Valve-Mask Ventilation - Bag-valve-mask ventilation is like giving high-five breaths: you squeeze in 500 - 600 mL of air per adult breath to keep lungs happy. Perfect your mask seal and squeeze rhythm to avoid leaks, obstructions, or overinflation. Great BVM skills can be a game changer in emergencies. Bag-Valve Mask Ventilation
  5. Recognize Signs of Airway Obstruction - Spotting airway trouble early is key, so watch for cyanosis, weird breath sounds, and changes in consciousness - your clues that something's blocking airflow. Act fast to clear the path by positioning, suction, or maneuvers before things get ugly. Being Sherlock Holmes of the airway can save a life. Identifying Airway Compromise
  6. Apply Rapid Sequence Intubation (RSI) - RSI is like the express lane for intubation: give a sedative and a paralytic, then slide in the tube smoothly. Prep for every twist - have backup gear, suction, and rescue devices at the ready to beat complications. Speed and precision are the name of the game here. Rapid Sequence Intubation
  7. Assess Difficult Airways with LEMON - The LEMON mnemonic helps you predict tough airways like a pro: Look externally, Evaluate 3-3-2, Mallampati score, Obstruction, Neck mobility. Run through each step in your head to avoid surprises when it's time to intubate. This handy checklist turns stress into strategy. LEMON Airway Assessment
  8. Understand Pediatric Airway Differences - Kids aren't just small adults: their airways sit higher and are narrower, so you need different positions and gear sizes. Master the sniffing position for youngsters and select tubes like Goldilocks - just right. Pediatric airway know-how keeps little patients safe and sound. Pediatric Airway Management
  9. Manage Airway in Trauma Patients - When trauma strikes, stabilizing the cervical spine and clearing the airway are top priorities before you even think of intubation. Combine manual in-line stabilization with suction and protective gear to prevent secondary injuries. Being methodical here turns chaos into control. Trauma Airway Strategies
  10. Stay Proficient with Airway Devices - Regular practice on mannequins and simulations for supraglottic devices, endotracheal tubes, and more keeps your skills razor-sharp. Familiarity breeds speed; speed saves lives when every second counts. Challenge yourself to try new tools and review old favorites often. Airway Management Tools
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