NYS EMT-B State Exam
Written 2024 Update
40-yr old female has difficulty breathing. You determine she has an open airway
nad an altered mental status. Her respirations are 8 and shallow. The MOST
important step for the EMS provider to take is to
a) ask family members of the patients if there's a history of COPD
b) assist patient's respiratory efforts w/ high conc oxygen using a BVM
c) watch patient carefully and obtain vital signs
d) assess the use of accessory muscles while breathing - ✔✔✔ANSWER-b) assist
patient's respiratory efforts w/ high conc oxygen using a BVM
45. A 62-yr old male is complaining of breathing difficulty and left arm pain
radiating to the right jaw. Vital signs BP 90/60, P= 120, R=24. The patient should
be administed: - ✔✔✔ANSWER-A. high-conc oxygen and should be placed in a
position of comfort for ease of breathing
5 Stages of Grief: - ✔✔✔ANSWER-1. Denial
,2. Anger
3. Bargaining
4. Depression
5. Acceptance
A 21 yr old male is found sitting in an automobile in a parking lot. He has an
altered mental status and a history of diabetes. Your attempt to question him yields
little info, as his responses are inappropriate for the questions. Your treatment for
this patient include:
a. Suctioning patients airway
b. Full immobilization of patients head neck and spine
c. Administration of a glucose solution by mouth
d. Open airway with OPA - ✔✔✔ANSWER-C. Administration of a glucose
solution by mouth
- AMS//likely hypoglycemia
A 25-yr old woman is in active labor. The umbilical cord is presenting through the
vagina. You would:
a. Gently pull on cord
b. Massage uterus
c. Replace cord in vagina
d. Place mom supine with hips elevated, administer O2 and transport -
✔✔✔ANSWER-D. place the mother in a supine position with hips elevated,
administer oxygen, and transport
A 28-yr 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, taken no medications, and may have ingested heroin half an
,hour prior to the EMS Provider's arrival. After opening the patient's airway, the
EMS provider should: - ✔✔✔ANSWER-insert an airway adjunct and ventilate w/
100% oxygen using a BVM
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
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
d- congestive heart failure - ✔✔✔ANSWER-A. angina pectoris
A characteristics of arterial bleeding is that it - ✔✔✔ANSWER-flows from the
wound in distinct spurts
A child drank some unknown fluid. You arrive at the scene and note the following
signs: Child's mouth and lips are burned, child is coughing and gagging. What
should you do?
a) administer syrup of ipecac
, b) administer activated charcoal and induce vomiting
c) call the medical or poison control center for advice
d) administer syrup of ipepac and activated charcoal - ✔✔✔ANSWER-c- call the
medical or poison control center for advice
- wouldn't use ipecac bc of corrosiveness-burned lips
A closed bone or joint injury is BEST defined as an injury - ✔✔✔ANSWER-In
which there is no break in the continuity of the skin
A correct statement about diastolic blood pressure is that it is the pressure
a. Exists when heart left ventricle is refilling
b. Due to the contraction of the ventricles of the heart
c. Caused by contraction of the atria of heart
d. Caused by relaxation of the walls of the major arteries - ✔✔✔ANSWER-d.
Caused by relaxation of the walls of the major arteries
A correct statement about skeletal muscles is that they - ✔✔✔ANSWER-relax
quickly and are voluntary
A diabetic emergency with a rapid onset is due to: - ✔✔✔ANSWER-too much
insulin (causes very low blood sugar)
HYPOGLYCEMIA
____
CAUSES
- takes too much insulin
Written 2024 Update
40-yr old female has difficulty breathing. You determine she has an open airway
nad an altered mental status. Her respirations are 8 and shallow. The MOST
important step for the EMS provider to take is to
a) ask family members of the patients if there's a history of COPD
b) assist patient's respiratory efforts w/ high conc oxygen using a BVM
c) watch patient carefully and obtain vital signs
d) assess the use of accessory muscles while breathing - ✔✔✔ANSWER-b) assist
patient's respiratory efforts w/ high conc oxygen using a BVM
45. A 62-yr old male is complaining of breathing difficulty and left arm pain
radiating to the right jaw. Vital signs BP 90/60, P= 120, R=24. The patient should
be administed: - ✔✔✔ANSWER-A. high-conc oxygen and should be placed in a
position of comfort for ease of breathing
5 Stages of Grief: - ✔✔✔ANSWER-1. Denial
,2. Anger
3. Bargaining
4. Depression
5. Acceptance
A 21 yr old male is found sitting in an automobile in a parking lot. He has an
altered mental status and a history of diabetes. Your attempt to question him yields
little info, as his responses are inappropriate for the questions. Your treatment for
this patient include:
a. Suctioning patients airway
b. Full immobilization of patients head neck and spine
c. Administration of a glucose solution by mouth
d. Open airway with OPA - ✔✔✔ANSWER-C. Administration of a glucose
solution by mouth
- AMS//likely hypoglycemia
A 25-yr old woman is in active labor. The umbilical cord is presenting through the
vagina. You would:
a. Gently pull on cord
b. Massage uterus
c. Replace cord in vagina
d. Place mom supine with hips elevated, administer O2 and transport -
✔✔✔ANSWER-D. place the mother in a supine position with hips elevated,
administer oxygen, and transport
A 28-yr 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, taken no medications, and may have ingested heroin half an
,hour prior to the EMS Provider's arrival. After opening the patient's airway, the
EMS provider should: - ✔✔✔ANSWER-insert an airway adjunct and ventilate w/
100% oxygen using a BVM
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
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
d- congestive heart failure - ✔✔✔ANSWER-A. angina pectoris
A characteristics of arterial bleeding is that it - ✔✔✔ANSWER-flows from the
wound in distinct spurts
A child drank some unknown fluid. You arrive at the scene and note the following
signs: Child's mouth and lips are burned, child is coughing and gagging. What
should you do?
a) administer syrup of ipecac
, b) administer activated charcoal and induce vomiting
c) call the medical or poison control center for advice
d) administer syrup of ipepac and activated charcoal - ✔✔✔ANSWER-c- call the
medical or poison control center for advice
- wouldn't use ipecac bc of corrosiveness-burned lips
A closed bone or joint injury is BEST defined as an injury - ✔✔✔ANSWER-In
which there is no break in the continuity of the skin
A correct statement about diastolic blood pressure is that it is the pressure
a. Exists when heart left ventricle is refilling
b. Due to the contraction of the ventricles of the heart
c. Caused by contraction of the atria of heart
d. Caused by relaxation of the walls of the major arteries - ✔✔✔ANSWER-d.
Caused by relaxation of the walls of the major arteries
A correct statement about skeletal muscles is that they - ✔✔✔ANSWER-relax
quickly and are voluntary
A diabetic emergency with a rapid onset is due to: - ✔✔✔ANSWER-too much
insulin (causes very low blood sugar)
HYPOGLYCEMIA
____
CAUSES
- takes too much insulin
