1. Medical direction has advised you to place a patient who is obese and extremely short of breath in a supine position. Knowing that doing so may cause the patient to become even more short of breath, your best action would be to:

2. You are conducting a verbal interview with a patient who is not very forthcoming with information. If you fail to continue to try to motivate the patient to talk, what would be the most undesirable outcome?

3. You are treating an 82-year-old female who is having trouble hearing some of your questions. Which technique would be most helpful in obtaining her medical history?

4. Your partner accidentally uses a profane word when talking to dispatch. Which agency has the power to fine him and the ambulance service?

5. A patient who was complaining of a headache is being transported to the hospital. After you provide a report to the emergency department, the patient begins to unexpectedly seize. The seizure lasts for 1-2 minutes and then stops, but now you notice the patient's eyes have become unequal in size. You are still 5 minutes from the hospital. After providing care for the seizure, your next action should be to:

6. You have arrived at the scene of a medical emergency. As you enter the room where the patient is located, you note that he is sitting up and talking without difficulty. Emergency Medical Responders (EMRs) are on scene and providing basic care for the patient. What should you do first?

7. You are treating a 2-year-old girl who fell off her bike. She is scared, continues to cry, and will not answer any of your questions. What would be a good strategy to help find out where the girl hurts?

8. A patient denies difficulty breathing, but displays signs of respiratory distress. You state, 'I know that you said you are breathing fine, but you cannot speak more than two to three words at a time without gasping for air.' Your response is an example of:

9. While reviewing patient care reports as part of a quality assurance program, which trip time documented by an EMT would indicate that the EMT needs refresher education regarding proper military time utilization?

10. When using your portable radio, you must push the 'press to talk' button and wait one second before speaking. This is essential to effective communication because your EMS system uses:

11. You pull up to the scene of a one-car motor vehicle collision and find an off-duty emergency department physician from a local hospital treating the patient. What is the best way to initially communicate with the doctor?

12. What is the primary reason why emergency services communications (phone or radio) are recorded?

13. A 42-year-old female complains of shortness of breath. Which question would best assist you in getting additional information about the patient's chief complaint?

14. What should be an expected reason why a portable radio suddenly fails to operate normally while on the scene of an emergency?

15. An advantage to asking the patient close-ended questions is that this practice offers a(n):

16. Which statement is most appropriate to relay after establishing radio contact with the destination emergency department to which you are transporting a patient?

17. As your ninth emergency call during a 12-hour shift, you are summoned to a dance club at 0215 hours for a 'drunk person.' While on scene, your partner stands with arms crossed, looking down at the floor, and shaking her head negatively as you try to gather the SAMPLE history. Her nonverbal behavior may be interpreted by the patient or bystanders as:

18. Your ambulance was dispatched for a patient complaining of shortness of breath at 1512. You arrived on scene at 1523 and left at 1538. You arrived at the hospital with the patient at 1557 and were back in service at 1622. Given this information, which is true?

19. Throughout a radio transmission to the dispatch center, the EMT periodically uses the term 'break.' You should recognize this to mean she is:

20. While you are returning from lunch, a frantic woman flags you down and states that she just found a young child on the roadside who appears to have been hit by a car. She is not sure if the child is breathing. You should immediately:

21. Which important piece of information has been omitted from the following report: 'Salem Community Hospital, we are en route with a 61-year-old male complaining of generalized weakness. He states that he was cutting the grass when he suddenly became hot and weak, forcing him to sit down. He has a history of diabetes and prostate cancer, but takes no medications. Right now he is alert and oriented and has the following vital signs: pulse 96, respirations 18, and blood pressure 156/82 mmHg, and room-air pulse ox was 92%. We have placed him on 2 liters of oxygen by nasal cannula and are transporting in semi-Fowler position. He states that the weakness is starting to resolve. Do you have questions or orders?'

22. During which situation is it typically NOT necessary for the EMT to contact dispatch first with a request or question?

23. You have arrived by the side of an 82-year-old male complaining of generalized weakness. After you introduce yourself, the patient states, 'My name is Edward Burns, but everyone calls me Eddy.' What would be your most appropriate response back to him?

24. Which phrase best illustrates the EMT using the summary technique of therapeutic communication with a patient experiencing depression?

25. As you drive the ambulance with lights and sirens activated to the hospital, the paramedic asks you to notify the receiving hospital since he is busy caring for the patient, who is critical. The paramedic tells you to specifically let the emergency department know that the patient's blood sugar is 15 mg/dL (very low). There is no history of diabetes. How should you state this information to the hospital?