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Intermediate ~15 min

Intermediate-Level EMT (AEMT)

This 30-question multiple-choice quiz assesses intermediate-level competency in emergency medical care, covering patient assessment, airway management, pharmacology, IV therapy, cardiology, trauma, medical emergencies, and EMS operations. Questions align with standard AEMT scope of practice and current guidelines (e.g., NREMT, AHA as of 2026).

Progress: 0/30

Intermediate � ~15 min

Q1. Your ability to function as an AEMT, even with state certification, is ultimately governed locally by:

Select one answer � 1 pt

The state health department The EMS agency's chief officer The EMS system's medical director The county health department

Q2. Which scenario involves only BLS skills (not ALS)?

Select one answer � 1 pt

Performing CPR with manual defibrillation Administering a medication and oxygen Starting an IV and administering oxygen Using an AED and providing rescue breathing

Q3. Which of the following would NOT cause metabolic acidosis?

Select one answer � 1 pt

Tissue hypoperfusion Excessive ketone production Overdose of antacids Anaerobic metabolism

Q4. Continuous quality improvement (CQI) in EMS includes all EXCEPT:

Select one answer � 1 pt

Discussions for improvement Periodic run report reviews Remedial training as needed Public negative feedback for errors

Q5. The specific way a drug produces its effects on the body is known as its:

Select one answer � 1 pt

Pharmacology Mechanism of action Classification Indication

Q6. A head-injured patient opens eyes to pain (2), makes incomprehensible sounds (2), and withdraws from pain (4). Their GCS score is:

Select one answer � 1 pt

9 10 8 7

Q7. Performing CPR, AED defibrillation, and inserting a supraglottic airway before contacting medical control is an example of:

Select one answer � 1 pt

Indirect medical control Standing orders Online medical control Prospective control

Q8. The preferred initial site for intraosseous (IO) access in an adult is the:

Select one answer � 1 pt

Proximal tibia Sternum Proximal humerus Distal tibia

Q9. For symptomatic hypoglycemia with IV access, the preferred treatment is:

Select one answer � 1 pt

D50 IV Oral glucose D25 IV Glucagon IM

Q10. In anaphylaxis, an AEMT's primary medication is:

Select one answer � 1 pt

Albuterol nebulizer Epinephrine 1:1,000 IM Diphenhydramine IV Solu-Medrol IV

Q11. ST-segment elevation in leads II, III, and aVF suggests:

Select one answer � 1 pt

Lateral wall MI Anterior wall MI Posterior wall MI Inferior wall MI

Q12. The maximum oxygen flow rate for a non-rebreather mask is typically:

Select one answer � 1 pt

6-8 L/min 8-10 L/min 15-20 L/min 12-15 L/min

Q13. All are classic signs of tension pneumothorax EXCEPT:

Select one answer � 1 pt

Tracheal deviation away from affected side Hypotension and distended neck veins Absent breath sounds on one side Symmetrical chest rise

Q14. Current recommended site for needle chest decompression is:

Select one answer � 1 pt

2nd intercostal space, midclavicular line 2nd intercostal space, midaxillary line 5th intercostal space, midclavicular line 4th-5th intercostal space, midaxillary line

Q15. Initial adult dose of naloxone for suspected opioid overdose is typically:

Select one answer � 1 pt

0.4-2 mg IV/IM/IN 4-10 mg IV 0.1 mg IV 2-4 mg IN only

Q16. For a severe asthma exacerbation, an AEMT may administer:

Select one answer � 1 pt

Magnesium sulfate IV Albuterol by nebulizer CPAP only Epinephrine SQ

Q17. A King LT airway is classified as a:

Select one answer � 1 pt

Nasopharyngeal airway Oropharyngeal airway Supraglottic airway device Endotracheal tube

Q18. A key contraindication for nitroglycerin administration is:

Select one answer � 1 pt

Suspected inferior MI Systolic BP <100 mmHg All of the above Recent use of erectile dysfunction medications

Q19. Normal end-tidal CO2 (EtCO2) reading is:

Select one answer � 1 pt

35-45 mmHg 20-30 mmHg 30-35 mmHg 45-55 mmHg

Q20. Compensated hypovolemic shock typically presents with:

Select one answer � 1 pt

Normal vital signs Tachycardia and peripheral vasoconstriction Bradycardia and vasodilation Hypotension and tachypnea only

Q21. Using the Rule of Nines, the anterior trunk accounts for:

Select one answer � 1 pt

9% 18% 27% 36%

Q22. Preferred IO insertion site in pediatric patients is the:

Select one answer � 1 pt

Distal femur Proximal humerus Sternum Proximal tibia

Q23. Cushing's triad includes:

Select one answer � 1 pt

Hypotension, bradycardia, apnea Hypertension, bradycardia, irregular breathing Normal BP, tachycardia, tachypnea Hypertension, tachycardia, irregular breathing

Q24. Adult dose of epinephrine in cardiac arrest is:

Select one answer � 1 pt

0.3 mg IM 1 mg 1:10,000 IV every 3-5 minutes 2 mg IV push 0.01 mg/kg IV

Q25. For suspected acute coronary syndrome, an AEMT can administer or assist with:

Select one answer � 1 pt

Aspirin and nitroglycerin Morphine IV Aspirin only Nitroglycerin only

Q26. Typical fluid bolus for hypovolemic shock in adults is:

Select one answer � 1 pt

1 L wide open 20 mL/kg crystalloid 500 mL 250 mL

Q27. Upon arriving at any emergency scene, the FIRST priority is:

Select one answer � 1 pt

Scene safety Donning PPE Patient assessment Calling for ALS backup

Q28. A patient with BP 70/40 mmHg and poor perfusion should be treated as:

Select one answer � 1 pt

Hypovolemic shock Cardiogenic shock Could be multiple types; assess further Neurogenic shock only

Q29. The primary survey follows which sequence?

Select one answer � 1 pt

Circulation, airway, breathing Disability, exposure, circulation Scene safety, ABCs Airway, breathing, circulation

Q30. Ethical principles in EMS require all EXCEPT:

Select one answer � 1 pt

Patient advocacy Prioritizing personal safety over patient care Confidentiality Non-maleficence

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