FDNY Emergency Medical Services 2

Question 1

When assessing a patient in anaphylactic shock, which sign indicates the most immediate airway threat?

Accepted Answer

Stridor and hoarseness

Answer

Stridor and hoarseness indicate laryngeal edema, signaling imminent airway obstruction that requires immediate epinephrine and airway management.

Question 2

An FDNY EMS unit arrives at a scene where a patient was struck by lightning. The FIRST action after ensuring scene safety is to:

Accepted Answer

Begin CPR if the patient is pulseless

Answer

Lightning strike victims carry no residual electrical charge, so immediate CPR should be initiated if the patient is in cardiac arrest.

Question 3

A patient presents with pinpoint pupils, decreased respiratory rate of 6 breaths/min, and unresponsiveness. The MOST appropriate initial intervention is:

Accepted Answer

Administer naloxone intranasally or IM

Answer

The classic opioid toxidrome — pinpoint pupils, respiratory depression, and altered consciousness — requires naloxone to reverse the overdose.

Question 4

During a multiple-casualty incident, a patient is found apneic. After repositioning the airway, the patient remains apneic. Under START triage, this patient is categorized as:

Accepted Answer

Expectant/Deceased (Black)

Answer

Under START triage, a patient who remains apneic after one airway repositioning attempt is tagged Black (expectant/deceased) to prioritize resources for salvageable victims.

Question 5

Which of the following best describes pulseless electrical activity (PEA)?

Accepted Answer

Organized ECG rhythm with no palpable pulse

Answer

PEA is defined as an organized cardiac rhythm on the monitor in the absence of a palpable pulse, requiring CPR and treatment of reversible causes.

(FDNY) Fire Department New York Practice Test

(FDNY) Fire Department New York Practice Test

FDNY Emergency Medical Services 2