How is the correct size of an oropharyngeal airway estimated for an adult?

From the incisors to the angle of the jaw

From the nostril to the earlobe

From the chin to the sternal notch

An adult remains in VF after three shocks. IV access is in place. Which drugs should now be given?

Adrenaline 1 mg and amiodarone 300 mg

Atropine 3 mg and adrenaline 1 mg

A 25-year-old with a stab wound to the abdomen has a weak radial pulse, no head injury and BP 82/50 mmHg. What fluid strategy is recommended?

Small boluses to keep a radial pulse

Rapid 2 litres of warmed crystalloid

No IV access until arrival at hospital

Fluids to a systolic BP of 140 mmHg

A worker has a partial leg amputation with spurting arterial bleeding that does not stop with firm direct pressure. What should be done first?

Apply a tourniquet above the wound

Assess the airway before anything else

Start IV fluids through two cannulas

A 30-year-old has been having a generalised tonic-clonic seizure for 6 minutes. Glucose is normal. What is the first-line treatment?

A benzodiazepine such as midazolam

During a home birth, the head delivers but the shoulders do not follow with the next contraction and the head retracts against the perineum. What are the first manoeuvres?

McRoberts position and suprapubic pressure

Push the head back into the vagina

Free · 15 questions with answers · every GCC exam

Paramedic / EMT Prometric exam questions with answers

15 original practice questions written to the Paramedic / EMT exam blueprint, each with the answer and why the other options are wrong. Below them: the Paramedic / EMT exam's format, pass mark and fee at DHA, DOH, SCFHS, QCHP and every other GCC regulator, from their own published rules.

15
Free questions: 1
GCC regulators: 9
Regulators covered: 12
Questions in the free mock

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Quick answer

The Paramedic / EMT exam is 150 MCQs in 3 hours at QCHP (pass mark 50%). Below are 15 original practice questions written to the official blueprint, each with the answer and why the other options are wrong, plus a free 12-question timed mock.

The Paramedic / EMT exam in every GCC country

QCHP publish an exact Paramedic / EMT exam; the others apply one format to every title. Figures come from each regulator's own exam pages - anything not published says so.

Paramedic / EMT licensing exam in every GCC country
Regulator	Exam	Format	Pass mark	Fee per attempt	Practise
DHA Dubai	DHA licensing exam Regulator-wide format	150 MCQs, 3 hrs	50-70%	Not published	DHA questions →
DOH Abu Dhabi, Al Ain and Al Dhafra	DOH licensing exam Regulator-wide format	Written + oral/OSCE	Pass / fail only	Not published	DOH questions →
MOHAP Northern Emirates - Ajman, Umm Al Quwain, Ras Al Khaimah and Fujairah	MOHAP licensing exam Regulator-wide format	Computer-based	Not published	Not published	MOHAP questions →
SHA Emirate of Sharjah	SHA licensing exam Regulator-wide format	Set at assessment	Not published	Not published	SHA questions →
SCFHS Kingdom of Saudi Arabia	SCFHS licensing exam Regulator-wide format	200 MCQs, 240 min	500-560 of 800	Not published	SCFHS questions →
QCHP State of Qatar	Basic Paramedic	150 MCQs in 3 hours	50%	Not published	QCHP questions →
NHRA Kingdom of Bahrain	NHRA licensing exam Regulator-wide format	Prometric CBT	Not published	Not published	NHRA questions →
OMSB Sultanate of Oman	OMSB licensing exam Regulator-wide format	Computer-based OC exam	Not published	Not published	OMSB questions →
Kuwait MOH State of Kuwait	Kuwait MOH licensing exam Regulator-wide format	150 MCQs, 170 min	60-70%	Not published	Kuwait MOH questions →

exact exam published for Paramedic / EMT

Pass marks, attempts and fees change - confirm yours on the regulator's exam page before you book.

15 Paramedic / EMT exam questions with answers

Choose your answer first, then open the explanation. The set covers the main blueprint domains at a mix of easy, medium and hard.

Question 1Airway Management and Ventilationmedium
How is the correct size of an oropharyngeal airway estimated for an adult?
1. AFrom the nostril to the earlobe
2. BFrom the incisors to the angle of the jaw
3. CFrom the chin to the sternal notch
4. DBy the patient's body weight
Show answer and explanation
Answer: B. From the incisors to the angle of the jaw
An OPA is sized from the incisors (or corner of the mouth) to the angle of the jaw. Measuring from the nostril to the earlobe is the method used to size a nasopharyngeal airway.
Question 2Cardiac Emergencies and Resuscitationhard
An adult in refractory VF has received amiodarone 300 mg after the third shock. If VF persists, when and at what dose should a further amiodarone dose be given?
1. A150 mg after the fifth shock
2. B300 mg after the fourth shock
3. C450 mg after the sixth shock
4. DNo further amiodarone is given
Show answer and explanation
Answer: A. 150 mg after the fifth shock
A further dose of amiodarone 150 mg IV is given after the fifth shock for persistent VF or pulseless VT. Repeating 300 mg is not recommended and increases the risk of hypotension after return of circulation.
Question 3Cardiac Emergencies and Resuscitationmedium
An adult remains in VF after three shocks. IV access is in place. Which drugs should now be given?
1. AAdrenaline 1 mg and amiodarone 300 mg
2. BAtropine 3 mg and adrenaline 1 mg
3. CAmiodarone 150 mg only
4. DAdrenaline 0.5 mg IM
Show answer and explanation
Answer: A. Adrenaline 1 mg and amiodarone 300 mg
After the third shock in a shockable rhythm, adrenaline 1 mg IV and amiodarone 300 mg IV are given. Atropine is not used in cardiac arrest, and IM adrenaline is for anaphylaxis, not arrest.
Question 4EMS Operations, Scene Safety and Major Incidentsmedium
In a mass casualty incident using START triage, an adult is not breathing. After the airway is repositioned, he still does not breathe. What category is assigned?
1. AImmediate (red category)
2. BDelayed (yellow category)
3. CMinor (green category)
4. DDeceased/expectant (black)
Show answer and explanation
Answer: D. Deceased/expectant (black)
In START, a casualty who does not breathe after airway repositioning is tagged deceased or expectant so that resources go to salvageable patients. If breathing resumes after repositioning, the casualty becomes immediate.
Question 5Obstetric, Paediatric and Special Populationseasy
Two healthcare providers are resuscitating a 5-year-old in cardiac arrest. What compression-to-ventilation ratio should they use?
1. A15:2
2. B30:2
3. C5:1
4. D3:1
Show answer and explanation
Answer: A. 15:2
Healthcare providers use 15:2 for infants and children. A 30:2 ratio is used for adults and for lay rescuers, and 3:1 is used in newborn resuscitation.
Question 6Ethics, Communication, Infection Control and Legal Issuesmedium
A patient with chronic cough, haemoptysis and weight loss needs transport. Pulmonary tuberculosis is suspected. Which respiratory protection should the crew wear?
1. AA surgical mask
2. BAn FFP3 or N95 respirator
3. CA cloth face covering
4. DNo respiratory protection
Show answer and explanation
Answer: B. An FFP3 or N95 respirator
Tuberculosis is airborne, so crews should wear a fit-tested FFP3 or N95 respirator, while the patient wears a surgical mask if tolerated. Surgical masks protect against droplets, not airborne particles.
Question 7Trauma Managementhard
A 25-year-old with a stab wound to the abdomen has a weak radial pulse, no head injury and BP 82/50 mmHg. What fluid strategy is recommended?
1. ASmall boluses to keep a radial pulse
2. BRapid 2 litres of warmed crystalloid
3. CNo IV access until arrival at hospital
4. DFluids to a systolic BP of 140 mmHg
Show answer and explanation
Answer: A. Small boluses to keep a radial pulse
In penetrating torso trauma without head injury, permissive hypotension with small boluses titrated to a radial pulse limits dilutional coagulopathy and clot disruption. Large-volume crystalloid increases bleeding and mortality.
Question 8Trauma Managementeasy
A worker has a partial leg amputation with spurting arterial bleeding that does not stop with firm direct pressure. What should be done first?
1. AElevate the limb and observe
2. BAssess the airway before anything else
3. CStart IV fluids through two cannulas
4. DApply a tourniquet above the wound
Show answer and explanation
Answer: D. Apply a tourniquet above the wound
Catastrophic external haemorrhage is controlled before the airway in the <C>ABC approach, and a tourniquet is applied high and tight above the wound when direct pressure fails. Delaying haemorrhage control for airway assessment risks exsanguination.

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Question 9Medical Emergenciesmedium
A 30-year-old has been having a generalised tonic-clonic seizure for 6 minutes. Glucose is normal. What is the first-line treatment?
1. AIV phenytoin loading dose
2. BIV paracetamol for the fever
3. CIM haloperidol for agitation
4. DA benzodiazepine such as midazolam
Show answer and explanation
Answer: D. A benzodiazepine such as midazolam
A benzodiazepine (for example buccal or IM midazolam, or IV lorazepam or diazepam) is first-line for a seizure lasting 5 minutes or more. Second-line agents such as phenytoin or levetiracetam follow if seizures continue.
Question 10Obstetric, Paediatric and Special Populationsmedium
During a home birth, the head delivers but the shoulders do not follow with the next contraction and the head retracts against the perineum. What are the first manoeuvres?
1. APull firmly on the head
2. BMcRoberts position and suprapubic pressure
3. CApply fundal pressure
4. DPush the head back into the vagina
Show answer and explanation
Answer: B. McRoberts position and suprapubic pressure
McRoberts manoeuvre (hyperflexing the mother's hips) with suprapubic pressure resolves many shoulder dystocias. Fundal pressure and strong traction on the head worsen impaction and increase brachial plexus injury.
Question 11Pharmacology and Drug Calculationsmedium
A man with chest pain took sildenafil 6 hours ago. BP is 132/80 mmHg. What should be done about glyceryl trinitrate?
1. AGive GTN as normal
2. BGive a double dose of GTN
3. CGive GTN only if BP falls
4. DWithhold GTN
Show answer and explanation
Answer: D. Withhold GTN
Nitrates are contraindicated within 24 hours of sildenafil (48 hours for tadalafil) because the combination can cause severe, refractory hypotension. A normal blood pressure does not make the combination safe.
Question 12Pharmacology and Drug Calculationsmedium
1,000 mL of 0.9% sodium chloride is to run over 8 hours using a giving set of 20 drops/mL. What drip rate is needed?
1. AAbout 21 drops/min
2. BAbout 42 drops/min
3. CAbout 63 drops/min
4. DAbout 125 drops/min
Show answer and explanation
Answer: B. About 42 drops/min
Drops per minute = volume x drop factor / time in minutes = 1,000 x 20 / 480 = about 42 drops/min. A rate of 125 is the hourly volume in mL, not the drip rate.
Question 13Trauma Managementmedium
A head-injured patient opens his eyes only to pain, uses inappropriate words and withdraws from a painful stimulus. What is his Glasgow Coma Scale score?
1. A7
2. B8
3. C9
4. D10
Show answer and explanation
Answer: C. 9
Eyes opening to pain scores E2, inappropriate words V3 and withdrawal from pain M4, giving GCS 9. Scoring withdrawal as abnormal flexion (M3) would give 8.
Question 14Trauma Managementmedium
An adult has partial and full-thickness burns covering the entire right arm and the whole front of the trunk. Using the rule of nines, what is the burned body surface area?
1. A18%
2. B27%
3. C36%
4. D45%
Show answer and explanation
Answer: B. 27%
Each arm is 9% and the anterior trunk is 18%, giving 27% TBSA. Simple erythema (superficial burns) is not counted in TBSA estimation.
Question 15Trauma Managementmedium
A patient with suspected pelvic fracture after a crush injury needs a pelvic binder. Where should it be positioned?
1. AOver the iliac crests
2. BAround the lower abdomen
3. COver the greater trochanters
4. DAround the upper thighs
Show answer and explanation
Answer: C. Over the greater trochanters
A pelvic binder should be centred over the greater trochanters to reduce pelvic volume effectively. Placement over the iliac crests is a common error and can widen the fracture.

What the Paramedic / EMT exam covers

The blueprint groups questions into these domains. Weight your revision the same way - the heavier domains carry more of your score.

Airway Management and Ventilation

~15%

Basic airway manoeuvres and adjuncts · Foreign body airway obstruction · Bag-valve-mask ventilation and oxygen delivery

Cardiac Emergencies and Resuscitation

~18%

High-quality CPR · Shockable rhythms · Adrenaline and amiodarone timing in cardiac arrest

Trauma Management

~18%

Primary survey with catastrophic haemorrhage control (<C>ABCDE) · Tourniquets, haemostatic dressings and pelvic binders · Chest trauma

Medical Emergencies

~15%

Anaphylaxis recognition and IM adrenaline · Hypoglycaemia and diabetic emergencies · Seizures and status epilepticus

Obstetric, Paediatric and Special Populations

~10%

Normal birth and newborn life support · Obstetric emergencies · Paediatric assessment and weight estimation

Pharmacology and Drug Calculations

~10%

Weight-based dose and volume calculations · Infusion and drip rate calculations · Nitrates, antiplatelets and contraindications

EMS Operations, Scene Safety and Major Incidents

~8%

Scene size-up and dynamic risk assessment · Triage systems · Hazardous materials and CBRN approach

Ethics, Communication, Infection Control and Legal Issues

~6%

Consent, capacity and refusal of care · Confidentiality and documentation · Infection prevention

How to answer these questions

Questions test applied practice: what you would do with this patient, this result or this image - not textbook definitions.

Safety items (radiation, infection control, patient identification, equipment checks) are high-yield and quick to revise.

Under time pressure, flag and move on: every question carries the same mark.

Aim to score comfortably above your regulator's pass mark - 10 to 15 points of margin - on timed, full-length practice before you book.

Paramedic / EMT exam questions: FAQs

How many questions are in the Paramedic / EMT Prometric exam?

It depends on the regulator: QCHP 150 MCQs in 3 hours. The full table above lists every GCC regulator.

What is the pass mark for the Paramedic / EMT exam?

QCHP: 50%. Pass marks are set exam by exam, so use your own regulator's figure.

Are these real exam questions?

No. Regulators do not release their papers, and anything sold as a leaked paper is unofficial and risky to rely on. These are original questions written to the official exam blueprint, at the level and in the style of the real exam, each with a worked explanation.

Is the Paramedic / EMT exam the same in every GCC country?

The clinical content is broadly similar because the exams test the same safe practice, but the format, length, pass mark, attempts and fees differ by regulator. Prepare on the content once, then check your regulator's exact rules before you book.

How should I use these questions?

Answer each one before opening the explanation, and note why each wrong option is wrong. Then take the free 12-question timed mock to see your score against the pass mark, and move to full-length papers when you score comfortably above it.

Last reviewed September 2026. Questions are original and written to the published exam blueprint; they are not taken from any real paper.

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