NREMT Practice Test 200 Questions With Answers, Exams of Medicine

Download NREMT Practice Test 200 Questions With Answers and more Exams Medicine in PDF only on Docsity! NREMT Practice Test 200 Questions With Answers Patient with chest injuries often present with: - Correct Answer tachypnea Most common symptom associated with cardiac related chest pain - Correct Answer jaw pain - After a traumatic head injury, patient had a loss of consciousness. She then returns consciousness but then loses consciousness again. This is a _____ bleed. - Correct Answer Subdural As the epidural bleeding increases, so does the - Correct Answer intercerebral pressure The most reliable type of evidence-based medical research. - Correct Answer Randomized controlled trials Examples of Maintaining competency as an EMT - Correct Answer renewing your BLS cert. Public Health Activities - Correct Answer installing car seat "stop the bleed" programs 1. When approaching a helicopter with its main rotor turning you should: - Correct Answer - You should follow the instructions of the crew. - You should not approach from the tail, rotor, uphill side, or walk upright. When you arrive on the scene of a potential MCI, you first: - Correct Answer establish command 1. When triaging during an explosion at an outside concert you should: - Correct Answer - look for secondary devices that are meant to target emergency responders. - When triaging you do not have time to preserve evidence, apply pressure dressings, or ventilate patients. Woman was shot in chest. Complains of pain and difficulty breathing. Skin is pale and diaphoretic. You should: - Correct Answer - You should always avoid cutting thru bullet holes in shirt. - Don't need c-spine at this time bc it's a penetrating trauma. - She is showing signs of shock and respiratory distress so assessing vitals would delay transport, you can do that en route. - Placing removed clothing in a plastic bag would degrade evidence. 704 Diamond RED: - Correct Answer Flammability 704 Diamond BLUE: - Correct Answer Health 704 Diamond YELLOW: - Correct Answer Instability 704 Diamond WHITE: - Correct Answer Special; OX, SA, W We dont want toxins to reach the: - Correct Answer small bowel Drooling is a sign that: - Correct Answer throat is too swollen for swallowing Preserving evidence is best placed in: - Correct Answer a brown bag What age group has the highest amount of child abuse? - Correct Answer 1-7 years Who is the abuser typically to the child? - Correct Answer the parent What would typically interput a rapid secondary assessment? - Correct Answer - an aimmediate life threat issue i.e. Airway - such as a sucking chest wound - not rlly jvd What would benefit a full thickness burn victim? - Correct Answer - O2 via mask - covering with a dry sterile sheet and transporting If an apneic choking victim does not breathe after abdominal thrusts you should then : - Correct Answer begin compressions and look into mouth before ventilating This finding is common in pregnants patients with labored breathing - Correct Answer increased use of accessory muscles How can you improve communications with a patient hard of hearing? - Correct Answer write down questions on a piece of paper and allow him to reply "persuccing" the abdomen means - Correct Answer tapping to check for air or fluid in the abdomen Has RUQ pain after eating fatty or greasy food (pizza). Which organ should you suspect? - Correct Answer gall bladder FIRST treatment to initiate on a patient with a decreased LOC: - Correct Answer place in recovery position to protect airway while you continue to determine the cause of unresponsiveness. Someone in shock has a ______ pulse that is thready and difficult to palpate - Correct Answer weak A patient is sitting upright in a pool of blood. She is awake and alert with a deep wound to her stomach. What is the best position if you suspect evisceration? - Correct Answer supine with knees flexed to take pressure off `abdomen muscles Adult patient has an advanced airway in what is the ventilatory rate - Correct Answer 1 breath ever 6 seconds Or 10 times per minute Patient ate peanuts and if having severe difficulty breathing with stridor and wheezing what is the most important intervention? - Correct Answer epinepherine since it is severe A carotid pulse indicates a BP of at least: - Correct Answer 60 An absent femoral pulse indicate a BP of less than: - Correct Answer 70 Patient has a weak carotid pulse and an absent femoral and radial pulse. What organ(s) are still being profused? - Correct Answer heart During an asthma attack, ______ spasms occur - Correct Answer bronchiole spasm, making it hard for air to get in and especially out. - patient may or may not have a cough Want to use _______ for newborn CPR - Correct Answer hand encircling Want to use ______ for infant CPR - Correct Answer 2 finger Newborn HR less than 60 after 30 secs of BVM - Correct Answer CPR Compression to ventilation rate for newbons - Correct Answer 3:1 Normal temp for newborns/infants/adults - Correct Answer 97-99 F 36.5-37 celsius Skin during beginning of shock would be: - Correct Answer pale and clammy Skin after fainting bc of heat would be: - Correct Answer sweaty Biggest concern when applying a splint: - Correct Answer impairing circulation What is the most common mechanism of injury for a cervical spine injury? - Correct Answer a blow to the head - causing depressed skull fracture When on the radio with the hospital, after they've acknowledged their presence and given permission to begin the report, the next sentence should be: - Correct Answer - who is trnasporting (unit and ID number) and why Then age, sex, and chief complaint Ventilations: - Correct Answer increase intrathoracic pressure which decreases preload During a suspected heart attack what can you leave on ambulance? - nasal cannulas - nonrebreather mask - AED - stretcher - Correct Answer leave AED Best solution for having a "lack of knowledge": - Correct Answer attend continuing education sessions If patient just had a significant head injury and is uneasy on his feet the bst way to get him to ambulance is to: - Correct Answer place cervical collar on and transfer on long board During extrication there is a lot of noise. You should: - Correct Answer cover patient with heavy blanket - do not interfere with extrication process At a very noisy acident sene, you cannot auscultate a BP on patient. To assure you have an adequate BP you can: - Correct Answer evaluate the most distal pulse (pedal) - when time permits, a palpated BP will also give a more accurate measure Being ignored when giving a verbal report to hospital staff is a problem bc: - Correct Answer it may expose the patient to unnecessary test Potentially of being "spit on" you should: - Correct Answer have everyone apply face protection and continue patient treatment. Best way to show care for a family who just lost a loved one: - Correct Answer tell family you'll stay with them as long as you can if they have questions Visiting home of patient during WINTER months who does not have a sufficient income you suspect: - Correct Answer hypothermia How to evaluate vital signs of an infant in the dark: - Correct Answer place hanf on chest to feel for chest movement When inspecting your unit at the beginning of a shift what piece of equipment should be checked right away? - Correct Answer oxygen delivery system Best way to guarantee good ventilations during CPR when someone sucks? - Correct Answer offer to tske over ventilations Patients with spine injury may present with: - Correct Answer paralysis Patients with isolated closed head injuries typically have: - Correct Answer - elevated BP - unequal reactive pupils - slow HR Most appropriate way to deal with handgun when found: - Correct Answer - grip handgun by the side grips or handles - never mess with trigger - never push aside - never leave it Partner has no adequate chest rise during ventilations you should: - Correct Answer ensure a tight seal of mask Old lady is rubbing chest but doesnt have pain - suddenly tired, weak, fatigue Suspect: - Correct Answer heart attack Any major changes in health that have to do with extreme fatigue and weakness should be investigated for: - Correct Answer a cardiac event Stridor in children indicates swelling in the upper airway, NOT _______ - Correct Answer not in bronchi - so inhaler wouldnt really benefit How to handle family members who are scared: - Correct Answer - reassure and say youre going to help wife - or youre going to take good care of wife Temp of 104 degrees F: - Correct Answer heat stroke - cannot cool themself Temp for heat exhaustion: - Correct Answer usually normal Skin of heat stroke: - Correct Answer hot and dry Skin of heat exhaustion - Correct Answer sweaty Fully explaining situation to parents or patient and asking for permission: - Correct Answer informed consent This consent is usually done by signing stuff: - Correct Answer expressed consent Best way to access car if its locked and patient is unconscious: - Correct Answer beak window and unlock door Nitro side effects: - Correct Answer - flushed skin on head/neck PTSD reaction: - Correct Answer becoming distracted at the scene of crash involving the same kind of a car a kid died in Blood got onto the ambulance stretcher. Because the stretcher was not properly cleaned afterward, a virus was transmitted to another emergency medical technician (EMT) several days later. Which route of transmission does this scenario describe? - Correct Answer indirect contact Best suction for infants and children - Correct Answer tonsil-tip (rigid) Best suction tip for adults - Correct Answer smooth tip Best suction tip for stomas - Correct Answer smooth tip Absent lung breath sounds are a significant finding in chest trauma and may indicate development of a: - Correct Answer tension pneumothorax The transfer of heat from one object to another - Correct Answer conduction This position is most comfortable for patients xperiencing respiratory distress: - Correct Answer sitting upright "high fowlers" This position is good for unconscious patients who need to keep their airway clear and opened - Correct Answer reocery position - wont choke on vomit First step before administering meds: - Correct Answer make sure its theirs (6 rights) What form of medication is charcoal - Correct Answer suspension How much blood can a woman lose during pregnancy? - Correct Answer 500 ml What part of OPQRST will help determine the TYPE of pain - Correct Answer quality - encourages patient to describe what pain feels like Umbilical cord delivers first: - Correct Answer elevate mom's pevlis/hips to release pressure Generic name for ventolin - Correct Answer albuterol Generic name for glutose - Correct Answer oral glucose Generic name for alupent - Correct Answer metaproterenol Generic name for nitrostat - Correct Answer nitroglycerin Snakebite is considered a: - Correct Answer injested toxin EMT can administer ______ at their own discretion: - Correct Answer oral glucose EMT needs permission from medical director to administer: - Correct Answer - epipen - inhaler - nitro Most important info for history of poisoning? - Correct Answer type of poison Vomit and humulin would indicate what as the cause of altered mental status? - Correct Answer diabetes When a delivery occurs before the fetus can survive outside the womb: - Correct Answer miscarriage - abdominal cramps, heavy bleeding What is an appropriate temp to immerse the extremity of a patient with a localized cold injury? - Correct Answer 103 degrees farenheit Sudden onset of chest pain that is brought on by physical activity can be: - Correct Answer angina PPE fordelivery: - Correct Answer gown Gloves Mask Eye protection You encounter a man who is exhibiting abnormal behavior that needs to be taken to the hospital but refuses what do u do - Correct Answer proceed according to local regulations What indicates altered tidal volume? - Correct Answer breathing too shallow or deeply What is a late sign of hypothermia? - Correct Answer sluggish pupils Normal tidal volume for an average adult is: - Correct Answer 500 ml Best suction for infants: - Correct Answer bulb syringe or soft catheter