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Pass EMT Test & EMT Reliable Study Questions
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NREMT Emergency Medical Technicians Exam Sample Questions (Q22-Q27):
NEW QUESTION # 22
A 12-year-old male suffered helmet-to-helmet contact while playing football. A bystander states, "He passed out for several seconds, then walked off the field under his own power." He is now unresponsive, and his vital signs are BP 180/110, P 90, and R 6. You should suspect
- A. Epidural hematoma
- B. Subarachnoid hemorrhage
- C. Subdural hemorrhage
- D. Intracerebral hematoma
Answer: A
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
Anepidural hematomaclassically presents with a"lucid interval"- a brief period of regained consciousness following head trauma, followed by rapid deterioration. This is due to arterial bleeding, often from themiddle meningeal artery, leading to increasing intracranial pressure.
Signs include:
* High blood pressure
* Decreasing respiratory rate
* Altered LOC or unresponsiveness
Subdural hemorrhages are slower venous bleeds, common in elderly patients. Subarachnoid hemorrhage often presents with "worst headache of life." Intracerebral bleeds are less commonly linked to lucid intervals.
References:
NREMT Trauma Module - Head Injuries
AAOS Emergency Care Textbook (11th ed.), Chapter: Head and Spine Trauma Emergency Neurological Life Support (ENLS) Guidelines - Traumatic Brain Injury
NEW QUESTION # 23
A choking patient becomes unresponsive. What should the EMT perform next? Select the two correct options.
- A. Position the patient in recovery and administer back blows
- B. Check for a pulse
- C. Do not ventilate until the foreign body is removed
- D. Open the airway and look in the mouth
- E. Begin chest compressions
Answer: B,E
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
If achoking patient becomes unresponsive, EMTs should:
* Check for a pulse
* Begin chest compressionsif no pulse is foundChest compressions can helpdislodge the object. After compressions, the airway should be opened and inspected. Back blows are not appropriate for unconscious patients.
Ventilation is attempted after clearing the airway or if no object is seen.Do not withhold compressions waiting for object removal.
References:
AHA BLS Provider Manual (2020) - Foreign Body Airway Obstruction Algorithm NREMT Airway Skills Sheet - Obstructed Airway National EMS Education Standards - Respiratory and Airway Management
NEW QUESTION # 24
An infectious disease spread by the fecal-oral route that is considered an acute infection with a currently available vaccine is
- A. Hepatitis C
- B. Hepatitis A
- C. Hepatitis E
- D. Hepatitis B
Answer: B
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
Hepatitis Ais transmitted primarily via thefecal-oral route, often through contaminated food or water. It leads to anacuteliver infection, not a chronic condition. Unlike Hepatitis C, which has no vaccine, Hepatitis A has an effective vaccineand is preventable with proper hygiene and immunization.
Hepatitis Bis spread through blood and sexual contact, not fecal-oral.Hepatitis Eis also fecal-oral but is rare in the U.S. and doesn't have a widely used vaccine.
References:
CDC Hepatitis A Fact Sheet (2023)
NREMT Infectious Disease Control Guidelines
AAOS "Emergency Care and Transportation of the Sick and Injured" (11th ed.), Chapter: Infectious and Communicable Diseases
NEW QUESTION # 25
A mountain climber tells you that he came down from a hike because he was coughing up blood. You should suspect
- A. Pulmonary edema
- B. Neoplasm
- C. Pulmonary embolism
- D. Spontaneous pneumothorax
Answer: C
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
Hemoptysis (coughing up blood)in a physically active person, such as a mountain climber, strongly suggests apulmonary embolism (PE), particularly due to:
* Dehydration
* Prolonged exertion or immobility
* High altitude increasing clot risk
Symptoms may include:
* Shortness of breath
* Chest pain
* Tachypnea
* Hemoptysis
Pulmonary edemagenerally causes pink frothy sputum and is more associated with heart failure.Neoplasm (lung cancer)is possible but much less acute in onset.Spontaneous pneumothoraxcauses dyspnea and pleuritic chest pain but not typically hemoptysis.
References:
NREMT Medical Assessment - Pulmonary and Hematologic Emergencies
AAOS EMT Textbook - Chapter: Respiratory Emergencies
CDC Guidelines - High-Risk Conditions for Pulmonary Embolism
NEW QUESTION # 26
What are possible complications of using continuous positive airway pressure (CPAP)? Select the two correct options.
- A. Pulmonary edema
- B. Bronchospasms
- C. Hypotension
- D. Myocardial infarction
- E. Feeling of suffocation
Answer: C,E
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
CPAPworks by delivering continuous positive pressure to keep alveoli open and improve oxygenation.
However, complications include:
* Hypotension: Due to reduced venous return and cardiac preload
* Feeling of suffocation: Common psychological reaction to a tight-fitting mask and forced airflow It isused to treat, not cause, pulmonary edema. It doesnot induce bronchospasmor myocardial infarction.
References:
NREMT Airway & Ventilation Guidelines
National EMS Education Standards - Noninvasive Positive Pressure Ventilation AAOS EMT Textbook (11th ed.), CPAP and Respiratory Distress Management
NEW QUESTION # 27
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