NREMT missed questions

While eating dinner, your partner suddenly grabs his throat and has a panicked look on his face. He is unable to speak, has a faint inspiratory stridor and cyanosis around the lips. You should:

administer abdominal thrusts rationale: cough only for partial obstructions, back slaps are only for infants

You respond to a preschool facility for an ill child. Upon arrival, you find an unresponsive 8-month-old. The infant has a palpable pulse of 50 beats per minute. Your next action should be to:

begin chest compression rationale: CAB sequence for unresponsive patients

An elderly patient reportedly collapsed on a golf course almost 10 minutes ago. You assess her level of consciousness and determine she is unresponsive. Which of the following should you do first:

check pulse and determine CPR rationale: CAB sequence

You are treating a 35-year-old man who was stung by a bee. He is allergic to bees and has a prescribed epinephrine auto-injector. His breath sounds are clear and non-labored. His BP is 130/82. How should you manage this patient?

deliver oxygen and transport rationale: HE HAS CLEAR BREATH SOUNDS, NO SIGNS OF RESP DISTRESS, trick questions like these he does not need an epi at all

Your patient is unresponsive following blunt trauma to the head. Which of the following is the EMT's first priority for an unresponsive patient?

determine if CPR is needed rationale: this is an unresponsive patient, the sequence is CAB io to determine if CPR is needed

Which of the following statements regarding febrile seizures is correct?

do not cause permanent damage rationale: are just cause of quick spike in body temperature

Stimulation of the sympathetic nervous system causes:

increased cardiac output rationale: sympathetic system stimulation causes vasoconstriction and decrease of blood to digestive tract, inc respirations, inc cardiac output

Which of the following is true regarding the Emergency Response Guide (ERG):

it provides safe evacuation distance from certain hazardous materials

You are treating a patient with respiratory distress. He has a history of multiple myocardial infarctions. Lung sounds indicate pulmonary edema. You note the patient does NOT have any JVD or pedal edema. The patient is most likely experiencing:

left sided heart failure (Left, Lungs)

The hypoxic respiratory drive works by monitoring:

oxygen levels rationale: the backup system to CO2 drive, if it fails it begins to monitor oxygen levels instead of carbon dioxide levels

Coordinating efforts through a unified command system at a mass casualty incident will likely:

reduce duplication effort and freelancing it does require practice

A 19-year-old female is found unconscious in her apartment living room. While surveying the apartment, your partner yells from the patient's bedroom "she has an SVN machine in here". This suggests the patient has a history of:

respiratory problems rationale: small volume nebulizer (respiratory=nebulizer)

You are caring for a trauma patient with a closed head injury. The patient is responsive to painful stimuli. The BP is 160/100, pulse is 60 beats/min and respirations are 8 per minute. You should:

stabilize life threatening conditions and limit on scene time to 10 minutes and transport immediately rationale s/sx of increasing intracranial pressure needs imm. transport

Acute hypoglycemia typically causes:

sudden loss of consciousness rationale: it is a quick drop in blood glucose

When a pulse oximeter is available, how should oxygen be administered to a patient experiencing chest pain?

to maintain pulse ox of 94% rationale: it is no longer allowed to give high flow oxygen to patients who do not need it

Your 5-year-old patient is unresponsive. A carotid pulse is present at 40 beats per minute. Breaths are shallow at six per minute. You should immediately:

begin chest compressions rationale: BPM below 60 for pediatrics/children compressions must begin

Which of the following is true during inhalation of a spontaneously breathing patient?

drop is pressure in thorax cavity rationale: pressure drops, diaphragm and intercostal muscles contract, air is PULLED in not pushed, pressure drops (think opp, during inhaltion with increase in air there is decrease in thoracic cavity)

Inadequate oxygen delivery to the body's tissues is called:

hypoxia rationale: hypoperfusion or shock in inadequate tissue perfusion

A patient with an isolated concussion injury will likely:

improve over time rationale: concussions don't cause permanent damage, only temporary loss of consciousness and memory

You are ventilating a patient with a stoma. You note air is escaping from the mouth and nose with each breath. You should:

manually seal nose and mouth

Epinephrine stimulates which of the following physiological effects?

tachycardia rationale: stimulates sympathetic system

Your patient has been exposed to a chemical that over-stimulates the parasympathetic nervous system. You would expect this patient to exhibit:

vomiting rationale: the parasympathetic system control digestion, overstimulation can cause vomiting.

Your pediatric patient has spontaneous respirations. This means the patient is breathing:

without assistance