NREMT Questions Flashcards
You are treating a 5 year old female who was hit by a car and thrown 15 feet. She is conscious and has no obvious injuries. Which of the following suspected injuries should you initially manage? A. Thoracic Injury B. Cervical Injury C. Head Injury D. Pelvic Injury
A. Thoracic Injury
You have achieved ROSC in a 6 year old male. You should next A. assess his breathing B. Remove the AED C. Attached a pulse oximeter D. Transport him
Return of Spontaneous circulation
A. assess his breathing
WHich of the following findings are most likely to be caused by overdone of a beta blocker medication? A. Tachycardia and hypotension B. Tachycardia and Hypertension C. Bradycardia and hypotension D. Bradycardia and Hypertension
C. Bradycardia and Hypotension
Which of the following is part of the quality improvement process in an EMS system?
A PResenting an overview of your EMS system to the public
B. Physicians reviewing run reports of an ems service
C. Identifying a public information officer for the ems service
D. Participating in EMS research
B. Physicians reviewing run reports of an EMS service
A lethargic 2 month old male is cyanotic with tachycardia and rapid respirations. You should suspect? A. Acute coronary Syndrome B. Congenital Heart Defect C. Pulmonary artery Disease D. Coronary Artery disease
D. Congenital Heart Defect
A 22 year old male was involved in a car crash. His right hand was amputated. You should first? A. Place him on a long backboard B. Find his hand C. Control Bleeding D. Apply cervical collar.
Control Bleeding
A postictal patient has vomited and your initial attempts to clear the airway were unsuccessful. Before attempting to ventilate you ?
A. place the patient prone and perform a finger sweep
B. insert a NPA and suction until all the vomitus is removed
C. Place the patient supine and insert an OPA
D. Logroll the patient and clear the Oropharynx.
D. Logroll the patient and clear the Oropharynx
A 60 Year old male complains of respiratory distress that has been worsening for the past 2 days. When he coughs, you observe pink tinged sputum. He vitals are BP 210/128, P 108 R 24 A. Wheezes B. Crackles C. Clear lung sounds D. Stridor.
B. Crackles
A 48 year old female in a restaurant is coughing forcefully and wheezing. She tells you that she has a piece of carrot lodged in her throat. Your next action should be to.
A. Perform a finger sweep
B. Encourage her to continue coughing
C. Perform subdiaphragmatic abdominal Thrusts
D. ask her if she has an epinephrine autoinjector
C. Perform Subdiaphragmatic abdominal thrusts
What is the earliest indicator of hypoperfusion in a patient whose blood pressure is 90/70?
A Capillary refill of less than 2 seconds
B Pulse oximetry reading of less than 95%
C Confusion or agitation
D. Heart rate greater than 160
D. Heart Rate greater than 160
A 5 Year old female is unresponsive and her skin is hot, flushed and dry. Her parents tell you that she has been drinking an unusually large amounts of water over the past week. She is most A Graves Disease B Diabetic Ketoacidosis C Hyperthermia D Hypoglycemia
B Diabetic Ketoacidosis
A 68 year old male is feeling dizzy. His vitals signs are BP 80/42, P112 and R 20. Your assessment reveals distended neck veins and crackles in both lungs. You should suspect? A. Septic Shock B Cardiogenic shock C. Neurogenic Shock D. Hypovolemic Shock
B. Cardio Shock
a 34 year old presents with shortness of breath after using industrial chemicals. You auscultate clear lung sounds. His skin is flushed. His vitals are P 130, R 32 and his SPO2 is 99% A. remove him from the environment B obtain a sample history C. assist with his metered dose inhaler D. administer oxygen
A. Remove him from the environment
Where should patients be decontaminated at hazardous materials incident? A. Hot Zone B Warm ZOne C Triage Area D Treatment Area
D Treatment Area
A drowsy 5 month old female has nasal flaring, retractions and grunting. Her skin is mottled and cool. You should
A administer oxygen by non rebreather mask
B assist her ventilations with a BVM
C administer blow by oxygen
D. Attach a pulse oximeter
C. assist her ventilations with a bvm
Which of the following is a cause of increased cardiac output? A Increased respiratory Rate B Decreased stroke volume C Increased heart rate D Decreased vascular resistance
C Increased Heart Rate
A localized skin reaction following an insect bite that consists of a small reddened area of swelling and itching at the contact is an? A Arias - Stella Reaction B Allergic reaction C Anabolic Reaction D Anaphylactic Reaction
B Allergic Reaction
The mother of a 3 year old states My son ate a bunch of grandmas pills You should A administer syrup of ipecac B Contact child protective services C Contact poison control D Administer activated charcoal
C Contact Poison Control
Which of the following is a contraindication to nitroglycerin in a patient with cardiac chest pain? A tetrahydrocannabinol B phosphodiesterase inhibitors C hydrocortisone D Acetylsalicylic acid
B Phosphodiesterase inhibitors
Events that occur during the second stage of labor include
A clamping of the cord and delivery of the placenta
B Heavy contractions to complete dilation of the cervix
C Contractions that are 5 minutes apart and irregular
D Complete dilation of the cervix and delivery of a child
D Complete dilation of the cervix and delivery of a child
The role of insulin is to
A allow the movement of glucose into the cell
B divide complex carbohydrates
C break down fatty acids into glucose
D facilitate metabolism of glucose into ATP
A Allow the movement of glucose into the cell
You are interviewing a patient when he becomes violent. You should
A talk to the patient in a calm voice
B find a third person and restrain the patient
C leave the scene and contact law enforcement
D contact dispatch for back up support
A Talk to the patient in a calm voice
At a hazardous chemical spill you should establish the initial treatment area?
A in a low lying area adjacent to the scene
B downwind from the accident scene
C on a hill above the accident scene
D upwind from the accident scene
D. Upwind from the accident scene
According to bystanders a 32 year old male took a handful of pills. He withdraws from painful stimuli, has warm, dry skin and is snoring. You should
A administer oxygen via nasal cannula
B administer oxygen via non rebreather mask
C immediately suction his oropharynx
D insert a nasopharyngeal Airway
C immediately suction his oropharynx
Which of the following mechanisms is used to compensate for shock? A Increased core temperature B Dilation of capillary sphincters C Decreased cardiac output D Constriction of capillary sphincters
D Constriction of capillary sphincters
A 25 Year old male sustained burns to the posterior aspect of his left arm and anterior chest. How much body surface area has been burned? A. 13.5% B 18% C 22.5% D 27%
A 13.5%
A concern in pregnant women who experience blunt trauma is A prolapsed cord B abruptio placentae C breech birth D placenta previa
B Abruptio Placentae
You are assessing a 13 year old male with a possible hand fracture. He tells you that he does not want to go to the hospital in the ambulance. You are unable to contact his parents You should
A transport him to the hospital
B permit his friend to drive him to the emergency department
C splint his hand and direct him to follow up with his physician
D obtain a signed refusal of care
A. Transport him to the hospital
An 86 year old female complains of shortness or breath. She states I have left ventricular hypertrophy. Which of the following should you expect to find? A accessory muscle use B Rales C Arm Drift D Paresthesia to her extremities
A. Accessory Muscle use
A 37 year old male has been exposed to chlorine gas. To minimize injury you should first.
A. administer oxygen via non rebreather mask
B Limit the time of exposure to the gas
C. initiate rapid transport to a facility with hyperbaric chamber
D. Assess his blood oxygen saturation level
B. Limit the time of exposure to the gas
A 18 year old female complains of vaginal bleeding. Her father tells you that she passed out. You should suspect A Menses B hypoglycemia C ectopic Pregnancy D sexually transmitted infection
C Ectopic Pregnancy
What is the proper treatment for an avulsion?
A Flush the wound and apply an occlusive dressing
B Place the flap onto the wound and apply a sterile dressing
C Cut off the flap and cover it with a moist sterile dressing
D Apply a moist sterile dressing and administer oxygen
B. Place the flap onto the wound and apply sterile dressing
A 17 year old male was hit in the chest with a baseball bat. He complains of difficulty breathing. You observe tracheal deviation and JVD. His blood pressure is also dropped. You should suspect? A Cardiac Tamponade B. Flail Chest C Pulmonary Bleb D Tension Pneumothorax
A Cardiac Tamponade
A 21 year old male has been subdued by law enforcement with a conducted electrical weapon. Bystanders tell you that he was having hallucinations and fighting with them. He is disoriented A excited delirium syndrome B an allergic reaction C use of a benzodiazepine D a hypertensive crisis
A. Excited delirium syndrome
Following delivery of a newborn. the placenta remains in the mother You should.
A. place pads inside the vagina to stop the bleeding
B apply gentle traction on the cord to hasten delivery
C massage the uterus to separate the placenta
D transport mother and baby to the hospital
D Transport Mother and baby to the hospital
When treating a 37 year old male who has partial thickness burns to his legs and groin. you should apply A. Burn ointment B occlusive dressing C moist sterile dressings D. dry sterile dressings
D. Dry Sterile Dressings
The AED will shock which of the following rhythms? A Sinus tachy B Asystole C Ventricular Fibrillation D. Pulseless electrical activity
C Ventricular Fibrillation
You have reattempt to ventilate an infant who is not breathing and you still cannot deliver any air. You should next administer?
A up to five abdominal thrusts followed by up to five chest thrusts
B. Chest compressions
C. blind finger sweeps before repositioning the airway
D. up to 10 chest thrusts, then observe the airway for any obstruction
B Chest Compressions
A 30 Year old female who is 15 weeks pregnant complains of vaginal bleeding and sudden cramping pain in her lower left abdominal quadrant. What is the most common cause of these findings. A. abruptio placentae B Spontaneous Abortion C Preeclampsia D Placenta previa
B Spontaneous Abortion
The production of erythrocytes occurs in which body structure? A Bone marrow B Liver C Spleen D Kidney
A Bone Marrow
A 22 year old male presents with injuries to his genitalia after an assault. There are multiple lacerations and contusions on his genitals. Your treatment should include
A avoiding contact with his wounds to preserve evidence
B flushing his wounds with sterile water before applying dressings
C applying a hemostatic agent
D applying dry sterile dressings to his wounds
D. Applying dry sterile dressings to his wounds
A 42 Year old female complains of eye pain. You observe excessive lacrimation and salivation. Which of the following toxidromes should you suspect? A Hallucinogenic B Organophosphate C Sympathomimetic D. Anticholinergic
B Organophosphate
You arrive on the scene to find a family tearfully standing at the bedside of their obviously deceased elderly family member. The patient’s wife produces a DNR order and requests that nothing be done. You should
A. begin CPR until the patient physician can be consulted
B console the family and offer any further assistance that may be required
C contact the primary care physician to inform her of the patient’s death
D transport the patient to the hospital for pronouncement.
B Console the family and offer any further assistance that may be required
A 64 year old male presents with chest pain and shortness of breath. He has a history of diabetes and hypertension. WHich of the following is the most likely cause of his condition? A Hypoglycemia B Cerebral artery occlusion C Dehydration D Coronary artery occlusion
D. Coronary artery occlusion