NREMT xtra pt2

Question 1

At an MCI, the first step after ensuring your safety, is to:

Answer 1

Direct anyone who can walk to go to a specified area

Question 2

You are the first emergency responder to arrive at a motor vehicle crash. You see that the engine compartment of the vehicle is on fire and the hood is down. One patient is still in the back seat. Parking the ambulance over 100 feet upwind and putting on all your protective equipment, you approach the vehicle. What is the most appropriate action to take?

Answer 2

Leave the hood closed and attempt to remove the patient

Question 3

At an incident involving a tractor trailer truck that has smoke coming from the trailer, you notice (through the use of binoculars) a diamond shaped placard that is white with a skull and crossbones on it. The type of placard is:

Answer 3

The DOT placard is diamond shaped and uses symbols to identify high hazards.

Question 4

During a hazmat operation, most EMS activities will occur in the:

Answer 4

cold zone

Question 5

Air moves into the chest because

Answer 5

Pressures in the chest decrease when the chest expands

Question 6

Which of the following condition would likely cause a loss of vascular tone in the body?

Answer 6

The chemical mediators released in an anaphylactic reaction may cause a loss of vascular tone. This is why the patient in anaphylaxis may become hypotensive.

Question 7

The pulmonary artery delivers blood to the

Answer 7

lungs

Question 8

The parasympathetic nervous system has been stimulated. You would expect to see

Answer 8

The parasympathetic nervous systems slows the heart rate. It also constricts the pupils, not dilate them.

Question 9

What is oliguria?

Answer 9

scant urine output

Question 10

What is melena?

Answer 10

Dark, tarry stools

Question 11

What is an aneurysm?

Answer 11

widening of a blood vessel

Question 12

Why would an EMT check a patient’s body temperature in the field?

Answer 12

To look for signs of infection

Question 13

Which of the following things would most likely indicate severity in a trauma patient?

Answer 13

Narrowing pulse pressure

Question 14

You are called to a patient complaining of a wrist fracture. Which of the following statements is correct?

Answer 14

If other injuries are unlikely you may focus only on the wrist.

Question 15

Your alert patient has minimal difficulty breathing and diminished breath sounds in the upper right lung. This condition is most likely:

Answer 15

pneumothorax and not serious

Question 16

You check a patient’s blood glucose and find a reading of 692 mg/dL. You should suspect the patient to:

Answer 16

be dehydrated

Question 17

You are working with a paramedic who has intubated a patient. You are assessing lung sounds and only hear sounds over the right side of the chest. What does this mean and what should you do?

Answer 17

The tube has passed into the right bronchus. You should tell the paramedic.

Question 18

Which three of the following would be included in the care of a prolapsed cord?

Answer 18

High concentration O2
Initiating Rapid transport
Inserting gloved fingers into the vagina

Question 19

evisceration, do:

Answer 19

Apply an occlusive dressing.
Maintain the patient’s body temperature.

Question 20

Select three of the following that may be seen in diabetic ketoacidosis:

Answer 20

Fruity scented breath
Kussmaul’s respirations
Frequent urination

Question 21

Your patient experienced blunt chest trauma. Which of the following would cause you to suspect a thoracic aortic aneurysm? Chose 2 of the following 5.

Answer 21

Deceleration as the mechanism of injury
Blood pressure variation between the two upper extremities

Question 22

Actions of nitroglycerin include which three of the following?

Answer 22

Decreased cardiac workload
Vasodilation
Increased blood flow