NREMT: Medical/Obstetrics/Gynecology
Actual Exam | Questions with Verified
Solutions| A grade
A 76-year-old male complains of vomiting and diarrhea. He tells you he has not been able to
keep down food or water for two days. His conjunctivae are pale and dry. He has a history of
hypertension. His vital signs are P 80, R 18, BP 108/92, and SpO2 is 92% on room air. You
should: - ✔✔administer oxygen
Which of the following will irritate the peritoneum the quickest? - ✔✔ruptured appendix
A drowsy 36-year-old female took 20 amitriptyline 150 mg tablets 15 minutes ago. When you
ask why she took the tablets, she states, "My husband is cheating on me, and I want to die."
She tells you she feels better now and just wants to take a nap. You should: -
✔✔immediately transport her
A 36-year-old female is 39 weeks pregnant with her second pregnancy. She tells you that she
started to have contractions and bleeding 15 minutes ago. You observe a large pool of dark red
blood on the floor. Her skin is pale and diaphoretic. Your priority while transporting her should
be to: - ✔✔keep her warm and administer oxygen
A febrile 32-year-old female complains of right-sided pelvic pain. She tells you she feels bloated
and has heaviness in her abdomen. Her vital signs are P 78, R 18, BP 122/ 68, and SpO2 is 96%
on room air. You should: - ✔✔transport her in a position of comfort
Why can a 4-year-old female who is in sickle cell crisis experience chest pain? - ✔✔her
pulmonary microcirculation is occluded
A 24-year-old male has a single episode of tonic/clonic seizure activity. He is awake when you
arrive and is unaware of what happened. He tells you he ran out of his seizure medication. His
vital signs are P 72, R 16, BP 138/68, and SpO2 is 95% on room air. You should: - ✔✔monitor
vitals and transport
,A 54-year-old male complains of pain in his right flank. He tells you the pain is so severe he feels
like he is going to vomit. He tells you he was sitting in a chair watching TV when it started. You
should suspect: - ✔✔renal calculi
A 19-year-old female who is in her third trimester complains of blurred vision and a headache.
She tells you the baby is moving, and she denies contractions. Her vital signs are P 84, R 16, BP
152/94, and SpO2 is 97% on room air. You should: - ✔✔transport her on her left side
A 48-year-old female has fatigue and shortness of breath. She has a history of sickle cell anemia
and tells you she is in crisis. Her lungs are clear to auscultation. Her vital signs are P 98, R 20, BP
148/84, and SpO2 is 93% on room air. You should suspect: - ✔✔sickle cell crisis
A 78-year-old male is having difficulty breathing. He has a history of dementia and COPD. His
daughter tells you his breathing gets worse when he walks up the steps. He tells you that he is
fine and doesn't want to go to the hospital. He is dyspneic and unable to identify his daughter.
You should: - ✔✔administer oxygen and transport him
A 70-year-old female complains of lower abdominal pain. She tells you she has frequently been
urinating, and that it burns when she urinates. She denies any other complaints. You should
suspect: - ✔✔UTI
A 25-year-old female tells you her water broke. When you examine her, you observe a greenish
liquid and the neonate's head crowning. Immediately after the delivery, the male neonate is
crying, has cyanotic hands and feet, and is moving all extremities. You should: - ✔✔suction
his mouth
An unresponsive 27-year-old female vomited after she ingested a bottle of aspirin. Her skin is
diaphoretic and hot. Her vital signs are P 114, R 24 and deep, BP 82/60, and SpO2 is 95% on
room air. Which of the following will provide the most accurate, up-to-date information on how
to manage her condition? - ✔✔Contact poison control
, A 41-year-old female complains of shortness of breath and fatigue. She tells you she has a
history of Hodgkin's lymphoma and asthma. Her lungs are clear to auscultation. Her vital signs
are P 88, R 18, BP 132/82, and SpO2 is 93% on room air. You should: - ✔✔administer oxygen
An unresponsive 18-year-old female is obviously in her third trimester of pregnancy. Bystanders
called when they saw her collapse and begin to have a seizure. She is no longer seizing, but she
is postictal. Her face, hands, ankles, and feet appear swollen. Her abdomen is relaxed and soft
to palpation. Her vital signs are P 98, R 16, BP 168/104, and SpO2 is 93% on room air. You
should: - ✔✔administer oxygen
A confused 30-year-old male has flushed dry skin and fever. His girlfriend tells you he took 500
mg of diphenhydramine to help him sleep. His pupils are dilated and non-reactive. His vital
signs are P 118, R 20, BP 182/78, and SpO2 is 95% on room air. His blood glucose level is 73
mg/dL. You should: - ✔✔transport him
A 40-year-old female is 38 weeks pregnant with her fourth pregnancy. She complains of severe
abdominal pain and has dark red vaginal bleeding. Her skin is pale and diaphoretic. Her vital
signs are P 112, R 18, BP 88/58, and SpO2 is 93% on room air. After you administer oxygen, you
should next: - ✔✔keep her warm
Why would the fontanel of an 8-month-old female who has meningitis bulge? - ✔✔ICP has
increased
A febrile 17-year-old female complains of a headache and sensitivity to light. You observe a
petechial rash on her exposed legs. You should first: - ✔✔don a mask and gloves
A 55-year-old female who was bitten by a snake five hours ago complains of a sudden onset of
generalized weakness. She tells you the snake was not poisonous, and it had bands of color on
its body. Her vision is blurry, and her pupils are four millimeters and reactive. Her vital signs are
P 116, R 24, BP 92/64, and SpO2 is 92% on room air. What type of snake should you suspect bit
her? - ✔✔coral snake