NREMT Final Exam:
Medical/Obstetrics/Gynecology
A 1-month-vintage male has bilateral circumferential superficial burns from his mid-calf to his
feet. He is crying and inconsolable. His mother tells you she positioned him in the tub after
which by accident filled the tub with hot water. You ought to suspect:
A. Unintentional trauma.
B. Lifestyles-threatening accidents.
C. Limb-threatening accidents.
D. Non-unintentional trauma. - ANS-D. Non-accidental trauma.
A 10-month-old woman has a two-inch soft bulge beneath the skin of her belly button. Her father
tells you that the bulge seemed after she become coughing. She does not cry whilst you palpate
her stomach. You need to suspect a(n):
A. Tumor.
B. Diaphragmatic rupture.
C. Hernia.
D. Ascites. - ANS-C. Hernia.
A 10-month-old male is crying after he turned into stung via a bee. The pores and skin across
the website is reddened, and there may be localized swelling. His lungs are clean to
auscultation, and he is interacting with you accurately. His essential symptoms are P a hundred
and twenty, R 28, BP 90/fifty eight, and SpO2 is ninety eight% on room air. You must:
A. Administer oxygen.
B. Assist his ventilation.
C. Administer a pediatric epinephrine autoinjector.
D. Display him and delivery. - ANS-D. Display him and delivery.
A sixteen-year-antique female complains of pelvic ache and vaginal bleeding. She tells you that
she become raped. She is keeping a sanitary pad in opposition to her outside genitalia, and you
examine bright crimson blood walking down her leg. You must:
A. Observe her outside genitalia.
B. Supply her some other pad to apply over the first.
C. Rubdown her fundus.
D. % her vagina with a sterile dressing. - ANS-A. Observe her outside genitalia.
A sixteen-year-vintage male tells you he is allergic to bees and that he turned into stung. Five
mins in the past, he used his epinephrine autoinjector and felt higher, but now he's having
increasing issue breathing. You pay attention audible stridor and wheezes. You ought to first:
A. Administer a 2d dose of epinephrine.
B. Examine his oxygen saturation level.
C. Discover and get rid of the stinger.
,D. Touch his parent to obtain consent to deal with him. - ANS-A. Administer a 2d dose of
epinephrine.
A 19-12 months-old lady who is in her 0.33 trimester complains of blurred imaginative and
prescient and a headache. She tells you the baby is transferring, and he or she denies
contractions. Her vital signs are P eighty four, R 16, BP 152/ninety four, and SpO2 is ninety
seven% on room air. You should:
A. Take a look at for crowning.
B. Notify the hospital of a likely stroke.
C. Shipping her on her left facet.
D. Administer aspirin. - ANS-C. Transport her on her left facet.
A 21-yr-old female complains of extreme nausea and vomiting. She tells you she is six weeks
pregnant, and she has been vomiting four instances an afternoon. Her conjunctivae are faded
and dry. Her vital signs are P 110, R 18, BP 104/86, and SpO2 is 93% on room air. Her blood
glucose level is 72 mg/dL. You should administer oxygen and:
A. Give her small sips of water.
B. Function her to alleviate pressure on her inferior vena cava.
C. Oral glucose.
D. Treat for surprise. - ANS-D. Deal with for surprise.
A 21-year-old female has a sudden onset of left decrease abdominal quadrant pain and vaginal
bleeding. She denies the possibility that she can be pregnant. She tells you the pain
commenced after she had a spicy meal. Her important signs and symptoms are P 116, R 18, BP
ninety four/70, and SpO2 is ninety three% on room air. You must suspect:
A. Placenta previa.
B. An ectopic pregnancy.
C. Abruptio placentae.
D. A ruptured uterus. - ANS-B. An ectopic pregnancy.
A 21-12 months-antique male complains of stomach ache. His abdomen is tender to palpation,
and the pain is the greatest in his left upper stomach quadrant. He tells you his stool has been
maroon in colour for the past days. His important symptoms are P 104, R sixteen, BP one
hundred ten/88, and SpO2 is 94% on room air. You should suspect:
A. Peritonitis.
B. Decrease GI bleeding.
C. Top GI bleeding.
D. Renal calculi. - ANS-C. Higher GI bleeding.
A 23-year-vintage woman complains of shortness of breath. She has a history of lupus. You
examine a rash across each cheeks and the bridge of her nostril. Her lungs are clean to
auscultation. Her important signs are P 88, R 20, BP 126/76, and SpO2 is
95% on room air. You need to:
A. Administer oxygen.
B. Shipping her in a position of consolation.
C. Follow cold packs to her rash.
D. Don an N-ninety five masks. - ANS-A. Administer oxygen.
A 23-yr-antique girl just introduced a complete-time period male toddler. You have to first:
A. Clamp the wire 8 inches from his stomach.
, B. Dry and stimulate him.
C. Suction his mouth.
D. Suction his nose. - ANS-B. Dry and stimulate him.
A 24-yr-vintage male has a unmarried episode of tonic/clonic seizure hobby. He is awake whilst
you arrive and is blind to what happened. He tells you he ran out of his seizure medicinal drug.
His essential signs and symptoms are P seventy two, R 16, BP 138/sixty eight, and SpO2 is
95% on room air. You have to:
A. Administer oxygen.
B. Shipping him in the recovery function.
C. Administer oral glucose.
D. Monitor his vital signs and shipping. - ANS-D. Screen his essential signs and delivery.
A 25-12 months-antique lady tells you her water broke. When you have a look at her, you
examine a greenish liquid and the neonate's head crowning. Immediately after the delivery, the
male neonate is crying, has cyanotic arms and feet, and is transferring all extremities. You need
to:
A. Suction his left nostril.
B. Suction his mouth.
C. Suction his right nostril.
D. Dry and stimulate him. - ANS-D. Dry and stimulate him.
A 26-yr-old male complains of problem respiratory. He tells you he is homeless, and he doesn't
have his medicines with him. You auscultate moderate wheezes in his decrease lungs. His
crucial signs are P ninety two, R 18, BP a hundred and forty four/88, and SpO2 is ninety four%
on room air. You ought to:
A. Question him approximately why he does not have his medication.
B. Administer oxygen.
C. Transport him for assessment.
D. Assist his ventilation. - ANS-B. Administer oxygen.
A 26-year-vintage male turned into performing weird and violent towards you and your
companion. While regulation enforcement officers assisted you in restraining him, you word he
is suddenly strong. His skin is hot and diaphoretic. During delivery, he all at once calms down
and forestalls thrashing against his restraints. You must without delay:
A. Examine his blood glucose stage.
B. Reevaluate his ABCs.
C. Examine his critical symptoms.
D. Readjust his restraints. - ANS-B. Reevaluate his ABCs.
A 29-yr-vintage male complains of intense left-sided flank ache. He tells you that the pain so
intense that he cannot sit down still to drive his car. His essential symptoms are P 94, R sixteen,
BP 132/sixty eight, and SpO2 is 97% on room air. You need to:
A. Practice cold packs to his left flank.
B. Apply warm packs to his left flank.
C. Transport him.
D. Administer aspirin. - ANS-C. Delivery him.
