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NREMT PRACTICE QUESTIONS AND ANSWERS
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NREMT PRACTICE QUESTIONS AND ANSWERS
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NREMT PRACTICE QUESTIONS AND ANSWERSYour patient a 52 year old male complaining of dull, achy chest pains. He is alert and
oriented but upon assessment, you notice his skin is pale, cool and clammy. What is
your next step? - Answers -Administer Supplemental oxygen
Cardiac Compromise - Answers -Any type of heart problem. Cardiac compromise is a
blanket term used to describe any type of heart problem. As an EMT-B it allows you to
identify cardiac problems without going above your scope of practice
an AED is used to treat patients is - Answers -Ventricular fibrillation or ventricular
tachycardia
the normal heart rate for a new born (0-3 months) is - Answers -140-160
the two flap valve located on the left side of the heart is the - Answers -Mitral Valve also
known as the Bicuspid Valve. The three flap valve is called the Tricuspid valve
Name the layers of the heart form the outside in - Answers -Epicardium, Myocardium,
and Endocardium
what complain is often used to describe chest pain resulting from a cardiac event -
Answers -A ton of bricks. or an elephant sitting on my chest.
A sharp stabbing pain is often a Pulmonary Embolism
What artery carries deoxygenated blood and which vein carried oxygenated bleed? -
Answers -Pulmonary artery, and Pulmonary vein
which are not blood components that are responsible for clot formation - Answers -
Plaque
you are dispatched to a residence of a 46year old female patient who is in severe
abdominal pain and vomited twice before your arrival. she ate cheesecake right before.
what is the cause of her pain - Answers -acute gastroenteritis- may be caused by a
bacterial or viral ingestion, toxic ingestion, or ingestion of lactose in a lactose intolerant
patient. signs and symptoms include nausea, vomiting diarrhea, and abdominal
cramping.
your patient is a 32 year old male who was complaining of severe, crushing, feeling in
the center of his chest and shortness of breath that began while he was mowing his
lawn 45 mins prior to you arrival. he is now only responding to painful stimuli. presently
his minute ventilation is still adequate, his pulse oximeter reads 95% on room air and
you find his skin to be pale, cool, and diaphoretic. what would your initial action be. -
Answers -12-15 L Oxygen by nonrebreather
, you are called to a nursing home for a patient with swelling in her legs. Upon arrival you
find a 76 year old patient sitting in a wheelchair. assessment confirms pitting edema to
both lower legs you are able to palpate a dorsalis pedal pulse bilaterally. her skin is pink
and dry. her lungs are clear bilaterally. which conditions do you suspect - Answers -
chronic CHF. Edema to the legs or sacrum is often a result of right sided congestive
heart failure. there may also be a jugular vein distention and ascites present as well. the
most common cause of right sided heart failure is left sided heart failure. therefore, you
may not s&s of left sided heart failure as a dry hacking couch or coughing up pink frothy
sputum, shortness of breath orthopnea, paroxysmal nocturnal dyspnea and fatigue.
you arrive on the scene of a patient who fell from a ladder. which of the following
questions is NOT an important factor in care of the patient? - Answers -Height of the
ladder
a female patient complains of chest discomfort. she tells you she has a heart condition
and that she hasn't been feeling well for three or four days, which of the following would
most lead you to believe the cause wasn't cardiac related? - Answers -fever and chills-
RATIONAL:
fever and chills most likely indicate an infectious process like pneumonia. this is the
stongest indication that the problem is not cardiac in nature. while a slight elevatin in
temperature may e seen in a cardiac event, fever and chilled indicate a significant
infection. the 3-4 day duration of the symptoms also matches an illness like pneumonia
Acute coronary syndrome is - Answers -a group of conditions brought on by reduced
blood flow to the heart.
(RATIONAL:
Acute coronary syndrome is a term for a group of conditions that are caused by reduced
blood flow to the heart. These conditions include myocardial infarction and unstable
angina)
which of the following is a sign of right sided heart failure? - Answers -jugular venous
distention
RATIONAL:
JVD is a sign of right sided heart failure since blood backs up upon returning to the
heart. this engorges the jugular veins which return blood from the head.
Prolapsed umbilical cord - Answers -is on e the presents first(before the baby) during
labor. this is a serious emergency because the babys head in the birth canal will
occlude the cord against the vaginal wall and stop delivery of oxygen to the baby
List the contraindications for use of an inhaler - Answers --Patient has already taken the
maximum dose
-The patient is breathing inadequately and not able to bring the medication deep into the
lungs
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