NREMT PREP QUESTIONS Flashcards

1
Q

You have responded to the scene of a motor vehicle collision. A small passenger car struck a power pole head on. The patient has climbed out and is walking around slightly dazed. The patient is cooperative and appears to be atraumatic. The windshield has starring and the airbags did not deploy. The patient gives you a complete medical history, but keeps asking what happened. What is your patient experiencing?

  1. Anterograde Amnesia
  2. Stroke
  3. Shock
  4. Retrograde Amnesia
A

Anterograde Amnesia

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2
Q

You have been dispatched for a possible anxiety attack. Your patient is a 48-year-old male who has become extremely agitated after learning of a family member’s death. He is breathing rapidly, looking around wildly, and clenching his hands. He does not appear to be aware of your presence in the room. The patient stands up suddenly and starts to pace back and forth. What should you do?

  1. Retreat and request law enforcement
  2. Continue to assess the patient
  3. Attempt to restrain the patient
  4. Confront the patient
A

Retreat and request law enforcement

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3
Q

You are treating a 6-year-old child, who is experiencing difficulty breathing. The babysitter on scene states the patient is prescribed Albuterol. The child has wheezing in their lungs, a persistent cough, and an oxygen saturation level of 96%. This patient is most likely experiencing?

  1. Common Cold
  2. Pneumonia
  3. Asthma Attack
  4. Obstructive Lung Disease
A

Asthma Attack

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4
Q

You encounter a 72-year-old female experiencing respiratory distress. During your physical examination you hear sounds of stridor. Stridor is indicative of which of the following?

  1. An asthmatic episode
  2. Wheezing
  3. Lower airway obstruction
  4. Upper airway obstruction
A

Upper airway obstruction

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5
Q

You respond to the community pool for a cardiac arrest. After attaching the AED, you notice that the patient is wet and is lying in a puddle of water. You should?

  1. Start CPR
  2. Move the patient to a dry area, wipe down the patient’s chest and reattach the AED
  3. Dry off the patient with a towel and defibrillate
  4. Defibrillate the patient in the puddle while he is wet
A

Move the patient to a dry area, wipe down the patient’s chest and reattach the AED

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6
Q

You arrive on scene to find a male in cardiac arrest and an AED that has been placed on them by a security officer. The AED is charged and ready to deliver a shock. What should your first response be?

  1. Allow the AED to deliver the initial shock
  2. Remove the AED and apply your own monitor
  3. Perform CPR
  4. Check the patient’s responsiveness
A

Allow the AED to deliver the initial shock

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7
Q

A person suffering from cholecystitis would experience direct pain in the _____________ and referred pain in the _____________.

  1. Upper mid abdomen, upper back
  2. Upper, mid abdominal area, legs
  3. RUQ, right shoulder
  4. Left flank, back
A

RUQ, right shoulder

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8
Q

You are the first arriving unit at a motor vehicle crash. Two cars have collided head-on. Both vehicles are stopped and resting on all four tires. You and your partner exit the ambulance and approach both vehicles to perform a quick triage. Upon reaching the first vehicle, what should you do after ensuring there is no immediate threat to your safety?

  1. Disconnect the battery to ensure that the car is de-energized
  2. Take the keys out of the ignition and engage the parking brake
  3. Determine the number of patients and severity of injuries
  4. Remove the air from all of the tires so the vehicle is stationary
A

Take the keys out of the ignition and engage the parking brake

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9
Q

You are treating a second-degree burn on a 6-year-old male that entirely covers both legs and the anterior aspect of his left arm. What percentage of body surface area has been burned?

  1. 18
  2. 35
  3. 37.5
  4. 45
A

37.5

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10
Q

You are dispatched to an assisted living facility where the adult son of an elderly man reported that while they were talking, his father “suddenly started acting strange” about a half hour ago. He is showing symptoms of facial droop and a decreased level of responsiveness. You suspect an Ischemic stroke. What is the window of time you have to get this patient to a treatment facility to assure the best possible outcome?

  1. Within 15 minutes
  2. Within 12 hours
  3. Within 6 hours
  4. Within 4 1/2 hours
A

Within 4 1/2 hours

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11
Q

You respond to the local nursing home for a patient complaining of shortness of breath. While taking report from the nurse, you are told that the patient has been refusing dialysis. Based on this information alone, what type of lung sounds might you expect to hear?

  1. Crackles
  2. Rhonchi
  3. Stridor
  4. Wheezing
A

Crackles

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12
Q

Which of the following is NOT an irritant for asthma?

  1. Exercise
  2. Pollen
  3. Food
  4. Cold air
A

Food

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13
Q

While at your local gym, you notice a victim that seems to be having trouble breathing. The victim asks you to look for her medicine in the locker room. You locate an inhaler in her bag. In order to initiate proper care, what is the next thing you should do?

  1. Go find a gym employee who is probably trained to deal with these emergencies
  2. Assemble the inhaler and administer the treatment
  3. Ask the victim if this is the correct medicine and help her assemble the inhaler
  4. Give the treatment right away
A

Ask the victim if this is the correct medicine and help assemble the inhaler

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14
Q

You and your partner are ventilating an apneic patient using the two-person bag-valve-mask technique. You note a minimal rise in the chest each time you squeeze the bag. How should you proceed?

  1. Suction the patient’s mouth for 15 seconds and reattempt ventilating
  2. Ensure that the BVM is attached to high-flow O2
  3. Disable the pop-off to high-flow O2
  4. Ask your partner to evaluate the seal around the mask and position of the patient’s head
A

Ask your partner to evaluate the seal around the mask and the position of the patient’s head

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15
Q

You are called to a nursing home to assist a 92-year-old male patient with emphysema. When listening for abnormal breath sounds in this patient, you will most likely hear?

  1. Crowing
  2. Pleural friction rubbing
  3. Stridor
  4. Wheezing
A

Wheezing

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16
Q

The leaf-shaped structure that is designed to prevent food and liquids from entering the trachea during swallowing is called?

  1. Epiglottis
  2. Pharynx
  3. Uvula
  4. Stoma
A

Epiglottis

17
Q

What arue the spaces between the ribs callled?

  1. Subcostal muscles
  2. Intercostal neurovascular bundles
  3. Intercostal muscles
  4. Intercostal space
A

Intercostal spaces

18
Q

Which of the following structures in the brain is in charge of controlling ventilation?

  1. Olfactory Nerve
  2. Cerebrum
  3. Medulla
  4. Cerebellum
A

Medulla

19
Q

Snoring respirations in an unresponsive patient are most likely the result of?

  1. Tracheal collapse during breathing
  2. Upper airway obstruction by the tongue
  3. Swelling of the larynx and surrounding structures
  4. Foreign body airway obstruction
A

Upper airway obstruction by the tongue

20
Q

You respond to a high school for a 15-year-old who is choking. The patient is conscious and coughing forcefully. Assessment reveals a respiratory rate of 26, diminished breath sounds on the left side and SpO2 reading of 94%. Given the patient’s presentation, what is your most immediate concern about the patient’s course of illness?

  1. Aspiration pneumonia
  2. Full airway obstruction
  3. Spontaneous pneumothorax
  4. Viral infection
A

Full airway obstruction

21
Q

You’re called to a private residence for a 72-year-old male who has an altered mental status. Vital signs are BP: 102/58, HR: 104, RR: 6/min, SpO2: 88%. What should be your first intervention?

  1. Check the patient’s temperature
  2. Place an appropriately sized NPA
  3. Place the patient in spinal precautions
  4. Ventilate the patient with a BVM
A

Place an appropriately sized NPA

22
Q

If all systems of the body were to fail, such as in cardiac arrest, we would expect the body to become:

  1. Septic
  2. Neutral
  3. Acidic
  4. Basic
A

Acidic

23
Q
A