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The National Register Emergency Medical Technician (EMT) cognitive test is a computer adaptive test (CAT).This means that each candidate is evaluated based on the position of the responses on a spectrum. Once a candidate gets the correct answers, the computer will automatically enter more difficult questions to continue testing the candidate's skill level. The number of items a candidate can expect from the EMT exam will be between 70 and 120. Each exam will have between 60 and 110 “live” elements that will be counted towards the final score. The exam will also include 10 pilot questions that do not affect the final score. The maximum time allowed to complete the exam is 2 hours. To pass the exam, candidates must meet a standard skill level. The standard of success is defined by the ability to provide safe and effective entry-level emergency medical care.
NEW QUESTION # 165
A 37-year-old female presents with sharp pain in her right upper abdominal quadrant and right shoulder. You should suspect
Answer: B
Explanation:
This symptom pattern is most consistent with cholecystitis . The gallbladder sits in the right upper quadrant
, and gallbladder inflammation commonly causes RUQ pain that can radiate to the right shoulder or scapular area as referred pain. Authoritative references describe acute cholecystitis with upper right abdominal pain that spreads to the right shoulder or back , which matches this question closely. ( MSD Manuals ) From an EMT test perspective, the location and radiation pattern are the biggest clues. Appendicitis usually starts more centrally and localizes to the right lower quadrant , gastroenteritis is more associated with diffuse cramping, vomiting, and diarrhea, and diverticulitis classically causes left lower quadrant pain. That makes D. cholecystitis the best answer. ( MSD Manuals )
NEW QUESTION # 166
A 24-year-old patient was involved in an MVC. The EMT is completing the patient care report. Which of the following statements indicate pertinent negatives? Select the two correct options.
Answer: B,E
Explanation:
Pertinent negatives are findings that are not present, but would be clinically relevant if they were. For example:
* "No neck or back pain" helps rule out spinal injury
* "No loss of consciousness" informs head trauma assessment
Statements about behavior or initial refusal (B, E) may be documented under patient behavior or refusal, but they are not pertinent negatives. Positive findings like abdominal tenderness are pertinent positives.
References:
NREMT Documentation Standards
National EMS Education Standards - Communication and Documentation
Brady Emergency Care (13th ed.) - Patient Care Reporting
NEW QUESTION # 167
A 12-year-old male suffered helmet-to-helmet contact while playing football. A bystander states, "He passed out for several seconds, then walked off the field under his own power." He is now unresponsive, and his vital signs are BP 180/110, P 90, and R 6. You should suspect
Answer: A
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
Anepidural hematomaclassically presents with a"lucid interval"- a brief period of regained consciousness following head trauma, followed by rapid deterioration. This is due to arterial bleeding, often from themiddle meningeal artery, leading to increasing intracranial pressure.
Signs include:
* High blood pressure
* Decreasing respiratory rate
* Altered LOC or unresponsiveness
Subdural hemorrhages are slower venous bleeds, common in elderly patients. Subarachnoid hemorrhage often presents with "worst headache of life." Intracerebral bleeds are less commonly linked to lucid intervals.
References:
NREMT Trauma Module - Head Injuries
AAOS Emergency Care Textbook (11th ed.), Chapter: Head and Spine Trauma Emergency Neurological Life Support (ENLS) Guidelines - Traumatic Brain Injury
NEW QUESTION # 168
Which of the following is an acute sign of closed head trauma?
Answer: D
Explanation:
The correct answer is A. Memory loss.
Why A is correct (Memory loss):
Memory loss (amnesia) is a common and immediate (acute) sign of closed head injury, especially in concussions. It may include:
Retrograde amnesia (loss of memory before the event)
Anterograde amnesia (inability to form new memories)
NREMT-aligned trauma guidance states:
"Patients with head injuries may present with confusion or memory loss immediately after the event." This is considered an early indicator of brain injury.
Why the other options are incorrect:
B). Beck ' s Triad: Associated with cardiac tamponade (hypotension, JVD, muffled heart sounds), not head trauma.
C). Battle ' s sign: Bruising behind the ears indicating a basilar skull fracture, but this is typically a late sign, not acute.
D). Raccoon eyes: Periorbital ecchymosis also indicating a basilar skull fracture, and similarly a delayed finding, not immediate.
Key Concept:
Acute signs = occur immediately (e.g., confusion, memory loss, LOC)
Late signs = develop over time (e.g., Battle's sign, raccoon eyes)
Exact Extracts:
"Early signs of head injury include confusion, disorientation, and memory loss."
"Battle's sign and raccoon eyes are late signs of basilar skull fracture."
"Assessment should identify immediate neurologic changes following trauma." References:
NREMT EMT Education Standards - Trauma (Head and Brain Injuries)
NREMT National Continued Competency Program (NCCP) - Trauma Management
Prehospital Emergency Care (EMT) - Traumatic Brain Injury
NEW QUESTION # 169
A 45-year-old male complains of a sudden onset of right flank pain that radiates to his right groin. He is pale, diaphoretic, and restless. You should suspect
Answer: C
Explanation:
This is a classic textbook presentation of renal colic (kidney stones) . The key giveaway is the sharp flank pain that radiates to the groin , combined with the patient being restless and unable to get comfortable .
In EMT training, kidney stone pain is often described as one of the few conditions where patients are constantly moving due to severe pain , unlike abdominal conditions where patients prefer to lie still. The pale, diaphoretic appearance also reflects the intensity of the pain.
That specific pain pattern- flank # groin radiation -is the hallmark clue that points directly to kidney stones .
NEW QUESTION # 170
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