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NREMT EMT Exam Syllabus Topics:

SectionObjectives
EMS Operations- Operational procedures
  • 1. Communication and documentation
    • 2. Scene safety and management
      Cardiology & Resuscitation- Cardiac emergencies
      • 1. Shock management
        • 2. CPR and AED use
          Airway, Respiration & Ventilation- Airway management
          • 1. Oxygen therapy and delivery systems
            • 2. Basic airway adjuncts and techniques
              Medical, Obstetrics & Pediatrics- Medical emergencies
              • 1. Obstetric and neonatal care basics
                • 2. Respiratory, diabetic, and neurological emergencies
                  Trauma- Traumatic injuries
                  • 1. Fractures and musculoskeletal injuries
                    • 2. Bleeding control and hemorrhage management

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                      NREMT Emergency Medical Technicians Exam 認定 EMT 試験問題 (Q83-Q88):

                      質問 # 83
                      Lyme disease is transmitted through the bite of

                      正解:C

                      解説:
                      The correct answer is A because Lyme disease is transmitted through the bite of infected ticks , specifically the Ixodes (deer tick) species. In EMS and NREMT-aligned infectious disease education, Lyme disease is classified as a tick-borne illness , not spread by mosquitoes, bats, or dogs.
                      The causative organism, Borrelia burgdorferi , is transmitted to humans when an infected tick feeds on the host and transfers the bacteria through its bite. This is a standard concept in EMT training under environmental and infectious disease awareness .


                      質問 # 84
                      Which of the following conditions would most likely result in pulmonary edema? Select the two correct options.

                      正解:B、D

                      解説:
                      Comprehensive and Detailed Explanation From Exact Extract:
                      Pulmonary edemais caused by fluid accumulation in the alveoli, impairing gas exchange. It is typically due to:
                      * Left-sided heart failure: Blood backs up into the pulmonary circulation
                      * Hypertensive crisis: Increases hydrostatic pressure in the lungs
                      Anaphylaxis causesvasodilation and bronchospasm, not fluid overload. Increased oncotic pressure would retainfluid in capillaries - the opposite of edema.
                      References:
                      NREMT Medical Module - Respiratory and Cardiovascular Integration
                      AHA ACLS Guidelines - Congestive Heart Failure
                      AAOS EMT Textbook - Pathophysiology of Pulmonary Edema


                      質問 # 85
                      A 15-year-old patient is unresponsive following an assault. The patient has a stab wound on the chest, which is gurgling. The vital signs are BP 76/48 mmHg, P 146/min, R 26/min, and SpO# 90% on room air.
                      Which of the following types of shock is the most likely cause of the patient ' s presentation?

                      正解:A

                      解説:
                      Comprehensive and Detailed Explanation (Based on NREMT standards):
                      This patient has signs of penetrating chest trauma, severe hypotension, tachycardia, and respiratory distress. A gurgling chest wound suggests an open pneumothorax, which can progress to tension pneumothorax.
                      Option C (Obstructive shock) is correct because air trapped in the chest can compress the heart and great vessels, preventing adequate cardiac output.
                      Option A is less likely because although blood loss may be present, the chest injury suggests impaired circulation due to pressure.
                      Option B involves pump failure, not trauma-related compression.
                      Option D involves abnormal vessel dilation, not mechanical obstruction.
                      NREMT emphasizes rapid recognition of obstructive shock and immediate intervention with occlusive dressings and rapid transport.


                      質問 # 86
                      Which of the following actions are steps for inserting a nasopharyngeal airway? Select the two answer options that are correct.

                      正解:B、D

                      解説:
                      The correct answers are D. Place the device in the larger nostril and E. Lubricate the distal tip.
                      Proper insertion of a nasopharyngeal airway (NPA) follows specific steps outlined in NREMT-aligned airway management guidelines.
                      Correct Steps:
                      1. Choose the larger nostril (D):
                      * The NPA should be inserted into the nostril with better airflow (larger nostril) to reduce resistance and trauma.
                      * This improves ease of insertion and patient comfort.
                      2. Lubricate the distal tip (E):
                      * The airway must be lubricated with a water-soluble lubricant before insertion.
                      * This minimizes friction and reduces the risk of nasal mucosal injury or bleeding.
                      NREMT-aligned references state:
                      * "Insert the NPA into the larger nostril when possible."
                      * "Lubricate the airway prior to insertion."
                      Why the other options are incorrect:
                      * A. Measure from the corner of the mouth to the tip of the ear # Incorrect
                      * This measurement is used for an oropharyngeal airway (OPA), not an NPA.
                      * NPA is measured from nose to earlobe.
                      * B. Follow the base of the tongue during insertion # Incorrect
                      * This applies to OPA insertion, not NPA.
                      * NPA is inserted along the floor of the nasal passage.
                      * C. Insert the bevel away from the septum # Incorrect
                      * The bevel should face toward the septum (medially), not away.
                      Exact Extracts (NREMT-aligned EMT educational references):
                      * "Measure NPA from the nostril to the earlobe."
                      * "Lubricate the airway before insertion."
                      * "Insert into the larger nostril if possible."
                      * "Advance gently along the nasal floor."
                      Clinical Priority Summary:
                      Correct NPA insertion requires proper nostril selection and lubrication, making D and E the correct answers.
                      References:
                      NREMT EMT Education Standards - Airway, Respiration & Ventilation
                      NREMT National Continued Competency Program (NCCP)
                      AAOS Emergency Care and Transportation of the Sick and Injured (NREMT-aligned)


                      質問 # 87
                      You have achieved ROSC (Return of Spontaneous Circulation) in a 77-year-old female. She remains unresponsive and her vital signs are BP 94/58, P 82, and R 18. In what position should she be placed?

                      正解:C

                      解説:
                      Comprehensive and Detailed Explanation From Exact Extract:
                      After ROSC in an unresponsive patient, the left lateral recumbent position (also called the recovery position) is preferred to:
                      * Maintain an open airway
                      * Prevent aspiration if vomiting occurs
                      * Promote drainage of secretions
                      Supine or Trendelenburg positions increase the risk of aspiration. Elevating the head to 45° may reduce intracranial pressure, but it's not standard post-ROSC care in an unresponsive patient unless airway protection is ensured.
                      References:
                      NREMT Cardiology Guidelines - Post-Resuscitation Care
                      American Heart Association BLS/ACLS Algorithms - ROSC Protocol
                      EMS Education Standards - Transport Positioning


                      質問 # 88
                      ......

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