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| Section | Weight | Objectives |
|---|---|---|
| Secondary Assessment | 5–9% | - Vital signs and monitoring - Focused history and physical exam - Symptom assessment and history taking |
| Primary Assessment | 39–43% | - Initial patient assessment - Identification and management of life-threatening conditions - Airway, breathing, and circulation management - General patient impression and priority determination |
| Scene Size-Up and Safety | 15–19% | - Hazard recognition and management - Mechanism of injury / nature of illness - Scene assessment and safety protocols |
| EMS Operations | 10–14% | - Documentation and legal aspects - Incident command and multiple-casualty situations - EMS system roles and responsibilities - Emergency vehicle operations and safety |
| Patient Treatment and Transport | 20–24% | - Medication administration and protocols - Communication with receiving facilities - Medical and trauma care interventions - Patient packaging and transport procedures |
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NEW QUESTION # 125
A 26-year-old patient has an altered mental status. Family advises that the patient has diabetes. The patient ' s skin is pale, cool, and clammy. What, if anything, can the EMT infer about the patient ' s glucose level based on the patient ' s presentation?
Answer: A
Explanation:
Altered mental status, combined with pale, cool, and clammy skin, is strongly suggestive of hypoglycemia (low blood sugar). Hypoglycemia is especially dangerous in diabetics who take insulin or oral hypoglycemics.
The body ' s adrenergic response causes the " cool and clammy " presentation.
Hyperglycemia typically presents with warm, dry skin and develops more slowly. EMTs should administer oral glucose if the patient can swallow.
References:
NREMT Medical Guidelines - Endocrine Emergencies
AAOS EMT Textbook (11th ed.), Chapter: Endocrine and Metabolic Emergencies National EMS Education Standards - Diabetic Emergencies
NEW QUESTION # 126
Which of the following signs and symptoms indicate dehydration in an infant? Select the three correct options.
Answer: A,C,D
Explanation:
Dehydration signs in infants include:
* Poor skin turgor (elasticity)
* Sunken fontanelles (indicative of fluid loss)
* Delayed capillary refill ( > 2 seconds)
Flushed skin is more common in fever or heat illness, not dehydration. Hypotension, not hypertension, is associated with dehydration in late stages.
References:
NREMT Pediatric Assessment and Fluid Emergencies
PALS Provider Manual - Dehydration in Infants
AAOS Emergency Care (11th ed.) - Pediatric Emergency Chapter
NEW QUESTION # 127
A law enforcement officer requests that you place the clothes from a sexual assault victim in a bag for transport to the hospital. Which type of bag should you use?
Answer: B
Explanation:
In cases of sexual assault, preserving evidence integrity is critical. Clothing or other forensic evidence must be placed in paper bags. Plastic or non-breathable materials can trap moisture, promoting mold or degradation of evidence like DNA or bodily fluids.
This approach follows chain-of-custody protocols used by law enforcement and medical facilities for handling forensic material.
References:
NREMT EMS Operations - Evidence Preservation and Forensics
U).S. Department of Justice: "A National Protocol for Sexual Assault Medical Forensic Examinations" National EMS Education Standards - Legal and Ethical Principles
NEW QUESTION # 128
What are possible complications of using continuous positive airway pressure (CPAP)? Select the two correct options.
Answer: C,E
Explanation:
CPAP works by delivering continuous positive pressure to keep alveoli open and improve oxygenation.
However, complications include:
* Hypotension: Due to reduced venous return and cardiac preload
* Feeling of suffocation: Common psychological reaction to a tight-fitting mask and forced airflow It is used to treat, not cause, pulmonary edema. It does not induce bronchospasm or myocardial infarction.
References:
NREMT Airway & Ventilation Guidelines
National EMS Education Standards - Noninvasive Positive Pressure Ventilation AAOS EMT Textbook (11th ed.), CPAP and Respiratory Distress Management
NEW QUESTION # 129
Which of the following injuries occurs when the epidermis is damaged by a scraping force?
Answer: B
Explanation:
The correct answer is B. Abrasion.
An abrasion is a superficial injury caused by scraping or rubbing force that damages the epidermis (outer layer of skin). This type of injury is commonly referred to as a "scrape" or "road rash." Why B is correct:
* Abrasions occur when the skin is rubbed or scraped against a rough surface.
* They involve only the epidermis and are usually superficial.
* Minimal bleeding may occur, but the main concern is pain and risk of infection.
Why the other options are incorrect:
* A. Avulsion # Involves tearing away of skin or tissue, often deeper and more severe
* C. Puncture # Caused by a sharp, pointed object penetrating the skin
* D. Laceration # A cut or tear in the skin, typically deeper than an abrasion Exact Extracts:
* "An abrasion is a wound caused by scraping or rubbing of the skin."
* "It involves damage to the epidermis."
* "Abrasions are usually superficial but can be painful and prone to infection." References:
NREMT EMT Education Standards - Trauma (Soft Tissue Injuries)
National EMS Education Standards - Bleeding and Soft Tissue Injuries
NREMT Candidate Handbook - Trauma Care
NEW QUESTION # 130
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