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NEW QUESTION # 174
An 18-month-old patient has had a fever and cough for the past week and is now having difficulty breathing.
The patient has coarse crackles in their right lower lung. Which of the following conditions should the EMT most strongly suspect as the cause of the patient ' s signs and symptoms?
Answer: D
Explanation:
This presentation fits pneumonia best. The clue that points most strongly in that direction is the combination of fever + cough + breathing difficulty + focal crackles in one lower lung field . In young children, pneumonia commonly causes cough, fever, and trouble breathing , and focal crackles or other localized lung findings increase suspicion for a lower respiratory infection involving the lung tissue itself. ( CDC ) A quick way to think about it in EMT terms is this: upper-airway illnesses such as croup or epiglottitis usually point you toward sounds like stridor and obvious upper-airway involvement, while this question gives a localized lower-lung finding in the right lower lung , which is much more consistent with pneumonia. ( Merck Manuals )
NEW QUESTION # 175
A 13-year-old patient has partial- and full-thickness burns to the chest and both arms after falling into a campfire. What actions should the EMT take for this patient? Select the two answer options that are correct.
Answer: D,E
Explanation:
The correct answers are A and B because EMT burn care focuses on preventing further injury, reducing contamination, and preparing for rapid transport .
Removing jewelry is essential because burned tissues will swell, and constricting items can compromise circulation. Covering the burns with a dry, sterile sheet helps protect against infection and reduces heat loss, which is critical in moderate-to-severe burns.
NREMT-aligned guidance emphasizes avoiding prolonged cooling in significant burns, not applying ointments, and not removing adhered clothing, while prioritizing sterile covering and transport.
NEW QUESTION # 176
Reassessment of a patient begins with repeating the
Answer: B
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
Thereassessment phasein the EMT patient assessment model starts with repeating theprimary survey(also called the primary assessment), which includes:
* Airway
* Breathing
* Circulation
* Disability (mental status)
* Exposure/environment
The purpose is to identify any changes or deterioration in the patient'slife-threatening conditions, especially in dynamic or unstable patients. Only after this do EMTs check vitals and reevaluate secondary complaints.
References:
NREMT Assessment Guidelines - Patient Reassessment
Brady Emergency Care (13th ed.), Chapter: Assessment in EMS
National EMS Education Standards - Patient Assessment
NEW QUESTION # 177
A 27-year-old patient reports trouble breathing after being struck by a car. Which of the following findings are indicative of a possible chest wall injury? Select the three answer options that are correct.
Answer: A,D,E
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
Clavicle deformity suggests potential rib or thoracic trauma. Unequal chest rise may indicate a flail segment, pneumothorax, or hemothorax. Subcutaneous emphysema, the presence of air under the skin, is a classic finding in pneumothorax or tracheobronchial injury.
Occipital depression is not chest related; epigastric distension is a GI symptom; and jugular vein distention would suggest tension pneumothorax or cardiac tamponade, which are more advanced complications.
References:
NREMT Trauma Assessment Guidelines
National EMS Education Standards - Chest Injuries
AAOS Emergency Care and Transportation (11th ed.), Chapter: Chest and Abdominal Trauma
NEW QUESTION # 178
A 68-year-old patient is anxious with shortness of breath and crackles in their basal lungs. The patient ' s skin is pale and clammy. The vital signs are BP 180/100, P 100, and R 22 and shallow. Which of the following positions would be the most appropriate for transport?
Answer: C
Explanation:
The correct answer is B. Fowler.
This patient is presenting with signs of acute pulmonary edema or congestive heart failure, including:
* Shortness of breath
* Crackles (fluid in the lungs)
* Hypertension
* Anxiety and pale, clammy skin
In such cases, the best position is upright (Fowler's position) to improve breathing.
Why B is correct:
* Fowler's position (sitting upright) helps maximize lung expansion.
* It reduces venous return to the heart, decreasing pulmonary congestion.
* It improves oxygenation and patient comfort in respiratory distress.
Why the other options are incorrect:
* A. Supine # Worsens breathing by increasing pressure on the lungs and fluid accumulation
* C. Semi-Fowler # Helpful, but not as effective as full Fowler's for severe respiratory distress
* D. Lateral recumbent # Used for unconscious patients or airway protection, not respiratory distress Exact Extracts:
* "Patients with respiratory distress should be placed in a sitting or Fowler's position if tolerated."
* "An upright position facilitates breathing and improves lung expansion."
* "Pulmonary edema patients benefit from being positioned upright to reduce fluid in the lungs." References:
NREMT EMT Education Standards - Airway, Respiration & Ventilation
National EMS Education Standards - Respiratory Emergencies
NREMT Candidate Handbook - Patient Management
NEW QUESTION # 179
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