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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 โliveโ 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 # 191
A choking patient becomes unresponsive. What should the EMT perform next? Select the two correct options.
Answer: B,D
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
If achoking patient becomes unresponsive, EMTs should:
* Check for a pulse
* Begin chest compressionsif no pulse is foundChest compressions can helpdislodge the object. After compressions, the airway should be opened and inspected. Back blows are not appropriate for unconscious patients.
Ventilation is attempted after clearing the airway or if no object is seen.Do not withhold compressions waiting for object removal.
References:
AHA BLS Provider Manual (2020) - Foreign Body Airway Obstruction Algorithm NREMT Airway Skills Sheet - Obstructed Airway National EMS Education Standards - Respiratory and Airway Management
NEW QUESTION # 192
A 42-year-old patient with a history of COPD has exertional dyspnea. The patient has a productive cough with green-tinged sputum. Which additional findings should the EMT expect to see with this patient? Select the two answer options that are correct.
Answer: C,D
Explanation:
The correct answers are C. Crackles and E. Dependent edema.
This patient has a history of chronic obstructive pulmonary disease (COPD) with signs suggesting a respiratory infection or exacerbation (productive cough with green sputum).
C). Crackles - Correct
Crackles (rales) are commonly heard in COPD patients, especially during exacerbations or when infection (such as bronchitis or pneumonia) is present.
NREMT-aligned material states:
* "Abnormal breath sounds such as wheezes and crackles may be present in patients with lower airway disease." Crackles indicate:
* Fluid or mucus in the airways
* Impaired gas exchange
E). Dependent edema - Correct
Patients with long-standing COPD may develop cor pulmonale (right-sided heart failure) due to chronic hypoxia.
This leads to:
* Fluid retention
* Swelling in the lower extremities (dependent edema)
NREMT-aligned guidance:
* "Chronic lung disease can lead to right-sided heart failure, resulting in peripheral edema." Why the other options are incorrect:
* A. A rash:Not associated with COPD.
* B. Stridor:Indicates upper airway obstruction, not lower airway disease like COPD.
* D. Hot, moist skin:More consistent with fever or heat illness, not a typical COPD finding.
Key NREMT Concepts:
* COPD = lower airway disease # wheezes, crackles
* Chronic COPD # cor pulmonale # dependent edema
Exact Extracts:
* "COPD is characterized by lower airway obstruction and abnormal breath sounds."
* "Crackles may be present due to fluid or mucus in the lungs."
* "Chronic hypoxia can lead to right-sided heart failure and peripheral edema." References:
NREMT EMT Education Standards - Airway, Respiration & Ventilation
NREMT National Continued Competency Program (NCCP) - Respiratory Emergencies Standard EMT Text (aligned with NREMT): Respiratory Emergencies
NEW QUESTION # 193
A drowsy 72-year-old female complains of difficulty breathing. Her respiratory rate is 50, and her SpO# is
89% on room air. You should suspect
Answer: B
Explanation:
The patient's excessively high respiratory rate (RR 50), hypoxia (SpO# 89%), and decreased mental status (drowsiness) indicate respiratory failure, which is the inability to maintain oxygenation or ventilation.
* Respiratory distress: Increased effort but adequate compensation
* Respiratory arrest: Complete absence of breathing
* Respiratory alkalosis: Possible early finding, but not a condition diagnosis This patient is tiring and losing the ability to ventilate effectively - a hallmark of failure.
References:
NREMT Airway and Ventilation Guidelines
AHA BLS Manual - Recognition of Respiratory Failure
AAOS EMT Textbook - Chapter: Airway Emergencies
NEW QUESTION # 194
What patient conditions have an indication for the use of a CPAP device? Select the three answer options that are correct.
Answer: B,C,E
Explanation:
Comprehensive and Detailed Explanation (Based on NREMT standards):
Continuous Positive Airway Pressure (CPAP) is used in patients with moderate to severe respiratory distress who are conscious and able to maintain their airway. NREMT guidelines identify specific respiratory conditions where CPAP improves oxygenation and ventilation.
Option A (Chronic bronchitis) is correct because CPAP helps overcome airway collapse and improves gas exchange in COPD patients.
Option B (Pulmonary edema) is correct because CPAP reduces preload and afterload while forcing fluid out of alveoli, improving oxygenation.
Option C (Acute bronchospasms) is correct because CPAP helps splint open airways and reduce work of breathing.
Option D is incorrect because CPAP is not used for isolated myocardial infarction without respiratory failure.
Option E is contraindicated because positive pressure can worsen a pneumothorax.
Option F is contraindicated due to airway burns and potential inhalation injury.
NREMT stresses proper patient selection to prevent CPAP-related complications.
NEW QUESTION # 195
A 32-year-old female has a history of dysmenorrhea, abdominopelvic pain, and pain when having a bowel movement. She has not been sexually active in 8 months. Her symptoms are most likely caused by
Answer: D
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
These symptoms are classic forendometriosis, whereendometrial tissue grows outside the uterus.
Symptoms often include:
* Pelvic pain
* Painful menstruation (dysmenorrhea)
* Painful bowel movements or intercourse
Spontaneous abortion does not apply here due to lack of pregnancy. Premature menopause is rare at this age and presents differently. Infection is less likely in the absence of recent sexual activity or fever.
References:
NREMT Medical - Gynecologic Emergencies
ACOG Guidelines on Endometriosis
National EMS Education Standards - OB/GYN Emergencies
NEW QUESTION # 196
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