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NEW QUESTION # 134
A 44-year-old patient is unresponsive, and an EMT checks for a pulse prior to applying an AED. Which of the following shockable rhythms, ventricular fibrillation or ventricular tachycardia, if either, may still produce a pulse in this patient?
Answer: D
Explanation:
The correct answer is B. Ventricular tachycardia only.
There are two primary shockable rhythms in cardiac arrest:
* Ventricular fibrillation (VF)
* Ventricular tachycardia (VT)
However, only one of these may still produce a pulse under certain conditions.
Why B is correct:
* Ventricular tachycardia (VT) can occur with or without a pulse.
* In some cases, VT allows the heart to generate enough cardiac output to produce a palpable pulse (this is called stable or unstable VT with a pulse).
* Therefore, VT is the only shockable rhythm that may still have a pulse.
Why the other options are incorrect:
* A. Ventricular fibrillation only # VF produces no organized cardiac activity, therefore no pulse
* C. Both shockable rhythms # Incorrect because VF never produces a pulse
* D. Neither a shockable rhythm # Incorrect because VT can produce a pulse Exact Extracts:
* "Ventricular fibrillation results in no effective cardiac output and no pulse."
* "Ventricular tachycardia may be present with or without a pulse."
* "Pulseless ventricular tachycardia and ventricular fibrillation are treated with defibrillation." References:
NREMT EMT Education Standards - Cardiology & Resuscitation
National EMS Education Standards - Cardiac Emergencies
NREMT Candidate Handbook - Cardiac Arrest Management
NEW QUESTION # 135
A 21-year-old patient has loss of movement and sensation in the legs. The patient is under a car, which fell on them. Bystanders have lifted the vehicle off the patient. Which method, clothes drag or long backboard, should the EMT use to move the patient, and why?
Answer: C
Explanation:
NREMT guidelines clearly state that life-threatening danger overrides spinal motion restriction. This patient shows signs of a spinal cord injury (loss of movement and sensation), but they were previously trapped under a vehicle-an inherently unstable and dangerous environment.
Option A is correct because the clothes drag is an emergency move designed to remove a patient from immediate danger as quickly as possible. In emergency situations, speed and rescuer safety take priority over spinal immobilization.
Option B is incorrect because clothes drags do not minimize spinal movement.
Option C is incorrect because preparing and using a long backboard delays removal.
Option D is incorrect because spinal protection is secondary to immediate life threats.
NREMT emphasizes: "You cannot help the patient if you become injured."
NEW QUESTION # 136
A 23-year-old male fell down a flight of stairs, struck his head, and briefly lost consciousness. He opens his eyes when you ask him questions, knows his name, but doesn ' t know where he is or what happened. He is able to squeeze your hands on command. What is his Glasgow Coma Score?
Answer: B
Explanation:
Use the Glasgow Coma Scale (GCS) to calculate:
* Eye Opening (E): Opens to speech = 3
* Verbal Response (V): Confused but appropriate words = 4
* Motor Response (M): Obeys commands = 6Total = 3 + 4 + 6 = 13
However, the question states he opens eyes to voice, knows name (orientation to person), and follows commands - this would mean:
* Eye = 3
* Verbal = 5 (Oriented to person, but disoriented to place/time)
* Motor = 6
Correct Total: 14
References:
NREMT Trauma Guidelines - Neurological Assessment
Glasgow Coma Scale - CDC and AHA Standards
AAOS Emergency Care Textbook - Head Injury Chapter
NEW QUESTION # 137
A 17-year-old patient was stung by a bee and is now confused and short of breath. The vital signs are BP 78
/60 mmHg, P 140/min, R 26 and shallow, and SpO# 86% on room air. After administering epinephrine, what should the EMT do next?
Answer: D
Explanation:
This patient is experiencing anaphylactic shock, evidenced by hypotension, respiratory distress, hypoxia, and altered mental status. After epinephrine administration, NREMT priorities focus on aggressive oxygenation and airway support.
Option D is correct because a non-rebreather mask at high flow delivers the highest concentration of oxygen to a spontaneously breathing patient and is indicated with SpO# of 86%.
Option C would be indicated only if respirations were inadequate or absent.
Option B is insufficient for severe hypoxia.
Option A delays definitive supportive care.
NREMT emphasizes epinephrine first, followed immediately by high-flow oxygen and rapid transport.
NEW QUESTION # 138
A 24-year-old patient is in respiratory distress after being stung by a bee. What initial management action should the EMT take for this patient?
Answer: A
Explanation:
The correct answer is D. Administer epinephrine auto-injector.
Key findings in this scenario:
Bee sting
Respiratory distress
These findings strongly indicate anaphylaxis, a life-threatening allergic reaction that requires immediate treatment.
Why D is correct:
Epinephrine is the first-line treatment for anaphylaxis because it:
Relieves bronchoconstriction (improves breathing)
Reduces airway swelling
Improves blood pressure
NREMT/AHA-aligned guidance states:
"Epinephrine is the primary treatment for anaphylaxis."
"Administer immediately in patients with respiratory compromise from allergic reactions." Why the other options are incorrect:
A). Give a bronchodilatorMay help wheezing, but does not treat systemic anaphylaxis B). Perform a primary surveyAlways important, but life-saving intervention (epinephrine) should not be delayed in obvious anaphylaxis C). Immediately transportTransport is important, but treatment must begin immediately Exact Extracts (NREMT-aligned EMT educational references):
"Administer epinephrine promptly in suspected anaphylaxis."
"Respiratory distress after allergen exposure is an indication for epinephrine."
"Delays in epinephrine administration increase mortality."
Clinical Priority Summary:
In a patient with respiratory distress following a bee sting, the EMT must immediately administer epinephrine, making D the correct answer.
References:
NREMT EMT Education Standards - Medical Emergencies (Allergic Reactions) NREMT National Continued Competency Program (NCCP) American Heart Association (AHA) Guidelines (aligned with NREMT)
NEW QUESTION # 139
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