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| Section | Objectives |
|---|---|
| Medical, Obstetrics and Gynecology | - Obstetrics and Gynecology
|
| EMS Operations | - Operational Procedures
|
| Cardiology and Resuscitation | - Cardiac Emergencies
|
| Trauma | - Trauma Assessment and Care
|
| Airway, Respiration and Ventilation | - Airway Management
|
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NEW QUESTION # 194
A 68-year-old patient has pain across the chest, radiating to the neck and arms. What additional signs or symptoms could indicate the patient may be having an acute myocardial infarction, and not angina? Select the three answer options that are correct.
Answer: A,B,F
Explanation:
A good way to separate AMI from more typical angina is to look for signs that the pain is more severe, more persistent, and less responsive to the usual triggers and relief measures .
That is why A, D, and F are the best answers here. A patient having an acute myocardial infarction may look pale or gray , which reflects poor perfusion and sympathetic stress during a cardiac event. Chest pain that lasts longer than 10 minutes points away from classic stable angina, which is often brief and improves with rest. And when nitroglycerin gives little or no relief , that raises concern that the problem is more serious than routine angina. The American Heart Association notes that stable angina usually happens with activity or strong emotions and is often treated with rest, medication, or both , while worsening or persistent chest discomfort is more concerning for a heart attack or other serious heart problem. ( www.heart.org ) From an EMT test-taking perspective, B and C sound more like classic stable angina patterns: pain brought on by exertion or stress and pain that improves with rest. Also, while nitroglycerin response by itself is not a perfect diagnostic tool in real-world medicine, NREMT-style questions commonly use poor relief with nitro plus prolonged pain as clues that the patient may be having an AMI rather than angina . Merck also notes that nitroglycerin response alone should not be used to diagnose chest pain, which is why the whole pattern matters. ( Merck Manuals )
NEW QUESTION # 195
An EMT cannot find a pulse on a responsive patient. Which of the following should the EMT do next?
Answer: A
Explanation:
If a patient is responsive, they must have adequate cerebral perfusion, meaning a pulse is present-even if it is difficult to palpate. NREMT guidelines emphasize that EMTs should not assume cardiac arrest based solely on an inability to feel a pulse.
Option C is correct because the EMT should continue the primary assessment, reassessing airway, breathing, and circulation using additional indicators such as skin condition, mental status, and breathing quality.
Option A is incorrect because CPR is only initiated in unresponsive, pulseless patients.
Option B is incorrect because AED use is indicated only for unresponsive, pulseless patients.
Option D may be appropriate later for shock but does not address the assessment discrepancy.
NREMT teaches that patient responsiveness is a reliable indicator of circulation and that EMTs must avoid unnecessary resuscitative interventions.
NEW QUESTION # 196
Which of the following conditions would most likely result in pulmonary edema? Select the two correct options.
Answer: B,E
Explanation:
Pulmonary edema is 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 causes vasodilation and bronchospasm, not fluid overload. Increased oncotic pressure would retain fluid 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
NEW QUESTION # 197
What components are necessary to maintain adequate perfusion? Select the three correct options.
Answer: D,E,F
Explanation:
Perfusion refers to delivery of oxygen and nutrients to tissues. It depends on three essential components:
Patent airway: Ensures oxygen reaches lungs
Intact microcirculation: Capillary-level exchange must function
Sufficient blood volume: Maintains blood pressure and oxygen transport
Hypoxic drive relates to COPD physiology, not perfusion. High alveolar pressure (like from CPAP) may impede venous return, and a low ventilation-perfusion ratio means poor oxygenation efficiency, which negatively affects perfusion.
References:
NREMT Cardiovascular and Shock Guidelines
National EMS Education Standards - Perfusion and Circulatory Assessment AHA ACLS Provider Manual - Systemic Perfusion Concepts
NEW QUESTION # 198
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: A
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
Use theGlasgow 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, thequestion 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 # 199
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