P.S.ShikenPASSがGoogle Driveで共有している無料の2026 NREMT EMTダンプ：https://drive.google.com/open?id=1_6NkYijSQe8sV7AId_O9VkQBEqn8NpcM
我々はEMT試験を準備しているあなたに便利をもたらすために、PDF版、ソフト版、オンライン版の3つの異なるバーションを提供しています。PDF版のEMT問題集を利用したら、紙でプリントすることができて読みやすいです。ソフト版であなたは試験の環境でEMT模擬試験をすることができて複数のパソコンで使用することができます。また、オンライン版を通して、どの電子製品でも使うことができて、オンライン版の機能はソフト版のと大体同じです。
| Section | Objectives |
|---|---|
| Topic 1: EMS Operations | - Operational Procedures
|
| Topic 2: Medical, Obstetrics and Gynecology | - Obstetrics and Gynecology
|
| Topic 3: Cardiology and Resuscitation | - Cardiac Emergencies
|
| Topic 4: Airway, Respiration and Ventilation | - Airway Management
|
| Topic 5: Trauma | - Trauma Assessment and Care
|
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質問 # 242
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.
正解：A、C、E
解説：
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 )
質問 # 243
In order for a plaintiff to recover damages in a lawsuit against an EMT, there must be a duty to perform, breach of duty, damage, and
正解：A
解説：
The correct answer is B. Proximate causation.
To prove negligence in an EMS-related lawsuit, four elements must be established:
Duty to act
Breach of duty
Damages
Causation (proximate cause)
Proximate causation means that the EMT's actions (or inaction) directly caused the patient's injury or damages.
There must be a clear link between the breach of duty and the harm suffered.
A). Contributory neglect # Refers to patient contribution to injury, not a required element C). Malfeasance # Performing a wrongful act, but not one of the four legal elements D). Abandonment # A specific legal violation, not a required negligence element
"Negligence requires duty to act, breach of duty, damages, and causation."
"Proximate cause means the provider's actions directly resulted in injury."
"All four elements must be present to prove negligence."
References:
NREMT EMT Education Standards - EMS Operations (Medical/Legal)
National EMS Education Standards - Legal and Ethical Issues
NREMT Candidate Handbook - Negligence and Liability
質問 # 244
You have achieved ROSC (Return of Spontaneous Circulation) in a 77-year-old female. She remains unresponsive and her vital signs are BP 94/58, P 82, and R 18. In what position should she be placed?
正解：C
解説：
Comprehensive and Detailed Explanation From Exact Extract:
After ROSC in an unresponsive patient, the left lateral recumbent position (also called the recovery position) is preferred to:
* Maintain an open airway
* Prevent aspiration if vomiting occurs
* Promote drainage of secretions
Supine or Trendelenburg positions increase the risk of aspiration. Elevating the head to 45° may reduce intracranial pressure, but it's not standard post-ROSC care in an unresponsive patient unless airway protection is ensured.
References:
NREMT Cardiology Guidelines - Post-Resuscitation Care
American Heart Association BLS/ACLS Algorithms - ROSC Protocol
EMS Education Standards - Transport Positioning
質問 # 245
Which of the following pathophysiological responses causes a patient with neurogenic shock to become hypotensive?
正解：D
解説：
Comprehensive and Detailed Explanation (Based on NREMT standards):
Neurogenic shock results from damage to the spinal cord, most commonly at or above the thoracic level.
NREMT education emphasizes that this injury disrupts the sympathetic nervous system, which normally maintains vascular tone.
Option C is correct because loss of sympathetic tone leads to widespread vasodilation, causing hypotension and often bradycardia, distinguishing neurogenic shock from other shock types.
Option A is incorrect because acetylcholine inhibition is not the mechanism.
Option B describes cardiogenic shock.
Option D describes septic (distributive) shock.
NREMT highlights that recognizing neurogenic shock is critical, as treatment priorities differ from hypovolemic shock.
質問 # 246
Your partner has performed an improper treatment. He wrote a statement that you directed him to perform this treatment. His written statement is an example of
正解：C
解説：
NREMT legal education differentiates between slander and libel, both forms of defamation.
Option D (Libel) is correct because libel involves false written statements that harm a person's reputation. In this scenario, the partner's written claim falsely attributes improper treatment to you.
Option A (Slander) refers to spoken false statements.
Option B (Malice) describes intent, not a legal category of defamation.
Option C (Battery) is unlawful physical contact with a patient.
Understanding legal terminology helps EMTs protect themselves professionally and legally.
質問 # 247
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