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| Section | Objectives |
|---|---|
| Topic 1: Cardiology & Resuscitation | - Cardiac emergencies
|
| Topic 2: EMS Operations | - Operational procedures
|
| Topic 3: Trauma | - Traumatic injuries
|
| Topic 4: Airway, Respiration & Ventilation | - Airway management
|
| Topic 5: Medical, Obstetrics & Pediatrics | - Medical emergencies
|
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NEW QUESTION # 118
An incomplete patient care report suggests
Answer: D
Explanation:
The correct answer is B because in EMS, the patient care report is the official record of the assessment, treatment, and transport decision-making provided to the patient. Authoritative EMS documentation guidance explains that the PCR is essential to communicate patient assessment and treatment and to support ongoing care; if it is incomplete, it suggests the care itself may not have been thorough or cannot be shown to have been thorough. In EMS practice, incomplete documentation is commonly treated as incomplete patient care documentation, which reflects poorly on the thoroughness of care. ( NCBI )
NEW QUESTION # 119
An 84-year-old patient has a sudden onset of weakness to one side of the body. The patient has a history of hypertension and high cholesterol. The vital signs are BP 176/94 mmHg, P 108/min, R 18/min, and SpO#
97% on room air. For which of the following additional symptoms should the EMT assess? Select the three correct options.
Answer: C,D,E
Explanation:
The symptoms described are classic for a stroke (CVA). Additional hallmark findings include:
* Arm drift (motor weakness or hemiparesis)
* Facial droop (Cranial nerve VII involvement)
* Slurred speech (dysarthria or aphasia)
These form the basis of prehospital stroke assessment tools like FAST:
* Face drooping
* Arm weakness
* Speech difficulty
* Time to call 911
Miosis (pupil constriction) and tremors are not associated with stroke in EMS context. Syncope is an isolated event and not a reliable CVA symptom.
References:
NREMT Medical Neurological Emergencies
AHA Stroke Recognition Guidelines
EMS National Stroke Protocols - Cincinnati Stroke Scale, FAST
NEW QUESTION # 120
A 43-year-old patient is experiencing a sudden onset of coughing, nausea, and shortness of breath. The patient has a history of alcohol use disorder and major depressive disorder. The patient spent the day cleaning. The kitchen has food in various forms of decay. The patient's condition improves slightly once oxygen has been administered. Which of the following environmental factors is the most likely cause of the patient's presentation?
Answer: C
Explanation:
Comprehensive and Detailed Explanation (Based on NREMT standards):
Sudden respiratory symptoms following prolonged cleaning strongly suggest chemical inhalation, particularly from cleaning agents such as ammonia or bleach. Mixing chemicals or using them in poorly ventilated areas can release toxic gases that cause coughing, nausea, and dyspnea.
Option D is correct because inhaled chemical irritants commonly cause acute respiratory distress that improves with oxygen therapy.
Option A typically causes chronic symptoms, not sudden onset.
Option B does not cause respiratory distress.
Option C does not explain the environmental exposure or oxygen response.
NREMT emphasizes recognizing environmental hazards and removing patients from the source while providing supportive care.
NEW QUESTION # 121
A 78-year-old patient has chest pain that began upon awakening. The vital signs are BP 92/72 mmHg, P 82
/min, R 22/min, and SpO# 88% on room air. Which of the following actions should the EMT perform? Select the three answer options that are correct.
Answer: B,C,E
Explanation:
The correct answers are A, C, and E because this patient is experiencing suspected acute coronary syndrome (ACS) with hypoxia (SpO# 88%) and borderline hypotension .
* Aspirin is indicated in suspected cardiac chest pain to reduce platelet aggregation and improve outcomes.
* Oxygen is appropriate because the SpO# is below 94% , indicating hypoxemia.
* Position of comfort (usually sitting upright) helps reduce cardiac workload and improves breathing.
NREMT guidelines emphasize treating hypoxia, reducing cardiac workload, and administering aspirin early in suspected ACS.
CPAP is not indicated due to low blood pressure (92 systolic) , and AED use is not appropriate because the patient is not in cardiac arrest.
NEW QUESTION # 122
An 86-year-old patient is found unresponsive in the snow. The patient was reported missing the night before from an assisted living facility. How long should the EMT assess the patient's pulse?
Answer: A
Explanation:
The correct answer is D. 60 seconds.
This question is testing the special consideration of hypothermia in cardiac arrest assessment. In a patient found unresponsive in the snow, there is a high likelihood of severe hypothermia, which significantly slows metabolism and heart rate.
In hypothermic patients, pulses may be very slow and difficult to detect, so the EMT must take extra time to accurately determine whether a pulse is present before initiating CPR.
Standard pulse checks in normothermic patients are limited to no more than 10 seconds, but hypothermic patients are an exception.
Why 60 seconds is correct:
NREMT-aligned EMS guidelines emphasize that in severe hypothermia, the provider should assess the pulse for up to 60 seconds before concluding that the patient is pulseless. This is because hypothermia can produce extremely slow heart rates (bradycardia), and premature CPR could be inappropriate if a pulse is actually present.
Why the other options are incorrect:
* A. 10 seconds: This is correct for standard cardiac arrest assessment in normothermic patients, but not for hypothermia.
* B. 15 seconds and C. 30 seconds: These are not recommended durations in NREMT or AHA guidelines for pulse checks.
Exact Extracts:
* "In a hypothermic patient, check the pulse for 30-60 seconds before determining pulselessness."
* "Severely hypothermic patients may have very slow heart rates that are difficult to detect."
* "Do not assume cardiac arrest until a careful and prolonged pulse assessment has been performed." References:
NREMT EMT Education Standards - Cardiology & Resuscitation
AHA (American Heart Association) BLS Guidelines for Special Circumstances (Hypothermia) EMS Clinical Guidelines - Hypothermia Management
NEW QUESTION # 123
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