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CertShikenのNREMTのEMT問題集を買う前に、一部の問題と解答を無料に試用することができます。そうすると、CertShikenのNREMTのEMTトレーニング資料の品質をよく知っています。CertShikenのNREMTのEMT問題集は絶対あなたの最良の選択です。
| Section | Objectives |
|---|---|
| Medical, Obstetrics and Gynecology | - Obstetrics and Gynecology
|
| Airway, Respiration and Ventilation | - Airway Management
|
| Trauma | - Trauma Assessment and Care
|
| Cardiology and Resuscitation | - Cardiac Emergencies
|
| EMS Operations | - Operational Procedures
|
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質問 # 223
A 24-year-old patient was involved in an MVC. The EMT is completing the patient care report. Which of the following statements indicate pertinent negatives? Select the two correct options.
正解：B、D
解説：
Pertinent negatives are findings that are not present, but would be clinically relevant if they were. For example:
* "No neck or back pain" helps rule out spinal injury
* "No loss of consciousness" informs head trauma assessment
Statements about behavior or initial refusal (B, E) may be documented under patient behavior or refusal, but they are not pertinent negatives. Positive findings like abdominal tenderness are pertinent positives.
References:
NREMT Documentation Standards
National EMS Education Standards - Communication and Documentation
Brady Emergency Care (13th ed.) - Patient Care Reporting
質問 # 224
An EMT has just assisted with the delivery of a newborn. At the five-minute mark, the neonate is completely pink with a pulse of 108/min. The neonate has some flexion of their extremities, but the breathing is still slow.
How should the EMT score the following categories of the APGAR scale? Select the correct value for each sign.
正解：
解説：
Explanation:
Appearance (Skin Color): # 2 points
* The neonate is completely pink.
* APGAR criteria:
* 0 = blue/pale
* 1 = pink body, blue extremities
* 2 = completely pink
Pulse (Heart Rate): # 2 points
* Heart rate is 108/min.
* APGAR criteria:
* 0 = absent
* 1 = < 100/min
* 2 = # 100/min
Activity (Muscle Tone): # 1 point
* The neonate has some flexion of extremities, but not active motion.
* APGAR criteria:
* 0 = limp
* 1 = some flexion
* 2 = active motion
Respirations: # 1 point
* Breathing is slow, not strong crying.
* APGAR criteria:
* 0 = absent
* 1 = slow or irregular respirations
* 2 = strong cry
Total APGAR Score at 5 Minutes: 6 / 10
Interpretation (NREMT-based):
* A score of 6 indicates the newborn requires continued supportive care, such as warming, positioning, stimulation, and close monitoring.
* No immediate chest compressions are indicated because the heart rate is > 100/min.
* Respiratory effort should continue to be assessed closely.
This scoring aligns with NREMT neonatal assessment and APGAR scoring guidelines used for evaluating newborn transition after birth.
質問 # 225
A 58-year-old patient reports chest pain and difficulty breathing after missing their last three hemodialysis treatments. Which of the following signs and symptoms should the EMT suspect to find?
正解：A
解説：
Comprehensive and Detailed Explanation From Exact Extract:
Missing dialysis leads tofluid overload, causing:
* Pulmonary edema, evident bycrackleson auscultation
* Dyspnea and chest discomfort
Bradycardia is less likely; patients more often present withtachycardiadue to volume stress. Fever would suggest infection (not stated here), and hypotension can occur later, but hypertension is more common in early fluid overload.
References:
NREMT Medical Emergencies - Renal and Dialysis Patients
National Kidney Foundation Guidelines - Missed Dialysis and Pulmonary Symptoms AAOS EMT Textbook - Urologic and Fluid Volume Imbalance
質問 # 226
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：B
解説：
To establish negligence, four legal elements must be proven:
* Duty to act - a legal obligation to provide care.
* Breach of duty - failing to meet the standard of care.
* Damages - harm occurred.
* Proximate causation - the breach directly caused the damage.
" Proximate causation " means the EMT's action or inaction is closely linked to the harm suffered by the patient.
References:
NREMT Candidate Handbook - Legal and Ethical Guidelines
"Emergency Care" (13th ed., Limmer & O'Keefe) - Chapter: Medical, Legal, and Ethical Issues National EMS Education Standards - Professionalism and Ethics
質問 # 227
Which of the following are nerve agents? Select the two answer options that are correct.
正解：A、E
解説：
Comprehensive and Detailed Explanation (Based on NREMT standards):
Nerve agents are highly toxic organophosphate chemicals that inhibit acetylcholinesterase, leading to excess acetylcholine accumulation and life-threatening cholinergic effects. NREMT hazardous materials education highlights recognition of these agents due to their rapid lethality.
Option C (Tabun) and D (Sarin) are correct. Both are internationally recognized nerve agents historically used in chemical warfare and terrorist attacks.
Option A (Naloxone) is an opioid antagonist, not a nerve agent.
Option B (Metoprolol) is a beta-blocker medication.
Option E (Atropine) is not a nerve agent; it is an antidote used to treat nerve agent poisoning.
NREMT emphasizes scene safety, recognition of toxidromes, and early antidote administration for nerve agent exposure.
質問 # 228
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