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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Patient Treatment and Transport | 20–24% | - Communication with receiving facilities - Medication administration and protocols - Medical and trauma care interventions - Patient packaging and transport procedures |
| Topic 2: Primary Assessment | 39–43% | - Initial patient assessment - Identification and management of life-threatening conditions - General patient impression and priority determination - Airway, breathing, and circulation management |
| Topic 3: Secondary Assessment | 5–9% | - Symptom assessment and history taking - Focused history and physical exam - Vital signs and monitoring |
| Topic 4: EMS Operations | 10–14% | - EMS system roles and responsibilities - Emergency vehicle operations and safety - Documentation and legal aspects - Incident command and multiple-casualty situations |
| Topic 5: Scene Size-Up and Safety | 15–19% | - Mechanism of injury / nature of illness - Hazard recognition and management - Scene assessment and safety protocols |
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NEW QUESTION # 87
Which of the following are nerve agents? Select the two answer options that are correct.
Answer: B,C
Explanation:
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.
NEW QUESTION # 88
A 42-year-old male states, " I can ' t breathe " after being shot in his upper thigh. Bystanders have applied direct pressure to his thigh and the bleeding is controlled. You should first
Answer: A
Explanation:
The patient's complaint of difficulty breathing is an airway/breathing issue and takes precedence over a controlled extremity bleed. The first action is to administer oxygen and evaluate respiratory effort.
Though reassessing the wound is important, oxygenation is the priority when airway compromise or respiratory distress is present. Tourniquets are for uncontrolled bleeding, which is not the case here.
References:
NREMT Trauma Assessment Guidelines
National EMS Education Standards - Primary Assessment Priorities
Brady Emergency Care (13th ed.) - Chapter: Patient Assessment
NEW QUESTION # 89
A 13-year-old patient has partial- and full-thickness burns to the chest and both arms after falling into a campfire. What actions should the EMT take for this patient? Select the two answer options that are correct.
Answer: B,E
Explanation:
The correct answers are A and B because EMT burn care focuses on preventing further injury, reducing contamination, and preparing for rapid transport .
Removing jewelry is essential because burned tissues will swell, and constricting items can compromise circulation. Covering the burns with a dry, sterile sheet helps protect against infection and reduces heat loss, which is critical in moderate-to-severe burns.
NREMT-aligned guidance emphasizes avoiding prolonged cooling in significant burns, not applying ointments, and not removing adhered clothing, while prioritizing sterile covering and transport.
NEW QUESTION # 90
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: A,B,E
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
The symptoms described areclassic 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 likeFAST:
* 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 # 91
What are the proper procedures for performing CPR on a 9-month-old patient? Select the three answer options that are correct.
Answer: A,B,F
Explanation:
The correct answers are A. Check the brachial artery for a pulse, C. Use a compression depth of at least two inches, and E. Use the two-thumb-encircling-hands technique for two rescuers.
1. Check the brachial artery (A):
For infants (less than 1 year old), the correct pulse check site is the brachial artery, not the carotid.
"For infants, assess the brachial pulse."
2. Compression depth (C):
Infant chest compressions should be about 1/3 the depth of the chest, which is approximately 1.5-2 inches.
"Compress the chest at least one-third its depth (about 1.5-2 inches in infants)."
3. Two-thumb-encircling-hands technique (E):
When two rescuers are present, this is the preferred method because it:
Produces better compressions
Improves perfusion
"Use the two-thumb encircling technique for two-rescuer infant CPR."
Why the other options are incorrect:
B). Compression rate is over 120/min # IncorrectCorrect rate is 100-120/min, not over 120 D). Compression area just above nipple line # IncorrectCorrect location is just below the nipple line on the sternum F). Ventilate one breath every 3 seconds # IncorrectWith advanced airway: 1 breath every 2-3 seconds (20-30
/min), not fixed at 3 seconds
Exact Extracts (NREMT/AHA-aligned references):
"Check the brachial pulse in infants."
"Compression depth should be at least one-third the chest diameter."
"Use the two-thumb encircling technique for two rescuers."
"Compression rate is 100-120 per minute."
Clinical Priority Summary:
Proper infant CPR includes brachial pulse assessment, correct compression depth, and appropriate technique, making A, C, and E correct.
References:
NREMT EMT Education Standards - Cardiology & Resuscitation
American Heart Association (AHA) Guidelines for CPR and ECC
NREMT National Continued Competency Program (NCCP)
NEW QUESTION # 92
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