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NEW QUESTION # 94
Which of the following actions are appropriate management for two-rescuer pediatric basic life support? Select the three correct options.
Answer: A,C,F
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
Forpediatric BLS with two rescuers, currentAHA Guidelines (2020)recommend:
* Two-thumb encircling hands technique: Most effective for infants; provides consistent depth and control.
* Compression ratio of 15:2: Enhances ventilation without compromising perfusion.
* Compression depth: 1/3 of chest or approximatelyone-half the chest's depth.
CPR begins ifpulse <60 bpm with signs of poor perfusion, not at 72 bpm. Rate of180/minis excessive; ideal rate is100-120/min.
References:
AHA BLS Provider Manual (2020) - Pediatric BLS Section
NREMT Cardiology & Resuscitation Module
Pediatric Advanced Life Support (PALS) Guidelines
NEW QUESTION # 95
A 70-year-old patient has a sudden onset of difficulty breathing with throat and chest tightness after working outside. The EMT auscultates bilateral wheezes. The vital signs are BP 60/44, P 128, R 28, and SpO# 90% on room air. Which of the following treatments should the EMT administer?
Answer: B
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
The symptoms and vital signs (wheezing, hypotension, high pulse rate, respiratory distress) are strongly indicative ofanaphylaxis, which is alife-threatening allergic reaction. Bilateral wheezing and hypotension further confirm systemic involvement. Thefirst-line treatment is intramuscular epinephrine, which:
* Reverses bronchospasm (via beta-2 adrenergic effects)
* Raises blood pressure (via alpha-1 vasoconstriction)
* Improves airway tone and reduces mucosal edema
A metered-dose inhaler may help in mild bronchospasm but is insufficient duringanaphylactic shock.
Positive pressure ventilations are a secondary measure if respiratory failure occurs. Nitroglycerin is contraindicated due to low BP.
References:
NREMT Medical/Obstetrics/Gynecology Guidelines - Allergic Reactions
AHA ACLS Provider Manual (2020), Section on Anaphylaxis
National EMS Education Standards - Immune System Emergencies
NEW QUESTION # 96
A 96-year-old patient is apneic and pulseless. The family is attempting to cope with the perceived hopelessness of the situation. Which stage of grief should the EMT suspect the family has reached?
Answer: C
Explanation:
The correct answer is D. Depression.
This question is based on the classic five stages of grief commonly taught in EMT education: denial, anger, bargaining, depression, and acceptance.
The key phrase in the question is "perceived hopelessness of the situation." This directly corresponds to the depression stage, which is characterized by sadness, despair, withdrawal, and recognition that the loss is real and unavoidable.
According to standard EMT educational material aligned with NREMT guidelines, the depression stage includes emotional responses such as hopelessness, sadness, and resignation as the patient or family begins to understand the inevitability of death or loss.
Why the other options are incorrect:
* A. Anger: Characterized by frustration, blame, or hostility toward providers or the situation.
* B. Denial: Involves refusal to accept reality (e.g., "This can't be happening").
* C. Bargaining: Involves attempts to negotiate or delay the outcome (e.g., "If only we had called sooner...").
Exact Extract (EMT-aligned educational content):
* The stages of grief include denial, anger, bargaining, depression, and acceptance.
* Depression is described as a stage marked by sadness, despair, and a sense of hopelessness as the reality of the situation becomes clear.
* EMTs are trained to recognize these stages to provide appropriate emotional support to patients and families during end-of-life situations.
References:
NREMT EMT Education Standards - Medical/Behavioral Emergencies (Death and Dying Content) EMT Training Texts (aligned with National EMS Education Standards) - Grief Response and Psychological Support National EMS Scope of Practice Model - Patient and Family Interaction in End-of-Life Care
NEW QUESTION # 97
Through which of the following routes is hepatitis A transmitted?
Answer: B
Explanation:
Hepatitis A virus is transmitted exclusively via the fecal-oral route. Ingesting contaminated food or water allows the virus to enter the digestive tract, infecting liver cells. It ' s often spread through poor hand hygiene or unsanitary food handling.
It is not bloodborne, unlike Hepatitis B and C. It is not commonly spread through saliva or urine.
References:
CDC: "Hepatitis A - Questions and Answers for Health Professionals"
NREMT Medical Guidelines - Communicable Disease
National EMS Education Standards - Infection Control and Prevention
NEW QUESTION # 98
Defusing sessions should do which of the following in order to be successful? Select the two correct options.
Answer: B,C
Explanation:
Defusing is an informal, short-term intervention after a critical incident. It should:
* Occur within hours of the event (ideally the same shift)
* Encourage voluntary open discussion in a confidential setting
It is not a full debrief or counseling session and doesn't require mental health professionals present. Forcing participation or waiting too long (e.g., 72+ hours) can reduce its effectiveness.
References:
NREMT EMS Operations - Critical Incident Stress Management (CISM)
International Critical Incident Stress Foundation (ICISF) Guidelines
National EMS Education Standards - Mental Health and Stress Response
NEW QUESTION # 99
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