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| Section | Objectives |
|---|---|
| Topic 1: EMS Operations | - Operational procedures
|
| Topic 2: Cardiology & Resuscitation | - Cardiac emergencies
|
| Topic 3: Airway, Respiration & Ventilation | - Airway management
|
| Topic 4: Medical, Obstetrics & Pediatrics | - Medical emergencies
|
| Topic 5: Trauma | - Traumatic injuries
|
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問題 #182
A 16-year-old patient has suicidal ideations. How should the EMT proceed?
答案:A
解題說明:
The best next step is to ask directly whether the patient has a plan to hurt themselves . In behavioral emergency care, EMTs are taught not to ignore suicidal statements and not to be vague about them. A direct question about plan and intent helps determine the immediacy of the danger and guides safe management and transport decisions. National suicide-prevention guidance also recommends asking whether the person is thinking about killing themselves as a core first action. ( National Institute of Mental Health ) In plain EMT terms: a teenager saying they have suicidal thoughts is a patient who needs a calm, focused assessment of risk , and asking about a specific plan is part of that assessment. ( PMC )
問題 #183
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.
答案:D,E
解題說明:
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.
問題 #184
A 3-year-old patient has a nontraumatic nosebleed. Which of the following actions should the EMT perform?
Select the two answer options that are correct.
答案:C,E
解題說明:
The correct answers are A and B because standard EMT care for epistaxis (nosebleed) includes having the patient lean forward and applying direct pressure by pinching the nostrils .
Leaning forward prevents blood from draining into the airway or stomach, reducing the risk of aspiration or vomiting. Pinching the nostrils provides direct pressure to control bleeding , which is the primary intervention emphasized in NREMT-aligned bleeding control guidelines.
Send the next question.
問題 #185
The police have placed a 20-year-old patient into custody. The patient is in handcuffs, is agitated, and is angry. The skin is hot and diaphoretic. The vital signs are BP 180/98, P 150, R 28, and SpO# 97% on room air. Which of the following actions would be appropriate for the EMT to take while transporting this patient?
Select the two answer options that are correct.
答案:C,E
解題說明:
This is one of those EMS custody questions where the safest answer comes from remembering two transport rules at the same time: the patient needs medical transport , and the patient also needs safe restraint management .
Because the patient is being transported by EMS, the patient should be secured with appropriate medical restraints , not simply left in police handcuffs alone. That makes removing the handcuffs and applying soft restraints the proper EMS approach, provided law enforcement is involved in that process. Just as important, the officer with the key should ride along so the restraint situation remains safe and legally controlled during transport.
The rest of the scenario also hints that this patient may be medically unstable, not just angry. The hot, diaphoretic skin , marked tachycardia , and severe agitation raise concern for a serious behavioral or medical emergency, so EMS transport is appropriate. Also, NREMT-style operations questions consistently reject prone restraint because face-down positioning increases the risk of respiratory compromise during transport.
問題 #186
A 78-year-old female tripped and fell while walking. Her left leg is rotated externally and shorter than her right leg. You should suspect
答案:A
解題說明:
Comprehensive and Detailed Explanation From Exact Extract:
Anexternally rotated, shortened legis a classic sign of aproximal femur fracture, specifically afemoral neck or intertrochanteric fracture, commonly seen in elderly fall patients. This presentation reflectsmuscle pulland fracture displacement.
* Posterior hip dislocationscauseinternal rotation.
* Pelvic fracturesmay cause instability but not specific leg rotation/shortening.
* Colles' fractureis a distal radius (wrist) injury, unrelated to leg trauma.
References:
NREMT Trauma Module - Musculoskeletal Injuries
National EMS Education Standards - Geriatric Trauma
AAOS Emergency Care (11th ed.), Chapter: Orthopedic Injuries
問題 #187
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