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| Section | Objectives |
|---|---|
| Topic 1: Airway, Respiration and Ventilation | - Airway Management
|
| Topic 2: EMS Operations | - Operational Procedures
|
| Topic 3: Medical, Obstetrics and Gynecology | - Obstetrics and Gynecology
|
| Topic 4: Cardiology and Resuscitation | - Cardiac Emergencies
|
| Topic 5: Trauma | - Trauma Assessment and Care
|
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NEW QUESTION # 160
A 27-year-old patient reports trouble breathing after being struck by a car. Which of the following findings are indicative of a possible chest wall injury? Select the three answer options that are correct.
Answer: D,E,F
Explanation:
Clavicle deformity suggests potential rib or thoracic trauma. Unequal chest rise may indicate a flail segment, pneumothorax, or hemothorax. Subcutaneous emphysema, the presence of air under the skin, is a classic finding in pneumothorax or tracheobronchial injury.
Occipital depression is not chest related; epigastric distension is a GI symptom; and jugular vein distention would suggest tension pneumothorax or cardiac tamponade, which are more advanced complications.
References:
NREMT Trauma Assessment Guidelines
National EMS Education Standards - Chest Injuries
AAOS Emergency Care and Transportation (11th ed.), Chapter: Chest and Abdominal Trauma
NEW QUESTION # 161
You have consulted with on-line medical direction to terminate resuscitation of a 74-year-old female.
How should you inform her family of this decision?
Answer: A
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
EMS professionals are expected to useempathetic yet clear languagewhen communicating a death. The phrase"She has passed"is bothrespectfuland commonly accepted as an appropriate way toconvey death compassionatelywithout being overly clinical or harsh.
"Died" may sound too blunt in an emotional moment, while "didn't make it" and "at peace" can feelvague or dismissive. Clear, empathetic communication is critical for patient dignity and family support during death notifications.
References:
National EMS Education Standards - Ethics, Communication, and Patient Advocacy NAEMT Guidelines for Death Notification in the Field Brady Emergency Care (13th ed.), Chapter: Special Situations and Emotional Support
NEW QUESTION # 162
An EMT cannot find a pulse on a responsive patient. Which of the following should the EMT do next?
Answer: D
Explanation:
If a patient is responsive, they must have adequate cerebral perfusion, meaning a pulse is present-even if it is difficult to palpate. NREMT guidelines emphasize that EMTs should not assume cardiac arrest based solely on an inability to feel a pulse.
Option C is correct because the EMT should continue the primary assessment, reassessing airway, breathing, and circulation using additional indicators such as skin condition, mental status, and breathing quality.
Option A is incorrect because CPR is only initiated in unresponsive, pulseless patients.
Option B is incorrect because AED use is indicated only for unresponsive, pulseless patients.
Option D may be appropriate later for shock but does not address the assessment discrepancy.
NREMT teaches that patient responsiveness is a reliable indicator of circulation and that EMTs must avoid unnecessary resuscitative interventions.
NEW QUESTION # 163
The ability to think and reason is located in which region of the brain?
Answer: C
Explanation:
The cerebrum is the largest and most developed part of the human brain and is responsible for higher cognitive functions. According to NREMT anatomy and physiology education, the cerebrum controls thinking, reasoning, memory, judgment, voluntary movement, and sensory interpretation.
Option B is correct because conscious thought, problem-solving, and decision-making all originate in the cerebrum.
Option A (Pons) helps regulate breathing and sleep cycles.
Option C (Brain stem) controls vital functions such as heart rate, breathing, and blood pressure.
Option D (Cerebellum) coordinates balance, posture, and fine motor movement.
Understanding brain function helps EMTs correlate neurological findings with possible injuries or medical conditions.
NEW QUESTION # 164
A program whose efforts are to limit the effects of an injury or illness that you cannot completely prevent is called
Answer: D
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
Secondary preventionfocuses onearly detection and interventionto reduce the severity or impact of an illness or injury that has already occurred or is inevitable. Examples in EMS include:
* AED deployment in public
* Stroke recognition training
* Early CPR
Primary preventionaims to stop the injury from occurring at all (e.g., vaccination, seatbelts). "Reactive" and
"proactive" are not recognized formal categories in EMS public health strategy.
References:
NREMT Public Health and EMS Prevention Models
CDC Injury Prevention Framework
EMS Agenda for the Future - Preventive and Community-Based EMS Care
NEW QUESTION # 165
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