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NEW QUESTION # 46
A choking patient becomes unresponsive. What should the EMT perform next? Select the two correct options.
Answer: A,C
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
If a choking patient becomes unresponsive, EMTs should:
* Check for a pulse
* Begin chest compressions if no pulse is foundChest compressions can help dislodge the object. After compressions, the airway should be opened and inspected. Back blows are not appropriate for unconscious patients.
Ventilation is attempted after clearing the airway or if no object is seen. Do not withhold compressions waiting for object removal.
References:
AHA BLS Provider Manual (2020) - Foreign Body Airway Obstruction Algorithm NREMT Airway Skills Sheet - Obstructed Airway National EMS Education Standards - Respiratory and Airway Management
NEW QUESTION # 47
An EMT assists a 29-year-old patient with a metered-dose inhaler. After the patient inhales the medication, what should the EMT instruct the patient to do?
Answer: D
Explanation:
The correct answer is C because after inhaling medication from a metered-dose inhaler (MDI) , the patient should hold their breath for about 5-10 seconds .
NREMT-aligned EMT medication administration guidelines emphasize this step because it allows the medication to deposit deeply into the lungs , improving its effectiveness in treating bronchoconstriction.
Immediately exhaling would reduce the amount of medication that reaches the lower airways.
NEW QUESTION # 48
A 12-year-old male suffered helmet-to-helmet contact while playing football. A bystander states, "He passed out for several seconds, then walked off the field under his own power." He is now unresponsive, and his vital signs are BP 180/110, P 90, and R 6. You should suspect
Answer: A
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
Anepidural hematomaclassically presents with a"lucid interval"- a brief period of regained consciousness following head trauma, followed by rapid deterioration. This is due to arterial bleeding, often from themiddle meningeal artery, leading to increasing intracranial pressure.
Signs include:
* High blood pressure
* Decreasing respiratory rate
* Altered LOC or unresponsiveness
Subdural hemorrhages are slower venous bleeds, common in elderly patients. Subarachnoid hemorrhage often presents with "worst headache of life." Intracerebral bleeds are less commonly linked to lucid intervals.
References:
NREMT Trauma Module - Head Injuries
AAOS Emergency Care Textbook (11th ed.), Chapter: Head and Spine Trauma Emergency Neurological Life Support (ENLS) Guidelines - Traumatic Brain Injury
NEW QUESTION # 49
What are the greatest morbidity risks associated with poorly controlled patient agitation in patients exhibiting delirium? Select the two answer options that are correct.
Answer: A,B
Explanation:
The correct answers are B. Positional asphyxia and E. Sudden cardiac arrest.
This question refers to patients with severe agitation or delirium, often described in EMS as excited delirium syndrome or severe behavioral emergencies.
Why B is correct (Positional asphyxia):
Agitated patients who are restrained improperly (especially in prone positions) are at high risk of:
* Restricted chest wall movement
* Impaired ventilation
* Hypoxia
NREMT-aligned guidance emphasizes:
* "Improper restraint positioning can lead to positional asphyxia."
* This is a major cause of morbidity and death in agitated or restrained patients.
Why E is correct (Sudden cardiac arrest):
Severely agitated or delirious patients are at risk of:
* Extreme catecholamine surge
* Metabolic acidosis
* Cardiac dysrhythmias
These can rapidly lead to sudden cardiac arrest.
NREMT materials highlight:
* "Patients with severe agitation are at risk for sudden cardiac arrest."
* "Excited delirium may result in sudden death if not properly managed." Why the other options are incorrect:
* A. Seizure activity: Not a primary or common morbidity risk directly associated with agitation.
* C. Hypovolemic shock: Not typically related to agitation unless trauma or bleeding is present.
* D. Hemorrhagic stroke: Not a typical complication of agitation/delirium in EMS context.
Exact Extracts:
* "Improper restraint can result in positional asphyxia."
* "Excited delirium is associated with sudden cardiac arrest."
* "Agitated patients require careful monitoring due to risk of sudden death." References:
NREMT EMT Education Standards - Medical Emergencies (Behavioral and Psychiatric Disorders) NREMT National Continued Competency Program (NCCP) - Behavioral Emergencies Prehospital Emergency Care (EMT) - Behavioral Crisis Management
NEW QUESTION # 50
An EMT is using a BVM to ventilate a 28-year-old patient with asthma. The patient is unresponsive, and their vital signs are BP 70/40, P 142, R 8, and SpO2 89% on room air. The patient is becoming increasingly difficult to ventilate. What should the EMT do next?
Answer: B
Explanation:
In patients with asthma experiencing respiratory failure, improper ventilation (especially excessive rates) can lead to air trapping and increased intrathoracic pressure, reducing venous return and worsening hypotension.
The correct technique is to ventilate slowly to allow full exhalation - around 1 breath every 5-6 seconds for adults.
CPAP is contraindicated in unresponsive patients who cannot maintain their own airway. A non-rebreather mask would be insufficient for an unresponsive patient, and forceful ventilation risks barotrauma.
References:
NREMT EMT Psychomotor Exam Guide: Airway, Respiration and Ventilation
American Heart Association (AHA) BLS Provider Manual (2020)
National EMS Education Standards (2011) - Airway Management Section
NEW QUESTION # 51
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