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Format: Multiple choices, multiple answers
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NEW QUESTION # 108
A 67-year-old patient has a sudden onset of weakness and dizziness after feeling a tearing pain in their chest.
The patient has a history of diabetes, myocardial infarction, and hypertension. Lung sounds are clear. The skin is pale and cool to the touch. The vital signs are BP 88/52, P 128, and R 24. Which of the following types of shock should the EMT most strongly suspect?
Answer: D
Explanation:
The correct answer is B. Hypovolemic shock.
Key findings in this scenario:
* Sudden "tearing" chest pain # classic sign of aortic dissection or rupture
* Hypotension (BP 88/52)
* Tachycardia (P 128)
* Pale, cool, clammy skin
* Clear lung sounds
Why this indicates hypovolemic shock:
A tearing chest pain strongly suggests a vascular catastrophe (e.g., aortic dissection/rupture), which can lead to internal bleeding. This results in:
* Loss of circulating blood volume
* Decreased perfusion
* Signs of hypovolemic shock
NREMT-aligned guidance states:
* "Hypovolemic shock results from significant fluid or blood loss."
* "Patients present with hypotension, tachycardia, and cool, pale skin." Why NOT cardiogenic shock (C):
Although the patient has a cardiac history:
* Cardiogenic shock typically presents with:
* Pulmonary edema (crackles)
* Signs of heart pump failure
* This patient has clear lung sounds, which argues against cardiogenic shock Why the other options are incorrect:
* A. PsychogenicCauses temporary fainting, not sustained hypotension with shock signs
* D. SepticUsually presents with warm skin (early) and signs of infection, not tearing chest pain Exact Extracts (NREMT-aligned EMT educational references):
* "Hypovolemic shock is caused by blood or fluid loss."
* "Signs include hypotension, tachycardia, and cool, pale skin."
* "Internal bleeding can result in hypovolemic shock."
Clinical Priority Summary:
The tearing chest pain with hypotension and signs of poor perfusion strongly suggests internal hemorrhage, leading to hypovolemic shock, making B the correct answer.
References:
NREMT EMT Education Standards - Cardiology & Resuscitation
NREMT National Continued Competency Program (NCCP)
AAOS Emergency Care and Transportation of the Sick and Injured (NREMT-aligned)
NEW QUESTION # 109
A 61-year-old patient has a change in mental status and unilateral weakness that began suddenly about half an hour ago. What other sign or symptom would the EMT expect in this patient?
Answer: D
Explanation:
The correct answer is D because this patient's sudden change in mental status and one-sided weakness strongly suggest an acute stroke/CVA . Another commonly expected stroke finding is speech difficulty , including dysphasia/aphasia . The CDC lists stroke warning signs as sudden numbness or weakness on one side of the body and sudden confusion, trouble speaking, or difficulty understanding speech . ( CDC )
NEW QUESTION # 110
A 9-year-old patient who was injured in an MCI is brought to the treatment area with a delayed triage tag.
Which of the following signs or symptoms would the EMT expect to find? Select the three correct options.
Answer: C,D,F
Explanation:
In pediatric START or JumpSTART triage, a " delayed " status is appropriate if the child is breathing adequately, has palpable pulses, and follows commands. The respiratory rate of 16 is normal for a 9-year-old, and being able to walk also supports the "delayed" tag.
" Mottled skin " and " breathing only after airway opening " would more likely lead to " immediate " or even " expectant " categories depending on associated symptoms.
References:
JumpSTART Pediatric MCI Triage Algorithm
National EMS Education Standards - Triage
PALS Provider Manual (American Heart Association)
NEW QUESTION # 111
Which of the following are signs or symptoms of a hypertensive emergency? Select the two answer options that are correct.
Answer: A,D
Explanation:
For this one, focus on what makes hypertension an emergency rather than just a high blood pressure reading:
evidence of acute end-organ involvement . Two important clues are headache from possible neurologic involvement and orthopnea from possible acute pulmonary edema/heart failure . Authoritative references on hypertensive emergency describe it as severe hypertension with target-organ damage such as pulmonary edema and neurologic symptoms, and headache is a common presenting complaint while orthopnea points to pulmonary congestion. ( NCBI ) So in an EMT testing context, the best two choices are B. Orthopnea and E. Headache because they fit the pattern of a hypertensive crisis with serious organ-system effects, not just isolated elevated blood pressure. ( NCBI )
NEW QUESTION # 112
Witnesses state a patient is unresponsive and not breathing after a vehicle collision. What action should the EMT perform first?
Answer: B
NEW QUESTION # 113
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