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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Secondary Assessment | 5–9% | - Focused history and physical exam - Vital signs and monitoring - Symptom assessment and history taking |
| Topic 2: EMS Operations | 10–14% | - Incident command and multiple-casualty situations - EMS system roles and responsibilities - Documentation and legal aspects - Emergency vehicle operations and safety |
| Topic 3: Primary Assessment | 39–43% | - Airway, breathing, and circulation management - General patient impression and priority determination - Identification and management of life-threatening conditions - Initial patient assessment |
| Topic 4: Scene Size-Up and Safety | 15–19% | - Mechanism of injury / nature of illness - Hazard recognition and management - Scene assessment and safety protocols |
| Topic 5: Patient Treatment and Transport | 20–24% | - Medical and trauma care interventions - Communication with receiving facilities - Medication administration and protocols - Patient packaging and transport procedures |
DeutschPrüfung bietet verschiedene Schulungsunterlagen und Ressourcen zur Vorbereitung der NREMT EMT Prüfung. Es umfasst Kurse, Praxis-Test, Online Test Engine und einen Teil kostenloser PDF-Download.
155. Frage
A 44-year-old patient is unresponsive, and an EMT checks for a pulse prior to applying an AED. Which of the following shockable rhythms, ventricular fibrillation or ventricular tachycardia, if either, may still produce a pulse in this patient?
Antwort: D
Begründung:
The correct answer is B. Ventricular tachycardia only.
There are two primary shockable rhythms in cardiac arrest:
* Ventricular fibrillation (VF)
* Ventricular tachycardia (VT)
However, only one of these may still produce a pulse under certain conditions.
Why B is correct:
* Ventricular tachycardia (VT) can occur with or without a pulse.
* In some cases, VT allows the heart to generate enough cardiac output to produce a palpable pulse (this is called stable or unstable VT with a pulse).
* Therefore, VT is the only shockable rhythm that may still have a pulse.
Why the other options are incorrect:
* A. Ventricular fibrillation only # VF produces no organized cardiac activity, therefore no pulse
* C. Both shockable rhythms # Incorrect because VF never produces a pulse
* D. Neither a shockable rhythm # Incorrect because VT can produce a pulse Exact Extracts:
* "Ventricular fibrillation results in no effective cardiac output and no pulse."
* "Ventricular tachycardia may be present with or without a pulse."
* "Pulseless ventricular tachycardia and ventricular fibrillation are treated with defibrillation." References:
NREMT EMT Education Standards - Cardiology & Resuscitation
National EMS Education Standards - Cardiac Emergencies
NREMT Candidate Handbook - Cardiac Arrest Management
156. Frage
A 24-year-old patient was involved in an MVC. The EMT is completing the patient care report. Which of the following statements indicate pertinent negatives? Select the two correct options.
Antwort: A,C
Begründung:
Comprehensive and Detailed Explanation From Exact Extract:
Pertinent negativesare findings that arenot present, butwould be clinically relevant if they were. For example:
* "No neck or back pain"helps rule out spinal injury
* "No loss of consciousness"informs head trauma assessment
Statements about behavior or initial refusal (B, E) may be documented under patient behavior or refusal, but they are not pertinent negatives. Positive findings like abdominal tenderness arepertinent positives.
References:
NREMT Documentation Standards
National EMS Education Standards - Communication and Documentation
Brady Emergency Care (13th ed.) - Patient Care Reporting
157. Frage
While performing an initial scene size-up at a motor vehicle collision, what should the EMT determine?
Select the three answer options that are correct.
Antwort: A,C,F
Begründung:
The correct answers are A. Mechanisms of injury, B. If entrapment occurred, and D. Total number of patients.
During the scene size-up, the EMT performs an initial overview to ensure safety and gather critical information before patient contact. NREMT guidelines emphasize specific elements that must be identified early.
Key components of scene size-up include:
1. Mechanism of Injury (MOI) (A):
* Helps predict potential injuries based on how the incident occurred
* Essential for determining severity and treatment priorities
2. Entrapment (B):
* Determines whether patients are physically trapped
* Helps anticipate need for extrication resources and delays in care
3. Number of Patients (D):
* Critical for determining if additional resources are needed
* Helps identify potential mass-casualty incidents (MCI)
NREMT-aligned references state:
* "Scene size-up includes determining the mechanism of injury."
* "Identify the number of patients and need for additional resources."
* "Determine if extrication or special rescue is required."
Why the other options are incorrect:
* C. Severity of the patientsThis is determined during the primary assessment, not initial scene size-up
* E. Which patients have diedNot part of initial size-up priorities
* F. Site for loading injured patientsThis is part of incident management/transport decisions, not initial size-up Exact Extracts (NREMT-aligned EMT educational references):
* "Determine the mechanism of injury or nature of illness."
* "Determine the number of patients."
* "Assess the need for additional resources and extrication."
Clinical Priority Summary:
Scene size-up focuses on environmental awareness and resource needs, specifically MOI, patient count, and entrapment, making A, B, and D correct.
References:
NREMT EMT Education Standards - EMS Operations (Scene Size-Up)
NREMT National Continued Competency Program (NCCP)
AAOS Emergency Care and Transportation of the Sick and Injured (NREMT-aligned)
158. Frage
A drowsy 72-year-old female complains of difficulty breathing. Her respiratory rate is 50, and her SpO# is 89% on room air. You should suspect
Antwort: A
Begründung:
Comprehensive and Detailed Explanation From Exact Extract:
The patient'sexcessively high respiratory rate (RR 50),hypoxia (SpO# 89%), anddecreased mental status (drowsiness) indicaterespiratory failure, which is theinability to maintain oxygenation or ventilation.
* Respiratory distress: Increased effort but adequate compensation
* Respiratory arrest: Complete absence of breathing
* Respiratory alkalosis: Possible early finding, but not a condition diagnosis This patient is tiring and losing the ability to ventilate effectively - a hallmark of failure.
References:
NREMT Airway and Ventilation Guidelines
AHA BLS Manual - Recognition of Respiratory Failure
AAOS EMT Textbook - Chapter: Airway Emergencies
159. Frage
An 18-month-old patient has had a fever and cough for the past week and is now having difficulty breathing.
The patient has coarse crackles in their right lower lung. Which of the following conditions should the EMT most strongly suspect as the cause of the patient ' s signs and symptoms?
Antwort: A
Begründung:
This presentation fits pneumonia best. The clue that points most strongly in that direction is the combination of fever + cough + breathing difficulty + focal crackles in one lower lung field . In young children, pneumonia commonly causes cough, fever, and trouble breathing , and focal crackles or other localized lung findings increase suspicion for a lower respiratory infection involving the lung tissue itself. ( CDC ) A quick way to think about it in EMT terms is this: upper-airway illnesses such as croup or epiglottitis usually point you toward sounds like stridor and obvious upper-airway involvement, while this question gives a localized lower-lung finding in the right lower lung , which is much more consistent with pneumonia. ( Merck Manuals )
160. Frage
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Außerdem sind jetzt einige Teile dieser DeutschPrüfung EMT Prüfungsfragen kostenlos erhältlich: https://drive.google.com/open?id=1S26ZyS6_s_WkMH-Ox1QSvD7BRR7Uq4bT