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NREMT EMT Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Patient Treatment and Transport20–24%- Medical and trauma care interventions
- Communication with receiving facilities
- Medication administration and protocols
- Patient packaging and transport procedures
Topic 2: Scene Size-Up and Safety15–19%- Mechanism of injury / nature of illness
- Scene assessment and safety protocols
- Hazard recognition and management
Topic 3: Secondary Assessment5–9%- Symptom assessment and history taking
- Focused history and physical exam
- Vital signs and monitoring
Topic 4: EMS Operations10–14%- Emergency vehicle operations and safety
- Incident command and multiple-casualty situations
- Documentation and legal aspects
- EMS system roles and responsibilities
Topic 5: Primary Assessment39–43%- Identification and management of life-threatening conditions
- Airway, breathing, and circulation management
- Initial patient assessment
- General patient impression and priority determination

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EMT Prüfungsinformationen & EMT Demotesten

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NREMT Emergency Medical Technicians Exam EMT Prüfungsfragen mit Lösungen (Q113-Q118):

113. Frage
Reassessment of a patient begins with repeating the

Antwort: B

Begründung:
The reassessment phase in the EMT patient assessment model starts with repeating the primary survey (also called the primary assessment), which includes:
* Airway
* Breathing
* Circulation
* Disability (mental status)
* Exposure/environment
The purpose is to identify any changes or deterioration in the patient's life-threatening conditions, especially in dynamic or unstable patients. Only after this do EMTs check vitals and reevaluate secondary complaints.
References:
NREMT Assessment Guidelines - Patient Reassessment
Brady Emergency Care (13th ed.), Chapter: Assessment in EMS
National EMS Education Standards - Patient Assessment


114. Frage
You have achieved ROSC (Return of Spontaneous Circulation) in a 77-year-old female. She remains unresponsive and her vital signs are BP 94/58, P 82, and R 18. In what position should she be placed?

Antwort: C

Begründung:
Comprehensive and Detailed Explanation From Exact Extract:
AfterROSCin an unresponsive patient, theleft lateral recumbent position(also called the recovery position) is preferred to:
* Maintain an open airway
* Prevent aspiration if vomiting occurs
* Promote drainage of secretions
Supine or Trendelenburg positions increase the risk of aspiration. Elevating the head to 45° may reduce intracranial pressure, but it's not standard post-ROSC care in an unresponsive patient unless airway protection is ensured.
References:
NREMT Cardiology Guidelines - Post-Resuscitation Care
American Heart Association BLS/ACLS Algorithms - ROSC Protocol
EMS Education Standards - Transport Positioning


115. Frage
Which of the following bones is most likely to cause external leg rotation when fractured?

Antwort: C

Begründung:
The correct answer is B. Femur.
Why B is correct (Femur):
A fracture of the femur, especially the proximal femur (hip region), commonly results in:
External rotation of the affected leg
Shortening of the limb
This occurs because:
Strong muscles (particularly the hip external rotators) pull on the fractured bone The limb naturally falls into an externally rotated position NREMT-aligned trauma guidance states:
"Femur fractures often present with shortening and external rotation of the leg."
"Muscle spasms and bone displacement alter normal limb alignment."
Why the other options are incorrect:
A). Pubis: Pelvic fractures may cause pain and instability but do not typically cause isolated external rotation of the leg.
C). Patella: Affects the knee; does not cause external rotation of the entire leg.
D). L5 vertebra: Spinal injury; may cause neurologic deficits but not limb rotation.
Exact Extracts:
"Femur fractures commonly result in limb shortening and external rotation."
"Muscle forces acting on the fractured femur alter positioning of the leg."
"Assessment includes observing deformity and abnormal limb positioning." References:
NREMT EMT Education Standards - Trauma (Musculoskeletal Injuries)
NREMT National Continued Competency Program (NCCP) - Trauma Emergencies Prehospital Emergency Care (EMT) - Musculoskeletal Trauma


116. Frage
After handling a dressing contaminated with body fluid, you should

Antwort: B

Begründung:
The correct answer is A because standard precautions require hand hygiene after contact with body fluids or contaminated items and immediately after glove removal . CDC guidance states to clean hands after contact with blood, body fluids, or contaminated surfaces and immediately after glove removal , and OSHA likewise requires handwashing immediately or as soon as feasible after removal of gloves . This is the EMT priority after handling a body-fluid-contaminated dressing.


117. Frage
A 26-year-old patient is 26 weeks pregnant and has severe abdominal pain after being involved in a motor vehicle collision. There is minimal vaginal bleeding, and uterine contractions are present. What condition should the EMT suspect as the most likely cause of the patient ' s signs and symptoms?

Antwort: A

Begründung:
The correct answer is C. Abruptio placenta (placental abruption).
This patient presents with classic signs of placental abruption, especially in the context of trauma:
* Severe abdominal pain
* History of trauma (MVC)
* Uterine contractions
* Minimal or concealed vaginal bleeding
Why C is correct (Abruptio placenta):
Placental abruption occurs when the placenta prematurely separates from the uterine wall. It is strongly associated with trauma during pregnancy.
Key features include:
* Painful abdomen
* Uterine irritability or contractions
* Bleeding that may be minimal or concealed
NREMT-aligned guidance states:
* "Placental abruption is commonly associated with trauma and presents with abdominal pain and uterine contractions."
* "Bleeding may be minimal because it can be concealed behind the placenta." Why the other options are incorrect:
* A. Placenta previa: Presents with painless vaginal bleeding, not abdominal pain or contractions.
* B. Ruptured uterus: Rare, usually associated with severe trauma or prior uterine surgery; presents with catastrophic signs.
* D. Spontaneous abortion: Occurs earlier in pregnancy (typically < 20 weeks), not at 26 weeks.
Exact Extracts:
* "Placental abruption presents with abdominal pain and vaginal bleeding following trauma."
* "Bleeding may be concealed and not externally visible."
* "Uterine contractions and tenderness are common findings."
References:
NREMT EMT Education Standards - Medical / Obstetrics / Gynecology
NREMT National Continued Competency Program (NCCP) - Obstetric Emergencies Prehospital Emergency Care (EMT) - Obstetric Emergencies


118. Frage
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