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| Section | Objectives |
|---|---|
| Topic 1: Medical, Obstetrics and Gynecology | - Medical Emergencies
|
| Topic 2: Trauma | - Trauma Assessment and Care
|
| Topic 3: Cardiology and Resuscitation | - Cardiac Emergencies
|
| Topic 4: Airway, Respiration and Ventilation | - Airway Management
|
| Topic 5: EMS Operations | - Operational Procedures
|
>> New NREMT EMT Exam Format <<
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NEW QUESTION # 72
The most common finding in a patient who is experiencing a sickle cell crisis is
Answer: C
Explanation:
Sickle cell crisis (vaso-occlusive crisis) occurs when abnormally shaped red blood cells obstruct blood flow, leading to:
* Severe localized or generalized pain (most common symptom)
* Often in the back, chest, abdomen, or long bones
Hypoxia may be a contributing factor, but pain is the most reported reason for EMS activation. Cardiac arrhythmias and hypertension are not primary symptoms of sickle cell crisis.
References:
NREMT Medical Guidelines - Hematologic Disorders
AAOS Emergency Care and Transportation (11th ed.) - Chapter on Hematologic Emergencies National Heart, Lung, and Blood Institute - Sickle Cell Disease Management
NEW QUESTION # 73
What characteristics of the pediatric airway are different from the adult airway?
Answer: A
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
Compared to adults, pediatric patients have:
* Aproportionately larger tongue, which increases the risk of airway obstruction
* Alarger occiput, which causes natural neck flexion when lying supine, potentially occluding the airway This anatomical difference is why EMS providers often use ashoulder rollinstead of a head tilt to maintain a neutral airwayin infants and toddlers.
References:
NREMT Pediatric Airway Management Standards
AHA PALS Manual - Pediatric Anatomy and Airway Considerations
National EMS Education Standards - Pediatric Assessment and Airway Anatomy
NEW QUESTION # 74
A 3-year-old patient has a sore throat and fever. They are drooling. Which of the following actions should the EMT take?
Answer: D
Explanation:
This pediatric presentation-fever, sore throat, and drooling-is highly concerning for acute epiglottitis, a life-threatening airway emergency emphasized in NREMT airway education. Epiglottitis causes rapid swelling of the epiglottis and surrounding tissues, which can lead to sudden and complete airway obstruction, especially in young children.
Option D is correct because the EMT should minimize agitation and transport the child in a position of comfort, typically sitting upright. NREMT guidelines stress that children with suspected epiglottitis should be kept calm, allowed to assume their preferred position, and transported rapidly without unnecessary interventions that could provoke airway spasm.
Option A is incorrect because finger sweeps are contraindicated unless a solid foreign body is clearly visible.
Performing a finger sweep may worsen obstruction or trigger complete airway closure.
Option B is incorrect because positive-pressure ventilation with a BVM can increase agitation and is not indicated unless the patient is in respiratory failure. Oxygen may be offered gently, but forcing a BVM is dangerous.
Option C is incorrect because visual inspection of the airway using a tongue depressor can precipitate sudden airway obstruction and is specifically contraindicated by NREMT teaching.
The priority per NREMT is airway preservation through calm handling, rapid transport, and avoidance of invasive airway maneuvers.
NEW QUESTION # 75
Which of the following signs and symptoms indicate dehydration in an infant? Select the three correct options.
Answer: C,D,F
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
Dehydration signs in infantsinclude:
* Poor skin turgor(elasticity)
* Sunken fontanelles(indicative of fluid loss)
* Delayed capillary refill(>2 seconds)
Flushed skin is more common infever or heat illness, not dehydration.Hypotension, not hypertension, is associated with dehydration in late stages.
References:
NREMT Pediatric Assessment and Fluid Emergencies
PALS Provider Manual - Dehydration in Infants
AAOS Emergency Care (11th ed.) - Pediatric Emergency Chapter
NEW QUESTION # 76
A program whose efforts are to limit the effects of an injury or illness that you cannot completely prevent is called
Answer: A
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 # 77
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