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| Section | Objectives |
|---|---|
| Topic 1: EMS Operations | - Operational procedures
|
| Topic 2: Trauma | - Traumatic injuries
|
| Topic 3: Medical, Obstetrics & Pediatrics | - Medical emergencies
|
| Topic 4: Cardiology & Resuscitation | - Cardiac emergencies
|
| Topic 5: Airway, Respiration & Ventilation | - Airway management
|
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NEW QUESTION # 158
A 74-year-old patient has epigastric pain without relief from three doses of prescribed nitroglycerin. The patient is anxious, nauseated, and diaphoretic. The vital signs are BP 180/90 mmHg, P 62/min, R 20/min and shallow, and SpO# 92% on room air. What actions should the EMT prioritize for this patient? Select the two answer options that are correct.
Answer: D,E
Explanation:
This patient's presentation is highly suspicious for acute coronary syndrome (ACS). NREMT education emphasizes that epigastric pain, especially in elderly patients, may represent myocardial ischemia. The lack of relief after three doses of nitroglycerin further increases concern for an evolving myocardial infarction.
Option A (Give aspirin) is correct because aspirin inhibits platelet aggregation and is a cornerstone of early ACS management. NREMT guidelines recommend administering aspirin as soon as possible unless contraindications exist.
Option B (Apply oxygen) is correct because the patient's oxygen saturation is 92%, which is below normal.
NREMT recommends supplemental oxygen for patients with suspected cardiac ischemia who are hypoxic or in respiratory distress.
Option C may provide comfort but does not address the underlying ischemia.
Option D is incorrect because the patient has already taken the maximum recommended prehospital doses of nitroglycerin.
Option E is outside the EMT scope of practice in many systems and is not a priority EMT intervention.
NREMT emphasizes early aspirin administration, oxygenation, continuous monitoring, and rapid transport for suspected ACS.
NEW QUESTION # 159
Which of the following would directly increase public safety in the community?
Answer: B
Explanation:
The correct answer is B because conducting child safety seat clinics has a direct injury-prevention effect in the community. NREMT-aligned EMS operations includes the EMT role in public education and injury prevention , and child passenger safety programs directly reduce the risk of injury and death in motor vehicle crashes by helping caregivers properly restrain children.
This makes it the option that most directly improves community public safety , rather than simply improving visibility or public relations.
NEW QUESTION # 160
A law enforcement officer requests that you place the clothes from a sexual assault victim in a bag for transport to the hospital. Which type of bag should you use?
Answer: B
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
In cases ofsexual assault, preservingevidence integrityis critical. Clothing or other forensic evidence must be placed inpaper bags. Plastic or non-breathable materials can trap moisture, promotingmold or degradation of evidencelike DNA or bodily fluids.
This approach follows chain-of-custody protocols used by law enforcement and medical facilities for handling forensic material.
References:
NREMT EMS Operations - Evidence Preservation and Forensics
U.S. Department of Justice: "A National Protocol for Sexual Assault Medical Forensic Examinations" National EMS Education Standards - Legal and Ethical Principles
NEW QUESTION # 161
What components are necessary to maintain adequate perfusion? Select the three correct options.
Answer: B,E,F
Explanation:
Perfusion refers to delivery of oxygen and nutrients to tissues. It depends on three essential components:
Patent airway: Ensures oxygen reaches lungs
Intact microcirculation: Capillary-level exchange must function
Sufficient blood volume: Maintains blood pressure and oxygen transport
Hypoxic drive relates to COPD physiology, not perfusion. High alveolar pressure (like from CPAP) may impede venous return, and a low ventilation-perfusion ratio means poor oxygenation efficiency, which negatively affects perfusion.
References:
NREMT Cardiovascular and Shock Guidelines
National EMS Education Standards - Perfusion and Circulatory Assessment AHA ACLS Provider Manual - Systemic Perfusion Concepts
NEW QUESTION # 162
An unresponsive 79-year-old female has agonal respirations. You should
Answer: A
Explanation:
Agonal respirations are not effective breathing and can mimic gasping or snorting. They often occur in cardiac arrest. However, before initiating chest compressions, the EMT must confirm pulselessness by checking a carotid pulse for no more than 10 seconds (AHA 2020 BLS Guidelines).
Only after pulse confirmation (or absence) should compressions begin. Suctioning or ventilating is premature unless a pulse is found.
References:
AHA BLS Provider Manual (2020) - Adult Basic Life Support Algorithm
NREMT Cardiac Arrest Management - Adult Assessment Flow
AAOS EMT Textbook - Chapter: Cardiac Arrest and Resuscitation
NEW QUESTION # 163
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2026 Latest TrainingQuiz EMT PDF Dumps and EMT Exam Engine Free Share: https://drive.google.com/open?id=19NTxRiIbC_2fMjW_yeIdUVhbDfiumS2H