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NEW QUESTION # 192
What are possible complications of using continuous positive airway pressure (CPAP)? Select the two correct options.
Answer: C,D
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
CPAPworks by delivering continuous positive pressure to keep alveoli open and improve oxygenation.
However, complications include:
* Hypotension: Due to reduced venous return and cardiac preload
* Feeling of suffocation: Common psychological reaction to a tight-fitting mask and forced airflow It isused to treat, not cause, pulmonary edema. It doesnot induce bronchospasmor myocardial infarction.
References:
NREMT Airway & Ventilation Guidelines
National EMS Education Standards - Noninvasive Positive Pressure Ventilation AAOS EMT Textbook (11th ed.), CPAP and Respiratory Distress Management
NEW QUESTION # 193
A 24-year-old patient is in respiratory distress after being stung by a bee. What initial management action should the EMT take for this patient?
Answer: C
Explanation:
The correct answer is D. Administer epinephrine auto-injector.
Key findings in this scenario:
Bee sting
Respiratory distress
These findings strongly indicate anaphylaxis, a life-threatening allergic reaction that requires immediate treatment.
Why D is correct:
Epinephrine is the first-line treatment for anaphylaxis because it:
Relieves bronchoconstriction (improves breathing)
Reduces airway swelling
Improves blood pressure
NREMT/AHA-aligned guidance states:
"Epinephrine is the primary treatment for anaphylaxis."
"Administer immediately in patients with respiratory compromise from allergic reactions." Why the other options are incorrect:
A). Give a bronchodilatorMay help wheezing, but does not treat systemic anaphylaxis B). Perform a primary surveyAlways important, but life-saving intervention (epinephrine) should not be delayed in obvious anaphylaxis C). Immediately transportTransport is important, but treatment must begin immediately Exact Extracts (NREMT-aligned EMT educational references):
"Administer epinephrine promptly in suspected anaphylaxis."
"Respiratory distress after allergen exposure is an indication for epinephrine."
"Delays in epinephrine administration increase mortality."
Clinical Priority Summary:
In a patient with respiratory distress following a bee sting, the EMT must immediately administer epinephrine, making D the correct answer.
References:
NREMT EMT Education Standards - Medical Emergencies (Allergic Reactions) NREMT National Continued Competency Program (NCCP) American Heart Association (AHA) Guidelines (aligned with NREMT)
NEW QUESTION # 194
What should you anticipate when you go in for a deposition?
Answer: B
Explanation:
A deposition is a formal legal proceeding in which sworn testimony is taken prior to trial. NREMT education on EMS operations, documentation, and legal responsibilities emphasizes that EMTs may be required to participate in depositions as part of civil or criminal cases involving patient care.
Option C is correct because attorneys for all involved parties are typically present during a deposition. These may include attorneys representing the plaintiff, defendant, EMS agency, or insurance providers. The EMT provides sworn testimony under oath, and the deposition may later be used in court.
Option A is incorrect because deposition testimony is admissible in court under many circumstances.
Option B is incorrect because depositions are not presided over by a judge; they are conducted by attorneys.
Option D is incorrect because exhibits such as patient care reports, protocols, or photographs may be introduced during a deposition.
NREMT stresses the importance of accurate documentation, professionalism, and honesty, as EMTs are legally accountable for their actions and statements.
NEW QUESTION # 195
Which of the following conditions would most likely result in pulmonary edema? Select the two correct options.
Answer: C,D
Explanation:
Pulmonary edema is caused by fluid accumulation in the alveoli, impairing gas exchange. It is typically due to:
* Left-sided heart failure: Blood backs up into the pulmonary circulation
* Hypertensive crisis: Increases hydrostatic pressure in the lungs
Anaphylaxis causes vasodilation and bronchospasm, not fluid overload. Increased oncotic pressure would retain fluid in capillaries - the opposite of edema.
References:
NREMT Medical Module - Respiratory and Cardiovascular Integration
AHA ACLS Guidelines - Congestive Heart Failure
AAOS EMT Textbook - Pathophysiology of Pulmonary Edema
NEW QUESTION # 196
A patient is having a stroke. Which of the following details are most important to report to the receiving hospital? Select the two answer options that are correct.
Answer: C,D
Explanation:
NREMT stroke management focuses on rapid identification and time-sensitive intervention, particularly for patients who may be eligible for thrombolytic therapy or endovascular treatment.
Option D (Time of first signs or symptoms) is critical. This determines the patient's eligibility for treatments such as tissue plasminogen activator (tPA), which must be administered within a defined time window.
Option C (Patient's denial of a headache) is also important because sudden, severe headache suggests hemorrhagic stroke, whereas its absence may support ischemic stroke. This information helps guide diagnostic urgency and treatment planning.
Option A is not immediately relevant prehospital.
Option B is administrative, not emergent.
Option E does not impact acute stroke management.
NREMT stresses the importance of early notification, accurate time history, and focused neurological reporting to improve stroke outcomes.
NEW QUESTION # 197
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