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| Section | Objectives |
|---|---|
| EMS Operations | - Operational Procedures
|
| Cardiology and Resuscitation | - Cardiac Emergencies
|
| Medical, Obstetrics and Gynecology | - Obstetrics and Gynecology
|
| Trauma | - Trauma Assessment and Care
|
| Airway, Respiration and Ventilation | - Airway Management
|
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問題 #114
A 61-year-old patient has a change in mental status and unilateral weakness that began suddenly about half an hour ago. What other sign or symptom would the EMT expect in this patient?
答案:C
解題說明:
The correct answer is D because this patient's sudden change in mental status and one-sided weakness strongly suggest an acute stroke/CVA . Another commonly expected stroke finding is speech difficulty , including dysphasia/aphasia . The CDC lists stroke warning signs as sudden numbness or weakness on one side of the body and sudden confusion, trouble speaking, or difficulty understanding speech . ( CDC )
問題 #115
What characteristics of the pediatric airway are different from the adult airway?
答案:A
解題說明:
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
問題 #116
A 31-year-old patient has an open femur fracture and an unstable pelvis after falling 15 feet. They are conscious and responsive to verbal stimuli. The vital signs are BP 86/42, P 136, R 24, and SpO# 92% on room air. The patient has which of the following types of shock? Select the two correct options.
答案:A,E
解題說明:
This is a classic presentation of hypovolemic shock due to traumatic blood loss (open femur fracture, pelvic instability). Indicators include:
* Low BP (86/42) = hypotension
* High pulse (P 136) = compensation
* Mental status decline (responsive only to voice) = indicates decompensated shock Obstructive and distributive shock are not applicable. Compensated shock would show normal BP and alert mental status.
References:
NREMT Shock Management and Trauma Guidelines
National EMS Education Standards - Hemorrhagic and Non-Hemorrhagic Shock AAOS EMT Textbook - Chapter: Types of Shock
問題 #117
What patient conditions have an indication for the use of a CPAP device? Select the three answer options that are correct.
答案:B,C,D
解題說明:
Comprehensive and Detailed Explanation (Based on NREMT standards):
Continuous Positive Airway Pressure (CPAP) is used in patients with moderate to severe respiratory distress who are conscious and able to maintain their airway. NREMT guidelines identify specific respiratory conditions where CPAP improves oxygenation and ventilation.
Option A (Chronic bronchitis) is correct because CPAP helps overcome airway collapse and improves gas exchange in COPD patients.
Option B (Pulmonary edema) is correct because CPAP reduces preload and afterload while forcing fluid out of alveoli, improving oxygenation.
Option C (Acute bronchospasms) is correct because CPAP helps splint open airways and reduce work of breathing.
Option D is incorrect because CPAP is not used for isolated myocardial infarction without respiratory failure.
Option E is contraindicated because positive pressure can worsen a pneumothorax.
Option F is contraindicated due to airway burns and potential inhalation injury.
NREMT stresses proper patient selection to prevent CPAP-related complications.
問題 #118
A 37-year-old female presents with sharp pain in her right upper abdominal quadrant and right shoulder. You should suspect
答案:C
解題說明:
This symptom pattern is most consistent with cholecystitis . The gallbladder sits in the right upper quadrant
, and gallbladder inflammation commonly causes RUQ pain that can radiate to the right shoulder or scapular area as referred pain. Authoritative references describe acute cholecystitis with upper right abdominal pain that spreads to the right shoulder or back , which matches this question closely. ( MSD Manuals ) From an EMT test perspective, the location and radiation pattern are the biggest clues. Appendicitis usually starts more centrally and localizes to the right lower quadrant , gastroenteritis is more associated with diffuse cramping, vomiting, and diarrhea, and diverticulitis classically causes left lower quadrant pain. That makes D. cholecystitis the best answer. ( MSD Manuals )
問題 #119
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