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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Patient Treatment and Transport | 20–24% | - Communication with receiving facilities - Medication administration and protocols - Medical and trauma care interventions - Patient packaging and transport procedures |
| Topic 2: Primary Assessment | 39–43% | - General patient impression and priority determination - Airway, breathing, and circulation management - Identification and management of life-threatening conditions - Initial patient assessment |
| Topic 3: Secondary Assessment | 5–9% | - Focused history and physical exam - Symptom assessment and history taking - Vital signs and monitoring |
| Topic 4: EMS Operations | 10–14% | - Incident command and multiple-casualty situations - EMS system roles and responsibilities - Emergency vehicle operations and safety - Documentation and legal aspects |
| Topic 5: Scene Size-Up and Safety | 15–19% | - Hazard recognition and management - Mechanism of injury / nature of illness - Scene assessment and safety protocols |
>> EMT Quizfragen Und Antworten <<
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150. Frage
What finding indicates that a mild airway obstruction has become a severe obstruction?
Antwort: A
Begründung:
NREMT distinguishes mild versus severe airway obstruction primarily by the patient's ability to move air. In a mild obstruction, the patient can cough forcefully, speak, and exchange air. A severe obstruction occurs when airflow is critically impaired.
Option A (Ineffective cough) is the key indicator that a mild obstruction has progressed to a severe one. An ineffective or silent cough means the patient can no longer generate enough airflow to clear the obstruction, placing them at imminent risk of hypoxia and cardiac arrest.
Option B is a late sign of hypoxia but does not define severity of obstruction.
Option C is not specific to airway obstruction severity.
Option D indicates a mild obstruction, not severe.
NREMT teaches that once a cough becomes ineffective, immediate airway intervention is required.
151. Frage
A patient is having an asthmatic attack. The EMT receives orders from medical control to assist with the patient ' s inhaler. What are the expected side effects of this medication? Select the three correct options.
Antwort: A,B,C
Begründung:
Albuterol, a common beta-2 adrenergic agonist used in inhalers, stimulates bronchial smooth muscle relaxation. However, stimulation of beta receptors can also produce systemic effects such as:
* Tachycardia (due to beta-1 cross-reactivity)
* Nervousness (from central stimulation)
* Coughing (a local airway response)
Confusion and drowsiness are not typical side effects of beta-agonists. Hypotension is rare unless severe overdose occurs.
References:
NREMT Scope of Practice Model - Medication Administration
American Heart Association BLS and ACLS Drug List
"Emergency Care and Transportation of the Sick and Injured" (AAOS, 11th ed.), Chapter on Respiratory Emergencies
152. Frage
A 20-year-old patient has just given birth. The neonate is crying and has central cyanosis. They have a pulse greater than 100. Which of the following actions should the EMT take? Select the three answer options that are correct.
Antwort: A,C,E
Begründung:
According to NREMT neonatal resuscitation principles, a newborn who is crying with a heart rate greater than 100 does not require aggressive resuscitation but does need supportive care.
Option A (Dry baby) is essential to stimulate breathing and prevent heat loss.
Option B (Keep baby warm) is critical, as neonates lose heat rapidly and hypothermia worsens hypoxia.
Option C (Administer blow-by oxygen) is appropriate for central cyanosis when respirations and heart rate are adequate.
Option D is only indicated if secretions are obstructing the airway.
Options E and F are contraindicated because the infant has an adequate heart rate and is breathing.
NREMT emphasizes warmth, oxygenation, and minimal intervention in stable newborns.
153. Frage
What should you anticipate when you go in for a deposition?
Antwort: C
Begründung:
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.
154. Frage
A 21-year-old patient has loss of movement and sensation in the legs. The patient is under a car, which fell on them. Bystanders have lifted the vehicle off the patient. Which method, clothes drag or long backboard, should the EMT use to move the patient, and why?
Antwort: B
Begründung:
NREMT guidelines clearly state that life-threatening danger overrides spinal motion restriction. This patient shows signs of a spinal cord injury (loss of movement and sensation), but they were previously trapped under a vehicle-an inherently unstable and dangerous environment.
Option A is correct because the clothes drag is an emergency move designed to remove a patient from immediate danger as quickly as possible. In emergency situations, speed and rescuer safety take priority over spinal immobilization.
Option B is incorrect because clothes drags do not minimize spinal movement.
Option C is incorrect because preparing and using a long backboard delays removal.
Option D is incorrect because spinal protection is secondary to immediate life threats.
NREMT emphasizes: "You cannot help the patient if you become injured."
155. Frage
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