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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Patient Treatment and Transport | 20–24% | - Medication administration and protocols - Medical and trauma care interventions - Communication with receiving facilities - Patient packaging and transport procedures |
| Topic 2: EMS Operations | 10–14% | - Incident command and multiple-casualty situations - Documentation and legal aspects - Emergency vehicle operations and safety - EMS system roles and responsibilities |
| Topic 3: Scene Size-Up and Safety | 15–19% | - Scene assessment and safety protocols - Mechanism of injury / nature of illness - Hazard recognition and management |
| Topic 4: Primary Assessment | 39–43% | - Identification and management of life-threatening conditions - General patient impression and priority determination - Airway, breathing, and circulation management - Initial patient assessment |
| Topic 5: Secondary Assessment | 5–9% | - Symptom assessment and history taking - Vital signs and monitoring - Focused history and physical exam |
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NEW QUESTION # 213
A 44-year-old patient with diabetes feels weak and dizzy. The EMT provides oral glucose and transports the patient to the hospital, where the patient recovers. The EMT tells their partner they did not provide the patient with a blanket because they felt the patient was wasting their time. What best describes the action the EMT took?
Answer: D
Explanation:
The correct answer is B. Breach of ethics.
This scenario describes inappropriate attitude and professional behavior by the EMT, not a failure that caused patient harm.
The EMT:
Provided appropriate medical care (oral glucose and transport)
The patient recovered
No harm resulted from not providing a blanket
However, the EMT's statement reflects:
Disrespect toward the patient
Lack of compassion
Unprofessional conduct
Why B is correct (Breach of ethics):
NREMT standards emphasize professionalism and patient respect:
EMTs are expected to treat all patients with dignity, empathy, and respect Ethical violations occur when providers demonstrate unprofessional attitudes or disregard for patient well- being This situation reflects a violation of ethical standards, not legal negligence.
Why the other options are incorrect:
A). Breach of duty: Requires failure to provide care that leads to harm; care was appropriately provided.
C). Negligence: Requires duty, breach, causation, and damages; no patient harm occurred.
D). Battery: Involves unauthorized physical contact; not applicable here.
Exact Extracts:
"EMS providers must demonstrate professionalism and respect toward all patients."
"Ethical conduct includes compassion and appropriate attitude."
"Negligence requires proof of harm resulting from a breach of duty."
References:
NREMT EMT Education Standards - EMS Operations (Ethics and Professionalism) NREMT National Continued Competency Program (NCCP) - Legal and Ethical Responsibilities Prehospital Emergency Care (EMT) - Medical, Legal, and Ethical Issues
NEW QUESTION # 214
A 3-year-old female choked while eating a hot dog and then became unresponsive. You should first
Answer: C
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
According toPediatric Basic Life Support (PBLS) guidelinesby theAmerican Heart Association (AHA), when a child becomes unresponsive due to foreign body airway obstruction (FBAO), the immediate next step is to beginchest compressions. This is donebefore checking the airway or giving breathsbecause the airway is presumed obstructed. The compressions may dislodge the object.
After 30 compressions, open the airway and check for visible objects. If none are seen, attempt rescue breaths.
This protocol reflects the high risk of complete airway blockage in children with sudden collapse following a choking episode.
References:
AHA PALS and BLS Provider Manual (2020), Pediatric FBAO Algorithm
NREMT Cognitive Exam Blueprint - Pediatric Airway Obstruction
National EMS Education Standards (2011) - Pediatric Emergencies
NEW QUESTION # 215
A 21-year-old patient has difficulty swallowing. The patient is leaning forward and drooling. The skin is hot to the touch. The vital signs are BP 128/82 mmHg, P 116/min, R 22/min, and SpO# 94% on room air. What should the EMT do for this patient? Select the two correct options.
Answer: D,E
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
This patient is showing signs ofepiglottitisor aserious upper airway obstruction- drooling, difficulty swallowing, fever, and tripod positioning.
EMT actions should include:
* Position of comfortto avoid airway agitation
* Gentle suctioningif secretions threaten airway
Do not force the patient to lie flat, as this mayworsen airway compromise.CPAPandhumidified oxygen may be considered in hospital care but not as first-line interventions during prehospital airway management in epiglottitis.
References:
NREMT Airway Management Guidelines - Upper Airway Obstruction
National EMS Education Standards - Respiratory Emergencies
AAOS Emergency Care and Transportation (11th ed.) - Chapter on Airway and Breathing Emergencies
NEW QUESTION # 216
Which of the following components can be determined by assessing the mechanism of injury? Select the two correct options.
Answer: A,E
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
Mechanism of Injury (MOI)assessment is a cornerstone of trauma care. It helps providers determine:
* Extent of injury: High-speed collisions, falls from height, or penetrating trauma suggest internal injuries even if external signs are limited.
* Need for additional resources: MOI may indicate the necessity ofALS backup,air transport, or technical rescue.
MOI cannot determine a patient'smedical historyor guarantee survival predictions. Thedestination facility depends on multiple factors including triage protocols, vital signs, and local trauma system regulations.
References:
NREMT Trauma Assessment Skills Sheet
National EMS Education Standards - Trauma Module
AAOS Emergency Care and Transportation (11th ed.), Chapter: Mechanism of Injury and Trauma Assessment
NEW QUESTION # 217
Reassessment of a patient begins with repeating the
Answer: C
Explanation:
The reassessment phase in the EMT patient assessment model starts with repeating the primary survey (also called the primary assessment), which includes:
* Airway
* Breathing
* Circulation
* Disability (mental status)
* Exposure/environment
The purpose is to identify any changes or deterioration in the patient's life-threatening conditions, especially in dynamic or unstable patients. Only after this do EMTs check vitals and reevaluate secondary complaints.
References:
NREMT Assessment Guidelines - Patient Reassessment
Brady Emergency Care (13th ed.), Chapter: Assessment in EMS
National EMS Education Standards - Patient Assessment
NEW QUESTION # 218
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