NREMTfParamedicfPrepf-f200fQuestions
Youfarefcalledftofassistfanfadultfwithfchestfpain.fThefpatientfhasfafcardiacfhi
storyfofftwo-
posteriorfmyocardialfinfarctions.fHefisfconsciousfandfalert,fstatingfhefisfhav
ingfafhardftimefbreathing,fandfthefchestfpainfworsensfwhenfhefattemptsftofla
yfflatfonfhisfback.fHisfskinfisfpalefandfhot,fwhilefauscultationfoffhisflungfsou
ndsfrevealsfmildfcrackles.fHefreportsfthefpainfworsensfonfdeepfinspirationfa
ndfmovement.
Basedfonfthefpatient'sfhistory,fandfsignsfandfsymptoms,fwhichfofftheffollow
ingfshouldfyoufsuspect?
A.
Unstablefanginafpectoris
B.
Pericarditis
C.
Myocardialfinfarction
D.
Cardiomyopathyf-fCORRECTfANSWER✔B.
,Youfareftheffirstfambulanceftofarrivefonfthefscenefoffafsingle-
carfaccident.fAsfyoufapproachfthefscene,fyoufseeffourfpatients,ftwofhavefbe
enfejectedffromftheirfvehicle,fandftwofarefstillfinfthefvehicle.fWhatfshouldfb
efyourfnextfcoursefoffaction?
A.
Callfmedicalfcontrol,fandfadvisefthemfoffthefsituation
B.
Requestfadditionalfresources,fsuchfasffirefrescue,fandfadditionalfambulance
sftofrespondftofthefscene
C.
Beginfimmediateftriagefandftreatmentfofftheftwofpatientsfejectedffirstfwhilef
awaitingffirefdepartmentfresponse
D.
Notifyftheflocalftraumafcenterfsoftheyfcanfpreparefforfthefpatientsf-
fCORRECTfANSWER✔B.
Afpatientfisfexperiencingfafpossiblefneurologicalfemergencyffromfafbluntff
orcefclosedfheadfinjury.fHefisffoundftofhavefabnormalfpupillaryfreactionsfto
flightfandfhasflostfthefabilityftofmovefhisfeyesffromfsideftofsideftoffollowfyou
rffingerfmovements.fHefisfalsofunableftofidentifyfthefnumberfofffingersfyouf
arefholdingfup.fHefreportsfhefisfableftofseeftheffingersfbutfisfnotfableftoffocus
fenoughftofidentify fhowfmanyffingersfarefpresent.
,Whichfofftheffollowingfcranialfnervesfshouldfyoufsuspectfmayfbefinvolvedf
infhisfinjury?
A.
CranialfnervesfI,fV,fandfVI
B.
CranialfnervesfVfandfVII
C.
CranialfnervesfIXfandfX
D.
CranialfnervesfII,fIII,fandfIVf-fCORRECTfANSWER✔D.
Simplyfput,fshockfisfafstatefoffhypoperfusionfdueftofseveralfdifferentfcauses
.fWhichfonefofftheffollowingftypesfoffshockfwouldfbefconsideredfdistributiv
efshock?
A.
Hypovolemicfshock
B.
, Cardiogenicfshock
C.
Anaphylacticfshock
D.
Toxicfshockfsyndromef-fCORRECTfANSWER✔C.
Whichfofftheffollowingfisfresponsiblefforfinitiatingfthefsympatheticfrespons
eftofshockfduringfaftraumaticfevent?
A.
IncreasedfoxygenflevelfandfincreasedfPCO2
B.
Increasedfperipheralfvascularfresistancefandfalkalosis
C.
Decreasedfperfusionfandfincreasedfacidosis
D.
Peripheralfvasodilationfandfincreasedfcapillaryfpermeabilityf-
fCORRECTfANSWER✔C.
Youfarefcalledftofassistfanfadultfwithfchestfpain.fThefpatientfhasfafcardiacfhi
storyfofftwo-
posteriorfmyocardialfinfarctions.fHefisfconsciousfandfalert,fstatingfhefisfhav
ingfafhardftimefbreathing,fandfthefchestfpainfworsensfwhenfhefattemptsftofla
yfflatfonfhisfback.fHisfskinfisfpalefandfhot,fwhilefauscultationfoffhisflungfsou
ndsfrevealsfmildfcrackles.fHefreportsfthefpainfworsensfonfdeepfinspirationfa
ndfmovement.
Basedfonfthefpatient'sfhistory,fandfsignsfandfsymptoms,fwhichfofftheffollow
ingfshouldfyoufsuspect?
A.
Unstablefanginafpectoris
B.
Pericarditis
C.
Myocardialfinfarction
D.
Cardiomyopathyf-fCORRECTfANSWER✔B.
,Youfareftheffirstfambulanceftofarrivefonfthefscenefoffafsingle-
carfaccident.fAsfyoufapproachfthefscene,fyoufseeffourfpatients,ftwofhavefbe
enfejectedffromftheirfvehicle,fandftwofarefstillfinfthefvehicle.fWhatfshouldfb
efyourfnextfcoursefoffaction?
A.
Callfmedicalfcontrol,fandfadvisefthemfoffthefsituation
B.
Requestfadditionalfresources,fsuchfasffirefrescue,fandfadditionalfambulance
sftofrespondftofthefscene
C.
Beginfimmediateftriagefandftreatmentfofftheftwofpatientsfejectedffirstfwhilef
awaitingffirefdepartmentfresponse
D.
Notifyftheflocalftraumafcenterfsoftheyfcanfpreparefforfthefpatientsf-
fCORRECTfANSWER✔B.
Afpatientfisfexperiencingfafpossiblefneurologicalfemergencyffromfafbluntff
orcefclosedfheadfinjury.fHefisffoundftofhavefabnormalfpupillaryfreactionsfto
flightfandfhasflostfthefabilityftofmovefhisfeyesffromfsideftofsideftoffollowfyou
rffingerfmovements.fHefisfalsofunableftofidentifyfthefnumberfofffingersfyouf
arefholdingfup.fHefreportsfhefisfableftofseeftheffingersfbutfisfnotfableftoffocus
fenoughftofidentify fhowfmanyffingersfarefpresent.
,Whichfofftheffollowingfcranialfnervesfshouldfyoufsuspectfmayfbefinvolvedf
infhisfinjury?
A.
CranialfnervesfI,fV,fandfVI
B.
CranialfnervesfVfandfVII
C.
CranialfnervesfIXfandfX
D.
CranialfnervesfII,fIII,fandfIVf-fCORRECTfANSWER✔D.
Simplyfput,fshockfisfafstatefoffhypoperfusionfdueftofseveralfdifferentfcauses
.fWhichfonefofftheffollowingftypesfoffshockfwouldfbefconsideredfdistributiv
efshock?
A.
Hypovolemicfshock
B.
, Cardiogenicfshock
C.
Anaphylacticfshock
D.
Toxicfshockfsyndromef-fCORRECTfANSWER✔C.
Whichfofftheffollowingfisfresponsiblefforfinitiatingfthefsympatheticfrespons
eftofshockfduringfaftraumaticfevent?
A.
IncreasedfoxygenflevelfandfincreasedfPCO2
B.
Increasedfperipheralfvascularfresistancefandfalkalosis
C.
Decreasedfperfusionfandfincreasedfacidosis
D.
Peripheralfvasodilationfandfincreasedfcapillaryfpermeabilityf-
fCORRECTfANSWER✔C.
