nremt 2023 Exam 1 with all Answers 100% Correct

nremt 2023 Exam 1 with all Answers 100% Correct You were called to see a 65-year-old hypertensive female with squeezing chest pain that radiates down her left arm to her neck angel she says her heart beat as fast as she is having difficulty breathing and she has felt weak for the past couple of days which is the phone is the most appropriate for the 1st step of the patient? - ANSWER Carry out an initial assessment looking for any immediate threats to the life assessment of patient allows you to develop a plan for action for the patient's management that includes getting an initial impression as you arrive on the scene and an assessing vital sign for airway breathing and respiration Your team gets called from an elderly female in the summer are 80 three-year-old husband who has been vomiting in passing frequent loose stools for the past week has passed out you get there and find the man lying soup pine on the floor with shallow breathing and respiratory rate a 32 CPM her his lips are dry his skin is cold and his pulses 128 beats per minute weekend thread it's BPS 78 or 50MMHG what is the cause of presentation? - ANSWER Dehydration frequent stooling and vomiting for a week means the patient has lost a lot of electrolytes he is at risk for hypovelymic shock You are carrying out a preliminary assessment on a 27-year-old female who was run over by a drunk driver walked across in the street she was lying supplying in a pool of blood and a psychologic with agonal breathing and multiple abrasions lacerations and a crush injury on her left leg her skin is also cold and cleaning because of shunting of blood to vital organs which organ is the most important? - ANSWER The heart and hypothermia the body draws blood from the pepero circulation and preserves it for the vital organs the most important organ being the heart A 22 year-old pregnant female in the 1st time master starts bleeding profusely from her vagina after spotting for the past 2 days on arrival at her home she is conscious cold but weak with a heart rate of 132BPM respiratory rate of 28 CPM and BP of 92 / 60MMHG which of the following actions is most appropriate? - ANSWER Placing her in a super composition administrating supplement of oxygen the patient is most likely hypervolemic place in her in a super composition and commencing oxygen will reduce the burden of her heart pumping oxygenated blood to her brain the patient should then be transported to the hospital You are called by the neighbors to attend to a middle aged man who was robbed at home and pushed down a flight of stairs of bizarre silent you find him lying at the foot of stairs conscious but complaining of a headache where you just had his skin is warm and his breathing is labored with a pulse rate of 40 CPM and ABP of 80 / 48 the man is no visible injuries what is the most likely cause of his presentation? - ANSWER Trauma to the cervical spine trauma to the cervical spine can cause widespread vasolidation leading to neurogenic shock. Your team is called to the scene of an accident where a sports car ran into electric pool and high speed the sole driver of the vehicle has managed to stumble out but has A-sharp glass through his right arm which is not actively bleeding you determine seeing safety establish there is one patient and on primary assessment discover that he is conscious but disoriented with a good pulse respiration and blood pressure which of the following will the patient most benefit from? - ANSWER Apply a tournament hit proximal to the injury and leave the chart in a tournament kit could be applied proximal to the wound when an object is impaled in any of the extremities it is best to leave the object in as it may be acting as a tompanod for damaged blood vessels You want to apply a tournament kit on a 48 year old male who slid his left wrist in a suicide attempt which the fallen steps is not a part of the procedure? - ANSWER Wrapping your bandage distill to the slit your turnip should be applied proximal to the wound to stop the execution of damage blood vessels. If 51 year old female complaints of burning chest paint ready to her back palpitations and dizziness she was diagnosed with hypertension 12 years ago but has been able to take her medications in the last month your BP is 138/100 mmhg Her pulse rate is 30 CPM and she is having difficulty breathing which the phone actions is most appropriate? - ANSWER Place the patient in a comfortable position administer oxygen and transfer quickly to the hospital am I a cardiac infarction and angina should be managed similarly because it is difficult to exclusively make a diagnosis of one or the other in the field You were called to an office complex where a 65 year old male suddenly felt lightheaded with severe chest pain work which he describes as stabbing in nature in your preliminary Assessment you discover that the man's blood pressure It is 89/60 MMg with a weak radio post of 118 BPM and a respiratory rate of 38 CPM your colleague who is assisting council polls of 96 BPM and the man's other wrist what is the most likely cause of this presentation? - ANSWER Aortic deception stabbing chest pain in an equal pulse is a classic feature of aortic distinction our team is called to attend a University professor who suddenly felt faint during the presentation her husband tells you she was diagnosed with hypertension 33 years ago but takes anti-hypertensives only when her blood pressure is elevated the woman complains of breathlessness and confidence up pinkish sputum on assessment you find that she has a respiratory rate of 26 CPM and sa02 of 94% with the wheeze and crack wall but the wheeze and crackles on oscillation her BP is 70 / 62 and then G will call it extremities what is most likely cause of this presentation? - ANSWER Cardiogenic shock pulmonary animal may occur in patients with cardiogenic shock who then present with snoring breath sounds and crackles and discreet saturation in addition to symptoms of cardiogenic shock In an emergency you were giving CPR to a patient as the sole emt which the following is accurate about methodology? - ANSWER 30 chest compression's followed by 2 rescue breaths 30 chest compression's do 2 rescue breaths are the standard according to AHA guidelines In an emergency you're using an automatic external defibrillator on a patient which the phone is correct about methodology? - ANSWER Chest compression's and artificial ventilation should be stopped when shocks are being delivered when shocks are to be delivered the patient should be cleared Your team is transported in a 56 You roll the patient with suspected myocardial infarction to the hospital when suddenly he loses consciousness he stops breathing and it's pulses it's no longer capable. Which of the following should not be part of your treatment regime? - ANSWER Rush the patient to the hospital while your corresponders administrative superior they should not be part of the treatment regimen if you were transported in a conscious patient with chest pain who becomes a constitution to stop the vehicle and start recitation start recitation with CPR and AeD in delivering high quality CPR which of the following was not correct according to aha guidelines? - ANSWER Allow as much ventilations as possible. according to aha Guidelines ventilations and high quality cpr should be done in ratio 30 chest compressions to 2 breaths Which of the following is not a part of an emergency medical responder's job in the emergency scenario ? - ANSWER If breathing is not present but pulses fill in cpr with 30 chest compressions To toothbrush if a patient has a pulse with that normal or no breathing You were called to a bank where a 35 year old male has suddenly slumped over; he has agonal breathing with a weak thread he pulls bystanders say the man clutched his chest before collapsing. Which of the following steps is most appropriate - ANSWER Provide rescue breathing to 10 breaths minute check polls every 2 minutes and commence CPR if it is absent if the patient has a pulse but it's not breathing rescue breath at a rate of 10 to 12 breaths per minute should be administered Upon arriving at the scene of an armed robber you find a security guard who fell after being pistol whip hit in his head against the tile floor there is a pool of blood around his head and dark circles around both eyes his unconscious with the respiratory rate of 30 CPM and a pulse rate of 120BPM he has cold limbs to administer high concentration oxygen effectively which of the following is applicable? - ANSWER Do a jaw thrust without head extension to open the airway for patients with a risk of cervical spine injury a jaw thrust is preferred when administering oxygen as it could be done with little or no movement of the spine You are attending to a 27 year old gymnast with complaints of tearing subs of tearing substernal chest pain of one day's duration which intensified while he was training at the gym he confesses he has been taking self prescribed for his clinical depression and has not been able to see his doctor in over 6 months while you were talking to the man he suddenly looks panic and slims he has no pulse he has no recordable blood pressure and no respiratory effort is noticeable what is your next course of action? - ANSWER Start chest compression's immediately giving 30 chest compression's followed by 2 breaths while waiting for an AeD for patients and cardiac arrest as best to start CPR without the delay with while waiting for AeD if it is available The 22 Your old female wakes up with difficulty breathing excruciating chest pain and is coughing producing yogurt's beauty she also has severe right shoulder pain which has begun suddenly while driving home from work yesterday she's pale and warm to touch her respiratory rate is 34 CPM SP02 is 90% with the pulse rate of 100 BPM the woman volunteers that her geno type is ss which of the following interventions is most appropriate? - ANSWER Commence supplementary oxygen and keep the patient warm HBS S patients can experience painful crisis caused by tape like tape build-up from tissue hypoxia and ministering supplemental oxygen is beneficial A 51 year old female who thinks she was bitten on her right foot by a snake A few hours ago while guardian says she has been continuously bleeding from the bite site and notices blood on her gums which is a falling will B the least beneficial for this patient? - ANSWER Apply eternity proximal to the byte site option B will be least beneficial for this patient applying a tourney kit to venomous bite is not beneficial in any way instead it may lead to the awesome limb as it isolates to venom to the limb The functions of the respiratory system include all the except which of the following? - ANSWER tissue respiration by uptake of CO 2 the functions of the respiratory system do not include tissue respiration by uptake of CO 2 rather the respiration system expels CO 2 it helps filter toxins from circulation and aids in the metabolism in certain drugs and enzymes subjects have enzymes that aid the metabolism of that bosom of drugs that could be metabolized in the lungs include the lung Also support the conversion of Ace 1H2 and key enzymes in the regulation of blood pressure At the scene of an automobile accident the patient was lying unconscious. Which of the following maneuvers is required to open an airway and if neck injury is suspected ? - ANSWER Jaw thrust tilting the head or otherwise we've been the neck is contraindicated in a patient with a possible cervical spine injury but maintaining an airway invention is a greater priority if the patient has a suspected survival injury the jaw thrust maneuver is used instead of the head tilt chin left maneuver If 55 year old obese female complains of sudden onset of breathlessness unilateral leg swelling lower calf pain and chest pain after a 12 hour flight you auscilate and hear a blood pressure is 150/90 MMHG pulse rate is 114PPM oxygen saturation is SA02 at 80 percent what is a proper intervention? - ANSWER Administer oxygen. Parts of the upper airway include all except which of the following ? - ANSWER trachea is the part of the lower airway airways serves as a conduit for gaseous exchange it consists of nautical mouth nasal fair next and later next combine they work do not only channel air in-and-out of the body but to warm humidifier and filter it as we Choose the best answer option concerning inspiration - ANSWER inspiration produces a slight negative pressure inside the theoretical cavity. At inspiration the chest cavity increases in size as the diaphragm moves downward and the ribs are pulled hour by intercostal muscles Which of the following is part of a lower airway? - ANSWER Bronchial's lower airway begins at the level of the vocal cords and it includes a trigger a main bronchitis, bronchitis terminating in the alveoli will I inside the lungs and the bronchial bronchi and alveoli A 30 year old female is visibly shaken and hysterical after robbery her respiratory rate is 28 beats per minute but pressure is 160 / 90MMHG pulse rate 116 BPM and s p 0 2 95% what should you do? - ANSWER reassure you share the patient and perform a secondary assessment. The patient does not require supplemental oxygen as saturation levels are good technically that's a situation that was a good Tech opinion attack a cardio and elevated blood pressure may be a result of panic and agitation from the incident hence the need to calm the patient down and resist us her anti hyper sensitives are not indicated and breathing into a paper bag is inappropriate for This level care. It's 60 year old female with the history of COP D is having difficulty remaining alert she looks tired her skin is cool and claiming but pressure is 140 or 90 Paul Swan 20 b p m s a 0 2 90% respiration 10 cycles per minute which of the following steps is appropriate? - ANSWER Commenced BBM ventilation. The patient is hypoxic and lapsing into unconsciousness this is an indicator of the intimate respiratory failure delivering manual ventilation with a bag mask with prevent further deterioration deterioration of her physical state anonymity the mask is used in a hypoxic patient with etiquette respiratory effort cardiopulmonary resuscitation is not indicated in the scenario a particular steroid inhaler will not help improve saturation levels 28 year old female with the history of allergic dermatitis and Ryan Knight is presented with sudden on set despite the chest tightness and wheezing after exposure to pollen does she missed the occasionally non productive nightcosts before the incident she is a furble her blood pressure is 100 / 60MMHG post rate A4PPM respiratory is 26 press per minute SA02 is 94% and wrong guy I heard on oscillation what is most likely prehospital diagnosis on this patient? - ANSWER Asthma. Individuals with a atopy have increased risk of developing asthma this is because the form IGE antibodies do common allergies atopy is the strongest risk factor in the development of asthma the patient has allergic rhinoceros and dermatitis which indicates a Topsy bronchitis may present with wheezing and cough however a slight fever is common broken Titus presents with a daily cough with copious amounts of Flem over months or years cyber fibrosis causes chronic persistent cough and thick sputum production The pathos physiology of the above patient's condition is caused by which the following? - ANSWER all the above in asthma there is airway inflammation in hyper response in this to already sensified allergies this causes air flow limitation respiratory systems and theresisms and subsequent cronosity of asthma pathological changes and some patients with asthma include fibrosis of the sub basement layer hyper sequential mucusecretion of mucus hypertopy of smooth muscles you have smooth muscles neovasceration and bracion and injury to epilethical cells A 16 year old male is receiving artificial ventilation after a near drawing incident he is preferably signals to an empathy his pulse rate is 40BPM weak and low and void his blood pressure is 80 / 50MMHG and his breast sounds are diminish and loves lonesome as AMT intending to this patient how will you know he is being an adequately ventilated? - ANSWER A chest rises and falls with each ventilation. An emt Is giving adequate artificial ventilation to a patient when there is a chest price and fall with each ventilation the sufficient rate of ventilation adults is 10 to 12 times per minute and 12 at 20 times per minute for children and events a children in infants improvement of cyanosis and heart rate returning to a normal or all indicators of successful artificial ventilation. While resuscitating an Unconscious patient copious secretions cover the orthodontics you use a mobile section machine on the patient and one amount of vacuum pressure should I properly function section generate? - ANSWER 300 MMHG. Suction devices should be inspected regularly and properly function section unit with a gauge produces a 300 MMHG vacuum battery operates suction units should have a charged battery. There are various types of suction units which include Manual mounted in mounted and importable if there is no gauge available in a section unit allow the section to begin sectioning on the finger then turn the suction unit off if the tubing stays attached the suction is adequate. A 50 year old Male with a medical history of chronic bronchitis type 2 diabetes and hypertension is an acute respiratory failure he is drowsy lethargic and response to painful stimuli has an empty at the scene which of the following airway out air junks should you use while providing positive pressure ventilation for this patient? - ANSWER Nasopharyngeal airway. A 29 year old male presents unconscious at home and after an evening out with his friends he has multiple needle marks on his left forearm his unresponsive and is making loud snoring Sounds his breathing rate is 8 breaths per minute and shallow his pulse is 60BPM and his blood pressure is 9 the over 60MMHG what intervention should you take? - ANSWER Insert a oropharygneal airway and begin ventilation A Was a medical history of COP D bronchial asthma and a significant history of smoking complaints of onset aunts incompletions of answer on's onset despanilla and left side chest pain after lifting a heavy weight she is in respiratory distress and speaking in short sentences a respiratory rate is 28 beats per minute pulse rate is 114PPM blood pressure is 130 / 60MMHG and SA02 is 90% on room air this woman has a rescue in hayler she uses occasionally on oscillation breast sounds are absent in the lift upper long zones with hyper respiratory's percussion notes what intervention should you take? - ANSWER Help the patient into a comfortable position and administer supplemental oxygen