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Exam (elaborations)

NREMT ADVANCED-EMT EXAM COMPLETE QUESTIONS WITH VERIFIED ANSWERS

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NREMT ADVANCED-EMT EXAM COMPLETE QUESTIONS WITH VERIFIED ANSWERS

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NREMT ADVANCED-EMT EXAM
COMPLETE QUESTIONS WITH VERIFIED
ANSWERS



\.Initial Assessment: B-SMNAC - ANSWERS✔-- BSI (body substance isolation);

- Scene Safety;
- Mechanism of Injury (MOI)/Nature of Illness (NOI);
- Number of Patients;
- Assistance (additional units, Fire, Police, etc.);
- C-spine (and/or C-collar)



\.Initial Assessment: G-CAAT - ANSWERS✔-- General Impression;
- Chief Complaints, Life Threats (hemorrhage);
- AVPU;
- ABC's (airway, breathing, circulation);
- Transport Decision (Load and Go or Stay and Play)



\.Components of General Impression - ANSWERS✔-ASSS-FLOP-VD:

- Apparent state of health;
- Skin color, obvious lesions;
- Signs of distress;

,- Sexual development;
- Facial expressions;
- Level of consciousness;
- Odors;
- Posture, Motor, Gait;
- Vital statistics;
- Dress, Grooming, Hygiene



\.Components of AVPU - ANSWERS✔-- Alert;

- responds to Verbal stimuli;
- responds to Painful stimuli;
- Unresponsive



\.Secondary Assessment: OPQRST-I - ANSWERS✔-especially for Respiratory and
Cardiac patients:
- Onset;
- Provocation/Palliation;
- Quality;
- Radiation;
- Scale/Severity;
- Time;
- Interventions

,\.What is OPQRST? - ANSWERS✔-a mnemonic for remembering the questions to
ask when assessing the patient's chief complaint or major symptoms



\.Onset - ANSWERS✔-- When and how did the symptom begin?

- Ask the patient if the onset was sudden or gradual.
- Also determine if the onset was associated with a particular activity.



\.Provocation/palliation: - ANSWERS✔-- What makes the symptom worse?

- What makes the symptom better?



\.Quality - ANSWERS✔-How would you describe the pain?



\.Radiation - ANSWERS✔-- Where do you feel the pain?;

- Where does the pain go?



\.Scale/Severity - ANSWERS✔-- On a scale from 0 to 10, with 10 being the worst.
- How bad is the symptom?



\.Time - ANSWERS✔-- Determine if the symptom has been present for minutes,
hours, days, weeks, months, or years;
- The length of time the symptoms are present is important to document

, \.Secondary Assessment: SAMPLE - ANSWERS✔-- Signs and Symptoms (history of
present issues);
- Allergies;
- Medications;
- Past Medical History, Pertinent Negatives;
- Last Oral Intake;
- Events (leading to present: trauma or medical)



\.Secondary Assessment: V-FITD - ANSWERS✔-- Vital Signs, baseline (VS);

- Focused Physical Exam (performed);
- Interventions (RX's per medical direction, etc.);
- Transport (re-evaluate decision);
- Detailed Physical Exam (verbalized);



\.Order of Initial Assessment - ANSWERS✔-- B-SMNAC;

- G-CAAT;



\.Order of Secondary Assessment - ANSWERS✔-- OPQRST-I;

- SAMPLE;
- V-FITD



\.S1 - ANSWERS✔-"Lub"
Caused by the closing of the Mitral (Bicuspid) and Tricuspid atrioventricular valves.

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