NREMT - Medical/Obstetrics/Gynecology
You are called to a school for a 9-year-old male who was acting strangely. His teacher tells you that
during class, he had
several episodes of sitting at his desk staring into space and briefly not responding. He answers your
questions correctly
and tells you he does not remember the episodes. What type of seizure should you suspect?
A. Psychomotor
B. Temporal lobe
C. Focal motor
D. Absence - correct answer✔️✔️D. Absence
An unresponsive 2-month-old female had a single seizure. Her father describes a single tonic-clonic type
seizure that lasted
two minutes. He tells you that she has not woken up since the seizure. As you begin to assess her, she
begins to have
another generalized seizure. You should first:
A. assess her vital signs.
B. begin transport.
C. insert an oropharyngeal airway.
D. apply a cervical collar. - correct answer✔️✔️B. begin transport.
The mother of a 5-year-old male tells you that he was vomiting earlier today and complained of
moderate pain around his
umbilicus. She tells you that just before she called, the pain worsened, and he now has severe pain.
When you ask him
where the pain is the worst, he points to the right lower abdominal quadrant. His vital signs are P 98, R
26, BP 96/64, and
,SpO2 is 98% on room air. You should suspect:
A. inflammatory bowel disease.
B. gastroenteritis.
C. pancreatitis.
D. appendicitis. - correct answer✔️✔️D. appendicitis.
A 10-month-old female has a two-inch soft bulge under the skin of her belly button. Her father tells you
that the bulge
appeared after she was coughing. She does not cry when you palpate her abdomen. You should suspect
a(n):
A. diaphragmatic rupture.
B. tumor.
C. ascites.
D. hernia. - correct answer✔️✔️D. hernia.
A 10-month-old male is crying after he was stung by a bee. The skin around the site is reddened, and
there is localized
swelling. His lungs are clear to auscultation, and he is interacting with you appropriately. His vital signs
are P 120, R 28, BP
90/58, and SpO2 is 98% on room air. You should:
A. administer a pediatric epinephrine autoinjector.
B. administer oxygen.
C. monitor him and transport.
D. assist his ventilation. - correct answer✔️✔️C. monitor him and transport.
Why would the fontanel of an 8-month-old female who has meningitis bulge?
A. The brain is herniating.
,B. The meninges are weakened.
C. The fontanel is dilating.
D. The ICP has increased. - correct answer✔️✔️D. The ICP has increased.
A 3-year-old male is lethargic and does not respond appropriately. His mother tells you he has
constantly been tired and
drinking more fluid than normal for several weeks. His conjunctivae appear dry. His vital signs are P 130,
R 40, BP 58
systolic, and SpO2 is 98% on room air. You should suspect:
A. organophosphate exposure.
B. carbon monoxide exposure.
C. anaphylactic shock.
D. hyperglycemia. - correct answer✔️✔️D. hyperglycemia.
An unresponsive 10-year-old female passed out at the playground. Bystanders tell you she was acting
confused before she
collapsed. Her skin is pale and moist. She localizes to painful stimuli. Her vital signs are P 100, R 26, BP
114/72, and SpO2
is 98% on room air. You should suspect:
A. absence seizure.
B. vasovagal syncope.
C. opioid overdose.
D. hypoglycemia. - correct answer✔️✔️D. hypoglycemia.
A 1-month-old male has bilateral circumferential superficial burns from his mid-calf to his toes. He is
crying and
inconsolable. His mother tells you she placed him in the tub and then accidentally filled the tub with hot
water. You should
, suspect:
A. life-threatening injuries.
B. accidental trauma.
C. non-accidental trauma.
D. limb-threatening injuries. - correct answer✔️✔️C. non-accidental trauma.
A 6-month-old female is cyanotic and slow to respond to stimuli. Her father tells you he found her this
way on the floor and
removed an empty balloon from her mouth. Her pupils are pinpoint. Her vital signs are P 72 and R 16.
After you begin to
ventilate her, you should:
A. administer naloxone.
B. begin chest compressions.
C. assess her blood pressure.
D. ask her father to discard the balloon. - correct answer✔️✔️A. administer naloxone.
An unresponsive 7-month-old male is found next to a bottle of his grandmother's oxycontin. There are
several tablets on
the floor next to him. His skin is cyanotic, and you observe occasional gasping respirations. You should
suspect:
A. ingestion of an opioid.
B. hyperglycemia.
C. increased intracranial pressure.
D. hypoglycemia. - correct answer✔️✔️A. ingestion of an opioid.
Why can a 4-year-old female who is in sickle cell crisis experience chest pain?
A. Her pulmonary microcirculation is occluded.
You are called to a school for a 9-year-old male who was acting strangely. His teacher tells you that
during class, he had
several episodes of sitting at his desk staring into space and briefly not responding. He answers your
questions correctly
and tells you he does not remember the episodes. What type of seizure should you suspect?
A. Psychomotor
B. Temporal lobe
C. Focal motor
D. Absence - correct answer✔️✔️D. Absence
An unresponsive 2-month-old female had a single seizure. Her father describes a single tonic-clonic type
seizure that lasted
two minutes. He tells you that she has not woken up since the seizure. As you begin to assess her, she
begins to have
another generalized seizure. You should first:
A. assess her vital signs.
B. begin transport.
C. insert an oropharyngeal airway.
D. apply a cervical collar. - correct answer✔️✔️B. begin transport.
The mother of a 5-year-old male tells you that he was vomiting earlier today and complained of
moderate pain around his
umbilicus. She tells you that just before she called, the pain worsened, and he now has severe pain.
When you ask him
where the pain is the worst, he points to the right lower abdominal quadrant. His vital signs are P 98, R
26, BP 96/64, and
,SpO2 is 98% on room air. You should suspect:
A. inflammatory bowel disease.
B. gastroenteritis.
C. pancreatitis.
D. appendicitis. - correct answer✔️✔️D. appendicitis.
A 10-month-old female has a two-inch soft bulge under the skin of her belly button. Her father tells you
that the bulge
appeared after she was coughing. She does not cry when you palpate her abdomen. You should suspect
a(n):
A. diaphragmatic rupture.
B. tumor.
C. ascites.
D. hernia. - correct answer✔️✔️D. hernia.
A 10-month-old male is crying after he was stung by a bee. The skin around the site is reddened, and
there is localized
swelling. His lungs are clear to auscultation, and he is interacting with you appropriately. His vital signs
are P 120, R 28, BP
90/58, and SpO2 is 98% on room air. You should:
A. administer a pediatric epinephrine autoinjector.
B. administer oxygen.
C. monitor him and transport.
D. assist his ventilation. - correct answer✔️✔️C. monitor him and transport.
Why would the fontanel of an 8-month-old female who has meningitis bulge?
A. The brain is herniating.
,B. The meninges are weakened.
C. The fontanel is dilating.
D. The ICP has increased. - correct answer✔️✔️D. The ICP has increased.
A 3-year-old male is lethargic and does not respond appropriately. His mother tells you he has
constantly been tired and
drinking more fluid than normal for several weeks. His conjunctivae appear dry. His vital signs are P 130,
R 40, BP 58
systolic, and SpO2 is 98% on room air. You should suspect:
A. organophosphate exposure.
B. carbon monoxide exposure.
C. anaphylactic shock.
D. hyperglycemia. - correct answer✔️✔️D. hyperglycemia.
An unresponsive 10-year-old female passed out at the playground. Bystanders tell you she was acting
confused before she
collapsed. Her skin is pale and moist. She localizes to painful stimuli. Her vital signs are P 100, R 26, BP
114/72, and SpO2
is 98% on room air. You should suspect:
A. absence seizure.
B. vasovagal syncope.
C. opioid overdose.
D. hypoglycemia. - correct answer✔️✔️D. hypoglycemia.
A 1-month-old male has bilateral circumferential superficial burns from his mid-calf to his toes. He is
crying and
inconsolable. His mother tells you she placed him in the tub and then accidentally filled the tub with hot
water. You should
, suspect:
A. life-threatening injuries.
B. accidental trauma.
C. non-accidental trauma.
D. limb-threatening injuries. - correct answer✔️✔️C. non-accidental trauma.
A 6-month-old female is cyanotic and slow to respond to stimuli. Her father tells you he found her this
way on the floor and
removed an empty balloon from her mouth. Her pupils are pinpoint. Her vital signs are P 72 and R 16.
After you begin to
ventilate her, you should:
A. administer naloxone.
B. begin chest compressions.
C. assess her blood pressure.
D. ask her father to discard the balloon. - correct answer✔️✔️A. administer naloxone.
An unresponsive 7-month-old male is found next to a bottle of his grandmother's oxycontin. There are
several tablets on
the floor next to him. His skin is cyanotic, and you observe occasional gasping respirations. You should
suspect:
A. ingestion of an opioid.
B. hyperglycemia.
C. increased intracranial pressure.
D. hypoglycemia. - correct answer✔️✔️A. ingestion of an opioid.
Why can a 4-year-old female who is in sickle cell crisis experience chest pain?
A. Her pulmonary microcirculation is occluded.
