NREMT Advanced-EMT Exam Practice Questions and Answers

©PREP4EXAMS@2024 [REAL-EXAM-DUMPS] Tuesday, July 30, 2024 12:01 AM




NREMT Advanced-EMT Exam Practice
Questions and Answers


Initial Assessment: B-SMNAC - ✔️✔️- 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 - ✔️✔️- 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 - ✔️✔️ASSS-FLOP-VD:

- Apparent state of health;

- Skin color, obvious lesions;

- Signs of distress;

- Sexual development;

- Facial expressions;



1

,©PREP4EXAMS@2024 [REAL-EXAM-DUMPS] Tuesday, July 30, 2024 12:01 AM


- Level of consciousness;

- Odors;

- Posture, Motor, Gait;

- Vital statistics;

- Dress, Grooming, Hygiene

Components of AVPU - ✔️✔️- Alert;

- responds to Verbal stimuli;

- responds to Painful stimuli;

- Unresponsive

Secondary Assessment: OPQRST-I - ✔️✔️especially for Respiratory and Cardiac
patients:

- Onset;

- Provocation/Palliation;

- Quality;

- Radiation;

- Scale/Severity;

- Time;

- Interventions

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

Onset - ✔️✔️- 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.



2

,©PREP4EXAMS@2024 [REAL-EXAM-DUMPS] Tuesday, July 30, 2024 12:01 AM



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

- What makes the symptom better?

Quality - ✔️✔️How would you describe the pain?

Radiation - ✔️✔️- Where do you feel the pain?;

- Where does the pain go?

Scale/Severity - ✔️✔️- On a scale from 0 to 10, with 10 being the worst.

- How bad is the symptom?

Time - ✔️✔️- 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 - ✔️✔️- 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 - ✔️✔️- Vital Signs, baseline (VS);

- Focused Physical Exam (performed);

- Interventions (RX's per medical direction, etc.);

- Transport (re-evaluate decision);

- Detailed Physical Exam (verbalized);




3

, ©PREP4EXAMS@2024 [REAL-EXAM-DUMPS] Tuesday, July 30, 2024 12:01 AM



Order of Initial Assessment - ✔️✔️- B-SMNAC;

- G-CAAT;

Order of Secondary Assessment - ✔️✔️- OPQRST-I;

- SAMPLE;

- V-FITD

S1 - ✔️✔️"Lub"

Caused by the closing of the Mitral (Bicuspid) and Tricuspid atrioventricular valves.

S2 - ✔️✔️"Dub"

Caused by blood closing the semilunar valves (aortic and pulmonic).

S3 - ✔️✔️"Ta"

Oft referred to as the galloping heart, caused by blood sloshing around in a compliant
left ventricle.

S4 - ✔️✔️A rare noise in the middle of "lub," caused by a failing left ventricle and best
heard in the cardiac apex.

Ta-LUB-dub, ta-LUB-dub

Septum - 2 Sub Types - ✔️✔️Separates the two halves of the heart.

Interatrial and Interventricular

NSAID - ✔️✔️Nonsteroidal Anti-inflammatory Drug

Antipyretic Agent - ✔️✔️Inhibits Prostaglandins

Acts on hypothalamus, heat regulation center.

Vasodilation & Sweating

Platelet Inhibitor - ✔️✔️Prevents formation of thromboxane A2




4