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NREMT-Airway, Respiration and Ventilation, EMT final test with complete solutions

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NREMT-Airway, Respiration and Ventilation, EMT final test with complete solutions

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NREMT-Airway, Respiration and
Ventilation, EMT final test with
complete solutions




1. B. High pitched sounds like stridor on inspiration

(Rationale: Upper airway obstructions are characterized by high pitched
sounds when the patient inhales.): An upper airway obstruction may
produce sounds like:
A. Biots breathing
B. High pitched sounds like stridor on inspiration
C. Eronchli Ventalotis
D.Crackles
2. A. They are blood vessels that begin as capillary surrounding each
alveolus, and with adequate blood volume and blood pressure, the vessels
return oxygenated blood to the heart.

(Rationale: The Pulmonary capillary beds are blood vessels that begin as
capillary surrounding each alveolus and with adequate blood volume
and blood pressure, the vessels return oxygenated blood to the heart.):
Which statement best describes the Pulmonary capillary beds?
A.They are blood vessels that begin as capillary surrounding each
alveolus, and with adequate blood volume and blood pressure, the
vessels return oxygenated blood to the heart.
B.They are airways that begin as capillary surrounding each alveolus,
and with adequate blood volume and blood pressure, the airways return
oxygenated blood to the heart.
C. They are airways that begin as capillary surrounding each
alveolus and with adequate blood volume and blood pressure, they


, NREMT-Airway, Respiration and
Ventilation, EMT final test with
complete solutions
remain open through smooth muscle tone.
D. They are blood vessels that begin as capillary surrounding each
alveolus, and are made up of millions of thin walled sacs.
3. A. He has COPD

(Rationale: A pile of cigar butts and lighters in the person's home, plus the
fact that they are in the tripod position and using accessory muscles to
breath, should lead you to assume that they suffer from COPD.): You arrive
on scene with your partner Nelson to find a 49 year old male
complaining of shortness of breath. He is in the tripod position sitting on
a lounge chair. As you kneel down beside him you notice an ashtray
filled with cigar butts and a 10 pack of lighters. From this scene size up
information, you might assume that:
A. He has COPD
B. He is a cigarette smoker






, NREMT-Airway, Respiration and
Ventilation, EMT final test with
complete solutions
C. He has an upper airway obstruction
D.He was exercising
4. A. The patient is unresponsive

(Rationale: The Sellick's maneuver should not be used if: The patient is
vomit- ing or starts to vomit, the patient is responsive, or if an endotracheal
tube has been placed by advanced level providers.): You are preparing to
use the Sellick's maneuver. Which of the following is an indication that it
would be appropriate?
A. The patient is unresponsive
B.The patient is vomiting or starts to vomit
C. The patient is responsive
D.An endotracheal tube has been placed by advanced level providers
5. B. The woman, because the injury is a penetrating wound to the lung are

(Rationale: A stab wound in the upper right quadrant would likely puncture
a lung. Difficulty breathing would further heighten your suspicion.): You
and your partner Paulina are called to the scene of a stabbing. There
are two patients
reported. A woman with a stab wound to the URQ and a man with a stab
wound to the LRQ. The woman with the wound in the URQ is having
problems breathing and has a pulse of 103, respirations of 35, and they
are shallow. The patient with the stab wound to the LRQ is complaining
of severe abdominal pain and has a pulse of 60 and a respiration rate of
24. Which patient probably has a pneumothorax? Why?
A. The man, because his injury is in the thorax
B.The woman, because the injury is a penetrating wound to the lung are
C. The woman, because high respirations and pulse will cause her
pressure to drop
D.Neither injury is indicative of a pneumothorax
6. C. Begin transport while giving blow-by oxygen. Continue to monitor
the status of the child's airway en route to the hospital.

(Rationale: The best choice is to begin transport while giving blow-by


, NREMT-Airway, Respiration and
Ventilation, EMT final test with
complete solutions
oxygen. As the child's airway is not completely occluded and he is still
exchanging air, you should begin moving toward definitive care while
providing additional oxygen. Using a mask to provide oxygen to a patient
with a foreign body airway obstruction is contraindicated.): You are
dispatched to an amusement park where a 16-month-old boy is reported
to have something wedged in his throat. Dispatch says that the child is
breathing, but it sounds very noisy like a whistle. Upon arrival you can
see that the child is breathing with stridor, is pale, and is beginning to
turn blue around the lips. What is the best treatment plan for this
patient?
A. Try to see the object in the child's throat and remove with your fingers
if possible.

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