Final Exam: NREMT AEMT 2025|
Question Paper with Verified Solutions
[Graded A]
A patient involved in a motor vehicle collision presents with abdominal bruising and
hypotension. What is the most likely cause of their condition?
Internal bleeding from blunt trauma to abdominal organs.
During the assessment of a penetrating chest wound, you hear a sucking sound during inhalation.
What is the immediate management step?
Apply an occlusive dressing taped on three sides to create a flutter valve.
A patient presents with paradoxical chest wall movement following blunt trauma. What is this
condition, and how is it managed prehospital?
Flail chest; provide positive pressure ventilation if needed.
What is the primary concern when managing a patient with a suspected pelvic fracture from
blunt trauma?
Massive internal hemorrhage.
A knife wound to the neck causes severe bleeding. After controlling the bleeding, the patient
becomes dyspneic with stridor. What complication should you suspect?
Tracheal injury or airway compromise.
1
, A patient has a head injury after a fall and is confused with unequal pupils. What is the most
likely diagnosis?
Increased intracranial pressure from a traumatic brain injury.
What is the preferred method to control hemorrhage from a scalp laceration with underlying
skull fracture?
Apply gentle direct pressure around the wound with a sterile dressing.
A patient involved in a car crash presents with chest pain and muffled heart sounds. What is the
likely diagnosis, and how should it be managed?
Cardiac tamponade; provide rapid transport to a trauma center.
A patient has a seizure lasting over 5 minutes without regaining consciousness between episodes.
What is this condition, and how should it be managed?
Status epilepticus; administer benzodiazepines and manage the airway.
What is the most common cause of altered mental status in a patient with diabetes?
Hypoglycemia.
A postictal patient is confused and has a low respiratory rate. What is the most appropriate next
step?
Administer high-flow oxygen and monitor airway patency.
2
Question Paper with Verified Solutions
[Graded A]
A patient involved in a motor vehicle collision presents with abdominal bruising and
hypotension. What is the most likely cause of their condition?
Internal bleeding from blunt trauma to abdominal organs.
During the assessment of a penetrating chest wound, you hear a sucking sound during inhalation.
What is the immediate management step?
Apply an occlusive dressing taped on three sides to create a flutter valve.
A patient presents with paradoxical chest wall movement following blunt trauma. What is this
condition, and how is it managed prehospital?
Flail chest; provide positive pressure ventilation if needed.
What is the primary concern when managing a patient with a suspected pelvic fracture from
blunt trauma?
Massive internal hemorrhage.
A knife wound to the neck causes severe bleeding. After controlling the bleeding, the patient
becomes dyspneic with stridor. What complication should you suspect?
Tracheal injury or airway compromise.
1
, A patient has a head injury after a fall and is confused with unequal pupils. What is the most
likely diagnosis?
Increased intracranial pressure from a traumatic brain injury.
What is the preferred method to control hemorrhage from a scalp laceration with underlying
skull fracture?
Apply gentle direct pressure around the wound with a sterile dressing.
A patient involved in a car crash presents with chest pain and muffled heart sounds. What is the
likely diagnosis, and how should it be managed?
Cardiac tamponade; provide rapid transport to a trauma center.
A patient has a seizure lasting over 5 minutes without regaining consciousness between episodes.
What is this condition, and how should it be managed?
Status epilepticus; administer benzodiazepines and manage the airway.
What is the most common cause of altered mental status in a patient with diabetes?
Hypoglycemia.
A postictal patient is confused and has a low respiratory rate. What is the most appropriate next
step?
Administer high-flow oxygen and monitor airway patency.
2
