NREMT AEMT FINAL EXAM STUDY
1. A 29-year-old male with a history of type one diabetes presents with
excessive urination and marked thirst. These signs indicate that the:
● A. Cells of the body are producing fructose
● B. Kidneys are excreting excess insulin
● C. Blood glucose has exceeded 120 mg/dL
● D. Renal system is excreting excess glucose
Answer: D. Renal system is excreting excess glucose
2. A 32-year-old male ingested a large quantity of an opioid. Which of the
following clinical signs would you most likely encounter during your
assessment?
● A. Slurred speech and combative behavior
● B. Pupillary dilation and severe hypertension
● C. Hyperventilation and excessive tachycardia
● D. Respiratory depression and hypotension
Answer: D. Respiratory depression and hypotension
3. A 33-year-old female complains of acute intense pain in both lower
abdominal quadrants. She is conscious and alert, tachycardic, and has a fever
of 102.5°F. You should suspect:
● A. Acute bacterial cystitis
● B. A ruptured ectopic pregnancy
● C. A bacterial urinary tract infection
● D. Pelvic inflammatory disease
Answer: D. Pelvic inflammatory disease
4. A 40-year-old female requires a medication to decrease her heart rate. The
medication to be administered is supplied in a pre-filled syringe in a
concentration of 6 mg/2 mL. How many milliliters are required to achieve a
dose of 12 mg?
● A. 8 mL
, ● B. 4 mL
● C. 2 mL
● D. 6 mL
Answer: B. 4 mL
5. A 40-year-old man with diabetes has a blood glucose level of 38 mg/dL.
However, because he is unconscious and unable to swallow, oral glucose, that
medication is:
● A. Contraindicated
● B. Indicated
● C. Idiosyncratic
● D. Ineffective
Answer: A. Contraindicated
6. A 56-year-old male complains of difficulty breathing. His wife tells you that
he complained of chest discomfort a few days prior, but would not allow her to
call EMS. Your assessment reveals rales in the apices and bases of both
lungs. This patient's clinical presentation is most consistent with:
● A. COPD exacerbation
● B. Acute pulmonary embolism
● C. Chronic bronchitis
● D. Cardiogenic pulmonary edema
Answer: D. Cardiogenic pulmonary edema
7. A 57-year-old female with a history of peripheral vascular disease presents
with an acute onset of confusion, aphasia, left-sided hemiparesis, and facial
droop. You should suspect an:
● A. Arterial blockage in the left cerebral hemisphere
● B. Arterial blockage in the right cerebral hemisphere
● C. Arterial hemorrhage in the left cerebral hemisphere
● D. Arterial hemorrhage in the right cerebral hemisphere
Answer: B. Arterial blockage in the right cerebral hemisphere
, 8. A 67-year-old male complains of a burning sensation in his abdomen and
hematemesis. During your assessment, you note pain to palpation of his left
upper quadrant; his vital signs are suggestive of shock. Which of the following
conditions should you suspect?
● A. Viral gastroenteritis
● B. Acute cholecystitis
● C. Bleeding peptic ulcer
● D. Chronic hepatitis
Answer: C. Bleeding peptic ulcer
9. A consistently high level of _____ suppresses the immune system by
increasing production of interleukin-six.
● A. Aldosterone
● B. Insulin
● C. Cortisol
● D. Glucose
Answer: C. Cortisol
10. A known contraindication to the administration of 50% dextrose is:
● A. Inability to follow commands
● B. Intracranial hemorrhage
● C. Dehydration
● D. Hypertension
Answer: B. Intracranial hemorrhage
11. A major risk factor associated with lung cancer is:
● A. Chronic bronchitis
● B. Exposure to lead
● C. Cigarette smoking
● D. Male gender
Answer: C. Cigarette smoking
1. A 29-year-old male with a history of type one diabetes presents with
excessive urination and marked thirst. These signs indicate that the:
● A. Cells of the body are producing fructose
● B. Kidneys are excreting excess insulin
● C. Blood glucose has exceeded 120 mg/dL
● D. Renal system is excreting excess glucose
Answer: D. Renal system is excreting excess glucose
2. A 32-year-old male ingested a large quantity of an opioid. Which of the
following clinical signs would you most likely encounter during your
assessment?
● A. Slurred speech and combative behavior
● B. Pupillary dilation and severe hypertension
● C. Hyperventilation and excessive tachycardia
● D. Respiratory depression and hypotension
Answer: D. Respiratory depression and hypotension
3. A 33-year-old female complains of acute intense pain in both lower
abdominal quadrants. She is conscious and alert, tachycardic, and has a fever
of 102.5°F. You should suspect:
● A. Acute bacterial cystitis
● B. A ruptured ectopic pregnancy
● C. A bacterial urinary tract infection
● D. Pelvic inflammatory disease
Answer: D. Pelvic inflammatory disease
4. A 40-year-old female requires a medication to decrease her heart rate. The
medication to be administered is supplied in a pre-filled syringe in a
concentration of 6 mg/2 mL. How many milliliters are required to achieve a
dose of 12 mg?
● A. 8 mL
, ● B. 4 mL
● C. 2 mL
● D. 6 mL
Answer: B. 4 mL
5. A 40-year-old man with diabetes has a blood glucose level of 38 mg/dL.
However, because he is unconscious and unable to swallow, oral glucose, that
medication is:
● A. Contraindicated
● B. Indicated
● C. Idiosyncratic
● D. Ineffective
Answer: A. Contraindicated
6. A 56-year-old male complains of difficulty breathing. His wife tells you that
he complained of chest discomfort a few days prior, but would not allow her to
call EMS. Your assessment reveals rales in the apices and bases of both
lungs. This patient's clinical presentation is most consistent with:
● A. COPD exacerbation
● B. Acute pulmonary embolism
● C. Chronic bronchitis
● D. Cardiogenic pulmonary edema
Answer: D. Cardiogenic pulmonary edema
7. A 57-year-old female with a history of peripheral vascular disease presents
with an acute onset of confusion, aphasia, left-sided hemiparesis, and facial
droop. You should suspect an:
● A. Arterial blockage in the left cerebral hemisphere
● B. Arterial blockage in the right cerebral hemisphere
● C. Arterial hemorrhage in the left cerebral hemisphere
● D. Arterial hemorrhage in the right cerebral hemisphere
Answer: B. Arterial blockage in the right cerebral hemisphere
, 8. A 67-year-old male complains of a burning sensation in his abdomen and
hematemesis. During your assessment, you note pain to palpation of his left
upper quadrant; his vital signs are suggestive of shock. Which of the following
conditions should you suspect?
● A. Viral gastroenteritis
● B. Acute cholecystitis
● C. Bleeding peptic ulcer
● D. Chronic hepatitis
Answer: C. Bleeding peptic ulcer
9. A consistently high level of _____ suppresses the immune system by
increasing production of interleukin-six.
● A. Aldosterone
● B. Insulin
● C. Cortisol
● D. Glucose
Answer: C. Cortisol
10. A known contraindication to the administration of 50% dextrose is:
● A. Inability to follow commands
● B. Intracranial hemorrhage
● C. Dehydration
● D. Hypertension
Answer: B. Intracranial hemorrhage
11. A major risk factor associated with lung cancer is:
● A. Chronic bronchitis
● B. Exposure to lead
● C. Cigarette smoking
● D. Male gender
Answer: C. Cigarette smoking
