NREMT PARAMEDIC PREP
200 Questions and Answers
1.You are called to assist an adult with chest pain. The patient has a cardiac
history of two-posterior myocardial infarctions. He is conscious and alert,
stating he is having a hard time breathing, and the chest pain worsens when
he attempts to lay flat on his back. His skin is pale and hot, while
auscultation of his lung sounds reveals mild crackles. He reports the pain
worsens on deep inspiration and movement.
Based on the patient's history, and signs and symptoms, which of the follow
ing should you suspect?
A.
Unstable angina pectoris
B.
Pericarditis
C.
Myocardial infarction
D.
Cardiomyopathy
ANS: B.
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165
,2.You are the first ambulance to arrive on the scene of a single-car
accident. As you approach the scene, you see four patients, two have been
ejected from their vehicle, and two are still in the vehicle. What should be
your next course of action?
A.
Call medical control, and advise them of the situation
B.
Request additional resources, such as fire rescue, and additional
ambulances to respond to the scene
C.
Begin immediate triage and treatment of the two patients ejected first while
awaiting fire department response
D.
Notify the local trauma center so they can prepare for the patients
ANS: B.
3.A patient is experiencing a possible neurological emergency from a blunt
force closed head injury. He is found to have abnormal pupillary reactions
to light and has lost the ability to move his eyes from side to side to follow
your finger movements. He is also unable to identify the number of fingers
you are holding up. He reports he is able to see the fingers but is not able to
focus enough to identify how many fingers are present.
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165
,Which of the following cranial nerves should you suspect may be involved in
his injury?
A.
Cranial nerves I, V, and VI
B.
Cranial nerves V and VII
C.
Cranial nerves IX and X
D.
Cranial nerves II, III, and IV
ANS: D.
4.Simply put, shock is a state of hypoperfusion due to several different
caus- es. Which one of the following types of shock would be considered
distributive shock?
A.
Hypovolemic shock
B.
Cardiogenic shock
C.
Anaphylactic shock
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, D.
Toxic shock syndrome
ANS: C.
5.Which of the following is responsible for initiating the sympathetic
response to shock during a traumatic event?
A.
Increased oxygen level and increased PCO2
B.
Increased peripheral vascular resistance and alkalosis
C.
Decreased perfusion and increased acidosis
D.
Peripheral vasodilation and increased capillary permeability
ANS: C.
6.During which wave, complex, interval, or segment of an
electrocardiogram tracing does the absolute refractory period take place in
a normally function- ing heart?
A.
S-T segment
B.
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165
200 Questions and Answers
1.You are called to assist an adult with chest pain. The patient has a cardiac
history of two-posterior myocardial infarctions. He is conscious and alert,
stating he is having a hard time breathing, and the chest pain worsens when
he attempts to lay flat on his back. His skin is pale and hot, while
auscultation of his lung sounds reveals mild crackles. He reports the pain
worsens on deep inspiration and movement.
Based on the patient's history, and signs and symptoms, which of the follow
ing should you suspect?
A.
Unstable angina pectoris
B.
Pericarditis
C.
Myocardial infarction
D.
Cardiomyopathy
ANS: B.
1/
165
,2.You are the first ambulance to arrive on the scene of a single-car
accident. As you approach the scene, you see four patients, two have been
ejected from their vehicle, and two are still in the vehicle. What should be
your next course of action?
A.
Call medical control, and advise them of the situation
B.
Request additional resources, such as fire rescue, and additional
ambulances to respond to the scene
C.
Begin immediate triage and treatment of the two patients ejected first while
awaiting fire department response
D.
Notify the local trauma center so they can prepare for the patients
ANS: B.
3.A patient is experiencing a possible neurological emergency from a blunt
force closed head injury. He is found to have abnormal pupillary reactions
to light and has lost the ability to move his eyes from side to side to follow
your finger movements. He is also unable to identify the number of fingers
you are holding up. He reports he is able to see the fingers but is not able to
focus enough to identify how many fingers are present.
2/
165
,Which of the following cranial nerves should you suspect may be involved in
his injury?
A.
Cranial nerves I, V, and VI
B.
Cranial nerves V and VII
C.
Cranial nerves IX and X
D.
Cranial nerves II, III, and IV
ANS: D.
4.Simply put, shock is a state of hypoperfusion due to several different
caus- es. Which one of the following types of shock would be considered
distributive shock?
A.
Hypovolemic shock
B.
Cardiogenic shock
C.
Anaphylactic shock
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165
, D.
Toxic shock syndrome
ANS: C.
5.Which of the following is responsible for initiating the sympathetic
response to shock during a traumatic event?
A.
Increased oxygen level and increased PCO2
B.
Increased peripheral vascular resistance and alkalosis
C.
Decreased perfusion and increased acidosis
D.
Peripheral vasodilation and increased capillary permeability
ANS: C.
6.During which wave, complex, interval, or segment of an
electrocardiogram tracing does the absolute refractory period take place in
a normally function- ing heart?
A.
S-T segment
B.
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165
