NREMT PART ONE QUESTIONS WITH CORRECT ANSWERS

You were called to see a 65 year old hypertensive female with squeezing chest pain that radiates down her left arm to her neck angel she says her heart beat as fast as she is having difficulty breathing and she has felt weak for the past couple of days which is the phone is the most appropriate for the 1st step of the patient? Carry out an initial assessment looking for any immediate threats to the life assessment of patient allows you to develop a plan for action for the patient's management that includes getting an initial impression as you arrive on the scene and an assessing vital signs for airway breathing and respiration Your team gets called from an elderly female in the summer are 80 three-year-old husband who has been vomiting in passing frequent loose stools for the past week has passed out you get there and find the man lying soup pine on the floor with shallow breathing and respiratory rate a 32 CPM her his lips are dry his skin is cold and his pulses 128 beats per minute weekend thread it's BPS 78 or 50MMHG what is the cause of presentation? Dehydration frequent stooling and vomiting for a week means the patient has lost a lot of electrolytes he is at risk for hypovelymic shock You are carrying out a preliminary assessment on a 27 year old female who was run over by a drunk driver walked across in the street she was lying supplying in a pool of blood and a psychologic with agonal breathing and multiple abrasions lacerations and a crush injury on her left leg her skin is also cold and cleaning because of shunting of blood to vital organs which organ is the most important? The heart and hypothermia the body draws blood from the pepero circulation and preserves it for the vital organs the most important organ being the heart A 22 year-old pregnant female in the 1st time master starts bleeding profusely from her vagina after spotting for the past 2 days on arrival at her home she is conscious cold but weak with a heart rate of 132BPM respiratory rate of 28 CPM and BP of 92 / 60MMHG which of the following actions is most appropriate? Placing her in a super composition administrating supplement of oxygen the patient is most likely hypervolemic place in her in a super composition and commencing oxygen will reduce the burden of her heart pumping oxygenated blood to her brain the patient should then be transported to the hospital You are called by the neighbors to attend to a middle aged man who was robbed at home and pushed down a flight of stairs of bizarre silent you find him lying at the foot of stairs conscious but complaining of a headache where you just had his skin is warm and his breathing is labored with a pulse rate of 40 CPM and ABP of 80 / 48 the man is no visible injuries what is the most likely cause of his presentation? Trauma to the cervical spine trauma to the cervical spine can cause widespread vasolidation leading to neurogenic shock. Your team is called to the scene of an accident where a sports car ran into electric pool and high speed the sole driver of the vehicle has managed to stumble out but has A-sharp glass through his right arm which is not actively bleeding you determine seeing safety establish there is one patient and on primary assessment discover that he is conscious but disoriented with a good pulse respiration and blood pressure which of the following will the patient most benefit from? Apply a tournament hit proximal to the injury and leave the chart in a tournament kit could be applied proximal to the wound when an object is impaled in any of the extremities it is best to leave the object in as it may be acting as a tompanod for damaged blood vessels You want to apply a tournament kit on a 48 year old male who slid his left wrist in a suicide attempt which the fallen steps is not a part of the procedure? Wrapping your bandage distill to the slit your turnip should be applied proximal to the wound to stop the execution of damage blood vessels. If 51 year old female complaints of burning chest paint ready to her back palpitations and dizziness she was diagnosed with hypertension 12 years ago but has been able to take her medications in the last month your BP is 138/100 mmhg Her pulse rate is 30 CPM and she is having difficulty breathing which the phone actions is most appropriate? Place the patient in a comfortable position administer oxygen and transfer quickly to the hospital am I a cardiac infarction and angina should be managed similarly because it is difficult to exclusively make a diagnosis of one or the other in the field You were called to an office complex where a 65 year old male suddenly felt lightheaded with severe chest pain work which he describes as stabbing in nature in your preliminary Assessment you discover that the man's blood pressure It is 89/60 MMg with a weak radio post of 118 BPM and a respiratory rate of 38 CPM your colleague who is assisting council polls of 96 BPM and the man's other wrist what is the most likely cause of this presentation? Aortic deception stabbing chest pain in an equal pulse is a classic feature of aortic distinction our team is called to attend a University professor who suddenly felt faint during the presentation her husband tells you she was diagnosed with hypertension 33 years ago but takes anti-hypertensives only when her blood pressure is elevated the woman complains of breathlessness and confidence up pinkish sputum on assessment you find that she has a respiratory rate of 26 CPM and sa02 of 94% with the wheeze and crack wall but the wheeze and crackles on oscillation her BP is 70 / 62 and then G will call it extremities what is most likely cause of this presentation? Cardiogenic shock pulmonary animal may occur in patients with cardiogenic shock who then present with snoring breath sounds and crackles and discreet saturation in addition to symptoms of cardiogenic shock In an emergency you were giving CPR to a patient as the sole emt which the following is accurate about methodology? 30 chest compression's followed by 2 rescue breaths 30 chest compression's do 2 rescue breaths are the standard according to AHA guidelines In an emergency you're using an automatic external defibrillator on a patient which the phone is correct about methodology? Chest compression's and artificial ventilation should be stopped when shocks are being delivered when shocks are to be delivered the patient should be cleared Your team is transported in a 56 You roll the patient with suspected myocardial infarction to the hospital when suddenly he loses consciousness he stops breathing and it's pulses it's no longer capable. Which of the following should not be part of your treatment regime? Rush the patient to the hospital while your corresponders administrative superior they should not be part of the treatment regimen if you were transported in a conscious patient with chest pain who becomes a constitution to stop the vehicle and start recitation start recitation with CPR and AeD in delivering high quality CPR which of the following was not correct according to aha guidelines? Allow as much ventilations as possible. according to aha Guidelines ventilations and high quality cpr should be done in ratio 30 chest compressions to 2 breaths Which of the following is not a part of an emergency medical responder's job in the emergency scenario ? If breathing is not present but pulses fill in cpr with 30 chest compressions To toothbrush if a patient has a pulse with that normal or no breathing You were called to a bank where a 35 year old male has suddenly slumped over; he has agonal breathing with a weak thread he pulls bystanders say the man clutched his chest before collapsing. Which of the following steps is most appropriate Provide rescue breathing to 10 breaths minute check polls every 2 minutes and commence CPR if it is absent if the patient has a pulse but it's not breathing rescue breath at a rate of 10 to 12 breaths per minute should be administered Upon arriving at the scene of an armed robber you find a security guard who fell after being pistol whip hit in his head against the tile floor there is a pool of blood around his head and dark circles around both eyes his unconscious with the respiratory rate of 30 CPM and a pulse rate of 120BPM he has cold limbs to administer high concentration oxygen effectively which of the following is applicable? Do a jaw thrust without head extension to open the airway for patients with a risk of cervical spine injury a jaw thrust is preferred when administering oxygen as it could be done with little or no movement of the spine