Medical Tests NREMT Online Practice Questions and Exam Preparation

Medical Tests NREMT Online Questions & Answers

• Question 101:

  You come on the scene of a 2-year-old patient with her grandparents. The child has no pulse, is unresponsive, and does not have a history of heart problems. No CPR has been initiated. Select the best option for the next steps.

  A. Shake and shout.
  B. Begin the CPR process and attach an AED.
  C. Attach AED and use chest thrust in case of aspiration.
  D. Attach AED and perform four back slaps.
  B. Begin the CPR process and attach an AED.

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  Explanation/Reference:

• Question 102:

  Mean arterial pressure is the product of:

  A. SV/EDV
  B. TPR x SV
  C. CO/SV
  D. TPR x CO
  D. TPR x CO

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  Explanation/Reference:

• Question 103:

  You are called for an elderly female that fell down and hurt her knee. When you find the patient, she tells you she tripped and fell, and landed on her left knee. She denies any loss of consciousness or trauma to her head. The patient is only

  complaining of pain to the distal portion of her femur.

  During your assessment, you notice deformity and swelling to the femur, proximal to the knee. The patient has good distal pulses, motor function, and sensation.

  What would be the most appropriate treatment for this patient?

  A. Secure to a backboard and pad appropriately
  B. Application of padded board splints
  C. Traction splinting
  D. Inflation of the PASG on both legs
  A. Secure to a backboard and pad appropriately

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  Explanation/Reference:

  The patient with a femur fracture should be secured to a backboard and padded appropriately. Inflating both leg sections of the PASG is not indicated for this patient. e femur while helping to tamponade any blood loss. Traction splinting is only appropriate if the femur fracture is mid shaft. Padded board splints will not provide sufficient stabilization.

• Question 104:

  Which of the following is NOT a part of the upper airway?

  A. The nasopharynx
  B. The carina
  C. The oropharynx
  D. The pharynx
  B. The carina

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  Explanation/Reference:

• Question 105:

  What is a description of a partial thickness (second degree) burn?

  A. moderate pain, blisters
  B. intense pain, blisters, moist skin
  C. redness and no blisters
  D. mild pain, redness
  B. intense pain, blisters, moist skin

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  Explanation/Reference:

• Question 106:

  To create negative pressure in the thorax (chest cavity) the diaphragm contracts and moves _____________ which expands the volume of the thorax allowing air to rush into the lungs?

  A. Upward
  B. Outward
  C. Downward
  D. The diaphragm does not move, the chest wall expands.
  C. Downward

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  Explanation/Reference:

  The diaphragm is a thin tough muscle which separates the thorax and abdomen. The diaphragm is domed upward in its relaxed state, so when it contracts the diaphragm flattens out causing the volume of the thorax to increase. Since the pressure in the thorax is lower than atmospheric air will rush into the lungs allowing for gas exchange. While the chest wall does expand it is the diaphragm is the primary respiratory muscle, chest muscles have a smaller role in regards to normal respirations

• Question 107:

  You are called to help a 60-year-old woman who is suffering from severe headache.

  If you smell a strong odor of natural gas while entering her home, what will be your first action?

  A. Check the patient's ABC
  B. Take the patient out of the house to your ambulance
  C. Open all windows and determine the source of the gas leak
  D. Insert a nasopharyngeal airway and assess vital signs.
  B. Take the patient out of the house to your ambulance

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  Explanation/Reference:

• Question 108:

  Which of the following substances is the most common cause of anaphylaxis?

  A. Bee stings
  B. Penicillin
  C. Aspirin
  D. Fungi and molds
  B. Penicillin

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  Explanation/Reference:

  Penicillin and other antibiotics are the most common causal agents for anaphylaxis. Authorities estimate penicillin to produce an allergic or anaphylactic reaction 1 out of every 10,000 times it is used and cause an estimated 500 deaths per year. By contrast, bee stings are responsible for less than 100 deaths annually. Anaphylactic reactions to aspiring and fungi and molds are infrequent and therefore not common causal agents.

• Question 109:

  Which statement about inadequate breathing is correct?

  A. A breathing rate that is either too fast or too slow may indicate inadequate breathing.
  B. Inadequate breathing is much less common in small children than in older adults.
  C. Increased effort of breathing is often a normal sign and is not associated with inadequate breathing.
  D. A patient breathing very deeply or very shallowly is compensating for an abnormal respiratory rate.
  A. A breathing rate that is either too fast or too slow may indicate inadequate breathing.

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  Explanation/Reference:

  A respiratory rate that is either too fast or too slow may be a sign of inadequate breathing. Respiratory distress occurs with many medical and trauma problems and spans the age groups, making choice b inaccurate. An increased work (effort) of breathing frequently accompanies inadequate breathing as the patient attempts to compensate, but it should never be considered a "normal sign" as suggested by choice c. Patients may breathe shallowly or deeply for a number of reasons, only one of which is to compensate for an abnormal rate, making choice d inaccurate.

• Question 110:

  The cardiovascular system or the circulatory system is made up of three major components; which of the following is not a component of the cardiovascular system?

  A. Heart
  B. Blood vessels
  C. Myoglobin
  D. Blood
  C. Myoglobin

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  Explanation/Reference:

  The heart, blood vessels and blood are all major components of the cardiovascular system. Myoglobin is a component of muscle, when large muscle masses are injured they give off myoglobin into the blood stream. Myoglobin molecules are large and cause problems with renal system during times of trauma, elocution or burns.