Medical Tests NREMT Online Practice Questions and Exam Preparation

Medical Tests NREMT Online Questions & Answers

• Question 161:

  You have responded to a local residence of a 37-year-old male who had lacerated his leg while using a chainsaw in the back of his house. Prior to your arrival, the patient's wife, who is a nurse, applied pressure to the wound and has the patient in Trendelenburg position. Your assessment of the patient reveals him to be responsive to painful stimuli with a weak carotid pulse and the blood pressure unobtainable. There is a massive amount of blood surrounding the patient on the ground. The wife tells you that the wound is arterial and the injury occurred about 10 to 15 minutes ago.

  In addition to oxygen therapy, what are your treatment priorities for this patient?

  A. Continue applying direct pressure to the wound and call for ALS support.
  B. Apply an arterial tourniquet and call for ALS support.
  C. Continue applying direct pressure to the wound and transport.
  A. Continue applying direct pressure to the wound and call for ALS support.

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  Explanation/Reference:

  Direct pressure and fluids are this patient's best chance for survival and prevention of decompensated shock. ALS should be activated to administer fluids as soon as possible

• Question 162:

  You are at the scene of an MVA, in which there are three patients, all of which have minor visible injuries.

  Two are refusing treatment and the last is complaining of neck and back pain.

  How should you proceed?

  A. Treat all three patients, they are visibly injured and need medical attention
  B. Obtain signed refusals from the first two patients then proceed to the third
  C. Treat the third patient, nothing else is needed for the other two
  D. Have your partner obtain refusals from the two patients who refused treatment, while you treat the last patient.
  D. Have your partner obtain refusals from the two patients who refused treatment, while you treat the last patient.

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  Explanation/Reference:

  All patient refusals must be an informed refusal and in writing. If you treat all three patients even though they refused you are guilty of battery

• Question 163:

  In the event of a dangerous situation where hazardous materials are suspected, the ambulance should be parked ____.

  A. downwind of scene
  B. upwind and/or uphill of scene
  C. at the station until called to the scene
  D. at the scene
  B. upwind and/or uphill of scene

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  Explanation/Reference:

• Question 164:

  Blood flowing into the cardiac veins enters the _____ next.

  A. Left Atrium
  B. Right Ventricle
  C. Left Ventricle
  D. Coronary Sinus
  B. Right Ventricle

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  Explanation/Reference:

• Question 165:

  You find that your diabetic patient is hypoglycemic, you have oral glucose to give to the patient. You will give 15 grams of instant glucose to the following patients except:

  A. Conscious with blood sugar
  B. Semi-conscious with gag reflex and the ability to swallow
  C. Semi-conscious without the ability to swallow
  D. Conscious with an altered mental status and blood sugar of 80mg/dl
  C. Semi-conscious without the ability to swallow

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  Explanation/Reference:

  The clinician should never give any patient who can not swallow anything by mouth, aspiration is a real risk. A patient with an altered mental status with a blood sugar of 80mg/dl should be given glucose to correct the mental status.

• Question 166:

  The single largest cause of death for Americans is/are:

  A. Coronary heart disease.
  B. Chronic obstructive airway disease.
  C. Cancer.
  D. Traumatic injuries.
  A. Coronary heart disease.

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  Explanation/Reference:

  Coronary heart disease, also known as coronary artery disease (CAD), is the number one threat to American health, killing an estimated 466,000 persons annually. While some predisposition to coronary heart disease is non-modifiable, many of the risk factors are behaviors that can be changed (e.g., obesity, sedentary lifestyle, and smoking). While chronic obstructive pulmonary disease, cancer, and traumatic injuries represent major health problems, they do not claim lives on the magnitude that does coronary heart disease.

• Question 167:

  You are called to provide emergency treatment to a female rape victim. Law enforcement is already on scene. It's important to do all of the following, except ____.

  A. try to preserve evidence as you are dealing with a crime scene
  B. ask the woman to tell you details about what happened
  C. limit the physical exam to a brief assessment to determine life threatening injuries
  D. if possible, give the victim the option of being treated by a female EMT
  B. ask the woman to tell you details about what happened

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  Explanation/Reference:

• Question 168:

  Radio communication should not involve which of the following?

  A. Name/address of the patient
  B. Clear signal
  C. Clear voice projection
  A. Name/address of the patient

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  Explanation/Reference:

• Question 169:

  Which are not blood components which are responsible for clot formation?

  A. Platelets
  B. Plaque
  C. Thrombin
  D. Fibrin
  B. Plaque

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  Explanation/Reference:

  Plaque is actually the build up of fatty deposits on the artery walls which narrow and harden the arteries. While a clot often forms around plaque, especially around a plaque rupture, it is not a part of the clotting process. Platelets are the flat disks which stick together forming the thrombus. Fibrin is the small strands of fiber which make up the frame work of the clot making it stronger, like reinforcing rods in concrete. Thrombin is the protein chemo activator which signals the formation of a clotting process.

• Question 170:

  To assess a patient with a stroke there are two major assessment tools the Cincinnati Stroke Scale and the Los Angeles Prehospital Stroke Screen. Which one of these two tools uses arm drift as a diagnostic tool?

  A. Neither
  B. Cincinnati Stroke Scale
  C. Los Angeles Prehospital Stroke Screen
  D. Both
  B. Cincinnati Stroke Scale

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  Explanation/Reference:

  The Cincinnati stroke scale uses arm drift as a diagnostic tool. Ask the patient to lift both arms up in front of them, close their eyes and watch for an arm to drift downward. If there is a drift downward on one arm then assess for a CVA on that side.