Medical Tests NREMT Online Practice Questions and Exam Preparation

Medical Tests NREMT Online Questions & Answers

• Question 381:

  Select the best option to open the airway of patient with a spinal injury.

  A. chin lift jaw-thrust maneuver.
  B. chin lift, tongue pull maneuver.
  C. head tilt jaw-thrust maneuver.
  D. jaw-thrust maneuver.
  D. jaw-thrust maneuver.

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  Explanation/Reference:

• Question 382:

  Your patient is not responding to your loud verbal stimuli. You find the following medications: Glucophage and Lipitor. What is the likely cause of the patient's problem?

  A. High cholesterol
  B. High blood pressure
  C. Diabetic reaction
  D. Coronary Artery Disease
  C. Diabetic reaction

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  Explanation/Reference:

  Glucophage is a diabetic medication, you may not be able to identify what type of reaction your patient is having without more diagnostic testing but it puts you looking in the correct direction. The Lipitor may come into play later on in long term care but high cholesterol generally has not effect on mental status the way hypo or hyperglycemia will.

• Question 383:

  Which statement about a patient's right to refuse care is correct?

  A. A child who is old enough to understand danger is old enough to refuse care and transport.
  B. An adult patient who is of sound mind and understands the consequences can refuse treatment.
  C. No one can authorize treatment or transport for any other individual, regardless of his or her age.
  D. EMTs should leave immediately whenever a patient says that he or she will refuse care.
  B. An adult patient who is of sound mind and understands the consequences can refuse treatment.

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  Explanation/Reference:

  An adult of sound mind can refuse treatment, but the EMT should first make an effort to clearly explain the consequences; refusal of treatment should be documented in writing.

• Question 384:

  The pulse of the unconscious patient should be checked during transport every ____ seconds.

  A. 15
  B. 30
  C. 60
  D. 10
  B. 30

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  Explanation/Reference:

• Question 385:

  What is the first step to consider in the process of caring for a patient in extreme cold with exposure?

  A. Check patient airway and stabilize.
  B. Prepare to prevent personal harm from cold exposure.
  C. Obtain patient temperature and begin warming patient.
  D. Assess MOI and begin warming patient.
  B. Prepare to prevent personal harm from cold exposure.

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  Explanation/Reference:

• Question 386:

  A large collection of blood under the skin is known as?

  A. Contusion
  B. Abrasion
  C. Hematoma
  D. Bruise
  C. Hematoma

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  Explanation/Reference:

  A hematoma is a large collection of blood, caused by larger blood vessels being damaged. A hematoma often is located between layers of tissues. A contusion is generally a smaller collection of blood within tissue such as the dermis. A bruise is a generic term which is often used interchangeably between a contusion and a larger hematoma.

• Question 387:

  Why is it critical that the paramedic complete an equipment checklist at the beginning of each shift?

  A. Most medical insurance agencies require a copy of the checklist for ongoing liability coverage.
  B. Completion reduces the risk of liability associated with providing prehospital medical services.
  C. Checklists are required by the Occupational Safety and Health Administration.
  D. Completion is mandated by the US Department of Health and Human.
  B. Completion reduces the risk of liability associated with providing prehospital medical services.

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  Explanation/Reference:

  Completion of an equipment/supply checklist enables the paramedic to determine the overall preparedness of the ambulance for patient care. Checklists allow the paramedic to ascertain whether all necessary supplies and equipment are present and working as well as the expiration dates on medications carried on the ambulance. This decreases liability associated with providing prehospital emergency medical services by ensuring that everything needed to properly care for a patient is present and in good working order. Missing supplies, malfunctioning equipment, and expired drugs represent sources of liability, especially if they result in improper patient care. The Occupational Safety and Health Administration and US Department of Health and Human Services do not require EMS services to complete an equipment/supply checklist. Finally, insurance agencies do not require the submission of the equipment/supply checklists in order to provide ongoing liability coverage for the service.

• Question 388:

  Slow (3-4 per minute), irregular inspirations followed by irregular pauses, sometimes describes as gasping, labored breathing, accompanied by strange vocalizations are known as?

  A. Agonal Breaths
  B. Stridor
  C. Obstructed Airway
  D. Wheezing
  A. Agonal Breaths

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  Explanation/Reference:

  Agonal respirations are also commonly seen in cases of cardiac arrest, and may persist for several minutes after cessation of heartbeat.

• Question 389:

  Stroke symptoms often the same as other medical problems to prevent miss treatment for the signs and symptoms working through the differentials is a must. One of the most common other medical problems which is often mistaken for a CVA is hypoglycemia.

  How can a clinician rule in or out this differential?

  A. Check pupils
  B. Check blood sugar
  C. Check grips
  D. Check arm drift
  B. Check blood sugar

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  Explanation/Reference:

  One of the easiest and most often over looked diagnosis tools is the glucometer check the blood sugar. The other screening info in this question are not ruling in or out hypoglycemia.

• Question 390:

  You are dispatched to 123 Somewhere Rd to a call for an injured woman as you approach the door or the home a man answers opens the door and tells you "this is none of your business" and to "get out of here". What is the correct course of action in this case?

  A. Return to the ambulance and tell dispatch that the patient has refused care.
  B. Reason with the man and explain that the women may need medical attention.
  C. Return to the ambulance drive a safe distance away and call for the police to help.
  D. Barge past the man and help the woman in the home.
  C. Return to the ambulance drive a safe distance away and call for the police to help.

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  Explanation/Reference:

  As an EMT you should never place yourself in harms way, if you feel a situation may be dangerous you should always wait for assistance from the police.