Medical Tests NREMT Online Practice Questions and Exam Preparation

Medical Tests NREMT Online Questions & Answers

• Question 31:

  You are assessing a 53-year-old female who neighbors discovered acting funny. The patient appears to be fatigued and confused and exhibiting slurred speech. She is breathing and has a pulse and skin that is cool and mottled. Vital signs are pulse 68 beats per minute, respirations 14 per minute, blood pressure 108/60 mmHg, and temperature 92.7 degrees Fahrenheit. There are no signs of trauma to the patient. Patient prescriptions of Verapamil, Digoxin, Synthroid, and nitroglycerin are found in the bedroom. Allergies are unknown. The temperature in her apartment is 55 degrees Fahrenheit.

  Based on the assessment findings, which of the following conditions is most likely a contributing factor to the patient's condition?

  A. Hypothyroidism
  B. Hypertension
  C. Atrial fibrillation
  D. Seizure
  A. Hypothyroidism

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  Explanation/Reference:

  The paramedic must recognize that the patient is hypothermic, based on the body temperature as well as the temperature in the apartment. Furthermore, the paramedic must recognize that the patient suffers from hypothyroidism, as evidenced by her use of Synthroid. Hypothyroidism describes a thyroid that is slow and can only generate minimal cellular metabolism. Since heat generation is a product of cellular metabolism, the patient s body temperature drops accordingly. Neither atrial fibrillation, hypertension, nor seizure would cause the patient to become hypothermic.

• Question 32:

  What does OPQRST stands for?

  A. Onset, pulse, quality, redness, swelling, tenderness
  B. Onset, provocation, quality, radiates, severity, time
  C. Onset, provocation, quantity, radiation, severity, tidal
  D. Onset, pulse pressure, quantity, radial pulse, severity, tremors
  B. Onset, provocation, quality, radiates, severity, time

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  Explanation/Reference:

• Question 33:

  Which is the best way to assess circulation in an infant?

  A. Palpate the radial pulse.
  B. Palpate the carotid pulse.
  C. Observe capillary refill time.
  D. Palpate the brachial pulse.
  D. Palpate the brachial pulse.

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  Explanation/Reference:

• Question 34:

  The female reproductive system includes all of the following except:

  A. fallopian tubes
  B. ovaries
  C. vagina
  D. ureter
  D. ureter

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  Explanation/Reference:

• Question 35:

  Which of the following vital signs would be most indicative of a patient who has entered the decompensated stage of shock?

  A. Heart rate of 110, respirations of 24, and a blood pressure of 128/90 mmHg
  B. Heart rate of 92, respirations of 18, and a blood pressure of 124/72 mmHg
  C. Heart rate 64, respirations of 8, and a blood pressure of 82/40 mmHg
  D. Heart rate of 128, respirations of 26, and a blood pressure of 82/62 mmHg
  D. Heart rate of 128, respirations of 26, and a blood pressure of 82/62 mmHg

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  Explanation/Reference:

  Decompensated shock physiologically occurs as the precapillary sphincters that guard the peripheral capillary beds relax secondary to local blood chemistry changes due to shock. The opening of these sphincters allows blood to flow back into the stagnant capillary beds which decreases the available blood volume for core perfusion, and, results in a significant drop in systemic vascular resistance. Thus the clinical finding consistent with decompensated drop is a sudden decrease in blood pressure, tachypnea, and continued elevation of the heart rate.

• Question 36:

  What is the difference between angina pectoris and a myocardial infarction?

  A. As an EMT-B you cannot determine the difference
  B. The pain from angina pectoris will gradually get worse
  C. A myocardial infarction will go away with rest
  D. Angina pectoris is caused by physical or emotional stress
  D. Angina pectoris is caused by physical or emotional stress

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  Explanation/Reference:

  Angina pectoris is typically caused by physical emotional stress. Symptoms usually last no more than 10 minutes and are relieved by rest.

• Question 37:

  Where does blood travel when it leaves the right ventricle of the heart?

  A. To the pulmonary veins, then to the lungs
  B. To the aorta, then out to the body
  C. To the vena cava then to the left atrium
  D. To the pulmonary arteries then to the lungs
  A. To the pulmonary veins, then to the lungs

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  Explanation/Reference:

  Oxygen-poor blood arrives in the right atrium and is pumped out through the right ventricle via the pulmonary arteries, to the lungs

• Question 38:

  Which of the following symptoms will make you suspect a diabetic emergency?

  A. Diminished lung sounds
  B. Recent change in mental status
  C. Widening pulse pressure
  D. Decreased heart rate
  B. Recent change in mental status

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  Explanation/Reference:

• Question 39:

  The lights and siren on an emergency vehicle ____.

  A. allow the operator of an emergency vehicle to drive without regard for the safety of others
  B. allow an emergency vehicle to be driven as fast as possible
  C. are a request for drivers to yield right of way
  D. allow the emergency vehicle driver to disregard all traffic laws
  C. are a request for drivers to yield right of way

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  Explanation/Reference:

• Question 40:

  The (lub) sound is detected when:

  A. The pulmonary valves are closing.
  B. The pulmonary valves are opening.
  C. The atrio-ventricular valves are opening.
  D. The atrio-ventricular valves are closing.
  D. The atrio-ventricular valves are closing.

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  Explanation/Reference: