NREMT EMT Actual Free Exam Questions & Community Discussion
A 24-year-old patient is in cardiac arrest after being submerged in cold water. Which of the following circumstances should occur prior to considering termination of resuscitation efforts?
Correct Answer: C
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When treating a patient suspected of having tuberculosis, you should
Correct Answer: D
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Which of the following signs or symptoms would be most closely associated with each of these diabetic conditions? Move each sign or symptom into the Answer Area one time to indicate the most closely associated diabetic condition.
Correct Answer:
Explanation:
Hypoglycemia # Rapid onset
Hyperglycemia # Gradual onset
Diabetic ketoacidosis # Rapid, deep breathing
Type I diabetes # Insulin dependence
Each diabetic condition has hallmark characteristics that EMS providers must recognize quickly.
Hypoglycemia # Rapid onset:
Hypoglycemia (low blood glucose) typically develops suddenly, often within minutes, especially in patients who have taken insulin without adequate food intake.
NREMT materials emphasize that hypoglycemia presents with "rapid onset of symptoms such as altered mental status, sweating, and tachycardia." Hyperglycemia # Gradual onset:
Hyperglycemia (high blood glucose) develops slowly over hours to days due to insufficient insulin or illness.
EMS education standards describe hyperglycemia as having a "gradual onset with progressive symptoms such as polyuria, polydipsia, and dehydration." Diabetic Ketoacidosis (DKA) # Rapid, deep breathing:
DKA is a severe complication of hyperglycemia, primarily in Type I diabetics, and is characterized by Kussmaul respirations (rapid, deep breathing).
NREMT content identifies "deep, rapid respirations (Kussmaul breathing)" as a key sign of DKA due to metabolic acidosis.
Type I Diabetes # Insulin dependence:
Type I diabetes is defined by the body's inability to produce insulin, requiring lifelong insulin therapy.
NREMT standards state that "patients with Type I diabetes are insulin dependent." Exact Extracts:
"Hypoglycemia typically has a rapid onset of symptoms."
"Hyperglycemia develops more gradually over time."
"Ketoacidosis is characterized by deep, rapid respirations (Kussmaul respirations)."
"Type 1 diabetics are insulin dependent."
References:
NREMT EMT Education Standards - Endocrine Emergencies
National EMS Education Standards - Medical Emergencies (Diabetes)
NREMT Candidate Handbook - Patient Assessment and Medical Conditions
What are the proper procedures for performing CPR on a 9-month-old patient? Select the three answer options that are correct.
Correct Answer: B,C,E
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A mountain climber tells you that he came down from a hike because he was coughing up blood. You should suspect
Correct Answer: B
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A 44-year-old patient is unresponsive, and an EMT checks for a pulse prior to applying an AED. Which of the following shockable rhythms, ventricular fibrillation or ventricular tachycardia, if either, may still produce a pulse in this patient?
Correct Answer: A
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A 20-year-old patient has just given birth. The neonate is crying and has central cyanosis. They have a pulse greater than 100. Which of the following actions should the EMT take? Select the three answer options that are correct.
Correct Answer: A,D,F
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A 23-year-old patient with asthma is short of breath with cool, clammy skin. The patient is breathing 28 times per minute with accessory muscle use. Which of the following interventions is most appropriate?
Correct Answer: B
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A 67-year-old patient is sitting in the tripod position. What general impression should the EMT most strongly suspect from this patient ' s position?
Correct Answer: B
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