NREMT 2022-2023 PART ONE NEW QUESTIONS AND
ANSWERS
You were called to see a 65 year old hypertensive female with squeezing chest pain
that radiates down her left arm to her neck angel she says her heart beat as fast as she
is having difficulty breathing and she has felt weak for the past couple of days which is
the phone is the most appropriate for the 1st step of the patient? –
CORRECT ANSWER Carry out an initial assessment looking for any immediate threats
to the life assessment of patient allows you to develop a plan for action for the patient's
management that includes getting an initial impression as you arrive on the scene and
an assessing vital signs for airway breathing and respiration
Your team gets called from an elderly female in the summer are 80 three-year-old
husband who has been vomiting in passing frequent loose stools for the past week has
passed out you get there and find the man lying soup pine on the floor with shallow
breathing and respiratory rate a 32 CPM her his lips are dry his skin is cold and his
pulses 128 beats per minute weekend thread it's BPS 78 or 50MMHG what is the cause
of presentation? –
CORRECT ANSWER Dehydration frequent stooling and vomiting for a week means the
patient has lost a lot of electrolytes he is at risk for hypovelymic shock
You are carrying out a preliminary assessment on a 27 year old female who was run
over by a drunk driver walked across in the street she was lying supplying in a pool of
blood and a psychologic with agonal breathing and multiple abrasions lacerations and a
crush injury on her left leg her skin is also cold and cleaning because of shunting of
blood to vital organs which organ is the most important? –
CORRECT ANSWER The heart and hypothermia the body draws blood from the
pepero circulation and preserves it for the vital organs the most important organ being
the heart
A 22 year-old pregnant female in the 1st time master starts bleeding profusely from her
vagina after spotting for the past 2 days on arrival at her home she is conscious cold but
weak with a heart rate of 132BPM respiratory rate of 28 CPM and BP of MMHG
which of the following actions is most appropriate? –
CORRECT ANSWER Placing her in a super composition administrating supplement of
oxygen the patient is most likely hypervolemic place in her in a super composition and
commencing oxygen will reduce the burden of her heart pumping oxygenated blood to
her brain the patient should then be transported to the hospital
You are called by the neighbors to attend to a middle aged man who was robbed at
home and pushed down a flight of stairs of bizarre silent you find him lying at the foot of
, stairs conscious but complaining of a headache where you just had his skin is warm and
his breathing is labored with a pulse rate of 40 CPM and ABP of the man is no
visible injuries what is the most likely cause of his presentation? –
CORRECT ANSWER Trauma to the cervical spine trauma to the cervical spine can
cause widespread vasolidation leading to neurogenic shock.
Your team is called to the scene of an accident where a sports car ran into electric pool
and high speed the sole driver of the vehicle has managed to stumble out but has A-
sharp glass through his right arm which is not actively bleeding you determine seeing
safety establish there is one patient and on primary assessment discover that he is
conscious but disoriented with a good pulse respiration and blood pressure which of the
following will the patient most benefit from? –
CORRECT ANSWER Apply a tournament hit proximal to the injury and leave the chart
in a tournament kit could be applied proximal to the wound when an object is impaled in
any of the extremities it is best to leave the object in as it may be acting as a tompanod
for damaged blood vessels
You want to apply a tournament kit on a 48 year old male who slid his left wrist in a
suicide attempt which the fallen steps is not a part of the procedure? –
CORRECT ANSWER Wrapping your bandage distill to the slit your turnip should be
applied proximal to the wound to stop the execution of damage blood vessels.
If 51 year old female complaints of burning chest paint ready to her back palpitations
and dizziness she was diagnosed with hypertension 12 years ago but has been able to
take her medications in the last month your BP is 138/100 mmhg Her pulse rate is 30
CPM and she is having difficulty breathing which the phone actions is most appropriate?
–
CORRECT ANSWER Place the patient in a comfortable position administer oxygen and
transfer quickly to the hospital am I a cardiac infarction and angina should be managed
similarly because it is difficult to exclusively make a diagnosis of one or the other in the
field
You were called to an office complex where a 65 year old male suddenly felt
lightheaded with severe chest pain work which he describes as stabbing in nature in
your preliminary Assessment you discover that the man's blood pressure It is 89/60
MMg with a weak radio post of 118 BPM and a respiratory rate of 38 CPM your
colleague who is assisting council polls of 96 BPM and the man's other wrist what is the
most likely cause of this presentation? –
CORRECT ANSWER Aortic deception stabbing chest pain in an equal pulse is a
classic feature of aortic distinction
ANSWERS
You were called to see a 65 year old hypertensive female with squeezing chest pain
that radiates down her left arm to her neck angel she says her heart beat as fast as she
is having difficulty breathing and she has felt weak for the past couple of days which is
the phone is the most appropriate for the 1st step of the patient? –
CORRECT ANSWER Carry out an initial assessment looking for any immediate threats
to the life assessment of patient allows you to develop a plan for action for the patient's
management that includes getting an initial impression as you arrive on the scene and
an assessing vital signs for airway breathing and respiration
Your team gets called from an elderly female in the summer are 80 three-year-old
husband who has been vomiting in passing frequent loose stools for the past week has
passed out you get there and find the man lying soup pine on the floor with shallow
breathing and respiratory rate a 32 CPM her his lips are dry his skin is cold and his
pulses 128 beats per minute weekend thread it's BPS 78 or 50MMHG what is the cause
of presentation? –
CORRECT ANSWER Dehydration frequent stooling and vomiting for a week means the
patient has lost a lot of electrolytes he is at risk for hypovelymic shock
You are carrying out a preliminary assessment on a 27 year old female who was run
over by a drunk driver walked across in the street she was lying supplying in a pool of
blood and a psychologic with agonal breathing and multiple abrasions lacerations and a
crush injury on her left leg her skin is also cold and cleaning because of shunting of
blood to vital organs which organ is the most important? –
CORRECT ANSWER The heart and hypothermia the body draws blood from the
pepero circulation and preserves it for the vital organs the most important organ being
the heart
A 22 year-old pregnant female in the 1st time master starts bleeding profusely from her
vagina after spotting for the past 2 days on arrival at her home she is conscious cold but
weak with a heart rate of 132BPM respiratory rate of 28 CPM and BP of MMHG
which of the following actions is most appropriate? –
CORRECT ANSWER Placing her in a super composition administrating supplement of
oxygen the patient is most likely hypervolemic place in her in a super composition and
commencing oxygen will reduce the burden of her heart pumping oxygenated blood to
her brain the patient should then be transported to the hospital
You are called by the neighbors to attend to a middle aged man who was robbed at
home and pushed down a flight of stairs of bizarre silent you find him lying at the foot of
, stairs conscious but complaining of a headache where you just had his skin is warm and
his breathing is labored with a pulse rate of 40 CPM and ABP of the man is no
visible injuries what is the most likely cause of his presentation? –
CORRECT ANSWER Trauma to the cervical spine trauma to the cervical spine can
cause widespread vasolidation leading to neurogenic shock.
Your team is called to the scene of an accident where a sports car ran into electric pool
and high speed the sole driver of the vehicle has managed to stumble out but has A-
sharp glass through his right arm which is not actively bleeding you determine seeing
safety establish there is one patient and on primary assessment discover that he is
conscious but disoriented with a good pulse respiration and blood pressure which of the
following will the patient most benefit from? –
CORRECT ANSWER Apply a tournament hit proximal to the injury and leave the chart
in a tournament kit could be applied proximal to the wound when an object is impaled in
any of the extremities it is best to leave the object in as it may be acting as a tompanod
for damaged blood vessels
You want to apply a tournament kit on a 48 year old male who slid his left wrist in a
suicide attempt which the fallen steps is not a part of the procedure? –
CORRECT ANSWER Wrapping your bandage distill to the slit your turnip should be
applied proximal to the wound to stop the execution of damage blood vessels.
If 51 year old female complaints of burning chest paint ready to her back palpitations
and dizziness she was diagnosed with hypertension 12 years ago but has been able to
take her medications in the last month your BP is 138/100 mmhg Her pulse rate is 30
CPM and she is having difficulty breathing which the phone actions is most appropriate?
–
CORRECT ANSWER Place the patient in a comfortable position administer oxygen and
transfer quickly to the hospital am I a cardiac infarction and angina should be managed
similarly because it is difficult to exclusively make a diagnosis of one or the other in the
field
You were called to an office complex where a 65 year old male suddenly felt
lightheaded with severe chest pain work which he describes as stabbing in nature in
your preliminary Assessment you discover that the man's blood pressure It is 89/60
MMg with a weak radio post of 118 BPM and a respiratory rate of 38 CPM your
colleague who is assisting council polls of 96 BPM and the man's other wrist what is the
most likely cause of this presentation? –
CORRECT ANSWER Aortic deception stabbing chest pain in an equal pulse is a
classic feature of aortic distinction
