NREMT Advanced-EMT ACTUAL QUESTIONS AND CORRECT ANSWERS

NREMT Advanced-EMT ACTUAL
QUESTIONS AND CORRECT ANSWERS
Initial Assessment: B-SMNAC - CORRECT ANSWERS - BSI (body substance isolation);

- Scene Safety;

- Mechanism of Injury (MOI)/Nature of Illness (NOI);

- Number of Patients;

- Assistance (additional units, Fire, Police, etc.);

- C-spine (and/or C-collar)



Initial Assessment: G-CAAT - CORRECT ANSWERS - General Impression;

- Chief Complaints, Life Threats (hemorrhage);

- AVPU;

- ABC's (airway, breathing, circulation);

- Transport Decision (Load and Go or Stay and Play)



Components of General Impression - CORRECT ANSWERS ASSS-FLOP-VD:

- Apparent state of health;

- Skin color, obvious lesions;

- Signs of distress;

- Sexual development;

- Facial expressions;

- Level of consciousness;

- Odors;

- Posture, Motor, Gait;

,- Vital statistics;

- Dress, Grooming, Hygiene



Components of AVPU - CORRECT ANSWERS - Alert;

- responds to Verbal stimuli;

- responds to Painful stimuli;

- Unresponsive



Secondary Assessment: OPQRST-I - CORRECT ANSWERS especially for Respiratory
and Cardiac patients:

- Onset;

- Provocation/Palliation;

- Quality;

- Radiation;

- Scale/Severity;

- Time;

- Interventions



What is OPQRST? - CORRECT ANSWERS a mnemonic for remembering the questions
to ask when assessing the patient's chief complaint or major symptoms



Onset - CORRECT ANSWERS - When and how did the symptom begin?

- Ask the patient if the onset was sudden or gradual.

- Also determine if the onset was associated with a particular activity.

,Provocation/palliation: - CORRECT ANSWERS - What makes the symptom worse?

- What makes the symptom better?



Quality - CORRECT ANSWERS How would you describe the pain?



Radiation - CORRECT ANSWERS - Where do you feel the pain?;

- Where does the pain go?



Scale/Severity - CORRECT ANSWERS - On a scale from 0 to 10, with 10 being the
worst.

- How bad is the symptom?



Time - CORRECT ANSWERS - Determine if the symptom has been present for minutes,
hours, days, weeks, months, or years;

- The length of time the symptoms are present is important to document



Secondary Assessment: SAMPLE - CORRECT ANSWERS - Signs and Symptoms
(history of present issues);

- Allergies;

- Medications;

- Past Medical History, Pertinent Negatives;

- Last Oral Intake;

- Events (leading to present: trauma or medical)



Secondary Assessment: V-FITD - CORRECT ANSWERS - Vital Signs, baseline (VS);

- Focused Physical Exam (performed);

, - Interventions (RX's per medical direction, etc.);

- Transport (re-evaluate decision);

- Detailed Physical Exam (verbalized);



Order of Initial Assessment - CORRECT ANSWERS - B-SMNAC;

- G-CAAT;



Order of Secondary Assessment - CORRECT ANSWERS - OPQRST-I;

- SAMPLE;

- V-FITD



S1 - CORRECT ANSWERS "Lub"

Caused by the closing of the Mitral (Bicuspid) and Tricuspid atrioventricular valves.



S2 - CORRECT ANSWERS "Dub"

Caused by blood closing the semilunar valves (aortic and pulmonic).



S3 - CORRECT ANSWERS "Ta"

Oft referred to as the galloping heart, caused by blood sloshing around in a compliant left
ventricle.



S4 - CORRECT ANSWERS A rare noise in the middle of "lub," caused by a failing left
ventricle and best heard in the cardiac apex.

Ta-LUB-dub, ta-LUB-dub