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NREMT Emergency Medical Technicians Exam Sample Questions (Q44-Q49):

NEW QUESTION # 44
An unresponsive 79-year-old female has agonal respirations. You should

A. Begin chest compressions
B. Check for a pulse
C. Open her airway and ventilate her with a BVM
D. Open her airway and suction until clear

Answer: B

Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
Agonal respirations arenot effective breathingand can mimic gasping or snorting. They often occur in cardiac arrest. However, before initiating chest compressions, the EMT mustconfirm pulselessnessby checking acarotid pulse for no more than 10 seconds(AHA 2020 BLS Guidelines).
Only after pulse confirmation (or absence) should compressions begin. Suctioning or ventilating is premature unless a pulse is found.
References:
AHA BLS Provider Manual (2020) - Adult Basic Life Support Algorithm
NREMT Cardiac Arrest Management - Adult Assessment Flow
AAOS EMT Textbook - Chapter: Cardiac Arrest and Resuscitation

NEW QUESTION # 45
An infectious disease spread by the fecal-oral route that is considered an acute infection with a currently available vaccine is

A. Hepatitis C
B. Hepatitis A
C. Hepatitis B
D. Hepatitis E

Answer: B

Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
Hepatitis Ais transmitted primarily via thefecal-oral route, often through contaminated food or water. It leads to anacuteliver infection, not a chronic condition. Unlike Hepatitis C, which has no vaccine, Hepatitis A has an effective vaccineand is preventable with proper hygiene and immunization.
Hepatitis Bis spread through blood and sexual contact, not fecal-oral.Hepatitis Eis also fecal-oral but is rare in the U.S. and doesn't have a widely used vaccine.
References:
CDC Hepatitis A Fact Sheet (2023)
NREMT Infectious Disease Control Guidelines
AAOS "Emergency Care and Transportation of the Sick and Injured" (11th ed.), Chapter: Infectious and Communicable Diseases

NEW QUESTION # 46
A drowsy 72-year-old female complains of difficulty breathing. Her respiratory rate is 50, and her SpO# is 89% on room air. You should suspect

A. Respiratory arrest
B. Respiratory alkalosis
C. Respiratory failure
D. Respiratory distress

Answer: C

Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
The patient'sexcessively high respiratory rate (RR 50),hypoxia (SpO# 89%), anddecreased mental status (drowsiness) indicaterespiratory failure, which is theinability to maintain oxygenation or ventilation.
* Respiratory distress: Increased effort but adequate compensation
* Respiratory arrest: Complete absence of breathing
* Respiratory alkalosis: Possible early finding, but not a condition diagnosis This patient is tiring and losing the ability to ventilate effectively - a hallmark of failure.
References:
NREMT Airway and Ventilation Guidelines
AHA BLS Manual - Recognition of Respiratory Failure
AAOS EMT Textbook - Chapter: Airway Emergencies

NEW QUESTION # 47
An 84-year-old patient has a sudden onset of weakness to one side of the body. The patient has a history of hypertension and high cholesterol. The vital signs are BP 176/94 mmHg, P 108/min, R 18/min, and SpO# 97% on room air. For which of the following additional symptoms should the EMT assess? Select the three correct options.

A. Slurred speech
B. Facial droop
C. Tremors
D. Syncopal episodes
E. Miosis
F. Arm drift

Answer: A,B,F

Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
The symptoms described areclassic for a stroke (CVA). Additional hallmark findings include:
* Arm drift(motor weakness or hemiparesis)
* Facial droop(Cranial nerve VII involvement)
* Slurred speech(dysarthria or aphasia)
These form the basis of prehospital stroke assessment tools likeFAST:
* Face drooping
* Arm weakness
* Speech difficulty
* Time to call 911
Miosis (pupil constriction) and tremors are not associated with stroke in EMS context. Syncope is an isolated event and not a reliable CVA symptom.
References:
NREMT Medical Neurological Emergencies
AHA Stroke Recognition Guidelines
EMS National Stroke Protocols - Cincinnati Stroke Scale, FAST

NEW QUESTION # 48
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?

A. The patient has abdominal pain
B. The patient is having a seizure
C. The patient is in cardiac arrest
D. The patient has trouble breathing

Answer: D

Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
Thetripod position- sitting upright, leaning forward, supporting the upper body with arms on knees - is a classic sign ofrespiratory distress. This position:
* Maximizes diaphragmatic movement
* Engages accessory muscles of respiration
* Improves air exchange in patients with obstructive airway diseases (e.g., COPD, asthma) It is rarely used by patients with abdominal pain or seizures and is not associated with cardiac arrest (where unconsciousness is expected).
References:
NREMT Medical Assessment Flowchart - General Impression
AAOS EMT Textbook (11th ed.), Chapter: Respiratory Emergencies
AHA BLS: Identifying Signs of Respiratory Distress

NEW QUESTION # 49
......

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