The woman appears to be having a breech delivery. Which of the following should an EMT do to protect the baby from trauma?
Answer(s): B
A breech delivery means that the baby is crowning buttocks-first, which can lead to suffocation, so an EMT will need to make a “V” with his or her fingers and insert them into the vagina in order to keep the airway open for the baby. An exposed limb indicates a limb presentation delivery, not a breech delivery. An EMT should cover the vagina with a sterile pad and collect expulsions only in the event of a spontaneous abortion. If an EMT needs to rupture a sac, it indicates an unruptured amniotic sac, not a breech delivery.
When someone has loss of speech, difficulty speaking, difficulty understanding speech, and weakness or numbness in the face ND limbs, particularly on one side of the body, are signs and symptoms of which of the following emergencies?
Answer(s): C
Stroke is caused by a loss of brain function, leading to difficulty speaking, loss of speech, difficulty understanding speech, and weakness or numbness in the face in limbs, particularly on one side of the body. Signs and symptoms of seizures include convulsions and muscle rigidity. Hypothyroidism is characterized by fatigue, lethargy, slow mental function, and waxy appearance. Cushing’s syndrome is associated with weight gain and fat accumulation.
A patient experiencing a hyperglycemic crisis, or diabetic ketoacidosis, will have which most prominent sign?
Answer(s): A
A hyperglycemic crisis is characterized by too much blood sugar, which can lead a patient’s breath smelling fruity because of blood that passes through the lungs. DKA doesn’t cause edema, so there would be no swollen legs and feet. Buffalo hump is a symptom of Cushing’s disease. A patient with DKA would present with deep and labored breathing, as opposed to shallow breathing.
Which of the following signs and symptoms are characteristic of Cushing’s syndrome?
Cushing’s syndrome occurs when the adrenal gland has been too active, producing too much cortisol, which stimulates the pituitary gland to produce too much adrenocorticotropic hormone (ACTH). A patient with Cushing’s may present with a “moon-faced” appearance, weight gain, and fat accumulation on the upper back, called a “buffalo hump” as well as in the shoulders and/or the abdomen, called a supraclavicular fat pad. Extremely high fever (106°F or above), hypotension, and goiter are symptoms of hyperthyroidism. Hyperkalemia, darkening of the skin, and hypoglycemia are signs of Addison’s disease. Deep and labored breathing, vomiting, abdominal pain, and unconsciousness indicate diabetes.
Which of the following is NOT a step that should be followed when performing an abdominal exam?
The only way that an EMT can perform an abdominal exam is with the patient lying face up, known as supine position. Having the patient lie prone, or face down, makes an abdominal exam impossible. Every other choice is correct for the appropriate way to perform an abdominal exam.
The muscular tube that connects the outer surface to the cervix in a woman’s birth canal is referred to as which of the following?
The uterus and ovaries aren’t part of the birth canal. The cervix is the uppermost portion of the birth canal. The vagina is the muscular tube on the lowermost portion of the birth canal that connects the exterior environment to the cervix.
Podocytes, located in the Bowman’s capsule of the nephron, allow which of the following components to pass into the proximal tubule?
Answer(s): D
Podocytes are slits that allow filterable components of the filtrate to pass through to the proximal tubule to become urine. Filterable components are water, nutrients, and nitrogenous waste. Non-filterable components are blood cells, platelets, and albumins.
The primary function of the endocrine system is to maintain which of the following?
Post your Comments and Discuss Test Prep NREMT exam prep with other Community members:
Our website is free, but we have to fight against AI bots and content theft. We're sorry for the inconvenience caused by these security measures. You can access the rest of the NREMT content, but please register or login to continue.