А 54-year-old patient is vomiting bright red blood. The patient reports a gradual onset of fatigue weight loss and abdominal pain over the last year. Which of the following conditions best explains the patient’s condition?
Answer(s): C
Bright red hematemesis indicates upper gastrointestinal bleeding, and a history of chronic liver disease with fatigue, weight loss, and abdominal pain suggests portal hypertension leading to esophageal varices.
А 37-year-old female presents with sharp pain in her right upper abdominal quadrant and right shoulder. You should suspect:
Answer(s): D
Right upper quadrant abdominal pain that radiates to the right shoulder is characteristic of gallbladder inflammation, where irritation of the diaphragm refers pain to the shoulder area.
A confused 2-year-old female is vomiting after she was in a car while it was running in a garage. You should expect her pulse oximetry reading to be:
Carbon monoxide poisoning does not significantly affect pulse oximetry readings because the device cannot distinguish between oxyhemoglobin and carboxyhemoglobin, so readings often appear normal despite hypoxia.
While responding, ambulances are particularly at risk of collisions in which areas?
Cars sitting at intersections may block the view of the ambulance operator and cannot see other cars approaching. Cars approaching the intersection when the light is changing may not want to stop and may accelerate through. Additionally, cars sitting at a stop light might not be paying attention and can accelerate without looking.
Headlights are often over looked as part of the emergency warning lighting system. They should be used while ______________.
Answer(s): B
Emergency warning lights are often over looked in busy high traffic areas. Headlights can make difference when safety counts. Even during daylight hours, they increase the chances that the ambulance will be seen. Some headlights are wired to flash when the other emergency warning lights are on which enhances the distance down range the ambulance can be seen.
While responding to a hazardous materials incident, the EMT should approach the scene from _______________.
Answer(s): A
When responding to a known HazMat incident, the emergency responders need to approach the scene from upwind, uphill and up river. This keeps the plume ahead of the responders and avoids exposure of the emergency workers.
EMS will be set up in which zone during a HazMat incident?
The EMS crew is not protected with the appropriate personal protective gear to operate in the hot or warm zones. Patients must be decontaminated thoroughly prior to the EMS sector taking over care of the patient. There are not exceptions here, the potential of exposure to the hazardous material is too great.
When is it acceptable to take a patient directly from the hot zone without going through decontamination?
It is never acceptable to skip the decontamination; the risk of exposure of the EMS crew and other health care providers is too great to allow patients by-pass decon. Most decon teams are capable of handling life threats as the patient is going through the decontamination process.
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.