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NREMT FINAL EXAM: MEDICAL/OBSTETRICS/GYNECOLOGY
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NREMT FINAL EXAM: MEDICAL/OBSTETRICS/GYNECOLOGY
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NREMT FINAL EXAM:MEDICAL/OBSTETRICS/GYNECOLOGY
You are called to a school for a 9-year-old male who was acting strangely. His teacher
tells you that during class, he had several episodes of sitting at his desk staring into
space and briefly not responding. He answers your questions correctly and tells you he
does not remember the episodes. What type of seizure should you suspect?
A. Temporal lobe
B. Absence
C. Psychomotor
D. Focal motor - Answers -B. Absence
A 45-year-old female complains of palpitations. She tells you she feels nervous and
tired. She has a history of panic disorder. Her vital signs are P 100, R 24 and deep, BP
142/84, and SpO2 is 100% on room air. You should:
A. coach her to slow her breathing.
B. administer oxygen by non-rebreather mask.
C. have her breathe into a paper bag.
D. assist her ventilation. - Answers -A. coach her to slow her breathing.
A 23-year-old female just delivered a full-term male infant. You should first:
A. clamp the cord eight inches from his abdomen.
B. dry and stimulate him.
C. suction his mouth.
D. suction his nose. - Answers -B. dry and stimulate him.
A 19-year-old female who is in her third trimester complains of blurred vision and a
headache. She tells you the baby is moving, and she denies contractions. Her vital
signs are P 84, R 16, BP 152/94, and SpO2 is 97% on room air. You should:
A. check for crowning.
B. notify the hospital of a possible stroke.
C. transport her on her left side.
D. administer aspirin. - Answers -C. transport her on her left side.
A 10-month-old female has a two-inch soft bulge under the skin of her belly button. Her
father tells you that the bulge appeared after she was coughing. She does not cry when
you palpate her abdomen. You should suspect a(n):
A. tumor.
B. diaphragmatic rupture.
C. hernia.
D. ascites. - Answers -C. hernia.
A febrile 49-year-old male complains of generalized weakness. He has a history of
HIV/AIDs. He tells you that he has had diarrhea for three days. His mucous membranes
,are pale and dry. His vital signs are P 102, R 14, BP 108/76, and SpO2 is 96% on room
air. You should:
A. administer oxygen.
B. perform a tilt test.
C. transport him in Fowler's position.
D. don a face mask and gown. - Answers -A. administer oxygen.
An unresponsive 58-year-old female had a single seizure prior to your arrival.
Bystanders tell you that she hasn't woken up since she stopped shaking. While you are
performing your assessment, she has a brief tonic period followed by generalized clonic
activity. You should next:
A. remove her clothing and begin to cool her.
B. administer oxygen by nasal cannula and assess her vital signs.
C. assess her blood glucose level and administer oral glucose if needed.
D. protect her head and begin transport. - Answers -D. protect her head and begin
transport.
An 11-year-old male who has a history of autism has difficulty breathing. You observe
intercostal retractions, and he answers basic questions. While caring for him, you
should:
A. use humor and vague descriptions to inform him of your next assessment and
treatment
steps.
B. treat him in the same manner as other patients.
C. perform a complete toe-to-head assessment.
D. only perform necessary assessments and treatments. - Answers -D. only perform
necessary assessments and treatments.
How do the kidneys assist in buffering the pH of the blood?
A. They produce urea.
B. They produce bicarbonate.
C. They remove carbon dioxide.
D. They remove red blood cells. - Answers -B. They produce bicarbonate.
A 36-year-old female is 39 weeks pregnant with her second pregnancy. She tells you
that she started to have contractions and bleeding 15 minutes ago. You observe a large
pool of dark red blood on the floor. Her skin is pale and diaphoretic. Your priority while
transporting her should be to:
A. place her supine and elevate her feet.
B. assess her vital signs and time the contractions.
C. apply sterile dressings to control the hemorrhage.
D. keep her warm and administer oxygen. - Answers -D. keep her warm and administer
oxygen.
, A confused 60-year-old female complains of generalized weakness after working
outside on a hot, humid day. Her skin is hot and moist. After moving her to your air-
conditioned ambulance, you should next:
A. cover her with a dry sheet.
B. assess her vital signs and blood glucose level.
C. apply cold packs to her groin.
D. dry her skin. - Answers -C. apply cold packs to her groin.
An 85-year-old female complains of chest pain. She has a history of renal failure. She
receives hemodialysis and has an arterial-venous fistula in her left lower arm. When
assessing her blood pressure, you should:
A. not assess the blood pressure of a patient who has an arterial-venous fistula.
B. place the cuff on her right bicep.
C. place the cuff on her left bicep, two to three inches above the elbow.
D. place the cuff on her thigh. - Answers -B. place the cuff on her right bicep.
A 91-year-old female complains of generalized weakness. She tells you that she is
depressed because her husband died last month and she keeps forgetting to take her
diabetes medication. Her skin is warm and dry. Her vital signs are P 98, R 16, BP
112/78, and SpO2 is 97% on room air. You should:
A. transport her for an involuntary psychiatric evaluation.
B. assess her blood glucose level.
C. administer oxygen.
D. administer oral glucose. - Answers -B. assess her blood glucose level.
A 30-year-old female complains of epigastric pain that radiates to her right shoulder.
She tells you she vomited the French fries she ate 30 minutes ago. Her lungs are clear
to auscultation. Her pain increases when she takes a deep breath while you are
palpating her abdomen. Her vital signs are P 92, R 16, BP 124/80, and SpO2 is 97% on
room air. You should suspect:
A. irritable bowel syndrome.
B. cholecystitis.
C. renal calculi.
D. peptic ulcer. - Answers -B. cholecystitis.
How does the renal system help the body compensate for shock?
A. By increasing systemic vascular resistance in the arteries
B. By storing excessive glycogen from the bloodstream
C. By releasing adrenaline into the bloodstream
D. By decreasing the amount of fluid excreted from the blood - Answers -D. By
decreasing the amount of fluid excreted from the blood
A 37-year-old female is 36 weeks pregnant. She tells you that she has a severe
headache and blurred vision. She describes decreased fetal activity today. Her vital
signs are P 86, R 14, BP 138/90, and SpO2 is 96% on room air. You should transport
her:
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