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NREMT EXAM OVERALL REVIEW QUESTIONS WITH CORRECT ANSWERS
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NREMT EXAM OVERALL REVIEW QUESTIONS WITH CORRECT ANSWERS
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NREMT EXAM OVERALL REVIEW QUESTIONS WITHCORRECT ANSWERS
What is an open pneumothroax? - CORRECT ANSWER-When there is an open
chest injury that sucks air into the pleural space during inhalation.
What is another name for open pneumothorax - CORRECT ANSWER-Another
name is sucking chest wound
Most important intervention for a sucking chest wound/open pneumothorax? -
CORRECT ANSWER-Three sided occlusive dressing to prevent air from entering
What is tension pneumothorax? - CORRECT ANSWER-progressive lung tissue
collapse, lung leaks air into the pleural space.
What are the symptoms of tension pneumothroax - CORRECT ANSWER-severe
respiratory distress, shock, tracheal deviation towards unaffected side
What are the symptoms of open pneumothorax? - CORRECT ANSWER-lung
sounds diminished or absent over area, hypoxia, visible opening in chest wall
(stabbing or gunshot), sucking or gurgling sounds may occur over the opening,
tachypnea or dyspnea
what should be done to reduce the risk of air embolism for a large open neck
wound? - CORRECT ANSWER-apply an occlusive (airtight) dressing
NREMT exam overall review QUESTIONS WITH CORRECT ANSWERS
,What is hemothorax? - CORRECT ANSWER-Accumulation of blood int he pleural
space
What are signs of hemothorax? - CORRECT ANSWER-signs of shock, usually
caused by chest trauma
what is cardiac tamponade? - CORRECT ANSWER-blood or fluid accumulates in
pericardial sac and compresses the heart. leads to circulatory collapse. Usually
trauma or infection are the causes.
What is another name for cardiac tamponade? - CORRECT ANSWER-another
name is pericardial temponade
What is Beck's triad? - CORRECT ANSWER-JVD (jugular vein distention), muffled
heart sounds, and narrowing pulse pressure (systolic and diastolic pressures are
closer)
What does Beck's triad indicate? - CORRECT ANSWER-cardiac/pericardiac
temponade
What intervention for cardiac tamponade? - CORRECT ANSWER-Apply high
concentration oxygen
Consider C-spine and full spinal immobilization if suspected from traumatic
mechanisms
Check vital signs every 5 minutes
Ensure the patient is kept warm
Rapid transport and avoid things that will delay transport to an appropriate
facility
NREMT exam overall review QUESTIONS WITH CORRECT ANSWERS
,what are other injuries associated with clavicle and rib fractures? - CORRECT
ANSWER-pneumothorax and subcutaneous emphysema (which is when air is
stuck in the skin, when palpating skin you will hear a sound like rice crispy treats)
What is flail chest? - CORRECT ANSWER-when a portion of the ribs is broken off
from the rest of the rib cage/thorax. It is at least two consecutive ribs in two or
more fractures. Can also be when the sternum is detached from the ribcage.
What are the indications for flail chest? - CORRECT ANSWER-Paradoxical
movement of the separated portion (moves in opposite direction). Inadequate
breating
What are the interventions for flail chest? - CORRECT ANSWER-BVM with high
flow O2 is the first priority (positive pressure ventilations). Then, dressing to
secure the portion that is moving.
What are solid organs and which ones are solid? - CORRECT ANSWER-Organs that
are not hollow, made up entirely of tissue. They are the spleen, liver, kidneys and
pancreas.
What are hollow organs and which ones are hollow? - CORRECT ANSWER-
Intestines, stomach, bladder
What are symptoms of an abdominal injury and how to treat it? - CORRECT
ANSWER-pain, tenderness, distention, bruising, guarding, Kher's sign (referred
pain in shoulder caused by accumulation of blood in the peritoneal cavity), signs
and symptoms of shock. Treat with normal precautions: airway stabilization,
NREMT exam overall review QUESTIONS WITH CORRECT ANSWERS
, breathing protection, circulation support and cervical spine stabilization. Rapid
transport to trauma center
What are the five basic interventions for bleeding with signs of shock? - CORRECT
ANSWER-direct pressure for external bleeding
high flow O2
place pt supine
prevent heat loss
high priority transport
What is the most important intervention for a flail chest with respiratory
compromise - CORRECT ANSWER-Positive pressure ventilation and oxygen
What is Cushing's syndrome? What does it indicate? - CORRECT ANSWER-
hypertension, bradycardia, altered respiratory pattern. Indicates possible closed
head injury with increased inter-cranial pressure.
What can be done in most cases for a non-penetrating eye wound/foreign objects
on sclera? - CORRECT ANSWER-irrigate the eye
What are indications of an orbital fracture? - CORRECT ANSWER-Significant MOI,
double vision, deformity, loss of sensation around orbit, inability to gaze upwards.
What should be done to reduce risk of air embolism for large open neck wound? -
CORRECT ANSWER-Occlusive dressing
NREMT exam overall review QUESTIONS WITH CORRECT ANSWERS
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