EMT無料サンプル、EMT無料模擬試験あなたのIT夢はどんなに大きくても、It-Passportsは君のそばにいていて、君の成功に助けます。It-Passportsの NREMTのEMT試験トレーニング資料は高度に認証されたIT領域の専門家の経験と創造を含めているものです。もし君はいささかな心配することがあるなら、あなたはIt-Passportsの NREMTのEMT試験トレーニング資料を購入する前に、It-Passportsは無料でサンプルを提供することができますし、絶対に失望させません。 NREMT Emergency Medical Technicians Exam 認定 EMT 試験問題 (Q11-Q16):質問 # 11
A choking patient becomes unresponsive. What should the EMT perform next? Select the two correct options.
A. Begin chest compressions
B. Do not ventilate until the foreign body is removed
C. Position the patient in recovery and administer back blows
D. Open the airway and look in the mouth
E. Check for a pulse
正解:A、E
解説:
Comprehensive and Detailed Explanation From Exact Extract:
If achoking patient becomes unresponsive, EMTs should:
* Check for a pulse
* Begin chest compressionsif no pulse is foundChest compressions can helpdislodge the object. After compressions, the airway should be opened and inspected. Back blows are not appropriate for unconscious patients.
Ventilation is attempted after clearing the airway or if no object is seen.Do not withhold compressions waiting for object removal.
References:
AHA BLS Provider Manual (2020) - Foreign Body Airway Obstruction Algorithm NREMT Airway Skills Sheet - Obstructed Airway National EMS Education Standards - Respiratory and Airway Management
質問 # 12
A 32-year-old female has a history of dysmenorrhea, abdominopelvic pain, and pain when having a bowel movement. She has not been sexually active in 8 months. Her symptoms are most likely caused by
A. An infection that is either bacteria or a virus
B. Premature menopause
C. Spontaneous abortion
D. Endometrial tissue growing outside the uterus
正解:D
解説:
Comprehensive and Detailed Explanation From Exact Extract:
These symptoms are classic forendometriosis, whereendometrial tissue grows outside the uterus.
Symptoms often include:
* Pelvic pain
* Painful menstruation (dysmenorrhea)
* Painful bowel movements or intercourse
Spontaneous abortion does not apply here due to lack of pregnancy. Premature menopause is rare at this age and presents differently. Infection is less likely in the absence of recent sexual activity or fever.
References:
NREMT Medical - Gynecologic Emergencies
ACOG Guidelines on Endometriosis
National EMS Education Standards - OB/GYN Emergencies
質問 # 13
A 19-year-old patient has received multiple stab wounds. The patient is unresponsive. The vital signs are BP
82/60, P 116, R 28, and SpO2 86%. Which substance would the EMT expect to increase in the patient's body?
A. Water
B. Carbon dioxide
C. Sodium bicarbonate
D. Lactic acid
正解:D
解説:
Comprehensive and Detailed Explanation From Exact Extract:
The patient is in hypoperfusion (shock) from blood loss. In shock states, tissues are deprived of oxygen, leading to anaerobic metabolism, which produces lactic acid as a byproduct. This causes metabolic acidosis, which is a critical sign of systemic oxygen debt.
Carbon dioxide rises with respiratory failure, but lactic acid is a more specific indicator of cellular hypoxia.
References:
NREMT Medical Emergencies: Shock
Brady Emergency Care, Chapter: Shock and Resuscitation
Advanced EMT Curriculum - Pathophysiology of Shock
質問 # 14
An 83-year-old patient is unresponsive and lying on the floor. The patient has a large bruise and laceration on the forehead. The patient's vital signs are BP 90/60, P 126, and R 0. Which of the following conditions should the EMT most suspect?
A. Open pneumothorax
B. Spine injury
C. Brain herniation
D. Commotio cordis
正解:B
解説:
Comprehensive and Detailed Explanation From Exact Extract:
Givenfall with head traumaandabsent respirations, the most concerning cause isspinal injury, particularly acervical spine fracture. Ahigh cervical injury (C1-C4)canparalyze the diaphragm, leading toapnea despite a beating heart.
Brain herniation can also depress respirations but often presents withunequal pupils,posturing, andCushing' s triad(not described here).Commotio cordisis sudden cardiac arrest from blunt chest trauma (not head).
Open pneumothoraxaffects chest mechanics, not directly linked here.
References:
NREMT Trauma Skills - Spinal Assessment
Brady Emergency Care (13th ed.), Chapter: Spine Injuries
National EMS Education Standards - CNS Trauma and Spinal Immobilization
質問 # 15
A 12-year-old male suffered helmet-to-helmet contact while playing football. A bystander states, "He passed out for several seconds, then walked off the field under his own power." He is now unresponsive, and his vital signs are BP 180/110, P 90, and R 6. You should suspect
A. Intracerebral hematoma
B. Epidural hematoma
C. Subdural hemorrhage
D. Subarachnoid hemorrhage
正解:B
解説:
Comprehensive and Detailed Explanation From Exact Extract:
Anepidural hematomaclassically presents with a"lucid interval"- a brief period of regained consciousness following head trauma, followed by rapid deterioration. This is due to arterial bleeding, often from themiddle meningeal artery, leading to increasing intracranial pressure.
Signs include:
* High blood pressure
* Decreasing respiratory rate
* Altered LOC or unresponsiveness
Subdural hemorrhages are slower venous bleeds, common in elderly patients. Subarachnoid hemorrhage often presents with "worst headache of life." Intracerebral bleeds are less commonly linked to lucid intervals.
References:
NREMT Trauma Module - Head Injuries
AAOS Emergency Care Textbook (11th ed.), Chapter: Head and Spine Trauma Emergency Neurological Life Support (ENLS) Guidelines - Traumatic Brain Injury