EMT関連資格知識、EMT実際試験人によって目標が違いますが、あなたにNREMT EMT試験に順調に合格できるのは我々の共同の目標です。この目標の達成はあなたがIT技術領域へ行く更なる発展の一歩ですけど、我々社Pass4Test存在するこそすべての意義です。だから、我々社は力の限りで弊社のNREMT EMT試験資料を改善し、改革の変更に応じて更新します。あなたはいつまでも最新版の問題集を使用できるために、ご購入の一年間で無料の更新を提供します。 NREMT Emergency Medical Technicians Exam 認定 EMT 試験問題 (Q126-Q131):質問 # 126
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. Subdural hemorrhage
B. Intracerebral hematoma
C. Subarachnoid hemorrhage
D. Epidural hematoma
正解：D
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
質問 # 127
A 27-year-old patient reports trouble breathing after being struck by a car. Which of the following findings are indicative of a possible chest wall injury? Select the three answer options that are correct.
A. Clavicle deformity
B. Subcutaneous emphysema
C. Occipital depression
D. Jugular vein distention
E. Unequal rise and fall
F. Epigastric distension
正解：A、B、E
解説：
Comprehensive and Detailed Explanation From Exact Extract:
Clavicle deformity suggests potential rib or thoracic trauma. Unequal chest rise may indicate a flail segment, pneumothorax, or hemothorax. Subcutaneous emphysema, the presence of air under the skin, is a classic finding in pneumothorax or tracheobronchial injury.
Occipital depression is not chest related; epigastric distension is a GI symptom; and jugular vein distention would suggest tension pneumothorax or cardiac tamponade, which are more advanced complications.
References:
NREMT Trauma Assessment Guidelines
National EMS Education Standards - Chest Injuries
AAOS Emergency Care and Transportation (11th ed.), Chapter: Chest and Abdominal Trauma
質問 # 128
You have achieved ROSC (Return of Spontaneous Circulation) in a 77-year-old female. She remains unresponsive and her vital signs are BP 94/58, P 82, and R 18. In what position should she be placed?
A. Supine
B. Head elevated 45°
C. Left lateral recumbent
D. Trendelenburg
正解：C
解説：
Comprehensive and Detailed Explanation From Exact Extract:
AfterROSCin an unresponsive patient, theleft lateral recumbent position(also called the recovery position) is preferred to:
* Maintain an open airway
* Prevent aspiration if vomiting occurs
* Promote drainage of secretions
Supine or Trendelenburg positions increase the risk of aspiration. Elevating the head to 45° may reduce intracranial pressure, but it's not standard post-ROSC care in an unresponsive patient unless airway protection is ensured.
References:
NREMT Cardiology Guidelines - Post-Resuscitation Care
American Heart Association BLS/ACLS Algorithms - ROSC Protocol
EMS Education Standards - Transport Positioning
質問 # 129
Which of the following sections are designated by command at an MCI? Select the three correct options.
A. Aviation
B. Catering
C. Finance
D. Logistics
E. Planning
F. Staging
正解：C、D、E
解説：
Comprehensive and Detailed Explanation From Exact Extract:
InIncident Command System (ICS)for Mass Casualty Incidents (MCI), the four major sections are:
* Planning: Collects data and develops response strategies
* Logistics: Supplies and personnel
* Finance/Administration: Cost tracking, contracts, compensation
Stagingis atactical location, not a management section.Catering and aviationare not command-level ICS designations unless part of specific tasks under logistics or operations.
References:
NIMS ICS Framework - FEMA (ICS-100/700)
NREMT EMS Operations - MCI Command Structure
National EMS Education Standards - Incident Management
質問 # 130
Defusing sessions should do which of the following in order to be successful? Select the two correct options.
A. Allow the open sharing of information
B. Take place 72 hours or more following an incident
C. Be held immediately following an incident
D. Force all providers to provide feedback
E. Have mental health experts present during the session
正解：A、C
解説：
Comprehensive and Detailed Explanation From Exact Extract:
Defusingis an informal, short-term intervention after acritical incident. It should:
* Occur within hoursof the event (ideally the same shift)
* Encourage voluntary open discussionin a confidential setting
It isnot a full debriefor counseling session and doesn't requiremental health professionalspresent. Forcing participation or waiting too long (e.g., 72+ hours) can reduce its effectiveness.
References:
NREMT EMS Operations - Critical Incident Stress Management (CISM)
International Critical Incident Stress Foundation (ICISF) Guidelines
National EMS Education Standards - Mental Health and Stress Response