NREMT EMT認定試験トレーリング、EMTテスト問題集EMT試験参考書を購入すると、完璧なアフターサービスと高品質なを楽しむことができます。だから、あなたは私たちのEMT試験参考書から、驚きを得ることができると信じています。また、あなたがEMT試験参考書の費用を支払う前にサービスを楽しむことができるだけでなく、購入後1年間無料でEMT試験参考書の更新版を楽しむこともできます。 NREMT Emergency Medical Technicians Exam 認定 EMT 試験問題 (Q98-Q103):質問 # 98
A 23-year-old male fell down a flight of stairs, struck his head, and briefly lost consciousness. He opens his eyes when you ask him questions, knows his name, but doesn't know where he is or what happened.
He is able to squeeze your hands on command. What is his Glasgow Coma Score?
A. 0
B. 1
C. 2
D. 3
正解：B
解説：
Comprehensive and Detailed Explanation From Exact Extract:
Use theGlasgow Coma Scale (GCS)to calculate:
* Eye Opening (E):Opens to speech = 3
* Verbal Response (V):Confused but appropriate words = 4
* Motor Response (M):Obeys commands = 6Total = 3 + 4 + 6 = 13
However, thequestion states he opens eyes to voice, knows name (orientation to person), and follows commands- this would mean:
* Eye = 3
* Verbal = 5(Oriented to person, but disoriented to place/time)
* Motor = 6
Correct Total: 14
References:
NREMT Trauma Guidelines - Neurological Assessment
Glasgow Coma Scale - CDC and AHA Standards
AAOS Emergency Care Textbook - Head Injury Chapter
質問 # 99
The most common finding in a patient who is experiencing a sickle cell crisis is
A. Pain
B. Hypertension
C. Hypoxia
D. Cardiac arrhythmia
正解：A
解説：
Comprehensive and Detailed Explanation From Exact Extract:
Sickle cell crisis(vaso-occlusive crisis) occurs when abnormally shaped red blood cells obstruct blood flow, leading to:
* Severe localized or generalized pain(most common symptom)
* Often in the back, chest, abdomen, or long bones
Hypoxia may be a contributing factor, but pain is themost reported reasonfor EMS activation. Cardiac arrhythmias and hypertension arenot primary symptomsof sickle cell crisis.
References:
NREMT Medical Guidelines - Hematologic Disorders
AAOS Emergency Care and Transportation (11th ed.) - Chapter on Hematologic Emergencies National Heart, Lung, and Blood Institute - Sickle Cell Disease Management
質問 # 100
A 21-year-old patient has difficulty swallowing. The patient is leaning forward and drooling. The skin is hot to the touch. The vital signs are BP 128/82 mmHg, P 116/min, R 22/min, and SpO# 94% on room air. What should the EMT do for this patient? Select the two correct options.
A. Administer humidified oxygen
B. Place the patient on CPAP
C. Suction the airway
D. Transport the patient in the recovery position
E. Transport the patient in a position of comfort
正解：C、E
解説：
Comprehensive and Detailed Explanation From Exact Extract:
This patient is showing signs ofepiglottitisor aserious upper airway obstruction- drooling, difficulty swallowing, fever, and tripod positioning.
EMT actions should include:
* Position of comfortto avoid airway agitation
* Gentle suctioningif secretions threaten airway
Do not force the patient to lie flat, as this mayworsen airway compromise.CPAPandhumidified oxygen may be considered in hospital care but not as first-line interventions during prehospital airway management in epiglottitis.
References:
NREMT Airway Management Guidelines - Upper Airway Obstruction
National EMS Education Standards - Respiratory Emergencies
AAOS Emergency Care and Transportation (11th ed.) - Chapter on Airway and Breathing Emergencies
質問 # 101
Which of the following is the most reliable indicator of effective respiration in a patient?
A. Mental status
B. Skin color
C. Pulse oximetry reading
D. Respiratory rate
正解：A
解説：
Comprehensive and Detailed Explanation From Exact Extract:
Mental statusreflects perfusion and oxygen delivery to thebrain, which is highly sensitive to hypoxia and hypercapnia. Even if respiratory rate and SpO# are normal, altered mental status suggests ineffective gas exchange or hypoperfusion.
Pulse oximetry may be falsely normal in CO poisoning or poor perfusion. Skin color is subjective and not as sensitive or specific as neurological status.
References:
NREMT Assessment Standards - Airway & Neurological Assessment
AHA BLS Manual - Recognition of Effective Ventilation
Brady Emergency Care (13th ed.) - Patient Assessment and Respiratory Emergencies
質問 # 102
A 74-year-old patient has epigastric pain without relief from three doses of prescribed nitroglycerin. The patient is anxious, nauseated, and diaphoretic. The vital signs are BP 180/90 mmHg, P 62/min, R 20/min and shallow, and SpO# 92% on room air. What actions should the EMT prioritize for this patient? Select the two answer options that are correct.
A. Apply oxygen.
B. Administer additional nitroglycerin.
C. Place in a position of comfort.
D. Give aspirin.
E. Acquire and transmit a 12-lead ECG.
正解：A、D
解説：
This patient's presentation is highly suspicious for acute coronary syndrome (ACS). NREMT education emphasizes that epigastric pain, especially in elderly patients, may represent myocardial ischemia. The lack of relief after three doses of nitroglycerin further increases concern for an evolving myocardial infarction.
Option A (Give aspirin) is correct because aspirin inhibits platelet aggregation and is a cornerstone of early ACS management. NREMT guidelines recommend administering aspirin as soon as possible unless contraindications exist.
Option B (Apply oxygen) is correct because the patient's oxygen saturation is 92%, which is below normal.
NREMT recommends supplemental oxygen for patients with suspected cardiac ischemia who are hypoxic or in respiratory distress.
Option C may provide comfort but does not address the underlying ischemia.
Option D is incorrect because the patient has already taken the maximum recommended prehospital doses of nitroglycerin.
Option E is outside the EMT scope of practice in many systems and is not a priority EMT intervention.
NREMT emphasizes early aspirin administration, oxygenation, continuous monitoring, and rapid transport for suspected ACS.