Medical Tests Medical Tests Certifications NREMT Questions & Answers

• Question 201:

  Maximum amount of time that may pass while attempting an intubation.

  A. 10 Seconds

  B. 30 Seconds

  C. 1 minutes

  D. 10 Minutes

  Correct Answer: B

  If you are unsuccessful it your intubation you should always cease your attempt after 30 seconds, allow for patient to be hyperventilated and attempt it again.

• Question 202:

  Slow (3-4 per minute), irregular inspirations followed by irregular pauses, sometimes describes as gasping, labored breathing, accompanied by strange vocalizations are known as?

  A. Agonal Breaths

  B. Stridor

  C. Obstructed Airway

  D. Wheezing

  Correct Answer: A

  Agonal respirations are also commonly seen in cases of cardiac arrest, and may persist for several minutes after cessation of heartbeat.

• Question 203:

  The space between the base if the tongue and the epiglottis is called?

  A. Tonsils

  B. Criciod

  C. Larynx

  D. Vallecula

  Correct Answer: D

  The Vallecula is an important landmark in intubation; it is where the blade of a laryngoscope is placed to facilitate direct visualization of the glottis.

• Question 204:

  What is the proper amount of air that should be injected to the color of an Endo Tracheal Tube.

  A. 1 cc

  B. 25 cc

  C. 10cc

  D. 100 cc

  Correct Answer: C

  The standard ET Tube color is inflated with 10 cc of air

• Question 205:

  You are performing rescue breaths using an Ambu bag attached to 100% O2, after several breaths you notice the patients O2 saturation has dropped significantly. What should you do next?

  A. Increase the rate of respirations

  B. Reposition the patients head

  C. Change the seal on the mask

  D. Remove the oral airway from the patients mouth

  Correct Answer: B

  This is a sign that you are not getting effective respirations, you should reposition the patient head using the head tilt / chin lift or jaw thrust maneuver and attempt respirations against.

• Question 206:

  A blue or greyish coloration of the skin caused be lack of oxygen in the blood is called?

  A. Suffocation

  B. Cyanosis

  C. Tinting

  D. None of the above

  Correct Answer: B

  Cyanosis occurs when the oxygen saturation of arterial blood falls below 85-90%. It is often presents in the lips and nail beds first.

• Question 207:

  Which of the following is the most effective method for administering ventilations to an apneic patient by health care providers?

  A. Two person bag-valve-mask.

  B. FROPVD

  C. One person bag-valve-mask.

  D. Mouth-to-mouth.

  Correct Answer: A

  The two person bag-valve-mask is the most effective method to administer ventilations with a BVM; however, it is not always practical for field application due to limited resources and limited space. The use of mouth to mask ventilations is also identified as a viable form of artificial ventilations, but the risk of cross contamination in mouth to mouth ventilations renders it less desirable to health care providers.

• Question 208:

  You are transporting a 48-year-old male patient between medical facilities...

  During the history, you learn that the patient was involved in a fall at work and suffered a hip fracture and a

  head injury. The patient is now presenting with labored breathing at 30/min that has progressively

  worsened over the last 24 hours, a heart rate of 104, and a blood pressure of 98/70. On auscultation, you

  hear diffuse rales. The patient denies any complaints of pain other than those related to his recent fall.

  What is the most likely cause of the patient's respiratory distress?

  A. Cardiogenic shock

  B. Congestive heart failure

  C. Acute bronchitis

  D. Adult respiratory distress syndrome

  Correct Answer: D

  Adult respiratory distress syndrome involves non-cardiogenic pulmonary edema that presents 12-72 hours post injury or surgery. Congestive heart failure and cardiogenic shock, while they may occur from the ARDS, have an initial cardiac compromise. Flash pulmonary edema has a rapid onset and deterioration over as little as 30 minutes and is associated with renal dysfunction.

• Question 209:

  You are transporting an elderly male patient in respiratory distress with a history of COPD...

  The patient has very shallow, rapid respirations with minimal chest wall motion and slight wheezing in the

  upper lung fields. Given this situation, what would you expect the arterial carbon dioxide levels to be?

  A. Not enough information to determine

  B. Normal

  C. Lowered

  D. Elevated

  Correct Answer: C

  The patient would be hypercapnic as he is probably only ventilating dead space. The patient is not breathing deep enough for air exchange to occur in the alveoli, hence the elevated levels of carbon dioxide.

• Question 210:

  In order to assist intubation, a paramedic may utilize Sellick's maneuver. What cartilage are you compressing?

  A. Cricoid cartilage

  B. Aryepiglottic cartilage

  C. Thyroid cartilage

  D. Hyoid cartilage

  Correct Answer: A

  While all of theses structures are in the same general area, the paramedic specifically utilizes the Cricoid cartilage. This is particularly important since this is the only "full ring" cartilage