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NREMT Emergency Medical Technicians Exam Sample Questions (Q51-Q56):

NEW QUESTION # 51
Which of the following signs and symptoms indicate dehydration in an infant? Select the three correct options.

A. Hypoglycemia
B. Sunken fontanelles
C. Flushed, dry skin
D. Delayed capillary refill
E. Poor skin turgor
F. Hypertension

Answer: B,D,E

Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
Dehydration signs in infantsinclude:
* Poor skin turgor(elasticity)
* Sunken fontanelles(indicative of fluid loss)
* Delayed capillary refill(>2 seconds)
Flushed skin is more common infever or heat illness, not dehydration.Hypotension, not hypertension, is associated with dehydration in late stages.
References:
NREMT Pediatric Assessment and Fluid Emergencies
PALS Provider Manual - Dehydration in Infants
AAOS Emergency Care (11th ed.) - Pediatric Emergency Chapter

NEW QUESTION # 52
A choking patient becomes unresponsive. What should the EMT perform next? Select the two correct options.

A. Open the airway and look in the mouth
B. Position the patient in recovery and administer back blows
C. Do not ventilate until the foreign body is removed
D. Begin chest compressions
E. Check for a pulse

Answer: D,E

Explanation:
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

NEW QUESTION # 53
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. Brain herniation
C. Commotio cordis
D. Spine injury

Answer: D

Explanation:
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

NEW QUESTION # 54
Through which of the following routes is hepatitis A transmitted?

A. Blood
B. Saliva
C. Urine
D. Fecal

Answer: D

Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
Hepatitis Avirus is transmittedexclusively via the fecal-oral route. Ingesting contaminated food or water allows the virus to enter the digestive tract, infecting liver cells. It's often spread through poor hand hygiene or unsanitary food handling.
It isnot bloodborne, unlike Hepatitis B and C. It is not commonly spread through saliva or urine.
References:
CDC: "Hepatitis A - Questions and Answers for Health Professionals"
NREMT Medical Guidelines - Communicable Disease
National EMS Education Standards - Infection Control and Prevention

NEW QUESTION # 55
A 78-year-old female tripped and fell while walking. Her left leg is rotated externally and shorter than her right leg. You should suspect

A. Posterior hip dislocation
B. Colles' fracture
C. Pelvic fracture
D. Proximal femur fracture

Answer: D

Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
Anexternally rotated, shortened legis a classic sign of aproximal femur fracture, specifically afemoral neck or intertrochanteric fracture, commonly seen in elderly fall patients. This presentation reflectsmuscle pulland fracture displacement.
* Posterior hip dislocationscauseinternal rotation.
* Pelvic fracturesmay cause instability but not specific leg rotation/shortening.
* Colles' fractureis a distal radius (wrist) injury, unrelated to leg trauma.
References:
NREMT Trauma Module - Musculoskeletal Injuries
National EMS Education Standards - Geriatric Trauma
AAOS Emergency Care (11th ed.), Chapter: Orthopedic Injuries

NEW QUESTION # 56
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