AEMT NREMT QUESTIONS 2025 with 100% correct answers already graded A+(verified for accuracy)

WOLFF PARKINSON WHITE SYNDROME

Most common type of ventriuclar pre-excitation sydnrome. Abnormal fast accessory conduction pathway from atria to venricle bypasses the rate-slowing AV node causing a delta wave and widening QRS with shortened PR interval. Could lead to a reentrant circuit and suprvaventicular tachy.

KOROTKOFFS SOUNDS

Sounds heard during blood pressure measurement.

MCBURNEY POINT

a point halfway between the anterior superior iliac spine and the umbilicus; the area of pain and rebound tenderness in patients suffering from acute appendicitis

ADDISONS DISEASE

occurs when the adrenal glands do not produce enough of the hormones cortisol or aldosterone

Cushing's disease

(Remember: UP, UP, UP, DOWN, UP)

- HYPERnatremia, HYPERtension, INCREASED blood volume, HYPOkalemia, HYPERglycemia

Psoas sign

RLQ pain with extension of right thigh indicative of appendicitis

Cullen's sign

ecchymosis in umbilical area, seen with pancreatitis

placenta previa

abnormally low implantation of the placenta on the uterine wall completely or partially covering the cervix

Obturator sign

RLQ on internal rotation of right thigh indicative of appendicitis

Turner's sign

Flank--greyish blue. (turn around to see your flanks) Seen with pancreatitis

abruptio placentae

premature separation of the placenta from the uterine wall

Rovsing's sign

Pain in RLQ with palpation of LLQ indicative of appendicitis

Biots

rapid, deep respirations (gasps) with short pauses between sets

Cheynne Stokes

Fast/shallow, slow/deep, apnea alternating breathing pattern

What physiological change caused by aging affects the respiratory system?

Decreased lung compliance

What should you do for a 54-year-old female with emphysema and chest tightness?

Administer albuterol nebulizer

What should you do for a 63-year-old male with supralateral retractions and bilateral rales?

Administer albuterol

What is the first action for an unresponsive 19-year-old male with vomit and gurgling sounds?

Place him on his side and orally suction the airway

What type of shock should you suspect in an 83-year-old female with altered mental status and pale, cool skin?

Decompensated distributive shock

What steps should you take to properly insert a nasopharyngeal airway?

Lubricate the airway, then insert the adjunct

What should you do for a 15-year-old male with difficulty breathing after albuterol treatment?

Place the patient on CPAP and assist with manual ventilation

What is hyperventilation commonly associated with?

Metabolic acidosis

What should you suspect in a 55-year-old male who is confused, cyanotic, and has rhonchi?

Pulmonary edema

What should you do for a 67-year-old female who is choking and turning blue?

Perform abdominal thrusts

Why do COPD patients develop polycythemia?

Chronic hypoxia

What should you suspect in a 63-year-old male with respiratory distress and pale, cool skin?

Respiratory distress

What is tidal volume?

The amount of air inhaled and exhaled during one respiratory cycle

What should you suspect in a 26-year-old pregnant patient with shortness of breath and clear lung sounds?

Pulmonary embolism

What should you do if you notice poor compliance while ventilating a patient with upper dentures?

Remove the dentures and reattempt ventilation

What should you suspect in a 47-year-old female with distended neck veins and edema?

Congestive heart failure

What should you do for an anxious 32-year-old female with chest tightness?

Acquire a 12-lead ECG

What should you do for an unresponsive 73-year-old male with snoring sounds?

Remove the coat under his head

What type of metabolism is likely occurring in a 23-year-old female found shivering and pale?

Anaerobic metabolism

How many times per minute should you ventilate an adult patient in respiratory arrest?

10 times per minute

What SpO2 target range should you aim for during resuscitation of a respiratory arrest patient?

94%-99%

What should you do for an unconscious 92-year-old male with a respiratory rate of 8?

Perform head tilt-chin lift

What does the phrenic nerve control?

The diaphragm

What is meant by minute volume?

The amount of air inhaled in one breath times the breaths per minute

What should you do when providing mouth-to-mask ventilation?

Stop ventilating when you see chest rise

What is a partial accumulation of air in the pleural space?

Pneumothorax

What should you do for a 72-year-old male who is apneic with gurgling sounds?

Suction the airway

What should you do if a mother needs to help administer oxygen?

Have the mother help administer blow by oxygen.

What condition should you suspect if a patient becomes less responsive after 5 minutes of assisted ventilation?

Myocardial rupture and tamponade.

What should you suspect in a 21-year-old with sudden shortness of breath while bench pressing?

Spontaneous pneumothorax.

When does positive pressure ventilation occur?

Air is forced into the lungs.

What is the likely cause of shortness of breath in an 18-year-old female with diminished breath sounds?

Emphysema.

What should you administer to a 56-year-old female with sharp left-sided chest pain and low SpO2?

Oxygen.

What is the medical term for inadequate breathing caused by body position?

Positional asphyxia.

What does Beta 2 medication stimulate in the lungs?

Smooth muscle relaxation.

What should you suspect in a 56-year-old female with pink, frothy sputum?

Pulmonary edema.

What should you do for a lethargic patient with pink, frothy sputum?

Administer high-flow oxygen by non-rebreather mask.

What is the term for the absence of breathing?

Apnea.

What should you do for a 70-year-old female with worsening dyspnea and wheezing?

Administer a beta agonist.

What should you do for an unresponsive patient who appeared to be choking?

Visualize the airway for 10 seconds.

What should you administer to a 71-year-old male using accessory muscles to breathe?

BVM ventilations.

What should you suspect in a 72-year-old female with shortness of breath that awoke her at night?

Pulmonary edema.

What should you do if you observe unequal chest rise in an unconscious patient?

Suction the airway with a rigid catheter.

What should you do if air is leaking from the mask during ventilation?

Adjust the placement of the mask.

What should you do for a 70-year-old male with sudden chest pain and dizziness?

Provide oxygen therapy.

What should you do after delivering a shock to a patient in cardiac arrest?

Immediately resume compressions.

What condition should you suspect in a 67-year-old male with jugular vein distention?

Heart failure.

What should you do for an unconscious 66-year-old male with snoring respirations?

Position him supine on the floor.

Which arteries supply the left ventricle and interventricular septum?

Left coronary artery.

What should you do for a 52-year-old male with chest pain and cool, mottled skin?

Establish vascular access.

What should you suspect in a 75-year-old man with weakness and dependent edema?

Right ventricular heart failure.

Which organs are protected during hypoperfusion by sympathetic nervous system mechanisms?

Brain and heart.

What is the intrinsic heart rate?

60-100 beats per minute.

What should you do for a 67-year-old female with unilateral paralysis and confusion?

Suspect a hemorrhagic stroke.

What chamber of the heart receives blood from the lungs?

Left atrium.

What should you do for a 68-year-old female who is unresponsive and apneic?

Check her airway for an obstruction.

What should you do after defibrillating a patient and detecting a pulse?

Check the patient for signs of breathing.

What valve does deoxygenated blood pass through from the right ventricle to the lungs?

Pulmonary valve.

What should you do for a 48-year-old male in cardiac arrest with no shock advised?

Resume compressions.

What should you do for a 56-year-old male with slurred speech and left side weakness?

Ask about the onset of symptoms.

Where does the electrical impulse travel after it leaves the sinoatrial node?

Atrioventricular node.

What should you do for a 72-year-old male presenting with confusion, slurred speech, unilateral facial asymmetry, and a weaker grip in his left hand?

Access his blood glucose level.

What sign is typically associated with left-sided heart failure?

Pulmonary edema.

In an ECG, what should the S-T segment normally be?

At the level of the isoelectric line.

What should you do for a 48-year-old male in cardiac arrest who has a return of spontaneous circulation (ROSC)?

Transport immediately with oxygen via non-rebreather at 10-15 lpm.

What should you do for a 56-year-old female with lethargy and pink frothy sputum?

Administer high-flow oxygen by non-rebreather mask.

What should you do after noting return of spontaneous circulation in a cardiac arrest patient?

Transport to the nearest appropriate hospital.

For a 45-year-old female with chest pain, nausea, and a blood glucose level of 675, what should you do?

Transport patient and obtain IV access en route.

What is the most likely cause for a patient's blood pressure to reduce after receiving nitroglycerin?

Reduction in RV preload.

When should you use the AED on a patient in cardiac arrest with no bystander CPR in progress?

Within a few seconds of arriving on scene.

What condition is indicated by swelling in the legs and an engorged liver in an 84-year-old female?

Right-sided heart failure.

What happens to the ECG when an impulse moves toward a positive electrode?

It causes a positive deflection on the ECG.

After achieving ROSC on a patient, what should you do if their vitals are BP 70/30?

Administer 1 liter crystalloid.

What should you do for a 64-year-old male who suddenly becomes unresponsive?

Start chest compressions.

What condition should you suspect in a 62-year-old female with lower leg pain, swelling, and warmth?

Deep vein thrombosis.

Which stroke finding is detected during the Cincinnati Stroke Scale assessment?

Aphasia.

What should you suspect in a 60-year-old female who lost consciousness for a few seconds?

Cardiac dysrhythmia.

What condition is suspected in a 72-year-old male with JVD and bilateral crackles?

Congestive heart failure.

What should you do if a patient goes unresponsive while being moved onto a stretcher?

Check a carotid pulse.

Which coronary artery primarily supplies the right ventricle?

Right coronary artery.

At what systolic blood pressure should you maintain a patient who has returned to spontaneous circulation?

90 mmHg systolic.

What should you suspect in a confused 74-year-old with right-sided weakness and difficulty speaking?

Transient ischemic attack.

What condition is indicated by a 72-year-old woman with shortness of breath and crackles?

Pulmonary edema.

What should you suspect in a 19-year-old male who went into ventricular fibrillation after being struck in the chest?

Commotio Cordis.

What should you do when presented with a signed original DNR order during a cardiac arrest?

Honor the DNR and stop resuscitation.

Which two electrolytes are primarily responsible for creating cardiac action potential?

Sodium and potassium.