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NEW QUESTION # 10
A 26-year-old patient has an altered mental status. Family advises that the patient has diabetes. The patient's skin is pale, cool, and clammy. What, if anything, can the EMT infer about the patient's glucose level based on the patient's presentation?
Answer: A
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
Altered mental status, combined withpale, cool, and clammy skin, is strongly suggestive ofhypoglycemia (low blood sugar). Hypoglycemia is especially dangerous in diabetics who take insulin or oral hypoglycemics.
The body'sadrenergic responsecauses the "cool and clammy" presentation.
Hyperglycemia typically presents withwarm, dry skinand develops more slowly. EMTs shouldadminister oral glucoseif the patient can swallow.
References:
NREMT Medical Guidelines - Endocrine Emergencies
AAOS EMT Textbook (11th ed.), Chapter: Endocrine and Metabolic Emergencies National EMS Education Standards - Diabetic Emergencies
NEW QUESTION # 11
Following an EMS call, any requests concerning protected health information should be directed to the
Answer: C
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
Under HIPAA (Health Insurance Portability and Accountability Act), only designated personnel are authorized to handle inquiries regarding a patient's Protected Health Information (PHI). The Privacy Officer is responsible for enforcing compliance with privacy regulations and addressing PHI access requests.
Shift supervisors or hospitals do not have the legal authority to release PHI unless specifically designated.
References:
NREMT Guidelines on EMS Operations
U.S. Department of Health and Human Services: HIPAA Privacy Rule
National EMS Education Standards - Ethics, Documentation, and Privacy
NEW QUESTION # 12
Which of the following components can be determined by assessing the mechanism of injury? Select the two correct options.
Answer: D,E
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
Mechanism of Injury (MOI)assessment is a cornerstone of trauma care. It helps providers determine:
* Extent of injury: High-speed collisions, falls from height, or penetrating trauma suggest internal injuries even if external signs are limited.
* Need for additional resources: MOI may indicate the necessity ofALS backup,air transport, or technical rescue.
MOI cannot determine a patient'smedical historyor guarantee survival predictions. Thedestination facility depends on multiple factors including triage protocols, vital signs, and local trauma system regulations.
References:
NREMT Trauma Assessment Skills Sheet
National EMS Education Standards - Trauma Module
AAOS Emergency Care and Transportation (11th ed.), Chapter: Mechanism of Injury and Trauma Assessment
NEW QUESTION # 13
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?
Answer: C
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 # 14
Which of the following is the most reliable indicator of effective respiration in a patient?
Answer: C
Explanation:
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
NEW QUESTION # 15
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