최신버전EMT시험자료덤프자료는Emergency Medical Technicians Exam시험패스의가장좋은자료

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최신 Medical Technicians EMT 무료샘플문제 (Q39-Q44):

질문 # 39
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. Spine injury
B. Brain herniation
C. Open pneumothorax
D. Commotio cordis

정답：A

설명：
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

질문 # 40
A patient has facial drooping, left side paralysis, and slurred speech. The vital signs are BP 160/100, P
100, R 20, and SpO2 96% on room air. Which of the following interventions is appropriate for this patient?

A. Administer oxygen at 12 LPM
B. Place the patient in a supine position
C. Protect the left arm during transport
D. Avoid asking the patient questions due to dysphasia

정답：C

설명：
Comprehensive and Detailed Explanation From Exact Extract:
The patient's symptoms are consistent with astroke (CVA). Proper prehospital care focuses on maintaining airway, breathing, circulation, and protecting the affected limbs.Positioning the patient with head elevated (not supine) reduces intracranial pressure and aspiration risk.
Protecting theparalyzed side (e.g., left arm)from injury during transport is critical. EMS should still communicate with the patient - even if speech is impaired - and perform a stroke assessment using tools likeCincinnati Prehospital Stroke Scale (CPSS)orFAST.
References:
NREMT Medical Emergencies: Neurological Conditions
AHA Stroke Guidelines - Prehospital Management
National EMS Education Standards - Stroke Assessment Protocols

질문 # 41
A 30-year-old patient has a stab wound to the left forearm that is bleeding profusely. Which of the following interventions should the EMT perform first?

A. Apply direct pressure
B. Assess the airway
C. Determine severity of wound
D. Place a tourniquet

정답：A

설명：
Comprehensive and Detailed Explanation From Exact Extract:
Thefirst step in hemorrhage controlfor external bleeding is alwaysdirect pressureusing gloved hands or dressing. Only if this fails or the bleeding issevere and life-threatening(especially from extremities) should a tourniquetbe applied.
Assessing the airway is critical in overall trauma care but not thefirst priorityin isolated extremity hemorrhage. Severity assessment is secondary tobleeding control.
References:
NREMT Trauma Skills: Bleeding Control/Shock
Tactical Combat Casualty Care (TCCC) Guidelines - Hemorrhage Management National EMS Education Standards - Soft Tissue Injuries

질문 # 42
A 67-year-old patient is sitting in the tripod position. What general impression should the EMT most strongly suspect from this patient's position?

A. The patient has abdominal pain
B. The patient is having a seizure
C. The patient is in cardiac arrest
D. The patient has trouble breathing

정답：D

설명：
Comprehensive and Detailed Explanation From Exact Extract:
Thetripod position- sitting upright, leaning forward, supporting the upper body with arms on knees - is a classic sign ofrespiratory distress. This position:
* Maximizes diaphragmatic movement
* Engages accessory muscles of respiration
* Improves air exchange in patients with obstructive airway diseases (e.g., COPD, asthma) It is rarely used by patients with abdominal pain or seizures and is not associated with cardiac arrest (where unconsciousness is expected).
References:
NREMT Medical Assessment Flowchart - General Impression
AAOS EMT Textbook (11th ed.), Chapter: Respiratory Emergencies
AHA BLS: Identifying Signs of Respiratory Distress

질문 # 43
A 19-year-old patient has received multiple stab wounds. The patient is unresponsive. The vital signs are BP
82/60, P 116, R 28, and SpO2 86%. Which substance would the EMT expect to increase in the patient's body?

A. Lactic acid
B. Water
C. Sodium bicarbonate
D. Carbon dioxide

정답：A

설명：
Comprehensive and Detailed Explanation From Exact Extract:
The patient is in hypoperfusion (shock) from blood loss. In shock states, tissues are deprived of oxygen, leading to anaerobic metabolism, which produces lactic acid as a byproduct. This causes metabolic acidosis, which is a critical sign of systemic oxygen debt.
Carbon dioxide rises with respiratory failure, but lactic acid is a more specific indicator of cellular hypoxia.
References:
NREMT Medical Emergencies: Shock
Brady Emergency Care, Chapter: Shock and Resuscitation
Advanced EMT Curriculum - Pathophysiology of Shock

질문 # 44
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