NREMT Medical/Obstetrics/Gynecology Practice Test 2024

Last Updated on May 23, 2024

NREMT Medical/Obstetrics/Gynecology Practice Test 2024 Questions Answers PDF. You can also download printable PDFs for EMR, EMT, AEMT, and Paramedic practice tests for better National Registry EMT test prep online.

NREMT Medical/Obstetrics/Gynecology Practice Test

Q1. A 33-year-old male patient has been involved in a motor vehicle crash and has an open abdominal injury with a protruding bowel secondary to being partially ejected from the vehicle. Your treatment of the injury should include:

(A) replacing the exposed bowel
(B) keeping the patient’s legs straight
(C) covering the exposed bowel with a sterile dressing moistened with saline
(D) covering the bowel with dry sterile gauze prior to transport

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Answer Key: C

Q2. Signs and symptoms of pelvic inflammatory disease include all of the following except:

(A) diffuse lower abdominal pain
(B) vaginal discharge
(C) bleeding
(D) diarrhea

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Answer Key: D

Q3. The first 2 weeks of the menstrual cycle is called:

(A) the proliferative phase
(B) the secretory phase
(C) the ischemic phase
(D) the menopausal phase

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Answer Key: A

Q4. Emotional and physical characteristics of adolescents include:

(A) believing that, generally, nothing bad can happen to them
(B) concerns about death and disability first emerge in this age group
(C) believing the illness or injury that they have is some form of punishment
(D) having vivid imaginations and being able to dramatize events

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Answer Key: A

Q5. When examining and caring for an infant:

(A) begin your assessment with the head and end with the feet
(B) complete your scene size-up and primary assessment from across the room
(C) explain each procedure that you are going to do to the infant
(D) separate the infant from the caregiver during assessment

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Answer Key: B

Q3. An 8-year-old child:

(A) has no understanding of what EMS is about
(B) is preoccupied with his/her body and is extremely concerned about modesty
(C) is the most difficult to manage
(D) is able to rationalize, and may be curious about what you are doing

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Answer Key: B

Q4. When treating a child which of the following you should keep in mind?

(A) The child’s ribs are more rigid than an adult’s.
(B) The tracheal diameter of a newborn is the same as that of an adult.
(C) The child’s skin surface is small compared to body mass.
(D) Infants and children have a higher metabolic rate, so periods of poor oxygenation can be more dangerous.

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Answer Key: D

Q5. Which of the following is correct regarding infants’ and children’s respiratory status?

(A) Compensatory mechanisms are the same as an adult’s, and they will both gradually deteriorate.
(B) The leading cause of cardiac arrest in infants and children is failure of the respiratory system.
(C) It is not important to distinguish between an upper airway obstruction from a foreign body and an obstruction caused by a respiratory condition.
(D) Determining the origin of the child’s respiratory dysfunction is essential in the pre-hospital setting to appropriately care for the patient.

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Answer Key: B

Q6. A child is displaying nasal flaring and retractions, but is maintaining an adequate respiratory rate and depth. This child is in:

(A) decompensated respiratory failure
(B) compensated respiratory failure
(C) early decompensated failure
(D) late respiratory distress

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Answer Key: D

Q7. Indications that a pediatric patient has a partial airway obstruction include:

(A) crowing or other noisy respirations
(B) ineffective or absent cough
(C) no crying or talking
(D) unresponsiveness

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Answer Key: A

Q8. Important sounds to listen for include:

(A) stridor, which sounds like rolling a few strands of hair near the ear
(B) crackles, which are harsh, high-pitched sounds that occur during inspiration
(C) rales, which are loud, gurgling sounds occurring during exhalation
(D) wheezing, which is caused by air moving at a high rate through narrowed bronchioles

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Answer Key: D

Q9. While assessing the circulation of a 2-year-old child, you should check all of the following except:

(A) warmth and color of hands and feet
(B) mental status
(C) blood pressure
(D) capillary refill

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Answer Key: C

Q10. An EMT is permitted, with medical direction, to administer, or assist the patient in administering, all of the following except:

(A) nitroglycerin
(B) oxygen
(C) penicillin
(D) oral glucose

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Answer Key: C

Q11. Medications administered sublingually are:

(A) swallowed
(B) inhaled
(C) dissolved under the tongue
(D) injected under the skin

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Answer Key: C

Q12. Which of the following is true regarding medication routes of administration?

(A) Most medications administered by the EMT are administered by injection.
(B) All medications are administered by the oral route.
(C) The route that is chosen controls how quickly the medication is absorbed by the body.
(D) Drugs administered by the sublingual route have a relatively slow rate of absorption.

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Answer Key: C

Q13. A drug administered by an EMT, and used for a wide range of medical and traumatic emergencies is:

(A) Tylenol
(B) glucose
(C) nitroglycerin
(D) oxygen

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Answer Key: D

Q14. The EMT may administer which of the following medications to treat a severe allergic reaction?

(A) Glutose
(B) Adrenalin
(C) Liqui-Char
(D) Alupent

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Answer Key: B

Q15. A 26-year-old female patient has breathing difficulty, and has been prescribed a bronchodilator. Having met all the requirements to administer the medication, the steps include:

(A) placing the patient on a nasal cannula for convenience
(B) leaving the oxygen off the patient until you can assess if the medication worked
(C) having the patient inhale fully, then place her lips around the mouthpiece
(D) having the patient hold her breath as long as is comfortable after inhaling the medication

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Answer Key: D

Q16. When administering a metered-dose inhaler, tips for the procedure include:

(A) depressing the canister just before the patient begins inhaling
(B) coaching the patient to hold his breath as long as possible
(C) having the patient breathe in and out quickly
(D) being careful not to shake the canister

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Answer Key: B

Q17. Which of the following conditions indicates a predelivery emergency for a pregnant patient?

(A) Swelling of the face and/or extremities
(B) A fever
(C) Flu-like symptoms
(D) Nausea

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Answer Key: A

Q18. Which of the following is true regarding trauma to a pregnant woman?

(A) Keep spine boards absolutely flat to facilitate blood flow to the fetus.
(B) Even minor trauma to the abdomen can cause serious fetal injuries.
(C) Early signs of shock are very obvious in pregnant women.
(D) If a pregnant woman dies as a result of an accident, cardiopulmonary resuscitation (CPR) may save the life of the unborn infant.

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Answer Key: D

Q19. Expect delivery of the infant within a few minutes if:

(A) the patient’s “water breaks”
(B) the patient’s abdomen gets very soft
(C) the patient has the sensation of a bowel movement
(D) contractions are 5 minutes apart, and last 15 to 30 seconds

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Answer Key: C

Q20. Emergency care of the patient in active labor for a normal delivery includes:

(A) immediately clamping and cutting the umbilical cord if wrapped around the infant’s neck
(B) suctioning the infant’s nose first, as newborns are obligate nose-breathers
(C) exerting gentle pressure against the infant’s skull to prevent explosive delivery
(D) having the patient lay on her left side during the delivery

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Answer Key: C

Q21. As your patient delivers the infant, your emergency medical care should include:

(A) holding the infant upside down by the feet to help drain fluid
(B) cutting, then clamping, the umbilical cord
(C) massaging the uterus to decrease vaginal bleeding after delivery
(D) yanking on the umbilical cord after delivery to assist with placental expulsion

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Answer Key: C

Q22. Which of the following is not a correct treatment for a cord presentation?

(A) Cover the cord with a saline-moist, sterile towel.
(B) With a sterile gloved hand, place the cord back into the vagina.
(C) Position the mother with her head down in the “knee-chest” position.
(D) Insert a sterile gloved hand into the vagina and push the presenting part of the fetus back and away from the cord.

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Answer Key: B

Q23. Meconium staining is:

(A) the passing of a bowel movement by the infant in the amniotic fluid
(B) urine expelled by the infant during delivery
(C) a yellowish bubbly fluid caused by the infant’s lungs being compressed during delivery
(D) blood that has leaked out of the umbilical cord during delivery

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Answer Key: A

Q24. Additional care that you should provide to a premature infant includes:

(A) not suctioning the infant’s mouth, as you may cause trauma
(B) placing a surgical mask on the infant’s face to prevent contamination
(C) drying the infant thoroughly and wrapping in warm blankets, covering the head
(D) applying high-concentration oxygen by a pediatric non-rebreather mask

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Answer Key: C

Q25. The signs of a severely depressed newborn include:

(A) poor or absent skeletal muscle tone
(B) an APGAR score of under 6
(C) a heart rate over 140 or under 100 beats/min
(D) a respiratory rate under 60 beats/min

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Answer Key: B

Q26. An abnormally low placenta may tear or separate from the uterus, causing painless hemorrhaging. This condition is known as:

(A) ectopic pregnancy
(B) ruptured uterus
(C) placenta previa
(D) abruptio placenta

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Answer Key: C

Q27. Eclampsia most frequently occurs during the last trimester and most often affects women in their 20s who are pregnant for the first time. Signs and symptoms of toxemia, or eclampsia, include: