Medical Emergency practice test: free NREMT EMT questions

Sample Practice Questions for Medical Emergency

1. Question 1Ref: NREMT EMT Test Plan - Patient Treatment / Medication Administration - Aspirin

   A 68-year-old man presents with crushing chest pain, shortness of breath, and nausea. BP is 148/92, HR 92, SpO2 94%. What medication should you administer FIRST?

   AAspirin 324 mg chewedBNitroglycerin 0.4 mg sublingualCAlbuterol via nebulizerDOral glucose
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   Correct Answer
   A. Aspirin 324 mg chewed

   Aspirin should be administered BEFORE nitroglycerin for suspected cardiac chest pain. Aspirin 324 mg (four 81 mg chewable tablets) should be chewed, not swallowed whole. Aspirin inhibits platelet aggregation and may limit clot formation. Nitroglycerin is given after aspirin if blood pressure permits.

2. Question 2Ref: NREMT EMT Test Plan - Patient Treatment / Nitroglycerin Contraindications

   A patient with chest pain has a systolic blood pressure of 82 mmHg. He reports taking sildenafil 12 hours ago. Which medication is CONTRAINDICATED?

   ANitroglycerinBAspirinCOral glucoseDOxygen
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   Correct Answer
   A. Nitroglycerin

   Nitroglycerin is contraindicated when systolic BP is below 90 mmHg and when the patient has taken a phosphodiesterase-5 inhibitor (sildenafil within 24 hours, tadalafil within 48 hours). The combination can cause severe, potentially fatal hypotension. Aspirin and oxygen are still appropriate treatments.