Which of the following techniques are appropriate for examining a patient with an acute abdomen? Select the two correct options.

• A.Press softly if the abdomen has a pulsating mass
• B.Begin palpation with the most painful quadrant
• C.Palpate the abdomen prior to auscultation
• D.Visualize the abdomen before palpation
• E.Lie the patient supine with legs flexed

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A 58-year-old patient reports chest pain and difficulty breathing after missing their last three hemodialysis treatments. Which of the following signs and symptoms should the EMT suspect to find?

• A.Fever
• B.Crackles
• C.Bradycardia
• D.Hypotension

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What is the primary objective of transfer of care education?

• A.Autonomy
• B.Patient safety
• C.Consent concerns
• D.Clinical knowledge

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An EMT has just assisted with the delivery of a newborn. At the five-minute mark, the neonate is completely pink with a pulse of 108/min. The neonate has some flexion of their extremities, but the breathing is still slow.
How should the EMT score the following categories of the APGAR scale? Select the correct value for each sign.

Correct Answer:

Explanation:

Appearance (Skin Color): # 2 points
* The neonate is completely pink.
* APGAR criteria:
* 0 = blue/pale
* 1 = pink body, blue extremities
* 2 = completely pink
Pulse (Heart Rate): # 2 points
* Heart rate is 108/min.
* APGAR criteria:
* 0 = absent
* 1 = < 100/min
* 2 = # 100/min
Activity (Muscle Tone): # 1 point
* The neonate has some flexion of extremities, but not active motion.
* APGAR criteria:
* 0 = limp
* 1 = some flexion
* 2 = active motion
Respirations: # 1 point
* Breathing is slow, not strong crying.
* APGAR criteria:
* 0 = absent
* 1 = slow or irregular respirations
* 2 = strong cry
Total APGAR Score at 5 Minutes: 6 / 10
Interpretation (NREMT-based):
* A score of 6 indicates the newborn requires continued supportive care, such as warming, positioning, stimulation, and close monitoring.
* No immediate chest compressions are indicated because the heart rate is > 100/min.
* Respiratory effort should continue to be assessed closely.
This scoring aligns with NREMT neonatal assessment and APGAR scoring guidelines used for evaluating newborn transition after birth.

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Reassessment of a patient begins with repeating the

• A.Vital signs
• B.Primary survey
• C.Secondary assessment
• D.Scene size-up

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