You are on scene with a 55 year old male complaining of stabbing chest pain that came on suddenly. He describes it as a tearing sensation radiating to his posterior shoulder blade region. His heart rate is 108 BPM with unequal pulses (left and right radial pulse points). BP is 130/50 in his right arm and 80/30 in his left. Lungs are clear and equal. He denies any past medical history. Which of the following is most likely to cause the patient's chest pain?

The NREMT exam asks questions on these topics: - Airway, Respiration & Ventilation - Cardiology & Resuscitation - Trauma - Medical/Obstetrics/Gynecology - EMS Operations All sections, except EMS Operations, have a content distribution of 85% adult and 15% pediatrics [based questions].  Topic weightage: For the EMT exam, 18%-22% of questions asked will cover airway, respiration, and ventilation; 20%-24% will cover cardiology and resuscitation; 14%-18% will cover trauma; 27%-31% will cover medical/obstetrics/gynecology; and 10%-14% will cover EMS operations.  For the EMR, advanced EMT... Show more

The NREMT exam asks questions on these topics:

- Airway, Respiration & Ventilation
- Cardiology & Resuscitation
- Trauma
- Medical/Obstetrics/Gynecology
- EMS Operations

All sections, except EMS Operations, have a content distribution of 85% adult and 15% pediatrics [based questions]. 

Topic weightage: For the EMT exam, 18%-22% of questions asked will cover airway, respiration, and ventilation; 20%-24% will cover cardiology and resuscitation; 14%-18% will cover trauma; 27%-31% will cover medical/obstetrics/gynecology; and 10%-14% will cover EMS operations. 
For the EMR, advanced EMT and paramedic exams, the numbers differ only by 1%-2% in each category. 

Note: The NREMT exam bases questions off of the National EMS Education Standards, current accepted practices of EMS, and Current AHA Guidelines for CPS and ECC (Emergency Cardiovascular Care). 

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