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National Registry Paramedic Exam: Environmental Emergencies
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National Registry Paramedic Exam: Environmental Emergencies
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10 Questions

1. You have a patient who fell while ice skating and is still lying on the ice when you arrive. During your assessment, she begins to shiver and complains that it is making the pain worse. You and your partner decide to move her off the ice before continuing the assessment and starting treatment because you know that she is most likely losing heat primarily by:
2. The white and waxy areas of skin found when examining this patient most likely indicate which of the following?
3. All of the following are internal methods of thermogenesis EXCEPT:
4. What is the best explanation for why the body of an ocean drowning victim tends to float at first?
5. A person ascends from a 100-foot dive while holding his or her breath. Which answer correctly pairs the gas law with what will happen to the gas in the person’s lungs as the pressure decreases?
6. A 27-year-old female patient who was found by police stuck on the side of the road in a snowstorm for approximately 24 hours presents to you unresponsive with a weak central pulse, HR: 39, BP: 62/18, RR: 7. Her fingers, toes, nose, and ears are white and waxy. Her ECG is as follows:

Based on the description, this patient is suffering from what degree of hypothermia?
7. A bite from which of the following can cause loxoscelism, a fluid-filled vesicle that forms within a couple hours of the bite and can lead to gangrene in the area?
8.
Overheating in a steam room is most likely caused by overwhelming which of the body’s methods of expelling heat?
9. Patients taking which of the following medications should pay particular attention to warning number 4 in the above sign?
10. You have removed the patient’s clothes once in the ambulance and covered her with warm blankets. What is the most appropriate next treatment?

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