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For some reason, I can’t click start for Exam Four- it’s grayed out. All of the other exams appear to be working fine. I even tried using other browsers. Thanks
Please try and check the resolution in your browser in the tools area of your browser settings. This exam is a little larger than the others due to the 12 lead tracings.
I purchased the EMT skills bootcamp product for $14.00 and I cannot find it. Where is it?
Thanks
Matt, if you look on the right side menu you will see EMS Webinars and Exam Help. Click the exam help and you will the NREMT Skills Webinar listed there. You can also go to the Member Dashboard and you will see the NREMT Webinars tab under Webinars.
NYC Remac exam 6 , question 45,
amiodarone given under standing orders, protocol 553
thanks
Hi – not sure what you mean on this. I see it as showing the correct answer. This can be given under standing orders.
10c. Administer Amiodarone, 5 mg/kg, IV/Saline Lock, or IO. (Refer to Length Based Dosing Device
I can not get a full screen on the questions
Some users have issues viewing the start buttons or the full exam player. This is a user end browser issue and not controlled by the website. To view how to adjust and fix this issue please click here for a short video.
thank you worked well
Very good thanks,
Question 8 “using 2 pam under protocol 400 is designed to?” While I understand the Physiologic effect of the 2-Pam, Page 3 of the BLS protocols, or page 2 of BLS 400 Protocol, States “The end point of treatment is drying of secretions and resolution of other symptoms. this is a fuzzy question!!
Hey Joe – I do see what you mean, but keep in mind you are looking for the best answer provided, not necessarily a better answer that isn’t shown.
In addition – 2-PAM primary goal is to reverse respiratory depression and paralysis. When combined with Atropine is acts as well to dry secretions. See some of the excerpts I pulled from the NYS DOH site.
Pralidoxime has an important role in reversing paralysis of the respiratory muscles
When atropine and pralidoxime are used together, the signs of atropinization
(flushing, mydriasis, tachycardia, dryness of the mouth and nose) may occur earlier than might
be expected when atropine is used alone. This is especially true if the total dose of atropine has
been large and the administration of pralidoxime has been delayed.
1.Atropine stops the effect of the nerve agent by blocking the effects of over-stimulation. It effectively counters the actions of the nerve agent at nerve receptors.
2.Atropine relieves the smooth muscle constriction in the lungs (wheezing, respiratory distress) and gastrointestinal (diarrhea, cramps) tract, and also dries up respiratory tract secretions.
3.The companion drug to Atropine is 2-PAM CL; this drug complements the action of Atropine.
2-Pam Chloride acts to restore normal functions at the nerve ending by removing the nerve agent and affecting toxin irreversibility. This antidote is effective at re-establishing normal skeletal muscle contraction (relieves twitching and paralysis of respiratory muscles).
No matter what look for the best answer from the choices given. Good luck
Thank Jim. Appreciate the feedback
Very helpful site…!
…and now question 11 in Paramedic General Knowledge Four says that “POTASSIUM” is the primary extra-cellular electrolyte. I thought it was “sodium,” and when I looked it up, my textbook said the same thing. Did I misinterpret the question?
Hey Greg – I appreciate your input on this. You are correct that Sodium is the correct answer. It looks like this is a just a data input error. I will get this corrected.
Thanks Greg – This is really should be worded better. I will make changes on this. Jim
Sorry, I just realized I became one of those annoying guys you find every group. But thanks for all your help with this site. This is a great product. The guys see me studying and they’re getting subscriptions too. Is there a portion of the site designated for inquiries about some of the practice questions? Thanks again.
No bother or annoyance. I love to help as much as I can and if mistakes or confusing issues are seen I want to know. I may not be able to fix them all right away but they do get noted. Comments can be placed here in the website or sent via email to admin(at)emsseo.com
found the question involving aystole arrest the next step after vasopressin is dextrose per the protocol, the question calls for epi next thanks scott waryold
Scottt the question asks “After beginning an IV and administering Vasopressin 40units, if there is no change in the rhythm within 3-5 minutes you may” While the protocol does read Dextrose as a next step, the question is not aksing for a step sequence but an action based on the rhythm. The protocols states –
If there is no change in the rhythm within 3 – 5 minutes after administration of Vasopressin, administer Epinephrine 1 mg (10 ml of a 1:10,000 solution), IV/IO/Saline Lock bolus, every 3 – 5 minutes
Which is inline with the way the question is asked.
Dextrose will not fix the rhytm.
Hope this helps.
Hi Fredric Desarno
After you log in to the member area you will be on the member Dashboard. On that page are tabs for sections of the membership.
The left column has the NYC REMAC Exam practice tab. The exams are the top tab in that column.
You can also access the exams via any page on the member site via the right hand column. Labeled NYC REMAC Exams and then all the exams are listed.
I don’t see the start button to take the test
If you cant see the start button you need to adjust your screen size on your computer.
In your browser go to the View tab and either zoom in or out
hey on question number 3 NYC REMAC exam 6 it asks how dexamethasone can be given in our protocols it says IV and IM but the correct answer on the exam is IV only?
Hey Lori –
The question asks for this drug via ANAPHYLACTIC REACTION the protocol shows:
——
8. If the patient has signs of decompensated shock:
a. Administer Methylprednisolone 125 mg, IV/Saline Lock bolus, slowly, over 2 minutes.
OR
Administer Dexamethasone 12 mg, IV/Saline Lock bolus, slowly over 2 minutes.
——
However – for the Asthma and COPD guidelines it is IV or IM.
Carmen _ sent you an email. Please check your junk or spam folder. Exams can be viewed via any Windows based PC. email me direct at admin@emsseo.com if you still need help
Jim
Hi Whould like to extend my membership till April 30 2013. What do I need to do? Thanking You in Advance Tom
Tom – your subscription expires 3/4/13. To extend it, just resubscribe and after payment I will adjust your expiration date. – Jim
Exam 2 quesion 15 in the answer Should be total Max 10ug/kg/min 505-D Protocol
Thanks for the feedback Thomas Guttman Of teh choices the best answer is “Dopamine 2ug/kg/min IV/saline lock drip”
You are correct that the entire protocol option reads – “OPTION B: Administer Dopamine 2 ug/kg/min, IV/Saline Lock drip. If there is insufficient improvement in hemodynamic status, the infusion may be increased until the desired therapeutic effects are achieved or adverse affects appear. (Maximum dosage is 10 ug/kg/min, IV/Saline Lock drip.)”
But the question asks for a Medical Control option only and not a full dosage, route etc. Hope this makes sense.
I don’t see where the practice exams are located. All I am getting are audio files. I have a Mac and wonder if there is an issue because of this.
ROBIN PARISO – the videos are in Flash format so as long as you have that on your mac you can view the videos. The practice exams are on the main NREMT Success page. There is a button on that page for the NRE-SIM software that has all the exams included for that content.
Great site, very educational and helpful. Love the NRE_SIM software… Thank you..