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This is 30 day subscription for Emergency Medical Technician National Registry practice questions. You may choose from a timed random test that is similar to the NREMT exam or choose to take different sections, such as strictly medical or trauma. The subscription is for 30 days & cost $5. There are over 1,500 questions in the test bank. See below for a sample question. A 51-year-old female complains of chest pain and increasing difficulty breathing. She has a large caliber gunshot wound to her right chest wall, fourth intercostal space on the anterior axillary line. You auscultate absent breath sounds on the right side. The patient has jugular venous distention. Her vital signs are P 112, R 22, BP 104/90, and SpO2 is 91% on room air. You should suspect: Your Answer: Correct D) tension pneumothorax A) pneumothorax. B) cardiac tamponade. C) flail chest. D) tension pneumothorax. Explanation: She has absent breath sounds, signs of compensated shock, and narrow pulse pressure, & JVD so you should suspect tension pneumothorax. A pneumothorax should not cause signs of hypotension. While a cardiac tamponade may cause her signs of shock, her wound type and location make a tension pneumothorax more likely. It is unlikely that a gunshot wound is going to cause a flail segment.