Format

  • CAT exam: 110–150 questions; 20 unscored; 3.5 hours total. NREMT

CAT Mindset

  • Questions adapt up/down based on performance; focus on consistent competency, not perfection. NREMT

High-yield buckets

  • 12-lead & rhythm ID: VT vs SVT w/ aberrancy; AF w/ RVR; blocks.
  • Shock: hemorrhagic vs obstructive vs cardiogenic; pressor logic.
  • Airway: failed airway plan; RSI contraindications; waveform capno.

Quick Quiz (3 items + rationales)

  1. Wide-complex tachycardia, stable, history of WPW. Initial management?
    Answer: Avoid AV-nodal blockers in suspected WPW; follow wide-tachycardia protocol (e.g., procainamide if indicated).
  2. Post-intubation ETCO₂ trending from 36→22. Interpretation?
    Answer: Possible hyperventilation or perfusion drop; reassess rate, depth, hemodynamics.
  3. Septic shock on norepi, MAP 58. Next?
    Answer: Titrate pressor, confirm fluids adequate; consider vasopressin per protocol.

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