New York State Emergency Medical Technician (EMT) Practice Exam

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Which factor is NOT a common contributor to syncope in older patients?

  1. Medications

  2. Dehydration

  3. Prolonged standing

  4. High activity levels

The correct answer is: High activity levels

In older patients, syncope, which is a temporary loss of consciousness often related to insufficient blood flow to the brain, can arise from various factors. High activity levels are generally less associated with syncope in this demographic for several reasons. Older adults may often engage in lower levels of physical activity due to health issues or mobility limitations, making it less likely for high activity to lead to syncope. Conversely, medications can significantly impact older patients due to polypharmacy, where multiple medications interact or cause side effects that can result in dizziness or fainting. Dehydration is a common issue among older adults, as they may not drink enough fluids, which can lead to reduced blood volume and subsequent syncope. Prolonged standing is another common factor, as older individuals might struggle with orthostatic hypotension and have difficulty maintaining blood pressure when in an upright position for extended periods. Thus, high activity levels do not typically contribute to syncope in older patients compared to the other options listed, which are more directly linked to the condition.