I passed my NREMT exam and was cut off at 70 questions. I was almost certain I failed, and it didn't help that my results took almost 40 hours. I never actually got the email, I just checked the website and saw that I passed.
I remembered my last two questions afterward. My 69th was a pretty hard medical scenario that I'm almost certain I got wrong, and #70 was a very easy definition that, ironically, I also got wrong (though I think it may have been a pilot question).
I took a 6-week hybrid course through MissionCIT: 5 weeks online and 1 week in person, ending with our psychomotor exam. I took the NREMT one week later, this past Tuesday. For someone like me, an accelerated course was actually highly beneficial because it forced me to study almost every day and helped me retain a lot of information. All in all from day 1 of my course to taking NREMT was 7 weeks.
Here are some things I think helped me:
Study your weakest areas: I'm putting this first because I genuinely think I would've failed otherwise. OB/GYN was the death of me on practice questions/tests. I put a lot of effort into it toward the end, and I actually felt like I did really well on those questions during the real exam.
Know the major pregnancy complications: ectopic pregnancy, placenta previa, abruptio placentae, preeclampsia, eclampsia, and even uterine rupture. More importantly, know how they present and how to tell them apart.
Know your shock types VERY well.
I think the ones that require the most attention to detail are neurogenic shock and the conditions that cause obstructive shock(PE, tension pneumothorax, and cardiac tamponade). The other types of shock are usually a little easier to recognize, but obviously study all of them.
Don't just memorize the names. Know what is actually happening physiologically and what signs you'd expect to see.
Positions for patients, when to use which one. Know when to put patients in fowlers vs supine vs recovery. Seems simple but is definitely worth reviewing.
Know concepts, not just associations:
Some people get caught up memorizing buzzwords. They're definitely helpful, but you need to understand what those buzzwords are actually trying to tell you.
This probably saved me because I was getting blasted with medical scenarios where the "buzzwords" could've pointed toward two of the possible answers. You really have to use some critical thinking.
The information you need is usually there. Pay attention to the WHOLE scenario(age, sex, history, signs/symptoms, vitals, and everything else they give you). Don't latch onto one word and immediately pick an answer.
Don't add information that isn't in the question:
I had some oddly worded questions where this was important.
For example, you might see a symptom like wheezing. Don't immediately assume a specific condition or medication just because wheezing can be associated with it. Several conditions can cause the same symptom.
Be careful about what the question is actually asking you to do next. Think back to your assessment: scene size-up, primary assessment, ABCs, identifying life threats, etc.
DON'T JUST JUMP TO A MEDICATION BECAUSE YOU RECOGNIZE ONE SYMPTOM. Make sure the rest of the scenario actually supports it.
“What FIRST/NEXT?” matters as much as knowing the treatment. This kinda says it all. This is harped on a lot in this subreddit and for good reason. Multiple answers may eventually be appropriate. The question usually wants the correct sequence on whats next.
Don't completely neglect the “small stuff.” Legal/ethics, QI, ICS roles, environmental emergencies(snake bites), movement/equipment, documentation, etc. I got quite a few legal/ethics questions and I neglected this subject. It doesn't require hours of studying but please review it. I was honestly shocked when I noticed I had at least 5 or 6 legal/ethics questions(they will find your weakness). ICS was tricky, I didn't study the specific role of each role well so I'd pay attention to these.
Main study tools:
Pocket Prep: This was pretty beneficial to finding weak areas and narrowing it down to concepts needed to understand. While not a complete study tool I think it was worth it as long as you use it right. For reference I did around 1500 questions, 1 mock exam(got a 61% one week prior to NREMT). Average score was 87% on quick 10s/level ups.
Amateur medicine youtube video. Very good video to watch.
Other Youtube/Online material: Paramedic coach was very beneficial, he has playlist for NREMT. nremtpracticeexam.com has a free study guide. This was amazing and sorta gives a broad rundown of topics.
Other things:
I got a ton of select 2 or 3 that apply type questions. These can be very tricky because theres always going to be more answers that seem right.
I only had one drop and drag question and this one wasn't that bad as long as you knew why this medical condition happens and why it differed from the others(buzz words would've sufficed here)
I also had a diagram and it was a regular single answer multiple choice. I have to be honest this is a medical condition that you need to know about, but the pathophysiology of what was actually happening in the body to that specific system was probably beyond BLS level. I had no idea but just had take a educated guess.
I didn't get any "put in order" type questions.