2024-2025 West Coast EMT Block Exam #3 with Answers (183 Solved Questions)

Preview (18 of 57 Pages)

100%

Purchase to unlock

Loading page image...

WestCoastEMTBlockExam#3100% VERIFIEDPERFECT ANSWERS2024/2025A 30-year-old male experienced a generalized (tonic-clonic) seizure, whichstopped before you arrived at the scene. The patient is conscious, is answeringyour questions appropriately, and refuses EMS transport. Which of the followingwould be theMOST compelling reason to disagree with his refusal of transport?Select one:A. His Glasgow Coma Scale (GCS) score is 15B. His wife states that this was his "usual" seizureC. He has experienced seizures since he was 20D. He is currently not prescribedany medicationsD. He is currently not prescribed any medicationsA patient who is possibly experiencing a stroke is NOT eligible for thrombolytic(fibrinolytic) therapy if he or she:Select one:A. has had a prior heart attack.B. has bleeding within the brain.C. has a GCS score that is less than 8.D. is older than 60 years of age.B. has bleeding within the brain.A patient whose speech is slurred and difficult to understand is experiencing:Select one:

Loading page image...

A. paraplegia.B. dysphagia.C. dysarthria.D. aphasia.C. dysarthria.A patient with an altered mental status is:Select one:A. typically alert but is confused as to preceding events.B. not thinking clearly or is incapable of being aroused.C. usually able to be aroused witha painful stimulus.D. completely unresponsive to all forms of stimuli.B. not thinking clearly or is incapable of being aroused.During the primary assessment of a semiconscious 70-year-old female, youshould:Select one:A. insert a nasopharyngeal airwayand assist ventilations.B. ask family members if the patient has a history of stroke.C. immediately determine the patient's blood glucose level.D. ensure a patent airway and support ventilation as needed.D. ensure a patent airway and support ventilation as needed.Interruption of cerebral blood flow may result from all of the following, EXCEPT:Select one:A. an embolism.B. cerebral vasodilation.C. a thrombus.D. an acute arterial rupture.B. cerebral vasodilation.

Loading page image...

The left cerebral hemisphere controls:Select one:A. heart rate and pupil reaction.B. the right side of the face.C. breathing and blood pressure.D. the right side of the body.D. the right side of the body.The MOST significant risk factor for a hemorrhagic stroke is:Select one:A. diabetes mellitus.B. hypertension.C. heavy exertion.D. severe stress.B. hypertension.The three major parts of the brain are the:Select one:A. midbrain, cerebellum, and spinal cord.B. brain stem, midbrain, and spinal cord.C. cerebellum, medulla, and occiput.D. cerebrum, cerebellum, and brain stem.D. cerebrum, cerebellum, and brain stem.When assessing for arm drift of a patient with a suspected stroke, you should:Select one:A. ask the patient to close his or her eyes during the assessment.B. expect to see one arm slowly drift down to the patient's side.C. observe movement of the arms for approximately 2 minutes.D. ask the patient to hold his or her arms up with the palms down.

Loading page image...

A. ask the patient to close his or her eyes during the assessment.When caring for a patient with documented hypoglycemia, you should be MOSTalert for:Select one:A. a seizure.B. respiratory distress.C. an acute stroke.D. a febrile convulsion.A. a seizure.When you are obtaining medical history from the familyof a suspected strokepatient, it is MOST important to determine:Select one:A. if the patient has been hospitalized before.B. if there is a family history of a stroke.C. when the patient last appeared normal.D. the patient's overall medication compliance.C. when the patient last appeared normal.Which of the following conditions would be the LEAST likely to mimic the signsand symptoms of a stroke?Select one:A. Intracranial bleedingB. A postictal stateC. HypoglycemiaD. HypovolemiaD. HypovolemiaWhich of the following conditions would MOST likely affect the entire brain?Select one:

Loading page image...

A. Respiratory failure or cardiopulmonary arrestB. Ruptured cerebral artery in the occipital lobeC. Blocked cerebral artery in the frontal lobeD. Reduced blood supply to the left hemisphereA. Respiratory failure or cardiopulmonary arrestWhich of the following MOST accurately describes a simple partial seizure?Select one:A. A generalized seizure without incontinenceB. A seizure that causes the patient to stare blanklyC. A seizure that begins in one extremityD. A seizure that is not preceded by an auraC. A seizure that begins in one extremityWhich of the following MOST accurately describes what the patient willexperience during the postictal state that followsa seizure?Select one:A. A gradually decreasing level of consciousnessB. A rapidly improving level of consciousnessC. Hyperventilation and hypersalivationD. Confusion and fatigueD. Confusion and fatigueWhich of the following symptoms would lead theEMT to believe that a patient'sheadache is caused by sinus congestion?Select one:A. The headache began suddenlyB. There is associated neck stiffnessC. There is numbness in the extremitiesD. The pain is worse when bending over

Loading page image...

D. The pain is worse when bending overYou are caring for a 68-year-old man with sudden onset of left-sided paralysisand slurred speech. His airway is patent, his respirations are 14 breaths/min withadequate depth, and his oxygen saturation is 98%. Treatment for this patientshould include:Select one:A. recovery position and transport.B. oral glucose gel and transport.C. high-flow oxygen and transport.D. ventilatory assistance and transport.A. recovery position and transport.You respond to a residence for a child who is having a seizure. Upon arrival at thescene, you enter the residence and find the mother holding her child, a 2-year-oldmale. The child is conscious and crying. According to the mother, the child hadbeen running a high fever and then experienced a seizurethat lastedapproximately 3 minutes. You should:Select one:A. call medical control and request permission to give the child aspirin.B. transport the child to the hospital and reassure the mother en route.C. advise the mother to take her child to the doctor the following day.D. cover the child with wet towels and give oxygen via nasal cannula.B. transport the child to the hospital and reassure the mother en route.Your patient opens his eyes, moans, and pulls away from you when you pinch histrapeziusmuscle. You should assign a Glasgow Coma Scale (GCS) score of:Select one:A. 7.B. 9.

Loading page image...

C. 8.D. 6.C. 8.A 29-year-old pregnant woman has had severe vomiting for the last 2 days.Today, she is vomiting large amounts of blood. Her skin is cool and pale andsheis tachycardic. The EMT should suspect:Select one:A. Mallory-Weiss tear.B. esophagitis.C. esophageal varices.D. acute pancreatitis.A. Mallory-Weiss tear.A 30-year-old woman with a history of alcoholism presents with severe upperabdominal painand is vomiting large amounts of bright red blood. Her skin iscool, pale, and clammy; her heart rate is 120 beats/min and weak; and her bloodpressure is 70/50 mm Hg. Your MOST immediate action should be to:Select one:A. rapidly transport her to the hospital.B. give her high-flow supplemental oxygen.C. protect her airway from aspiration.D. keep her supine and keep her warm.C. protect her airway from aspiration.A 47-year-old male presents with severe abdominal pain of 3 hours' duration. Hisabdomen is distended and guarded. Your MOST important consideration for thispatient should be to:Select one:A. be alert for signs and symptoms of shock.B. assess his blood pressure to determine perfusion adequacy.

Loading page image...

C. transport him in a supine position.D. determine the exact location and cause of his pain.A. be alert for signs and symptoms of shock.A 59-year-old male presents with sudden-onset severe lower back pain. He isconscious and alert, but very restless and diaphoretic. Your assessment revealsa pulsating mass to the left of his umbilicus. You should:Select one:A. request a paramedic unit to give the patient pain medication.B. vigorously palpate the abdomen to establish pain severity.C. administer oxygen and prepare for immediate transport.D. place the patient in a sitting position and transport at once.C. administer oxygen and prepare for immediate transport.A young female presents with costovertebral angle tenderness. She is consciousand alert with stable vital signs. Which of the following organs is MOST likelycausing her pain?Select one:A. PancreasB. LiverC. KidneyD. GallbladderC. KidneyAn important aspect in the treatment of a patient with severe abdominal pain isto:Select one:A. provide emotional support en route to the hospital.B. give 100% oxygen only if signs of shock are present.C. encourage the patient to remain in a supine position.D. administer analgesic medications to alleviate pain.

Loading page image...

A. provide emotional support en route to the hospital.For a patient with a gastrointestinal complaint, it is MOST important for the EMTto _________.Select one:A. avoid transporting the patient if the condition is minorB. perform all interventions prior to transportC. determine the cause of the patient's complaintD. identify whether the patient requires rapid transportD. identify whether the patient requires rapid transportMost patients with abdominal pain prefer to:Select one:A. lie on their side with their knees drawn into the abdomen.B. sit fully upright because it helps relax the abdominal muscles.C. sit in a semi-Fowler position with their knees slightly bent.D. liein a supine position with their knees in a flexed position.A. lie on their side with their knees drawn into the abdomen.Pain that may be perceived at a distant point on the surface of the body, such asthe back or shoulder, is called:Select one:A. visceral pain.B. radiating pain.C. referred pain.D. remote pain.C. referred pain.Peritonitis may result in shock because:Select one:A. abdominal distention impairs cardiac contractions.

Loading page image...

B. severe pain causes systemic dilation of the vasculature.C. intra-abdominal hemorrhage is typically present.D. fluid shifts from the bloodstream into body tissues.D. fluid shifts from the bloodstream into body tissues.Urinary tract infections are more common in ____________.Select one:A. menB. active adultsC. womenD. sedentary adultsC. womenWhen assessing a patient with abdominal pain, you should:Select one:A. visually assess the painful area of the abdomen, but avoid palpation becausethis could worsen his or her condition.B. palpate the abdomen in a clockwise direction, beginning with the quadrantafter the one the patient indicates is painful.C. ask the patient to point to the area of pain or tenderness and assess forrebound tenderness over that specific area.D. observe for abdominal guarding, which is characterized by sudden relaxationof the abdominal muscles when palpated.B. palpate the abdomen in a clockwise direction, beginning with the quadrant after theone the patient indicates is painful.Which of the following helps filter the blood and hasno digestive function?Select one:A. Large intestineB. Spleen

Loading page image...

C. StomachD. Small intestineB. SpleenWhich of the following is correct about the secondary assessment for a high-priority patient?Select one:A. The secondary assessment must be performedprior to transport.B. Never contact medical direction before completing the secondary assessment.C. You may not have time to complete a secondary assessment.D. Never perform a secondary assessment on a high-priority patient.C. You may not have time tocomplete a secondary assessment.Which of the following may help reduce your patient's nausea?Select one:A. Low-flow oxygenB. Positive-pressure ventilationC. Cricoid pressureD. Oral glucoseA. Low-flow oxygenWhich of the following organs lies in theretroperitoneal space?Select one:A. PancreasB. GallbladderC. SpleenD. LiverA. PancreasWhich of the following statements regarding dialysis is correct?Select one:

Loading page image...

A. Acute hypertension is a common adverse effect of dialysis.B. The purpose of dialysis is to help the kidneys retain salt and water.C. Hemodialysis is effective but carries a high risk of peritonitis.D. Patients who miss a dialysis treatment often present with weakness.D. Patients who miss a dialysis treatment often present with weakness.Which of the following statements regarding the acute abdomen is correct?Select one:A. The initial pain associated with an acute abdomen tends to be vague andpoorly localized.B. The parietal peritoneum is typically the first abdominal layer that becomesinflamed or irritated.C. The most common cause of an acute abdomen is inflammation of thegallbladder and liver.D. An acute abdomen almost always occurs as the result of blunttrauma to solidabdominal organs.A. The initial pain associated with an acute abdomen tends to be vague and poorlylocalized.Your patient complains of abdominal pain that occurs mostly at night or aftereating fatty foods. You should suspect ____________.Select one:A. cholecystitisB. a herniaC. appendicitisD. kidney stonesA. cholecystitisYour patient complains of chronic "burning" stomach pain that improves aftereating. You should suspect:Select one:

Loading page image...

A. pneumonia.B. peptic ulcer disease.C. aortic aneurysm.D. kidney stones.B. peptic ulcer disease.A 37-year-old female with a history of diabetes presents with excessive urinationand weakness of 2 days' duration. Her blood glucose level reads 320 mg/dL. Ifthis patient's condition is not promptly treated, she will MOST likely develop:Select one:A. irreversible renal failure.B. severe insulin shock.C. hypoxia and overhydration.D. acidosis and dehydration.A. irreversible renal failure.A 66-year-old woman experienced a sudden onset of difficulty breathing. She hasa history of type 2 diabetes and deep vein thrombosis (DVT). On the basis of hermedical history, which of the following should the EMT suspect?Select one:A. Pulmonary embolismB. Severe hypoglycemiaC. Diabetic ketoacidosisD. Congestive heart failureA. Pulmonary embolismA 75-year-old male with type 1 diabetes presents with chest pain and a generalfeeling of weakness. He tells you that he took his insulin today and ate a regularmeal approximately 2 hours ago. You should treat this patient as though he isexperiencing:Select one:

Loading page image...

A. hyperglycemia.B. hypoglycemia.C. a heart attack.D. an acute stroke.C. a heart attack.A man finds his 59-year-old wife unconscious on the couch. He states that shetakes medications for type 2 diabetes. He further tells you that his wife has beenill recently and has not eaten for the past 24 hours. Your assessment reveals thatthe patient is unresponsive. You should:Select one:A. open and maintain her airway and assess breathing.B. administer100% oxygen via a nonrebreathing mask.C. assess for the presence of a medical identification tag.D. administer oral glucose between her cheek and gum.A. open and maintain her airway and assess breathing.A patient with an altered mental status; high blood glucose levels; and deep,rapid breathing may have a condition known as __________.Select one:A. hyperosmolar hyperglycemic nonketotic comaB. hypoglycemic crisisC. hyperglycemic crisisD. diabetic ketoacidosisD. diabetic ketoacidosisA patient withhypoglycemia will often present with which of the followingsigns/symptoms?Select one:A. Warm, red, and dry skinB. Deep, rapid respirations

Loading page image...

C. Pale, cool, and clammy skinD. HypertensionC. Pale, cool, and clammy skinClassic signs and symptoms of hypoglycemia include:Select one:A. cool, clammy skin; weakness; tachycardia; and rapid respirations.B. warm, dry skin; hunger; abdominal pain; and deep, slow respirations.C. warm, dry skin; irritability; bradycardia; and rapid respirations.D. cold, clammy skin; bradycardia; hunger; and deep, rapid respirations.A. cool, clammy skin; weakness; tachycardia; and rapid respirations.During your assessment of a 19-year-old male, you are told that he is beingtreated with factorVIII. This indicates that:Select one:A. his blood clots too quickly.B. he has thrombophilia.C. he has hemophilia A.D. he has a thrombosis.C. he has hemophilia A.Excessive eating caused by cellular "hunger" is called:Select one:A. dyspepsia.B. polyphagia.C. dysphasia.D. polydipsia.B. polyphagia.In contrast to type 1 diabetes, type 2 diabetes:Select one:

Loading page image...

A. occurs when antibodies attack insulin-producing cells.B. is caused by a complete lack of insulin in the body.C. is caused by resistanceto insulin at the cellular level.D. is commonly diagnosed in children and young adults.C. is caused by resistance to insulin at the cellular level.Proper procedure for administering oral glucose to a patient includes all of thefollowing, EXCEPT:Selectone:A. ensuring the absence of a gag reflex.B. requesting permission from medical control.C. checking the medication's expiration date.D. assessing the patient's mental status.A. ensuring the absence of a gag reflex.Symptomatic hypoglycemia will MOST likely develop if a patient:Select one:A. markedly overeats and misses an insulin dose.B. takes too much of his or her prescribed insulin.C. misses one or two prescribed insulin injections.D. eats a regular meal followed by mild exertion.B. takes too much of his or her prescribed insulin.The EMT should assess for hypoglycemia in small children with a severe illnessor injury because:Select one:A. children overproduce insulin during severe illness or injury.B. children cannot store excess glucose as effectively as adults.C. a child's cells do not uptake glucose as rapidly as adults' do.D. illness or injury causes the pancreas to produce less insulin.

Loading page image...

B. children cannot store excess glucose as effectively as adults.The main function of the endocrine system is to _________.Select one:A. regulate blood flowB. regulate glucose and calciumC. produce glandular secretionsD. maintain homeostasisD. maintain homeostasisThe normal blood glucose level is between:Select one:A. 30 and 150 mg/dL.B. 60 and 80 mg/dL.C. 160 and 200 mg/dL.D. 80 and 120 mg/dL.D. 80 and 120 mg/dL.The two main types of cells contained in blood are called _________.Select one:A. erythrocytes and leukocytesB. transport and clottingC. platelets and plasmaD. hemoglobin A and SA. erythrocytes and leukocytesWhich of the following conditions is the diabetic patient at an increased risk ofdeveloping?Select one:A. AlcoholismB. Hepatitis B

Preview Mode

This document has 57 pages. Sign in to access the full document!

Report

Study Now!

Document Details

Related Documents

EMT FISDAP Cardiology Practice Exam With Answers (78 Solved Questions)

2024-2025 West Coast EMT Final Exam with Answers (258 Solved Questions)

2024-2025 West Coast EMT Block Exam #1 with Answers (222 Solved Questions)

2024-2025 NYS EMT Practice Exam with Answers (98 Solved Questions)

2024-2025 West Coast EMT Quiz 1 Practice Exam with Answers (210 Solved Questions)

West Coast EMT Block 1 Practice Exam with Answers (190 Solved Questions)

2024-2025 West Coast EMT Block Exam #2 with Answers (180 Solved Questions)

2024-2025 EMT FISDAP Readiness Practice Exam with Answers (161 Solved Questions)

Company

Explore

Study Tools