WEST COAST EMT BLOCK 2 REVIEW EXAM ALL
QUESTIONS AND ANSWERS SURE A+
✔✔You are attending to a 27-year-old male driver of a car. According to his passenger,
the patient had been acting strangely while driving, then slumped forward against the
steering wheel, apparently unconscious. The car drove off the road and struck a
telephone pole. The patient remains unconscious, and physical assessment reveals
only a large hematoma on his right forehead with no other physical signs. Your patient
is a diabetic who had been under a lot of stress lately and may have missed meals. This
is an example of a:
Select one:
A. combination of a psychiatric and trauma emergency.
B. medical emergency.
C. trauma emergency.
D. combination of a medical and trauma emergency. - ✔✔D. combination of a medical
and trauma emergency.
✔✔"PASTE" is an alternate assessment tool for ___________.
Select one:
A. respiratory patients
B. seizure patients
C. stroke patients
D. cardiac patients - ✔✔A. respiratory patients
,✔✔A 30-year-old male presents with acute shortness of breath, widespread hives, and
facial swelling. He denies any past medical history and takes no medications. During
your assessment, you hear wheezing over all the lung fields. His blood pressure is
90/50 mm Hg and his heart rate is 110 beats/min. In addition to giving him high-flow
oxygen, the MOST important treatment for this patient is:
Select one:
A. epinephrine.
B. a beta-antagonist.
C. albuterol.
D. an antihistamine. - ✔✔A. epinephrine.
✔✔A 59-year-old male with a history of emphysema complains of an acute worsening of
his dyspnea and pleuritic chest pain following a forceful cough. Your assessment
reveals that he has a barrel-shaped chest, unilaterally diminished breath sounds, and
tachycardia. What is the MOST likely cause of this patient's condition?
Select one:
A. Spontaneous pneumothorax
B. Exacerbation of his COPD
C. Acute pulmonary embolism
D. Rupture of the diaphragm - ✔✔A. Spontaneous pneumothorax
✔✔A pleural effusion is MOST accurately defined as:
Select one:
A. fluid accumulation outside the lung.
B. diffuse collapsing of the alveoli.
C. a unilaterally collapsed lung.
D. a bacterial infection of the lung tissue. - ✔✔A. fluid accumulation outside the lung.
✔✔Asthma is caused by a response of the:
Select one:
A. immune system.
B. cardiovascular system.
C. endocrine system.
D. respiratory system. - ✔✔A. immune system.
✔✔Crackles (rales) are caused by _________.
Select one:
A. severe bronchoconstriction
B. mucus in the larger airways
C. narrowing of the upper airways
D. air passing through fluid - ✔✔D. air passing through fluid
✔✔His parents tell you that their son has had a chest infection for the past two days and
when they took him to their family doctor, they were told it was likely due to the
respiratory syncytial virus (RSV). They have kept him well hydrated, but the infection
, seems to have gotten worse. On auscultation, you hear decreased air entry bilaterally
with fine expiratory wheezes and the occasional coarse wet crackle. Based on this
information, your patient is most likely suffering from:
Select one:
A. pertussis.
B. epiglottitis.
C. croup.
D. bronchiolitis. - ✔✔D. bronchiolitis.
✔✔In order for efficient pulmonary gas exchange to occur:
Select one:
A. the percentage of inhaled carbon dioxide must exceed the percentage of inhaled
oxygen.
B. there must be low quantities of pulmonary surfactant to allow for full alveolar
expansion.
C. oxygen and carbon dioxide must be able to freely diffuse across the alveolar-capillary
membrane.
D. the pulmonary capillaries must be completely constricted and the alveoli must be
collapsed. - ✔✔C. oxygen and carbon dioxide must be able to freely diffuse across the
alveolar-capillary membrane.
✔✔In what area of the lungs does respiration occur?
Select one:
A. Alveoli
B. Bronchi
C. Trachea
D. Capillaries - ✔✔A. Alveoli
✔✔Treatment with continuous positive airway pressure (CPAP) would MOST likely be
contraindicated in which of the following situations?
Select one:
A. Pulmonary edema, history of hypertension, and anxiety
B. Difficulty breathing, two-word dyspnea, and tachycardia
C. Conscious and alert patient with an oxygen saturation of 85%
D. Shortness of breath and a blood pressure of 76/56 mm Hg - ✔✔D. Shortness of
breath and a blood pressure of 76/56 mm Hg
✔✔When auscultating the lungs of a patient with respiratory distress, you hear
adventitious sounds. This means that the patient has:
Select one:
A. abnormal breath sounds.
B. diminished breath sounds.
C. normal breath sounds.
D. an absence of breath sounds. - ✔✔A. abnormal breath sounds.
QUESTIONS AND ANSWERS SURE A+
✔✔You are attending to a 27-year-old male driver of a car. According to his passenger,
the patient had been acting strangely while driving, then slumped forward against the
steering wheel, apparently unconscious. The car drove off the road and struck a
telephone pole. The patient remains unconscious, and physical assessment reveals
only a large hematoma on his right forehead with no other physical signs. Your patient
is a diabetic who had been under a lot of stress lately and may have missed meals. This
is an example of a:
Select one:
A. combination of a psychiatric and trauma emergency.
B. medical emergency.
C. trauma emergency.
D. combination of a medical and trauma emergency. - ✔✔D. combination of a medical
and trauma emergency.
✔✔"PASTE" is an alternate assessment tool for ___________.
Select one:
A. respiratory patients
B. seizure patients
C. stroke patients
D. cardiac patients - ✔✔A. respiratory patients
,✔✔A 30-year-old male presents with acute shortness of breath, widespread hives, and
facial swelling. He denies any past medical history and takes no medications. During
your assessment, you hear wheezing over all the lung fields. His blood pressure is
90/50 mm Hg and his heart rate is 110 beats/min. In addition to giving him high-flow
oxygen, the MOST important treatment for this patient is:
Select one:
A. epinephrine.
B. a beta-antagonist.
C. albuterol.
D. an antihistamine. - ✔✔A. epinephrine.
✔✔A 59-year-old male with a history of emphysema complains of an acute worsening of
his dyspnea and pleuritic chest pain following a forceful cough. Your assessment
reveals that he has a barrel-shaped chest, unilaterally diminished breath sounds, and
tachycardia. What is the MOST likely cause of this patient's condition?
Select one:
A. Spontaneous pneumothorax
B. Exacerbation of his COPD
C. Acute pulmonary embolism
D. Rupture of the diaphragm - ✔✔A. Spontaneous pneumothorax
✔✔A pleural effusion is MOST accurately defined as:
Select one:
A. fluid accumulation outside the lung.
B. diffuse collapsing of the alveoli.
C. a unilaterally collapsed lung.
D. a bacterial infection of the lung tissue. - ✔✔A. fluid accumulation outside the lung.
✔✔Asthma is caused by a response of the:
Select one:
A. immune system.
B. cardiovascular system.
C. endocrine system.
D. respiratory system. - ✔✔A. immune system.
✔✔Crackles (rales) are caused by _________.
Select one:
A. severe bronchoconstriction
B. mucus in the larger airways
C. narrowing of the upper airways
D. air passing through fluid - ✔✔D. air passing through fluid
✔✔His parents tell you that their son has had a chest infection for the past two days and
when they took him to their family doctor, they were told it was likely due to the
respiratory syncytial virus (RSV). They have kept him well hydrated, but the infection
, seems to have gotten worse. On auscultation, you hear decreased air entry bilaterally
with fine expiratory wheezes and the occasional coarse wet crackle. Based on this
information, your patient is most likely suffering from:
Select one:
A. pertussis.
B. epiglottitis.
C. croup.
D. bronchiolitis. - ✔✔D. bronchiolitis.
✔✔In order for efficient pulmonary gas exchange to occur:
Select one:
A. the percentage of inhaled carbon dioxide must exceed the percentage of inhaled
oxygen.
B. there must be low quantities of pulmonary surfactant to allow for full alveolar
expansion.
C. oxygen and carbon dioxide must be able to freely diffuse across the alveolar-capillary
membrane.
D. the pulmonary capillaries must be completely constricted and the alveoli must be
collapsed. - ✔✔C. oxygen and carbon dioxide must be able to freely diffuse across the
alveolar-capillary membrane.
✔✔In what area of the lungs does respiration occur?
Select one:
A. Alveoli
B. Bronchi
C. Trachea
D. Capillaries - ✔✔A. Alveoli
✔✔Treatment with continuous positive airway pressure (CPAP) would MOST likely be
contraindicated in which of the following situations?
Select one:
A. Pulmonary edema, history of hypertension, and anxiety
B. Difficulty breathing, two-word dyspnea, and tachycardia
C. Conscious and alert patient with an oxygen saturation of 85%
D. Shortness of breath and a blood pressure of 76/56 mm Hg - ✔✔D. Shortness of
breath and a blood pressure of 76/56 mm Hg
✔✔When auscultating the lungs of a patient with respiratory distress, you hear
adventitious sounds. This means that the patient has:
Select one:
A. abnormal breath sounds.
B. diminished breath sounds.
C. normal breath sounds.
D. an absence of breath sounds. - ✔✔A. abnormal breath sounds.
