WEST COAST EMT BLOCK 3 EXAM
2026/2027 QUESTIONSAND ANSWERS
100% VERIFIED BY EXPERTS
1. A 68-year-old male presents with sudden onset of shortness of breath and pink frothy
sputum. He has a history of hypertension and two previous MIs. Which of the following is the
most likely cause?
A. Left-sided heart failure
B. Pulmonary embolism
C. Right-sided heart failure
D. Spontaneous pneumothorax
Answer: A
Conceptual Explanation: Left-sided heart failure leads to pulmonary edema,
characterized by pink frothy sputum and acute respiratory distress.
2. Which of the following findings is the most sensitive indicator of early hypoperfusion
(shock)?
A. Hypotension
B. Narrowing pulse pressure
,C. Altered mental status
D. Bradycardia
Answer: B
Conceptual Explanation: A narrowing pulse pressure (the difference between systolic and
diastolic) is an early sign of compensated shock as the body increases systemic vascular
resistance.
3. You are treating a patient with a suspected narcotic overdose. The patient is unresponsive
with a respiratory rate of 6. What should be your primary concern before administering
Naloxone?
A. Assisting ventilations with a BVM
B. Determining the specific drug ingested
C. Checking the patient’s blood glucose
D. Restraining the patient
Answer: A
Conceptual Explanation: Airway and ventilation take priority. Before giving Narcan, the
patient must be oxygenated and ventilated due to the severe respiratory depression.
4. Which cardiac rhythm is characterized by a completely disorganized electrical activity with
no identifiable P waves or QRS complexes?
A. Ventricular Fibrillation
, B. Atrial Fibrillation
C. Ventricular Tachycardia
D. Asystole
Answer: A
Conceptual Explanation: Ventricular Fibrillation (V-fib) is a chaotic, quivering state of the
ventricles with no organized electrical activity.
5. A 22-year-old female is experiencing a severe allergic reaction. She is wheezing and has a
BP of 80/50. What is the correct dose and route for Epinephrine for this patient?
A. 0.3 mg SC (1:10,000)
B. 0.5 mg IV (1:10,000)
C. 0.15 mg IM (1:1,000)
D. 0.3 mg IM (1:1,000)
Answer: D
Conceptual Explanation: The standard adult dose for anaphylaxis is 0.3 mg of
Epinephrine 1:1,000 administered via the intramuscular route.
6. In the Cincinnati Prehospital Stroke Scale, which of the following is NOT a standard
component?
A. Facial droop
B. Arm drift
2026/2027 QUESTIONSAND ANSWERS
100% VERIFIED BY EXPERTS
1. A 68-year-old male presents with sudden onset of shortness of breath and pink frothy
sputum. He has a history of hypertension and two previous MIs. Which of the following is the
most likely cause?
A. Left-sided heart failure
B. Pulmonary embolism
C. Right-sided heart failure
D. Spontaneous pneumothorax
Answer: A
Conceptual Explanation: Left-sided heart failure leads to pulmonary edema,
characterized by pink frothy sputum and acute respiratory distress.
2. Which of the following findings is the most sensitive indicator of early hypoperfusion
(shock)?
A. Hypotension
B. Narrowing pulse pressure
,C. Altered mental status
D. Bradycardia
Answer: B
Conceptual Explanation: A narrowing pulse pressure (the difference between systolic and
diastolic) is an early sign of compensated shock as the body increases systemic vascular
resistance.
3. You are treating a patient with a suspected narcotic overdose. The patient is unresponsive
with a respiratory rate of 6. What should be your primary concern before administering
Naloxone?
A. Assisting ventilations with a BVM
B. Determining the specific drug ingested
C. Checking the patient’s blood glucose
D. Restraining the patient
Answer: A
Conceptual Explanation: Airway and ventilation take priority. Before giving Narcan, the
patient must be oxygenated and ventilated due to the severe respiratory depression.
4. Which cardiac rhythm is characterized by a completely disorganized electrical activity with
no identifiable P waves or QRS complexes?
A. Ventricular Fibrillation
, B. Atrial Fibrillation
C. Ventricular Tachycardia
D. Asystole
Answer: A
Conceptual Explanation: Ventricular Fibrillation (V-fib) is a chaotic, quivering state of the
ventricles with no organized electrical activity.
5. A 22-year-old female is experiencing a severe allergic reaction. She is wheezing and has a
BP of 80/50. What is the correct dose and route for Epinephrine for this patient?
A. 0.3 mg SC (1:10,000)
B. 0.5 mg IV (1:10,000)
C. 0.15 mg IM (1:1,000)
D. 0.3 mg IM (1:1,000)
Answer: D
Conceptual Explanation: The standard adult dose for anaphylaxis is 0.3 mg of
Epinephrine 1:1,000 administered via the intramuscular route.
6. In the Cincinnati Prehospital Stroke Scale, which of the following is NOT a standard
component?
A. Facial droop
B. Arm drift
